HomeMy Public PortalAbout2004.07.22 Village Square Association Four Corners Beautification Project Landscape Easement DonationInstrument # 285807
VALLEY COUNTY, CASCADE, IDAHO
2004-07-30 01:51:17 No. of Pages: 4
Recorded for : CITY OF MCCALL
LELAND G. HEINRICH Fee: 0.00
Ex-Officio Recorder Deputy 1
Index to: MISCELLANEOUS RECORD I r
U
DONATION
Agency: City of McCall Project No.: STP-0100(174)
Project Name: Four Corners Beautification Project Key No.: 8715
Parcel No.: 01
Gentlemen:
This letter is to verify that I (we), the undersigned, have been fully informed and advised of the
right to receive just compensation based on a reviewed appraisal of the permanent easement
required under the captioned project and parcel number. I acknowledge the individual and
public benefit to be gained by this street improvement, and wish to waive all rights for appraisal
and compensation and will donate the necessary 0.14 acre for permanent landscaping easement
to the City of McCall.
Date j Signature of Grantor
o� VI U.1W. ' uAe.6 4i n4).44W AS( NJ
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STATE OF l JciX_7 }
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COUNTY Og3ktt-L1 }
On this{day of S J'� , 2004, before me, the undersigned, a Notary Public in and for
the State, personally appeared 0 ,�i 1► cl-aarul , lcnown to me to be the
person(s) whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that
(he)(she)(they) executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in
i
C_
Notary ublic for I 4.1r-1-0
Residing at '-'1e.-1-4-4--
My commission expires 111 Moe,
PERMANENT EASEMENT
KNOW ALL MEN BY THESE PRESENTS, that VILLAGE SQUARE COMMERCIAL CENTER, the
Grantor, for value received does hereby grant unto CITY OF McCALL, a political subdivision of the State of
Idaho, the Grantee, the right to go upon, occupy, and use a potion of the following described real estate situated
in the City of McCall, Valley County, State of Idaho as a permanent landscaping easement, to -wit:
A permanent landscaping easement located in the NW 1/4 of Section 16, T.1 8N., R.3E.,
B.M., Valley County, Idaho, being more particularly described as follows:
Commencing at the center 1 corner of said Section 16; Thence
N89°47'56"W, 256.47' along the south line of said NW '/4 to the westerly right of way line of Highway 55
and the True Point of Beginning;
Thence, N89°47'56"W, 115.00',continuing along aforesaid south line;
Thence, N16°45'41"W, 10.45' parallel to aforesaid westerly right of way line;
Thence, N58°26'42"E, 93.09';
Thence, N16°45'41"W, 75.00', parallel to aforesaid westerly right of way line;
Thence, S89°47'56"E, 20.91', parallel to aforesaid south line, to aforesaid westerly right of way
line;
Thence, S16°45'41 "E, 136.67' along said westerly line, to the True Point of Beginning.
Parcel contains 5,978 square feet or 0.14 acres more or less.
FOR THE PURPOSE OF CONSTRUCTING OR INSTALLING THEREON public facilities for
landscaping, pedestrians and utilities by the City of McCall or its agents or contractors. The aforesaid
facility shall remain in place as constructed or installed for its intended purpose and shall not be removed
or relocated by the Grantor(s), his/her heirs or assigns, without the prior approval of the City of McCall, or
its assigns.
The City of McCall, its agents or transferees, shall have the right to perform any maintenance it
may deem necessary or wish to exercise in connection with aforesaid facility (including but not restricted
thereto, the right to make necessary repairs, alterations, removals or replacements thereof).
Page 1 of 2
Together with the right and privilege of ingress and egress to and from said property for said
purposes.
It is expressly intended that these burdens and restrictions shall run with the land and shall bind
the Grantor(s), his/her/their heirs and assigns forever.
DATED this ZL day of Iv. , 2004.
STATE OF Cie-' v
Grantor(s)
, 2004, before me, the undersigned, a Notary Public in and for the
State, personally appeared i,J T ,tc 3e Le_av r , known to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
COUNTY OFVc (4,1
On thi� day of
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
WHEN RECORDED, MAIL TO:
City of McCaII
216 E. Park Street
McCall, ID 83638
(208)634-7142
Nota Public for (ci
Residing at 1" 1 `C..u.
My commission expires 11\tee
Page 2 of 2
WAIVER OF PUBLIC HEARING
Agency: City of McCall Project No.: STP-0100(174)
Project Name: Four Corners Beautification Project Key No.: 8715
Parcel No.: 01
This is to certify that (I) (we), the undersigned, have been fully informed concerning the Four Corners
Beautification Project, including its effects on my property, and (I) (we) favor the project.
(I am) (We are) aware of the amount of right-of-way or easement to be acquired and its relationship to
the remainder of (my)(our) property and have been informed that (I am) (we are) entitled to receive fair
compensation for the right-of-way or easement acquisition on the project.
(I am) (We are) aware that (I)(we) have the right to request a public hearing and, due to (my)(our)
concurrence in the project, (I)(we) hereby waive said right to a public hearing.
Wile -EAU -S IA454
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Property Owner Dat
Owner Date
dc c.twAy SS A. 4Anblroleo C,114 ha' z44.0
Address
STATE OF
COUNTY OF VG 1(1
On this 2- day of il),1 , 2004, before me, the undersigned, a Notary Public in and for the
State, personally appeared 1,3 (ckeed( y , known to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
(S 4.04: •I .R• T EN•e94 1,,,,,
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N T,g R ••:• . 0 Notary 1 ublic for
• : �•� i Residing` at �C,(¢�l.L 1 —
▪ j, • `� A& L I C •• My commission expires )1 2-ifl
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Instrument # 285807
VALLEY COUNTY, CASCADE, IDAHO
2004-07-30 01:51:17 No. of Pages: 4
Recorded for : CITY OF MCCALL
LELAND G. HEINRICH Fee: 0.00
Ex-Officio Recorder Deputy
Index to: MISCELLANEOUS RECORD t'
DONATION
Agency: City of McCall Project No.: STP-0100(174)
Project Name: Four Corners Beautification Project Key No.: 8715
Parcel No.: 01
Gentlemen:
This letter is to verify that I (we), the undersigned, have been fully informed and advised of the
right to receive just compensation based on a reviewed appraisal of the permanent easement
required under the captioned project and parcel number. I acknowledge the individual and
public benefit to be gained by this street improvement, and wish to waive all rights for appraisal
and compensation and will donate the necessary 0.14 acre for permanent landscaping easement
to the City of McCall.
Date % Signature of Grantor
Vs' o) VIMG4114:445/ASfn/
_ - frt./ 4444.
STATE OF (Airy.)
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COUNTY 041V-4-1 }
On thisday of J Jl� , 2004, before me, the undersigned, a Notary Public in and for
the State, personally appeared L.) , , known to me to be the
person(s) whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that
(he)(she)(they) executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in
this caittf?t,7ftta above written.
.• 'f 8 '•.
�, . �'
13oTARy•yr-
19fE$I-) : = _
Z ; PuB Lic s Notary 'ublic for 1-�0
•. tr .• •� Residing at 1-'1��1-
,'•* TF O F ID P'r•*• My commission expires t t' Z tt off,
�'••••u.u.r••••
PERMANENT EASEMENT
KNOW ALL MEN BY THESE PRESENTS, that VILLAGE SQUARE COMMERCIAL CENTER, the
Grantor, for value received does hereby grant unto CITY OF McCALL, a political subdivision of the State of
Idaho, the Grantee, the right to go upon, occupy, and use a potion of the following described real estate situated
in the City of McCall, Valley County, State of Idaho as a permanent landscaping easement, to -wit:
A permanent landscaping easement located in the NW 1/4 of Section 16, T.18N., R.3E.,
B.M., Valley County, Idaho, being more particularly described as follows:
Commencing at the center'/4 corner of said Section 16; Thence
N89°47'56"W, 256.47' along the south line of said NW 1/4 to the westerly right of way line of Highway 55
and the True Point of Beginning;
Thence, N89°47'56"W, 115.00',continuing along aforesaid south line;
Thence, N16°45'41'W, 10.45' parallel to aforesaid westerly right of way line;
Thence, N58°26'42"E, 93.09';
Thence, N16°45'41 "W, 75.00', parallel to aforesaid westerly right of way line;
Thence, S89°47'56"E, 20.91', parallel to aforesaid south line, to aforesaid westerly right of way
line;
Thence, S 16°45'41 "E, 136.67' along said westerly line, to the True Point of Beginning.
Parcel contains 5,978 square feet or 0.14 acres more or less.
FOR THE PURPOSE OF CONSTRUCTING OR INSTALLING THEREON public facilities for
landscaping, pedestrians and utilities by the City of McCall or its agents or contractors. The aforesaid
facility shall remain in place as constructed or installed for its intended purpose and shall not be removed
or relocated by the Grantor(s), his/her heirs or assigns, without the prior approval of the City of McCall, or
its assigns.
The City of McCall, its agents or transferees, shall have the right to perform any maintenance it
may deem necessary or wish to exercise in connection with aforesaid facility (including but not restricted
thereto, the right to make necessary repairs, alterations, removals or replacements thereof).
Page 1 of 2
Together with the right and privilege of ingress and egress to and from said property for said
purposes.
It is expressly intended that these burdens and restrictions shall run with the land and shall bind
the Grantor(s), his/her/their heirs and assigns forever.
DATED this ZL day of 5V..t.1 , 2004.
STATE OF do }
} ss.
COUNTY OFVdtI€i� }
On thiZ day of J )l , 2004, before me, the undersigned, a Notary Public in and for the
State, personally appeared lJ �1 ued lm►�^
G rantor(s) "
V,1� �60uAe6 634GeS A.
, known to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
WHEN RECORDED, MAIL TO:
City of McCall
216 E. Park Street
McCall, ID 83638
(208)634-7142
Notary Public for (d �
Residing at 1"4
My commission expires I11ke
Page 2 of 2
WAIVER OF PUBLIC HEARING
Agency: City of McCall Project No.: STP-0100(174)
Project Name: Four Corners Beautification Project Key No.: 8715
Parcel No.: 01
This is to certify that (I) (we), the undersigned, have been fully informed concerning the Four Corners
Beautification Project, including its effects on my property, and (I) (we) favor the project.
(I am) (We are) aware of the amount of right-of-way or easement to be acquired and its relationship to
the remainder of (my)(our) property and have been informed that (I am) (we are) entitled to receive fair
compensation for the right-of-way or easement acquisition on the project.
(I am) (We are) aware that (I)(we) have the right to request a public hearing and, due to (my)(our)
concurrence in the project, (I)(we) hereby waive said right to a public hearing.
VI 44.
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Pro ert Owner / Dat
Property Owner Date
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Address
STATE OF CJ
COUNTY OF \ 1 P" I
On thi22, day of 34-1
State, personally appeared
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ss.
, 2004, before me, the undersigned, a Notary Public in and for the
L): t[ L —r- , known to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
.0% �S T E,N '••,
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Notary fjublic for
Residing at 1-1C .426.uL
My commission expires �1
2.4 B
TRANSPORTATION BOARD
Frank Bruneel
Chairman
John X. Combo
Vice Chairman
District 6
John McHugh
District 1
Bruce Sweeney
District 2
Monte McClure
District 3
Gary Blick
District 4
Neil Miller
District 5
David Ekern, P.E.
Director
Sue Higgins
Board Secretary
IDAHO TRANSPORTATION DEPARTMENT
P.O. Box 8028
Boise, ID 83707-2028
(208) 334-8300
itd.idaho.gov
August 4, 2006
Hillside Landscape Construction Inc
2350 Hill Road
Boise, ID 83702
Re:
Project No:
Key No.
Contract No.
Location:
Subject:
STP-0100(174);
08715
6823
Four Corners Beautification, McCall
FINAL ACCEPTANCE
Dear Mr. Yochum:
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In accordance with Subsection 105.16 of the Standard Specifications, a final inspection of
the captioned project was made on August 1, 2006. During the inspection, it was found
that all construction items provided for and contemplated by the contract were completed
satisfactorily.
I, therefore, accept this project on behalf of the State, and the City of McCall.
The commencement date of the contract was May 2, 2005 and the completion date was
August 1, 2006.
Sincerely,
/lr.(•/ ./j/a—
Eric Shannon, P.E.
District Engineer
ES:jg
d--
ason D. Brinkman, P.E.
Design Group Manager
•
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3 i•
STATE OF IDAHO
Dirk Kempthorne, Governor
TRANSPORTATION DEPARTMENT
DISTRICT 3 • P.O. BOX 8028 • BOISE, ID • 83707-2028 • (208) 334-8300
August 24, 2004
City of McCall
Attn: Carol Coyle
3216 East Park Street
McCall, ID 83638
RE: Key 8715; Project STP-0100(174); FOUR CORNERS BEAUTIFICATION
Dear Ms. Coyle,
Enclosed is the City of McCall's copy of the fully executed State/Local Agreement for
construction of the captioned project. The project will be advertised for construction
after we receive the final easement documentation.
Scott Gurnsey will be the ITD Region Engineer in charge of construction on this project.
Jim Justice will be assigned as the ITD Region Project Coordinator. You can reach Scott
at (208) 334-8347 or Jim at 334-8349. Please give me a call at (208) 334-8965 if you
have any questions in the meantime.
Sincerely,
A
- An Equal Opportunity Employer -
4-04 STATE/LOCAL AGREEMENT
(CONSTRUCTION)
STP-0100 (174)
FOUR CORNERS BEAUTIFICATION, MCCALL
VALLEY COUNTY
KEY NO. 8715
PARTIES
T IS AGREEMENT is made and ent red into this � day
of �' � , .�-0C� ' by and between the IDAHO
TRANSPORTATION DEPARTMENT, hereaf er called the STATE, and the
CITY OF MCCALL, acting by and through its Mayor and Council,
hereafter called the SPONSOR.
PURPOSE
The SPONSOR has requested the STATE to program a project for
federal participation in the costs of constructing landscaping
and pedestrian facilities at the intersection of SH-55 and
Dienhard Lane in McCall, which has been designated as Project No.
STP-0100(174). This agreement sets out the responsibilities of
the parties in the construction and maintenance of the project.
Authority for this agreement is established by Section 40-
317 of the Idaho Code.
The Parties agree as follows:
SECTION I.
1. This Agreement is entered into for the purpose of
complying with certain provisions of the Federal -Aid
Highway Act in obtaining federal participation in the
construction of the project.
2. Federal participation in the costs of the project will
be governed by the applicable sections of Title 23,
U.S. Code (Highways) and rules and regulations
prescribed or promulgated by the Federal Highway
Administration.
-1-
ROADWAY DESIGN
F EGISTER
SECTION II. That the STATE will:
1. Not guarantee that federal funds herein sought are
available or will be made available. In the event
federal funds are unavailable, this Agreement is void.
2. Enter into an Agreement with the Federal Highway
Administration covering the federal government's pro
rata share of construction costs.
3. Advertise, open bids, prepare a contract estimate of
cost based on the successful low bid and notify the
SPONSOR thereof.
4. Award a contract for construction of the project, based
on the successful low bid, if it does not exceed the
STATE'S estimate of cost of construction by more than
ten (10) percent. If the low bid exceeds the estimate
by more than 100, the bid will be evaluated, and if
justified, the contract will be awarded and the SPONSOR
will be notified.
5. Obtain concurrence of the SPONSOR before awarding the
contract if the SPONSOR'S share of the low bid amount
exceeds the amount set forth in Section III, Paragraph
1 by more than ten (10) percent.
6. Provide to the SPONSOR sufficient copies of the
Contract Proposal, Notice to Contractors, and approved
construction plans.
7. Designate a resident engineer and other personnel, as
the STATE deems necessary, to supervise and inspect
construction of the project in accordance with the
plans and specifications in the manner required by
applicable state and federal regulations. This
engineer, or his authorized representatives, will
prepare all monthly and final contract estimates and
change orders, and submit all change orders to the
SPONSOR for their concurrence. If the SPONSOR'S share
of any change order exceeds $1,000.00, the STATE will
submit a statement to the SPONSOR indicating the amount
owed by the SPONSOR.
8. Notify the SPONSOR when construction engineering and
inspection (CE&I) costs have reached approximately 850
of the estimated cost for CE&I.
-2-
9. Maintain complete accounts of all project funds
received and disbursed, which accounting will determine
the final project costs.
10. Upon completion of the project, after all costs have
been accumulated and the final voucher paid by the
Federal Highway Administration, provide a statement to
the SPONSOR summarizing the estimated and actual costs,
indicating an adjustment for or against the SPONSOR.
Any excess funds transmitted by the SPONSOR and not
required for the project will be applied to any
outstanding balance the SPONSOR may have on a
previously completed project. If no such outstanding
balance exists, the excess funds will be returned to
the SPONSOR.
SECTION III. That the SPONSOR will:
1. Be responsible for its share of preliminary engineering
costs, construction costs, and construction engineering
& inspection (CE&I) by the STATE. The Federal -aid limit
for this project is $500,000. The SPONSOR will provide
a match of 25. 3 0, and be responsible for all costs of
the project over and above the Federal -aid limit.
Based on the most current Engineer's Estimate for the
project, and taking into account funds expended by the
STATE and the SPONSOR for preliminary engineering, the
SPONSOR owes $60,000 cash or approved match in that
amount prior to advertisement. CE&I will be
approximately 200 of the total construction cost.
2. Upon approval of the lowest qualified bid received, if
the SPONSOR'S share exceeds the amount set forth in
Section III, Paragraph 1, transmit to the STATE the
SPONSOR's portion of such excess cost.
3. Authorize the STATE to administer the project and make
any necessary changes and decisions within the general
scope of the plans and specifications. Prior approval
of the SPONSOR will be obtained if it is necessary,
during the life of the construction contract, to
deviate from the plans and specifications to such a
degree that the costs will be increased or the nature
of the completed work will be significantly changed.
-3-
4. The SPONSOR will designate an authorized representative
to act on the SPONSOR'S behalf regarding action on
change order. That authorized representative's is Oname
ckH
Phone No. /
5. When change orders are submitted by the STATE for
approval pursuant to Section II, Paragraph 7, the
SPONSOR or its authorized representative shall give
approval of same as soon as possible, but no later than
ten (10) calendar days after receipt of the change
order. If approval is delayed, any claims due to that
delay shall be the responsibility of the SPONSOR.
6. Upon receipt of either of the statements referred to in
Section II, Paragraphs 7 and 10, indicating an
adjustment in cost against the SPONSOR, promptly remit
to the STATE a check or warrant in that amount.
7. Maintain the project upon completion to the
satisfaction of the STATE. Such maintenance includes,
but is not limited to, preservation of the entire
roadway surface, shoulders, roadside cut and fill
slopes, drainage structures, and such traffic control
devices as are necessary for its safe and efficient
utilization. Failure to maintain the project in a
satisfactory manner will jeopardize the future
allotment of federal -aid highway funds for projects
within the SPONSOR'S jurisdiction.
8. Comply with Appendix A, Title 49 CFR, Part 21, attached
hereto and made a part hereof.
SECTION IV.
1. Checks for funds owed by the SPONSOR shall be made
payable to the "Idaho Transportation Department", and
mailed to the District Three Office at PO Box 8028,
Boise, ID 83707-2028.
2. All information, regulatory and warning signs, pavement
or other markings, traffic signals required, the cost
of which is not provided for in the plans and
estimates, must be erected at the sole expense of the
SPONSOR upon the completion of the project.
-4-
3. The location, form and character of all signs, markings
and signals installed on the project, initially or in
the future, shall be in conformity with the Manual of
Uniform Traffic Control Devices as adopted by the
STATE.
4. During construction, the latest edition of the STATE's
Guide for Utility Management will be followed in all
matters relating to utilities.
SECTION V.
1. That this State/Local Agreement (Construction) upon its
execution by both Parties, supplements the State/Local
Agreement (Project Development) by and between the same
parties, dated May 20, 2002.
-5-
EXECUTION
This Agreement is executed for the STATE by its Assistant
Chief Engineer (Development), and executed for the SPONSOR by the
Mayor, attested to by the City Clerk, with the imprinted
corporate seal of the CITY OF McCALL.
Approved as to form:
Deputy Attorney General
ATTEST:
IDAHO TRANSPORTATION DEPARTMENT
APPROVED BY:
ss s{t Chief Engineer
`revelopment )
RECOMMENDED BY:
Roadwa Design ErAineer
CITY OF MCCALL
City Cler Mayor
(SEAL)
ByegulapeciaC 1 meeting
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-6-
APPENDIX A
EXCERPTS FROM TITLE 49 CFR PART 21
During the performance of work covered by this Agreement, the City of McCall for itself, its assignees and
successors in interest (hereafter referred to as the SPONSOR), agrees as follows:
1. Compliance with Regulations: The SPONSOR during the performance of work covered by this
Agreement shall comply with all regulations of the United States Department of Transportation relative to Civil
Rights with specific reference to Title 49 CFR Part 21, Title 41 CFR Part 60, Civil Rights Act of 1964 as amended
and Executive Order 11246.
2. Non -Discrimination: The SPONSOR, with regard to the work performed during the term of this
Agreement, shall not in any way discriminate: against any employee or applicant for employment; subcontractor or
solicitations for subcontract including procurement of materials and equipment; or any other individual or firm
providing or proposing services based on race, color, religion, sex, national origin, age or non -job -related handicap.
3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all
solicitations, either by bidding or negotiation, made by the SPONSOR for work or services performed under
subcontract, including procurement of materials and equipment, each potential subcontractor or supplier shall be
made aware, by the SPONSOR, of the obligations of this Agreement and to the Civil Rights Requirements based on
race, color, religion, sex, national origin, age or non -job -related handicap.
4. Information and Reports: The SPONSOR shall provide all information and reports required by
Regulations and/or Directives and shall permit access to its books, records, accounts, other sources of information,
and its facilities as may be determined by the Idaho Transportation Department or the Federal Highway
Administration. The SPONSOR will be required to retain all records for a period of three years.
5. Sanctions for Non -Compliance: In the event the SPONSOR is in non-compliance with the Civil
Rights Provisions of this Agreement, the Idaho Transportation Department shall impose such sanctions as it or the
Federal Highway Administration may determine to be appropriate, including, but not limited to:
(a) Withholding of payments to the SPONSOR until it has achieved compliance and/or
(b) Cancellation, termination or suspension of the contract, in whole or in part.
6. Incorporation of the Provisions: The SPONSOR shall physically include this Appendix in
every subcontract of $10,000 or more to include procurement of materials and leases of equipment unless exempt by
Regulations, Orders, or Directives pursuant thereto. The SPONSOR shall take such action with respect to sub-
contractor or procurement as the Idaho Transportation Department or the Federal Highway Administration may
direct as a means of enforcing the provisions, including sanctions for noncompliance, provided in event the
SPONSOR becomes involved in, or is threatened with litigation with the subcontractors or suppliers as a result of
such direction, the SPONSOR may request the STATE to enter into such litigation to protect the interest of the
STATE, and in addition the SPONSOR may request the United States to enter into such litigation to protect the
interest of the United States.
- 7 -
RESOLUTION NO. 04-11
A RESOLUTION OF THE CITY OF McCALL, IDAHO, APPROVING A
STATE/LOCAL AGREEMENT WITH THE IDAHO TRANSPORTATION
DEPARTMENT; PROVIDING FOR OTHER MATTERS; AND PROVIDING AN
EFFECTIVE DATE.
WHEREAS, the Idaho Transportation Department, hereafter called the STATE,
has submitted an Agreement stating obligations of the STATE and the City of McCall,
hereafter called the CITY, for construction of the Four Corners Beautification; and
WHEREAS, the STATE is responsible for obtaining compliance with laws,
standards and procedural policies in the development, construction and maintenance of
improvements made to the Federal -Aid Highway System when there is federal
participation in the costs; and
WHEREAS, certain functions to be performed by the STATE involve the
expenditure of funds as set forth in the Agreement; and
WHEREAS, the STATE can only pay for work associated with the State
Highway System; and
WHEREAS, the CITY is fully responsible for its share of project costs; and
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY
COUNCIL OF THE CITY OF McCALL, Valley County, Idaho, as follows:
Section l: That the Agreement for Federal -Aid Highway Project STP-
0100(174), described as the Four Corners Beautification, is hereby approved.
Section 2: That the Mayor and City Clerk are hereby authorized to execute
the Agreement on behalf of the CITY.
Section 3:
the STATE.
That duly certified copies of this Resolution shall be furnished to
Section 4: This Resolution shall take effect and be in force from and after its
passage and approval.
DATED the 2nd day of August, 2004.
CITY OF McCALL
Valley County, Idaho
By
ATTEST:
Kirk L. Eimers, Mayor Tina Clark, Deputy City Clerk
RESOLUTION
WHEREAS, the Idaho Transportation Department, hereafter called the STATE, has submitted an
Agreement stating obligations of the STATE and the CITY OF MCCALL, hereafter called the CITY, for
construction of Four Corners Beautification; and
WHEREAS, the STATE is responsible for obtaining compliance with laws, standards and procedural
policies in the development, construction and maintenance of improvements made to the Federal -aid Highway
System when there is federal participation in the costs; and
WHEREAS, certain functions to be performed by the STATE involve the expenditure of funds as set forth
in the Agreement; and
WHEREAS, The STATE can only pay for work associated with the State Highway system; and
WHEREAS, the CITY is fully responsible for its share of project costs; and
NOW, THEREFORE, BE IT RESOLVED:
1. That the Agreement for Federal Aid Highway Project No. STP-0100(174) is hereby approved.
2. That the Mayor and the City Clerk are hereby authorized to execute the Agreement on behalf of
the CITY.
3. That duly certified copies of the Resolution shall be furnished to the Idaho Transportation
Department.
CERTIFICATION
I hereby certify that the above is a true copy of a Resolution passed at a regteicerdAt9'cufted special (X-out non -
applicable term) meeting of the City Council, City of McCall, held on �i , 2004.
(Seal)
,,,,,,,,,,,•,,••
�+ ••
SEAL 101
U ; •
: �•am _*
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,�'• 4' ••••••••••••�f
•,'*,CALL, I9 S
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City Clerk
PAGE 2
F I LE No . 503 10/ 19 ' 04 PM 02 : 42 I D : HOLLADAY Ei• G ^'��st��mentF�' � 21 E9
VALLEY COUNTY, CASCADE, IDAHO
2004-10-29
Recorded for : CITY OF MCCALNo, of Pages: 3
LELAND G. HEINRICH
Ex-Officio Recorder Deputy I Fee: 0.00
Index to: EASEMENT
CORRECTION
PERMANENT EASEMENT
Previously Recorded as Instrument #285808
KNOW ALL MEN BY THESE PRESENTS, that ROBERT D. COLL1NS and INGL.IS FAMILY LIMITED
PARTNERSHIP the Grantors, for value received does hereby grant unto CITY OF McC.ALL, a political
subdivision of the State of Idaho, the Grantee, the right to go upon, occupy, and use a potion of the following
described real estate situated in the City of McCall, Valley County, State of Idaho as a permanent landscaping
easement, to -wit
A permanent landscaping easement located in the NW '/4 of Section 16, T.18N. R.3E.,
B.M., Valley County, Idaho, being more particularly described as follows:
Commencing at the center'/4 comer of said Section 16; Thence S00°36'00"W, 327.95' along the
easterly line of said SW '/4; Thence N89°40'07"W, 56.97' to the easterly easement line of an existing 20'
wide pedestrian and utility easement filed as instrument #250520; Thence S16°26'04" E, 0.64' along said
easterly easement line to the True Point of Beginning;
Thence, N89°40' 19"W, 20.92' to the easterly right-of-way of Hwy. 55;
Thence, S16°45'59"E_, 448.95' along said easterly right-of-way line;
Thence, S89°40' 19" E, 20.92 feet;
Thence, N 16°45'59" W., 448.95' to the True Point of Beginning.
Parcel contains 8977.11 square feet or 0,20 acres more or less.
FOR THE PURPOSE OF CONSTRUCTTNG OR INSTALLING THEREON public facilities for
landscaping, pedestrians and utilities by the City of McCall or its agents or contractors. The aforesaid
facility shall remain in place as constructed or installed for its intended purpose and shall not be removed
or relocated by the Grantor(s), his/her heirs or assigns, without the prior approval of the City of McCall, or
its assigns.
The City of McCall, its agents or transferees, shall have the right to perform any maintenance it
may deem necessary or wish to exercise in connection with aforesaid facility (including but not restricted
thereto?, the right to make necessary repairs, alterations, removals or replacements thereof).
Page 1 of 3
FILE No . 503 :10/19 '04 PM 02::42 ID:HOLLADA'"( ENGINEERING FAX:208 642 2159 PAGE 3
"' ~ T°gethcr With thc riglit and privilege ofingn-ess and egress to and from said property for said
purposes.
It is expressly intended that these burdens ,'md restrictions shall run with the land and shall bind
the Grantor(s), his/her/their heirs and assigns forever.
l'his permanent easement is given (and accepted) as a correction in lieu of that certain easement
dated July 30, 2004 and recorded as Instrument No. 285808 in the Official Records of Valley County,
Idaho, for the purpose of correcting the name Rob Collins to Robert D. Collins and adding the name Inglis
Limited Family Partnership.
DATED this ~ day of
~(~'0 Jj'~:/'- ,2004.
On this ~t flay of.~..~lJj~, ,2004, before me, the undersigned, a Notary PUblic m and fbr the
State, personally appem-~d~ ..... known to me to be the person(s)
whose name(s) (is)(are) subscribed to the fov0going instrument, and acknowledged to me that Ole)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate ilrst above written.
Nbtary Publicfif?- ~' ~, _
Residing at~../t~_bt ALI~. _'L--"~
My commission expires 'O/-2,~/~ - ~/30"~
WIIEN RIL,'COI~I)Iil), MAIl. TO:
City at'McCall
216 E. Park Streel
McCall, ID 83638
(20g)634.7142
Page 2 of 3
FILE No.503 10/19 '04 Pl't 02:'42 ID:HOLLPDff? ENGINEERING
FAX:208 642 2159
PAGE
STATE OF ~-~~ _}
COUNTY OF Doc t/~__ )} st.
On this P~ day of 0 ~ ,2004, before me, the undersigned, a No~y Public in ~cl for ~e
State, persona~ly appe~ed__ ~ ~a h ~& ~ ~ II~ ~ l' , ~oma to me to be the person(s)
whose.name(s) (is)(are) subscribfid-t~ the foregoing instrument, ~d ae~ow~edged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I haVe hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
(SEAL)
No[ary Public for Cj'~
Residing at ['Dr'('a~i!_ 'g00
My commission expires
WHEN RECORDED. MAIL TO:
City of McCall
216 E, Park Street
McCall, 1D 83638
(208)634-7142
Page 3 of 3
FILE No.503 10/t9 '04 Pr1 02:43 ID:HO!..LADAY ENGTNEERING FAX:208 642 2159 PAGE
Instrument # 288953
VALLEY COUNTY, CASCADE, IDAHO
2004-10-29 02:54:17 No. of Pages: 2
Recorded for: CITY OF MCCALL
LELAND G. HEINRICH .~ Fe~0.00
Ex.Officio Recorder D_ecPoU~Y~D ~.~
Index to' MiscELLANEOUS R[=~J
DONATION
Agency: City of McCall Project No.: STP-0100(174)
Project Name: Four Corners Beauti fication Project Key No.: 8715
Parcel No.: 05
Gentlemen:
This letter is to verify that I (we), the undersigned, have been fully informed and advised of the
right to receive just compensation based on a reviewed appraisal of the permanent easement
required under the captioned project m~d parcel number. I acknowledge the individual and
public benefit to be gah~¢d by this street improvement, and wish to waive all rights .for appraisal
and compensation and will donate the necessary 0.20 acre for permanent landscaping, pedestrian
and utility easement to the City of McCall.
STATE OF -T~~ }
COUNTY OF ~.1~__
On this ]t~'~t'~da¥ of ~~,~5~ ,2004, b~for~ m~, th~ un~rsi~a, a Nm~y Publi~ in ~n~ for
th~ St~t~, p~rsonall~ ~~~Td~~ , ~nown t~ m~ to be the
person(s) whose name(s) (is)(are) subscribed to ~ foregoing ins~ment, and ac~owledged to me that
(he)(she)(they) executed the same.
IN WITNESS WHEREOF, 1 have hereunto set my name and affixed my official seal the day and year m
this certificate first above written.
Residing al~/
My commissio'n expires-
Donation Form Page 1 of 2
FILE No.503 t0×19 '04 Pr1 02:43 ID:HOL.LADAY ENGINEERING FAX:208 642 2159 PAGE 6
STATE OF, ~"~__c~/i'x.o .}
COUNTY OF ..
~ this ~ day of 0 ~ .2004, ~fore me, the ~dersi~ed, a Nota~ PubLic in and for
the State, personally appeared ~o b~ ~, ~ ll~.f , kno~ to me to ~ the
person(s) whose name(s) (is)(are) subscribed to the tb~going ins~ment, and ae~owledged to 'me that
(he)(she)(they) executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in
this certificate first above written.
(SEAl.)
Notary Public £6
My commission exp~r¢,~._.
Donation Form Page 2 of 2
-? ~'' .....,* ';'2:5? ~'~' _ .... I~r ENGINEERING FAX:208 642
VALLEY COUNTY, CASCADE, IDAHO
2004-10-29 02:56:28 No. of Pages: 2
Recorded for: CITY OF MCCALL
LELAND G. HEINRICH x,,~/ ~,.,¢ ~Fee: 0.00
Ex-Officio Recorder Deputy w x ~
Index to: MISCELLANEOUS RECORD ~Al'~E R O~'~ P ~,.~BLIC 'H EAr'kING
2159
PAGE
Agency: __C!ty o.f McCall Project No.:
Project Name: Fora- Corners Beautification Project Key No.-
Parcel No.'
STP-m00(] 7__4)
8715
05
This is to certify that (I) (we), the undersigned, have been fidly informed concerning the Four Corners
Beautification Prqiect, including its effects on my property, and (I) (we) favor the project.
(I am) (We are) aware of the amount of right-of-way or easement to be acquired and its relationship to
the remainder of (my)(our) property and have been infomaed that (I am) (we are) entitled to receive fair
compensation for the right-of-way or easement acquisition on the project.
(1 mn) (We are) aware that (I)(We) have the right to request a public hearing and, due to (my)(our)
concurrence in the project, (I)(we) hereby waive said right to a public hearing.
Property
Property Owner
lh, 5'.
Date
Date
Address /
Address
STATE OF _,~i~1~ ~-(~) }
COUNTY OF ~ ,~/0 ¥~ }
;ttt:his~da[ Ofe~~- , 2~04, before me, the .dersi~e~:JotaW Public in and for the
' , P · -- Y PP ~ ,.. ~[ 5 ~ ....... to me to be the person(s)
whose name(s) (is)(are) subscriued to the f~egoing instrument, and ac~owledged to me that (he)(she)(they)
executed the same.
IN WITNE$&,,W,,,HEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certtfi, at¢ htst ~z~3.~,wr~tte'n.
(SEAL) ~'- ~ _ ~ ~ N&taw Publit for ~ -
.' :'" ~: 5¥.¢~* My commission expires~~
Wa var of Pbb c Hoar ng Page 1 of 2
FILE Ho.503 1.0×19 '0,~ PH 02:43 ID:HOLLO, DA'/ ENGIF.JEER!IqG FAX:208 642 2159 PAGE 8
i } ss.
COUNTY OF ~ }
On this 20/ day of ~ C ~- ,2004, before me, the undersigned, a Notary Public in and for the
State, p~r~°r~ally appeared ~_.~ , known to me to be the person(s)
whose name(s) (is)(m'e) sub-'~'cribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my na.me and affixed my official seal the day and year in this
cerhficate first above wa'itten,
Residihg at~ y'~cOov~! .
My commission expires'
Waiver of Public Hearing Pago 2 of 2
Instrument # 285808
VALLEY COUNTY, CASCADE, IDAHO
2004-07-30 01:51:17 No. of Pages: 4
Recorded for: CITY OF MCCALL
LELAND G. HEINRICH ~-~e: ~ ~
Ex-Officio Recorder Deputy
Index to: MISCELLANEOUS RECORD d/7
DONATION
Agency: City of McCall Project No.'
Project Name: Four Comers Beautification Project Key No.: 8715
Parcel No.: 05
STP-0100(174)
Gentlemen:
This letter is to verify that I (we), the undersigned, have been fully informed and advised of the
right to receive just compensation based on a reviewed appraisal of the permanent easement
required under the captioned project and parcel number. I acknowledge the individual and
public benefit to be gained by this street improvement, and wish to waive all rights for appraisal
and compensation and will donate the necessary 0.20 acre for permanent landscaping, pedestrian
and utility easement to the City of McCall.
Date
STATE OF ~'c.~cl,O }
} SS.
COUNTY OF [,1 &[Itt,I }
On this r~q day of ~-"¢t~] ,2004, before me, the ~dersi~ed, a Notaw Public in and for
the State, personally appe~ed ~ h~4 ~. ~ ]~& 5 , ~o~ to me to be the
person(s) whose name(s) (is)(are) subscribed to the foregoing ins~ment, and ac~owledged to me that
(he)(she)(they) executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in
this certificate first above written.
Notary Public for
Residing at ¢5c 0caJ, I 717.,
My commission expirek
FILE No.964 07×30 '04 AM 11:47 ID:HOLLADAY ENGINEERING FA×:208 642 2159 PAGE
PERMANENT EASEMENT
KNOW ALI, MEN BY THESE PRESENTS, that ROB , COLLINS, the Grantors, for value received does
hereby grant unto CITY OF McCALL, apolitical subdivision of the State of Idaho, the Grantee, the right to go
upon, occupy, and use a potion of the following described real estate situated in the City of McCall, Valley
County, State of Idaho as a permanent landscaping easement, to-wit:
A permanent landscaping casement located in tho NW ¼ of Section 16, T.18N. R.3E.,
B.M., Valley County, Idaho, being more particularly described as follows:
Commencing at the center ¼ comer of said Section 16; Thence S00°36'00"W, 327.95' along the
easterly line of said SW ¼; Thence N89°40'07"W, 56.97' to the easterly easement line of an existing 20'
wide pedestrian and utility casement tiled as instrument #250520; Thence S16°26'04"E, 0.64' along said
easterly easement line to thc True Point of Beginning;
Thence, N89°40'19"W, 20.92' to the easterly right-of-way of l-lwy. 55;
Thence, S 16°45'59"E., 448.95' along said easterly right-of-way lee;
Thence, S89°40' 19" E, 20.92 feet;
Thence, NI 6°45'59"W., 448.95' to the True Point of Beginning.
Parcel contains 8977.11 square t'eet or 0.20 acres more or less.
FOR THE PLrRPOSE OF CONSTRUCTING OR INSTALLING THEREON public facilities for
landscaping, pedestrians and utilities by the City of McCall or its agents or contractors. The aforesaid
facility shall remain in place a.q construe'ted or installed for im intended purpose mad shall not be removed
or relocated by flae Greater(s), his/her heirs or assigns, without the prior approval of the City of McCall, or
its assigns.
The City of McCall, its agents or t~nsferees, shall have the right to perform any maintenance it
may deem necessary or wish to exercise in connection with afore,mid facility (including but not restricted
thereto, the right to make necessary repairs, alterations, removals or replacements thereo0.
Together with the right and privilege of ingress and egress to and fi'om said property for said
purposes.
Page 1 of 2
It is expressly intended that these burdens and restrictions shall run with the land and shall bind
the Grantor(s), his/her/their heirs and assigns forever.
DATED this ~;~7 day of C_~7~2J_~7~ , 2004.
STATE OF ."['¢(1~l~x)
COUNT¥OF ¢t
On this ,~q day of
State, personally appeared
2004, before me, the undersigned, a Notary Public in and for the
'h 0~ I [~ t , known to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
Notary Public Por
Residing at
My commission expires
WHEN RECORDED, MAlL TO:
City of McCall
216 E. Park Street
McCall, ID 83638
(208)634-7142
Page 2 of 2
WAIVER OF PUBLIC HEARING
Agency: City of McCall Project No.:
Project Name: Four Comers Beautification Project Key No.: 8715
Parcel No.: 05
STP-0100(174)
This is to certify that (I) (we), the undersigned, have been fully informed concerning the Four Comers
Beautification Project, including its effects on my property, and (I) (we) favor the project.
(I am) (We are) aware of the amount of right-of-way or easement to be acquired and its relationship to
the remainder of (my)(our) property and have been informed that (I am) (we are) entitled to receive fair
compensation for the fight-of-way or easement acquisition on the project.
(I am) (We are) aware that (I)(we) have the fight to request a public heating and, due to (my)(our)
concurrence in the project, (I)(we) hereby waive said tight to a public heating.
Property Owner
Date
Property O.wner
Date
Address
STATE OF
} SS.
COUNTY OF ~) Cx.~)ct] }
On this ~ day of ~c~.[ ,, 2004, before me, the undersigned, a Notary Public in and for the
State, personally appeared ~0 [J~.rac ~ ~.~ I[~M.~ , known to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
(SEAL)
Notary Public'for
Residing at
My commission expires
Instrument # 288420
VALLEY COUNTY, CASCADE, IDAHO
209410-1.5 09:58:00 Ho. of Pages:4
Recorded for: CITY OF MCCALL
LELAND G. HEINRICH ~ ~^ Fee: 0.00
Ex-Officio Recorder Deputy
~ndex to: EASEMENT
PERMANENT EASEMENT
8715L03
KNOW ALL MEN BY THESE PRESENTS, that LUMBERMEN'S OF WASHINGTON, INC., the Grantor,
for value received does hereby grant unto CITY OF McCALL, a political subdivision of the State of Idaho, the
Grantee, the right to go upon, occupy, and use a potion of the following described real estate situated in the
City of McCall, Valley County, State of Idaho as a permanent landscaping, pedestrian and utility easement, to-
wit:
A permanent landscaping, pedestrian and utility easement located in the SW ¼ of Section 16,
T.18N., R.3E., B.M., Valley County, Idaho, being more particularly described as follows:
Commencing at the center ¼ comer of said Section 16; Thence S00°36'00"W, 30.00' along the
easterly line of said SW ¼, to the southerly fight of way line of Deinhard Lane; Thence N89°47'56"W,
19.43', along said southerly line to the True Point of Beginning;
Thence S00°00'00"W, 20.00';
Thence N89°47'56"W, Parallel with the north line of said SW ¼ a distance of 124.42';
Thence S 16045'38"E, 291.09' along the easterly line of existing easement to the southeasterly
comer of said easement, Filed as instrument #250520;
Thence N89°40' 10"W, 20.92' along said easement line to the southwesterly comer of said
easement, which is the easterly fight of way of State Highway 55;
Thence N16°45'41"W, 311.96' along said easement line, which is also said fight of way, to the
southerly fight of way line of Deinhard Lane;
Thence S89°47'56"E, 151.36' along said southerly fight of way line, parallel to said north line, to
the True Point of Beginning.
Parcel contains 8.566 square feet or 0.20 acres more or less.
FOR THE PURPOSE OF CONSTRUCTING OR INSTALLING THEREON public facilities for
landscaping, pedestrians and utilities by the City of McCall or its agents or contractors. The aforesaid
facility shall remain in place as constructed or installed for its intended purpose and shall not be removed
or relocated by the Grantor(s), his/her heirs or assigns, without the prior approval of the City of McCall, or
its assigns.
Page 1 of 2
The City of McCall, its agents or transferees, shall have the right to perform any maintenance it
may deem necessary or wish to exercise in connection with aforesaid facility (including but not restricted
thereto, the right to make necessary repairs, alterations, removals or replacements thereof).
Together with the right and privilege of ingress and egress to and from said property for said
purposes.
It is expressly intended that these burdens and restrictions shall run with the land and shall bind
the Grantor(s), his/her/their heirs and assigns forever.
DATED this ~'2~'d' day of Oe~rr.~ ,2004.
Grantor(s)
STATEOF L()~e-~[b3tc)"~0-)m~ }
COUNTY O~S ~} } ss.
On this }~*~l~aY Ofe~edd-~ k>-~'ff' ~004, ~before m;f;,he undersigned, a Notary Public in and for the
State, p~ y app ~ · ~ ¢ -2~m , ~o~ to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and ac~owledged to me that Ce)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
Residing at ~/rot
My commission expires
WHEN RECORDED, MAIL TO:
City of McCall
216 E. Park Street
McCall, ID 83638
(208)634-7142
Page 2 of 2
DONATION
Agency: City of McCall Project No.:
Project Name: Four Comers Beautification Project Key No.: 8715
Parcel No.: 03
STP-0100(174)
Gentlemen:
This letter is to verify that I (we), the undersigned, have been fully informed and advised of the
right to receive just compensation based on a reviewed appraisal of the permanent easement
required under the captioned project and parcel number. I acknowledge the individual and
public benefit to be gained by this street improvement, and wish to waive all rights for appraisal
and compensation and will donate the necessary 0.20 acre for permanent landscaping, pedestrian
and utility easement to the City of McCall.
Date
· ,. Signature of Grantor
-
STATE OF ~(.JhS/'} ti~j -~ }
COUNTY OF~tbf$~-~rt }ss.
}
On this I~-~- day of O0~{'0(9 ~r' ,2004, before me, the undersigned, a Notary Public in and for
the State, personally appeared /'2'), ~U/cJ /.g t'~]t' tn e~r' , known to me to be the
person(s) whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that
(he)(she)(they) executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in
this certificate first above written.
Residing
My commission expires
WAIVER OF PUBLIC HEARING
Agency: City of McCall Project No.: STP-0100(174)
Project Name: Four Comers Beautification Project Key No.: 8715
Parcel No.: 03
This is to certify that (I) (we), the undersigned, have been fully informed conceming the Four Comers
Beautification Project, including its effects on my property, and (I) (we) favor the project.
(I am) (We are) aware of the amount of right-of-way or easement to be acquired and its relationship to
the remainder of (my)(our) property and have been informed that (I am) (we are) entitled to receive fair
compensation for the right-of-way or easement acquisition on the project.
(I am) (We are) aware that (I)(we) have the right to request a public hearing and, due to (my)(our)
concurrence in the project, (I)(we) hereby waive said right to a public heating.
Date
Property Owner Date
Address
On this I~~'/~ day of O0-~Lb ~'~ l/ , 2004 before me, the undersigned, a Notary Public in and for the
State, pers--~n~nally appeared _P)Q. ?)dkl/J'rJ ~-~4~Lvqa6~ F' , known to me to be the person(s)
whose name(s) (is)(are) subscribed to the foregoing instrument, and acknowledged to me that (he)(she)(they)
executed the same.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my official seal the day and year in this
certificate first above written.
~'.. ...~
Notary Pul~ftc for ~
Res/iding aV~ ~
My commission expires