agenda item#: 3-c:..2, · 2020-04-01 · 2. resolution r-87-1071 shall be repealed effective upon...
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![Page 1: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/1.jpg)
Agenda Item 3-C2
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date April 7 2020 [X] Consent [ ] Regular [ ] Workshop [ ] Public Hearing
Department Engineering and Public Works Submitted By Engineering and Public Works Submitted For Roadway Production Division
I EXECUTIVE BRIEF
Motion and Title Staff recommends motion to adopt a Resolution repealing and replacing Resolution No R-87-1071 delegating authority to the County Administrator or designee to accept right-of-way related instruments and authorize payments when consideration for such instruments are at or below the appraised value
Summary Adopting this Resolution will authorize the County Administrator or designee to accept Warranty Deeds Special Warranty Deeds Quit Claim Deeds Drainage Easements Embankment Easements Limited Access Easements Line-of-Sight Easements Pathway Easements Permanent Easements Relocatable Drainage Easements Right-of-Way Easements Sidewalk Easements Signal Easements Temporary Construction Easements and Removal Agreements ( collectively Instruments) associated with a right-of-way conveyance and authorize payments for such conveyances when the consideration is at or below the appraised value Repealing and replacing R-87-1071 changes the original delegated authority and specifies the various types of instruments to be accepted In accordance with Palm Beach County Ordinance (2019-038) a supermajority vote (5 votes) is required by the Board of County Commissioners (BCC) for this delegation of authority as it involves fee simple real property Countywide (YBH)
Background and Justification In 1987 the BCC granted delegated authority to the County Engineer to accept warranty deeds conveying right-of-way to the County That delegated authority is being updated to the County Administrator or designee with a list of specific instruments that are typically encountered As part ofthe roadway improvement process property owners are frequently required to convey right-of-way andor easements to the County Some of the conveyances are received as conditioned donations while others must be purchased by the County The timeframe associated with approval and acceptance by the BCC for these instruments often causes significant delays in the process for constructing much needed roadway improvements The Engineering Department recommends that the BCC adopt the Resolution authorizing the County Administrator or designee to accept instruments and authorize payments on behalfofthe BCC when consideration is at or below the appraised value
Attachments 1 Resolution with Exhibits A B C D E F G H I J K L M N amp O 2 Resolution R-87-1071
Approved by Assistant County Administrator Date
FR_ O _ WTONIDelegated Authority Resolution updatebel Auth _ AIS tc edit MR ldybh TDC I cdoc
II FISCAL IMPACT ANALYSIS
A Five Year Summary of Fiscal Impact
Fiscal Years Capital Expenditures Operating Costs External Revenues Program Income (County) In-Kind Match (County) NET FISCAL IMP ACT ADDITIONAL FTE POSITIONS (Cumulative)
2020 $ -0shy
-0shy-0shy-0shy-0shy
$
2021 -0shy-0shy-0shy-0shy-0shy-0shy
2022 -0shy-0shy-0shy-0shy-0shy-0shy
2023 -0shy-0shy-0shy-0shy-0shy-0shy
2024 _ _ _ _ _ _
Is Item Included in Current Budget Does this item include the use of federal funds
Yes Yes
No No X
Budget Account No Fund Dept Unit Object
Recommended Sources of FundsSummary of Fiscal Impact
This item has no fiscal impact
C Departmental Fiscal Review ~~ IIL REVIEW COMMENTS
A OFMB Fiscal andor Contract Dev and Control Comments
B Approved as to Form and Legal Sufficiency
Department Director
This summary is not to be used as a basis for payment 2
FADM_SERFEED MEAGENDAPAGE2FY 202020153 DELEGATED AUTHORITY OF RW INSTRUMENTS NO FISCAL IMP ACTDOC
---RESOLUTION NO R-2020 shy
RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS (BCC) OF PALM BEACH COUNTY FLORIDA REPEALING AND REPLACING RESOLUTION NO R-87-1071 DELEGATING AUTHORITY TO THE COUNTY ADMINISTRATOR OR DESIGNEE TO ACCEPT RIGHT-OFshyWAY RELATED INSTRUMENTS AND TO AUTHORIZE PAYMENT WHEN CONSIDERATION FOR SUCH INSTRUMENTS IS AT OR BELOW THE APPRAISED VALUE
WHEREAS as part of the roadway improvement process property owners are frequently
required to convey right-of-way to the County and
WHEREAS Resolution R-87-1071 granted delegated authority to the County Engineer to
accept warranty deeds conveying right-of-way to the County and
WHEREAS the County finds it necessary to accept right-of-way related instruments
[Warranty Deeds (Exhibit A) Special Warranty Deeds (Exhibit B) Quit Claim Deeds (Exhibit
C) Drainage Easements (Exhibit D) Embankment Easements (Exhibit E) Limited Access
Easements (Exhibit F) Line-Of-Sight Easements (Exhibit G) Pathway Easements (Exhibit
H) Permanent Easements (Exhibit I) Relocatable Drainage Easements (Exhibit J) Rightshy
of-W ay Easements (Exhibit K) Sidewalk Easements (Exhibit L) Signal Easements (Exhibit
M) Temporary Construction Easements (Exhibit N) and Removal Agreements (Exhibit O)
collectively Instruments] for roadway improvements and
WHEREAS some ofthe conveyances are received as donations while others are received
as a condition of zoning or must be purchased by the County and
WHEREAS the Countys Real Property Acquisition Disposition and Leasing Ordinance
(2019-038) allows for delegation of authority to the County Administrator or designee regarding
standard form documents as may be approved by the BCC from time to time and
WHEREAS the need to expedite roadway improvements provides the justification for
delegating authority to the County Administrator or designee to accept routine Instruments and
authorize payment for conveyances when consideration for conveyances is at or below the
appraised value and
WHEREAS a quarterly report will be provided to the BCC listing all the Instruments
accepted by the County Administrator or designee and any payment authorized as appropriate
NOW THEREFORE be it resolved by the Board of County Commissioners of Palm
Beach County Florida that
Page 1 of2
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1 The recitals contained above are true and correct and incorporated herein by
reference
2 Resolution R-87-1071 shall be repealed effective upon adoption of this
Resolution
3 The County Administrator or designee is hereby delegated authority to accept
on behalf of the BCC routine Instruments using the attached or substantially
similar standard form documents and authorize payment for the Instruments
when consideration for such Instruments is at or below the appraised value
4 A quarterly report will be provided to the BCC listing all the Instruments
accepted by the County Administrator or designee and any payment authorized
therefore
5 This Resolution shall take effect upon adoption by the BCC
The foregoing Resolution was offered by Commissioner who
moved its adoption The motion was seconded by Commissioner and
upon being put to a vote the vote was as follows
Dave Kerner Mayor
Robert S W einroth Vice Mayor
Hal R Valeche
Gregg K Weiss
Mary Lou Berger
Melissa McKinlay
Mack Bernard
The Mayor thereupon declared the Resolution duly passed and adopted this ____ day of
20
APPROVED AS TO FORM PALM BEACH COUNTY FLORIDA AND LEGAL SUFFICIENCY BY AND THROUGH ITS BOARD OF
COUNTY COMMISSIONERS
Sharon R Bock Clerk amp Comptroller
By ______________ By ___________ Y elizaveta B Herman Deputy Clerk Assistant County Attorney
FR_O_WTONIDelegated Authority Resolution updateDel Auth_Reso lcYBH TDC lbdocx
Page 2 of2
Exhibit A Page 1 of 2Return via Palm Beach County interoffice mail to
[rYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
[NotsubJect to documentary stamp tax per Florida Administrative Code Rule 12B-4lt)14(13)] Purchase Price [Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
WARRANTY DEED
THIS DEED is made this __day of __________ 20__ by [NAME OF lt~TOR IN BOLD CAPS] a [singlemarned] person whose post office address is [Grantor~s Street_Address orPosfl)ffice Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or m anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
AND Grantor hereby covenants with said Grantee that said Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor 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 ofall encumbrances includipg but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
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Exhibit A Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By----------------_-------shyWitness Signature (Required) [Naine ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this __day of __________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _WFORMS244-LGL WARRANTY DEEDWD 1-Ind NEW NOTARIAL CERTIFICATEdocx
Page 2 of2
Exhibit B Return via Palm Beach County interoffice mail to Page 1 of 2 [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750 Acct No 1010
This Instrument Prepared by Yelizaveta Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)] Purchase Price Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SPECIAL WARRANTY DEED
THIS DEED is made this __day of 20__ by (NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida asmiddot follows
Property more particularly described in EXHIBIT A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or in anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
Subject to taxes for the year 20_ and subsequent years
AND Grantor covenants with Grantee that Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever by through and under it and that said land is free of all encumbrances made by Grantor including but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
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Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
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Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
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![Page 2: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/2.jpg)
II FISCAL IMPACT ANALYSIS
A Five Year Summary of Fiscal Impact
Fiscal Years Capital Expenditures Operating Costs External Revenues Program Income (County) In-Kind Match (County) NET FISCAL IMP ACT ADDITIONAL FTE POSITIONS (Cumulative)
2020 $ -0shy
-0shy-0shy-0shy-0shy
$
2021 -0shy-0shy-0shy-0shy-0shy-0shy
2022 -0shy-0shy-0shy-0shy-0shy-0shy
2023 -0shy-0shy-0shy-0shy-0shy-0shy
2024 _ _ _ _ _ _
Is Item Included in Current Budget Does this item include the use of federal funds
Yes Yes
No No X
Budget Account No Fund Dept Unit Object
Recommended Sources of FundsSummary of Fiscal Impact
This item has no fiscal impact
C Departmental Fiscal Review ~~ IIL REVIEW COMMENTS
A OFMB Fiscal andor Contract Dev and Control Comments
B Approved as to Form and Legal Sufficiency
Department Director
This summary is not to be used as a basis for payment 2
FADM_SERFEED MEAGENDAPAGE2FY 202020153 DELEGATED AUTHORITY OF RW INSTRUMENTS NO FISCAL IMP ACTDOC
---RESOLUTION NO R-2020 shy
RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS (BCC) OF PALM BEACH COUNTY FLORIDA REPEALING AND REPLACING RESOLUTION NO R-87-1071 DELEGATING AUTHORITY TO THE COUNTY ADMINISTRATOR OR DESIGNEE TO ACCEPT RIGHT-OFshyWAY RELATED INSTRUMENTS AND TO AUTHORIZE PAYMENT WHEN CONSIDERATION FOR SUCH INSTRUMENTS IS AT OR BELOW THE APPRAISED VALUE
WHEREAS as part of the roadway improvement process property owners are frequently
required to convey right-of-way to the County and
WHEREAS Resolution R-87-1071 granted delegated authority to the County Engineer to
accept warranty deeds conveying right-of-way to the County and
WHEREAS the County finds it necessary to accept right-of-way related instruments
[Warranty Deeds (Exhibit A) Special Warranty Deeds (Exhibit B) Quit Claim Deeds (Exhibit
C) Drainage Easements (Exhibit D) Embankment Easements (Exhibit E) Limited Access
Easements (Exhibit F) Line-Of-Sight Easements (Exhibit G) Pathway Easements (Exhibit
H) Permanent Easements (Exhibit I) Relocatable Drainage Easements (Exhibit J) Rightshy
of-W ay Easements (Exhibit K) Sidewalk Easements (Exhibit L) Signal Easements (Exhibit
M) Temporary Construction Easements (Exhibit N) and Removal Agreements (Exhibit O)
collectively Instruments] for roadway improvements and
WHEREAS some ofthe conveyances are received as donations while others are received
as a condition of zoning or must be purchased by the County and
WHEREAS the Countys Real Property Acquisition Disposition and Leasing Ordinance
(2019-038) allows for delegation of authority to the County Administrator or designee regarding
standard form documents as may be approved by the BCC from time to time and
WHEREAS the need to expedite roadway improvements provides the justification for
delegating authority to the County Administrator or designee to accept routine Instruments and
authorize payment for conveyances when consideration for conveyances is at or below the
appraised value and
WHEREAS a quarterly report will be provided to the BCC listing all the Instruments
accepted by the County Administrator or designee and any payment authorized as appropriate
NOW THEREFORE be it resolved by the Board of County Commissioners of Palm
Beach County Florida that
Page 1 of2
------------
----------
----------- ---
1 The recitals contained above are true and correct and incorporated herein by
reference
2 Resolution R-87-1071 shall be repealed effective upon adoption of this
Resolution
3 The County Administrator or designee is hereby delegated authority to accept
on behalf of the BCC routine Instruments using the attached or substantially
similar standard form documents and authorize payment for the Instruments
when consideration for such Instruments is at or below the appraised value
4 A quarterly report will be provided to the BCC listing all the Instruments
accepted by the County Administrator or designee and any payment authorized
therefore
5 This Resolution shall take effect upon adoption by the BCC
The foregoing Resolution was offered by Commissioner who
moved its adoption The motion was seconded by Commissioner and
upon being put to a vote the vote was as follows
Dave Kerner Mayor
Robert S W einroth Vice Mayor
Hal R Valeche
Gregg K Weiss
Mary Lou Berger
Melissa McKinlay
Mack Bernard
The Mayor thereupon declared the Resolution duly passed and adopted this ____ day of
20
APPROVED AS TO FORM PALM BEACH COUNTY FLORIDA AND LEGAL SUFFICIENCY BY AND THROUGH ITS BOARD OF
COUNTY COMMISSIONERS
Sharon R Bock Clerk amp Comptroller
By ______________ By ___________ Y elizaveta B Herman Deputy Clerk Assistant County Attorney
FR_O_WTONIDelegated Authority Resolution updateDel Auth_Reso lcYBH TDC lbdocx
Page 2 of2
Exhibit A Page 1 of 2Return via Palm Beach County interoffice mail to
[rYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
[NotsubJect to documentary stamp tax per Florida Administrative Code Rule 12B-4lt)14(13)] Purchase Price [Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
WARRANTY DEED
THIS DEED is made this __day of __________ 20__ by [NAME OF lt~TOR IN BOLD CAPS] a [singlemarned] person whose post office address is [Grantor~s Street_Address orPosfl)ffice Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or m anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
AND Grantor hereby covenants with said Grantee that said Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor 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 ofall encumbrances includipg but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit A Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By----------------_-------shyWitness Signature (Required) [Naine ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this __day of __________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _WFORMS244-LGL WARRANTY DEEDWD 1-Ind NEW NOTARIAL CERTIFICATEdocx
Page 2 of2
Exhibit B Return via Palm Beach County interoffice mail to Page 1 of 2 [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750 Acct No 1010
This Instrument Prepared by Yelizaveta Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)] Purchase Price Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SPECIAL WARRANTY DEED
THIS DEED is made this __day of 20__ by (NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida asmiddot follows
Property more particularly described in EXHIBIT A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or in anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
Subject to taxes for the year 20_ and subsequent years
AND Grantor covenants with Grantee that Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever by through and under it and that said land is free of all encumbrances made by Grantor including but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
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t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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![Page 3: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/3.jpg)
---RESOLUTION NO R-2020 shy
RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS (BCC) OF PALM BEACH COUNTY FLORIDA REPEALING AND REPLACING RESOLUTION NO R-87-1071 DELEGATING AUTHORITY TO THE COUNTY ADMINISTRATOR OR DESIGNEE TO ACCEPT RIGHT-OFshyWAY RELATED INSTRUMENTS AND TO AUTHORIZE PAYMENT WHEN CONSIDERATION FOR SUCH INSTRUMENTS IS AT OR BELOW THE APPRAISED VALUE
WHEREAS as part of the roadway improvement process property owners are frequently
required to convey right-of-way to the County and
WHEREAS Resolution R-87-1071 granted delegated authority to the County Engineer to
accept warranty deeds conveying right-of-way to the County and
WHEREAS the County finds it necessary to accept right-of-way related instruments
[Warranty Deeds (Exhibit A) Special Warranty Deeds (Exhibit B) Quit Claim Deeds (Exhibit
C) Drainage Easements (Exhibit D) Embankment Easements (Exhibit E) Limited Access
Easements (Exhibit F) Line-Of-Sight Easements (Exhibit G) Pathway Easements (Exhibit
H) Permanent Easements (Exhibit I) Relocatable Drainage Easements (Exhibit J) Rightshy
of-W ay Easements (Exhibit K) Sidewalk Easements (Exhibit L) Signal Easements (Exhibit
M) Temporary Construction Easements (Exhibit N) and Removal Agreements (Exhibit O)
collectively Instruments] for roadway improvements and
WHEREAS some ofthe conveyances are received as donations while others are received
as a condition of zoning or must be purchased by the County and
WHEREAS the Countys Real Property Acquisition Disposition and Leasing Ordinance
(2019-038) allows for delegation of authority to the County Administrator or designee regarding
standard form documents as may be approved by the BCC from time to time and
WHEREAS the need to expedite roadway improvements provides the justification for
delegating authority to the County Administrator or designee to accept routine Instruments and
authorize payment for conveyances when consideration for conveyances is at or below the
appraised value and
WHEREAS a quarterly report will be provided to the BCC listing all the Instruments
accepted by the County Administrator or designee and any payment authorized as appropriate
NOW THEREFORE be it resolved by the Board of County Commissioners of Palm
Beach County Florida that
Page 1 of2
------------
----------
----------- ---
1 The recitals contained above are true and correct and incorporated herein by
reference
2 Resolution R-87-1071 shall be repealed effective upon adoption of this
Resolution
3 The County Administrator or designee is hereby delegated authority to accept
on behalf of the BCC routine Instruments using the attached or substantially
similar standard form documents and authorize payment for the Instruments
when consideration for such Instruments is at or below the appraised value
4 A quarterly report will be provided to the BCC listing all the Instruments
accepted by the County Administrator or designee and any payment authorized
therefore
5 This Resolution shall take effect upon adoption by the BCC
The foregoing Resolution was offered by Commissioner who
moved its adoption The motion was seconded by Commissioner and
upon being put to a vote the vote was as follows
Dave Kerner Mayor
Robert S W einroth Vice Mayor
Hal R Valeche
Gregg K Weiss
Mary Lou Berger
Melissa McKinlay
Mack Bernard
The Mayor thereupon declared the Resolution duly passed and adopted this ____ day of
20
APPROVED AS TO FORM PALM BEACH COUNTY FLORIDA AND LEGAL SUFFICIENCY BY AND THROUGH ITS BOARD OF
COUNTY COMMISSIONERS
Sharon R Bock Clerk amp Comptroller
By ______________ By ___________ Y elizaveta B Herman Deputy Clerk Assistant County Attorney
FR_O_WTONIDelegated Authority Resolution updateDel Auth_Reso lcYBH TDC lbdocx
Page 2 of2
Exhibit A Page 1 of 2Return via Palm Beach County interoffice mail to
[rYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
[NotsubJect to documentary stamp tax per Florida Administrative Code Rule 12B-4lt)14(13)] Purchase Price [Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
WARRANTY DEED
THIS DEED is made this __day of __________ 20__ by [NAME OF lt~TOR IN BOLD CAPS] a [singlemarned] person whose post office address is [Grantor~s Street_Address orPosfl)ffice Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or m anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
AND Grantor hereby covenants with said Grantee that said Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor 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 ofall encumbrances includipg but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit A Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By----------------_-------shyWitness Signature (Required) [Naine ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this __day of __________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _WFORMS244-LGL WARRANTY DEEDWD 1-Ind NEW NOTARIAL CERTIFICATEdocx
Page 2 of2
Exhibit B Return via Palm Beach County interoffice mail to Page 1 of 2 [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750 Acct No 1010
This Instrument Prepared by Yelizaveta Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)] Purchase Price Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SPECIAL WARRANTY DEED
THIS DEED is made this __day of 20__ by (NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida asmiddot follows
Property more particularly described in EXHIBIT A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or in anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
Subject to taxes for the year 20_ and subsequent years
AND Grantor covenants with Grantee that Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever by through and under it and that said land is free of all encumbrances made by Grantor including but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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![Page 4: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/4.jpg)
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1 The recitals contained above are true and correct and incorporated herein by
reference
2 Resolution R-87-1071 shall be repealed effective upon adoption of this
Resolution
3 The County Administrator or designee is hereby delegated authority to accept
on behalf of the BCC routine Instruments using the attached or substantially
similar standard form documents and authorize payment for the Instruments
when consideration for such Instruments is at or below the appraised value
4 A quarterly report will be provided to the BCC listing all the Instruments
accepted by the County Administrator or designee and any payment authorized
therefore
5 This Resolution shall take effect upon adoption by the BCC
The foregoing Resolution was offered by Commissioner who
moved its adoption The motion was seconded by Commissioner and
upon being put to a vote the vote was as follows
Dave Kerner Mayor
Robert S W einroth Vice Mayor
Hal R Valeche
Gregg K Weiss
Mary Lou Berger
Melissa McKinlay
Mack Bernard
The Mayor thereupon declared the Resolution duly passed and adopted this ____ day of
20
APPROVED AS TO FORM PALM BEACH COUNTY FLORIDA AND LEGAL SUFFICIENCY BY AND THROUGH ITS BOARD OF
COUNTY COMMISSIONERS
Sharon R Bock Clerk amp Comptroller
By ______________ By ___________ Y elizaveta B Herman Deputy Clerk Assistant County Attorney
FR_O_WTONIDelegated Authority Resolution updateDel Auth_Reso lcYBH TDC lbdocx
Page 2 of2
Exhibit A Page 1 of 2Return via Palm Beach County interoffice mail to
[rYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
[NotsubJect to documentary stamp tax per Florida Administrative Code Rule 12B-4lt)14(13)] Purchase Price [Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
WARRANTY DEED
THIS DEED is made this __day of __________ 20__ by [NAME OF lt~TOR IN BOLD CAPS] a [singlemarned] person whose post office address is [Grantor~s Street_Address orPosfl)ffice Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or m anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
AND Grantor hereby covenants with said Grantee that said Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor 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 ofall encumbrances includipg but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit A Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By----------------_-------shyWitness Signature (Required) [Naine ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this __day of __________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _WFORMS244-LGL WARRANTY DEEDWD 1-Ind NEW NOTARIAL CERTIFICATEdocx
Page 2 of2
Exhibit B Return via Palm Beach County interoffice mail to Page 1 of 2 [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750 Acct No 1010
This Instrument Prepared by Yelizaveta Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)] Purchase Price Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SPECIAL WARRANTY DEED
THIS DEED is made this __day of 20__ by (NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida asmiddot follows
Property more particularly described in EXHIBIT A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or in anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
Subject to taxes for the year 20_ and subsequent years
AND Grantor covenants with Grantee that Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever by through and under it and that said land is free of all encumbrances made by Grantor including but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
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t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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JULY 1~37
R 87
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Exhibit A Page 1 of 2Return via Palm Beach County interoffice mail to
[rYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
[NotsubJect to documentary stamp tax per Florida Administrative Code Rule 12B-4lt)14(13)] Purchase Price [Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
WARRANTY DEED
THIS DEED is made this __day of __________ 20__ by [NAME OF lt~TOR IN BOLD CAPS] a [singlemarned] person whose post office address is [Grantor~s Street_Address orPosfl)ffice Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or m anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
AND Grantor hereby covenants with said Grantee that said Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor 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 ofall encumbrances includipg but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit A Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By----------------_-------shyWitness Signature (Required) [Naine ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this __day of __________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _WFORMS244-LGL WARRANTY DEEDWD 1-Ind NEW NOTARIAL CERTIFICATEdocx
Page 2 of2
Exhibit B Return via Palm Beach County interoffice mail to Page 1 of 2 [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750 Acct No 1010
This Instrument Prepared by Yelizaveta Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)] Purchase Price Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SPECIAL WARRANTY DEED
THIS DEED is made this __day of 20__ by (NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida asmiddot follows
Property more particularly described in EXHIBIT A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or in anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
Subject to taxes for the year 20_ and subsequent years
AND Grantor covenants with Grantee that Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever by through and under it and that said land is free of all encumbrances made by Grantor including but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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JULY 1~37
R 87
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---------------
--------------
Exhibit A Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By----------------_-------shyWitness Signature (Required) [Naine ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this __day of __________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _WFORMS244-LGL WARRANTY DEEDWD 1-Ind NEW NOTARIAL CERTIFICATEdocx
Page 2 of2
Exhibit B Return via Palm Beach County interoffice mail to Page 1 of 2 [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750 Acct No 1010
This Instrument Prepared by Yelizaveta Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)] Purchase Price Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SPECIAL WARRANTY DEED
THIS DEED is made this __day of 20__ by (NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida asmiddot follows
Property more particularly described in EXHIBIT A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or in anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
Subject to taxes for the year 20_ and subsequent years
AND Grantor covenants with Grantee that Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever by through and under it and that said land is free of all encumbrances made by Grantor including but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
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Exhibit B Return via Palm Beach County interoffice mail to Page 1 of 2 [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750 Acct No 1010
This Instrument Prepared by Yelizaveta Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)] Purchase Price Enter $ amount or $ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SPECIAL WARRANTY DEED
THIS DEED is made this __day of 20__ by (NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of TEN ($1000) dollars and other valuable considerations receipt whereof is hereby acknowledged hereby grants bargains sells aliens remises releases conveys and confirms unto Grantee all that certain land situate in Palm Beach County Florida asmiddot follows
Property more particularly described in EXHIBIT A attached hereto and made a part hereof
TOGETHER with all the tenements hereditaments and appurtenances thereto belonging or in anywise appertaining
TO HA VE AND TO HOLD the same in fee simple forever
Subject to taxes for the year 20_ and subsequent years
AND Grantor covenants with Grantee that Grantor is lawfully seized of said land in fee simple that Grantor has good right and lawful authority to sell and convey said land that Grantor hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever by through and under it and that said land is free of all encumbrances made by Grantor including but not limited to mortgages all liens and special assessments except taxes subsequent to the closing date
Page 1 of2
---------------
--------------
Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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---------------
--------------
Exhibit B Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law)
By_-----___-------------- shyWitness Signature (Required) N atne ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ________________as identification and who executed the foregoing instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
Page 2 of2
Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
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t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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Exhibit C
Retuldeg via Palm Beach County interoffice mail to LYour NameLRight-of-Way Specialist
Page1 of 2
Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road Jrd Floor West West Palm Beach Florida 33411-2750
Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
Purchase Price [Enter $ amount or$ O] Closing Date ________
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED is made this __day of__________ 20_ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors Street Address or
Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State
ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229
West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollars and other valuable
considerations receipt whereof is hereby acknowledged does hereby remise release quit-claim and convey unto
Grantee its successors and assigns all right title interest claim and demand which Grantor has in and to the
following described land situate in Palm Beach County Florida as follows Property more particularly described in
Exhibit A attached hereto and made a part hereof
AND that said land is free of all encumbrances including but not limited to mortgages all liens and special
assessments except taxes subsequent to the closing date
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances thereto belonging or in
anywise incident or appertaining and all the estate right title interest and claim whatsoever ofthe said Grantor in
law or in equity to the proper use benefit and behoove of the said Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
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Exhibit C Page 2 of 4
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----------____------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or who produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_ WFORMS242-LGL QUIT-CLAIM DEEDQCD 1-Inddocx
Page 2 of2
Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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Exhibit D Page 1 of 3
Return via Palm Beach County interoffice mail to [lYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
DRAINAGE EASEMENT
THIS DRAINAGE EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for
the purpose of a perpetual drainage easement over upon under through and across the following described land
situate in Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and
made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground ( swales) middot and
buried (pipes and structures) to or from water retention areas The Easement includes the right at anytime to install
bore alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Page 1 of 3
Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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Exhibit D Page 2 of 3
Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [bisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair ofany ofthe Facilities ( collectively Interference) Grantor [hislier] successors
and assigns shall be liable for any and all expenses and damages related to the Interference
The installation of Facilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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------
Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
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Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
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jbulldoptbulld th~bull~ day of
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Exhibit D Page 3 of 3
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___------------shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
NR_O_ WFORMS250-LGL DRAINAGE ESMTdrainage easement 1-Inddocx
Page 3 of3
Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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Exhibit E Page 1 of 3Return via Palm Beach County interoffice mail to
[iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[N()t subject to d()cumentary stalllp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
EMBANKMENT EASEMENT
THIS EMBANKMENT EASEMENT (Easement) is made this __day of__________20_
by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein a permanent embankment easement for the purpose of
harmonizing properties adjacent to the right-of-way and the placement of soil sand earth and similar materials to
act as a permanent earth embankment over upon under through and across the following described land situate in
Palm Beach County Florida Property more particularly described in Exhibit A attached hereto and made a part
hereof (Easement Premises)
Page I of3
Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
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Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
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------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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Exhibit E Page 2 of 3
Grantor [hisher] successors and assigns reserves the right to the full use and enjoyment ofthe Easement Premises
except such use shall not interfere with Grantees rights granted hereunder and specifically Grantor [hisher]
successors and assigns shall not cause erosion or removal of embankment earth fill
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County Florida
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
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---------------
--------------
Exhibit E Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
N R _0 _ WFORMS254-LGL EMBANKMENT ESMTEE 1-Inddocx
Page 3 of3
Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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Exhibit F Page 1 of 2Return via Palm Beach County interoffice mail to
FYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Worlcs Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
LIMITED ACCESS EASEMENT
THIS LIMITED ACCESS EASEMENT is made this __day of________ 20 __ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box
City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns
a limited access easement for the purpose ofcontrol and jurisdiction over access rights over upon under through
and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
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Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
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t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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Exhibit F Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses required by Florida law)
Grantor
Witness Signature (Required)
By ______________
[Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
F R_0 _ WTONIDelegated Authority Resolution update1-Ind LAE rev Adocx
Page 2 of2
Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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Exhibit G Page 1 of 2Return via Palm Beach County interoffice mail to
[[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule UB-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
LINE-OF-SIGHT EASEMENT
THIS LINE-OF-SIGHT EASEMENT is made this __ day of ________ 20__ by [REGISTERED NAME OF LIMITED LIABILITY COMP ANY IN BOLD CAPS] [aan Name of State of Incorporation] limited liability company whose post office address is [Limited Liability Companys Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose of a line-of-sight easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Area)
This line-of-sight easement shall be permanently used to provide a clear line of sight for vehicles entering or traveling on [Name ofRoad] A restriction is hereby placed within the Easement Area prohibiting any structure or landscaping over 30 inches high said height being measured from the edge of pavement elevation Grantor shall be responsible for maintaining the Easement Area and ensuring the Easement Area is not obstructed at any time
Grantee shall have the right but not the obligation to remove any obstruction within the Easement Area The cost of said removal shall be the responsibility of Grantor its successors or assigns
Page 1 of2
---------------
--------------
Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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---------------
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Exhibit G Page 2 of 2
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of Grantor
(Signature of two witnesses required by Florida law) [Registered Name ofLimited Liability Company]
[aan Name of State of Incorporation] limited liability company
YBH
Witness Signature (Required) By ______________
[Name ofManager or Managing Member Title]
Witness Name Printed or Typed
Witness Signature (Required) (SEAL)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofManager or Managing Member] who is (choose one) personally known to me or has produced ________________as identification and who executed the
foregoing instrument as [Manager or Managing Member] of [Registered Name ofLimited Liability Company] [aan Name of State ofRegistration] limited liability company and severally acknowledged to and before me by means of (choose one) physical presence or online notarization that [heshe] executed such instrument as such officer of said company and that said instrument is the free act and deed of said company
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR O WFORMS262-LGL LINE-OF-SIGHT ESMT5-LLCdocx
Page 2 of2
Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
---------------
--------------
------
Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
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JULY 1~37
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Exhibit H Page 1 of 2
Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12134014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
PATHWAY EASEMENT
THIS PATHWAY EASEMENT is made this __day of_________ 20__ by [NAME
OF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address or Post Office Box City State Zip+4] (hereinafter called Grantor) to PALM BEACH COUNTY a political subdivision of the State of Florida by and through its Board of County Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (hereinafter called Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable considerations receipt whereof is hereby acknowledged hereby grants unto Grantee its successors and assigns for the purpose ofa pathway easement over upon under through and across the following described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This pathway easement shall be permanently used to construct and maintain a [ width of pathway ]-foot wide asphalt andor concrete pathway and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in accordance with current and future construction plans within the pathway easement area
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Page 1 of2
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Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
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Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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---------------
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Exhibit H Page 2 of 2
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ______________
Witness Signature (Required) [Name of Gran tor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe] executed the instrument for the purposes therein
Witness my hand and official seal this _____day of___________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires
FR_ 0 _ WTONIDelegated Authority Resolution update1-lnd Pathway Eas revAdocx
Page 2 of2
Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
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Exhibit I Page 1 of 3 ~eturn_ vt~ Palm Beach County interoffice mail to
[rYourName] Right-of-Way Specialist Palm Beach County Engineering amp Public W orlcs Department Roadway Production Division 2300 North Jog Road yd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [igtortiori of] [Property Control Number(s)]
[Notsubject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME IPARCEL NO
PERMANENT EASEMENT
THIS PERMANENT EASEMENT (Easement) is made this __day of________ 20_ by
[NAME OF GRANTORIN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereofis hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a permanent easement over upon under through
and across the following described land situate in Palm Beach County Florida Property more particularly described
in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include earth embankment fill drainage facilities for transporting water both above ground (swales) and buried
(pipes and structures) to or from water retention areas sidewalks and traffic control devices and foundations The
Easement includes the right at any time to install bore alter improve enlarge add to change the nature or physical Page 1 of 3
Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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JULY 1~37
R 87
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Exhibit I Page 2 of 3
characteristics of replace remove or relocate the Facilities or perform any other activities related to the Facilities
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
The installation ofFacilities shall not extend beyond the limits of the Easement Premises
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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---------------
--------------
-------
Exhibit I Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By---------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of__________-J 20
Notary Signature
Notary Public State of
(StampSeal)
Print Notary Name
Commission Number
My Commission Expires ______
N R_ 0 _ WFORMS258-LGL PERMANENT ESMTPE 1-Inddocx
Page 3 of3
Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
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Exhibit J Return via Palm Beach County interoffice mail to [iYour Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE THIS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
RELOCATABLE DRAINAGE EASEMENT
THIS RELOCATABLE DRAINAGE EASEMENT is made this __day of_________
20__ by [NAMEOF GRANTOR IN BOLD CAPS] whose post office address is [Grantors Street Address
orPost Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe
State of Florida by and through its Board of County Commissioners whose post office address is Post Office
Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants unto Grantee [hisher] successors and
assigns for the purpose of a relocatable drainage easement over upon under through and across the following
described land situate in Palm Beach County Florida as follows
Property more particularly described in Exhibit A attached hereto and made a part hereof
This relocatable drainage easement shall be used to permanently install and maintain when necessary facilities
for the purpose of transporting storm water runoff both above ground ( swales) and buried (pipes and structures)
to andor from water retention areas This relocatable drainage easement shall be non-exclusive provided
however that Grantor [hisher] successors and assigns shall be permanently prohibited from removing or
Page 1 of3
Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
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Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
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Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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Exhibit J Page 2 of 3
interfering with the operation maintenance or repair of facilities installed by Grantee in the relocatable drainage
easement area To the extent that Grantor [hisher] successors and assigns hinder or obstruct the operation
maintenance or repair of any facilities installed in the relocatable drainage easement area Grantor [hisher]
successors and assigns shall be liable for the cost of repair andor removal of the obstruction The installation of
facilities shall not extend beyond the limits outlined in the attached legal description
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in
accordance with current and future construction plans within the relocatable drainage easement area
Grantor hereby reserves for [himselfherself] [hisher] successors and assigns the right to require Grantee to
relocate all or any part of the relocatable drainage easement herein granted Upon written demand Grantee shall
release and abandon those parts of the relocatable drainage easement area and Grantor [hisher] successors and
assigns shall grant to Grantee a substantially similar relocatable drainage easement over another area suitable
for the purposes stated in this relocatable drainage easement Grantor [hisher] successors and assigns shall
reimburse Grantee for reasonable and necessary relocation expenses
TO HA VE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
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Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
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---------------
--------------
Exhibit J Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By --------------------- shyWitness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name of Grantor] who is (choose one) personally known to me OR has
produced __________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of ____________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
FR_0 _WTONIDelegated Authority Resolution update1-Ind Reloc Drain Eas revAdocx
Page 3 of3
Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
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t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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Exhibit K Page 1 of 3Return via Palm Beach County interoffice mail to
[Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIIlS LINE FOR PROCESSING DATA
PROJECT NO ROAD NAME PARCEL NO
RIGHT-OF-WAY EASEMENT
THIS RIGHT-OF-WAY EASEMENT (Easement) is made this __ day of__________20__
by [NAME OF GRANTOR IN BOLD CAPS] a [ singlemarried] person whose post office address is [Graritor s
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a perpetual right-of-way easement over upon
under through and across the following described land situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
Page 1 of3
Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
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t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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JULY 1~37
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Exhibit K Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to remove and use any or all
of the soil andor subsoil within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
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Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
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t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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Exhibit K Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
Grantor (Signature of two witnesses required by Florida law)
By ______________
Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor ] who is ( choose one) personally known to me or has produced ___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature
Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires _____
NR_O_ WFORMS266-LGL RIGHT-OF-WAY ESMTRWE 1-Inddocx
Page 3 of3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
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R 87
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![Page 32: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/32.jpg)
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
Exhibit L Page 1 of 3
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [lroperty ControlNumber(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIDEWALK EASEMENT
THIS SIDEWALK EASEMENT (Easement) is made this __day of_________ 20_ by
[NAME OF GRANTORIN~OLD CAPS] whose post office address is Grantors Street Address or Po~t Office
Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida
by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm
Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a sidewalk easement over upon under through and
across the following described land situate in Palm Beach County Florida
Property more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct and maintain a [ width ofsidewalk ]-foot wide asphalt and or
concrete sidewalk and associated appurtenances
Grantee shall have the right but not the obligation to remove and use any or all of the soil andor subsoil in Page 1 of 3
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
I
j
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i I
JULY 1~37
R 87
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Alpound lRSrr ATt h
Al
Att
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![Page 33: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/33.jpg)
Exhibit L Page 2 of 3
accordance with current and future construction plans within the Easement Premises
Grantee shall have the right but not the obligation to construct and maintain any portion ofthe Easement Premises
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with operation functioning
maintenance or repair of the sidewalk or associated appurtenances
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of the sidewalk or associated appurtenances ( collectively Interference)
Grantor [hisher] successors and assigns shall be liable for any and all expenses and damages related to the
Interference
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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--------------
Exhibit L Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-----___-__________ Witness Signature (Required) [Name ofGrantor]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF ____________
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this __day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS268-LGLSIDEWALKESMT1-Inddocx
Page 3 of3
Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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Exhibit M Page 1 of 3Return via Palm Beach County interoffice mail to
[YourName] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule 12B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
SIGNAL EASEMENT
THIS SIGNAL EASEMENT (Easement) is made this __day of__________ 20__ by
[NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is [Grantors
Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a political
subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is
Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
consideration receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for the purpose of a perpetual signal easement over
upon under through and across the following described property located in Palm Beach County Florida Property
more particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement shall be used to permanently construct install operate and maintain ( collectively Perform Work)
with regard to roadway facilities and related facilities in the Easement Premises ( collectively Facilities) Facilities
shall include traffic control devices and foundations The Easement includes the right at any time to install bore
alter improve enlarge add to change the nature or physical characteristics of replace remove or relocate the
Facilities or perform any other activities related to the Facilities
Page 1 of3
Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
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Exhibit M Page 2 of 3
This Easement shall be non-exclusive provided however that Grantor [hisher] successors and assigns shall be
permanently prohibited from hindering obstructing removing or interfering with the operation functioning
maintenance or repair of any of the Facilities
To the extent that Grantor [hisher] successors and assigns hinder obstruct remove or interfere with the operation
functioning maintenance or repair of any of the Facilities (collectively Interference) Grantor [hisher]
successors and assigns shall be liable for any and all expenses and damages related to the Interference
[The installation ofFacilities shall not extend beyond the limits ofthe Easement Premises (Use only ifrequested by
Grantor)]
Grantee its agents successors and assigns shall have the right but not the obligation to Perform Work on the
Facilities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records ofPalm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns forever
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
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R 87
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![Page 37: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/37.jpg)
---------------
--------------
Exhibit M Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By ------=-------- shyWitness Signature (Required) [Name ofGranter]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGranter] who is ( choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this _____day of__________~ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS270-LGL SIGNAL ESMTsignal esmt 1-Inddocx
Page 3 of3
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
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I
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R 87
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![Page 38: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/38.jpg)
Exhibit N Page 1 of 3
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Yelizaveta B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion of] [Property Control Number(s)]
[Not subject to documentary stamp tax per Florida Administrative Code Rule l2B-4014(13)]
NOT TO BE RECORDED WITHOUT BOARD OF COUNTY COMMISSIONERS ACCEPTANCE DATE
SPACE ABOVE Tms LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
TEMPORARY CONSTRUCTION EASEMENT
THIS TEMPORARY CONSTRUCTION EASEMENT (Easement) is made this __day of______
20__ by [NAME OF GRANTOR IN BOLD CAPS] a [singlemarried] person whose post office address is
[Grantors Street Address or Post Office Box City State Zip+4] (Grantor) to PALM BEACH COUNTY a
political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office
address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (Grantee)
WITNESSETH That Grantor for and in consideration of the sum of ONE ($100) dollar and other valuable
considerations receipt whereof is hereby acknowledged hereby grants bargains sells and conveys unto Grantee its
successors and assigns upon the conditions set forth herein for a temporary construction easement over upon
under through and across the following described property situate in Palm Beach County Florida Property more
particularly described in Exhibit A attached hereto and made a part hereof (Easement Premises)
This Easement as described herein expiring no later than 3 years from the date ofrecording in the public records is
to be used for the purpose ofaccess all related construction activities reasonably required for driveway construction
sloping grading and harmonizing the road construction with the adjacent property
Page 1 of 3
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
I
j
-1
t I
d ll
i I
JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
10 t l
![Page 39: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/39.jpg)
Exhibit N Page 2 of 3
Grantee its agents successors and assigns shall have the right but not the obligation to perform any maintenance
activities andor to remove and use any or all of the soil andor subsoil within the Easement Premises
Any amendment or modification to this Easement shall be effective ifthe same is in writing signed and recorded in
the public records of Palm Beach County
TO HAVE AND TO HOLD THE SAME unto Grantee its successors and assigns
Remainder ofpage intentionally left blank
Page 2 of3
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
I
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t I
d ll
i I
JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
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![Page 40: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/40.jpg)
---------------
--------------
Exhibit N Page 3 of 3
IN WITNESS WHEREOF the said Grantor has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Grantor required by Florida law)
By-__________------- shyWitness Signature (Required) [Name ofGrantot]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofGrantor] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing instrument
and acknowledged before me by means of (choose one) physical presence or online notarization that [heshe]
executed the instrument for the purposes therein
Witness my hand and official seal this ___day of___________ 20
Notary Signature Notary Public State of______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_O_WFORMS272-LGLTEMPORARY CONSTRUCTION ESMTTCE 1-Inddocx
Page 3 of3
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
I
j
-1
t I
d ll
i I
JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
10 t l
![Page 41: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/41.jpg)
Exhibit 0 Page 1 of 5
Return via Palm Beach County interoffice mail to [Your Name] Right-of-Way Specialist Palm Beach County Engineering amp Public Works Department Roadway Production Division 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2750
This Instrument Prepared by Y elizavita B Herman Assistant County Attorney Palm Beach County Attorneys Office Post Office Box 21229 West Palm Beach Florida 33416-1229
Property Control Number [Portion ofJ [Property Control Number(s)]
SPACE ABOVE TIDS LINE FOR PROCESSING DATA
PROJECT NO ROADNAME PARCEL NO
REMOVAL AGREEMENT
THIS REMOVAL AGREEMENT (Agreement) is made this __ day of_______ 20 __ by [NAME OF OWNER IN BOLD CAPS] whose post office address is [Owners-Street Address or Pcgtst Office Box City State Zip+4] [hisher] successors and assigns (Owner) to PALM BEACH COUNTY a political subdivision ofthe State ofFlorida by and through its Board ofCounty Commissioners whose post office address is Post Office Box 21229 West Palm Beach Florida 33416-1229 (County)
WHEREAS Owner is the fee simple owner of the real property located at [Street Address City State Zip+4] which is more particularly described in [Official Records Book beed Book] [Number] Page [Number] (Property) and
WHEREAS Owner [intends to convey has conveyed] to County a fee simple interest in a portion of the Property which portion is for right-of-way purposes and is more particularly described in the legal description and sketch attached hereto as Exhibit A (ROW Property) and made a part hereof and
WHEREAS the ROW Property includes certain improvements including but not limited to [ describe improvements] (Encroachment) and
WHEREAS Owner has requested permission from County to allow the Encroachment to remain on the ROW Property until such time that County needs the ROW Property for a public use and
WHEREAS in consideration of the consent of County to allow the Encroachment to remain on the ROW Property Owner agrees to remove at no cost to County the Encroachment within 30 days of Countys request
and assumes all responsibilities for the Encroachment located on the ROW Property
Page 1 of 5
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
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JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
10 t l
![Page 42: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/42.jpg)
Exhibit 0 Page 2 of 5
NOW THEREFORE in consideration of the recitals set forth above and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged the sum of ONE DOLLAR ($100) County its successors and assigns agrees to allow the Encroachment to remain on the ROW Property until such time that County has notified Owner that the ROW Property is to be put to public use Owner [bisher] successors and assigns hereby agrees for the benefit ofCounty as follows
1 Incorporation ofRecitals The recitals set forth above are true and correct and are incorporated herein by reference as if set forth at length herein
2 Removal ofEncroachment by Owner Owner shall remove at no expense to County the Encroachment from the ROW Property and restore the ROW Property to its original condition before the Encroachment upon County providing thirty (30) days written notice to Owner at the following address
Owner [Owners Name] [Stre~t Address or Post Office Box] [City State Zip+4]
and advising Owner that the ROW Property is to be put to public use
3 Maintenance of the Encroachment by Owner
a Owner shall maintain at no expense to County the Encroachment and be responsible for all repairs and replacements related to the Encroachment and
b County shall not be responsible for maintaining repairing or replacing the Encroachment or any related facility and shall not be responsible for any negligence on the part of County its successors assigns and agents in relation to the Encroachment
4 Removal ofEncroachment by County In the event that Owner fails to remove the Encroachment within thirty (30) days after receipt of written notice from County as required in Paragraph 2 above then County may remove the Encroachment without further notice and Owner shall be liable to County for all costs associated with the removal of the Encroachment
5 Encroachment Owner agrees to pay for all cost related to the removal of the Encroachment including but not limited to disposal expenses and permit fees
6 Indemnification of County [Name of Contractor] shall protect defend reimburse indemnify and hold County its agents employees and elected officers harmless from and against all claims liability expense loss cost damages or causes ofaction of every kind or character including attorneys fees and costs whether at trial or appellate levels or otherwise arising during and as a result of their performance of the terms of this Agreement or due to the acts or omissions of [Name ofContractor]
7 Insurance Coverages Owner agrees to maintain on a primary basis and at [hisher] sole expense at all times during the term of this Agreement the following insurance coverages limits including endorsements
Page 2 of 5
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
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JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
10 t l
![Page 43: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/43.jpg)
Exhibit 0 Page 3 of 5
described herein The requirements contained herein as well as Countys review or acceptance of insurance maintained by Owner is not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Owner under this Agreement In addition Owner agrees to notify County of any cancellation non-renewal or material change in insurance coverage during the term of this Agreement
a Commercial General Liability Owner agrees to maintain commercial general liability at a limit ofliability not less than $500000 each occurrence Coverage shall not contain any endorsement( s) excluding nor limiting premisesoperations personal injury productcompleted operations contractual liability severability of interests or cross liability Coverage shall be provided on a primary basis
b Additional Insured Owner agrees to endorse County as an additional insured with a CG2026 additional insured or its equivalent designated person or organization endorsement to the
middot commercial general liability The additional insured shall read Palm Beach County Board of County Commissioners a Political Subdivision of the State of Florida its Officers Employees and Agents Coverage shall be provided on a primary basis
c Waiver of Subrogation Owner hereby waives any and all rights of subrogation against County its officers employees and agents for each required policy When required by the insurer or should a policy condition not permit an insured to enter into a pre-loss agreement to waive subrogation without an endorsement then Owner shall notify the insurer and request the policy be endorsed with a waiver of transfer of rights of recovery against others or its equivalent This waiver of subrogation requirement shall not apply to any policy which includes a condition to the policy specifically prohibiting such an endorsement or voids coverage should Owner enter into such an agreement on a pre-loss basis
d Certificate of Insurance Owner agrees to provide County a certificate of insurance evidencing that all coverages limits and endorsements required herein are maintained and in full force and effect The certificate holder address shall read
Palm Beach County co Right-of-Way Section 2300 North Jog Road 3rd Floor West West Palm Beach Florida 33411-2745 Attn Manager Right-of-Way Acquisition
e Umbrella or Excess Liability Owner may satisfy the minimum liability limits required above for commercial general liability and business auto liability under an umbrella or excess liability policy There is no minimum per occurrence limit of liability under the umbrella or excess liability however the annual aggregate limit shall not be less than the highest each occurrence limit for the commercial general liability and business auto liability Owner agrees to endorse County as an additional insured on the umbrella or excess liability unless the certificate of insurance states the umbrella or excess liability provides coverage on a puretrue follow-form basis
Page 3 of5
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
I
j
-1
t I
d ll
i I
JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
10 t l
![Page 44: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/44.jpg)
Exhibit 0 Page 4 of 5
f Right to Review County reserves the right but not the obligation to review and revise any insurance requirement not limited to limits coverages and endorsements based on insurance market conditions affecting the availability or affordability of coverage or changes in the scope ofwork specifications affecting the applicability of coverage Additionally County reserves the right but not the obligation to review and reject any insurance policies failing to meet the criteria stated herein or any insurer providing coverage due to its poor financial condition or failure to operating legally
8 Owner Acknowledgments Owner acknowledges for [himselfherself] and [hisher] respective successors and assigns that this Agreement shall be
a recorded in the public records ofPalm Beach County Florida b a covenant running with the land and c binding upon Owner and [hisher] successors grantees and assigns
9 Term of Agreement This Agreement shall terminate upon any of the following events whichever occurs first
a Removal of the Encroachment by Owner within thirty (30) days after written notice by County as specified in paragraph 2 provided said removal is satisfactory to County
b Removal of Encroachment by County as referenced in paragraph 4 of this Agreement c Written release and termination of the Agreement by County
10 Modification ofAgreement This Agreement shall not be modified unless approved in writing by County and Owner or their respective successors grantees and assigns
Remainder ofpage intentionally left blank
Page 4 of5
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
I
j
-1
t I
d ll
i I
JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
10 t l
![Page 45: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/45.jpg)
---------------
--------------
Exhibit 0 Page 5 of 5
IN WITNESS WHEREOF the said Owner has signed and sealed these presents the date first above written
Signed sealed and delivered in the presence of
(Signature of two witnesses Owner required by Florida law)
By _ ____-----~---------- shyWitness Signature (Required) [Name ofOwner]
Witness Name Printed or Typed
Witness Signature (Required)
Witness Name Printed or1Typed
STATE OF
COUNTY OF
Before me personally appeared [Name ofOwn~r] who is (choose one) personally known to me or has produced
___________________ as identification and who executed the foregoing
instrument and acknowledged before me by means of (choose one) physical presence or online notarization that
[heshe] executed the instrument for the purposes therein
Witness my hand and official seal this ___day of____________ 20
Notary Signature Notary Public State of_______
(StampSeal)
Print Notary Name
Commission Number My Commission Expires ______
NR_0 _WFORMS650-AGR REMOVAL AGREEMENTRA 1-Inddocx
Page 5 of5
Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
I
ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
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Attachment No 2 Page 1 of 2
R[J0tUTl0U ~IO R-81- 1071
RFSOUITION or TH[ BOARD OF COUNTY COHHtSSlONERS OF PAL BtACII COlll-ltTY nORIDA AU11iOPtZTNC THE COtniY EttGlNEFR TO ACCEPT IUCHT-OF-WAY WARRANTY DE~S AND TO AlrTltmtrzt PAYMENT UHW CONSTDEllATlON FOR SUCH DtttgtS tS AT OR BftoJ APPRAISED VALUE
JliEREAS the P-oard of County CoDmiss1oneu of Pal111 Buch County
ts tommttted to rrovtdJng a roadvay 1y1tem which vill facilitate travel
vithn the_County for residentbull and visitors alike and
lHEREAS in the course of providing for the contfnung
improvement of th1a roadvay bullyate11 t-ie County finJs it necess1umiddoty to
accept deeds conveyfn r1rht-of-vay to the County and
WEREAS 0 bull0111e right-of-vay deeds aTlf rccetv~d as bull donbullton
som~ are receiv~d u 1 special exception condition of zoning bullnd aome
right-of-waybull deeds aust be purchabulled by the County and
-~EREAS the large volume of these r13ht-of-vay varranty deeds
vhlch must be accepted together vith the n~ed to e~~ed1te roadvay
tmpTovements provfde Justification for grbullnting tbe =~thority to the
County Engin~er or hts destgnee to accept routine r1ght-of-vay varrbullnty
heas and to authorize par=ent fo-r right-of-vay varranty deeds vhen the
consideration for such Jeeds 1~ at or belov appraited value and
WHEREAS a aionthly i-eport to the Board of County Commissioners
Hating all rjght-of-way varranty deeds accepted by the County Engineer
and any payment authorized thenifor vould be an appropriate t1ethod of
I NOIJ rnr-rrOR[ BE IT RESOLVED BY THE BOARn OF COUNTY
c rs~01ERS OF PAUi BEACH COUITY iLOR tDA that thbull County Eng i ner or
l his deignee ts hereby 11uthorized as follovs
I To accept any routine rfght-of-vay v1rranty d~edt neces-umiddoty
II fnr the 1mprove~ent of the county roadway amp~stem
2 To acclpt ard uthorhe payaent for rJght-of-vny 1bulltrt~~ty
I deed~ hen -he Ctlsfdnatilln for 11uch deeds 5 at or belr-1 11prltmiddota~ed
III
v11l11e and the Roard ha1 authorfied proceedinJ vth r1~ht-of-~middotmiddot
41cqula1t1on $11~Jec to budget availahi] tty
L -Yo provfde a monthly report to the Ro1trrl 11uing JJll
r ight-of-vity 11rraty duds accept~d anJ any payment authorized
I theufor
fi
middot--11 AttachmenfNo 2 middot
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ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
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JULY 1~37
R 87
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![Page 47: Agenda Item#: 3-C:..2, · 2020-04-01 · 2. Resolution R-87-1071 shall be repealed effective upon adoption of this Resolution. 3. The County Administrator or designee is hereby delegated](https://reader034.vdocuments.us/reader034/viewer/2022042407/5f2101d8d78b8034c4455b08/html5/thumbnails/47.jpg)
middot--11 AttachmenfNo 2 middot
fl Page 2 of 2
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ClJOt A lOIDTS I r AnAH$
JUDt T KUCUS rAltOL FUoQU1ST OOJcnrT N VtUFtc
jbulldoptbulld th~bull~ day of
t~r~OlD AS ro FOlM AND ii trCAL surr1crrrcy
f
~--------- shyCtbull111t middotmiddotAl I rn-v
I
j
-1
t I
d ll
i I
JULY 1~37
R 87
bull
Alpound lRSrr ATt h
Al
Att
10 t l