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Home My WebLink AboutAgreement_Easements_9/8/2022_Loxahatchee River EnvironmentalFirefox https:Herec.mypalmbeachclerk. com///Document/GetDocumentForPrin... CFN 20220393887 OR BK 33858 PG 761 RECORDED 9/27/2022 8:27 AM AMT: $10.00 DEED DOC $0.70 Palm Beach County, Florida Joseph Abruzzo, Clerk Pgs: 761 - 768; (8pgs) LRECD - 109 Prepared By and Return To: Kris Dean, P.E. Loxahatchee River Environmental Control District 2500 Jupiter Park Drive Doc. Stamp Tax Exempt per Fla. Admin. Code Jupiter, Florida 33458-896 1213-4.054, par. 24. SEWER UTILITY ACCESS AND USE EASEMENT THIS EASEMENT made this 9 day of SQp�f.IMtit,r , 20 dd , between VILLAGE OF TEOUESTA , hereinafter called the "Grantor", and the LOXAHATCHEE RIVER ENVIRONMENTAL CONTROL DISTRICT, an Agency of the State of Florida, created by a Special Act of the Legislature, Chapter 71-822 as amended, of 2500 Jupiter Park Drive, Jupiter, Florida 33458-8964, its successors and assigns, herein called the "Grantee". WITNESSETH That the Grantor, and all other persons claiming by, through or under Grantor, or either of them, their predecessors in title, or their heirs, assigns or legal representatives by virtue of any deeds of conveyances to the land described herein, for and in consideration of the sum of TEN DOLLARS ($10.00), to it in hand paid by the said Grantee, together with all other covenants made by the Grantee and contained herein, has granted, bargained and sold to the Grantee, its successors and assigns, a Sewer Utility Access and Use Easement, consisting of a thirty foot wide by thirty foot long lift station area with a twelve foot wide by thirty foot long access driveway connecting to an alleyway that is located on adjacent property to the south of the entire Sewer Utility Access and Use Easement, said Sewer Utility and Access Easement being located on and within the parcel of property owned by the Grantor, all as depicted and described in Exhibit A attached hereto and made a part hereof for all purposes connected with the use, ingress, egress, construction, repair, replacement, installation, improvement, and maintenance of sewer facilities and facilities for the transport of reuse (I.Q.) water, or sewerage, including but not limited to transmission mains, force mains, manholes, lift stations, collection lines, pipes, pumps, connections, ditches, meters and all other related appurtenances having the capacity for use in connection with the collection or transmission of wastewater of any nature or originating from any source whether on or off the property of Grantor. Grantee shall maintain and repair Grantee's facilities as there shall be occasion from time to time hereafter, and Grantee shall restore the grass, sod, or pavement of Grantor both in and adjacent to the Sewer Utility Access and Use Easement to the similar condition that was existent thereon prior to any entry or entries by Grantee pursuant to this Sewer Utility Access and Use Easement. Grantor shall not place or make any Improvements (the term "Improvements" means anything including both structures and earth berms, other than grass, sod, or asphalt pavement) in or on the Sewer Utility Access and Use Easement without the prior written consent of Grantee which Grantee may withhold in its sole discretion. Any and all Improvements consented to by Grantee and placed and maintained within the Sewer Utility Access and Use Easement by Grantor are at the sole risk and expense of Grantor. 1 of 8 1/24/2023, 2:26 PM Firefox https://eree.mypaimbeachclerk. com///Document/G etDocumentForPrin... CFN 20220393887 OR BK 33858 PG 762 Pg: 2 of 8 This Sewer Utility Access and Use Easement shall continue in full force and effect in perpetuity until such time as Grantee no longer requires it for the purposes stated herein, at which time Grantee shall so advise Grantor, which may then rescind same. 10 This Easement and the agreements contained herein are binding upon Grantor and Grantee, its heirs, administrators, personal representatives, successors and/or assigns. Grantor is seized in fee simple title and is in possession of the lands, including the area containing this Sewer Utility Access and Use Easement, described and depicted in Exhibit A. Nothing contained in this Sewer Utility Access and Use Easement shall be construed as conveying fee simple title to any portion of the land, including the area containing this Sewer Utility Access and Use Easement, described and depicted in Exhibit A, to Grantee; rather, Grantee is hereby given the limited access and use rights to the area containing the Sewer Utility Access and Use Easement as described herein. Grantor does fully warrant title to said property. IN WITNESS WHEREOF, the undt0sign, ed have executed this instrument the date and year first above written: o ®. Signed, sealed and delivered in the presence of: � 01� ftlaoi�. Witness Signature L.04MU4); I 14AKS Printed Name Witness Signature Printed Name GRANTOR: Village of Tequesta `r A By: Print Name: As: nMM Dr 2 of 8 1 /24/2023, 2:26 PM Firefox https:Herec.mypalmbeachclerk. com///Document/GetDocumentForPrin... CFN 20220393887 OR BK 33858 PG 763 Pg: 3 of 8 STATE OF EWaaoa • • � it U [� .I it c I hereby certify that on this day, before me by means of _✓physical presence or _ online notarization, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ► Ok known to me to be described in and who executed the foregoing instrument, who acknowledged before me that he/she executed the same, that the above named person is personally known to me or who produced t)k as identification. Witness my hand and official seal in the County and State last aforesaid this /Y day of �44le , 20 att- . [SEAL] LORiucw UAMS Canrrisaon 1` HH 011916 NOTARY SIGNATURE Expires Oddw A 2024 .. ° l MW%.TxyFaleYwMe�100,11S1e1! 3 of 8 1/24/2023, 2:26 PM Firefox https://eree.mypaimbeachclerk. com///Document/G etDocumentForPrin... CFN 20220393887 OR BK 33858 PG 764 Pg: 4 of 8 PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, CONTRACTOR must keep and maintain this Agreement and any other records associated therewith and that are associated with the performance of the work described in the Proposal or Bid. Upon request from the Village's custodian of public records, CONTRACTOR must provide the Village with copies of requested records, or allow such records to be inspected or copied, within a reasonable time in accordance with access and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR who fails to provide the public records to the Village, or fails to make them available for inspection or copying, within a reasonable time may be subject to attorney's fees and costs pursuant to Sec. 119.0701, Florida Statutes, and other penalties under Sec. 119.10, Florida Statutes. Further, CONTRACTOR shall ensure that any exempt or confidential records associated with this Agreement or associated with the performance of the work described in the Proposal or Bid are not disclosed except as authorized by law for the duration of the Agreement term, and following completion of the Agreement if the CONTRACTOR does not transfer the records to the Village. Finally, upon completion of the Agreement, CONTRACTOR shall transfer, at no cost to the Village, all public records in possession of the CONTRACTOR, or keep and maintain public records required by the Village. If the CONTRACTOR transfers all public records to the Village upon completion of the Agreement, the CONTRACTOR shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the CONTRACTOR keeps and maintains public records upon completion of the Agreement, the CONTRACTOR shall meet all applicable requirements for retaining public records. Records that are stored electronically must be provided to the VILLAGE, upon request from the Village's custodian of public records, in a format that is compatible with the Village's information technology systems. IF CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT (561) 768-0440, OR AT Imcwilliams@tequesta.org, OR AT 345 TEQUESTA DRIVE, TEQUESTA, FLORIDA 33469. Pursuant to Article XII of the Palm Beach County Charter, the Office of the Inspector General has jurisdiction to investigate municipal matters, review and audit municipal contracts and other transactions, and make reports and recommendations to municipal governing bodies based on such audits, reviews, or investigations. All parties doing business with the Village shall fully cooperate with the inspector general in the exercise of the inspector general's functions, authority, and power. The inspector general has the power to take sworn statements, require the production of records, and to audit, monitor, investigate and inspect the activities of the Village, as well as contractors and lobbyists of the Village in order to detect, deter, prevent, and eradicate fraud, waste, mismanagement, misconduct, and abuses. 4 of 8 1 /24/2023, 2:26 PM Firefox https://erec.mypalmbeachclerk. com///Document/GetDocumentForPrin... CFN 20220393887 OR BK 33858 PG 765 Pg: 5 of 8 "The Village of Tequesta strives to be an inclusive environment. As such, it is the Village's policy to comply with the requirements of Title II of the American with Disabilities Act of 1990 ("ADA") by ensuring that the Contractor's [ agreement /bid documents and specifications ] are accessible to individuals with disabilities. To comply with the ADA, the Contractor shall provide a written statement indicating that all [ agreement /bid documents and specifications], from Contractor, including files, images, graphics, text, audio, video, and multimedia, shall be provided in a format that ultimately conforms to the Level AA Success Criteria and Conformance Requirements of the Web Content Accessibility Guidelines 2.0 (Dec. 11, 2008) ("WCAG 2.0 Level AA"), published by the World Wide Web Consortium ("W3C"), Web Accessibility Initiative ("WAI"), available at www.w3.org/TR/WCAG/." 5 of 8 1/24/2023, 2:26 PM Firefox https:Herec.mypalmbeachclerk. com///Document/GetDocumentForPrin... " Exhibit A" Legal Description CFN 20220393887 OR BK 33858 PG 766 Pg: 6 of 8 A tract of land in the Northwest quarter of Section 30, Township 40 South, Range 43 East, in the Village of Tequesta, Palm Beach County, Florida, more particularly described as follows: Commencing at the Southwest comer of the said Section 30; thence due West (for convenience all bearings shown herein are based on an assumed meridian) along the West line of Section 30, a distance of 2209.05 feet; thence North 00 ° 29'45" West, a distance of 3.75 feet to the POINT OF BEGINNING of the hereinafter described tract; thence North 00 ° 35'40" West, a distance of 30.00 feet; thence South 89 ° 24'20" West, a distance of 11.56 feet; thence North 00° 49'09" West, a distance of 29.38 feet; thence North 89 ° 22'03" East, a distance of 29.55 feet; thence South 00' 51'34" east, a distance of 29.45 feet; thence South 89 ° 24'20" West, a distance of 5.99 feet; thence South 00 ° 35'40" East, a distance of 30.00 feet; thence South 89 ° 24'20" West, a distance of 12.00 feet to the POINT OF BEGINNING. CONTAINS APPROX. 1260 SF 6 of 8 1/24/2023, 2:26 PM Firefox https:Herec.mypalmbeachclerk. com///Document/GetDocumentForPrin... CFN 20220393887 OR BK 33858 PG 767 Pg: 7 of 8 N89"22'03"E 29.55' ao g M J N Vj R1 O O� Q O Z A CT 889'24'20'W 11.56' $ S89°24'20"W 5.99' 0 w c r� cn p 0 m SOUTH LINE PARCEL DESCRIBED IN OFFICIAL RECORDS BOOK 27163 0 PAGE 705 M o o S o- Z 51.82' S89°24'20"W 12.00' 2209.05' SOUTH LINE SECTION 30 N00°29'45"W POINT OF BEGINNING 3.75' POINT OF COMMENCEMENT SOUTHWEST CORNER SECTION 30 EYEBALL AVE. TOWNSHIP 40 SOUTH RANGE 42 EAST SKETCH OF DESCRIPTION 7 of 8 1/24/2023, 2:26 PM Firefox https:Herec.mypalmbeachclerk. com///Document/GetDocumentForPrin... CFN 20220393887 OR BK 33858 PG 768 Pg: 8 of 8 E-Verity Affidavit Bid/Proposal Number: ITB 18-005 LSGENCONSTR Project Description: Lift Station 064 with 12 feet Driveway In accordance with Section 448.095, F.S., Contractor acknowledges and agrees to utilize the U.S. Department of Homeland Security's E-Verify System to verify the employment eligibility of: I. All persons employed by the Contractor to perform employment duties within Florida during the term of the contract; and 2. All persons (including SUBCONTRACTORS) assigned by the Contractor to perform work pursuant to the contract. The Contractor acknowledges and agrees that use of the U.S. Department of Homeland Security's E-Verify System during the term of the contract is a condition of the contract with the Village of Tequesta. Contractor further agrees to retain sufficient evidence of their enrollment in the E-Verify System and provide such evidence to the Village of Tequesta upon request. Sufficient evidence shall consist of a printed copy of the completed E-Verify Company Profile page, obtained from https://www.e verify.gov. Contractor also agrees to obtain from each of its subcontractors/subconsultants an affidavit stating that the subcontractor/subconsultant does not employ, contract with, or subcontract with an Unauthorized Alien, as that term is defined in Section 448.095(I )(k), F.S. Contractor further agrees to maintain a copy of any such affidavit from a subcontractor/subconsultant for, at a minimum, the duration of the subcontract and any extension thereof. By affixing your signature below, you hereby affirm that you will comply with all E-Verify requirements. Loxahatchee Envir. Control District Dr. Albrey Arrington Print Name STATE OF FLORIDA PALM BEACH COUNTY 59-1455126 Federal Employer Identification No. 5/4/2022 Date Executive Director Title Sworn and subscribed before me by means of ® physical presence or ❑ online notarization on this 4n, day of May , 20 22 by who is personally known to me or has produced as identification and who did/did not take an oath, in the state and county first mentioned a w SNE_TA_►ATEL Notary Public (affix seal) l twtuy Iub;k • State of farts: Ca"WIssion 0 HH 0)2121 ±% My Comm. Expires Dec 20, 2c My Commission Expires: December 20, 2024 8-dad ttrath Nadwal Hagrr Au- . 8 of 8 1/24/2023, 2:26 PM LRECD - 109 Prepared By and Return To: Kris Dean, P.E. Loxahatchee River Environmental Control District 2500 Jupiter Park Drive Doc. Stamp Tax Exempt per Fla. Admin. Code Jupiter, Florida 33458-8964 12B-4.054, par. 24. SEWER UTILITY ACCESS AND USE EASEMENT THIS EASEMENT made this F day of Lfp��)2,.w , 20 a►o1' , between VILLAGE OF TEQUESTA , hereinafter called the "Grantor", and the LOXAHATCHEE RIVER ENVIRONMENTAL CONTROL DISTRICT, an Agency of the State of Florida, created by a Special Act of the Legislature, Chapter 71-822 as amended, of 2500 Jupiter Park Drive, Jupiter, Florida 33458-8964, its successors and assigns, herein called the "Grantee". WITNESSETH That the Grantor, and all other persons claiming by, through or under Grantor, or either of them, their predecessors in title, or their heirs, assigns or legal representatives by virtue of any deeds of conveyances to the land described herein, for and in consideration of the sum of TEN DOLLARS ($10.00), to it in hand paid by the said Grantee, together with all other covenants made by the Grantee and contained herein, has granted, bargained and sold to the Grantee, its successors and assigns, a Sewer Utility Access and Use Easement, consisting of a thirty foot wide by thirty foot long lift station area with a twelve foot wide by thirty foot long access driveway connecting to an alleyway that is located on adjacent property to the south of the entire Sewer Utility Access and Use Easement, said Sewer Utility and Access Easement being located on and within the parcel of property owned by the Grantor, all as depicted and described in Exhibit A attached hereto and made a part hereof for all purposes connected with the use, ingress, egress, construction, repair, replacement, installation, improvement, and maintenance of sewer facilities and facilities for the transport of reuse (I.Q.) water, or sewerage, including but not limited to transmission mains, force mains, manholes, lift stations, collection lines, pipes, pumps, connections, ditches, meters and all other related appurtenances having the capacity for use in connection with the collection or transmission of wastewater of any nature or originating from any source whether on or off the property of Grantor. Grantee shall maintain and repair Grantee's facilities as there shall be occasion from time to time hereafter, and Grantee shall restore the grass, sod, or pavement of Grantor both in and adjacent to the Sewer Utility Access and Use Easement to the similar condition that was existent thereon prior to any entry or entries by Grantee pursuant to this Sewer Utility Access and Use Easement. Grantor shall not place or make any Improvements (the term "Improvements" means anything including both structures and earth berms, other than grass, sod, or asphalt pavement) in or on the Sewer Utility Access and Use Easement without the prior written consent of Grantee which Grantee may withhold in its sole discretion. Any and all Improvements consented to by Grantee and placed and maintained within the Sewer Utility Access and Use Easement by Grantor are at the sole risk and expense of Grantor. This Sewer Utility Access and Use Easement shall continue in full force and effect in perpetuity until such time as Grantee no longer requires it for the purposes stated herein, at which time Grantee shall so advise Grantor, which may then rescind same. This Easement and the agreements contained herein are binding upon Grantor and Grantee, its heirs, administrators, personal representatives, successors and/or assigns. Grantor is seized in fee simple title and is in possession of the lands, including the area containing this Sewer Utility Access and Use Easement, described and depicted in Exhibit A. Nothing contained in this Sewer Utility Access and Use Easement shall be construed as conveying fee simple title to any portion of the land, including the area containing this Sewer Utility Access and Use Easement, described and depicted in Exhibit A, to Grantee; rather, Grantee is hereby given the limited access and use rights to the area containing the Sewer Utility Access and Use Easement as described herein. Grantor does fully warrant title to said property. IN WITNESS WHEREOF, the undersigned have executed this instrument the date and year first above written: Signed, sealed and delivered in the presence of: 901�M&4� Witness Signature ill fQ,wt5 Printed Name Witness Signature r►'lo�,c �� C n .� � Printed Name K GRANTOR: Village of Tequesta By: 40, Print Name: As: n _ m o STATE • w COUNTYOF PPCM (3&Klt I hereby certify that on this day, before me by means of ✓hysical presence or _ online notarization, an officer duly authorized to administer oaths and take acknowledgments, personally appeared known to me to be 'the person(s) described in and who executed the foregoing instrument, who acknowledged before me that he/she executed the same, that the above named person is pers_ onally known to me or who produced as identification. Witness 'm'y- hand and official seal in the County and State last aforesaid this /9 day of �4-W , 20 c [SEAL] LORI MCWILLIAMS NOTARY SIGNATURE Commission # HH 011916 Expires October 18, 2024 Bonded Thm Troy Fain Inwranca 800.385.700 PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, CONTRACTOR must keep and maintain this Agreement and any other records associated therewith and that are associated with the performance of the work described in the Proposal or Bid. Upon request from the Village's custodian of public records, CONTRACTOR must provide the Village with copies of requested records, or allow such records to be inspected or copied, within a reasonable time in accordance with access and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR who fails to provide the public records to the Village, or fails to make them available for inspection or copying, within a reasonable time may be subject to attorney's fees and costs pursuant to Sec. 119.0701, Florida Statutes, and other penalties under Sec. 119.10, Florida Statutes. Further, CONTRACTOR shall ensure that any exempt or confidential records associated with this Agreement or associated with the performance of the work described in the Proposal or Bid are not disclosed except as authorized by law for the duration of the Agreement term, and following completion of the Agreement if the CONTRACTOR does not transfer the records to the Village. Finally, upon completion of the Agreement, CONTRACTOR shall transfer, at no cost to the Village, all public records in possession of the CONTRACTOR, or keep and maintain public records required by the Village. If the CONTRACTOR transfers all public records to the Village upon completion of the Agreement, the CONTRACTOR shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the CONTRACTOR keeps and maintains public records upon completion of the Agreement, the CONTRACTOR shall meet all applicable requirements for retaining public records. Records that are stored electronically must be provided to the VILLAGE, upon request from the Village's custodian of public records, in a format that is compatible with the Village's information technology systems. IF CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT (561) 768-0440, OR AT Imcwilliams@tequesta.org, OR AT 345 TEQUESTA DRIVE, TEQUESTA, FLORIDA 33469. Pursuant to Article XII of the Palm Beach County Charter, the Office of the Inspector General has jurisdiction to investigate municipal matters, review and audit municipal contracts and other transactions, and make reports and recommendations to municipal governing bodies based on such audits, reviews, or investigations. All parties doing business with the Village shall fully cooperate with the inspector general in the exercise of the inspector general's functions, authority, and power. The inspector general has the power to take sworn statements, require the production of records, and to audit, monitor, investigate and inspect the activities of the Village, as well as contractors and lobbyists of the Village in order to detect, deter, prevent, and eradicate fraud, waste, mismanagement, misconduct, and abuses. "The Village of Tequesta strives to be an inclusive environment. As such, it is the Village's policy to comply with the requirements of Title II of the American with Disabilities Act of 1990 ("ADA") by ensuring that the Contractor's [ agreement /bid documents and specifications ] are accessible to individuals with disabilities. To comply with the ADA, the Contractor shall provide a written statement indicating that all [ agreement /bid documents and specifications], from Contractor, including files, images, graphics, text, audio, video, and multimedia, shall be provided in a format that ultimately conforms to the Level AA Success Criteria and Conformance Requirements of the Web Content Accessibility Guidelines 2.0 (Dec. 11, 2008) ("WCAG 2.0 Level AA"), published by the World Wide Web Consortium ("WK"), Web Accessibility Initiative ("WAI"), available at www.w3.org/TR/WCAG/." " Exhibit A" Legal Description A tract of land in the Northwest quarter of Section 30, Township 40 South, Range 43 East, in the Village of Tequesta, Palm Beach County, Florida, more particularly described as follows: Commencing at the Southwest corner of the said Section 30; thence due West (for convenience all bearings shown herein are based on an assumed meridian) along the West line of Section 30, a distance of 2209.05 feet; thence North 00 ° 29'45" West, a distance of 3.75 feet to the POINT OF BEGINNING of the hereinafter described tract; thence North 00 ° 35'40" West, a distance of 30.00 feet; thence South 89 ° 24'20" West, a distance of 11.56 feet; thence North 00 ° 49'09" West, a distance of 29.38 feet; thence North 89' 22'03" East, a distance of 29.55 feet; thence South 00 ° 51'34" east, a distance of 29.45 feet; thence South 89 ° 24'20" West, a distance of 5.99 feet; thence South 00 ° 35'40" East, a distance of 30.00 feet; thence South 89 ° 24'20" West, a distance of 12.00 feet to the POINT OF BEGINNING. CONTAINS APPROX. 1260 SF N89°22'03"E 29.55' 60 0 M O) ul N W A ITi O a) 7 C O tV to Z [J� S89°24'20"W 11.56' O S89°24'20"W 5.99' 0 o 0 o O U2 41 ffl SOUTH LINE PARCEL DESCRIBED IN OFFICIAL RECORDS BOOK 27163 0 PAGE 705 M o C o o - Z 51.82' S89°24'20"W 12.00' 2209.05' SOUTH LINE SECTION 30 N00-29'45"W POINT OF BEGINNING 3.75' POINT OF COMMENCEMENT SOUTHWEST CORNER SECTION 30 EYEBALL AVE. TOWNSHIP 40 SOUTH RANGE 42 EAST SKETCH OF DESCRIPTION E-Verify Affidavit Bid/Proposal Number: ITB 18-005 LSGENCONSTR Project Description: Lift Station 064 with 12 feet In accordance with Section 448.095, F.S., Contractor acknowledges and agrees to utilize the U.S. Department of Homeland Security's E-Verify System to verify the employment eligibility of: All persons employed by the Contractor to perform employment duties within Florida during the term of the contract; and All persons (including SUBCONTRACTORS) assigned by the Contractor to perform work pursuant to the contract. The Contractor acknowledges and agrees that use of the U.S. Department of Homeland Security's E-Verify System during the term of the contract is a condition of the contract with the Village of Tequesta. Contractor further agrees to retain sufficient evidence of their enrollment in the E-Verify System and provide such evidence to the Village of Tequesta upon request. Sufficient evidence shall consist of a printed copy of the completed E-Verify Company Profile page, obtained from https://www.e- verify.gov Contractor also agrees to obtain from each of its subcontractors/subconsultants an affidavit stating that the subcontractor/subconsultant does not employ, contract with, or subcontract with an Unauthorized Alien, as that term is defined in Section 448.095(1)(k), F.S. Contractor further agrees to maintain a copy of any such affidavit from a subcontractor/subconsultant for, at a minimum, the duration of the subcontract and any extension thereof. By affixing your signature below, you hereby affirm that you will comply with all E-Verify requirements. Loxahatchee Envir. Control District 59-1455126 Iaany name A6 Dr. Albrey Arrington Print Name STATE OF FLORIDA PALM BEACH COUNTY Federal Employer Identification No. 5/4/2022 Date Executive Director Title Sworn and subscribed before me by means of ❑X physical presence or ❑online notarization on this 4th day of May .2022 by _ , who is personally known to me or has produced as identification and who did/did not take an oath, in the state and county first mentioned a SHE: 'TA . PATEL y Notary Public (affix seal) Notary Pilb;!C • State of florid: Commission A HH 023121 My Comm. Expires Dec 20, 2c. A My Coimnission Expires: December 20, 2024 """Bonged tAroueh National Notary Ai-..-, FRONW-W