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CITY FORMS
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-i, 01 =londa
'Lndersl ea _e-:'eov mates _ ProDaSL ar the -edez'elGpme t GI T ie C1tV oI _''L,am„ proper`- es
p - = - v ✓ YOFi;ie sne namber jT J, ` J,h;-.i JJ
the mde si -,u =d'r�t- ds th t the City .esery s Tll� =i�T :o rtieGT ani ?r1d 211 P'OpOs?IS 3t ��
time. for anv reason. Drior to me execxdon of a Purchase and Sale A--ce=-nt.
I
Proposer s Lniaals.
The undersigned understands that this Proposal li a 5-=. ,suer and twat upon notice from the CiT_v
Manager th ai he will reCo=and the Pronosal to the Civ Commission. 'Which notice Shall be
mailed to the undersigned at the address stated below, he undersigned will, within riffteen (15)
days alter receipt oI such notice or such reasonable tine thereaf�er as determined in the CirV
M?,n2aer's sole discretion, exemne a Purchase and Sale A_ieement (in subsiantiailV Mite form
attached as Exhibit "B"). The undersigned farther acro,vledges That in the event the
undensigned withdraws his.'her Proposal after the Proposal due dare or if the
P oposal fails to execute a Purchase and Sale Agreement t� ithin the time fraise set forth above,
I-ept by the Citi' liquidated ^asages and not as a penalrn.
he Proposal Deposit shall be
z'
`--' Proaoser's Initials.
The undersigned understands that all Proposal Deposits, except those of the responsible and
responsive Proposers recommended to the P.evie-a- CommirLee, -will be re.arned •,-ithin
approximately ten (10) business days after the -opening of the Proposals, and that the Proposal
Deposits of he three (.i) highest responsible and responsive Proposer, except that of the
Proposer whose Proposal is accepted by the City Manager, rill be returned v ithin approximately
ten (1 0) business days from that date of exe Ution of the Purchase and Sale A--eement or transf r
of title by the Proposer (Purchaser) and the City. The undersigned fu Cher ;nidertands that 1-f
he she is the successful Proposer. the Proposal Deposit will be retained by the City and credited
towards the purchase price, or any unanticipated cost at closing, and the balance refunded to the
Proposer.- j
1 �' I
Proposees Initials.
Page 1 of 3
7en-?e desta- tite )C Zis a,C --_ h a'— _ .-o�nS. _ e
r
.t0 a Purchase i' S Sale em he P OPCS..r l ZS e') :_tuSi InI . e f_� i c of
—Et t M0_ ._ ,.xtc! l_ me 10'_10:: Ci' L
_1.. Pr'JOs3y ✓e�'?=ii'.ep7=_�.i: 1-.,�.. �;.. 'lirC:l?�:. .�'!'.iCi sL:`"'. .il -..�i.r1C,
0sC. 'o tired v
'�L' `iSi O unQe.� 1Q� he : L^15 P'07osal ._ u„ evtea -Ln,,i_00':?fie^ '3'1 c _nueCOSu
L_icurred b_ -ha- Cft: '-1 the sale or Lnsfer ofthe Prope�—Ly, inclusive oI Cil_'' CCS'r nd
� _ 0_ Co�,4uC:in=
"ls C=eztzon hiCh alto lm shat not eXce, -' e 31:sand dollars lli�i� i
proposer, s tri .ate.
the undcrsi=ed renreseuu Hai :his Proposal is made '1 good lar l ti:: hOuT fraud or COL'ulOn.
and t_l•lat the underslSed has not entered into ary with aiav other Proposer or
prospective Proposer or with any other person, rm or corporation rtla7dna to the purchase price
stated in this Proposal or in any other Proposal nor any agreement or a angement under which
any person- iuIll or corporation is to r eL'am om Proposing. nor any agi-eement or a=, geLleni
for any act or or=slon in OI wee competition among Proposers. The undersigned agrees
to hold harmless. defend and indemnify the Cite for any noncompliance ov the undersigned v,to
the arorementioned representations or v,?�L the anut-ust laws of tile UnitedStatesand of the State
of F lorlda .'
�, Proposer's 1-nnials.
•�^7.,
1.1e undersianed Lnders-Lands h�
at the lam. its' Coirmission musi approve h�7e S'=ciias.,. and Sale or
Transfer A_gareement for purposes of cons-amm ing the -rarsaction. do Proposal shall be deemed
binding uatil the Purchase and Sale or T ansa r Agreement is filly executed by the parties.
Pronoser's Lnitiais.
The undersigned understands that at closins. the Purchaser shall be required to execute a
covenant wl--lch shall run wit the land. The covenant of a Municipal Service Fer shall provide
that if rhe Proper -n.. or an) portion thereof, is purchased by an "exempt entity.' wander Chapter 195
Florida Statutes. or is a ilized for an exempi purpose, that the owner of the Properry shall pay to
the City a payment in lieu of tees (PIT.OT) to fund the cost of providing municipal services to
the Property The P_110T shall be equal to the amount of taxes the City would have r?ceived had
the prope;rk not been exempt from ta.,ation.
T
� ..� Proposer's Initials.
Pa --e 2 of 3
u- .Ile`! .'1atr as _: n Brut D� =:i. s0 �_71t._ �'la _'1?"2='._-C=�:�7: =Z :0
...'. on .i.. pr'�p� \� _ _ rv'.'}.'S�l i1 n'o �.�,.���.:. •1 T. penl_iaz' .aN Jiro yr ..�- i1�a1w� t ;��-2S
-. v: :1Z.ne_'�er
Uaoser a 0 r m . t -,-.._. c -f-f-Ic27 1r=toclmoI ; P1s .^,r .1.= -
Qt auh CI an% -Jest ,r co -n ?a -L Cl-Ll.:,%as a Dar-Lv =C a c,- nor as
to Or: ani` �:-.'L.t`•' vI
Sic'n �l1 T e o P- ,Ser
I.K.
Prinz Name of Proposer
STATE OF FLO=a
iY.
d—innS
i
COU TY OF 1
Ti he IOreaOLna ms -L room -,;,as ackno le'ed lae ore me this Z Cf day o /
X00 � (� (Warne of person acknov le—d—tins who is
to me or who has pro used (:voe of idenriLcarion) as id nriizcation
and who did (did not) take an oath.
SizaL=e of Nota --S Public
N, arne
MAN7 LEDAN
DFRES: NOV, 5, POI 0
Bhmu h 1st 5tae Insurame
Pa6e 3 of 3