Triple Creek Community Development District

Board of Supervisors’ Meeting October 16, 2018

District Office:
9428 Camden Field Parkway Riverview, Florida 33578
813.533.2950

www.triplecreekcdd.com

TRIPLE CREEK
COMMUNITY DEVELOPMENT DISTRICT AGENDA

Rizzetta & Company, Inc. located at 9428 Camden Field Parkway, Riverview, FL 33578.

District Board of Supervisors	Grady Miars Bruce Kaschyk Ellen Johnson Keith Turney Alex Garces	Chairman  Vice Chairman
Assistant Secretary Assistant Secretary Assistant Secretary	
District Manager	Christine Perkins	Rizzetta & Company, Inc.	
District Counsel	Lindsay Whelan	Hopping Green & Sam’s, P.A.	
District Engineer	Jamie Scarola	Scarola Associates	

All Cellular phones and pagers must be turned off during the meeting.

The Audience Comment portion of the agenda is where individuals may make comments on matters that concern the District. Individuals are limited to a total of three
minutes to make comments during this time.

Pursuant to provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this meeting/hearing/workshop is asked to advise the District Office at least forty-eight (48) hours before the meeting / hearing / workshop by contacting the District Manager at (813) 533-2950. If you are hearing or speech impaired, please contact the Florida Relay Service by dialing 7-1-1, or 1-800- 955-8771 (TTY) 1-800-955-8770 (Voice), who can aid you in contacting the District Office.

A person who decides to appeal any decision made at the meeting/hearing/workshop with respect to any matter considered at the meeting/hearing/workshop is advised that person will need a record of the proceedings and that accordingly, the person may need to ensure that a verbatim record of the proceedings is made including the testimony and evidence upon which the appeal is to be based.

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT DISTRICT OFFICE  9428 CAMDEN FIELD PARKWAY RIVERVIEW, FL
33578
Board of Supervisors	October 15, 2018
Triple Creek Community Development District
REVISED AGENDA
Dear Board Members:

The Regular meeting of the Board of Supervisors of the Triple Creek Community Development District will be held on Tuesday, October 16, 2018 at 10:00 a.m. at the offices of Rizzetta & Company, Inc. located at 9428 Camden Field Parkway, Riverview, FL 33578. The following is the agenda for this meeting:

CALL TO ORDER/ROLL CALL
AUDIENCE COMMENTS
BUSINESS ADMINISTRATION
Consideration of the Minutes of the Board of Supervisors’
Regular Meeting held on September 18, 2018........................Tab 1
Consideration of Operations & Maintenance Expenditures
for August 2018.......................................................................Tab 2
Ratification of Series 2017AB Construction Requisitions
#316B-#318B, #319B, & #320B-#325B...................................Tab 3
Ratification of Series 2018A Construction Requisitions
#1-G2, #2-I, #3J, #4-G2, #5-I, & #6-J......................................Tab 4
E.	Ratification of Change Orders #2, #3, & #4.............................Tab 5
F.	Consideration of Change Orders #5, #6, & #7 ........................Tab 6
STAFF REPORTS
Field Services Manager
Presentation of September 2018 Field
Inspection Report...............................................................Tab 7
Acceptance of Modification of Professional Field Services Agreement .........................................................................Tab 8
Sitex Aquatics
Presentation of October 2018 Sitex Aquatics
Inspection Report...............................................................Tab 9
Consideration of Proposal from Sitex Aquatics
for Mosquito Management Program ..................................Tab 10
District Counsel
District Engineer
Consideration of Phase 5 Villages M, N, & P Task Order
from Genesis .....................................................................Tab 11
Discussion Regarding Release of Suggs Retainage
District Manager
BUSINESS ITEMS
Consideration of Resolution 2019-01, Approving RFP
Documents for G2, I, and J Landscaping Project ....................Tab 12
Ratification of TECO lighting Agreement #8572......................Tab 13
Ratification of Construction Funding Agreement
for Village H ............................................................................Tab 14
Consideration of Construction Funding Agreement
for Phase 5 Villages M, N, & P ................................................Tab 15
Ratification of ECS Proposal for Village H ..............................Tab 16
Consideration of Task Order 12 from Dennis J. Benham........Tab 17

SUPERVISOR REQUESTS
ADJOURNMENT

Triple Creek Community Development District
October 15, 2018 Revised Agenda – Page 2

We look forward to seeing you at the meeting. In the meantime, if you have any questions, please do not hesitate to call us at (813) 533-2950.

With Warm Regards,
Christine Perkins
Christine Perkins District Manager

Tab 1

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
September 18, 2018 - Minutes of Meeting
Page 1

1	MINUTES OF MEETING
2
Each person who decides to appeal any decision made by the Board with respect to any matter
considered at the meeting is advised that the person may need to ensure that a verbatim record
of the proceedings is made, including the testimony and evidence upon which such appeal is to
be based.
7
TRIPLE CREEK
COMMUNITY DEVELOPMENT DISTRICT
10
The regular meeting of the Board of Supervisors of Triple Creek Community Development
District was held on Tuesday, September 18, 2018 at 10:03 a.m. at the offices of Rizzetta &
Company, Inc. located at 9428 Camden Field Parkway, Riverview, FL 33578
14
15	Present and constituting a quorum:
16
Grady Miars	Board Supervisor, Chairman (via phone)
Bruce Kaschyk	Board Supervisor, Vice Chairman
Keith Turney	Board Supervisor, Assistant Secretary
Alex Garces	Board Supervisor, Assistant Secretary
21
22	Also present were:
23
Christine Perkins	District Manager, Rizzetta & Company, Inc.
Scott Green	Field Services Manager, Rizzetta & Company, Inc.
Lindsay Whelan	District Counsel, Hopping Green & Sams
(via phone)
Robert Nelson	Greenpointe Holdings
Kyle Thornton	District Engineer; Genesis Group
Rick Herndon	Sitex Landscape
James Butler	Clubhouse Manager
32
33	Audience
34
35	FIRST ORDER OF BUSINESS	Call to Order/Roll Call
36
37	Ms. Perkins called the meeting to order and read the roll call.
38
39	SECOND ORDER OF BUSINESS	Audience Comments
40
Ms. Debra Simon inquired about several pond maintenance issues, as well as the
landscaping maintenance weekly schedule.
43
THIRD ORDER OF BUSINESS	Consideration of Minutes of the Board of
Supervisors’   Regular   Meeting   held  on
46	August 21, 2018
47

On a Motion by Mr. Kaschyk, seconded by Mr. Garces, with all in favor, the Board approved the Board of Supervisors’ Regular Meeting Minutes from the meeting held on August 21, 2018 for the Triple Creek Community Development District.

48
49
50
51
52

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
September 18, 2018 - Minutes of Meeting
Page 2

FOURTH ORDER OF BUSINESS	Consideration	of	Operation	and
Maintenance Expenditures for July 2018
55

On a Motion by Mr. Kaschyk, seconded by Mr. Turney, with all in favor, the Board approved the Operation and Maintenance Expenditures for July 2018 in the amount of ($79,269.11) for the Triple Creek Community Development District.

56
FIFTH ORDER OF BUSINESS	Ratification	of	Change	Order	#1	for
Villages G2, I, & J
59

CHANGE ORDER#	
CONTRACTOR	
DESCRIPTION	
AMOUNT	
CONTRACT #	

1	
Kearney	
Atlantic TNG, LLC	
($56,458.96)	
0038-03	
60
61

On a Motion by Mr. Turney, seconded by Mr. Garces, with all in favor, the Board Ratified Change Order #1 for Villages G2, I, & J for the Triple Creek Community Development District.

62
63	SIXTH ORDER OF BUSINESS	Staff Reports
64
A.	Field Services Manager
1.	Presentation of August 2018 Field Inspection Report, Inclusive of
Sitex Landscape Response
68
Mr. Green presented the August 2018 Field Inspection Report to the Board,
remarking that the annuals were going to be installed that day, as well as the front
ditch in the County ROW was still wet, and thus would be addressed when dry.
Mr. Green commented that all irrigation breaks that were reported had been
repaired, as well as summarized the weed control, palm trimming, and cut backs
that would be needed. Mr. Garces communicated an additional irrigation break
that required immediate attention, which Mr. Herndon would address. Mr. Garces
additionally commented on pedestrian walkway cutbacks that need to be taken
care of, and Mr. Turney inquired about the missing Ribbon Palm tree at the
amenity center. Mr. Herndon would provide updates on replacements, which are
forthcoming.
80
2.	Consideration of Sitex Landscape Proposal for Fall Mulch
I.	Fall Mulch Proposal ($86,840.00)
83
Discussion ensued pertaining to the benefits of removing pine straw completely
vs. performing sole top-dressings, as well as the contributing factors of washouts.
86
87
88

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
September 18, 2018 - Minutes of Meeting
Page 3

On a Motion by Mr. Turney, seconded by Mr. Garces, with all in favor, the Board Approved the Fall Mulch Proposal from Sitex in the amount of ($86,840.00) for the Triple Creek Community Development District.

89
90	B.	Sitex Aquatics
91
92	1.	Presentation of the September 2018 Sitex Aquatics Inspection Report
93
Ms. Perkins presented the September 2018 Sitex Aquatics Inspection Report to
the Board, and it was noted there were midge flies observed in Pond #5.
96
97	C.	District Counsel
98
99	Ms. Whelan had no report.
100
101	D.	District Engineer
102
Mr. Thornton provided a construction update on Villages I, J, and G2 as well as
the amenity center, as everything is on schedule. Permits are in hand for Villages
I, J, and G2 as they are working to clear from the right side, left, and then center,
as well as would be building a temporary crossing to not have to go through
Village G1. The roofline for the new amenity center is starting to take shape.
Mr. Turney inquired about the fitness equipment that will go into the new fitness
center, as many residents have provided input into this topic, as well as asked
about the new dog park.  Mr. Thornton also communicated that the completion of
the extension for Triple Creek Blvd. was currently in permitting.

1.	Consideration of Village H Design and Permitting Task Order
From Genesis

On a Motion by Mr. Turney, seconded by Mr. Garces, with all in favor, the Board authorized a not- to-exceed amount of ($200,000.00) for Village H Design and Permitting Task Order from Genesis for the Triple Creek Community Development District.

E.	District Manager

Ms. Perkins informed the Board that the next regularly scheduled meeting will be
on Tuesday, October 16, 2018 at 10:00 a.m. and to be held at offices of Rizzetta
and Company, Inc. located at 9428 Camden Field Parkway, Riverview, FL 33578.

SEVENTH ORDER OF BUSINESS	Consideration of Resolution 2018-23, Re-
Designating Officers

On a Motion by Mr. Kaschyk, seconded by Mr. Turney, with all in favor, the Board Adopted Resolution 2018-23, Re-Designating Officers for the Triple Creek Community Development District.

EIGHTH ORDER OF BUSINESS	Presentation  of  First  Addendum  to   the
Contract for Professional District Services

On a Motion by Mr. Turney, seconded by Mr. Garces, with all in favor, the Board approved the First Addendum to the Contract for Professional District Services for the Triple Creek Community Development District.

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
September 18, 2018 - Minutes of Meeting
Page 4

NINTH ORDER OF BUSINESS	Consideration	of	Insurance	Renewal
Proposal for FY 18-19

On a Motion by Mr. Turney, seconded by Mr. Kaschyk, with all in favor, the Board approved the Egis Insurance Renewal Proposal for the Fiscal Year 2018-2019 for the Triple Creek Community Development District.

TENTH ORDER OF BUSINESS	Consideration of Proposals for Arbitrage
Rebate Calculation

On a Motion by Mr. Turney, seconded by Mr. Garces, with all in favor, the Board approved the Arbitrage Rebate Calculation for Series 2012, 2017A, 2017B, & 2018A for the Triple Creek Community Development District.

ELEVENTH ORDER OF BUSINESS	Consideration of Task Order #11 from
Dennis J. Benham

On a Motion by Mr. Kaschyk, seconded by Mr. Turney, with all in favor, the Board approved the Task Order #11 from Dennis J. Benham in the amount of ($27,340.00) for the Triple Creek Community Development District.

TWELFTH ORDER OF BUSINESS	Supervisor Requests

Mr. Garces commented about the need to increase pest control services at the playground,
which Mr. Butler would investigate the presence of wasps and handle accordingly. He additionally
inquired about any upcoming pressure washing, which is being performed quarterly. Mr. Garces
additionally inquired about how residents with their own small businesses could submit proposals
to perform services within the District, as well as mentioned an increase of dumping seen
throughout the community.

THIRTEENTH ORDER OF BUSINESS	Adjournment

On a Motion by Mr. Turney, seconded by Mr. Garces, with all in favor, the Board adjourned the meeting at 10:37 a.m. for the Triple Creek Community Development District.

155	 		 	
156	Secretary/Assistant Secretary	Chairman/Vice Chairman

Tab 2

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
DISTRICT OFFICE · 9428 CAMDEN FIELD PARKWAY · RIVERVIEW, FLORIDA 33578

Operation and Maintenance Expenditures August 2018
For Board Approval

Attached please find the check register listing the Operation and Maintenance expenditures paid from August 1, 2018 through August 31, 2018.  This does  not include expenditures previously approved by the Board.

The total items being presented: $77,984.00

Approval of Expenditures:

 	Chairperson

 	Vice Chairperson

 	Assistant Secretary

Triple Creek Community Development District
Paid Operation & Maintenance Expenditures
August 1, 2018 Through August 31, 2018

Vendor Name	Check Number	Invoice Number	Invoice Description	Invoice Amount	

Ballenger & Company, Inc.	
001882	
18349	
Water Use Reporting to State Agency	
$	425.00	

Bates Electric, Inc.	
001886	
121616	07/18
Repair Flag Pole Light Fixture	
$	351.30	
BOCC	001883	8992542002 07/18	11920 Streambed Dr 07/18	$	168.45	
Bruce T. Kaschyk	001891	BK 082118	Board of Supervisors Meeting 08/21/18	$	200.00	
Ellen Johnson	001889	EJ 082118	Board of Supervisors Meeting 08/21/18	$	50.73	
Ellen Johnson	001889	EJ082118	Board of Supervisors Meeting 08/21/18	$	200.00	
Fleetwash, Inc.	001876	x-1370811	Deck - Patio Wash. Misc.	$	718.20	
Frontier Florida LLC dba	001887	81367159000430145	813-671-5900 08/18	$	254.29	
Frontier
Grady E. Miars	
001892	08/18
GM 082118	
Board of Supervisors Meeting 08/21/18	
$	200.00	
Hopping Green & Sams	001890	101469	General Legal Services 06/18	$	2,577.09	
Keith A Turney	001899	KT 082118	Board of Supervisors Meeting 08/21/18	$	200.00	
NewAgeTutors LLC dba	001901	1083	Website Fees 08/18	$	80.00	
VGlobalTech
NVirotect Pest Control, Inc.	
001880	
154737	
Pest Control Acct #9501 07/18	
$	60.00	
Onsight Industries, LLC	001884	6-18-228296-1	Park Trash Receptacles-Final Payment	$	2,058.90	
Rizzetta & Company, Inc.	001877	INV0000034130	District Management Fees 08/18	$	3,925.00	
Rizzetta Amenity Services, Inc.	001881	INV00000000005227	Amenity Services 07/18	$	927.32	
Rizzetta Amenity Services, Inc.	001885	INV00000000005255	Amenity-Cell & Auto 07/18	$	299.31	
Rizzetta Amenity Services, Inc.	001888	INV00000000005283	Amenity Services 08/18	$	3,352.27	
Rizzetta Amenity Services, Inc.	001893	INV00000000005313	Actual Bi-Weekly Payroll	$	627.50	
Sitex Aquatics LLC	001894	2602A	Aquatic Maintenance & Wetland	$	3,715.00	

Sitex Aquatics LLC	
001894	
2607A	Monitoring 08/18
Airboat Application for Primrose in	
$	5,500.00	

Sitex Land LLC	
001895	
5388	Canal
Installed Mulch at the Playground Area	
$	5,000.00	
Sitex Land LLC	001895	5389	Installed pine straw in/around pool	$	1,375.00	

Triple Creek Community Development District
Paid Operation & Maintenance Expenditures
August 1, 2018 Through August 31, 2018

Vendor Name	Check Number	Invoice Number	Invoice Description	Invoice Amount	

Sitex Land LLC	
001895	
5427	
Monthly Landscape Maintenance	
$	24,382.67	
Sitex Land LLC	001878	5568	Replaced broken drip line point	$	111.50	
Sitex Land LLC	001878	5569	Irrigation Repairs	$	913.25	
Sitex Land LLC	001895	5614	Irrigation Repairs	$	149.50	
Sitex Land LLC	001895	5615	Irrigation Repairs	$	130.75	
Suncoast Pool Service, Inc	001897	4563	Pool Services 06/18	$	850.00	
Suncoast Pool Service, Inc	001897	4626	Pool Services 07/18	$	850.00	
Suncoast Pool Service, Inc	001897	4703	Pool Services 08/18	$	850.00	
Tampa Electric	001879	221003452580 7/18	13323 Wildflower Meadow Dr 7/18	$	139.03	
Tampa Electric	001898	221003452580 8/18	13323 Wildflower Meadow Dr 8/18	$	61.25	
Tampa Electric	001879	Electric Summary	Electric Summary 07/18	$	8,567.26	

Tampa Electric	
001898	07/18
Electric Summary	
Electric Summary 08/18	
$	8,216.43	
		08/18			
Times Publishing Company	001896	669526 08/10/18	Legal Advertising 08/18	$	152.00	
Vanguard Cleaning Systems of Tampa Bay	001900	79117	Monthly Cleaning Service 08/18	$	345.00	

Report Total				
$	77,984.00	

Ballenger & Company, Inc. 2335 64th Pl N
St. Petersburg, FL. 33702

Invoice

Date	Invoice#	
7/30/2018	18349	

Bill To	
Triple Creek CDD 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

	P.O. No.	Terms	Project	
		
Net 15		
Quantity	Description	Rate	Amount	

BY: ........111-.   q...................
1cUb nt:t, u mll f::m.a cc 1.,u., ,nc._ _ _ _
J/M aoorova=l	_{;£ .  	oate 8110118
iate entereo 	AUG 10	2018
unct  1, l  -	Gl 5Jfd{)_ocJI&[]_

	425.00	425.00	
Thank you for your business .	Total	$425.00	

Bates Electric, Inc.
7901 Hopi Place Tampa, Florida 33634
(813) 888-7050
www.bateselectric.com

Triple Creek Subdivision	InvoiceDate: 7/31/18
Inv#: 121616
12141 Triple Creek Blvd Riverview	FL

Reference:	Triple Creek Subdivision
12141 Triple Creek Blvd. Riverview

Job#: 69128 - 3000
Reference: Flag pole lighting CustomerPO#:

APPLICATION FOR PAYMENT

Provided labor & materials to complete the following:
Troubleshoot and/or repair. Flag pole light fixture
Electrician got to site and discov ered that the flag pole fixture was broken , had been retro fitted with LED and the driver
would not fit in the replacement fixtu re, ordered new fixture for a return trip. Added ko seal for temp to keep out water.
All work performed on T&M basis. Trip Charge:
Labor: 1.5 @ $65 I hr.

I

;..1:11	v

,J.1 t;	{.I, ,

Return  Trip:   Installed  13w LED  flood  light fixture  and tested circuit.	.	=	.,,!)" .-,. , •.-""\

65.00
97.50

Labor : 2 hrs. @$65 I hr.

'ic/ {f-tl -e}rJ..;l •r·, \', ! 'H,': '1:I\!

130.00

Materials:   (1) 13w Rab fixture	ZOBl	·
1-\Ull  2 0	,

58.80
Total:	351.30

                ··- - -·  -  -  -  ••.-.-  -•-  ·---- ...,..,.....- 

Work Authorized By: James Butler

Job Completed: 7/17/18

Payment terms: net 30
Many thanks for your business!

--

TRIPLE CREEK CDD

8992542002	07/31/2018	08/21/2018

-

CUSTOMER NAME	ACCOUNT NUMBER	BILL DATE I DUE DATE I
=	

HIiisborough
County Flndtla

Service Address: 11920 STREAMBED DR

S-Poge 1 o( 1

METER
NUMBER	PREVIOUS
DATE	PREVIOUS
READ	PRESENT
DATE	PRESENT
READ	CONSUMPTION
IN GALLONS	READ
TYPE	METER
DESCRIPTION	
60842286	06/25/2018	7959	07/25/2018	8070	11100	ESTIMATED	WATER	

Service Address Charges
Customer Bill Charge	
$4.15	Summary of Account Charges
Previous Balance	
$140.34	
Purchase Water Pass-Thru	$32.52	Net Payments - Thank You	($140.34)	

Water Base Charge
Water Consumption Charge! Sewer Base Charge

$21.60
$7.88
$52.35

Total Account Charges
I AMOUNT DUE

$16B.45

I

I.
$168.45J

evver Usage, Charge	.   _	$49.95	 	

Total Service Address Charges

Jate nee o ruzze11a o Lo. me.

$168.45

. Important Message

The 2017 Water Quality Report is now ava!Jable online at HCFLGov,net/WaterQualityReport: To request a mailed copy, call (813)246.3146 and leave a message with your name, mailing address, and phone number.
Public Utilities will be participating in the U.S. Environmental Protection Agency's fourth round of Unregulated Contaminant Monitoring (UCMR4) during 2018 through 2020. The County's UCMR4 results are available at HCFLGov.net/UCMR4

Hillsborough
County Hnrid,1

'	Hp....,	--	
0/M approva, 	Date_	"  11a.
Jateenter.oo 	filJ.GJJ 	18
=uno L tC,L5 JL-oc_:flf!,j_

nee ti

ELECTRONIC  PAYMENTS BY CHECK OR
Automated Payment Line: (813) 276 8526 Internet Payments: HCFLGoy.net/WaterBill Additional Information: HCFLGov.net/Water

Make checks payable to: BOCC ACCOUNT NUMBER: 8992542002

14
120
100
60
60

Consumption History x 1000 Gallons

7125 6125 5123 4124 3/26 2124 1125	12121 11121 10/25 S126	6125	7126	
2018			2017	

111l1lllp11l1l1l11lllllh•lll111111111111111111111lll11111ll1111
TRIPLE CREEK COD
12750 CITRUS PARK LN STE 115
TAMPA FL 33625-3784

V97

DUE DATE	08/21/2018	
AMOUNT DUE	$168.45	
AMOUNT PAID		

0089925420021	□□□00168	451

TRIPLE CREEK CDD

,
'
'\.J	
Name of Board Supervisor	Check if present	Check if paid	
	.Grady Miars	X	X	
	Bruce Kaschvk	X	X	
	Ellen Johnson	X	X	
	J,<eith Turney	X	X	
	Alex Garces	X	X	

Meeting Date: 8/21/18 SUPERVISOR PAY REQUEST

,

EXTENDED MEETING TIMECARD

Meetina Start Time:	10:18AM	
Meetinq End Time:	11:16AM	
Total Meeting Time:	58 Minutes	

!Time Over	() Hours:	N/A	

!Total at  $175 per Hour:		N/A	 DM Signature:   (:	/Jl2A&@4-

BY:········ -- .......00    ...

date net; unizz.w10. e1 toO.; i Ll._

_	 	_

iJ/IV11 appro11a1--L?£	JJatc,:.J,l£2?11s
la1:e m1t1arnli "•~·--·----··~-- AU .2 tJ018

.:rnKI Oo \	Gl_5J.tQO.oc D-.L.

TRIPLE CREEK COD

Name of Board Supervisor	Miles
traveled	Travel Reimbursement	Pay this
amount	
Ellen Johnson	114	$	50.73	$	50.73	

Meeting Date: 8/21/18 SUPERVISOR PAY REQUEST

DM Signature:		P	

BY: ........ . ....	••t••   · illl
 	
O/Maoprrn.1a•1 -C  t  L , -.	.J Jattaa 127  11  _a  _

·  •   •'"·    ' -   =..:.·.-;,, .;,_.".:.,.•..;.•,:A-, , :..-..U...·=G  2 4-

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.. -	-	-	-	-	-	-	····----·--- -----·•·•····- ----   ----  -------- --   - ---  -···-··-·- -·---  -··-- -  ------- -   ---  ----- ------

FL::TWASH
l:f\\
PO BOX 36014, Newark, NJ 07188-6014

Return Service Requested

Remittance Section
Account Number:
Invoice Number:
Work Order Number: Location:
Invoice Date:
Invoice Due Date:
Total Due:

Amount Enclosed:
Make checks payable to Fleetwash Inc.

71557 x-1370811
FS76452
15B
07/17/2018
08/16/2018
$718.20

$ 	_

Important Messages

-,.her,k .# -------  ~---- --------- -  -- -------  - ----  =  -
Keep lower portion for your records - Please return upper portion with your payment.

To pay this Invoice with a credit card, complete the information below & fax a copy of the entire invoice to: 973-882-1832 MC  /  VISA  / AMEX # 	_
Card Holder: 	_	Expires:, 	_	Sec Code: 		_

Give us a call for all your Facility Service needs!
1(800)847-3735
Visit our brand new website!	WWW.FLEETWASH.COM

-	Cust 111er ··::

: <Reflects Payr1•fat

   Account Number 
71557

', Received Throu  h.

.  Item;'
N rribeV

Ext 11d d
 •      Pri	

71557	DECK - PATIO WASH,MISCELLANEOUS	$665.00	$665.00	
Note: Fuel Surcharge.	Sub Total:	$665.00	
Please Send/Reference Invoice #x-1370811 with Payment.	Fuel Surcharge:	$53.20	
Work Order Number: FS76452	Sales Tax:	$0.00	
	TOTAL DUE:	$718.20	
If you have questions regarding your bifl, please call us at (800) 847-3735 or visit us on the web at www.fleetwash.com

FLEETWASH
Facility Services

FS76452

ACCOUNT NAME
Triplt Creel(	26 LAW DRIVE	CUSTOMER SIGNATURE	WASHER/HELPER
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	FAIRFIELD, NJ 07004		
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8 ()
9 ()

!

1	Compactor	
2	I-IVAC	
3	Gas Station	
4	Canopy	
5	Building Wash	
6	Graffiti Removal	
7	Hood Cleaning	
8	Sidewalks	
9	Sweeping	
10	Utter Patrol	
11	Re-Imaging	

12	Snow Plow	
13	Salting	
14	Landscaping	
15	Debris Clean-Out	
16	Line Striping	
17	Oil Spill Clean-Up	
18	Pressure Washing	
19	House Washing	
20	Deck/Patio Washing	
21	
Misc. (Describe above)	
22	Case Cleaning	

		
0.:	0	0	
1	1	1	
2		2	
3	3	3	
4	4'	4	
s C>	s ()	5	
6 (_)		6	
7	7 ,-,	7	
8	8 ()	8	
g C)	9   ,,._..,	9	

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, ;

+ Excludes applicable sales tax and fuel sur. arge

 		*Gallons of wash water recovered and taken to a FLEETWASH  facility at	•

a

for fif1aiximination. *This amount will only be entered if requested by our customer. This mount is an estimate of the recovered gallons. This amount may be entered at either the wash site or at the disposal facility. Wash waste water is non-hazardous. There are no legal requirements for manifest.

•• 0 • \Jo.
Frontier
COMMUNICATIONS

)alb nt:1.,., U f'll.!Lt.Hla 01 vU., irn., , 	
JIM auorovaL=--	·  · . J.	)ate	-011 ..
)ate entered-·--  -A	·4 "  ™201l

TRIPLE CREEK COD
Your Monthly Invoice

Account Summary New Charges Due Date Billing Date
Account Number
PIN
Previous Balance
Payments Received Thru 7/25/18 Thank you for your payment!
Balance Forward
New Charges
Total Amount Due

Paga 1 of 4

8/28/18
8/04/18
813-671-5900-043014-5
2197
250,91
-250.91

.00
254.29
$254.29

:und oa l	Gt.SMo O_OC-#,711:::

Requires lntemot imss. lntemot 0<:ms! '"IV and chaiges not i!Jcluded. f10n1ior doe, not w1111ot !hot ile IOll'ices 1wl bo •n or-freeor unlntOITllptod.Toe;,government&I and flootlorm-i  p"5i!d;u  llargom,,   inmi   um ')'Stem requi""mel\tl and othertenns,ndcondltlonsapply,

SECURE"

Fr	tier

1.844.563.7079
business.frontier.com/secure

24/7 phone support from U.S.-based experts for hardware. networking and Windows software Issues.

Internet-connected device.

I support

Protect your vital business data with Frontier Secure.
0 Protect
Helps protect your computers and mobile devices against
viruses and malware,
&connect
Cloud-based storage to save and shore data from any

·

rylanage ¥our  Accoui11·

.1

To Pay Your Bill
.Ill.Online: Frontier.com '9 1.800.801.6652
l!IPaybyMail

To Contact Us
tt Chat: Frontier.com OOnline: Frontier.com/helpcenter
e1.800.921.8102	II Email: ContactBusiness@ftr.com

f	H	"                                     •O	H                                        "•	,	,	OH	O	1

......0
Frontier·

PAYMENT STUB
Total Amount Due
New Charges Due Date

Account Number

8

$254.29
8/28/18

813-671-5900-043014-5

COMMUNICATIONS

Pl•aae do not Hnd correspondence with your payment. Milke checks payable to Frontier.

P.O. Box 5157, Tampa, FL 33675

AmQ.•mt..l=.n. 19..

··g·  ............$.... ......... .................•....................

AB 01 001320 626n B 11 A
II•I1,1   II1111 I1ll II •1•1'1111111II 1111, hI•111111111 'I 11111111111 I
TRIPLE CREEK COD
12750 CITRUS PARK LANE
SUITE 115
TAMPA, FL 33625-3784

To change your billing address, call 1-800-921-8102

FRONTIER
PO BOX 740407 CINCINNATI OH 45274..o.407
111111•, hl111111I•1111h11111111 11111111111 1111111111111,1111111

344002813671590□04301400000000000 □00 254295

••••••
Frontier·
COMMUNICATIONS

TRIPLE CREEK CDD
Date of Bill Account Number

Page 3 of4
8/04/18
813-671-5900-043014·5

CURRENT BILLING SUMMARY
Local Service from 08/04/18 to 09/03/18
Qty Description	813/871-5900,0
Basic Charges
Frontier Solutions for Business - 2 Year Term Access Recovery Chrg-Bue
Federal Subscriber Line Charge - Bus Federal Excise Tax
Federal USF Recovery Charge
FCA Long Distance - Federal USF surcharge FL State communications Services Tax
FL state Groes Receipts Tax
county Communications Services Tax FL Telecommunications Relay service Hillsborough county 911 surcharge
Total Baaic Charges
Non Baeic Charges
Fios Internet for Business 50/50 2YR 5 IP Addresses
Other Charges-Detailed Below
Partial Month Charges-Detailed Below Federal Excise Tax
FCA Long Distance - Federal USF surcharge FL state communications services Tax
FL State Gross Receipts Tax
County Communications Services Tax
Total Non Basic Charges
Video
FiOS Local TV Private Cable card Rental
Partial Month Charges-Detailed Below FCC Regulatory Recovery Fee Broadcast TV surcharge
FL Video communications service Tax FL State Gross Receipts Tax
County Video Communications Services Tax county Sales Tax
FL State Sales Tax
Total Video
Toll/Other
Frontier  Com of  America	-Detailed Below Other Charges-Detailed Below
FCA Long Distance - Federal USF surcharge FL State Communications Services Tax
FL State Gross Receipts Tax
County Communications Services Tax
Total Toll/Other

TOTAL

Charge
87.00
2.14
6,50
.26
1 .54
1. 79
4,87
2,50
4.55
. 10
.40
111,86

124.88
20.00
-15,07
-30.00
.08
.36
,91
•. 47
-.86
08.13

34.98
5.99
-10. 00
.OB
2,99
1.39
. 71
1 .29
,OB
.36
37.86

1 .04
3,89
,90
.29
.15
.28
6.65

254.29

CUSTOMER TALK
If your bill reflects that you owe a Balance Forward, you must make a payment immediately in order to avoid collectlon activities. You must pay a minimum  of $97.45 by your due date to avoid disconnection of your local service. All other charges should be paid by your due date to keep your account current.

Frontier recommends that our business customers should adopt a policy of regular security audits on all service related premise equipment to protect their accounts. As an added security measure, we recommend routine updating of passwords and verification of call forwarding features. Questions? Contact your service representative or refer to frontier.com/corporate/terms

Closed Captioning Contact Information...
If you have a question or concern about closed captioning on any program, please call Frontier al 1-877-462·6606. You can also send written correspondence by fax to
1-304-340·0283, by email to Vldeo.Closed.Caplion@flr.com, or by mall to Frontier, 1500 MacCorkle Avenue, Charleston, WV 25396, Attn: Anthony Kasey, Manager.

For up-to-date channel Information please visit: http://frontler.com/channelupdates

Local Franchise Authority - FIOS TV
Your FCC Community ID is: FL1304

s·
:;;:

•• ACCOUNT ACTIVITY••
Qty Description	Order Number Effective Date&
Business  High  speed Internet Fee	AUTOCH 8/04 Frontier Road Work Recovery surcharge

3,99

AUTOCH 8/04
Solutions Bundle Discount	AUTOCH 8/04
Federal Primary carrier Single Line Charge
AUTOCH 8/04

,95
-22.00
1. 99

carrier cost Recovery surcharge
813/871-5000
Partial Month Charge&
FiOS Video Discount 99 MO FiOS Internet Bus 99 MO
813/871-6000

AUTOCH 8/04
Subtotal
PROMOTION 8/04 9/03
PROMOTION 8/04  9/03
Subtotal

3.99
•11.08
-10. 00
-30,00
-40.00

Subtotal	·51.08

••••••
Frontier·
COMMUNICATIONS
CIRCUIT ID DETAIL
88/KQXA/491718/	/VZFL

TRIPLE CREEK COD
Date of Bill Account Number

Page 4  of 4
8/04/18
813-671•5900-043014-5

Detail of Frontier Charges
Toll charged to 813/671-5900

Detail of Frontier Com of America Charges
Toll charged to 813/671-5900

Ref# Date	Time	Min	*Type
1 JUL 28 11:SSA	1.0	01
813/671-5800

Place and Number called
TORONTO	ON (647)449-9105
Subtotal

Charge
1.04
1,04

Legend call Types:
00	Day
DI - International

Caller Summary Report

Calle	Minutes	Amount

Main Number	20	46	1.04
,,.,.,,,.customer Summary	20	48	1.04

,;!1'i1::1

Caller Summary Report	1·.,·,,
Calle	Minutes	Amount	1••.1,.•,
Intra-Lata	1	1	.00
Interstate	11	28	,00
Intrastate	7	17	,00
International	1	1	1.04
H*Customer Summary	20	48	1,04

Hopping Green & Sams
Attorneys and Counselors

119 S. Monroe Street, Ste. 300
P.O. Box 6526
Tallahassee, FL 32314
850.222.7500
================================= STATEMENT =================================
July 30, 2018
Triple Creek Community Development District	Bill Number	101469	
c/o Rizzetta & Company
9428 Camden Field Parkway	Billed through	06/30/2018	
Riverview, FL 33578		

General Counsel/Monthly Meeting		
TCRCDD	00001	JLK		

FOR PROFESSIONAL SERVICES RENDERED
05/31/18	SRS	Conduct research regarding ADA compliance measures for special district websites and follow-up regarding same.

0.10 hrs

06/04/18	LCW

06/05/18	LCW

06/05/18	MST

06/07/18	LCW

06/11/18	LCW

06/14/18	LCW

06/15/18	LCW

06/18/18	LCW

06/19/18	LCW

06/20/18	LCW

06/25/18	LCW

06/27/18	LCW

06/27/18	AHJ

Review FY 2019 budget and assessment resolutions and deficit funding agreement; revise proposed budget adoption resolution reflecting incorrect version adopted at May meeting; confer with Perkins regarding same.

Confer with staff regarding sidewalk issues and budget/assessment notices; review tentative agenda for June meeting and confer with staff regarding same; prepare resolutions awarding construction projects.

Revise annual appropriation resolution and assessment resolution for the fiscal year 2018-2019 budget; revise deficit funding agreement.

Review correspondence regarding maintenance of district ponds.

Review correspondence regarding revised mutual aid agreement and homebuilder construction trash; confer with staff regarding June agenda materials.

Prepare for board meeting. Prepare for board meeting.
Prepare for and travel to board meeting; confer with Christensen regarding published O&M assessment notice; confer with staff regarding public records request for Village G2, I and J proposals.

Travel to and attend board meeting; return travel.

Follow-up from June board meeting; prepare amendment to landscape maintenance agreement; prepare agreement for amenity painting services.

Confer with staff regarding items for July board meeting.

Review correspondence regarding persons qualifying for general election seats. Research Department of Elections for list of qualified electors.

a.so hrs

0.60 hrs

0.30 hrs

0.10 hrs

0.20 hrs

0.60 hrs

0.10 hrs

2.90 hrs

3.70 hrs

0.90 hrs

0.10 hrs

0.10 hrs

0.20 hrs

Triple Creek CDD - General Cou	BIii No. 101469	Page 2
===----------------------------------------------------== ============ ========= ==== =

06/28/18	LCW

06/29/18	JLK

06/29/18	LCW

Confer with Schrock regarding license for enhanced landscape maintenance.

Research, review and edit memorandum summarizing ADA website standards and related information; attend multiple conference calls with ADA consultants, district's insurance carrier and insurance defense counsel regarding ADA information; transmit information to district manager on same.

Review correspondence regarding status of submission of FY 2017 audit report.

0.10 hrs

0.10 hrs

0.10 hrs

06/29/18	SRS		Conduct research and implement ADA compliance measures for special district we bs i tes.	Jo) )I	jJjj\W	1ii\
Total  fees  for this matter	Jllt AUG Q 2	20)8 ll!}
DISBURSEMENTS

0.20 hrs

$2,405.00

Document Reproduction

.J8lb n, l. u rnllt'.llo 0.Blf.; Hik....--=..-	·.-.·..

79.25

Travel

= .. •---

Travel - Meals

iJ/Mapprova• .I- --

/J,?-)

- ·oat

EL,8,../.2,.,.7. /18

83.35
9.49

_o  ateenteer d--  	-- _ _- - AYG _;2;t ::1QI8

Total disbursements for this matter

=: und CJO I	Gt .51

--OC	.

$172.09

MATTER SUMMARY

  	heel< ff ·•--- --- - _ _ _	.	-	-- -	-

Jaskolski, Amy H. - Paralegal	0.20 hrs	125 /hr	$25.00	
Kifinski, Jennifer L.	0.10 hrs	235 /hr	$23.50	
Whelan, Lindsay C.	10.00 hrs	225 /hr	$2,250.00	
Sandy, Sarah R.	0.30 hrs	230 /hr	$69.00	
Turner, M. Suzanne - Paralegal	0.30 hrs	125 /hr	$37.50	
TOTAL FEES			$2,405.00	
TOTAL DISBURSEMENTS			$172,09	
TOTAL CHARGES FOR THIS MATTER			$2,577.09	

BILLING SUMMARY

Jaskolski, Amy H. - Paralegal	0.20 hrs	125	/hr	$25.00	
Kilinski, Jennifer L.	0.10 hrs	235	/hr	$23.50	
Whelan, Lindsay C.	10.00 hrs	225	/hr	$2,250.00	
Sandy, Sarah R.	0.30 hrs	230	/hr	$69,00	
Turner, M. Suzanne - Paralegal	0.30 hrs	125	/hr	$37.50	
TOTAL FEES				$2,405.00	
TOTAL DISBURSEMENTS				$172.09	
TOTAL CHARGES FOR THIS BILL				$2,577.09	

Please include the bill number on vour check.

VGlobalTech
636 Fanning Drive
Winter Springs, FL 32708 contact@vglobaltech.com www.vglobaltech.com

INVOICE
BILL TO
Mr. Joe Raethke
Rizetta - Triple Creek CDD 3434 Colwell Ave. Suite 200 Tampa, Fl 33614 USA

INVOICE#  1071 DATE 07/02/2018
DUE DATE 07/02/2018
TERMS Due on receipt

ACTIVITY
Web Maintenance:CDD Community Care Sites - Maintenance
CDD Updates as needed

QTY
1

RATE 80.00

AMOUNT
80.00

You may pay online via CCN or ACH or mall a check payable to "VGtobalTech" at the above address.

BALANCE DUE	$80.00

-_,;; (1)/

PEST CDNTADl SERVICES
16210 North Florida Avenue
Lutz, FL 33549

Account Number:	9501	
Invoice Number:	154737	
Previous Balance:	$0 .00	
Commercial General Pests	$60.00	

Triple Creek COD 11920 Streambed Dr.
Riverview, FL 33579

Office: 813.968.7031
Toll Free: 888,908.8388
www.Nvirotect.com

INVOICE

Call for a FREE Lawn Care Quote! Next service FREE for each referral!*

SalesTax:
Service Amount:

$0.00
$60.00

Save 10% with yearly prepayment!*
* Ex clusion s apply. Contact office for details.

Check/Cash : 	_ Techni cian(s): W \\

Inspection Area
-,ttommercial Residential
fautslde
-0nside

Bank Medical
rofesslonal Retail Industrial

Frequency
Twice Per Month onthly
_Every Other Month
_ Quarterly
Annual Additional

Type of Service
Baiting System eneral Household
Rodent Control Termite Control Termite Renewal
_ Tube System

-   -    -    -    -    -    -    ··-     -  · -	-  · -	-  --    -  --   -  -· -•-- --  --•-----	-  --  -
General Interior Pests/ Termite	Treatment

Aerobat Ants
_ Argentine Ants
Bees
_ Carp e nter An ts
_ Crazy Ants Dr;iin Flies
_ Drywood Termit es Fire Ants
Fleas

Ghost Ants
_ Paper Wasps Pharaoh Ants
,:,?reventative Roa ches Silverfish
__ Spiders
Sub Ter mites Tick s

Advion Ant Bait StJtion .1% Advion Ant Get Bait .05% Advion Roach Bait Stn .5% Advi on Roach Gel 0alt .6%
_ Alpine Aerosol
_ Avert Dry Flow Bait .054%. CM In se ct Monitors
Dekko S.F. Paks
_ _l:ientrol liquid

_ M axfo rc e Qu;intum .03% Niban FG 5%
erimeter Sweep Taurus .06%
Talstar Xtr;i .25%
_fi ran sport GHP .11%
_ Transport Mikron .11%
Vector Bio - s
_ Wasp Freern .249%

German Roaches	 		inspe ction	 	

Rodent Control
Exclusions

Treatment
Contrac Blox

Glue Boards

 	la

Is

Mice	_   _   _   _	Tin Cats	Rodent Bait Stations

Rats	Final Blox

Visa -, M  ast  e,;ar  d

PA  Y   ENT-    UE  UPONRECEIP- .:....	-:e ace;;	;;d ;is...D	·  (fj]JlI
Ask  us about automatic  payments and paperless billing/	AU"
Instructions:	· G O 2 2

...   · -··· ·-· -.   -- - - --.  -.   • -  ·· ••  .·  -  ··  •· --  .. -

 	

-	-- - - - - - - - - - - - -

h•ONSIGH

.......,.	i N-·o--(T:s"-Y"""ri:_).:t.s·
900 CENTRAL PARK DR. SANFORD, FL 32771-6634

INVOICE
6-18-228296-1

CHRISTINE PERKINS
TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
9428 CAMDEN FIELD PARKWAY RIVERVIEW FL 33578

DATE BALANCE
AMOUNT ENCLOSED , $

MAKE CHECKS PAYABLE TO:
ONSIGHT INDUSTRIES. LLC. 900 CENTRAL PARK DR. SANFORD, FL 32771-6634

8/6/2018
$2,058.90

Invoice Questions? Please call 407.830.8861 or email aaron@thinkonsight.com
PLEASE RETURN THIS PORTION 'NITH YOUR PAYMENT

INVOICE 6-18-228296-1	8/6/2018

900 CENTRAL PARK DR., SANFORD, FL 32771-6634 P: 407.830.8861 • F: 407.830.5569

LOCATION TRIPLE CREEK CDD
; PROJECTNAME PARK TRASH RECEPTACLES
CLIENT PO	ORDERED BY ACCOUNTING

PRICE EACH	QTY	TOTAL

1111 LABOR/ INSTALLATION, INSTALL - TAMPA, LOCAL 15-30

IS' 11!9'

INSTALLATION -COMPLETE- **INSTALLER NOTES: ALL PRODUCT INSTALLED/ DELIVERED AS PER WORK ORDER.

$175.00	$175.00

LABOR/ INSTALLATION, SHIPPING, STANDARD

SHIPPING IS FOR QTY 4 ONLY OPTION 1 OR 2

I re_    @._..  }&1l n» fa,1$846.40 	1

$846.40

1-l/j(1 {l ,';

SITE FURNISHINGS,  TRASHCAN, NA, NA, NA, NA, NA SIDED, NA	-	}   J	l0JO	$774.10	4
TRASH CANS OPTION #1 BLACK 32 GALLON PLAZA STEEL STRAP R il-AC.LE

$3,096.40

#398-8002 WITH LINER IN ANY STANDARD

J_J;!:r[i... .. , ,

_. ._.

_	•·••••••··••••••••

,  u   .I.<  nt,t,- L 11/Llt{,u;c,Iv), v ;.). Hh,.,..,.,-,·•- a~••"--"' ---
j]/  I\JI aoomval "' ""-•-   am,,         -      --  ··~•·"·JJ ate  1,9i. "	SUB-TOTAL $4,117.80
Jate entenM1	TOTAL  $4,111.80
THANK YOU FOR YOUR PAYMENT!"	""  ' ' '"    "r•  ;m     s.,-  rn, •=	=	=co
-unct Ot_ GL .,,._L QQ, oc---=,]/16/2018 CHECK (1858) -$2,058.90
','her:-iI<- 1.,u1

BALANCE DUE $2,058.90

e	COMPLETED - JAMES BUTLER IS THE ONSITE CLUBHOUSE MANAGER SO PLEASE CONNECT WITH HIM AS IT PERTAINS

e

TO ANY DELIVERIES/INSTALLATION SCHEDULING. JBUTLER@RIZZETTACOMTHE ADDRESS OF THE CLUBHOUSE TO COMPLETED - THESE WILL BE INSTALLED IN THE OPEN PARK BEHIND THE CLUBHOUSE, THERE ARE FOUR PICNIC AREAS TO WHICH THESE FOUR TRASH CANS ARE GOING TO BE INSTALLED.

Thank you for your business!
Visit us online at www.thinkONSIGHT.com

Rizzetta & Company, Inc.
3434 Colwell Avenue
Suite 200
Tampa FL	33614

Bill To:

Invoice

Date	Invoice#	
8/1/2018	INV0000034130	

TRIPLE CREEK CDD
3434 Colwell Avenue, Suite 200
Tampa FL	33614

	I	Services for the month of	I		Terms	Cli.e nt Number	
	I	August	I		Upon Receipt	00535	
Description	Qtv	Rate	Amount .	
District Management Services	1.00	$1,533.33	$1,533.33	
Administrative Services	1.00	$375.00	$375.00	
Accounting Services	1.00	$1,166.67	$1,166.67	
Financial & Revenue Collections	1.00	$300.00	$300.00	
Field Services	1.00	$550.00	$550.00	

oateentered				
,:undM-	L- GLJ\I	.- _ OC..J': v'gd ovJ'				

		

. ..		

.	ubtotal		$3,925.00	

$3,925.00	

Rizzetta Amenity Services, Inc
3434 Colwell Avenue
Suite 200
Tampa FL	33614

Bill To:

Invoice

Date	Invoice#	
7/27/2018	INV00000000005227	

Triple Creek COD 3434 Colwell Ave.
Suite 200
Tampa FL	33614

	I	Services  for the month of	I	Terms	Client Number	
	I	July	I	Due on receipt	00035	
Descriation	Qty	Rate	Amount	
Actual Bi-Weekly Payroll

lf'J\fl BJ;,[W(W2il -,·--, c.e._ .	!JHYR   / 8
}ate dfffm'E V ----  --  -  -p., G.. 0_2  20.18
UWWL110.L l:R5].J,(t2oc=3,?jl_5'	1.00	$927.32	$927.32	
	Subtotal	$927.32	
	Total	
$927.32	

Rizzetta Amenity Services, Inc
3434 Colwell Avenue
Suite 200
Tampa FL	33614

Bill To:

Invoice

Date	Invoice#	
7/31/2018	INV00000000005255	

Triple Creek CDD
3434 Colwell Ave.
Suite 200
Tampa FL	33614

	I	Services for the month of	I	Terms	Client Number	
	I	July	I	Due on receipt	00035	
Descrlotlon	Qtv	Rate	Amount	
EE RECRUITING
Auto Mileage & Travel
Cell Phone

,    1j-  L     ..,_,_.,	-  j    I '   '  '  "	--     ,o    ,.   . •  ••••  • ••••• •••••••n
) -(. ._j,_,.-1  ru i\1  !,.,'.  1 1 t...;;,   'i.1   !.•r    .1 ; .. , ,..u  1 ,-  J1	t.'      ----  -- ·-··    .  . ..  -·

	194.50
79.81
25.00	$1.00
$1.00
$1.00	$194.50
$79.81
$25.00	
	Subtotal	$299.31	
	Total	
$299 .31	

Rizzetta Amenity Services, Inc
3434 Colwell Avenue
Suite 200
Tampa FL	33614

Bill To:

Invoice

Date	Invoice#	
8/10/2018	INV00000000005283	

Triple Creek COD
3434 Colwell Ave.
Suite 200
Tampa FL	33614

I
I	Services for the month of	I	Terms	Client Number	
	August	I	Due on receipt	00035	
Descrlotlon	Qtv	Rate	Amount	
Amenity Management Services Actual Bi-Weekly Payroll

 	! !  	1!1 !
BY:	,
J  a: n, nt:li u1,1  U.t'.tla  0,    v-,1  1m.,..,_ 	 _ _
) /Maporova·l 	□ateJVZOLJa
>ate entered-  -·,,...,,.- - - ..--  " AUG  2 G 	2018
-  -  }	
.'.und  _.0.QJ    .GL 5.]JJtlJc_	..
heck #- ·- --· ·- -·-------- - - · -- .--· - ..-----•·-·--'"- - - -	1.00
1.00	$2,413 .60
$938.67	$2,413.60
$938.67	
	Subtotal	$ 3,352 .27	
	Total
:·	
$3,352.27	

Rizzetta Amenity Services 1 Inc
3434 Colwell Avenue
Suite 200
Tampa FL	33614

Bill To:

Invoice

Date	Invoice#	
8/24/2018	INV00000000005313	

Triple Creek COD 3434 Colwell Ave.
Suite 200
Tampa FL	33614

I	Services for the month of	I	Terms	Client Number
I	August	I	Due on receipt	00035
Description	Qtv	Rate	Amount
Actual Bi-Weekly Payroll	1.00	$627.50	$627.50

Subtotal
·.

$627 .50

Total	$627.50

SITEX

Sitex Aquatics LLC
7643 Gate Pkwy, #104-127
FL 32256

Invoice

Date	lnvolce #	
8/1/2018	2602A	

Bill To	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Net 30		
Quantity	Description	Rate	Amount	
	Aquatic Maintenance Wetland Monitoring Trash Removal in Ponds
Mdige Fly Treatment Pond Canal Treatment

r @ iI\V/l;I
JUL  3  O 2018

Jalt m:a, BJ t,U.o..::1!.•tJu:j•1tib._ _	_ _ _
J/M ar.mrnval···---  	-T-	□ate...81
Jateentereo _..	18
.:um.td"f _ Gti18¢Q	oc 
.  'h	. Ji	V 4rP•oC
er:k	--------- ------ . 	· .	2,266.67	2,266.67	
		833.33	833.33	
		150.00	150.00	
		215.00	215.00	
		250.00	250.00	
	Total		
$3,715.00	

SeITEX

Sitex Aquatics LLC
7643 Gate Pkwy, #104-127 FL32256

Invoice

Date	Invoice#	
7/1/2018	2607A	

Bill To	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Net 30		
Quantity	Description	Rate	Amount	
	Airboat applications for primrose willow in canal

iB,_H  nel; u,f1!U  ell  --o. 6r, LO., me,
' '°"-'"-	w.:.:.:.c, ,.,_..
. •  ,in.fl  1oor  nv  F1. i ", C/.2• •.c ·--	DateJi t.?ZLt§.
Hf	:-/in:m1w .. a,. ,,  ,     ""	,-.,- - •	AUG  2 4  2018
WBL .Qt tl = Gl 5.?i[ Q.Qoc	 j j._
·	- -	-  -  ·..... 	).-'-.Y-\';. r\o-'1\	5,500.00	5,500.00	
	Total	$5,500.00	

 	

Sitex Land LLC
7643 Gate Parkway #104 127

Invoice

S,ITEX

Jacksonville, FL 32256

941-468-6267	I	I....

o_ff_ic_e@_si_te_xl_an_d_s_ca_p_e_.c_om

Date	Invoice#	
7/16/2018	5388	

Bill To	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Due on receipt		
Quantity	Description	Rate	Amount	
800	Installed mulch at the playground area

BY: ••-ll••···.. ····..·· ·•	111.11
;3ltt. n11;:;c- u i1u.t..tatc.:..u\ J•ti,, iftl ,	=
l "M•· ·· a. rn.. :n.o.vaf1. .,... /)	b1	O  /,ht1, 8/20/18
I	 ,   . 	Uu l..v ----	. -
 	:1  : l	:a1:	D OC:fill

	6.25	5,000.00	
	Total	$5,000.00	

Date	Invoice#	
7/16/2018	5389	

S,ITEX

Sitex Land LLC
7643 Gate Parkway #104-127
Jacksonville, FL 32256

Invoice

941-468-6267	I  I.... 	o_ffi_ce_@_s_it_ex_la_n_ds_c_ap_e_.c o_m	     ,

Bill To	
Triple Creek COD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Due on receipt		
Quantity	Description	Rate	Amount	
250	Installed pine straw in and around pool area

BY: ······ ·--··---·•---.•······

	5.50	1,375.00	
	Total	$1,375.00	

S ·I T     E	X 

Sitex Land LLC
7643 Gate Parkway #104-127
Jacksonville, FL 32256

941-468-6267	I  .I... 	o_ff_ic_e@_si_te_x1_an_d_sc_a_pe_.c_o_m	     J

Invoice

Date	Invoice#	
8/1/2018	5427	

BillTo	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Due on receipt		
Quantity	Description	Rate	Amount	
	Monthly Landscape Maintenance
Monthly· c ommon Area Landscape Maintenance • New

,    JaU;rit:t.; tglf¥.tl ¼lll.	1· • tu,:r.	,
,JfM approval _ C?t::	- □atf0 32!1 8 .
Jateentereo	JUL 2 6 2018
  	uncLD-0-L-   G  ..5.		og:
her.k' :l:f	_  -·····•···-· --    . -···· ···-   ·- - - -	-· -_-  .,,,.,,_...._	9,945.17
14,437.50	9,945.17
14,437.50	
	Total	$24,382.67	

Date	Invoice#	
7/19/2018	5568	

SITEX

Sitex Land LLC
7643 Gate Parkway# 104-127
Jacksonville, FL 32256

Invoice

941-468-6267	I I.... 	offi_1_ce_@_si_te_x_1a_n_d_sc_a_p_e_.c_o_m 	.

Bill To	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Due on receipt		
Quantity	Description	Rate	Amount	

l
2
2
I I	Mike repaired a broken drip line point of connection tee at the pool area. Tee had been ran over by a vehicle parking into the grass and up into our planting  beds.  Mike repaired broken tee and reconnected the drip lines. Also along the main blvd. Mike replaced a rotor that had a bad seal and was spraying water straight up into the air. The rotor was old and seal blew out, normal wear and tear.  Mike found no other issues at this time.
Replaced drip line point of connection tee Replaced drip line tubing
Replaced drip line coupling Replaced Hunter PGP rotor Labor
1 :; :, 1
ate nee u_nm Jij@	-
O/M appr1,,J r- . u	; -,.2:	atff	7/	11
Date entered _ =_ -  , ~  ,,-·	-
Fund.12fil_ Gl  	Qrro-c;-·'·:J:r.:,5}
,	·; heck#  	
,_.,._,...	

3.00	

3.00	
		1.00	2.00	
		1.00	2.00	
		30.00	30.00	
		74.50	74.50	
	Total		
$111.50	

SITEX

Sitex Land LLC
7643 Gate Parkway #104-127
Jacksonville, FL 32256

941-466-6267	office@sitexlandscap.ec

Invoice

Date
7/18/2018

Invoice#
5569

!I illll \VJ-tllt!--tftt---'	'
JUL 2 6 2018

Bill To	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

,   Ja  l tmV	.1,t.( ll.,¼ l:1Uon	i	.,.;1.1, 4-.	....-
)/Maoomva=i  	  .,"_	  urnf:_·!!.,_27-! J ;-
1ate entereo -	:JUl _):ilJ_	p­,
-=un fU2£L   Gtii1_flg_oc.JIJJ.Lf,
h  r.k' ti
.  .......,...   ,,-	- -

	P.O. No.	Terms	Project	
		
Due	
on receipt		
Quantity	Description	Rate	Amount	
	After hours emergency call. Mike received a text from Jose Maldonado, who is with			
	Con struction Services at Genesis. The text stated - we have a line that is broken and			
	water is leaking to the surface and needs to be repaired as soon as possible, and this			
	broken line is somewhere along Dorado Shores. Mike called Jose and he didn't have			
	much information about this so he told Mike to call a guy name Tom Griggs. Mike tried			
	several times calling and texting Tom but no response. Mike assumed that it was a			
	mainline and had to leave another property. Mike arrived to Triple Creek around 6:00			
	p.m. Mike searched and found no sign of a broken mainline or a broken lateral line.			
	Mike went to both pumps and found that they were not running, so Mike then knew it			
	wasn't a mainline, but spent a lot of time looking for a busted lateral line, which Mike			
	never found either. Mike left the property around 8:: p.m. The next day Tom finally			
	responds to mike's voicemails and texts and tells Mike it is a small pipe stic)tlng up			
	where the concrete guys were about to pour the new sideway, and gives Mike vague			
	details on where this is located. Mike found the area Tom was referring to, and it was a			
	small flex pipe that ran to one of the sprinkler heads on the other side of the soon to be			
	sidewalk. Mike re-routed pipe and pro blem was solved. Mike tested this zone to make			
	sure there were no other issues and in doing so Mike found 3-6" popups that had been			
	broken and ripped out of the ground on the side of a newly construct ed house when			
	construction guys used there machine to grade the property.			
3 Replaced rainbird 6" popups
3 Replaced 1/2" funny pipe 90's
Replaced 1/2" funny pipe coupling
Replaced drip line stakes
3 Replaced funny pipe
5 Labor - after hours emergency call

Following day normal labor charge to repair broken heads and re-route pipe by sidewalk
1.5 Labor	14.25	42.75	
	1.00	3.00	
	1.00	2.00	
	0.25	0.75	
	1.00	3.00	
	150.00	750.00	
	
74.50	
lll.75	
	Total		
$913.25	

Sitex Land LLC
7643 Gate Parkway #104-127
Jacksonville, FL 32256

Invoice

Date	Invoice#	
8/14/2018	5614	

941-468-6267	I  I... 	o_ff_ic_e_@_s_it_ex_l_a_nd_s_c_a_p_e_.c_o_m 	,

Bill To	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Due on receipt		
Quantity	Description	Rate	Amount	

4
6
1	In Mike doing his maintenance check on the zones Mike found 4 - 6" popups that had bad seals on them and also some of the shafts were staying up after zone shut down because of them being worn out and eventfully mowers would chop them off. Mike replaced them. Mike also replaced 6 clogged nozzles that were not spraying properly. Replaced 6" popups
Replaced nozzles Labor

lrY ........,,	".•-·
I tt, ..t:.•:,  1, .t•.;,, t;;    •liU.)  JJ :it,._      ---
{;/J·_··= -D@tt;i;  _1::
_:!'	AUG 2 4 2018
:::LD_OL C;,;_ 5i:\Q.Qoc	q	

14.25
3.00
74.50	

57.00
18.00
74.50	
	Total	$149.50	

SITEX

Sitex Land LLC
7643 Gate Parkway #104-127
Jacksonville, FL 32256
941-468-6267	I  I... 	o_ff_i_ce_@_si_te_x_la_n_d_sc_a_p_e_.c_o_m	 ,

Invoice

Date	Invoice#	
8/14/2018	5615	

Bill To	
Triple Creek CDD
3434 Colwell Ave., Ste 200
Tampa, FL 33614	

	P.O. No.	Terms	Project	
		
Due on receipt		
Quantity	Description	Rate	Amount	
	Off of Dorado Shore along the side of a newly constructed home Mike had to replace 3
- 6" popups that had been ripped out of the found due to scraping the lot during
construction. The funny pipe and the funny L's were also ripped out. In the industry that's what this type of pipe is referred to.	

14.25
1.00
1.25
74.50	

42.75
6.00
7.50
74.50	
3   Replaced 6" popups	I	I
6 Replaced funny pipe
6     Replaced funny L's	rn@ _lr 7 l;
1 Labor
.1-\ Ul, _ 0     1   201<i
t:..,     :	-:,	f9
BY:  ••••• •.. ,•00- 	06  0

) rL:6 :f-J  j \; -L·'.  n:-i l l	Jin{)\ \  Jt     1i ! L. '  _..-r·.:, - --=-=--····..::,==-   ·-=-.-,
:t:,D; '   ff'\:,1<,-11!',=_,	C,£   =      r))H ®-·W,:2Ilt . 8
r;;,tW-.Jl'   --  --   -	-	1U, G U	18 
i _ rnL:: _Q_Q-J-	Gt  53.!Ja_Qoc: _'i _-_l
., , - - ···- ··· ··- ··- -·--- ...-...-			
	Total	$130.75	

Suncoast Pool Service
P.O. Box 224 Elfers, FL 34680

Invoice

Date	Invoice#	
6/1/2018	4563	

Bill To	
Triple Creek CDD c/o Rizzetta and Co
12750 Citrus Park Lane Suite 115
T ampa, FL. 33625	

	P.O. No.	Terms	Project	
	
Jwie 2018	
Net30		
Quantity	Description	Rate	Amount	

1	

Swimming Pool Service including chemical balance, debris removal from surface and bottom of swimming pool, vacuuming , tile cleaning and skimming.

Operational checks of pmnps, filter system, chemical feeders, flow meters and vacuum gauges. Chemicals Included.

BY •  o •   • • ri .,	o

	

850 .00	

850.00	
Thank you for your business.	Total	$850.00	
	Phone#			
	(727) 271-1395		

Suncoast Pool Service
P.O. Box 224 Elfers, FL 34680

Invoice

Date	Invoice#	
7/2/2018	4626	

Bill To	
Triple Creek CDD c/o Rizzetta and Co
12750 Citrus Park Lane Suite 115
Tampa, FL. 33625	

	P.O. No.	Terms	Project	
	
July 2018	
Net 30		
Quantity	Description	Rate	Amount	

Swimming Pool Service including chemical balance, debris removal from surface and bottom of swimming pool, vacuuming, tile cleaning and skimming.

Operational checks of pumps, filter system, chemical feeders, flow meters and vacuum gauges. Chemicals Included.

BY: ...........,.............

ee ··- omi 8 2  110;1  a
2
'
.   -- -- ..   ,.--- ..-·-····	····-
. _: j f:;_ _.,t:Q,.L ..e       GL JZJ.QCLoc_!:::Ll/Q
--·-----·-·--------·· •··-------=--	

850.00	

850.00	
Thank you for your business.	Total	$850.00	
	Phone#			
	(727) 271-1395		

Suncoast Pool Service
P.O. Box 224 Elfers, FL 34680

Invoice

Date	Invoice#	
8/1/2018	4703	

Bill To	
Triple Creek CDD c/o Rizzetta and Co
12750 Citrus Park Lane Suite 115
Tampa, FL. 33625	

P.O. No.	Terms	Project

August2018	Net 30

Quantity	Description	Rate	Amount

Swimming Pool Service including chemical balance, debris removal from surface and bottom of swimming pool, vacuuming, tile cleaning and skimming.

Operational checks of pumps, filter system, chemical feeders, flow meters and vacuum gauges. Chemicals Included.

850.00	850.00

Thank you for your business,
Phone#	Total	$850.00
(727) 271-1395

§t-TECC,,
TAMPA ELECTRIC:
.,	AN EMERA CDMPANY

ACCOUNT INVOICE
tampaelectric.com • I	f W fi) 8• di in

..

...
Q
i
i

TR!PLE CREEK CDD
13323 WILDFLOWER MEADOW DR RIVERVIEW, FL 33578

•·.v: ·JrAqcbti	ti$umfrl ; iN0 · .

.. . .. - ·. , . -. ,:· !	a 

-::r ;(_::--) /:''.;)) _:-(· . ,...

·. ..:.":'. >> ·_,.,··._;•:-.·. .i-• :.... ...'. .\·..•·.•. ·$.·...6._o•··..-·.. •..3:·2· •·..·. :.•.\·.•
. · •\ "'.·- , . ,,1•

Statement Date: 07/17/2018 Account: 221003452580

Current month's  charges:	'$139   ".03
Total amount due:	$139.03
Payment Due By:	08/07/2018

Access your account anytime, anywhere from any device

.i.

al;,_·- Wf?-!£.  . ·  Pate.·71?7 1- .. · . _.1•..

;

.

rs:!

;tll

  ■	l	lltDl !fi ;l;Ji !

Log in to tecoaccount.com

to view and pay your bill, manage your account and more!

Amount not paid by due date may be assessed B late payment charge and an additional deposit,

KaowwhafsbelOW.
Call befure yoadlg.

Help us avoid service interruptions
Call 811 two full business days before  your project to have utility !ines marked  for free, Ut!llty lines can easily be damaged by planting trees, Installing  fences, etc. Avoid potential service Interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshlne811.com or
tampaelectric.com/callbeforeyoudig,

Ta Bnsure prompt credi t, please return stub portion of this b ill with your payment. Make checks payab le to TECO.

;"'-TECO.
.	TAMPA ELECTRIC:
.,	AN O:ME:RA C0"'4F'ANY

WAYS TO PAY YOUR BILL

•	· t. •	i81

mail	phone  online	pay agent
See reverse ;side for more mformdrian

Account:221003452580

Current  month's  charges:	.	$139.03
Total amount due:	$139.03
Payment ,Due  By:	08/07/2018

- >Amount Enclos.ed
627926203173

+

•

00004051 01 AB D.40 U625 FTEC0107171823303610 00000 OS 01000000 D07 06 32726 002
11111•111111 hu-h·h·l· 11u 11111111·111·"II lh 11l11■ ■  1   11111
.	TRIPLE CREEK COD
.	12750 CITRUS PARK LN. STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO:
TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

\

b2792b203173221003	45258□□000000139030	Page 1 of 4
\

.!--a:&.. TECO.
,1/j///j TAMPA ELECTRIC
..	ANEME:R.A  COMPANY	ACCOUNT INVOICE
tampaelectric.com   I f	rp S+ I in

Account:
Statement Date:
Current month's charges due

221003452580
07/17/2018
08/07/2018

Details of Charges - Service from 06/13/2018 to 07/12/2018

Service for: 13323 WILDFLOWER MEADOW DR, RIVERVIEW, FL 33576

Meter Location: WELL

Rate Schedule: General Service .. Non Demand

Number	Read Date	Reading	Reading	Total Used	Multiplier		
C57244	07/12/2016	2,050	609	1,241 kWh	1	30 Days	

Meter

Current

Previous	=

Billing Period

Basic Service Charge		$19.94		
Energy Charge	1,241 kWh @$0.06164/kWh	$76.74		
Fuel Charge	1,241 kWh @ $0.03132/kWh	$36.67		
Florida Gross Receipt Tax		$3.46		
Electric Service Cost			$139.03	
Total Current Month's Charges			$139.03	

Tampa Electric Usage History

""'

Kilowatt-Hours Per Day (Average)

.,

'.RJI
MAYw
APR ! 0.2
MAR 10.1

13
14

Page 3 af4

;1	ATECO.
 		TAMPA ELECTRIC
AN Et.11S:RA C::Clt1oH ;1ANY

TRIPLECREEKCDD	'o\ 1't>
13323 WILDFLOWER MEADOW DR RIVERVIEW, FL 33578

ACCOUNT INVOICE
tampaelectric.com  I	f W 'PS• i	in

Statement Date: 08/15/2018 Account:221003452580

Current	month's	
Total	amount	du	

charges:	$61.25
e:	$61.25
Payment Due By:	09/05/2018

Amount not paid by due	may

More perks. Less clutter.

to be entered to w[n anlPad!*

•Learn more at:,m,l !/Je benelits and Vll'lW Ille clrawlng terms and condi!ions at tecosupport.com!poperleSsbi/1/rig.

h ,r.

i --- ·-·-

------- -  -----

- -- - .	=-	- -

Know what'sbelOWi
Call before ,oudig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for free. Utility lines can easily be damaged by planting trees, installing.fences, etc. Avoid potential service interruptions
for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or
tampaelectric.com/callfboereyoudig.

$61.2

$61.2

Current month's charges:

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

.fa

'TECO.
TAMPA EI-E;CTRIC

WAYS TO PAY YOUR BILL

Account: 221003452580

- -	. ,8,

.,	AN l!:Mi;:RA CtJMf'ANV

mail	phone online	pay gent
See reverse side for more Inform<1lion

Total amount due:

Payment Due By:	09/05/201

•

00001548 01 AV 0.3133625 FTEC010ll171814063710 00000 05 01000000 009 OS :mss 003

.

·I··II·1III11111llh•111   I•11I·111•I·11I111·II·11111• •1·I·I11•111I
TRIPLE CREEK COD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6254570883492210034525800000000061253	Page 1 of5

   'TECO.
,1////11/T ·	TAMPA ELECTRIC
.,	ANEMERA C:CIMF'ANY	ACCOUNT INVOICE
tampaelectric.com I f - <p 8• I in

Account:
Statement Date:
Current month's charges due

221003452580
08/15/2018
09/05/2018

Details of Charges - Service from 07/13/2018 to 08/10/2018

Service for: 13323 WILDFLOWER MEADOW DR, RIVERVIEW, FL 33578

Meter Location: WELL

Rate Schedule; General Service .. Non Demand

Number	Read Date	Reeding	Reading	Total Used	Multiplier	Billing Peri	
C57244	08/10/2018	2,477	2,050	427 kWh	1	29 Days	

Meter

Current

Previous	=	od

Basic Service Charge		$19.94		
Energy Charge	427 kWh @$0.06184/kWh	$26.41		
Fuel Charge	427 kWh @$0.03132/kWh	$13.37		
Florida Gross Receipt Tax		$1.53		
Electric Service Cost			$61.25	
Total Current Month's Charges			$61.25	

Tampa Electric Usage History
Kilowatt-Hours Per Day

(Average)

'2"f"il===::.::":_  	_41
. N-     314

J0.2 10.1

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide electricity to its customers was Natural Gas & Oil* 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.com/rates.

Page 3 of 5

Triple Creek CDD
TECO Meter Reading 06/12/18-07/11/18 Due 08/07/18

 	Account		Billing Date	Service Address	Code	    Amount		
211005281400	7/17/2018	Triple Creek Tract D	001-53100-4307	$	722.19	
211005281640	7/17/2018	Triple Creek Tract A	001-53100-4307	$	1,318.85	
211005281160	7/17/2018	Balm Riverview/Trpl Crk PHI	001-53100-4307	$	766.38	
211005282317	7/17/2018	Triple Creek BL PH2	001-53100-4707	$	1,352.38	
211005282515	7/17/2018	Triple Creek PH 2	001-53100-4707	$	2,102.30	
211005282705	7/17/2018	Triple Creek PH C	001-53100-4707	$	722.24	
211005280915	7/17/2018	12198 Triple Creek Bl Pmp	001-53100-4301	$	246.74	
211005280683	7/17/2018	12141 Triple Creek Bl Pmp	001-53100-4301	$	183.96	
211005281889	7/17/2018	12113 Triple Creek BL	001-53100-4301	$	55.26	
221002207761	7/17/2018	13315 Dorado Shores Ave	001-53100-4301	$	89.07	
211005282127	7/17/2018	11920 Streambed Dr CLBHS	001-53100-4304	$	701.18	
221003469352	7/17/2018	13427 Dorado Shores Ave	001-53100-4301	$	306.71	
			TOTAL	$	8,567.26	
			
Summary		
		General Service	1-53100-4307	$	6,984.34	
			1-53100-4301	$	881.74	
			1-53100-4304	$	701.18	
			TOTAL	$	8,567.26	

j

fol m@rn1rw	1iil
lffl	JUL 2 0 2018
Gate Aec·o rlt4ff!a 6i Lo., me.
fJ/M appmv;11_· f ii'"'"'"·.t.i--1-!1rn _
1Jateen tered	·	6  2018
Fund oo( . Gl531Q_O  oc	: <:>
her. #

ta..TECO.
,_,- 11111111 TAMPA ELECTRIC
.,	ANEMl!RA t::CJMPANY

ACCOUNT INVOICE
tampaelectric.com  I	f	<;, 8• I in

Statement Date: 07/17/2018 Account:211005281400

TRIPLE CREEK CDD		
TRIPLE CREEK TRACT D	Current month's charges:	$722.19	
RIVERVIEW, FL 33579-0000	Total amount due:	$722.19	
	Payment Due By:	08/07/2018	

'.'      ',,'	.	",	.	. '

YourAccountSummaty
'
Previous.Amount Due
Payment( ) R c iv dSinceLas\Statement.

Current M nth••·Ch•J"!I•,.

$722:18
.-1. -,.
-$722:18
 	$722:19 

$722:t!l

•

Access your account anytime, anywhere from any device

-

-

Log in to tecoaccount.com
to view and pay your bill, manage your account and more!

Amount not paid by due date mBy be assessed a late payment charge and an additional deposit.

Know what's below.
Call before youdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free. Utility lines can easily be damaged by planting trees, installing  fences, etc. Avoid potential service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric.comlcallbeforeyoudig.

To ensure prompt credit, please return stub portion of th.is bill with your payment. Make checks payable to TECO.

   t..TECO.
,..,. """' TAMPA ELECTRIC

.,	ANEMERA t:IOMPANY

WAYS TO PAY YOUR BILL

•t.	181

mail	phone online	pay agent
See raver,<,e side for more Information

Account:211005281400

Current month's charges:

$722.19

$722.19

Payment Due By:	08/07/2018

Total amount due:

Amount·.Enclosed
651382979233

$ - -----

L CREEK CD□
-0 CITRUS PARK LN, STE 115
''\L 33625-3784

' '

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6513829792332110052814000000000722193	Paga1of4

4a.TECC>.

ACCOUNT INVOICE

.,,	TAMPA ELECTRIC:
.,	ANE:ME:RA CCIMF'ANY

tampaelectric.com I f 'J/1 rp g, d1!J in

Account:	211005281400	
Statement Date:	07/17/2018	
Current month's charges due	08/07/2018	

Details of Charges -Service from 06/1212018 to 07111/2018
Service for: TRIPLE CREEK TRACT D, RIVERVIEW, FL 33579-0000	Rate Schedule: Lighting Service Lighting Service Items LS-1 (Brighi Choices) for 30 days
Lighting Energy Charge	952  kWh @ $0.03207/kWh	$30.53

Fixture & Maintenance Charge

23 Fixtures

$319.80

Lighting Pole / Wire	23 Poles	$340.86		
Lighting Fuel Charge	952 kWh @ $0.03095/kWh	$29.46		
Florida Gross Receipt Tax		$1.54		
Franchise Fee		$0.00		
Lighting Charg..			$722.19	
Total Current Month's Charges			$722.19	

m

i_'l4
'

Page 3 of 4

i-:4 TECO.
,i., J/1/1/1111 TAMPA ELECTRIC
.,	AN EM!::RA t:dMPANY

ACCOUNT INVOICE
tampaelectric.com  I	f '!I 'P 8•.!lb in

TRIPLE CREEK COD	Statement Date: 07/17/2018 Account: 211005281640		
TRIPLE CREEK TRACT A	Current month's charges:	$1,318.85	
RIVERVIEW, FL 33579-0000	Total amount due:	$1,318.85	
	Payment Due By:	08/07/2018	

YourAccotint·summary	Access your account anytime,

Prev_iq _!(Afnqu _t,:_ou_ei-,.., - _	.	,:·.·"
Paymerit(s) Receivet'I Since Last Stafement

CurrentM nth's Charge,i

...,.

Total•Jl.1T10Jritt>he,·•·.

$1,318,98
·,.·•;$1,318.98

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anywhere from any device

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Log in to tecoaccount.com to view and pay your bill, manage
your account and more!

Amount not paid by due date may be assessed a late payment charge and an additional deposit.

•

KMw What'sbelow,
Gall before youdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential service interruptions
for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or
tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

•t.	 181

WAYS TO PAY YOUR .BILL

mail	phone online	pay agent
See reverse side for more information

Account: 211005281640

Current month's charges:	$1,318.85
Total amount due:	$1,318.85
Payment Due By:	08/07/2018

TRIPLE CREEK COD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

Amount Encl0sed
651382979234

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

$. ------

6513829792342110052816400000001318859

Page 1 of 4

.i-C::l. TECC>.
111111/T  JIJII/I  TAMPA  ELE □T RI□
.,.	AN EME'.RA COMPANY	ACCOUNT INVOICE
tampaelectric.com  I f	'i' 8•	in

Account:
Statement Date;
Current month's charges due

211005281640
07/17/2018
08/07/2018

Details of Charges -Service from 06/12/2018 to 07/11/2018

Service for: TRIPLE CREEK TRACT A, RIVERVIEW, FL 33579-0000

Lighting Service Items LS-1 (Bright Choices) for 30 days	Rate Schedule: Lighting Service	
Lighting Energy Charge	1821 kWh @$0.03207/kWh	$58.40	
Fixture & Maintenance Charge	42 Fixtures	$578.71	
Lighting Pole / Wire	42 Poles	$622.44	
Lighting Fuel Charge	1821 kWh @$0.03095/kWh	$56.36	
Florida Gross Receipt Tax	$2.94	
Franchise Fee	$0.00	
Lighting Charges	$1,318.85	
Total Current Month's Charges	$1,318.85	

Pags 3 of4

4C.TECC>,
.,,	TAMPA ELEC:::TRIC:::
.,.	AN EME!:r<IA C::c::JMPANY

ACCOUNT INVOICE
tampaelectric,com  I	f	'i> 8• I in

Statement Date: 07/17/2018 Account: 211005281160

TRIPLE CREEK CDD		
BALM RIVERVIEW TRPL CRK PH1	Current month's charges:	$766.38	
RIVERVIEW, FL 33579-0000	Total amount due:	$766.38	
	Payment Due By:	08/07/2018	

YourAcce>..ut,i· f..S,ur.    tur',   1.a,r, y
'P'. Vi ·s_- _nio: m,t.Dull:: :,·  ·· _	·. :·	> ·•:-.:

$766,38

Access your account anytime, anywhere from any device

Payrnent(sj Received Since Last Staternerif
Cuoterjt.Monlh'.ll.<lh rg•••··

'..$76f3B ··

-

-

 	$766.38 

Total A1110J {6uf	$766,38

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fillld.	<	aL.·...:. 	...,.oc;......-.

Log in to tecoaccount.com
to view and pay your bill, manage your account and more!

•

Knowwllat'sbelOW,
Call before youdig.

Help us avoid service interruptions
Call 811 two full business  days before your project to have utility lines marked for free. Utility lines  can easily be damaged by planting trees, installing fences, etc. Avoid potential service  interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesda Visit sunshlne811.com or tampaeleclric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

4C.TECC>.
.,,	TAMPA ELECTRIC
..	ANEMERA COMPANY

WAYS TO PAY YOUR BILL

-	,181

mall	phone  online	pay agent
See reverse side for more information

Account: 211005281160

Current month's charges:	$766.38
Total amount due:	$766.38
Payment Due By:	08/07/2018

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

Amount Enclosed
051302979232

.MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

$---	--

651382979232211 □□ 528116 □□□□□□□□ 766382

Page 1 of4

TECO.
,	TAMPA ELECTRIC::
AN i!:Me:RA C::OMPANV	ACCOUNT INVOICE
tampaelectric.com  [ f 'JI <fJ 2• ii in

Account:
Statement Date:
Current month's charges due

211005281160
07/17/2018
08/07/2018

Details of Charges - Service from 06/12/2018 to 07/11/2018

Service for: BALM RIVERVIEW TRPL CRK PH1, RIVERVIEW, FL 33579-0000

Lighting Service Items LS-1 (Bright Choices) for 30 days	Rate Schedule: Lighting Service	
Lighting Energy Charge	1890 kWh @ $0.03207/kWh	$60.61	
Fixture & Maintenance Charge	18 Fixtures	$213.66	
Lighting Pole/ Wire	18 Poles	$430.56	
Lighting Fuel Charge	1890 kWh @ $0.03095/kWh	$58.50	
Florida Gross Receipt Tax	$3.05	
Franchise Fee	$0.00	
Lighting Charges	$766.38	
Total Current Month's Charges	$766.38	

Page 3 of4

   t..TECC>.
/'.IJW	TAMPA ELECTRIC
/	..	ANEME:RA C::OMPANY

//

TRIPLE CREEK CDD		
TRIPLE CREEK BLVD PH2	Current month's charges:	$1,352.38	
RIVERVIEW, FL 33579·0000	Total amount due:	$1,352.38	
	Payment Due By:	08/07/2018	

ffl

ACCOUNT INVOICE
tampaelectric.com I	f 'JI 'P 8• I in

Statement Date: 07/17/2018 Account: 211005282317

Yout·Accountsommary

Access your account anytime,

pre_vlous .Af11oUnf:Glle.

;·:._<:·_; -  :..

_ ,_- .	._

$85422·•·

anywhere from any device

Paymerit(s) Rebeived Sinc.e Last.Statement

.·...

Currant·•Mom •11·,.Charge..·•.·
.	To 1AmounfQ.

·$85422

-

$1,352.38

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Amountnotpald by dueq' hma i.,ssessed a late payment charge and an additional deposit.

et,	--·····--····-- ·--·--·. ·-···
Help us avoid service interruptions

Log in  to  tecoaccount.com to view and pay your bill, manage
your account and more!

Knowwhat'SbelOW.
Call before youdig.

Call 811 two full business days  before your project to have utility lines marked for  free. Utility lines can easily be  damaged by planting trees, installing fences, etc. Avoid potential  service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshlne811.com or tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

   TECO.
,..	TAMPA ELECTRIC
.,	ANEME.RA C:CIMF'ANY

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

WAYS TO PAY YOUR BILL

-	. ,81

mail	phone  online	pay agent
See rever e side for more information

Account: 211005282317

Current month's charges:

$1,352.38

$1,352.38

Payment Due By:	08/07/2018

Total amount due:

Amount Enc.losed	$--------
651382979237

MAIL PAYMENT TO: TECC
P.O. BOX 31318 TAMPA. FL 33631-3318

6513829792372110052823170000001352384	Paga 1 of 4

   kt.TECO.,

ACCOUNT INVOICE

J/llr	TAMPA ELECTRIC
..	ANEMERA Ct:IMPANV

tampaelectric.com I f W 'PS• ili'!i in

Account:	211005282317	
Statement Date:	07/17/2018	
Current month's charges due	08/0712018	

Details of Charges - Service from 06/12/2018 to 07/11/2018
Service for: TRIPLE CREEK BLVD PH2. RIVERVIEW, FL 33579-0000	Rate Schedule; Lighting Service Lighting Service Items LS-1 (Bright Choices) for 30 days

..

Lighting Energy Charge	2790  kWh @ $0.03207/kWh	$89.48

ij	Fixture & Maintenance Charge
Lighting Pole/ Wire

i

I

Lighting Fuel Charge
Florida Grass Receipt Tax Franchise Fee
Lighting Charges

Total Current Month's Charges

46 Fixtures 31 Poles
2790 kWh @ $0.03095/kWh

$430.52
$741.52
$86.35
$4.51
$0.00

$1,352.38

$1,352,38

Page3of4

4aTECC>.

llfr .'11//a TAMPA ELECTRIC::
.,	AN EME:RA C□MF'A N Y

u

TRIPLE CREEK CDD TRIPLE CRK PH2
'	RIVERVIEW, FL 33579-0000
•

ACCOUNT INVOICE
tampaelectric.com  I	f 't/1 (j) S• l/!i in

Statement Date: 07/17/2018 Account: 211005282515

Current month's charges: Total amount due: Payment Due By:

	$2,102.30	
	$2,102.30	
08/07/2018	

YQurAccoun.tSuirunary
Previous Amo'Unf.Dof:l.••:,;.·	·	:	. ··
. Payajent(s) Received Since Laststaieh)ent .·

Cu1'1'e11i.Month;,. Charges,
•·. T tJ1·Aitl() ll1• e

.$1,726.05,

-$1,726.05 ·.·'
§211112.:id
$2,102.3.0

·,·.

F;.t,'.>t:·.;,\//; -:r,

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'rat rlecort1zze o  cv./!11c,;-11J i.•r;;311i • .•
htMapl)foval .	'Date.---
. p t!e ijij ,.,.;i..:;.;·.··•···.,.;· .;.;"""----,,..,...,.,
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.	··.·	hij , C	.;_,~_: 	--,- •c	-·

-

-

Log in to tecoaccount.com
to view and pay your bill, manage your account and more!

Amount not paid by due date may be assessed a late payment charge and an additional deposit.

•

Know what's below.
Call before youdig.

Help us avoid service interruptions
Call 811 two full business days before  your  project  to  have  utility  lines  marked  for  free.  Utility  lines can easily be damaged  by  planting  trees,  installing  fences,  etc.  Avoid  potential  service  Interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

-	,181

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

4aTECC>,

WAYS TO PAY YOUR BtLL	Account: 211005282515

llfr	TAMPA ELECTRIC:
.,	ANEMERA COMPANY

mail	phone online	pay agent
See reverse side for more information

Current month's charges:	$2,102.30
Total amount due:	$2,102.30
Payment Due By:	08/07/2018

Amount Enclosed	$ 	
651382979238

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6513829792382110052825150000002102306

Page 1 of4

ii-:a&.. TECC>.
111111/1 TAMPA ELECTRIC:
..	AN !!'.M!!'.RA  COMF'ANY	ACCOUNT INVOICE
tampaelectric.com   I f	'P S• I	in

ii!

Account;	211005282515
Statement Date:	07/17/2018
Current month's charges due  08/07/2018

Details of Charges- Service from 06/12/2018 to 07/11/2018

Service for: TRIPLE CRK PH2. RIVERVIEW, FL 33579-0000	Rate Schedule: Lighting Service

Lighting Service Items LS-1 (Bright Choices) for 30 days
Lighting Energy Charge	1868  kWh @$0.03207/kWh	$59.91

ij
•
l'l

i

•
I

Fixture & Maintenance Charge

Lighting Fuel Charge	1868 kWh @ $0.03095/kWh	$57.81		
Florida Gross Receipt Tax		$3.02		
Franchise Fee		$0.00		
Lighting Charges			$2,102.30	
Total Current Month's Charges			$2,102.30	

Lighting Pole/ Wir'e

67 Fixtures
67  Poles

$988.62
$992.94

Page 3 of4

ACCOUNT INVOICE
	tampaelectric.com  [	flP''P 8•	in	
	
Statement Date: 07/17/2018		
	Account:211005282705		
TRIPLE CREEK CDD TRIPLE CRK, PH C	
Current month's charges:	
$722.24	
RIVERVIEW, FL 33579-0000	Total amount due:	$722.24	
	Payment Due By:	08/07/2018	

Your Accouni.Sull)mary
Pm'Vio_ $_'AffioJi-i(O ·e-_	.
Payment(s) ReceiyedSinceLaslStaiem nt ·

Current Month'!> Cl>argeil

$722,68
-$722.68
 	'$722.24 

Access your account anytime, anywhere from any device

Total A111punft>ue ••·•·	$722,24

-

Log in to tecoaccount.com
to view and pay your bill, manage your account and more!

Know what's below.
Call before youdig.

Help us avoid service interruptions

Call 811 two  full business days before your project to have utility lines marked  for free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential  service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment, Make checks payable to TECO.

TAMPA ELECTRIC •

WAYS TO PAY YOUR BILL

,..	9'....	Ill

.1.--v.10°11·

Account: 211005282705

$722.24
$722.24

Current month's charges:

AN EMERA t:□MPAN Y

mall	phone online	pay agent
See reverse side for more inforrnution

Total amount due:
Payment Due By:	08/07/2018
Amount Enclosed	$_· ------
651382979239

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6513829792392110052827050000000722241	Page 1 of4

TAMPA ELECTR·IC

   t:.TECC>,
..	AN EMERA  tlC!MPANY	ACCOUNT INVOICE
tampaelectric.com I f '# <fJ g, d1iJ in

Account:
Statement Date:
Current month's charges due

211005282705
07/17/2018
08/07/2018

m

Details of Charges - Service from 06/12/2018 to 07/11/2018

SeNice for: TRIPLE CRK, PH C, RIVERVIEW. FL 33579-0000	Rate Schedule: Lighting Service

Lighting Service Items LS-1 (Bright Choices) for 30 days
Lighting Energy Charge	982  kWh @ $0.03207/kWh	$31.49

Fixture & Maintenance Charge
0

l	Lighting Fuel Charge	982 kWh @ $0.03095/kWh	$30.39		
	Florida Gross Receipt Tax		$1.59		
	Franchise Fee		$0.00		
	Lighting Charges			$722.24	
g	Total Current Month's Charges			$722.24	

Lighting Pole/ Wire
I

23 Fixtures
23 Poles

$317.91
$340.86

Page 3 of4

   t.TECO.
TAMPA ELECTRIC
.,	ANEMt;:RA CCJMPAN'Y

TRIPLE CREEK CDD
12198 TRIPLE CREEK BL RIVERVIEW, FL 33579-0000

ACCOUNT INVOICE
tampaelectric.com  [	f	'P 8• ii in

Statement Date: 07117/2018 Account: 211005280915

month's

Current

charges:	$246.74
Total amount due:	$246.74
Payment Due By:	08/07/2018

,' Your AccouritSumm;uy Prev1ouS.Am6uri'tP"ue_·; _,.-··'-·- .	.,.. . Payrnent(s) Received Since. Last Statement Currenj.Month'$ Charge
·.· Tot I .A.irio rif titie
\   /::   .._,::_".f-,_i·/'._-     ,'  ,. :.:- '	.	·.   '	'

$286,55
,-$286:55

 	$246.74' 

Access your account anytime, anywhere from any device

-

. aier1;c,dir11a tlcl i.iti.,irJ1;.•.•.... Jln.,2.ti zufo'
•· Q/l\4aJ)J)r !.i.l  .	·D!itrL_-:_
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.,.:·-:;,,:· :::,	,'   .,.,.,-...,-  ="'-----,;..;.,:.,_·.·:_.,,..,,

Log in to tecoaccount.com
to view and pay your bill, manage your account and more!

Amount not paid by due date may be assessed elate paym,:mt charge and an additional deposit.

Know what's below.
Call before JIIUdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked  for  free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential service Interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday, Visit sunshine811.com or tampaelectric.com/callbeforeyoudig,

o.	ro

_,...-J

	Current month's charges:	$246.74	
phone  online	pay agent	Total amount due:	$246.74	
Sse mverse side for more information	Payment Due By:	08107/2018	

To ensure prompt credit, please return stub portion of this bill with your payment, Make checks payable to TECO.

i-:L.TECO.
"Ill/I TAMPA ELECTRIC
.,	ANEMERA C:ClMPANY

WAYS TO PAY YOUR BILL •

Account: 211005280915

Amount Enclosed	$	---- --
651382979231

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

6513829792312110052809150000000246740	Paga 1 of4

Lat.TECO.

ACCOUNT INVOICE

-	.,,	TAMPA ELECTRIC
AN EMEl.!A COMPANY

tampaelectric.com I f '# r,:, 8• & in

Account:
Statement Date:
Current month's charges due

211005280915
07/17/2018
08/07/2018

Details of Charges - Service from 06/13/2018 to 07/12/2018

Service for: 12198 TRIPLE CREEK BL, RIVERVIEW, FL 33579-0000

Rate Schedule: General Service • Non Demand

Number	Read Date	Reading	Reading	Total Used	Multiplier		
C16598	07/12/2018	86,293	83,977	2,316 kWh		30 Days	

Meter

Current

Previous	=

Billing Period

Basic SeNice Charge

$19.94

Tampa Electric Usage History

Energy Charge	2,316 kWh @$0.06184/kWh	$143.22		
Fuel Charge
Florida Gross Receipt Tax	2,316 kWh @$0.03132/kWh	$72.54
$6.04	2,"0c1"a8'	77
84	

Kilowatt-Hours Per Day (Average)

Electric Service Cost other Fees and Charges Electric Late Payment Fee
Total other Fees and Charges

$5.00

$241.74

$5.00

""

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,"oo"cr,'  	

.,109
76
75

,.

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211

Total Current Month's Charges

SEP-64
 		$246.74	'"',cc
2017

108
"

Pags 3 of4

tCa.TECO.
TAMPA ELECTRIC
.,	ANE'.MEF,IA C::ClMPANY

ACCOUNT INVOICE
tampae/ectric.com  I	f "fl 'P 8•ili!i in

lrM -

TRIPLE CREEK CDD 12141 TRIPLE CREEK BL
RIVERVIEW, FL 33579-0000

Statement Date: 07/17/2018 Account:211005280683

Current month's charges:	$183.96
Total amount due:	$183.96
Payment Due By:	08/07/2018

Tot;IA.mou ioJ ·.·'

Your.A.ceountSJini:nar.y PrevioUs.Amount.qt!El Payment(s)Received Slnc.e.LastStetement CurrentMorrth'$ Charges. '

$157..95 ·
'$157,95 ·
 	$183.96 
$183.96

Access your account anytime, anywhere from any device

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.1)ateenietet:! _..;.,.;.......;;;;.,..;..;...;....;;;;.,.,,...;.c,,;...,,-....;.. , ,
'•.· FOfld.<.....,,.';,...;,.......,;Gl·.. ..	........OC_,..., 	,.
 h  i_<.··.  	,_:;.:;L ,..;....,· "'"'·"- ,·-·-
Amount not paid by due date may be assessed a late payment charge and an additional deposit.

-

-

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to view and pay your bill, manage your account and more!

Knowwharsbelow.
Gallbuforeyoudlg.

Help us avoid service interruptions
Call 811 two full business  days before your project to have utility lines marked for  free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential  service Interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshlne811.com or tampaelectric.com/callbeforeyoudig.

Current month's charges:

08/07/2018

$183.96
$183.96

Payment Due By:

Total amount due:

•o•

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable ta TECO.

tCa.TECO.
.,,	J/1//1/111 TAMPA ELECTRIC

WAYS TO PAY YOUR Bl
._.-,a.--J •01

Account: 211005280683

.,	AN"MERA C:ClMPANY

mail	phone

on line	pay agenl

-

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

See reverse side for more information

Amount Enclosed	$-------'- -
651382979230

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6513829792302110052806830000000183964	Page 1 of4

ta...TECC>.

ACCOUNT INVOICE

"""' TAMPA ELECTRIC:::
ANEME:RA ClOMF'ANV

tampaelectric.com I f 'ti r;:, g, I in

Account:	211005280683	
Statement Date:	07/17/2018	
Current month's charges due	08/07/2018	

Details of Charges - Service from 06/13/2018 to 07/12/2018

Service for: 12141 TRIPLE CREEK BL, RIVERVIEW, FL 33579-0000	Rate Schedule: General Service • Non Demand

Number	Read Date	Reading	Reading	Total Used	Multiplier	Billing Peri	
C21063	07/12/2018	53,569	51,910	1,659 kWh		30 Days	

Meter

Current

Previous	=	od

Tampa Electric Usage History

Basic Seivice Charge			$19.94	
Energy Charge	1,659 kWh	@$0.06184/kWh	$102.59	
Fuel Charge	1,659 kWh @$0.03132/kWh	$51.96		
Florida Gross Receipt Tax
Electric Service Cost		$4.47	
$178.96	
Other Fees and Charges
Electric Late Payment Fee		
$5.00		
Total Other Fees and Charges			$5.00	
Total Current Month's Charges			$183.96	

Kilowatt-Hours Per Day (Average)

55

JUL
2018
JU,	44
A"" PR-17  "
MAR-13

"'"	"

FEB-14

,'o''v"	"'
OCT-3	"
S£p 10.4
AUG 10.3

""

JUL-10

Page3of4

i--_;i; TECC>.
.Ill/IT """' TAMPA ELECTRIC
..	ANEMER:A CCIMPAN'I'

ACCOUNT INVOICE
tampaelectric.com  I	f	'P &• I in

Statement Date: 07/17/2018
Account: 211005281889

TRIPLE CREEK CDD		
12113 TRIPLE CREEK BL	Current month's charges:	$55.26	
RIVERVIEW, FL 33579-0000	Total amount due:	$55.26	
	Payment Due By:	08/07/2018	

Y 1.1r Acco1.1i'ltSum11tafy
· P evi_ous:Am_O _Ptb_y ···-.- ·_:·:;-_,.:·.·-_-::·
Payrnent(s) Receiyeq Sine ,Lilst'S tenint

. Cu(l'eofM9r)lh's Charges
Total•A111 ni6 i·

$56.76
•. :s5s:76
$5s:2.  r

Access your account anytime, anywhere from any device

-

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to view and pay your bill, manage your account and more!

Amount not paid by due date may be assessed a late payment charge and an additional deposit.

Know what's below.
Calhietore youdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday, Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

i--_;i; TECC>.
.Ill/IT	TAMPA ELECTRIC
..	ANEMER:A CCJMF'AN'I'

WAYS TO PAV YOUR BILL

Total amount due:

-	. ,81

mail	phone online	pay agent
See reverse .side for mare information

Account: 211005281889

Current month's charges:

$55.26

$55.26

Payment Due By:	08/07/2018

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

Amount Enclosed
651382979235

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

$--'---'-"-----

6513829792352110052818890000000055262

Page1of4

Account:	211005281889
Statement Date:	07/17/2018
Current month's charges due  08/07/2018

Details of Charges - Service from 06/13/2018 to 07/12/2018

ACCOUNT INVOICE
tampaelectric.com I f 'JI 'P 8• iBiJ in

Service for: 12113 TRIPLE CREEK BL, RIVERVIEW, FL 33579-0000	Rate Schedule: General Service - Non Demand

Meter
Number
K23530

Read Date

07/12/2018

Current Reading
38,331

Previous Reading
38,019

Total Used

312 kWh

Multiplier

Billing Period

30 Days

I

l•
Basic Service Charge Energy Charge
Fuel Charge
Florida Gross Receipt Tax
Electric Service Cost

312 kWh @$0.06184/kWh
312 kWh @$0.03132/kWh

$19.94
$19.29
$9.77
$1.26

$50.26

Tampa Electric Usage History
Kilowatt-Hours Per Day (Average)

'"'

'"'	10
"""	12

""

""	" 14

Other Fees and Charges

""""

" 18

Electric Late Payment Fee

OEC	18

Total Other Fees and Charges

$5.00

$5.00

,"o'",	19

17

 		OCT	"

Total Current Month's Charges

$55.26	""''	"

 		2"0"17'	"

Page 3 of4

i--a:L:..TECC>.
,.,	"""' TAMPA ELEC:TRIO
.,	ANe:ME'.RA COMPANY

ACCOUNT INVOICE
tampaelectric.com  I	f 'g//1 'P 8• ii in

TRIPLE CREEK CDD	Statement Date: 07/17/2018 Account:221002207761		
13315 DORADO SHORES AVE	Current month's charges:	$89.07	
RIVERVIEW, FL 33579	Total amount due:	$89.07	
	Payment Due By:	08/07/2018	

Your Acc:ounfSummary
.rev!ci_us_·· mot n"_t::D ,' ,-,.:::'--·::·:· ·._·.	._ ·

. $67.16

Access your account anytime, anywhere from any device

Payment(s) Reoeived.Sinoe LastSta.tement

Current Mont !,Charges

<$67,16 .,

-

 	$89:07 

Amount not paid by due date may be assessed a late payment charge and an additional deposit.

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to view and pay your bill, manage your account and more!

Knowwhat'sbelow.
callbefore ,audig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked  for  free. Utility lines can easily be damaged by planting  trees, installing fences, etc. Avoid potential service Interruptions for you and your neighbors. Digging on Saturday? Call 8'11 by Wednesday. Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

•o

	Account: 221002207761		
."".1,6.	•o'I	Current month's charges:	$89.07	
mail	phone  online	pay agent	Total amount due:	$89.07	
See reverse side for more information	Payment Due By:	08/0712018	

To ensure prompt credit, please return stub portion of this bill with your payment Make checks payable to TECO.

i--:aL:.. TECO,
,.r """ TAMPA ELECTRIC
.,	ANEME:RA C.CIMPANY

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

WAYS TO PAY YOUR BILL •

Amount Enclosed	$-	-   ---
632864475586

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

6328644755862210022077610000000089074	Page 1 of4

4aTECC>.

ACCOUNT INVOICE

-	.,,	TAMPA ELECTRIC
AN EME:RA C:□ MP A N T
tampaelectric.com   I f	'Pg,ii!!, in

Account:	221002207761	
Statement Date:	07/17/2018	
Current month's charges due	08/07/2018	

Details of Charges - Service from 06/12/2018 to 07/12/2018

Service  for: 13315  DORADO SHORES  AVE, RIVERVIEW, FL 33579	Rate Schedule: General Service .. Non Demand

	Number	Read Date	Reading	Reading	Total Used	Multiplier		
:!	C55855	07/12/2018	4,175	3,574	601 kWh		31 Days	

Meter

Current

Previous	=

Billing Period

0
[:;

l

•
I

Slate Tax
Total Electric Cost, Local Fees and Taxes other Fees and Charges
Electric Late Payment Fee
Total Other Fees and Charges

Total Current Month's Charges

$6.19

$5.00

Tampa Electric Usage History

""

Basic Service Charge	$19.94	Kilowatt-Hours Per Day	
Energy Charge	601 kWh @$0.06184/kWh	$37.17	(Average)	
Fuel Charge	601 kWh @$0.03132/kWh	$18.82	2'0"18'
14 "	
Florida Gross Receipt Tax	$1.95
M	'"" AY-10		
Electric Service Cost	$77.88	APA.-10		

--,	34

32

$84.07    D"'"EC-4
NOV-4
OCT 1 0.2
SEP O

$5.00

$89.07

Page 3 of4

  ht..TECO.
TAMPA ELECTRIC
.,	ANEME"AA COMPANY

TRIPLE CREEK COD
11920 STREAMBED DR, CLBHS RIVERVIEW, FL 33579-9315

ACCOUNT INVOICE
tampaelectric.com  I	f'll 'P 8• i!l!i in

Statement Date: 07/17/2018 Account: 211005282127

Current month's charges:	$701.18
Total amount due:	$701.18
Payment Due By:	08/07/2018

YourAc:counfSu!llmary
PreV'io'USAm·ount"Due· ··  ,·,·..·.,   ·  -, ·

'	.	.

:

Payn. iE!nt(s) ·Re(;eived·  SincelastStsteinent

$701,64<,
•$701:114

Access your account anytime, anywhere from any device

-

Cµmn\!Month's Charges	·· $701,18.

I

•

I

0	Tot iAn1 (i fDuf··	·.. $.701.18.·•

\)	.	.	.•... ·	.	·!:))cC}"'C''"'

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Fund	'	.,	GL.._'_..,..,..QC_·-------

'  her. .#.. ,...,,.,.  ,.,_.,
Amount not paid by due date may be assessed a late payment charge and an additional deposit.

Log in to tecoaccount.com
to view and pay your bill, manage your account and more!

•

Know what'sbelow.
Call before youdig.

Help us avoid service interruptions
Call 811 two lull business  days before your project to have utility lines marked for  free, Utility lines can easily be damaged by planting trees, installing  fences, etc, Avoid potential  service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday, Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

  Lt.. TECO.
TAMPA ELECTRIC
.,	ANEMERA CCJMPANV

TRIPLE CREEK COD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

WAYS TO PAV YOUR BILL

-	i81

mail	phone  online	pay agent
---·-----·---------,_-,_, .,, . ---
See reverse side for more informfltlon

Account: 211005282127

Current month's charges:	$701.18	
Total amount due:	$701.18	
Payment Due By:	08/07/2018	
Amount Enclosed	$--	----
651362979236

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

6513829792362110052821270000000701180	Page 1 of4

i-a::4TECC>.

ACCOUNT INVOICE

"61/r	TAMPA ELECTRIC
..	ANe:Me:RA COMPANY

tampaelectric.com I f "I <p 8•!Mli in

Account:	211005282127	
Statement Date:	07/17/2018	
Current month's charges due	08/07/2018	

Details of Charges - Service from 06/09/2018 to 07/08/2018

Service for: 11920 STREAMBED DR, CLBHS, RIVERVIEW, FL 33579-9315	Rate Schedule: General Service Demand - Standard

"0  '

l

I•'
I

Meter

Number	Read Date	Reading	Reading	Total Used	Multiplier		
L08008	07/08/2018	26,593	18,246	8,347 kWh	1	30 Days	
L08008	07/08/2018	18.29	0	18.29 kW		30 Days	

Basic Service Charge Demand Charge Energy Charge

Current	Previous	=

18 kW @$10.25000/kW
8,347 kWh @ $0.01754/kWh

$33.24
$184.50
$146.41

Billing Period

Tampa Electric Usage History
Kilowatt-Hours Per Day
(Average)

27B

aUL
"""'""	27B

Capacity Charge	18 kW @ $0.20000/kW	$3.60	
Energy Conservation Charge	18 kW @ $0.87000/kW	$15.66	

Fuel Charge

8,347 kWh @ $0.03132/kWh

$261.43

"""""

241

Environmental Cost Recovery	
8,347 kWh @ $0.00342/kWh	
$28.55	""'"'	'"24''
'51
"av	246	
Florida Gross Receipt Tex		$17.27	oo;	
Electric Service Cost
Other Fees and Charges	$690.66	'""''
u
2017	
Electric Late Payment Fee	$10.52		
Total Other Fees and Charges	$10.52
----------	Billing Demand
(Kilowatts)	
Total Current Month's Charges	$701.18		

"'262

Load Factor

,Jr

(Percentage)
U     -----•3.3 ao.14
""'

Page 3 of4

266
301
200
2'1

1B
1B

ta:.TECC>.
--	•	TAMPA ELECTRIC
ANEM£RA GOMF'ANY

ACCOUNT INVOICE

	tampaelectric.com  I	f	'P 8• I	in	
	
Statement Date: 07/17/2018		
	Account: 221003469352		
TRIPLE CREEK CDD
13427 DORADO SHORES AVE	
Current month's charges:	
$306.71	
RIVERVIEW, FL 33579	Total amount due:	$306.71	
	Payment Due By:	08/07/2018	

.m.

Yo1Jr Account Summary··•
PrevioUs,:AmoU.nt Due.... ·
'. Pay,nent(s) ReceivedSinceLas!St;,\en\ent
··Current Month's Charges

$368.35
-$36M5
 	$306.71 

Access your account anytime, anywhere from any device

Total Aillount tiu	'. $ 06'.7.1

,;,

i•

I	Jateli,ec:g,lilZZetta&GQ,,,Ile.	·.. . .·.•. ..•·.,.
.. 0/Mappr.WJ I >	Date_..	..
oate ter.ed ...........--..--_,,;,.........,,.,,..,....,.,--
Fun(f	GL	oc·_'..,   ..;c..,.,.
Amount not paid by due q te'!}IJY f;p assessed a late payment charge and an ad t o - I eposit.

r.necK""	--------
Help us avoid service interruptions

-

-·

Log in to tecoaccount.com
to view and pay your bill, manage your account and more!

Knowwllat'S below.
Call befvre ,oudig.

Call 811 two full business days before  your project to have utility lines marked for  free. Utility lines can  easily be damaged by planting trees, installing fences, etc. Avoid potential service interruptions  for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric.com/callbeforeyoudlg.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

ta:.TECC>.
--	•	TAMPA ELECTRIC
ANEME:RA COMF'ANV

WAYS TO PAY YOUR EULL

•t. 	181

mail	phone onllne	pay agent
See reverse side for more informetion

Account: 221003469352

Current month's charges:	$306.71
Total amount due:	$306.71
Payment Dtie By:	08/07/2018

..· Amount Enclosed	$ 	
627926203174

00004070 02 AB 0.40 33625 FTEC0107171823303610 00000 05 01000000 007 06 32745 004
11111' I' 1I1·11111III·1111111111h11hI·1·1I· 1 111111h11·I1·11u    I
TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

6279262031742210034693520000000306715	Page 1 of4

bC:..TECO.
..,, ·	TAMPA ELECTRIC
.,	ANl,;MltRA  COMPANY	ACCOUNT INVOICE
tampaelectric.com   / f  '#  'P 8•	in

Account:
Statement Date:
Current month's charges due

221003469352
07/17/2018
08/07/2018

Details of Charges - Service from 06/12/2018 to 07/12/2018

Service for: 13427 DORADO SHORES AVE, RIVERVIEW, FL 33579

Meter Location: WELL

Rate Schedule: General Service - Non Demand

Number	Raad Date	Reading	Reading	Total Used	Multiplier	Billing Peri	
C55877	07112/2018	12,390	9,452	2,938 kWh	1	31 Days	

Meter

Current

Previous	=	od

Basic Service Charge		$19,94		
Energy Charge	2,938 kWh @ $0.06184/kWh	$181,69		
Fuel Charge	2,938 kWh @$0.03132/kWh	$92.02		
Florida Gross Receipt Tax
Electric Service Cost		$7.53	
$301.18	
othar Fees and Charges				
Electric Late Payment Fee		$5.53		
Total Other Fees and Charges			$5.53	
Total Current Month's Charges			$306.71	

Tampa Electric Usage History
Kilowatt-Hours Per Day (Average)

me
'fil
MAY

13

M"A'R

" 114
60

144

Page 3 of4

Triple Creek CDD
TECO Meter Reading 007/12/18-08/09/18 Due 09/05/18

 	Account		Billing Date	Service Address	Code	    Amount		
211005281400	8/15/2018	Triple Creek Tract D	001-53100-4307	$	722.14	
211005281640	8/15/2018	Triple Creek Tract A	001-53100-4307	$	1,318.92	
211005281160	8/15/2018	Balm Riverview/Trpl Crk PHI	001-53100-4307	$	766.38	
211005282317	8/15/2018	Triple Creek BL PH2	001-53100-4707	$	1,352 .15	
211005282515	8/15/2018	Triple Creek PH 2	001-53100-4707	$	2,102.31	
211005282705	8/15/2018	Triple Creek PH C	001-53100-4707	$	722.25	
211005280915	8/15/2018	12198 Triple Creek Bl Pmp	001-53100-4301	$	147.91	
211005280683	8/15/2018	12141 Triple Creek Bl Pmp	001-53100-4301	$	54.47	
211005281889	8/15/2018	12113 Triple Creek BL	001-53100-4301	$	50.93	
221002207761	8/15/2018	13315 Dorado Shores Ave	001-53100-4301	$	151.94	
211005282127	8/15/2018	11920 Streambed Dr CLBHS	001-53100-4304	$	721.74	
221003469352	8/15/2018	13427 Dorado Shores Ave	001-53100-4301	$	105.29	
			TOTAL	$	8,216.43	
			
Summary		
		General Service	1-53100-4307	$	6,984.15	
			1-53100-4301	$	510.54	
			1-53100-4304	$	721.74	
				$	8,216.43	

.-  - •·,·,-·-·-      .- ···· · ···-., -.' ·····'···  ,  , '   ---- -•• -r-   - ...-

TAMF"A ELECTRIC
AN EMERA COMPANY

ACCOUNT INVOICE
tampaelectric.com I	f "I 'P 8• I in

Statement Date: 08/15/2018 Account: 211005281400

TRIPLE CREEK CDD		
TRIPLE CREEK TRACT D	Current month's charges:	$722.14	
RIVERVIEW. FL 33579-0000	Total amount due:	$722,14	
	Payment Due By:	09/05/2018	

Y<>1Jr.Acci>1.1 tS1,1mmary
P_re_Viou. _-,Am:d'.u nt dQ \t;;:_
•.·· Pelyment(s) Rece11 /jj i ce L_astf.taternent

Current MQrilh's i:;;J eil·.'	'
T taJ .ii unt.l:> e.

.	'' '
$72;;,Jg
-$72219
·'$722.1 ,--

More perks. Less clutter.

to be entered to win an iPad!*

*LefJffl more about the henefits anc/ view the tirawing terms and conditions at tecosupport.comlpaper/essbl/llng.

Amo.uni not paid by due date may be assessed a fate payment charge and an additional depoSJ°t.

Know what'sbelow.
Call befure youdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for free, Utility lines  can easily be  damaged by planting trees, installing fences, etc. Avoid potential service interruptions for you ancl your neighbors. Digging on Saturday? Call 811 by Wednesday, Visit sunshine811.com or tampaelectric.com/callbeforeyoudig,

To ensure prompt credit, please return stub portion of this bill with your payment. Make checl<s payable to TECO.

t	a i.:.TECC>.
"""' TAMF"A ELECTRIC

WAYS TO PAY YOUR BILL

..,,,,.,-.J •

0.
.-	•01

Account: 211005281400

month's

Current

charges:	$722.14

Due By:

Payment

..	ANEMERA COMPANY	mail	phone

online	pay aqent

Total amount due:	$722.14

See reverse side for more information

09/05/2018

I.

....,
,I.,•

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

Amount Enclosed	$.  -: 		_
679778034469

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

679778034469211□□52814□□□□□□□□□ 7 22144	Page 1 of5

...  .a.	,_'-'
TAMPA ELECTRIC
ANEME:RA  COMPANY	ACCOUNT INVOICE
tampaelectric.com   I f	rp S•	in

Account:
Statement Date:
Current month's charges due

211005281400
08/15/2018
09/05/2018

Details of Charges - Service from 07/12/2018 to 08/09/2018
Service for: TRIPLE CREEK TRACT D, RIVERVIEW, FL 33579-0000	Rate Schedule: Lighting Service Lighting Service Items LS-1 (Bright Choices) for 29 days
Lighting Energy Charge	944  kWh @ $0.03207/kWh	$30.27

Fixture & Maintenance Charge

23 Fixtures

$320.26

Lighting Pole/ Wire	23 Poles	$340.86		
Lighting Fuel Charge	944 kWh @ $0.03095/kWh	$29.22		
Florida Gross Receipt Tax		$1.53		
Franchise Fee		$0.00		
Lighting Charges			$722.14	
Total Current Month's Charges			$722.14	

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric lo provide electricity to its customers was Natural Gas & Oil* 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.com/rates.

Paga 3 of 5

....... .. .L:."-"'--'·
.TAMPA ELECTRIC
..	ANEMERA t □MP A N Y

!

TRIPLE CREEK CDD TRIPLE CREEK TRACT A RIVERVIEW, FL 33579-0000

Your Account Summary
P_re ioU5-:Am9 nt Du_(I. ,,., ..  =	..                ···-..	.•

ACCOUNT INVOICE
tampaelectric.com I	f	tp 8• I in

Statement Date: 08/15/2018 Account: 211005281640

Current month's charges:	$1,318.92
Total amount due:	$1,318.92
Payment Due By:	09/05/2018

More perks.

$·1,318,85 .'•

Payment(s) Received inceLast Statement .

o e

Current Morttt/s Charges. . .	.
···fotal A o1.16f

'.$1,318.85
 	$1.318.92' 
: $ ,318;92

(

Less clutter.

Amount not paid by due date may be assessed a late paymant charge and an additional deposit.

to be entered to win an iPad!*

*Learn more about the henetits and view /he drawing terms
and condiflom;. at tecosupport. camlpaper/essbi/fing.

Knowwllat'sbelOW,
Call before youdig.

Help us avoid service interruptions
Call 811 two full business days before  your  project  to have utility lines marked for  free. Utility lines can easily be damaged by planting trees, installing  fences, etc. Avoid potential  service  Interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or
tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO,

f.-a-L:. TECO.
TAMPA ELECTRIC

WAYS TO PAV YOUR BILL
•	•--0181

Account: 211005281640

Current month's charges:

..	ANEM!tAA CdMPANY

mail	phone anline	pay agent
See reverse side for more information

$1,318.92

$1,318.92

Total amount due:

Payment Due By:		09/05/2018 Amount  Enclosed	 679778034470

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6797780344702110052816400000001318925	Page 1 of5

TAMPA ELECTRIC

_._ ..a...:....'-...il '--""·
ANEMEl'iA   C:CIMPANV	ACCOUNT INVOICE
tampaelectric.com I f ,i, <p 3• I in

,"',''t..

Account:
Statement Date:
Current month's charges due

211005281640
08/15/2018
09/05/2018

Details of Charges - Service from 07/12/2018 to 08/09/2018

SeNice for: TRIPLE CREEK TRACT A, RIVERVIEW, FL 33579-0000

Lighting Service Items LS-1 (Bright Choices) for 29 days	Rate Schedule: Lighting Service	
Lighting Energy Charge	1818 kWh @ $0.03207/kWh	$58.30	
Fixture & Maintenance Charge	42 Fixtures	$578.97	
Lighting Pole /Wire	42 Poles	$622.44	
Lighting Fuel Charge	1818 kWh @$0.03095/kWh	$56.27	
Florida Gross Receipt Tax	$2.94	
Franchise Fee	$0.00	
Lighting Charges	$1,318.92	
Total Current Month's Charges	$1,318.92	

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide electricity to its customers was Natural Gas & 011• 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information lo our customers on a quarterly basis.
•0;1 makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service
Commission·aspartof·anadjustmentmarking the·completionofthe firstphase·ofTampa·Electric'sfour-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.com/rates.

Page 3 of5

TAMPA ELECTRIC
ANE:ME:RA C:ClMF'ANY

TRIPLE CREEK CDD

	BALM RIVERVIEW TRPL CRK PH1	Curtent month's charges:	$766.38	
	RIVERVIEW, FL 33579-0000	Total amount due:	$766.38	
!,<!		Payment Due By:	09105/2018	

I

ACCOUNT INVOICE
tampaelectric.com  I	f "JI <p 8• I in

Statement Date: 08/15/2018 Account: 211005281160

Your Accou_nt Surrunary
Previous Amount'Due·,
Payment(s)-Received Sihc.e·LasfStatemen_t

Curren!Month's Charges
.	TotalAmounib e>-

$766.38 '$766;38 '',
 	.	$766.38
·_.. $766..38'

More perks. Less clutter.

to be entered to win an iPad!*

*Learn more about /he benefits and view the drawing lerms and conditions Ht tecosupport.comlp8perlessbll!lng.

Knowwt1arsbelow.
Gall before youdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for free. Utility lines   can easily be damaged by planting trees, installing fences, etc. Avoid potential service  interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric,com/callbeforeyoudig.

To ensure prumpt credit, please return stub portion of this bill with your payment. Make checl<s payable to TECO.

!.-a:4TECC>.
TAMPA ELECTRIC
.,	ANEMERA C:l:IMPANY

WAYS TO PAY YOUR BILL

•t.	crl81

mail	phone online	pay agent
See reverse side for more information

Account: 211005281160

Current month's charges:	$766.38
Total amount due:	$766.38
Payment Due By:	09/05/2018
Amount Enclosed	$--   -----
679778034468

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

679778034468211□□ 528116 □□□□□□□□766382	Page 1 of5

TAMPA ELECTRIC

- ----·
ANEME:RA   t::OMF'ANY	ACCOUNT INVOICE
tampaelectric.com    I f	'P 8• I in

Account:
Statement Date:
Current month's charges due

211005281160
08/15/2018
09/05/2018

Details of Charges - Service from 07/1212018 to 08/09/2018

Service for: BALM RIVERVIEW TRPL CRK PH1, RIVERVIEW, FL 33579-0000

Lighting Service Items LS-1 (Bright Choices) for 29 days	Rate Schedule: Lighting Service	
Lighting Energy Charge	1890 kWh @ $0.03207/kWh	$60.61	
Fixture & Maintenance Charge	18 Fixtures	$213,66	
Lighting Pale/ Wire	18 Poles	$430,56	
Lighting Fuel Charge	1890 kWh @ $0.03095/kWh	$58.50	
Florida Gross Receipt Tax	$3.05	
Franchise Fee	$0.00	
Lighting Charges	$766.38	
Total Current Month's Charges	$766.38	

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage offuel type used by Tampa Electric to provide electricity to its customers was Natural Gas & Oil* 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will refiect slightly higher rates approved by the Florida Public Service
· Commission as part of an adjustment marking the completiorrof the first phase of Tampa Electric's four0  phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.com/rates.

Page 3 of 5

TAMPA ELECTRIC
AN EMe:RA COMPANY

ACCOUNT INVOICE
tampaelectric.com  I	f !I tp 8• t/l!i in

!Ill

TRIPLE CREEK COD TRIPLE CREEK BLVD PH2 RIVERVIEW, FL 33579-0000

Statement Date: 08/15/2018 Account: 211005282317

,•··  '	. ,'      ,·    '.	··.. -·	.

Current month's charges:	$1,352.15	
Total amount due:	$1,352.15	
Payment Due By:	09/05/2018	

Your Ai:counfSummary
.Pre_Vi_ouSA(:1.0 rt._Due	·.	...	.	:-.	,· .

Payme t(s) Rectliv d Since Last Statement

$t,352:38
,$1,352,38

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Curn,ntMoilth's Cl)arges	$1.352.15
Total'Ambont [) ,	.	$.1,3ti2.1$
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*Learn more about /he llenefi/s :m<i view l/1ri drawing terms and coniJ//fons al tecosupport.com/paperfessbllflng.

Amount not paid by due date may be assessed a late payment chsrge and an sdditiana/ deposit.

Know What's below.
Gall before youdig.

Help us avoid service interruptions
Call 811 two full business  days before  your project to  have utility lines marked for  free. Utility lines can easily be  damaged by planting trees. installing  fences, etc. Avoid potential service  interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or
tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make ctiecks payable to TECO.

i.-:aL:.. TECO.
lflr	TAMPA ELECTRIC
.,.	ANEMl!:RA COMPANY

WAYS TO PAY YOUR BILL

-	18\

mail	phone  online	pay agent
See reverse side for more mformation

Account:211005282317

Current month's charges:
Total amount due:	$1,352.15
$1,352.15	
l>ayment Due By:	09/05/2018	
Arilount Enclosed	$-----   --
679778034473

TRIPLE CREEK COD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA. FL 33631-3318

6797780344732110052823170000001352153	Page 1 of 5

TAMPA ELE:CTRID
AN EMER.A □CIMP A N Y	ACCOUNT INVOICE
tampaelectric.com  I f	IP S·ti in

Account:
Statement Date:
Current month's charges due

211005282317
08/15/2018
09/05/2018

Details of Charges - Service from 07/12/2018 to 08/09/2018

Service for: TRIPLE CREEK BLVD PH2, RIVERVIEW, FL 33579-0000

Lighting Service Items LS-1 (Bright Choices) for 29 days	Rate Schedule: Lighting Service	
Lighting Energy Charge	2775 kWh @ $0.03207/kWh	$88.99	
Fixture & Maintenance Charge	46 Fixtures	$431.27	
Lighting Pole/ Wile	31 Poles	$741.52	
Lighting Fuel Charge	2775 kWh @ $0.03095/kWh	$85.89	
Florida Gross Receipt Tex	$4.48	
Franchise Fas	$0.00	
Lighting Charges	$1,352.15	
Total Current Month's Charges	$1,352.15	

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide electricity to its customers was Natural Gas & Oil* 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's fo ur0 phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs, Learn more at tampaelectric.com/rates.

PagB 3 af5

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TAMPA ELECTRIC
AN!!:MERA C::CJMPANY

TRIPLE CREEK CDD TRIPLE CRK PH2 RIVERVIEW, FL 33579-0000

ACCOUNT INVOICE
tampaelectric.com I	f '# Ii)8• dl!, in

Statement Date: 08/15/2018

Current month's charges:	$2,102.31	
Total amount due:	$2,102.31	
Payment Due By:	09/05/2018	

Account: 211005282515

YourAd;ount Summary

o e

Previou$ Am,ountDUe	.·;. ,.. _,.- .: _-_:. _-- _ ._ .·..· Payrn t( iReceivecl Since:La$1Staternent . Current.Month's Charges
..:rota, Arnou t

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,···  1ateeoter o ..;.a""·•'·,,.;..;. .;;._;;..;,;;;_ -',­

$2,102jo
-$2,.102:30"
$2.102.31.

More perks. Less clutter.

to be entered to win an iPad!*

,unc1---'...._·;;..;GL, ...c'  	de·.... ._c,.

"Learn more about /he l)eneflts and view tile drawing /erms

mid conditions at tecosupport. com/paper/essbil/lng.

Know what's below.
Call before youdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric,com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

-	,181

WAYS TO PAY YOUR BILL	Account: 211005282515

mail	phone  online	pay agent
See reverse side for mare information

Current month's charges:	$2,102.31
Total amount due:	$2,102.31
Payment Due By:	09/05/2018
Amciun!Enclosed	$	--- -
679778034474

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6797780344742110052825150000002102315	Page 1 of5

............. .. 	.. .
TAMPA ELECTRIC
ANli:ME A CCJMF'ANY	ACCOUNT INVOICE
tampaelectric.com   / f YI 'P 8•i!l!i in
Account:	211005282515
Statement Date:	08/15/2018
Current month's charges due  09/05/2018

Details of Charges - Service from 07/12/2018 to 08/09/2018

Service for: TRIPLE CRK PH2, RIVERVIEW, FL 33579-0000

Lighting Service Items LS-1 (Bright Choices) for 29 days	Rate Schedule: Lighting Service	
Lighting Energy Charge	1861 kWh @ $0.03207/kWh	$59.68	
Fixture & Maintenance Charge	67 Fixtures	$989.08	
Lighting Pole I Wire	67 Poles	$992.94	
Lighting Fuel Charge	1861 kWh @$0.03095/kWh	$57.60	
Florida Gross Receipt Tax	$3.01	

Franchise Fee
Lighting Charges

$0.00

$2,102.31

Total Current Month's Charges	$2,102.31

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide electricity to its customers was Natural Gas & Oil• 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information to our customers on a quarterly basis.
•oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service
··Commission as part ofan adjustment markingthecomple!ronofthe·first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.comlrates.

Paga 3 of5

L:.,,..........	,
TAMPA ELECTRIC
ANEMEAA COMPANY

TRIPLE CREEK CDD TRIPLE CRK, PH C RIVERVIEW, FL 33579-0000

ACCOUNT INVOICE
tampaelectric.com I	f 'JI r;:, g,I in

Current month's charges:	$722.25	
Total amount due:	$722.25	
Payment Due By:	09/05/2018	

Statement Date: 08/15/2018 Account: 211005282705

'  P'reyio_ s·ArrJo nt 9 e_'. _. .  ..  . 	, _	_-  .
Payment(s) .Received Since,Last Statement
CurrenfMonth's•Ch11i'ges

TotalAnfou11tD e

$722.24·
0$722.24
,$722.25

More perks. Less clutter.

to be entered to win an iPad!*

Learn more about the benef//s ancJ view /he (irawing terms
and conditions Bl tecasupport.comlpeper/essbllflng.

Know what's below.
Call before you dig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free, Utility lines  can easily be damaged by planting trees, installing  fences, etc. Avoid potential service interruptions for you and your neighbors, Digging on Saturday? Call 811 by Wednesday, Visit sunshine811.com or
tampaelectric.com/callbeforeyoudig,

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

t C k..,TECO.
 		TAMPA ELECTRIC
ANEMERA C:CIMF'ANY

WAYS TO PAY YOUR BILL

•	t. •,0181

mail	pt1one onllne	pay agent
See reverse side for more information

Account: 211005282705

Current month's charges:	$722.25
Total amount due:	$722.25
Payment Due By:	09/05/2018

Amount Enclos d
679778034475

$_ -----

TRIPLE CREEK COD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P,0, BOX 31318
TAMPA, FL 33631-3318

6797780344752110052827050000000722258	Page 1 of5

TAMPA ELECTRIC

ANEMERA  t:::OMPANY	ACCOUNT INVOICE
tampaelectric.com   I f !II rp g, I in

Account:
Statement Date:
Current month's charges due

211005282705
08/15/2018
09/05/2018

Details of Charges - Service from 07/12/2018 to 08/09/2018

Service for: TRIPLE CRK, PH C, RIVERVIEW, FL 33579-0000	Rate Schedule: Lighting Service

Lighting Service Items LS-1 (Bright Choices) for 29 days
Lighting Energy Charge	975  kWh @ $0.03207/kWh	$31.27

Fixture & Maintenance Charge

23 Fixtures

$318.36

Lighting Pole/ Wire	23 Poles	$340.86		
Lighting Fuel Charge	975 kWh @ $0.03095/kWh	$30.18		
Florida Gross Receipt Tax		$1.58		
Franchise Fee		$0,00		
Lighting Charges			$722.25	
Total Current Month's Charges			$722.25	

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide electricity to its customers was Natural Gas & Oil* 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part ofan adjustment marking the completion of the first phase ofTampaElectric's four0  phase plan to build 600 megawatts of solar generation, Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.comlrates.

Page 3 of5

.I. .I:'... "-"·
TAMPA ELECTRIC
AN1!:ME:RA COMPANY

TRIPLE CREEK COD
12198 TRIPLE CREEK BL RIVERVIEW, FL 33579-0000

.	Your Accourit$ultlmary ·

ACCOUNT INVOICE
tampaelectric.com I	f '# <i) 8• I in

Statement Date: 08/15/2018
Account: 211005280915

Current month's charges:	$147.91	
Total amount due:	$147.91	
Payment Due By:	09/05/2018	

to be entered to win an iPad!*

PreviOus ArnOunt:Oue;	.	$246,74	
Payment(s) Received !,Ince.Last State111 (1t	,$248.74	
Current Month's (lharges	 	. $147,91 	
l"<>tal A.fu tint D.u	$147.91	

More perks. Less clutter.

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"urid_  (/ ,._  /GL·	·.  <oc·;.,;.,·• -
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Amount not paid by due date mey be assessed a late payment charge and an additional deposit.

*Learn more nboul the /Jene/its 0nd view the drawing rerms
Bild conditions at tecosupport.camlpaper/essbl/f/11g.

Know what's below.
C&II befoie vuudig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free. Utility lines can easily be damaged by planting trees. installing fences. etc. Avoid potential service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment Make checks payable to TECO,

4a.TECC>.
-	.,,	TAMPA ELECTRIC
AN EMEF;IA CClMPANY

WAYS TO PAY YOUR BILL

frl81

mail	phone  online	pay agent
See reverse side for more informal/on

Account: 211005280915

Current month's charges:	$147.91
Total amount due:	$147.91
Payment Due By:	09/05/2018

Amount Enclosed
679778034467

$ ------

TRIPLE CREEK COD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

679778034467211□□528□915□□□□□□□147914	Page 1 of5

-	-::""I.	...	.c:.."'---..,... .,,,
TAMPA ELECTRIC
AH!::Mi!:Fil'A  CCJMPANY	ACCOUNT INVOICE
tampaelectric.com   I f W 11) 8• I in

Account:	211005280915	
Statement Date:	08/15/2018	
Current month's charges due	09/05/2018	

Details of Charges - Service from 07/13/2018 to 08/10/2018

Service for: 12198 TRIPLE CREEK BL. RIVERVIEW. fl 33579-0000	Rate Schedule: General Service .. Non Demand

Number		Reeding	Reading	Total Used	Multiplier	Billing Peri	
C16598	08/10/2018	87,627	86,293	1,334 kWh		29 Days	

Meter

Read Date

Current

Previous	od

Tampa Electric Usage History

Basic Service Charge		$19.94		Kilowatt-Hours	
Energy Charge	1,334 kWh @$0.06184/kWh	$82.49		(Average)	
Fuel Charge	1,334 kWh @$0.03132/kWh	$41.78			
Florida Gross Receipt Tax		$3,70		JCC	77	
Electric Service Cost			$147.91	   ""		
Total Current Month's Charges			$147.91	M"M'' 	78
,".",	75

Per Day

..

tMi-4e
Jc,

..109

       OEC	1&1 

70

   'o"c,' 	169
SEP-64

211

    ,co		108
2017

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide electricity to its customers was NaturalGas&OiI• 73%, CoaT21% and Purchased Power 6%. Tampa Electric:: provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.com/rates.

Page 3 of5

TAMPA ELEDTRIC
ANEMe:'.RA COMPANY

ACCOUNT INVOICE

tampaelectric.com I	f 'IJ 'i> g, i	in	

Statement Date: 08/15/2018 Account: 211005280683		
Current month's charges:	$54.47	
Tatal amount due:	$54.47	
Payment Due By:	09/05/2018	

TRIPLE CREEK CDD
12141 TRIPLE CREEK BL RIVERVIEW, FL 33579-0000

•

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1

YoJrAccountSummary
teVlous',1',rnoo_n,t_DUlf	·,	i.:..: ._.,. _ ::
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Payment($) Received Sine LastSia_tement
. '    ''	.	'

_ , Curre_nt Mo_nt_h's Charg ., -
Tota.I J.l.mounfDu

<$183,96 .!
-$1a;l ge •
 	$54.47 
$54,47

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Amount not paid by due date    r,rJr,s as:,.,.psymenl charge anii anadditiOnai d;posi-t.

to be entered to win an iPad!*

*tec1rn morn about the benefl/s and view the drawing terms
and conditions Dt teco$upport,com/paperlessbi/llng.

1<noww11arsbelow.
Cell before vuudig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free. Utility lines can easily be damaged by planting trees, installing fences. etc. Avoid potential service Interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or
tampaeleclric,comlcallbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

i.-a:4TECC>.
.II/IIT J//11111 TAMPA ELEDTRIC
..	AN!'::MERA C□MP AN Y

TRIPLE CREEK COD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

WAYS TO PAY YOUR BILL

•rvl8i

mail	phone  online	pay agent
See reverse side for more information

Account:211005280683

Current month's charges:	$54.47	
Total amount due:	$54.47	
Payment Due By:	09/05/2018	

Amount Enclosed
679778034466

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

$- -----

679778034466211 □□ 528□68 3□□□□□□□□ 5447□

Page 1 of5

... .a...:..'---"'---""·
TAMPA ELECTRIC:
AN!!:MERA  C::CIMPANY	ACCOUNT INVOICE
tampaelectric.com  I f 'JI 'PS• il!li in

Account:	211005280683	
Statement Date:	08/15/2018	
Current month's charges due	09/05/2018	

Details of Charges - Service from 07/13/2018 to 08/10/2018

Service for: 12141 TRIPLE CREEK BL, RIVERVIEW, FL 33579-0000	Rate Schedule: General Service Non Demand

Meter Number
C21063

Read Date

08/10/2018

Current
Reading
53,925

Previous
Reading
53,569

=	Total Used
356 kWh

Multiplier

Billing Period

29 Days

Basic Service Charge Energy Charge

356 kWh @$0.06184/kWh

$19.94
$22.02

Tampa Electric Usage History
Kilowatt-Hours Per Day
(Average)

Fuel Charge

356 kWh @ $0.03132/kWh

$11.15

   t i-12	

Florida Gross Receipt Tax
Electric Service Cost

$1.36
 	$54.47

     ,uc		55
   """		44
A"" PR-17  "
M.1111-13

Total Current Month's Charges

$54.47	FEB-14
      D"E'"C	"  ,., 

"OC'"T 11113	"
SEP  l 0.4
AUG 1D.3
W17

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide
······eIectiicitYki its customers·was Nafurar Gas & rnI·13%,Coar21% arid PurcnasedPowei 6%. Tampa Electric provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.comlrates.

Page 3 of 5

TAMPA ELECTRIC
ANEMERA C:□ M F"A N Y

ACCOUNT INVOICE
tampaelectric.com I	f"	tp 8• ti in

,,.,
.:1
i:1

YoufAccount  Sum'1'!ary PreViol.Js.;.C, mo·u(lt_ DUE! .	. _ Payment(s)ReCeived s[nce Last Staia(llent· ·
Currel)t Month's Charges

$5526
-$55,26''
 	$50.93' 

Statement Date: 08/15/2018 Account: 211005281889

to be entered to win an iPad!*

TRIPLE CREEK CDD		
12113 TRIPLE CREEK BL	Current month's charges:	$50.93	
RIVERVIEW, FL 33579-0000	Total amount due:	$50.93	
	Payment Due By:	09/05/2018	

More perks. Less clutter.

Total Ani6 nt D ·e ·	S!i0.93

.,

,,

G .........-'..,...,.....,.,

.....JateK e..ri1LLit Ll cr•Gu! .·11 1
.... 1J/Manpr0Va.r	Date
lateeote.r, ...;:,··••···:....';.;.;•··.•....·· ..:...-- : 0--C'._ •_,·p-­	

.	Fund.:'.-	   J31.·_•·:·...·.  · 	,;..

Amount not paid by due date may be assessed a late payment charge and an additional deposit.

•Learn more abm1/ the benefits anc1 view the drawing terms and condltion:s Ht tecosupportoomlpaper/essbff//ng.

Knowwharsbelow.
Callbefore JOU dig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free. Utility lines  can easily be damaged by planting trees, installing  fences, etc. Avoid potential service Interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

   4TECC>.
ii/Ill/IT 11111/11 TAM	PA	E    LE	CTR.IC

WAYS To PAY YOUR BILL

.A.,-.J • 0 •
.,.	&roll

Account: 211005281889

.,	AN EMe::RA COMPANY	mail	phone

onllne	pay agent

See reverse side for more information

Current month's charges:	$50.93	
Total amount due:	$50.93	
Payment Due By:	09/05/2018	

Amount Enclosed·
679778034471

$---- ---

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

6797780344712110052818890000000050934	Page 1 of 5

.C.. '--'-
TA M PA ELECTRIC
ANEMERA  t::t:IMF'ANY	ACCOUNT INVOICE
tampaelectric.com  I f W <p 8• I in

;i',;

Account:	211005281889
Statement Date:	08/15/2018
Current month's charges due  09/05/2018

Details of Charges - Service from 07/13/2018 to 08/10/2018

Service for: 12113 TRIPLE CREEK BL, RIVERVIEW, FL 33579-0000	Rate Schedule: General Service • Non Demand

Number	Read Date	Reading	Reading	Total Used	Multiplier	Billing Peri	
1<23530	08/10/2018	38,650	38,331	319 kWh	1	29 Days	

Meter

Current

Previous	=	od

Tampa Electric Usaga History

Beslc Service Charge		$19.94	
Energy Charge	319 kWh @$0.06184/kWh	$19.73	
Fuel Charge	319 kWh @$0.03132/kWh	$9.99	
Florida Gross Receipt Tex		$1.27	
Electric Service Cost	 			

Kilowatt Hours Per Day (Average)

11

AUG
   ",u"c	    10	
""	12
$50.93	13
""	14

Total Current Month's Charges

MAR	16

""

19

$50.93	""'	18
OEC	18
,o,	17

"'

occ	10
16
AOO	16
2017

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide
.	elec:tric::itY to its customers was Natural Gas & Oil* 73%, Coal 21% a11dPi.frcihased Power 6%. Tampa Elec:tric provides this information to our customers on a quarterly basis.
*Oil makes up Jess than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel oasis. Learn more at tampaelectric.com/rates.

Page 3 of5

.I. r..."-" '-..JI'.
TAMPA ELECTRIC
ANl!:Me:RA C:OMF'ANY

ACCOUNT INVOICE
tampaelectric.com  I	f 'llf I)) 8• i1!!i in

TRIPLE CREEK CDD	Statement Date:08/15/2018 Account:221002207761		
13315 DORADO SHORES AVE	Current month's charges:	$151.94	
RIVERVIEW, FL 33579	Total amount due:	$151.94	
	Payment Due By:	09/05/2018	

. '	'	.	'	.

, Your Accoimt Summary
'Previou$_Amount D - ·..  .:··	..·
P ymentM Receiyed Since Last.Statement
Cu.rreni Month.'s·charges
.··• T ta'tAfuount Du .

$89:01

-$89,07
 	,' ·,, •· $151.94

More perks. Less clutter.

· ·•·. ate1  ec9 d1!3 eit /  (i0:,1fi'q J...·:;.·.;,....f...,...,,..,.,;,;,.
J/Mapprova1	...·...	. .	·.oate.  ;;>e-,',.;   .

/=ond.·._·

1ateeriter.ed..:.·.:.::...·  ...;;.;..;+
-,-,,,.,..>,..,.>Gt..'...,......._...()t.,",-,,·	, 	

± c	-+

.--.:.-.>.·-,: .......:
heek# ..........
Amount not paid by due date may be assessed a late payment charge and an additional deposit.

to be entered to win an iPad!•

*Learn more 8tm11/ tile henefils and view the cirawing terms and conditions at tecosupport.comlpEJper/essbllllng,

Know what's below.
Call before,uudlg.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for  free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshine811.com or tampaelectric.com/callbeforeyoudig.

 	,,81

Current month's charges:

i.-a:l:.TECO.

$151.94

$151.94

To ensure prompt credit, please return stub portion of this bill with your payment. Mal<e checks payable ta TECO.
•t.

J/1111 TAMPA ELECTRIC

Total amount due:

.,	ANEMER.A COMPANY

WAYS TO PAV YOUR BILL
mail	phone  online	pay agent
See reverse side for more information

Account: 221002207761
Payment Due By:	09/05/2018

. Amount Enclosed
646444728266

$ 	---

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

646444728266221 □□2207761□□□□□□□151949	Page 1 of 5

... .L...,j "---"""'
TAMPA ELECTRIC
ANEME.RA  t:OMF'ANY	ACCOUNT INVOICE
tampaeleclric.com    I f,,	'P 8+iii!, in

Account:	221002207761	
Statement Date:	08/15/2018	
Current month's charges due	09/05/2018	

Details of Charges - Service from 07/13/2018 to 08/09/2018

Service for: 13315 DORADO SHORES AVE, RIVERVIEW, FL 33579

Rate Schedule: General Service ..Non Demand

Number	Read Date	Reading	Reading	Total Used	Multiplier	Billing Peri	
C55855	08/09/2018	5,434	4,175	1,259 kWh		28 Days	

Meter

Current

Previous
od

Basic Service Charge Energy Charge
Fuel Charge
Florida Gross Receipt Tax Electric Service Cost State Tax
Total Electric Cost, Local Fees and Taxes

1,259 kWh @ $0.06184/kWh
1,259 kWh @$0.03132/kWh

$19.94
$77.86
$39.43
$3.52
$140.75
$11.19

$151.94

Tampa Electric Usage History
Kilowatt-Hours Per Day (Average)

45

       AOG	
2016
J'"'UN-14   "
MAY-10
APR-10
  """'-"'	'		,., 

Total Current Month's Charges

D"'"EG-4	"

NOV-4

$151.94	OCT I 0,2
 		S£P 0

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage offuel type used by Tampa Electric to provide elecfricity·to its·cusfomers was NaturalGas&·Off*73%,·coaI·21% and.Purcnasecf Power 6%.·Tampa· Electric ··
provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will refiect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings lo customers in the form of lower fuel costs. Learn more at tampaelectric.com/rates.

Page 3 of 5

TAMPA ELECTRIC
ANEMERA COMF'AN'I'

ACCOUNT INVOICE
tampaelectric.com I	f 'f/1 tp 8• JI in

TRIPLE CREEK CDD
11920 STREAMBED DR, CLBHS RIVERVIEW, FL 33579-9315

Statement Date: 08/15/2018 Account: 211005282127

. Your Accoi.111t .Summary .
Pr¢vibus: ·mo mt D e·.   . ··.	....._:-.:_:.  . :·  ._ Payrnent(s1 eceived Sinc .Last St;aternent

Ct1rrent Montil'!i Charges ·
Total A!llo nt.bue.

Current month's charges:	$721.74	
Total amount due:	$721.74	
Payment Due By:	09/05/2018	

.$7Qt18
-$701:18

 	.    $721.74 

More perks. Less clutter.

to be entered to win an iPad!*

·· me nee;1,1 (lil:Z,(jtla•91tv•,,•>,n,;,·_._,....:.....
l/M Prir.ov 1.>,...--..;.,,·..< bate._··_
.··,iiateentereo.···..	_.. 	
· .. <=Jn·11.,·.·.........-;-,;.··Gt.·;.;,·.·.·-'-·'-'--"""i oc._..,_,. 	

·· 'hP.P. ff··• 7,--,,,-,,....,,,.	,,_,.., 	, 

-'-'--,'-:-,

•Learn more about the benell/.<;; ami view /he drtiw/11g terms
f.Jfld condf!ions at tecosupport.com/paper/essbf/flng.

Amount not paid by due date mey be assessed a late payment charge and an additional deposit.

Knowwhat'sbelOW,
Gall before youdig.

Help us avoid service interruptions
Call 811 two full business days before your project to have utility lines marked for free. Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential service interruptions for you and your neighbors. Digging on Saturday? Call 811 by Wednesday. Visit sunshlne811.com or tampaelectric.com/callbeforeyoudig.

•t.

To ensure prompt credit, please return stub portion of this bill with your payment. Make checl<s payable to TECO,

i.-C-:4 TECO.

WAYS TO PAY YOUR BILL

Account: 211005282127

.,,	"""' TAMPA ELEC:TRIC
.,	AN EME:RA COMF'ANY

mail	phone

...4rv1•0o1•1

$721.74

$721.74

Total amount due:

Current month's charges:

onllne	pay agent

See reverse side for more information

Payment Due By:	09/05/2018

Amount Enclosed	$ 		-	-
7□344   72778

TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

MAIL PAYMENT TO: TECO
P.O. BOX 31318
TAMPA, FL 33631-3318

6797780344722110052821270000000721742	Page 1 of8

TAMPA ELECTRIC

ANEMEi,:iA  C:OMF"ANY	ACCOUNT INVOICE
tampaelectric.com  I f W,'PS• ii in
Account:	211005282127
Statement Date:	08/15/2018
Current month's charges due  09/05/2018

Details of Charges - Service from 07/09/2018 to 08/08/2018

Service for: 11920 STREAMBED DR, CLBHS, RIVERVIEW, FL 33579-9315	Rate Schedule: General Service Demand .. Standard

Meter	Read Date	Current	Previous	=	Total Used	Billing Period	
Number
L08008	
08/08/2018	Reading
35,520	Reading
26,593	
8,927 kWh	Multiplier
1	
31 Days	
L08008	08/08/2018	17.9	0	17.9kW		31 Days	

Tampa Electric Usage History

Basic Service Charge		$33.24	
Demand Charge	18 kW @$10.25000/kW	$184.50	
Energy Charge	8,927 kWh @$0.01754/kWh	$156.58	
Fuel Charge	8,927 kWh @$0.03132/kWh	$279.59	
Capacity Charge	18 kW @ $0.20000/kW	$3.60	
Energy Conservation Charge	18 kW @ $0.87000/kW	$15.66	
Environmental Cost Recovery	8,927 kWh @$0.00342/kWh	$30.53	
Florida Gross Receipt Tax		$18.04	

Kilowatt-Hours Per Day
(Average)

,uo
2018

"""

""'
MAY
""

2"78'
241 "'
241

""''

""''"-------2352'2

Electric Service Cost

Total Current Month's Charges

"''
00,

"'

 	$721.74
,00
$721.74	""

"2"'1'

--------,01

246

2'6

--------,oo

Billing Demand

'

(Kilowatts)

'""

1B
,00	17
2017

Load Factor
(Percentage)
'20"18'
'20"17'

.61.02
71.08

Page 3 of6

   TAMPA ELECTRIC
ANEMERA C:CJMPAN'Y

ACCOUNT INVOICE
tampaelectric.com  I	f ,I tp g,illll in

TRIPLE CREEK CDD	Statement Date: 08/15/2018 Account:221003469352		
13427 DORADO SHORES AVE	Current month's charges:	$105.2	
RIVERVIEW, FL 33579	Total amount due:	$105.2	
	Payment Due By:	09/05/201	

YQU -,.ccount Sunimary .
P_reyioos_:J\. :o nt-Du_e· _. -.· / ;--/··:·:_-:'",: -_...:: ·-::,_:·i-. _.
Payment(s) Receive;U,ince Lm;t Statement

i:ill .·•·•·•····•·•·•··

•currentMc,nth;s.Cha(iles·  ·	·
rotaiA1T1ounr	
I•

.$30671.
-iioe.11 '
 	.	$10!;. 9
.. $105'.29 ..

More perks. Less clutter.

.

.

,.,	Date :-···

!

I	,iit J td.'""""',,J - ;Ti..
.	01N1'pprvali.
Jateeiifertlqi	,.,_,,,-- -..c··.        -   ,:},·•
· tuna	er ,	··	Oc,~..., t	)
11 &. k	-- L, ,_,	_   --·

to be entered to win an iPad!•

*Learn more about /he henefits and view the drawing terms and condff/ons at tecosupport.comlpaparlessbl/f/ng.

Amount not paid by due dste may be assessed e late payment charge and an add11ional daposit.

Know what's below.
Call before youdig.

Help us avoid service interruptions
Call 811 two full business days before your project  to have utility lines marked for  free.  Utility lines can easily be damaged by planting trees, installing fences, etc. Avoid potential  service  Interruptions for you and your neighbors. Digging on Saturday? Call 811 bY Wednesday. Visitsunshine811.com or
tampaelectric.com/callbeforeyoudig.

09/05/2018

$105.29
$105.29

Payment Due By:

Total amount due:

Current month's charges:

To ensure prompt credit, please return stub portion of this bill with your payment. Make checks payable to TECO.

.i C L:..TECC>.
.	TAMPA ELECTRIC

WAYS TO PAY YOUR BILL
....,1£-JW•oo•ll

Account:221003469352

ANEMERA CCIMPANY

mail	phone

online	pay i,gent

-    	

See reverse side for more information

00003694 02 AV 0.37 33ll25 FTECO10817181406371D 00000 05 01000000 016 05 23403 006
11111•·1·,1 •1•1·11· 11·11111111·IIr111·1·rn·11·111111I··11•11,11
TRIPLE CREEK CDD
12750 CITRUS PARK LN, STE 115
TAMPA, FL 33625-3784

Amount Enclosed	
625457088350

MAIL PAYMENT TO: TECO
P.O. BOX 31318 TAMPA, FL 33631-3318

6254570883502210034693520000000105293	Page 1 af5

.I.  .c:.."'---'-..I,
TAMPA  E L.ECTRI□
ANEME'.RA   COMPANY	ACCOUNT INVOICE
tampaelectric.com  I f 'I rp 8• d!i, in
Account:	221003469352
Statement Date:	08/15/2018
Current month's charges due  09/05/2018

Details of Charges - Service from 07/13/2018 to 08/10/2018

Service for: 13427 DORADO SHORES AVE, RIVERVIEW, FL 33579

Rate Schedule: General Service - Non Demand

Meter Location: WELL

Number	Read Date	Reading	Reading	Total Used	Multiplier	Billing Peri	
C55877	08/10/2018	13,278	12,390	888 kWh	1	29 Days	

Metar

Currant

Previous	=	od

Basic SeNice Charge		$19.94	
Energy Charge	888 kWh @ $0.06184/kWh	$54,91	
Fuel Charge	888 kWh @$0.03132/kWh	$27.81	
Florida Gross Receipt Tax		$2.63	

Tampa Electric Usage History

t-31

Kilowatt-Hours Per Day (Average)

Electric Service Cost

 	$105.29

,

""

'""''.,

96	,.
60

Total Current Month's Charges	$105.29

Important Messages
Fuel sources we use to serve you
For the 12-month period ending June 2018, the percentage of fuel type used by Tampa Electric to provide electricity lo its customers was Natural Gas & Oil* 73%, Coal 21% and Purchased Power 6%. Tampa Electric provides this information to our customers on a quarterly basis.
*Oil makes up less than 1%

Important information about your rates
Effective September 2018, your bill will reflect slightly higher rates approved by the Florida Public Service Commission as part of an adjustment marking the completion of the first phase of Tampa Electric's four-phase plan to build 600 megawatts of solar generation. Over their lifetimes, the solar generation projects will provide savings to customers in the form of lower fuel costs. Learn more at tampaelectric.com/rates.

Page 3 of5

ADVERTISING INVOICE

Times Publishing Company
P.O. Box 175
St. Petersburg, FL 33731-0175 Toll Free Phone: 1 (877) 321-7355 Fed Tax ID 59-0482470
AD SALES HOURS
M • TH 7:30 • 6:30
FRI 7:30-5:30
CUSTOMER SERVICE HOURS M·F 8:00 - 5:00

PAYMENT DUE UPON RECEIPT

O!a1n1T1a llay litammpabaey.cosm
Times Publishing Company
P.O. Box 175
St. Petersburg, FL 33731-0175 Toll Free Phone: 1 {877) 321-7355
ADVERTISING INVOICE	DO NOT SEND CASH BY MAIL
PLEASE MAKE CHECK PAYABLE TO: TIMES PUBLISHING COMPANY

Thank you for your business

TRIPLE CREEK COD
ATTN: RIZZETTA & COMPANY -AP 12750 CITRUS PARK LANE STE 115
TAMPA, FL 33625

REMIT TO:

TAMPA BAY TIMES
DEPT 3396
P.O. BOX 123396 DALLAS, TX 75312-3396

10010702100000000066952610080000152000000000000000000000000000000000000000000002

Tampa Bay Times
Published Daily
STATE OF FLORIDA	} ss
COUNTY OF Hillsborough County

Before the undersigned authority personally appeared Jill Harrison who on oath says that he/she is Legal Clerk of the Tampa Bay Times a daily newspaper printed in St. Petersburg, in Pinellas County, Florida; that the attached copy of advertisement, being a Legal Notice in the matter RE: Regular BOS was published in Tampa Bay Times: 8/10/18. in said newspaper in the issues of Tampa Tribune Southeast

Affiant further says the said Tampa Bay Times is a newspaper published in Hillsborough County, Florida and that the said newspa­ per has heretofore been continuously published in said Hillsborough County, Florida, each day and has been entered as a second class mail matter at the post office in said Hillsborough County, Florida for a period of one year next preceding the first publication of the attached

copy of advertisement, and affiant further says that he/she neither paid not promised any person, firm or corporation any discow.1t, re­ bate, commission or refund for the purpose of securing this advertise­ ment for publicatipn in the said newspaper

Type of identification produced 	_

LEGAL NOTICE

NOTICE OF PUBLIC MEETING TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
The Board of Supervisors of the Triple Creek Community Development District will hold a regular meeting on Tuesday, August 21, 2018 at 10:00 a.m., at the offices of Rizzetta & Company, Inc. located at 9428 Camden Field Parkway, Riverview, FL 33578. The purpose of the meeting is to : consider organizational matters related to the District and any other business which may properly come before.it.
The meeting will be open to the public and will be conducted in accordance with the provisions of Florida law for community development districts. The meeting may be. continued in progress without additional published notice to a time, date and location stated on the record at the meeting.
A copy of the agenda may be obtained at the office of the District Manager, Rizzetta & Company, lnc., located at 9428 Camden Field Parkway, Riverview, FL 33578, (813) 533-2950, during normal business hours.
There may be occasions when one or more Supervisors will participate by telephone.
Pursuant to provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this meeting is asked to advise the District Office at least forty-eight (48) hours before the meeting by contacting the District Manager at (813) 533-2950. If you are hearing or speech impaired, please contact the Florida Relay Service at 7-1-1, who can aid you in contacting the District Office.
A person who decides to appeal any decision made at the meeting with respect to any matter considered at the meeting is advised that person will need a record of the proceedings and that accordingly, the person may need to ensure that a verbatim record of the proceedings is made including the testimony and evidence upon which the appeal is to be based.

Triple Creek Community Development District Christine Perkins, District Manager
8/10/18
66952&-1

'

:

Notary PubHc State of Florida
RYAN LANGFORD
My Commission GG 165971
Expires 12/0612021

Vanguard Cleaning Systems of Tampa Bay
12108 North 56th St. Suite 8
Tampa, FL. 33617
Tampa, FL 33617

Triple Creek CDD

	Date	Invoice#	
	8/1/2018	79117	
	P.O. No.	Due Date	
		8/31/2018	
Description	i	Qty	Rate	Amount	
August (8/1/2018 - 8/31/2018I) )M]o:nthlyllSiervice - May - September 3 days of service per week	@	JIWJ m:
J U L ;J   l 2018
BY: ..............   ......  .......
Jalb rtt:;L u flllltlllo OI vu., Oil.,. 		.= =- 1/Mapproval .  Ce	 FUG i2a4  2t018 Jate entered	 		-·--  'f7g_{_p
uncLJ1QJ_	Gl  .-5B00 OC
' hP.r.l.< -H
·  ·· ·· •--  -  -  ·- ··"	·-·- •-	- r<- ·	1	345.00	345.00T	
	
Subtotal	$345.00	
Phone#	I
. E-mail	

813-849-6500 ext.207	
I	Sales Tax (0.0%)	$0.00	
			Total	
$345.00	

3434 Cowl  e 11 Ave. S.mte 200
Tampa, Fl 33614

Invoice

ALPerkins@vanguardcleaning.com

Tab 3

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT SERIES 2017AB CONSTRUCTION REQUISITION RECAP FOR BOARD RATIFICATION OCTOBER 16, 2018

REQUISITION NO.	

PAYEE	

AMOUNT	

SUBACCOUNT	
316-B	AquaWorx	$32,876.00	General B	
317-B	Basham & Lucas Design Group, Inc.	$9,644.32	General B	
318-B	Egis Insurance	$1,546.44	General B	
319-B	Hillsborough County Public Utilities	$39,382.50	General B	
320-B	Atlantic TNG, LLC	$53,216.00	General B	
321-B	Basham & Lucas Design Group, Inc.	$11,900.00	General B	
322-B	Genesis Group	$25,046.33	General B	
323-B	Hopping Green & Sams	$1,617.50	General B	
324-B	TC Venture 1, LLC	$52,021.50	General B	
325-B	CRS Building Corporation	$621.986.40	General B	

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

DISTRICT OFFICE · 9428 CAMDEN FIELD PARKWAY · RIVERVIEW, FLORIDA 33578
August 28, 2018

Thomas J. Radicioni
THE BANK OF NEW YORK TRUST COMPANY, N.A.
10161 Centurion Parkway
Jacksonville, FL 32256

RE:	Special Assessment Bonds, Series 2017AB Requisitions for Payment

Dear Thomas:

Below please find a table detailing the enclosed requisition(s) ready for payment from the Districts Acquisition/Construction Trust Account.

PLEASE EXPEDITE PAYMENT TO THE PAYEE(S) AS FOLLOWS:

EGIS VIA USPS
ALL OTHERS VIA UPS

REQUISITION NO.	
PAYEE	
AMOUNT	
SUBACCOUNT	
316-B	AquaWorx	$32,876.00	General B	
317-B	Basham & Lucas Design Group, Inc.	$9,644.32	General B	
318-B	Egis Insurance	$1,546.44	General B	

If you have any questions regarding this request, please do not hesitate to call me at (813) 533-2950. Thank you for your prompt attention to this matter.

Sincerely,
TRIPLE CREEK
COMMUNITY DEVELOPMENT DISTRICT

Christine Perkins District Manager

RIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT SPECIAL ASSESSMENT BONDS
SERI ES 20 J78

The unders igned, a Responsible Officer of Triple Creek Community Development District (the " District'') he reby subm its the following requisition for disbu rsement under and pursu ant to the tem1sof the Master Trust Inden tur e dated as of Jun e I, 2012 from the Districl to The Bank of New York Mellon Trust, N.A., as trustee (the "Trustee"), as supp le me nted by the Second Supp lemental Trust Indenture dated as ofFebrUazy I, 2017 (the ''Indentur e"), (all capitalized tenns used herein shall have the meaning ascribed to such term in the Indentu re):

August 241 2018

Requisition Num ber: CR3 l li-B

Name of Payee: AquaWorks
10601 Oak St. NE
St.. Petersburg, Ji'L 33716

Amoun! Payabl e: $32,876.00

Purpose for which paid or incurred (refer also to spec ific contract if amoun t is due and payable pursuant to a contract involving progress payments, or, state Costs of Iss uance, if applicable ): Invoicc # 3888 for 40% Down Payment on Interactive Playsct

Fund or Account: from which disbursement to be made: 2017B Acquisiti on and Construction ACC(lunt

The unde rsi gned hereby certifies that:
obligations in lhe sta ted amount set forth above have been incurred by th e District, or
this requisition is for Costs oflssuance payable from the Acquisition and Construction Fund that have not previously been paid;

each disbursement set forth above is a proper charge against the Acquis ition and Construction Fund;

each disb ursement set forth above was incurred in connection with the acquisition and/or construction of the Project;
each disbursement represents a Cost of the Project which has not previously been paid.
The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien. or at1achment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simu l taneously with the payment he reof.
The undersigned hereby further certifies that such requisition contains no item rep rese nt ing payment on account of any retained percentage Which th e Ofstrict is at the date of such certificate entitle d to retain,
Attache d hereto are originals of th e i nvoice(s)from the vendor of the property acquired or the services rendered with respec t to which disbursement is hereby requested.
TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

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.By:

CONSULTING ENGINEER'S APPROVAL FOR
NON-COST OF ISSUANCE  REQUESTS ONLY

If this requisi tion is for a disbursement from other than Costs of Issuance, the und ersigned Consulting Engineer he reby certifies that thi s d is bursement is for a Cost of the Project and is conslste,it with: (i) lhc applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project wi1h respect lo which such disbursement is being made; and (iiO the report of the Consulting Engineer, as such report s hall have been ame nded or modified on the dale hereof.

/C	onsu lting Engineer

Sales Order

10601 Oak St NE
St Petersburg, FL 33716
Phone: 727-329-8845 or 888-426-8511
Fax: 727-289-7126	Date	S.O. No.	Delivery Date	
	8/20/2018	3888	8/20/2018	
	Terms	Rep	P.O. No.	
	40% dep, bal....	BH		
Name / Address		Ship To	
Triple Creek Community Development Distri 12750 Citrus Park Lane
Suite 115
Tampa, Florida 33625			
Customer Contact	Customer Phone	Customer Fax	Job	Eng	
			TRIPLE CREEK		
Quantity	Item	Description	Price	Amount	
1

1

1	IWF - Custom

Miscellaneous Delivery	IWF - Custom Interactive playset with racing slide,(2)aqua cannons,misting leaf, rainfall,(2)dumping buckets, aqua jelly deck sprays,ada compliant steps, post modern canopy.(SEE RENDERING FOR DETAIL AND COLORS)

Less 40% DEPOSIT

PLEASE PROVIDE TAX EXEPT FORM	81,840.00

-32,876.00

350.00	81,840.00T

-32,876.00T

350.00T	
PLEASE RETURN SIGNED QUOTE FOR ORDER CONFIRMATION.	Subtotal	$49,314.00	
Signature	...		
	Sales Tax (0.0%)	$0.00	
Ownership of all materials listed on this invoice shall be vested in the seller, Aquaworx Inc until said materials are fully paid for. AquaWorx adds a 3% service fee to credit or debit card payments. If this invoice has to be collected through an attorney then purchaser agrees to pay all reasonable costs for the making of the collection. Venue will be in St Petersburg FL. Sellers liability is limited to buyers purchase price of the materials. Cancellations or returns are not accepted without prior authorization in writing.
Notice of Commencement must accompany orders. Please Fax back to 727-289-7126.		
	Total	$49,314.00	

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
SPECIAL ASSESSMENT BONDS SERJES 2017B

The undersigned, a Responsible Officer of Triple Creek Community Development District (the "D is trict") hereby submits the following requ isition for disbursement under and pursuant to the tenns of the Master Trust I nde nture dated as of June 1, 2012 from the District to The Bank of New York Mellon Trust, N.A., as trus tee (the "Trustee"), as supplemented by the Second Supplemental Trust Indenture dated tis ofFebrµary I, 2017 (the ''Indentur e"), (all capitalized terms used herein shaJI have the meaning ascribed to such term in the Ind entu re):

August 24, 2018

{A)	Requisition Number: CR317-B

Name of Payee: Bnsham & Lucas Design Group, Inc.
7645 Gate Parkway Suite 201 Jacksonville , FL 32256

Amount Payable: $9,644.32

Purpose fot which  paid' or incurred  (refer also to specific contract. if   amount  is due and payable pursuant  to  a contract involving progress payments, or, state Costs of Iss uance, if applicable): Invoice# 7543 for Pr1>ject # 17-85

Fund or Account from which disbursement to be made: 2017B Acq.i isition and Constructi on
Account

The undcrSigned hereby certifies that:
I.	obligationsin the stated amount set forth above have been incurred by the bistricl, or
this requisition is for Costs ofissuance payable from the Acquisition and Construct.ion Fund that have not previously been
paid;

each disbursement sot forth above is a proper charge against the Acquisition and Construction F und;

each disbursement set forth above was incurred in connection with the acquisition and/or construction of the Project;

each disbursement represents a Cost oflhe Project which has not previoulsy been paid.

The und ersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien , right lo lien, or attachment upon, or claim affecting the righ! to receive payment of. any of the moneys payable lo lhe Payee set forth above., which hes no1 bmm rele ased or will not be released simu ltaneously wilh the payment hereof.
The undeisi.gned hereby  further certifies that such requisition contains 1:10  item representing  payment on account  of any retained
percentage which the District is at. the date of such certificate entitled to retain.
Attached hereto are original$ of the i1woice(s) frorp the vendor of the property acquired or the services rendered with respect to whic h disbursement is hereby requested.

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/	\ 

l'iUPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

By   :

CONSULTING ENGINEER'S APPROVAL FOR NON•COST OF ISSUANCE REQUESTS ONLY
If this requisition ls for a disbursement from other than Costs or Issuance, the underSigned Consulting Engineer here by certifies that this disbursement ls for II Cost of the Project and is consistent wilh: (i) the applicable acquisition or construction con tract; (ii) the plans and specifications for the portion of the Project with respect lo which such dis bursement is being made; and (iii) the report of 1he Consulti ng Engineer , as such report shall hav e been amended or modified on !he date hereo f.

,e?.';'sultin g Engineer

Invoice

DATE	INVOICE #	
8/17/2018	7543	

BILL TO

7645 Gate Parkway Suite 201
Jacksonville, FL 32256

Triple Creek CDD
C/O Rizzetta & Company Attn: Joe Roethke
3434 Colwell Ave #200
Tampa, FL 33614

(904) 731-2323

www.bashamlucas.com

PROJECT	Exibit "B" Amenity Construction #17-85	
CONTRACT SERVICES	CONTRACT	TO DATE	Total %	AMOUNT DUE	
Part 1: Contractor Pre-qualification and Bid Process Part 2: Shop Drawings Review for the Amenity Center:Hourly at $100.00 per hr(Not to exceed
$20,000) (2hr) GWB Submittal	(6hrs) Site Furnishing Submittal (1hr) Site Furnishing Submittal 2 (1hr) WInd Calculation Submittal (5hrs) Swimming Pool Revised Submittal (3hrs) Flooring Submittal (3hrs) Sports Court Submittal (1hr) Acoustical Ceiling Submittal (3hrs) Storefront/Window Submittal (1hr) Wood trim/Bracket Submittal (1hr) Swimming Pool Main Drain Submittal
Part 3: Construction Administration: Hourly at
$100.00 per hr(not to exceed $15,000) (2hrs)
ASI-01 Shutter Supplemental Details (2hrs) ASI-02 Barn Door Supplemental Details (2hrs) Shade Structure layout Option Exhibit (2hrs) RestroomFixture coordination Exhibit (1hr) Steel Anchor (1hr) Steel saddle plate coordination (3hrs) Party Pavilion Alternate Coordination (1hr) Pay App #3 review and coordinate (2hrs) Pool Play Structure alternate coordination (1hr) Entry Beam Coordination (2hr) Floor Tile Coordination
Total Reimbursable Expenses: All expenses such as printing cost, postage, reproduction cost, travel expenses etc., shall be billed at direct cost plus  15% or the current mileage rate allowed by Federal Government- 1008 Miles for 3 site visits on 7/20, 8/3 and 8/17 @$.54 a mile	3,200.00
20,000.00

15,000.00	3,200.00
7,000.00

6,000.00	100.00%
48.50%

52.67%	0.00
2,700.00

1,900.00

5,044.32	
We look forward to working with you!	TOTAL	$9,644.32	

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT SPECIAL ASSESSMENT BONDS
SERIES 2017B

1111: undersigned, a Responsible Officer of Triple Creek Community Development Disirict (the "D is trict" ) hereby subm its the following requlsition for disbursement under and pursuant 10 the terms of the Master Trust I nde ntur e dated as of June 1, 2012 from the District to The Bank ofNew York Mellon Trust, N.A., as trustee (tho "Trus tee"), as supplemented by the Second Supp lemenral Trust Indenture dated

as of February, I
August 24, 20l8

2017 (the " Ind entu re"), (all capitalized tenns used herein shall have the meaning ascribed to such tenn in the I ndenture):

Requisition Number: CR318-11

Name of Payee: Egis Insurance Advisors, LLC
ockbox 234021
PO Box84021
hicago, IL 60689-4002

Amount Payable: $1,546.44
Purpose for which paid or incurred (refer also to s pecific contract if amou nt is due and payable pursuant to a contract involvil\g progress payments, or, state Costs ofissuanc:e, if applicable): Invoice # 7468 for Wamrnty Bond

Fund or Account from which disbursement to be made: 20J 7B Acquisition and Construcl ion
Account

The un dersigned hereby certifies that:
I .	obligations in the staled amount set forth above have been incurred by the District, or
this requisition is for Costs of Iss uance payable from the Acqui sitfon and Constructi on Fund that have not previously been
paid;

, e achdisbursement set forth above is a proper charge aga[nst the Acquisition and Const.ruction Fund;

each disbursement set forth above was incu rred in connection with the acquisition and/or construct ion of the Project;

each disbursement represents a Cost of the Project which has not previously been paid.

Tht: undernigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to li en, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof
The undersigned hereby further certifies that such requisition contains no i1ern representing payment on account of any retained peroentage which the Dis trict is at lhe date of such certificate entit led to retain.
Attached hereto are originals of the invoice(s) from the vendor of the property acquired or theservices rendered with respect to which
disbursement is hereby requested.
TRJPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

By:

-	.	'Z  	. .   J,	,;z   /   =',

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

l f this requisition is for a disbursement from other than Costs of Jssuan,ce the undersigned Consulting Engineer hereby certifies that this

disbursement is for a Cost of the Project and is consis te nt \Vilh: (i) the applicable acqui sition or construction contrac;t (ii) the plans and specificaticns for the portion of the Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such repon shall have been amended or modified on the date hereof.

Triple Creek Community Development District c/o Rizzetta & Company
9428 Camden Field Parkway Riverview, FL 33578

INVOICE

Customer

Acct #	Triple Creek Community Development District
503	
Date	08/17/2018	
Customer
Service	
Kristina Rudez	
Page	1 of 1	

Payment Information	
Invoice Summary	$	1,546.44	
Payment Amount		
Payment for:	Invoice#7468	
67045	
Thank You

Please detach and return with payment

Customer: Triple Creek Community Development District

Invoice	Effective	Transaction	Description	Amount	

7468	

10/09/2018	

New business	Policy #67045 10/09/2018-10/09/2020
American Southern Insurance Company
Bond - New business Due Date: 9/24/2018	

1,546.44	
	Total	
	$	1,546.44	
	Thank You	
FOR PAYMENTS SENT OVERNIGHT :
Egis Insurance Advisors LLC, Fifth Third Wholesale Lockbox, Lockbox #234021, 4900 W. 95th St Oaklawn, IL 60453		

Remit Payment To: Egis Insurance Advisors, LLC	(321)320-7665 Lockbox 234021 PO Box 84021
Chicago, IL 60689-4002	cbitner@egisadvisors.com	Date	
	08/17/2018	

WARRANTY BOND

Bond 67045 KNOW  ALL  MEN  BY  THESE  PRESENTS,  That  we TRIPLE CREEK CDD	called the
Prin cipal  a nd    AMERICAN  SOUTHERN INSURANCE  COMPANY	called  the Surety, are  held and

firm ly bound  un to  the  BOARD OF  COUNTY  COMMISSIONERS  OF  HILLSBOROUGH COUNTY,

FLORIDA, in the sum of THIRTY EIGHT THOUSAND, SIX HUNDRED SIXTY ONE AND 00/100

($38,661.00) Dolla rs fo r the payment of which we bind ourselves, our heirs, exec utors, administ rators, and succ ess ors, jointly and severally, firmly by these presents.
WHEREAS, the Board of County Commiss ioners of Hillsborough Coun ty has established

subdi vision regulatio ns pursuant  to  autho rity  in  Chapter  163  and  Chapt er  177 ,  Florida  Statutes,  and Hill s borough Co unty Land Developm ent Code, as amended, Ordinance 92-05, which regulations are by reference, hereby, inco rporated into and made a part of this Warranty Bond; and
WHEREAS, these subdivision reg ulations affect the subdivis io n of land with in the unincorporated areas of Hillsborough Count y; and
WHEREAS, the Principal has made the  request that the  Board of County Co mmiss io ners  of  Hills borough Count y accept the improvement facilities ( roads, drainage, wa ter  and  wastewate r)  for main tenance in the approved platted subdivision kno wn as TRIPLE CREEK SUBDIVISION -
AMENITY CENTER ; and

WHEREAS, the a forementio ned subdi vision reg ula tion s require as a condition of acce ptance of the imp roveme nt faciliti es ( roads, draina ge, wate r and wastewater) that the Principal provide to the Board of Co unty Commiss io ners of Hillsborough Co unty a bond warrantin g a ll grading, pa ving and curbing of streets, roads and other rights-of- way, bridges, culverts, gutters, s torm sewers, sanitary se wers, water mains and all o t her necessa ry faciliti es for a defi nite period o f time in an amount prescrib ed by the aforementio ned subdiv ision regulatio ns.

WHEREAS, the Principal , pursuant to the terms of the aforementioned subdivision regulations has entered into a "Subdivider's Agreement for Warranty of the Required Improvements", the terms of which agreement require the Principal to submit an instrument warranting the above-described imp rovements.
WHEREAS, the terms of said Subdivider's Agreement are by reference, hereby, incorporated into

and made a part of this Warranty Bond.

NOW THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH THAT:

rf the Principal shall warrant for a period of two years following the date of acceptance of the roads, drainage, water and wastewater improvement facilities for maintenance by the Board of County Commissioners of Hillsborough County, in the approved platted subdivision known TRIPLE CREEK SUBDIVISION - AMENITY CENTER , against failure, deterioration, or damage resulting from defects in workmanship and/or materials, and ;

If the Principal shall correct within the above described warranty period any such failure, deterioration, or damage existing in the aforementioned improvements so that said improvements thereafter comply with the technical specifications contained in the Subdivision Regulations established by the Board of County Commissioners of Hillsborough County, and;

If the Principal shall faithfully perform the Subdivider's Agreement at the times and in the maimer prescribed in said Agreement;

THEN THIS OBLIGATION SHALL BE NULL AND VOID, OTHERWISE TO REMAIN IN FULL FORCE AND EFFECT UNTIL October 9, 2020.

SIGNED,   SEALED  AND DATED  this	9th	day of---=O---=--ct=o=-be=r 	, 2018 	.

ATTEST:

ATTEST:

g2 	

BY: Triple Creek Community Development District
jL (SEAL)

American Southern Insurance Company SURETY	(SEAL)

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AMERICAN SOUTHERN INSURANCE COMPANY

Home Office: 3715 Northside Parkway, NW
Suite 4-800
Atlanta, Georgia 30327

Mailing Address: P. 0. Box 723030
Atlanta, GA 31139-0030

GENERAL POWER OF ATTORNEY
Know all men by these Presents, that the American Southern Insurance Company had made, constituted and appointed, and by these presents does make, constitute and appoint Stefan E. Tauger of Parker, Colorado; Scott E. Stoltzner of Hoover, Alabama; Arthur S. Johnson of Atlanta, Georgia; Andrew C. Heaner of Atlanta, Georgia; Jeffery L. Booth of Blacklick, Ohio; James E. Feldner of West Lake, Ohio; Patricia E. Martin of Lutz, Florida; David R. Brett of Columbia, South Carolina; Stanley B. Oliver, Jr. of Charlotte, North Carolina; Melanie J. Stokes of Atlanta, Georgia; Jason S. Centrella of
Jacksonville, Florida; Michael K. Thompson of Atlanta, Georgia; Michael J. Brown of Cumming, Georgia; or Kelley E.M. Nys of Decatur, Georgia, EACH as its true and lawful attorney for it and its name, place and stead to execute on behalf of the said company, as surety, bonds, undertakings and contracts of suretyship to be given to all obligees provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount of the sum of $1,000,000 (one million dollars), including but not limited to consents of surety for the release of retained percentages and/or final estimates on construction  contracts  or  similar  authority  requested  by  the  Department  of Transportation, State of Florida;  and the
execution of such undertakings, bonds, recognizances and other surety obligations, in pursuance of the presents, shall be as binding upon the Company as if they had been duly signed by the President and attested by the Secretary of the Company in their own proper persons.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted pursuant to due authorization by the Executive Committee of the Board of Directors of the American Southern Insurance Company on the 26th day of May, 1998:
RESOLVED, that the Chairman, President or any Vice President of the Company be, and that each or any of them hereby is, authorized to execute Powers of Attorney qualifying the attorney named in the given Power of Attorney to execute in behalf of the American Southern Insurance Company bonds, undertakings and all contracts of suretyship; and that any Secretary or any Assistant Secretary be, and that each or any of them hereby is, authorized to attest the execution of any such Power of Attorney, and to attach thereto the seal of the Company.

FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company when so affixed and in the future, with respect to any bond undertaking or contract of suretyship to which it is attached.

In Witness Whereof, the American Southern Insurance Company has caused its official seal to be hereto f.lffix d. and

these presents to be signed by its President and attested by its Corporate Secretary this 3151day of May, 20,1_it'.  1

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Attest:	American Southern Insur	e c§rsi :ffi,	·>:\ {\

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Melonie Coppola, Corpor   -..::::::::::	Scott	. Thompson,   re. i8$)rltp	'.i	:::;
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On this 3111 day of May. 2017, before me personally came Scott G. Thompson to me known, who being by me duly swor:n dl   epQ,;i  aQ• :'a l .-i• he resides in Atlanta, in the County of Fulton, Stale of Georgia, at 421 Hollydale Court; that he Is the President of American Southern (nW,1Jfrti cihipany, the corporation described In and which executed the above instrument;  that he knows the seal of the said corporation:  that the seal affixe&1      the said
instrument is such corporate seal; that It was so affixed and that he signed his name th  reto pursuant to due a	ion.

Candace T. Cheatham, Notary Public, tate of Georgia
State of Georgia	Commission Expires December 7, 2017

I, the undersigned, a Vice President of American Southern Insurance Company, a Kansas Corporation, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and, furthermore, that the Resolution of the Executive Committee of the Board of Directors set forth in the Power of Attorney is now in force.

Signed and sealed at the Q(ty of·At;i

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Power No. 44627

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TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

DISTRICT OFFICE · 9428 CAMDEN FIELD PARKWAY · RIVERVIEW, FLORIDA 33578
September 12, 2018

Thomas J. Radicioni
THE BANK OF NEW YORK TRUST COMPANY, N.A.
10161 Centurion Parkway
Jacksonville, FL 32256

RE:	Special Assessment Bonds, Series 2017AB Requisitions for Payment

Dear Thomas:

Below please find a table detailing the enclosed requisition(s) ready for payment from the Districts Acquisition/Construction Trust Account.

PLEASE EXPEDITE PAYMENT TO THE PAYEE(S) VIA UPS

REQUISITION NO.	
PAYEE	
AMOUNT	
SUBACCOUNT	
319-B	Hillsborough County Public Utilities	$39,382.50	General B	

If you have any questions regarding this request, please do not hesitate to call me at (813) 533-2950. Thank you for your prompt attention to this matter.

Sincerely,
TRIPLE CREEK
COMMUNITY DEVELOPMENT DISTRICT

Christine Perkins District Manager

TRIJ>LE CREEK COMMUNITY DEVELOPMENT DISTRICT SPECIAL ASSESSMENT BONDS
S RIES 2017B

he undersigned, a Responsible Off'icer of Trip le Creek Community Development District (!he "District'') hereby submits the following r-equisition for disbursement under and pursu ant to the terms of the Master Trust Indenture dated as of June 1, 2012 from the District to The Bank of'New Yorl Mellon Trost, N.A., as trustee (the "Trustee"), as supplemented by the Second Supplemental Trust Indentu re dated as of February 1, 2017 (the " Indenture" ), (all capitalized terms used herein sha ll have the meaning ascri bed to such term in U1e Indenture):

September 11, 2018

(A )	Requisition Number: CR319-B

Name of Payee: Hillsborough County Public Utilities
332 N Falkcn bur g Road
Tampa, FL 33619

Amount Payable: $39,382.50

Purpose for which paid or incurred (refer also to speci fic contract if amount is due and payable pursuant to a contract inv olving progress payments, or, state Costs of Issu ance, if applicable); New Connection Fee for SR#IG-0238 Triple Creek Amenity Center

Fund or Account from which dis bursement to be made: 2017.B Aequisilion and Construction
Accounl

The undersigned hereb y certifies thnt:
I .	obligations in the stated amount set forth above have been incurred by the District, or
this requi s ition is for Costs oflssuance payable from the Acquisition and Construction Fund that have not previously been paid;

e.ach disbursement set forth above is n proper charge against the Acquisition and Construction Fund ;

each disbursement set forth above was incurred in c.(Jnnection with the acqui sition and/or construction of the Project;

each disbursement represents a Cost of the Project which has not previously been paid..

The undersigned hereby furthe r certifies tl1a1 there has not been filed with or served upon the District notice of any lien, right to lien , or attachment upon, or claim affecting the righ! to receive payment ot any ofthe moneys payable to the Payee set forth above, which has not bee n released or will not be released simu ltaneously with the payment hereof.
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.
Attached hereto are originals ofthe invoille(s) from the vendor of the property acquired or the services rendered with respect to which disbur-sement is herebyrequested.
TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

By	ChID		,V	/	 Board of Supervisors

CONSULTING ENGINEER'S APPROVAL  FOR
NON -COSTOF ISSUANCE REQUESTS ONLY

 	-<	

If this requisition is for a disbursement from other than Costs ofl ssuance, the undersigned Consulting_ Enginee r hereby certifies that this disbursement is for a Cost of 1hc Project and is oonsis1ent with: (i) the applicable acquisition or construction contract; (ii) the plans and speci ficatiMs for the portion of the Project wlth respect to which such disbursement is being made; and ( iii) the report of the Consulting Engineer, as sLlch report sha ll have been amended or modified on the dare hereof.

_::;..;,t:onsult i ng Engine·e

HILLSBOROUGH COUNTY PUBLIC UTILITIES
New Connection Contract	Date: 10/16/2017

Service Premise Address Information:
Service Address: SR#16-0238 TRIPLE CREEK SUBDIVISION AMENITY CENTER
Folio Number: 077693.0000
SR#: 16-0238
Project Name: TRIPLE CREEK SUBDIVISION AMENITY CENTER

ACCOUNT # 5901186305

TRIPLE CREEK CDD

Date Meter Required:  	
Const Mgr Contact:  	

Impact Fees:	Amount	Credit	Balance Due SR#16-0238 TRIPLE CREEK SUBDIVISION AMENITY CENTER
5901186782	Water Meter Install Charge	250.00		250.00	
5901186344	Deposit Multi-Family/Commercial	1,780.00		1,780.00	
5901186876	Service Setup Fee	25.00		25.00	
5901186593	Water Cut in Tee 12” x 6”	250.00		250.00	
5901186872	Water Capacity Fee	14,577.50		14,577.50	
5901186042	Wastewater Capacity Fee	22,500.00		22,500.00	
			Total Due:	$39,382.50	

TRIPLE CREEK CDD hereby applies for water service and/or wastewater service at the above service premise and agrees to pay therefore in accordance with the rates, rules, ordinances, resolutions, policies and procedures legally in effect and on file with the Board of County Commissioners of Hillsborough County, Florida.

Customer agrees and understands that: (1) the County shall not be liable for damages of any kind whatsoever resulting from water or the use of  water on the above premise unless such damage results directly from negligence on the part of the County, (2) the County shall not be responsible for damage done by or resulting from any defect in the piping, fixtures or appliances on the above premises, (3) to maintain in serviceable condition  all service lines within the boundaries of the above premises at no expense to the County and to be responsible for any loss of water due to leaks or breaks on customer's side of the meter, (4) the County shall not be responsible for negligence of third persons or forces beyond the control of the County resulting in interruption of service, and (5) to furnish and maintain a private cutoff valve on the customer's side of the meter and the County to provide a like valve on the County's side of the meter, (6) bills for water and/or wastewater service will be calculated in accordance with the County's established rate schedule and will be based on the amount of metered water used during the billing period, (7) bills for service are due and payable when rendered, and (8) billing for water and wastewater service will commence on the date of installation of the water meter.

Customer understands that in accordance with Hillsborough County Ordinances and Laws, Chapter 102: (1) water and/or wastewater capacity fees are due and payable prior to the issuance of a certificate of occupancy (CO) or by a date six months after the issuance of the building permit or prior to the end of the fiscal year (September 30) in which the building permit was issued, whichever is the earliest date,
(2) if the property is in a infrastructure assessment unit, builder payments are due and payable prior to issuance of the certificate of occupancy (CO), and (3) all payments received late will be assessed a late payment fee of one percent (1%) per month on the outstanding balance, compounded monthly.

Customer understands that in accordance with Hillsborough County Rate Resolution#05-106: (1) if the average daily flow for the connection during any consecutive 12-month period for water and/or wastewater is greater than the average daily flow for which capacity fees have been paid, an additional capacity fee shall be assessed for the excess flow, (2) if the average daily flow during any consecutive 3-month period for water and/or wastewater is more than 15% greater than the average daily flow for which capacity fees have been paid, an additional capacity fee shall be assessed for the excess flow.	
Customer signature or agent for	(Print name)	Federal Identification/Social Security #	DATE		

October 16, 2017

Hillsborough County Public Utilities Right of Access Authorization Commercial Meters

ACCOUNT NUMBER: 5901186305 ACCOUNT NAME: TRIPLE CREEK CDD
SERVICE ADDRESS: SR#16-0238 TRIPLE CREEK SUBDIVISION AMENITY CENTER FOLIO: 077693.0000
I hereby understand and agree that Hillsborough County employees or authorized agents have the right of access to the property described above for the purposes of reading, testing, maintaining, repairing or replacing any water meter or related device owned by Hillsborough County.

Pursuant to Section 102-29, Hillsborough County Code, if County employees or authorized agents are denied access to the property, this may be grounds for immediate discontinuance of utility service to the property. In addition, in accordance with the provisions of the Utility Rate Resolution additional charges for enforcement or corrective action may result.

(Printed Name of Owner /Agent)	DATE

(Signature of Owner/Agent)

(Title, if corporation or other legal entity)

HILLSBOROUGH COUNTY DEVELOPMENT SERVICES
WATER/WASTEWATER CONNECTION FOR EXISTING PROJECTS

PRELIMINARY
(Review of Service Application, Assignment of P.O.C., and Water/Wastewater Concurrency Verification)

PI#3012
PROJECT NAME Triple Creek Subdivision Amenity Center FOLIO # 77693.0000 SUBMITTED 09/22/16 DISTRIBUTED 09/28/16 DUE 10/26/16        
EOR NAME & PHONE    Kyle Thornton      813-620-4500	 EOR EMAIL ADDRESS:        kthornton@genesisgroup.com	 OWNER NAME & PHONE: Rick Harcrow 904-562-1358	
OWNER EMAIL ADDRESS:      rharcrow@greenpointellc.com	 DRC DATE 11/03/16	SECTION/TOWNSHIP/RANGE 12/31/20     

XX	APPROVED		GRAND OAKS	
	APPROVED WITH CONDITIONS		ON SITE PIPING	
	RESUBMITTAL REQUIRED		OVERLAY DISTRICT / ARCHITECTURAL REVIEW	
	RESUBMITTAL – INSUFFICIENT REVIEW		PROPORTIONATE FAIR SHARE	

CONDITIONS/COMMENTS

PRELIMINARY REVIEW INFORMATION

Utilities Concurrency Approved For: TRIPLE CREEK SUBDIVISION AMENITY CENTER Service Request #: 16-0238
Water Service System: S/C
# ERCs: 11
Water System P.O.C: The water point of connection should be the existing 12” water main located in the east right-of-way of Triple Creek Blvd.
Meter Size for Domestic: 1 ½” (76-100) 549 Fixtures Meter Size for Irrigation: N/A
Water Capacity Fees: WATER DEPT. (3,250 GPD) Wastewater Disposal System: S/C
If Hillsborough County, Plant Name: VALRICO WWTP
# ERCs Approved: 16
Wastewater Service P.O.C.: The wastewater point of connection should be the proposed 8” force main located on Triple Creek Blvd. Extension 1, at the north side of the project site.
Wastewater Capacity Fees: WATER DEPT. (3,250 GPD) Reclaimed Water Service POC: N/A

REVIEWED BY: 	DORIS LOUGHLIN (813) 276-8397	DATE 	10-25-16	

Wet Taps: No Water 12”x6” tee

CONSTRUCTION REVIEW INFORMATION

Line Extensions: Yes Water and Waste water Need B.O.C.C. Acceptance: Yes
Lift Station: Yes Private Meters: Yes Commercial Backflow Inspection: Yes WA/WW DEP s: DOH/EPC
Right of Access Authorization Form for Meter Required: Yes

Line Size & LF: 4” 	 Misc. Notes:

6” 	

8” 	

10” 	

12” 440_

Review By: 		Date: 	

NOTE: PLEASE E-MAIL PGMComments@hillsboroughcounty.org A COPY OF YOUR REVIEW
SITE INTAKE FAX# 307-4443

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

DISTRICT OFFICE · 9428 CAMDEN FIELD PARKWAY · RIVERVIEW, FLORIDA 33578
September 25, 2018

Thomas J. Radicioni
THE BANK OF NEW YORK TRUST COMPANY, N.A.
10161 Centurion Parkway
Jacksonville, FL 32256

RE:	Special Assessment Bonds, Series 2017AB Requisitions for Payment

Dear Thomas:

Below please find a table detailing the enclosed requisition(s) ready for payment from the Districts Acquisition/Construction Trust Account.

PLEASE EXPEDITE PAYMENT TO THE PAYEE(S) AS FOLLOWS:

HOPPING GREEN VIA USPS
ALL OTHERS VIA UPS

REQUISITION NO.	
PAYEE	
AMOUNT	
SUBACCOUNT	
320-B	Atlantic TNG, LLC	$53,216.00	General B	
321-B	Basham & Lucas Design Group, Inc.	$11,900.00	General B	
322-B	Genesis Group	$25,046.33	General B	
323-B	Hopping Green & Sams	$1,617.50	General B	
324-B	TC Venture 1, LLC	$52,021.50	General B	
325-B	CRS Building Corporation	$621,986.40	General B	

If you have any questions regarding this request, please do not hesitate to call me at (813) 533-2950. Thank you for your prompt attention to this matter.

Sincerely,
TRIPLE CREEK
COMMUNITY DEVELOPMENT DISTRICT

Christine Perkins District Manager

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT SPECIAL ASSESSMENT BONDS
SERIES 2017B

The undersigned, a Responsib le Officer of Triple Creek Community Development District (the ''District'' ) hereby submits the following requisition for disburSement under and pursu ant to the terms of the Master Trust Indenture dated as of June I, 2012 from the Distric t to The Bank of New York Mellon Trust, N.A., as truste.e (the "Trustee"), as supplemented by th.e Second Supplemental Trust Indenture dated as of February I, 2017 (the ''Inde nture"), (all capitalized terms used herein shall have the ml.'laning ascribed to suc h term in the Indenture ):

September 19, 2018

Requisition Number: CR320-B

Name of Payee: Atlantic TNG, LLC
1701 Myrtle St reef
Sarasota, FL 34230

Amoun t Payable: $53,216.00

Purpose for which paid or incurred (refer also to specific contract if amoun1 is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicabfo): Various invoice numbers per attached spnadshect for Triple Creek Villages G2, I & J

Fund or Account from which dis bursemen t. to be me.de: 20178 Acquisition and Consfruetion
Account

The undersigned hereby certifies that:
I.	obl igations in the stated amount set forth above have been incurred by the D istrict, or
this requisition is for Costs oflssue.nce payable from the Acquisit.ion and Construction Fund thaf have not previously been paid;

each disbursement set forth above is a proper charge against the Acquisition and Construction Fund;

each disbursement set forth above was incurred in connection wiUi the acquisition and/or construction ofthc Project;

eachdisbursement represents a Cost of the Project which has not previously been paid.

The undersigned he reby further certifies that there has nol been tiled with or served upon the District notice of any lien, right to lien. or attachment upon, or claim aft'ecting the right to receive payment o(, any of the moneys payable to the Payee sel forth above, which has not been released or will not be released si mul taneousl y with the payment hereof.
The undersigned hereby further cert ifies that such requisition contains no i1em representing payment on account of a11y retained percentage which the District is at the daie ofsuch certificate entitled to retain.
Attached hereto are originals of the inv oicc(s) from the vendor of the property acquired or the servic.es rendered With respect to which disbursement is hereby requested.

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

   ,, ..¥6	
Board of Supervisors

CONSULTING ENGINEER ' S APPROVAL FOR
NON-COST OF ISSUANCE  REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, the undersigned Consulling Eng ineer hereby certifies that this disbursement is for a Cost of the Project and is cons istent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbursement is being made ; and (iii) the report of the Consulting
Engineer, as such report shall have been a111ended or modified on the date hereof.

:::::::----eonsulling Engin.eer

:::e:

                       THE	KEARNEY COMPANIES, LLC.
a<. E ft: ..	._.EV'	9625 Wes Kearney Way, Riverview FL 33578
COMPANIIES

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGES G2-I-J CHANGE ORDER NO. 1
THE KEARNEY COMPANIES PROJECT NO. 0038-03
Date:	31-Aug-18

Conditions: The changes described herein shall be governed by the terms and conditions of the Contract, and shall not in any way alter the terms of the Contract, but shall hereafter be a part of the Contract.

INV.NO.	
DESCRIPTION	Invoice Amount	
Sales Tax	TOTAL COST	
			
119654	ATLANTIC TNG 8/6/2018	$	3,489.00			
119655	ATLANTIC TNG 8/6/2018	$	2,894.00			
119681	ATLANTIC TNG 8/7/2018	$	3,235.00			
119705	ATLANTIC TNG 8/8/2018	$	1,981.00			
119708	ATLANTIC TNG 8/8/2018	$	2,664.00			
119746	ATLANTIC TNG 8/10/2018	$	3,704.00			
119798	ATLANTIC TNG 8/7/2018	$	2,234.00			
119801	ATLANTIC TNG 8/16/2018	$ 20,987.00			
119787	ATLANTIC TNG 8/14/2018	$	769.00			
119792	ATLANTICTNG 8/14/2018	$	2,481.00			
119827	ATLANTIC TNG 8/16/2018	$	2,600.00			
119832	ATLANTIC TNG 8/16/2018	$	2,754.00			
119833	ATLANTIC TNG 8/16/2018	$	3,424.00			
	DISCRETIONARY TAX		$	50.00		
		$ 53,216.00	$ 3,242.96	$	56,458.96	

TOTAL		$	(56,458.96)	

The Kearney Companies LLC hereby requests an extension of

- -0 -

day(s) to the original contract deadline for this work.

REASONFORCHANGE:DIRECTPURCHASEOFMATERIALSBYCDD

ACCEPTABLE TO:

DATE:- - -31--Au-g'--1-8

DATE:-

7..c..t./..4...,../- )-f -

Owner

DATE:- - - - - -

0038-03 COl  - CDD Purchase Materials	Page 1 ofl

Attachment 1

PURCHASE REQUISITION REQUEST FORM

I.	Contact Person for the material supplier. NAME:	Megan KitchnerAtlnatic TNG ADDRESS:		P	B x 729 Sarasota FL 34230
TELEPHONE NUMBER:  		"9'-4....1... .-....3....S..'-5"'-_2-  ...9.._8=8,,		_
Manufacturer or brand, model or specification number of the item.

Quantity needed as estimated by CONTRACTOR. --------
The price quoted by the supplier for the construction materials identified above.
$     53,216.00	

The sales tax associated with the price quote. $--3 24-2.9-6

----

Shipping  and  handling  insurance cost. $ 	o.. 	_
Delivery dates as established by CONTRACTOR.	Per Schedule

CIJD & ; , 
Signature (Title)

CONTRACTOR: --T-h-e K-ea-rne-y -Co-mp-an-ies, L-LC----------------

-	ntracts Coordinator
A I	o\.tzed Signature (Title)

 	8/31/2018	
Date

Attachment 2

PURCHASE ORDER

1.	SEE	ATTACHED	PURCHASE	REQUISITION	REQUEST	FORM	
DATED	August 15	, 2018.			

Triple Creek Community Development District State of Florida sales tax exemption certificate number: 85-8013874191C-1

{oo&s.r
{Title)

Triple Creek Community Development District is the Purchaser of the construction materials purchased pursuant to this Purchase Order. Supplier shall provide for the required shipping and handling insurance cost for delivery of the construction materials by the delivery date specified in this Purchase Order.

OWNER:

CONTRACTOR:  	

T_h_e_K_e_a_rn_e""y"'_C_o_m=p--a_n_ie_s_, L_L_C	_

 	8/31/2018	
Date

CERTIFICATE OF ENTITLEMENT

The undersigned authorized representative of Triple Creek Community Development District (hereinafter "Governmental Entity"), Florida Consumer's Certificate of Exemption Number 85-8013874191C-1, affirms that the tangible personal property purchased pursuant to a Purchase Order from   Atlantic TNG    (Vendor) will be
incorporated  into or becom        art   f a public facility as part of a public works contract pursuant to contract dated -
_  _   _   _   _ _ with	/    LC	., (Contractor) for the construction of public infrastructure associated
with Triple Creek Villages G'2, I	J.
Governmental Entity affinns that the purchase of the tangible personal property contained in the attached Purchase Order meets the following exemption requirements contained in Section 212.08(6), F.S., and  Rule  12A-l.094, F.A.C.:

You must initial each of the following requirements.

LJ

- The attached  Purchase Order is issued directly to the vendor supplying  the tangible  personal  property the tot ; c tor will use in the identified public works.
2. The vendor's invoice will be issued directly to Governmental Entity.
j/ f 3. Payment of the vendor's invoice will be made directly by Governmental Entity to the vendor from public funds.
./
,:.. )	4. Governmental Entity will take title to the tangible personal property from the vendor at the time of purchase or of delivery by the vendor.
J,C: ) 5. Governmental Entity assumes the risk of damage or loss at the time of purchase or delivery by the vendor.
Governmental Entity affinns that if the tangible personal property identified in the attached Purchase Order does not qualify for the exemption provided in Section 212.08(6), F.S., and Rule 12A-l.094, F.A.C., Governmental  Entity will be subject to the tax, interest, and penalties due on the tangible personal property purchased. If the Florida Department of Revenue detennines that the tangible personal property purchased tax-exempt by issuing this Certificate does not qualify for the exemption, Governmental Entity will be liable for any tax, penalty, and interest determined to be due.

I understand that if I fraudulently issue this certificate to evade the payment of sales tax I  will be liable for payment
of the sales tax plus a penalty of 200% of the tax and may be subject to conviction of a third degree felony. Under the penalties of perjury,   -1cieclare that I have read the foregoing Certificate of Entitlement  and the facts stated in it

are true.	L

Purchaser's Name (Print or Type)	Date '

Federal Employer Identification Number: FEIN# 45-0563644
Telephone Number: 	(S -6 60 - l/ 'f' O 0 
You must attach a copy of the Purchase Order to this Certificate of Entitlement. Do not send to the Florida Department of Revenue. This Certificate of Entitlement must be retained in the vendor's and the contractor's books and records. This form supplements and supersedes (to the extent of any conflict) any prior certificates addressing the same purchase.

THE KEARNEY COMPANIES, LLC.
KEARNEY	9625 Wes Kearney Way, Riverview FL 33578
COMPANIES

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGE K&L/AMENITY CENTER INVOICE TRANSMITTAL ATLANTIC TNG
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date:      	3_1-_uA.._-g_18

INV.NO.	DESCRIPTION	TOTAL COST	
			
119654	ATLANTIC TNG 8/6/2018	$	3,489.00	
119655	ATLANTIC TNG 8/6/2018	$	2,894.00	
119681	ATLANTIC TNG 8/7/2018	$	3,235.00	
119705	ATLANTIC TNG 8/8/2018	$	1,981.00	
119708	ATLANTIC TNG 8/8/2018	$	2,664.00	
119746	ATLANTIC TNG 8/10/2018	$	3,704.00	
119798	ATLANTIC TNG 8/7/2018	$	2,234.00	
119801	ATLANTIC TNG 8/16/2018	$	20,987.00	
119787	ATLANTIC TNG 8/14/2018	$	769.00	
119792	ATLANTIC TNG 8/14/2018	$	2,481.00	
119827	ATLANTIC TNG 8/16/2018	$	2,600.00	
119832	ATLANTIC TNG 8/16/2018	$	2,754.00	
119833	ATLANTIC TNG 8/16/2018	$	3,424.00	

			

			

			
TOTAL		$	53,216.00	

DATE: _    _    _    _   3   -1A_u.ag;,-_1_8

Invoice Transmittal ATLANTIC TNG	Page 1 ofl

JlANTIC

Atlantic TNG, LLC	Invoice

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG u_c Fax • (941) 351-3765
8/6/2018	119654

Triple Creek COO-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

AUG 1 0 1U\8

THE KEARNl:: '/ 1 ,( HV1\-Al·W

..:: I l	
Triple Creek Subdivision PH 4 Village 02 Hillsborough county
Self Unloader
Contact: Sherry 81J-280-50-304	

!

11

.IEll  •t   •i  ): ,,	. •.   r,1; ,,jl.fi	•
8/6/2018	35060	Net30

,     •I	•I'	ttl	;	!Jfl·h•  '	" • I
S-G201	1		60" Base   60" Diameter 6" Wall Sanitary	9980	2,175.00	2,175.00 Manhole Base
3	8" Z-Lok gaskeVclamp
1	91" Riser 60" Diameter 6" Wall Sanitary	9500
Manhole Riser
1	24" Cone 60"0 to 48"0, 24" Reducing	2480
Cone
24"Cone 48" Diameter 5" Wall Sanitary	1680
Manhole Cone

S-G204	1		3'Base    48" Diameter 5" Wall Sanitary	5120	1,314.00	1,314.00 Manhole Base
8" Z-Lok gaskeVclamp

1	5' Riser  48" Diameter 5" Wall Sanitary	4200
Manhole Riser

1	2.5' Cone  48" Diameter 5" Wall Sanitary	2100
Manhole Cone

7	Lube

3	48" Single Offset Gasket

2	60" Single Offset Gasket

Subtotal	$3,489.00

Sales Tax (0.0%)	$0.00
Balance Due	$3,489.00

rlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2968

m,   ,,  _..	
Triple Creek CDD-Kearney	REC	)
c/o Rizzetta & Company
12750 Citrus Park Lane
Suite 115	AUG 1 0 2018
Tampa, FL 33625	
- H E KEARNEY COMPANI	

	
Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Self Unloader
Contact: Sherry 813-280-50-304

      _	_	_	_	_	_	_	_	_	_	_	 	,	

TNG LLC Fax• (941) 351-3765

S .

Invoice

	
8/6/2018	119655	

				
	
8/6/2018	
32660	
Net30	

	(! 11t{fa fr  1
,.	'  :
iEf-!1i(1iftj;.f{i,,1:,. ·			
	
S-G205	1	2' Drop Base 48" Diameter 5" Wall Sanitary	5440	1,314.00	1,314.00	
	1
2	Manhole Base
8" A-lok gasket
8" Z-Lok gasket/clamp				
	1	Drop Connector		250.00	250.00	
	1	6' Riser 48" Diameter 5" Wall Sanitary	5020			
		Manhole Riser				
	1	8" Z-Lok gaskeUclamp				
	1	3' Riser 48" Diameter 5" Wall Sanitary	2520			
		Manhole Riser				
	1	2.5' Cone 48" Diameter 5" Wall Sanitary	2100			
		Manhole Cone				
S-G222	1	4' Base 48" Diameter 5" Wall Sanitary	5940	1,228.00	1,228.00	
		Manhole Base				
	3	8" Z-Lok gaskeUclamp				
	1	5' Riser 48" Diameter 5" Wall Sanitary	4200			
		Manhole Riser				
	1	3' Cone 48" Diameter 5" Wall Sanitary	2520			
		Manhole Cone				
S-G204	1	5' Riser 48" Diameter 5" Wall Sanitary	4200			
		Manhole Riser				
	2	
VF Drop Riser	
720	
51.00	
102.00	
	Subtotal	
	Sales Tax (0.0%)	
	Balance Due	
Page 1

A

TLANTl C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone• {941) 355-2988

	
6	
48" Single Offset Gasket				
	Subtotal	$2,894.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$2,894.00	

TNG LLC Fax• (941) 351-3765

Triple Creek COD-Kearney
c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

Page2

Invoice

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Self Unloader
Contact Sherry 813-280-50-304	

JlANTIC

Atlantic TNG, LLC	Invoice
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765
8/7/2018	119681

8/7/2018	33360	Net30

•it 

-- - - - --r--  -  -  -  -, -- - - - - - - - - -'-- - - -	..,.._._ 	.,.    
ii

-.., ,.

_. 	_

3

48" Single Offset Gasket

2

60" Single Offset Gasket

I i •,	
Triple Creek CDD-Kearney	"CE/VED,
c/o Rizzetta & Company
12750 Citrus Park Lane
Suite 115	AUG 1 0 2018
Tampa, FL 33625	
THE KEARNEY COMP	

!'I • t'	
Triple Creek Subdivision PH 4 Village 02 Hillsborough county
Self Unloader
Contact: Sherry 813-280-50-304

=s=----- - -----	--	-------	--	

NI-I:	'

S-G202	

2	60" Base 60" Diameter 6" Wall Sanitary Manhole Base
8" Z-Lok gaskeUclamp	9980	2,175.00	2,175.00	
		79" Riser 60" Diameter 6" Wall Sanitary Manhole Riser	8240			
		24" Cone 60"0 to 48"0, 24" Reducing	2480			
		Cone				
		24" Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1680			
S-G226	

2	4' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gasket/clamp	5940	1,060.00	1,060.00	
		4' Riser 48" Diameter 5" Wall Sanitary	3360			
		Manhole Riser				
		2' Cone 48" Diameter 5" Wall Sanitary	1680			
		Manhole Cone				

	Subtotal	$3,235.00	
	Sales Tax (0.0%)	
$0 .00	
	Balance Due	$3,235.00	

JlANTlC

Atlantic TNG, LLC	Invoice
PO Box 729 • Sarasota, FL 34230 Phone• (941) 355-2988
lNG LLC Fax• (941) 351-3765

8/8/2018	119705

		
Triple Creek CDD-Kearney c/o Rizzetta & Company
it;o ;rus Park Lane	AUG	3 2018
1	1
Tampa, FL 33625

THE KEARNEY COMPANll:::S	

....,	
Triple Creek Subdivision PH 4 Village G2 Hillsborough county
SelflJnloader
Contact: Sherry 813-280-50-304	

	
I •	J. t -			
	
8/8/2018	
20920	
Net30	
		t   /•f,  I	I  I  '		';:' .1		
S-G203	

2

2	60" Base 60" Diameter 6" Wall Sanitary Manhole Base
8" Z-Lok gasket/clamp

65" Riser 60" Diameter 6" Wall Sanitary Manhole Riser

24" Cone 60"0 to 48"0, 24" Reducing Cone

24" Cone 48" Diameter 5" Wall Sanitary Manhole Cone

48" Single Offset Gasket 60" Single Offset Gasket

,-..	9980

6780

2480

1680	1,981.00	1,981.00	

	Subtotal	$1.981.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$1,981.00	

Atlantic TNG, LLC

JlANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

• . ,. J/(. r• f-

,, ..

11 fio.i

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Self Unloader
Contact: She1zy 813-280-50-304

					
	s1sno1s	
28760	
Net30		
t i.i; )i 4 j.f	
		'			

..							
S-G206	1	4' Base 48" Diameter 5" Wall Sanitary	5940	888.00	888.00		
		Manhole Base					
	3	8" Z-Lok gasket/clamp					
		2' Riser 48" Diameter 5" Wall Sanitary	1680				
		Manhole Riser					
		2' Cone 48" Diameter 5" Wall Sanitary	1680				
		Manhole Cone					
S-G207	1	3' Base 48" Diameter 5" Wall Sanitary	5120	888.00	888.00		
		Manhole Base					
	2	8" Z-Lok gasket/clamp					
		2' Riser 48" Diameter 5" Wall Sanitary	1680				
		Manhole Riser					
	1	3' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	2520				
S-G208		4' Base 48" Diameter 5" Wall Sanitary	5940	888.00	888.00		
		Manhole Base					
	2	8" 2-Lok gasket/clamp					
	1	2' Riser 48" Diameter 5" Wall Sanitary	1680				
		Manhole Riser					
		3' Cone 48" Diameter 5" Wall Sanitary	2520				
		Manhole Cone					

	Subtotal		
	Sales Tax (0.0%)		
	Balance Due		

TNG LLC Fax• (941) 351-3765

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

AUG 1 3 2018

THE KEARNEY COMP/-\1 JfE

Page 1

Invoice

8/8/2018	119708	

JlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone• (941) 355-2988
TNG LLC Fax• (941) 351 3765

Invoice

Triple Creek CO[)..Keamey c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Self Unloader
Contact: Sherry 813- 280-50-304

.. ;•· ..
...

.(	.,.
/1	.....
I - o

. :_:  _.·;.:;':.

,ifi;it; : :;:J:'.:•:,!•:  &	::;,·t-··:_ : ::):;-:: \;; : '::i: f.1:  : i,'1.  : :1 :::i·':.-·;

8/8/2018	28760	Net 30
- ;_.:'''.\;;l;:i 'l'. fi l.  f ':.:.::.  :;::-:;••,:•::; ·;'.: ::i:iJ, •: /, 1:,   :,;  : · :_'.

8/8/2018	
119708	

6	48" Single Offset Gasket

	Subtotal	$2,664.00	
	Sales Tax (0.0%)	$0,00	
	Balance Due	$2,664.00	
Page2			

Jl A NTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone• (941) 355-2988

Invoice

TNG LLC Fax• (941)351-3765

	
Triple Creek COD-Kearney	Rl::CEIVEr,
c/o Rizzetta & Company
12750 Citrus Park Lane Suite 115
Tampa, FL 33625	AUG 1 3 2018	

,,	"

' 11'	
Triple Creek Subdivision PH 4 Village 02 Hillsborough county
Self Unloader
Contact: Sherry 813-280-5304	

\'   l:in	•  I     .,	.'

-

8/10/2018	39480	Net 30
.

f.-r,, .	h	
8/10/2018	119746	

I	I	'I	:

CS-1	1

1	49" Base 3' x 4½' Control Structure Type "E",6"Wall

71" Riser 3' x 4½' Control Structure Type	6080

7300	1,223.00	1,223.00	
		"E", 6" Wall w/ EB&C				

ST-01	1	
72" Base 4' x 4' Curb Inlet Type "1", 6" wall	
10060	
856.00	
856.00	
ST-02	1	74" Base 4' x 4' Curb Inlet Type "1", 6" wall	9720	856.00	856.00	
ST-03	1	43" Base 3' x 4½' Grate Inlet Type "E", 6"	6320	769.00	769.00	
wall, w/EB&C

Subtotal	$3,704.00

Sales Tax (0.0%)	$0.00

Balance Due	$3,704.00

A

,.	f•l.rl"	
If	
81712018	119798	

UHTlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230

Invoice

TNG LLC Phone • (941) 355-2988
Fax• (941) 351-3765

'	
Triple Creek COD-Kearney
c/o Rizzetta & Company	RECEIVEG
12750 Citrus Park Lane
Suite 115
Tampa, FL 33625
AUG 1 3 2018	

- I. I	
Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Self Unloader
Contact; Sherry 813-280-5304	

THE Kl=ARNEY COMPANlE!::i
IJ      t  VJ    i'  I  J  I	I " .,J ..,t> I I

8/7/2018	Net3D

I	II

Skimmer CS-1

1 · 1111 l	{.

2,234.00	2,234.00

Subtotal	$2,234.00

Sales Tax (0.0%)	$0.00
Balance Due	$2;234.00

J lANTlC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 311230 Phone • (941) 355-2988
TNG u_c Fax• (941) 351-3765

Invoice

8/16/2018

119801

	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

 	
	
Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Call Before Loading
Contact: Sherry 813-280-5304	

	
HW PO# 10300 (8.13) DELIVER TO KEARNEY YARD			
26	USF #227-SP Ring and Cover HILLS CO		359.00	9,334.00	
	SASE				
29	USF #1255-MF Ring and Cover HILLSCO		165.00	4,785.00	
	DNWDR				
2	USF #170-E Ring and Cover STORM		191.00	382.00	
7	USF #6616 Galvanized Grate		869.00	6,083.00	
1	USF #6611 Galvanized Grate		403.00	403.00	

Subtotal	
$20,987.00	
Sales Tax (0.0%)	
$0.00	
Balance Due	
$20,987.00	

8/16/2018	Net30

1

TlANTI e

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230

Invoice

I	Phone • (941) 355-2988
1NG LLC Fax• (941) 351-3765

8/14/2018

; ,1s1:	j

1--- - - - ---'--	-

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Self Unloader
Contact: Sheriy 813-280-5304	

8/14/2018

	
ST-10	1	56" Base	3' x 4½' Grate Inlet Type "E", 6"
wall, w/EB&C	6980	769.00	769.00	
	Subtotal	
$769.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$769.00	

Net30	j

rlANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

ThlG LLC Fax• (941) 351-3765

ST-04	1	84" Base	4' x 4' Curb Inlet Type "1", 611  wall	10660	856.00	856.00	
ST-06		84" Base	4' x 4' Curb Inlet Type "1", 6" wall	10660	856.00	856.00	
ST-07		83" Base	3' x 4½' Grate Inlet Type "E", 6"	11140	769.00	769.00	

wall, w/EB&C

Invoice

	
Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Self Unloader
Contact: Shcny 813-280-5304	

8/14/2018	Net30

Subtotal	$2,481.00

Sales Tax  (0.0%)	$0.00

Balance Due	$2,481.00

JlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• {941) 351-3765

Invoice

;

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Call Before Loading
Contact: Sheny 813-280-5304	

Net30	j

SG-211	1	4" Base   48" Diameter 5" Wall Sanitary	5940	888.00	888.00
Manhole Base
2	8" Z-Lok gasket/clamp
2' Riser 48" Diameter 5" Wall Sanitary	1680
Manhole Riser
2.5' Cone	48" Diameter 5" Wall Sanitary	2100
Manhole Cone
ST-08	1	48" Base   4' x 4' Curb Inlet Type "1", 6" wall	6580	856.00	856.00

48" Riser

I
4' x 4' Curb Inlet Type "1", 6" wall	5220
I

8/16/2018

ST-09	1	95" Base   4' x 4' Curb Inlet Type "1"; 6" wall	11860	856.00	856.00
48" Single Offset Gasket

Subtotal		$2,600.00	
Sales Tax	(0.0%)	$0.00	
Balance	Due	$2,600.00	

rlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Invoice

8/16/2018

. ...

\ fl tl} J.,fi

u u ..

;•	'•

.

1J   1 · tJ	:)

.\	-  '

'I   ••1 I i
\:J  ....

8/16/2018

119832

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village G2
Hillsborough county Call Before Londing
Contact: Sheny 813-280-5304	

S-G209	1	3'Base 48" Diameter 5" Wall Sanitary	
		Manhole Base	
	2	8" Z-Lok gasket/clamp	
	1	4' Riser	48" Diameter 5" Wall Sanitary	
		Manhole Riser	
		2' Riser 48" Diameter 5" Wall Sanitary	
		Manhole Riser	
	1	1.5' Cone 48" Diameter 5" WaU Sanitary	
		Manhole Cone	
S-G212	1	2'Base 48" Diameter 5" Wall Sanitary Manhole Base	
	2	8" Z-Lok gaskeUclamp	
	1	3' Cone	48" Diameter 5" Wall Sanitary	
		Manhole Cone	
S-G210	1	4' Base · 48" Diameter 5" Wall Sanitary Manhole Base	
	2	811  Z-Lok gasket/clamp	
	1	3' Riser 48" Diameter 5" Wall Sanitary	
		Manhole Riser	
	1	2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	
	1	1.5' Cone 48" Diameter 5" Wall Sanitary	
		Manhole Cone	

29620		

Net 30	

5120	
1,060.00	
1,060.00	

3360			

1680			

1260			

4280	
.634.00	
634.00	

2520			

5940	
1,060.00	
1,060.00	

2520			

1680			

1260			

Subtotal			
Sales Tax (0.0%)	
Balance Due	

Page 1

JLINTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone• (941) 355-2988
TNG 1.J...C Fax• (941) 351-3765

Invoice

8/16/2018

119832

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village 02 Hillsborough county
Call Before Loading
Contact: Sheny 813-280-5304	

8/16/2018	29620	Net 30

7	48" Single Offset Gasket

Subtotal	$2,754.00

Sales Tax  (0.0%)	$0.00

Balance Due	$2,754.00

Page2

rlANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone• (941) 355-2988
iNG LLC Fax• (941) 351-3765

Invoice

8/16/2018

119833

Triple Creek COD-Kearney c/o Rizzetla & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Call Before Loading
Contact: Sherry 813-280-5304	

Net30	

ST-11 ST-12 ST-13 ST-17		
	1

1	49" Base 4' x 4' Curb Inlet Type "1", 6" wall

44" Base 4' x 4' Curb Inlet Type "1", 6" wall
47" Base   4' x 4' Curb Inlet Type "1", 6" wall
74" Base  4' x 4' Curb Inlet Type "1", 6" wall	6860

6300

7520

10260	856.00

856.00

856.00

856.00	856.00

856.00

856.00

856.00	
-   f\·. \.,) '	f-   -"' ' •-.;1, , b
P "\.''·•' ,'_; u ,  ·.\'.'	\ 	\·f). '
1':      , I      I,	•	'
·.      •    .  <  ! •        '	·,       .   •;     ._:;..
.,	\f	.	I_   .       ;:;;   1'.,.
t:.j,  u -	Subtotal	$3,424.00	
	Sales Tax  (0.0%)	$0.00	
	Balance Due	$3,424.00	

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
Sl'ECIAL ASSESSMENT BONDS SERIES 2017B

The und ersigned., a Responsible Officer or Triple Creek Community Development District (the " District'') hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture dated as ofJune I, 2012 from the District
to The Bank of Nwe   York Mellon Trust, N.A., as trustee (the "Trustee"), as supplemented by the Second Supplemental Trust Ind enture dated
as of February 1, 2017 (the "Indent ure"), (a ll capitalized terms used herein s ha ll have the meaning ascribed to such te1·m in the ln,d ml ure):

September 19, 2018

Requisit ion Number: CR321-D

{B)	Name of Payee: Basham & Lucas Design Group, Inc.
7645 Gate Parkway Suite 201
Jacksonville, FL 32256

Amount Payab le: $11,900.00

Purpose for which paid or incurred (refer als o to specific contract iFamount is dl.le and payable pursuant to a contract involving progress payments, or, state Costs ofl ssuance, if applicable):Invoice #'s 7503 and 7578 for Project# 17-85

Fund or Account from which disbursement t'o be made: 2017B Acquisition and Construclion
Account

The undersigned hereby certi fies thai:
l.	obligations in the stated amount set forth above have been incurred by the Dis trict, or
this requisition is for Costs oflssuance payable from the Acquisition and Construction Fu.nd that have not previously been paid;

each disbursemen.t set forth above is a proper charge against th£ Acquisition and Construction Fund;

each disbursement set forth above was incurred in connection with the acquisition and/or construction o f the Project;

each disbursement represents a Cost of the Project which has not previously been paid.

lh: undersigned hereby further certifies that there has not been filed with or served upon the Distric t notice of any Ii.en, right to lien or attachment  upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simu l tanQo\ls ly with the payment hereof.
The under signed hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retafn.
Attached hereto arc originals of the invoice(s) fi-om the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.

 .,,c ,Ed.V	CS

TRIPLE CREEK COMMUNITY 0EVELOl'M ENT DISTRICT

Board of Supervisor-

CONSULTING ENGINEER'S APPROVAL FdR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, the undersigned Consulting Engineer hereby certi lies that this disbursement is for a Cost of the Proj1:ct and is consistent with: (i) the appli cable acquisition or construction contract: (ii) lhe plans and specifications for the portion of the Project with respect to which such disbursement is being made; and (iii) the report of the Consult ing Engineer, as such report sha ll have been amended or modified on the date hereof.
L		--==<&	
nsultin g Engineer

Invoice

DATE	INVOICE #	
7/11/2018	7503	

BILL TO

7645 Gate Parkway Suite 201
Jacksonville, FL 32256

Triple  Creek CDD
C/O Rizzetta & Company Attn: Joe R oethke
3434 Colw ell Ave #200
Tamp a, FL 33614

(904) 731-2323

www.bashamlucas.com

PROJECT	Exibit "B" Amenity Construction #17-85	
CONTRACT SERVICES	CONTRACT	TO DATE	Total %	AMOUNT DUE	
Part 1: Contractor Pre-qualification and Bid Process Part 2: Shop Drawings Review for the Amenity Center:Hourly at $100.00 per hr(Not to exceed
$20,000) (12hr) Truss Submittal Approx 150 pages (1hr) Light Fixture Submittal (3hr) Light Fixture 2 Submittal (3hr) Swimming pool submittal (1hr) mirror submittal (1hr) Concrete Mixture Submittal (1hr) Z furring Submittal (3hr) Roofing Submittal (1hr) Appliance Submittal (2hr) Building inspection Submittal (2hr) Stucco Submittal
Part 3: Construction Administration: Hourly at
$100.00 per hr(not to exceed $15,000) (2hr) RFI 3 Fan/Beam supplemental drawings (1hr) 3R Revised Supplemental Drawings (1hr) Trim Option Coordination (3hr) Restroom Concrete slab Coordination (1hr) Pay App #1 review and coordinate (1hr) Pay App #2 review and coordinate (1hr) Hose bib locations/coordination (1hr) Kitchen window coordination (2hr) Event pavilion submittal w/ S&S drawings (2hr) Pool Permit responses with S&S drawings	3,200.00
20,000.00

15,000.00	3,200.00
4,000.00

4,500.00	100.00%
35.00%

40.00%	0.00
3,000.00

1,500.00	
Total Reimbursable Expenses: All expenses such as printing cost, postage, reproduction cost, travel expenses etc., shall be billed at direct cost plus 15% or the current mileage rate allowed by Federal Government	0.00			0.00	
We look forward to working with you!	TOTAL	$4,500.00	

Invoice

DATE	INVOICE #	
9/14/2018	7578	

BILL TO

7645 Gate Parkway Suite 201
Jacksonville, FL 32256

Triple  Creek CDD
C/O Rizzetta & Company Attn: Joe R oethke
3434 Colw ell Ave #200
Tamp a, FL 33614

(904) 731-2323

www.bashamlucas.com

PROJECT	Exibit "B" Amenity Construction #17-85	
CONTRACT SERVICES	CONTRACT	TO DATE	Total %	AMOUNT DUE	
Part 1: Contractor Pre-qualification and Bid Process	3,200.00	3,200.00	100.00%	0.00	
Part 2: Shop Drawings Review for the Amenity	20,000.00	9,700.00	60.50%	2,400.00	
Center:Hourly at $100.00 per hr(Not to exceed					
$20,000)					
3hr Paver and Tile Submittal					
2hr Basketball Submittal					
2hr Hex Tile Submittal					
3hr Schluter Submittal					
1hr Wallpaper Submittal					
4hr Paint Submittal					
2hr Store Front Submittal					
4hr Playground Submittal					
3hr Restroom Accessory Submittal					
We appreciate your prompt payment.	TOTAL	
Page 1

Invoice

DATE	INVOICE #	
9/14/2018	7578	

BILL TO

7645 Gate Parkway Suite 201
Jacksonville, FL 32256

Triple  Creek CDD
C/O Rizzetta & Company Attn: Joe R oethke
3434 Colw ell Ave #200
Tamp a, FL 33614

(904) 731-2323

www.bashamlucas.com

PROJECT	Exibit "B" Amenity Construction #17-85	
CONTRACT SERVICES	CONTRACT	TO DATE	Total %	AMOUNT DUE	
Part 3: Construction Administration: Hourly at
$100.00 per hr(not to exceed $15,000) 1hr Millwork Coordination
1hr Sidewalk Coordination
1hr Whiskey Barrel Coordination 2hr RFI #4
1hr Marcite Coordination 1hr Shutter Coordination 1hr Paver Coordination 2hr Fire Pit Coordination 1hr TV Outlet Coordination
1hr Sign Fixture Coordination 1hr Gable Vent Coordination 1hr Soffit and Duct Coordination 1hr Electrical Strike Cord
1hr Paver Stern Wall change Coordination 1hr Window Mullion Coordination
1hr 'K' type Fixture Coordination 1hr Card Reader Coordination
1hr Itemized Billing for Project manager and Office Manager	15,000.00	7,900.00	66.00%	2,000.00	

Total Reimbursable Expenses: All expenses such as printing cost, postage, reproduction cost, travel expenses etc., shall be billed at direct cost plus 15% or the current mileage rate allowed by Federal Government	
0.00			
0.00	
We appreciate your prompt payment.	TOTAL	
Page 2

Invoice

DATE	INVOICE #	
9/14/2018	7578	

BILL TO

7645 Gate Parkway Suite 201
Jacksonville, FL 32256

Triple  Creek CDD
C/O Rizzetta & Company Attn: Joe R oethke
3434 Colw ell Ave #200
Tamp a, FL 33614

(904) 731-2323

www.bashamlucas.com

PROJECT	Exibit "B" Amenity Construction #17-85	
CONTRACT SERVICES	CONTRACT	TO DATE	Total %	AMOUNT DUE	
Travel expenses: Site Visit on 8/17/18 Site Visit on 9/14/18 ($1,500) per day/per trip				3,000.00	
We appreciate your prompt payment.	TOTAL	$7,400.00	
Page 3

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
SPECIAL ASSESSMENT BONDS
SERJES 2017B

The undersigned, a Responsible Officer of Triple Creek Community Development District (the " Distri ct") hereby submits the following requisition for disbursement under and pursuant to the terms of the Mas1e r Trust Indenture dated as of Jun e I, 2012 from the District to The Bank of New York Mellon Trust, N.A., as lrustee (the 'T rustee"),as supplemented by the Second Supp lemental Trust Ind entur e dared as ofF ebruary I , 2017 (the " I ndenture" ),{all capitalized tenns used herein shall have the meaning ascribed to suoh term in the Indenture):
September 19, 2018

Requisition Number: C R322-B

Name of Payee: Genesis Group
1000 N. Ashley Drive, Suite 900
Tampa, FL 33602-3718

Am ount Payable:  $250, 46.33

Purpose for which paid or incurred (refer also to specific contract ir amount is due and payable purs uant to a contract involving -progress payments, or, stateCosts ofissuance, if applicable): Invo ke # 59900, 59901 and 59902 for tl1c period ending 07/29/l8

Fund or Account from which disbursement to be made: 20178 AcguisUion and Co1utr ud ion
Account

The undersign ed hereby certifies that:
I.	obligations in the slated amoun t set forth above have been incurred by the DiS1rict, or
this requisition is for Costs oflssuance payable from the Acquisition and Construction Fund that have not previously been paid;

each disbursement set forth above is a proper charge against tl1e Acq uisition and Construction Fund;

each disbursement set forth above was incurred in connection with the acquis ilion and/or construc tion of the Project;

each disbu rsement represents a Cost of the Project which has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the Disl'rict notice ofony li,en right to lien, or attac]1me11t upon, or claim affecting the right to receive payment of. any of the moneys payable to the Payee set forth above, which has not been released or will not be releasedsimultaneously with the payment hereof.
The undersigned hereby further certifies that. s uch requisi tion contains no item representing payment on account of any re tained percentage which the District isa t the date of such cert'ificate entitle d to retain.
Attached hereto are originals of the in voice(s)from the vendor of the property acqu ired or the services rendered with respect to which disbursement is hereby requested.
TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

c

By:	- -

CONSUL,TI NG ENG INEER'S APPROVAL FOR
NON-COST OF ISSUANCE REQUESTS ONLY

ror

If  th is requ isition  is for a disburseme nt from  other  than Costs of  Issuance, 1he  undersigned  Consulting  Engineer  hereby certifies that th.is disbursement is tor a Cost of the Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specit1cations t he portion of the Project with respect to which such disbursement is being rnade; and (iii) the report of the Consulting Engin eer, ils such report shall have been amended or modified on the date hereof.

 	

Landscape Architecture Urban Design Engineering
Planning

1000 N. Ashley Drive
Suite 900
Tampa, FL 33602

Tel  813.620.4500
Fax 813.221.4980
www.GenesisGroup.com

8/28/2018	
59900	
9/27/2018	
061980004	
Page 1 of 1	

Invoice Date :	
Invoice # :	
Invoice Due :	
Project :	

INVOICE

Triple Creek Community Devel. Dist	
3434 Colwell Avenue, Suite 200	
Tampa, FL. 33614	
kgallant@rizzetta.com	

ATTN:	Christine Perkins

TOTAL DUE THIS INVOICE:	$

3,082.50

For Professional Services Rendered through: 7/29/2018			
Triple Creek Master Amenity Center			
ASA #2, #11 & #4.			
Phase: P01 -	Site Design Services	HOURS	RATE PER HOUR	

AMOUNT
Principal/Officer-Prof. Engineer II	3.50		215.00		752.50	
Sr. Inspector/Sr. Eng Intern II	4.00		95.00		380.00	
Technician III	39.00					

50.00	
Sub-Total Labor:	

1,950.00	
3,082.50	

INVOICE TOTAL	$3,082.50

Approved by:	
Kyle L. Thornton, PE	

WE  APPRECIATE  YOUR  BUSINESS

Remit via ACH Payment: Wells Fargo Bank Routing #: 063107513
Account #: 8116094205	Remit via Check: Genesis
1000 N. Ashley Drive Suite 900
Tampa, FL 33602-3718	For billing inquiries, contact:
Dennis Henchen Project Accountant
DHenchen@GenesisGroup.com	
For additional assistance, please contact Tim Leal, CFO at (813) 620-4500 x5158 or contact your Genesis Project Manager	

Landscape Architecture Urban Design Engineering
Planning

1000 N. Ashley Drive
Suite 900
Tampa, FL 33602

Tel  813.620.4500
Fax 813.221.4980
www.GenesisGroup.com

8/28/2018	
59901	
9/27/2018	
061980011	
Page 1 of 1	

Invoice Date :	
Invoice # :	
Invoice Due :	
Project :	

INVOICE

Triple Creek Community Devel. Dist	
3434 Colwell Avenue, Suite 200	
Tampa, FL. 33614	
kgallant@rizzetta.com	

ATTN:	Christine Perkins

TOTAL DUE THIS INVOICE:	$

1,312.50

For Professional Services Rendered through: 7/29/2018	
Village F2 Construction Svcs.	
Work Auth #8	

Phase: P01 -	Construction Observation/Cert.	HOURS	RATE PER HOUR	AMOUNT
Landscape Architect Dept Mgr I	9.00	130.00	1,170.00

Senior Landscape Designer III	
Landscape walk threw(s).	

95.00	
Sub-Total Labor:	

142.50	
1,312.50	

1.50

INVOICE TOTAL	$1,312.50

Approved by:	
Kyle L. Thornton, PE	

WE  APPRECIATE  YOUR BUSINESS

Remit via ACH Payment: Wells Fargo Bank Routing #: 063107513
Account #: 8116094205	Remit via Check: Genesis
1000 N. Ashley Drive Suite 900
Tampa, FL 33602-3718	For billing inquiries, contact:
Dennis Henchen Project Accountant
DHenchen@GenesisGroup.com	
For additional assistance, please contact Tim Leal, CFO at (813) 620-4500 x5158 or contact your Genesis Project Manager	

Landscape Architecture Urban Design Engineering
Planning

1000 N. Ashley Drive
Suite 900
Tampa, FL 33602

Tel   813.620.4500
Fax  813.221.4980
www.GenesisGroup.com

Invoice Date :	
Invoice # :	
Invoice Due :	
Project :	

8/28/2018	
59902	
9/27/2018	
061980013	
Page 1 of 1	

INVOICE

Triple Creek Community Devel. Dist	
3434 Colwell Avenue, Suite 200	
Tampa, FL. 33614	
kgallant@rizzetta.com	

ATTN:	Christine Perkins

TOTAL DUE THIS INVOICE:	$

20,651.33

For Professional Services Rendered through: 7/29/2018	
Villages G2, I, and J Engineering	

Phase: P01 -	Design and Permitting	
Design Technician II	

HOURS	
11.00	

RATE PER HOUR	
60.00	

AMOUNT	
660.00	

Engineer Intern III	33.00	95.00	3,135.00	
Graduate Engineer III	7.50	80.00	600.00	
Landscape Architect Dept Mgr I	13.75	130.00	1,787.50	
Landscape Designer I	61.00	65.00	3,965.00	
Principal/Officer-Prof. Engineer II	6.50	215.00	1,397.50	
Prof. Landscape Architect II	1.00	100.00	100.00	
Senior Landscape Designer III	91.00	95.00	8,645.00	
Sr. Inspector/Sr. Eng Intern II	1.00	95.00	95.00	
		50.00	237.50	

Technician III	4.75	
I, J and G2 final submittals, enhanced LA plans, add underdrains for VE, contractor coordination	

REIMBURSABLES	
Mileage, Lodging, Parking, Airfare	

AMOUNT	
28.83	

Sub-Total Labor:	20,622.50
Sub-Total Reimbursables:	28.83

INVOICE TOTAL	$20,651.33

Approved by:	
Kyle L. Thornton, PE	

WE APPRECIATE YOUR BUSINESS	
Remit via ACH Payment: Wells Fargo Bank Routing #: 063107513
Account #: 8116094205	Remit via Check: Genesis
1000 N. Ashley Drive Suite 900
Tampa, FL 33602-3718	For billing inquiries, contact:
Dennis Henchen Project Accountant
DHenchen@GenesisGroup.com	
For additional assistance, please contact Tim Leal, CFO at (813) 620-4500 x5158 or contact your Genesis Project Manager	

STATEMENT
Outstanding Invoices	
Number	Date	Amount	Balance	
59577	6/14/2018	$37,352.04	$37,352.04	

Expense Statement

Date	Project Number & Phase		
Lodging	Meals	Taxi Parking
Tolls	Other Expenses	
Total Expenses	
	Project Title		Personal Vehicle						
	Purpose	Rate	MIies	Amount		Breakfast	Lunch	Dinner		Amt.	Detail		
06/04/18	6198-0013 P01	

0.545	

46	

$25.07								

$25.07	
	Y.. ! _g- _g?._ 1, and J Engi!J. - !!!:1_9
Kom oan Grant Site Visit													
														
06/18/18	9999-MKT	

0.545		

$0.00				$21.93	$10.00			

$31.93	
	E_ .!Q!_§,Y.mposium-Or .r:!9..9  													
														
06/19/18	9999-MKT	

0.545	

173.7	

$94.67	$22.45	$14.31	$13.11		$10.00			

$154.54	
	FOOT S>_'.mposium-Orlando												
													
07/10/18	9999-MKT		

57.4	

$31.28								

$31.28	
	Meet with Mike Clark & Phillip Ke:{es											
	St. Pete Beach Rain Garden Meeting	0.545											
07/11/18	FDT3-244A P-01						
$10.60			
$16.35	
Fuel		
	SR 61 at US 98 Landscaoina Post Dsa---											
	Pre Construction Meetina	0.545		$0.00						$30.12	Fuel	$57.07	
07/13/18	9999-MKT	·-	

0.545	

21	

$11.45								

$11.45	
	Fowler Wall review												
07/16/18	5565-200A P-05	

0.545	

55.3	

$30.14								

$30.14	
	NPR  Misc. LA Services	--												
	Con a ress Ave. Tree review (NPR)												
07/18/18	9999-MKT	

0.545	

57.4	

$31.28								

$31.28	
													
	St. Pete Beach Park Portfolio Mtg. Visit												
	----------													
		------												
		0.545		$0.00								$0.00	

0.545		

$0.00								

$0.00	

TOTALS			
410.8	
$223.89	
$22.45	
$14.31	
$23.71	
$21.93	
$20.00	
$46.47		
$372.76	

Name: Sherri French	Emp. ID #:	1206	Division:	Tampa	Month: June/July	Year:	2018

G E N E S I S

Notes:

£.M	L	..	l·f·J1:IS

Date

7/17/2018

TRIPLE CR.EEK COMMUNITY DEVELOPMENT DJSTRJCT
SPECIAL ASSESSMENT BONDS SERIES 2017B

The undersigned, a Responsible Officer of Triple Creek Community Development District (lhe "Distric t" ) hereby s ubmits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indent ure dated as of June I, 2012 from the District to The Bank ofNew York Mellon Trust. N.A., as trustee (the "T rustee"), as su ppl emented by the Second Supplemen1al Trust Indenture dated as of February I, 2017 (the " Indenture"), (all Qapi1alli.ed terms used herein sha ll have the me11nin g ascribed to such term in the Indenture):

September 19, 2018

{A)	Requisition Num ber: CR323-ll

Name of Payee: Hopp i ng Green & Sams
119 S. Monroe Street, Ste. 300
P.O. Box 652G Tallahassee, FL 32314

Amount Payable; $1,617.50

Purpose for which paid or incurred (refer also to specific contract if amount is du e and payable pursuant to a contract inv olvin g progress payments, or, slate Costs of Is suance, if applicabk:): Invoice #'s 101470, 102100, 101471 aml 102101 for Profession:11 Services through 07/31/18

Fund or Account from which disbursement to be made: 20178 Acquisition and Construction
Account

The undQrsigncd hereby certifies that:
I .	obligationsin the slated amount set forth above have been inourred by the District, or
!his requisition is for Costs of Issuancepayable from the Acquisition and Construction Fund that have not previously been
paid;

each disbursement set forth above is a proper charge against the-Acquisition and Construction Fund;

each disbursement set forth above was incurred in connection with the acquisition and/or construcllon of the Project;

each disbur sement represents a Cost oFthe Project which has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District noti ce of any lien., right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be releasedsimultaneously with the payment hereof
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.
Attached hereto are originals oHhe invoice(s)from the vendor of the properry acqITTred or the services rendered with respect to which disbursement is hereby requested.

By,CMiM 	Y 2s

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRIC1'

Board ofSupervisor

CONSULTJNG ENGINEER'S APPROVAL FOR
NON-COST OF ISSUANCE REQUESTS ONL,Y

If this req uisition is for a disbursement from other than Costs of Iss uance, the ur1dersigned Consulting Eni ineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisi tion or oonsl ruction contrac t; (ii) the plans and specifications for the portion of the Projeot with respect 10 which such disbursement is being made; and (iii) the report of the Consulting Engineer, as suc h report shall have been amended or modified on the date hereof.

     ncer

Hopping Green & Sams
Attorneys and Counselors

119 S. Monroe Streat, Ste. 300
P.O. Box 6526
Tallahassee, FL 32314
850.222.7500
=================================	STATEMENT=================================

Triple Creek Community Development District c/o Rizzetta & Company
9428 Camden Field Parkway Riverview, FL 33578

July 30, 2018

Bill Number 101470 Billed through 06/30/2018

2016 Project Construction
TCRCDD	00109	JLK

FOR PROFESSIONAL SERVICES RENDERED
06/04/18	LCW	Review performance bonds for 2015 project; prepare resolution authorizing conveyance of certain real property within Village B.

a.so hrs

06/05/ 18	LCW

06/07/18	LCW

06/11/18	LCW

06/20/ 18	LCW

06/26/18	LCW

06/28/18	LCW

Confer with staff regarding performance bonds.

Confer with Feldman regarding conveyance documents for Village B parcel.

Review correspondence regarding status of preparation of legal description for Village B property to be conveyed by district.

Confer with Gallant regarding E2/E3 infrastructure costs.

Confer with Thornton regarding conveyance of Village E3 infrastructure to County.

Confer with staff regarding recording of deed for Village B conveyance to developer; revise resolution relative to same.

0.20 hrs

0.10 hrs

0.10 hrs

0.40 hrs
a.so hrs

0.30 hrs

Total  fees for this matter	$472.50

MATTER SUMMARY

Whelan, Lindsay C.	2.10 hrs

TOTAL FEES

TOTAL CHARGES FOR THIS MATTER

225 /hr

$472.50

$472.50

$472.50

BILLING SUMMARY

Whelan, Lindsay C.	2.10 hrs

TOTAL FEES

TOTAL CHARGES FOR THIS BILL

225 /hr

$472.50

$472.50

$472.50

1-lopping Green & Sams
Attorneys and Counselors

119 S. Monroe Street, Ste. 300
P.O. Box 6526
Tallahassee, FL 32314
850.222.7500
=================================	STATEMENT =================================
August 20, 2018
Triple Creek Community Development District	Bill Number	102100	
c/o Rizzetta & Company	Billed through	07/31/2018	
9428 Camden Field Parkway Riverview, FL 33578		

2016 Project Construction		
TCRCDD	00109	JLK		

FOR PROFESSIONAL SERVICES RENDERED
07/16/18	LCW	Review correspondence regarding status of warranty bond for amenity improvements; review executed deeds and confer with staff regarding same.

0.30 hrs

07/19/18	LCW

07/23/18	LCW

07/27/18	LCW

Confer with staff regarding procurement of warranty bond for amenity project.

Confer with staff regarding preparation of responses to notices to owner relative to amenity project.

Confer with Thornton regarding ownership of Village Kand L roadways.

0.10 hrs

0.10 hrs

0.20 hrs

Total fees for this matter	$157.50

MATTER SUMMARY

Whelan, Lindsay C.	0.70 hrs

TOTAL FEES

TOTAL CHARGES FOR THIS MATTER

225 /hr

$157.50

$157.50

$157.50

BILLING SUMMARY

Whelan, Lindsay C.	0.70 hrs

TOTAL FEES

TOTAL CHARGES FOR THIS BILL

225 /hr

$157.50

$157.50

$157.50

Please include the bill number on vour check.

Hopping Green & Sams
Attorneys and Counselors

119 S. Monroe Street, Ste. 300
P.O. Box 6526
Tallahassee, FL 32314
850.222.7500
================================= STA1EMENT =================================
July 30, 2018

Triple Creek Community Development District c/o Rizzetta & Company
9428 Camden Field Parkway Riverview, FL 33578

Bill Number 101471 Billed through 06/30/2018

Series 2018 Project Construction TCRCDD	00111	JLK

FOR PROFESSIONAL SERVICES RENDERED
06/08/18	AHJ	Prepare responses to notices to owner.

1.30 hrs

06/12/18	LCW

06/14/18	LCW

06/15/18	LCW

06/20/18	LCW

06/20/18	AHJ

06/25/18	AHJ

06/27/18	LCW

06/28/18	LCW

Confer with Scarola regarding clarification of submittal documents for RFP. Confer with staff regarding contractor questions on RFP for villages G2, I and J. Review bid opening summary for Village G2, I and J project.
Review Village G2, I and J bids and confer with staff regarding same; prepare developer funding agreement; prepare award letters; review correspondence regarding review of project proposals.

Prepare responses to notices to owner.

Finalize responses to notices of owner; transmit same.

Confer with staff regarding status of execution of contract for G2, I and J contract.

Confer with staff regarding execution of construction contract and construction funding agreement.

0.10 hrs

0.30 hrs

0.10 hrs

1.20 hrs

1.70 hrs

0.40 hrs

0.10 hrs

0.20 hrs

Total fees for this matter	$875.00

MATTER SUMMARY

Jaskolski, Amy H. - Paralegal		3.40 hrs	125 /hr	$425.00	
Whelan, Lindsay C.		2.00 hrs	225 /hr	$450.00	
	TOTAL FEES			$875.00	

TOTAL CHARGES FOR THIS MATTER	$875.00

BILLING SUMMARY

Series 2018 Project Constructi	Bill No. 101471	Page 2
=======================================================================================
Jaskolski, Amy H. - Paralegal		3.40 hrs	125	/hr	$425.00	
Whelan, Lindsay C.		2.00 hrs	225	/hr	$450,00	
	TOTAL FEES				$875.00	

TOTAL CHARGES FOR THIS BILL	$B75.00

Please include the bill number on vour check.

BY: .......................
ialb ni:J\, ca rnliJillti:1 Ct \JO., 1m.;. 		 	:_
1/M aooro11at 	o,ate:. .-,..-
1ateentered  ·--   .	AUG 2 4	2018
·und_QQ_L_ Gl ..5ill_ilic 3/ 0]

Hopping Green & Sams
Attorneys and Counselors

119 S. Monroe Street, Ste. 300
P.0. Box 6526
Tallahassee, FL 32314
850.222.7500
================================= STATEMENT =================================

August 20, 2018
Triple Creek Community Development District	Bill Number	102101	
c/o Rizzetta & Company	Billed through	07/31/2018	
9428 Camden Field Parkway Riverview, FL 33578		

Series 2018 Project Construction		
TCRCDD	00111	JLK		

FOR PROFESSIONAL SERVICES RENDERED
07/02/18	LCW	Confer with staff regarding execution of construction agreement.

0.10 hrs

07/16/18	LCW

07/17/18	LCW

07/19/18	LCW

Review correspondence regarding execution of construction agreement for G2,
I and J project.

Confer with Perkins regarding recording of payment and performance bonds.

Review correspondence regarding status of recordation of payment and performance bonds.

0.10 hrs

0.10 hrs

0.20 hrs

Total fees for this matter	$112.50

MATTER SUMMARY

Whelan, Lindsay C.	0.50 hrs

TOTAL FEES

TOTAL CHARGES FOR THIS MATTER

225 /hr

$112.50

$112.50

$112.50

BILLING SUMMARY

Whelan, Lindsay C.

TOTAL FEES

hrs

225  /hr	$112.50

$112.50

TOTAL CHARGES FOR THIS BILL	$112.50

Please include the bill number on your check.

TRil:'LE CREEK COMMUNITY DEVELOPMENT DISTRICT SPECIAL ASSESSMENT BONDS
SBRIES 20178

The und ersigned, a Responsible Officer of Trip le Creek Community Development District (the "District'') hereby submits the following requisition for disbursemen t under and pursuant to th e terms of the Master Trust Indenture dated as of June I, 2012 from the District 10 The Bank of New York Mellon Trust, N.A., as trustee (the "T rus lee''},as supplemenled by the Second Sup plemental Trust Indentu re dated as of February 1. 2017 (the "I ndenture" ), (all capitalized terms used her-ein s hal l have the. meaning ascribed to such term in the lndenm re):

September 19, 2018

Requisition Number: CR324-B

Name of Payee: TC Venture J, LLC
7807 BaymeacJows Road, East
Jacksonville, FL 32256

Amount Payable: $5:Z, 021.SO
Purpose for which pa.id or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress paymerlls, or, state Costs of Issu ance, if applicable): Reimbursement forfunding Supp 1-5

Fund or Account ftorn which disbursement to be made: 20178 Acquisition and Construction
Aee.ount

The undersigned hereby cenifies thaL:
I.	obligations in the stat.ed amount set forth above have been incurred by the OlstTict, or
this requisition is for Costs oflssuance payable from the Acquisition and Construction Fund that have not previously been paid;

each disbursement set forth above is a. proper charge against the Acquisition and Construction Fund;

each disbursement set forth above was incurred in connection with the acquisition and/or construction of the Project;

each disbursement represents a Cost. of the Project which has not previously  been paid.

The under signed hereby further certifies that there has not been filed with or.served upon the Distric t ·notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultane ously with the payment hereof.
The unders igned hereby further certifies that such requisi tion contains no item representing payment on account of any retaine d percentage which !he District is at the date of such certificate entitled to retain.
Attached hereto are originals ofthe invoice(s) from the vendor of the property acquired or theservices rendered with respect io which disbursemen t is hereby requested .

TlllrLE CREEK COMMUNITY DEVELOPMENT DISTRICT

Chi , 	Y 2s

By,
Board of Supervisors

CONSULTING ENGINE ER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

-

[f this requisition is for a dis bursement from other than Costs of Issuance, the undersigned Consu lting Engineer heroby ce-rt ifies that this disbursement is for a Cost of the Project and is consisient wtth: (i) the applicable acqu isi tion or construction contract; (ii) the plans and spec ifications for the portion of the Project with respect to which such disbursement is beinc made; and (iii) the report of the Consulting Engineer, as suoh report shall have been amended or modified on the date hereof.

onsulting Engineer

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

S2017-2 CONSTRUCTION SUPPLEMENTAL ACCOUNT

Construction Supplemental Account Activity Through August 31, 2018	

Inflows:	Developer Contributions
Due from Developer	$	52,021.50
-		
	Total Inflows:	  $	52,021.50 		
Outflows:				
Requisition	Requisition	Contractor	Amount	Status	
Date	Number		as of 08/31/18	

08/25/17	
Supp 1	Dennis J Benham, P.S.M.	
$	(15,140.00)	
Cleared	
08/25/17	Supp 2	ECS Florida, LLC	(5,035.00)	Cleared	
08/25/17	Supp 3	Genesis Group	(11,542.50)	Cleared	
09/30/17	Supp 4	ECS Florida, LLC	(788.00)	Cleared	
11/30/17	Supp 5	Dennis J Benham, P.S.M.	(19,516.00)	Cleared	
12/1/3117	Supp 6	Dennis J Benham, P.S.M.	Void	Void	
12/31/2017	Supp 7	Genesis Group	Void	Void	
	Total Construction Requisitions:	(52,021.50)		

Total Outflows: 	(52,021.50)

2017-2 Construction Supplemental Fund Balance at August 31, 2018	 $	-	

1 of 1

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT SUPPLEMENTAL CONSTRUCTION ACCOUNT
SERTES 2017  2 PROJECT

The undersigned, a Responsible Officer of Triple Creek CommunitY Develop·menr Distrlc1 (the " Dis trict'') hereby submits the
following requ is ition for disbursement:

August 25, 2017

Re9uisition Number: Suppl

Name ofPayee: Dennis J Denham, P.S.M.
11921 Wandsworth Drive
Tampa, FL 33626

Amoun t Payable: $15,14 0.00

(0)		Purpose for which pai(! or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments: Invoice #'s 7817 and 8317 for Topographic and Specific Purpose Survey for Village G2
(E)	Fund or Account from which disbursement to be made: Triple Creek Supplemental Account The undersigned hereby certifies that:
obligations in the stated amount set forth iibove have t,,e1m incurred by the District;

2.	ea.ch disbursement set forth above is a proper charge against the Custody Account;

each disbursement set forth above was incurred in connection with the acquisi tion and/or construction of the Project;

4.	each disbursement represents a Cost of the Project which has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien,. right to l ien, or attachment upon, or claim affecting the right to reoeiye payment of, any of the moneys payable to the Payee set forth above, which has not been rele ased or will not be released simultaneously with the payment hereof'.
The undersigned hereby further certifies that such .requis ition contains □o item representing payment on aci::ount of a□y retained percentage which the District is al the date of such certificate enlilled lo retain.
Auached hereto are originals of the invoice(s) from the vendor of the property acquired or tbe services rendered with respect to which disbursement is hereby requested.

TRII'LE CREEK COMMUNITY DEVELOPMENT DISTR.ICf

'By:	::::;	r;V"V--r   A'---  /	\
-·	<:::.,. ,.	.....7   1	7	\

CONSULTING .ENG INEER ' S APPROVAL

The undersigned Consultin g Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof
e:.
.,..Consulting Engineer

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

Dennis J Benham Dennis J Benham

000119
09/07/2017

Invoice	\	Description	I	Amount	
Supp	1	Dennis	J	Benham	Supp	1-3	Series	2017-2	$15,140.00

$15,140.00	

TRIPLE CREEK CDD CUSTODY ACCOUNT
12750 CITRUS PARK LANE, SUITE 115
TAMPA, FLORIDA 33625
813-933-5571

SUNTRUSTBANK, TAMPABAY CARROLLWOOD OFFICE TAMPA, FL 813-224-2222

63-656/631

CHECK NO.	000119

****Fifteen Thousand One Hundred Forty and 00/100 Dollars	DATE
09/07/2017

AMOUNT

$15,140.00

PAYTO THE ORDER OF

Dennis J Benham
d.b.a Dennis J Benham, P.S.M. 11921 Wandsworth Dr.
Tampa, FL 33626

11•000 •• 911•

TWO SIGNATURES REQUIRED-VOID 180 DAYS AFTER DATE OF ISSUANCE

AUTHORIZED SIGNATURE

 	

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

Dennis J Benham Dennis J Benham

000119
09/07/2017

Invoice	I	Description	I	Amount	
Supp 1 Dennis J Benham	Supp 1-3 Series 2017-2	$15,140.00

C: 1	

i::	

1 Ll /'\	

/'\ /'\	

Dennis J Benham, P.S.M.		INVOICE	

11921 Wandsworth Drive			
Tampa, FL 33626	DATE:	July 8, 2017	
	INVOICE #	7817	
Phone 813.403.0220			
	FOR:	Task Order #1 Village G2	
djbenham@tampabay.rr.com	DJB Project #	2017039	
Bill To:			
Triple Creek Community Development District			
12750 Citrus Park Lane, Suite 115			
Tampa, Florida 33625			
Attn: District Manager			
DESCRIPTION	AMOUNT	

Topographic and Specific Purpose Survey		

7,640.00	
100% Complete		

7,640.00	

Make all checks payable to Dennis J. Benham			
Due and payable upon receipt			

THANK YOU FOR YOUR BUSINESS!

Dennis J Benham, P.S.M.		INVOICE	

11921 Wandsworth Drive			
Tampa, FL 33626	DATE:	August 3, 2017	
	INVOICE #	8317	
Phone 813.403.0220			
	FOR:	Task Order #1a Village G2	
djbenham@tampabay.rr.com	DJB Project #	2017039	
Bill To:			
Triple Creek Community Development District			
12750 Citrus Park Lane, Suite 115			
Tampa, Florida 33625			
Attn: District Manager			
DESCRIPTION	AMOUNT	

Topographic and Specific Purpose Survey		

7,500.00	
100% Complete		

7,500.00	

Make all checks payable to Dennis J. Benham			
Due and payable upon receipt			

THANK YOU FOR YOUR BUSINESS!

T.RlPLE CREEK COMMUNITY DEVELOPMENT DISTRICT'
SU})l'LEMENTAL CONSTRUCTION ACCOUNT SERIES 2017-2 PROJECT

The undersigned, a Responsible Officer of Triple Creek Community Development District (the "District") hereby submits Hw following requisition for disbur$ement:

August 25, 2017

Requisition Number: Supp 2

Name of Payee: ECS Florida, LLC
14026 Thunderbolt Place, Suite 600
Chantilly, VA 20151

Amount Payable: $5,035,00

Purpose for  which  paid or lncurred  (refer also to sp- ecilic contract  if amount is due and payable  pursuant  to a contract involving progress payments: Invoice# 599097 for Engineering Services for Village G2

Fund or Account from which disbursement to be made : Triple Creek Supplemental Account'

The undersigned hereby certifies that:
obligations in the stated amount set forth above have been incurred by the Disl.rict;

each disbursement set forth above is a proper charge againsl the Custody Account;

each disbursement set forth above was incurred in connection with the acquisition and/or construction of the Project;

each disbursement represents a Cost of the Project which has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District no1ice of any lien. right to lien, or attachment upon, or c:laim affecting the right to receive payment ot; any of the moneys payable 10 the Payee set forth above, which has not been released or will not be released s imult aneously with the payment hereof.
The undersigned hereby furthe.r certifies that such requisition contains no item representing payment on account of any retained
percentage which the District is at the date of such certificate entitled to retain.
Attached hereto are originals of the invoice(s) ftom the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

CONSULTING ENGINEER'S APPROVAL

The undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction c-0ntract; (ii) the plans and specifications for the portio[I of the Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modi6ed on the date hereof.

lting Engineer

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

ECS Florida, LLC ECS Florida, LLC

000120
09/07/2017

Invoice	I	Description	I	Alnount	
Supp 2 ECS Florida	Supp 1-3	Series 2017-2	$5,035.00

$5,035.00	

TRIPLE CREEK CDD CUSTODY ACCOUNT
12750 CITRUS PARK LANE, SUITE 115
TAMPA, FLORIDA 33625
813-933-5571

****Five Thousand Thirty Five and 00/100 Dollars

SUNTRUST BANK, TAMPA BAY CARROLLWOOD OFFICE TAMPA, FL 813-224-2222

63-656/631

DATE

09/07/2017

CHECK NO.	000120

AMOUNT
$5,035.00

PAYTO THE ORDER OF

ECS Florida, LLC
14026 Thunderbolt Place, Suite 600
Chantilly, VA 20151

11•000. 2011•

TWO SIGNATURES REQUIRED-VOID 180 DAYS AFTER DATE OF ISSUANCE

AUTHORIZED SIGNATURE

 	

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

ECS Florida, LLC ECS Florida, LLC

000120
09/07/2017

Invoice		I	Description	I	Alnount	
Supp 2 ECS Florida	Supp 1-3	Series 2017-2	$5,035.00

	

PLEASE REMIT TO:

Invoice Date

Invoice Number

ECS FLORIDA, LLC
14026 THUNDERBOLT PLACE, SUITE 600
CHANTILLY, VA 20151

07/07/2017	599097
Always Refer To Above Number
Page 1 of 1

PROJECT NAME:

Triple Creek Phase 4 Village G2 GEO Hillsborough County, FL

TO:

Triple Creek CDD 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

PLEASE DETACH AND RETURN DUPLICATE COPY WITH YOUR REMITTANCE

Please Pay

CUSTOMER CODE
KP2101

PROJECT No.
41:1913

BILLED THRU DATE
07/01/2017

TERMS
DUE UPON RECEIPT

This Amount:

$5,035.00

Description
Remarks: Thank you for your business

Quantity	Units

Unit Price	Extension	Total

Engineering Services	$1,265.00
Field Exploration	$3,770.00
Subtotal:	$5,035.00
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

* Invoice Total - Please Remit =>

$5,035.00

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
If you have any questions regarding this
invoice please contact Robert Mixson at 813.302.1644
* B U D G E T S U M M A R Y *
Budget Estimate:	$5,823.00	
Previously Invoiced:	$788.00	
Amt. This Invoice:	$5,035.00	
Amt. Remaining:	$0.00	

A FINANCE CHARGE OF 1.5% PER MONTH (18% ANNUALLY) WILL BE ADDED TO ALL INVOICES UNPAID AFTER 30 DAYS	v129

TRJPLE CREEK COMMUNITY DEVELOPMENT DlSTRJCT
SUPPLEMENTAL CONSTRUCTION ACCOUNT
SERIES 2017-2 PROJECT

The undersigned, a Responsible Officer of Triple Creek Communi1y Developmenl District (the "Dis trict") hereby submits !he following requisi1ion for disbursement

August 25, 2017

Requisition Number: Supp 3

Name.of Payee: Genesis Group
1000 N. Ashley Drive, Suite 900
Tam pa, FL 33602-3718

Amount Payable: Sl 1,542.50

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a
contract invo lvin g progress payments: lnvoicc # 58114 for Professional Services for Village G2, I and J

(E}	Fund or Account from which disbursement to be made: Triple Creek Su pplcmcnfal Account

The undersigned hereby certifies that:
.	obligations in the stated amount set forth above have been incurred by the District;

each disburSernent set forth above is a proper charge against the Custody Account;

each disb11rs ement set forth above was incurred in connection with the acquisition and/or construction of the Project;

each disbursement .represents a Cost of the Project which has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien. right to lien, or attachment. upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which bas not been released or will not be released simultaneously with the payment hereof.
The undersigned hereby further certi.fies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.
Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.

--·   .    >  tC: .. ..cJ		X 

7 ,< ::,,

TRLPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

By

CONSULTrNG ENGINEER' S APPROVA

The undersigned Consultin g Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction conuact; (ii) the plans and specifications for the portion of the Project with respect to which such disbursement is being made; and (ii[) the report of the Coosulti.ng Engineer, as such report shall have been amended or modified on the date hereof.

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

Genesis Group Genesis Group

000121
10/24/2017

Invoice	\	Description	I	Amount	
Supp 3 Genesis	Supp 1-3 Series 2017-2	$11,542.50

$11,542.50	

TRIPLE. CREEK CDD CUSTODY ACCOUNT
12750 CITRUS PARK. LANE, SUITE 115
TAMPA, FLORIDA 33625
813-933-5571	.

****Eleven Thousand Five Hundred Forty Two and 50/100 Dollars

SUNTRUST BANK, TAMPABAY CARROLLWOOD OFFICE TAMPA, FL 81H24-2222

63-656/631

DATE
10/24/2017

CHECKNO.	000121

AMOUNT
$11,542.50

PAYTO THE ORDER OF

Genesis Group
1000 N. Ashley Drive Suite 900
Tampa, FL 33602

11•000 • 2 1.11•

TWO SIGNATURES REQUIRED-VOID 180 DAYS AFTER DATE OF ISSUANCE

AUTHORIZED SIGNATURE

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

Genesis Group Genesis Group

000121
10/24/2017

Invoice	I	Description	I	Amount	
Supp 3 Genesis	Supp 1-3 Series 2017-2	$11,542.50

11	

C:A'1	

c:t,	

••

Landscape Architecture Urban Design Engineering
Planning CE&I

1000 N. Ashley Drive
Suite 900
Tampa, FL 33602

Tel  813.620.4500
Fax 813.221.4980
www.GenesisGroup.com

INVOICE	Invoice Date :	5/16/2017
Invoice # :	58114
Invoice Due :	6/15/2017
Project :	061980013
Page 1 of 1

Triple Creek Community Devel. Dist 3434 Colwell Avenue, Suite 200
Tampa, FL. 33614
cboccio@rizzetta.com	TOTAL DUE THIS INVOICE:	$

11,542.50

ATTN:	Joe Roethke

For Professional Services Rendered through: 4/30/2017
Villages G2, I, and J Engineering
Copy Kaitlyn Gallant <kgallant@rizzetta.com>

Phase: P01 -	Planning / Preliminary Plat	HOURS		RATE PER HOUR		AMOUNT	
Engineer Intern II	18.50		75.00		1,387.50	
Principal/Ofcr-Land Planner IV	20.75		230.00		4,772.50	
Principal/Officer-Prof. Eng III	13.00		195.00		2,535.00	
Project Engineer I	27.50		85.00		2,337.50	
Senior Landscape Designer II	6.00		85.00		510.00	
Preliminary design G2			Sub-Total Labor:		11,542.50	

Approved by:

Kyle L. Thornton, P.E.

WE APPRECIATE YOUR BUSINESS

INVOICE TOTAL	$11,542.50

We've Moved!
Please Note the New Address!

For billing inquiries, contact:
Dennis Henchen Project Accountant
DHenchen@GenesisGroup.com (813) 620-4500 ext. 5120

Remit via Check:
Genesis
1000 N. Ashley Drive Suite 900
Tampa, FL 33602-3718

Remit via ACH Payment:
Wells Fargo Bank Routing #: 063107513
Account #: 8116094205

For additional assistance, please contact Tim Leal, CFO at (813) 620-4500 x5158 or contact your Genesis Project Manager

TRIPLE CREEK COMMUNITY DEVELOPMENT OJSTRJC'l' SUPPLEMENTAL CONSTRUCTION ACCOUNT
SERIES 2017-2 PROJECT

The unders igned, a Respons ibl e Officer of Triple Creek Communiiy Development Districl (the "District") hereby submits the following requisition for disbursement:

Octobcr6,l017

Requisi tion Number: Supp 4

Name of Payee: ECS Florida, LLC
14026 Tllundcrbolt Place, Suite 600 Chantilly, VA 20 I.S t

Amount Payable: $788.00

Purpose for which paid or incurred (refer also to specific contract if amounl is due and payabel pursuant to a contract involving progress payments: Jnvoice # 594115 for Engineering Services for Village G2

Fund or Account from which disbursement to be made: Trirlc Creek Surplcmcnlal Account

The undersigned heroby certifies that:
I .	obligations in the slated amount set forth above have been incu1Ted by the District;

each disbursement set forth above is a proper charge against the Custody Account;

each disbu rsemenr set forth above wns incurred in connection with the acquisition and/or construction of the Project; 4,	each d is bursem ent represents a Cost of the Project which ha.snot previously been paid.
The un dersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien. right to lien, or atiachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously wi1h the paymcm hereof.
The under"Signed hereby further certifies that such requisition contains no item representing payment on account of any retained
percentage which the District is at the date of such cenificate entitled to retain.
Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rende red with respect to which disbursement is hereby requested,
TRLPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
ByChrur4roon 	ff 	/>,;
Board of Supervisors

CONSULTING ENOrNEER'S APPROVAL

The undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) Lhe applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respec t to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

ECS Florida, LLC ECS Florida, LLC

000122
11/16/2017

Invoice	I	Description	I	Amount	
Supp 4 ECS Florida	Supp 4 Series 2017-2	$788.00

$788.00	

TRIPLE CREEK CDD CUSTODY ACCOUNT
12750 CITRUS PARK LANE, SUITE 115
TAMPA, FLORIDA 33625
813-933-5571

****Seven Hundred Eighty Eight and 00/100 Dollars

SUNTRUST BANK, TAMPA BAY CARROLLWOOD OFFICE TAMPA, FL 813-224-2222

63-656/63 I

DATE
11/16/2017

CHECK NO.	000122

AMOUNT
$788.00

PAYTO THE ORDER OF

ECS Florida, LLC
14026 Thunderbolt Place, Suite 600
Chantilly, VA 20151

TWO SIGNATURES REQUIRED-VOID 180 DAYS AFTER DATE OF ISSUANCE

AUTHORIZED SIGNATURE

 	

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

ECS Florida, LLC ECS Florida, LLC

000122
11/16/2017

Invoice	I	Description	I	Amount	
Supp 4 ECS Florida	Supp 4 Series 2017-2	$788.00	

c!:'7AA	

nn	

PLEASE REMIT TO:

Invoice Date

Invoice Number

ECS FLORIDA, LLC
14026 THUNDERBOLT PLACE, SUITE 600
CHANTILLY, VA 20151

06/10/2017	594115
Always Refer To Above Number
Page 1 of 1

PROJECT NAME:

Triple Creek Phase 4 Village G2 GEO Hillsborough County, FL

TO:

Triple Creek CDD 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

PLEASE DETACH AND RETURN DUPLICATE COPY WITH YOUR REMITTANCE

Please Pay

CUSTOMER CODE
KP2101

PROJECT No.
41:1913

BILLED THRU DATE
06/03/2017

TERMS
DUE UPON RECEIPT

This Amount:

$788.00

Description

Quantity	Units

Unit Price	Extension	Total

Remarks: Partial Invoice		
Field Exploration - Partial		$360.00	
Laboratory Testing		$428.00	
	Subtotal:	$788.00	

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

* Invoice Total - Please Remit =>

$788.00

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
If you have any questions regarding this
invoice please contact Robert Mixson at 813.302.1644
* B U D G E T S U M M A R Y *
Budget Estimate:	$5,823.00	
Previously Invoiced:	$0.00	
Amt. This Invoice:	$788.00	
Amt. Remaining:	$5,035.00	

A FINANCE CHARGE OF 1.5% PER MONTH (18% ANNUALLY) WILL BE ADDED TO ALL INVOICES UNPAID AFTER 30 DAYS	v129

TRIPLE CREEK COMMUNITY DEVELOPMENT OJSTIUCT SUPl'LEMEN1'AL CONSTRUCTION ACCOUNT
SE:RJES 2017-2 PROJECT

The  unde rsigned, a  Responsible  Officer of Tri ple  Creek  Commu nity  Development. District  (the " District'')  hereby  submits  the following requisition for disbursement:

December 8, 2017

Requisition Number : Supp S

Name of Payee: Dennis J Benham, P.S.M.
11921 Wandsworth Drive
Tampa, FL 33626

Amount Payable: $19,516.00

Purpose for which paid or incurred (refer also to specific contract if amou nt is due and payable pun;uant to a contract involvin g progress payments: Invoice #'s 102917 and 112917 for To pograph ic and Specific Purpose Survey for Village G2, r & J
Fund or Account from whic h disbursement to be made: Triple Creek Supp lementa l Account

The undersigned hereby certifies lhal:
I.	obligations in the state-0 amount set forth above have been incurred by the District;
t	each disbursemen t set forth above is a proper charge against the Custody Account;
each disbursement set forth above was incurred in connection with the acquis it ion and/or construcr[on of ihe Project;

each dis bursement represents a Cost of the Project which has not previously been paid.

The und.ersigned hereby further certifies that there has not been filed with or seJYed upon the District notice of any lien, righ to lien. or attachment upon, or claim affectingthe right to receive payment of, any of the moneys payable to the Payeeset forth above, which has not been released or will not be releasedsimultaneously with the payment hereof.
The undersigned hereby furt her certifies that suc h requisition contains no item representing paymen t on account of any retained percentage which the District is at the da te of such certifica te enrilled to retain.
Attached hereto are originals of the invoicc(s) trom the vendor of the property acqui red or t he services rendered with respect to
which disbursement is hereby requested.

::,.

g.C6<?C"f 

7  c:	:\

--	-	c:.:.::.::::

--	- ../'

TRIPLE CREEK COMMUMTV DEVELOPMENT DISTRI.CT

B. y
'

CONSULTING ENGINEE R'S APPROVAL

The undersigned Consulting Engineer hereby certifies that thi s disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbu rsement is being made, and (iii) the report of the Consulting Engineer, as such report s hall have been amended or modified on the date hereof.

 	   nsult irirf Engineer

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

Dennis J Benham Dennis J Benham

000123
01/09/2018

Invoice	I	Description	I	Alnount	
Supp 5 Dennis J Benham	Supp 5 Series 2017-2	$19,516.00

$19,516.00	

TRIPLE CREEK COD CUSTODY ACCOUNT
12750 CITRUS PARK LANE, SUITE 115
TAMPA, FLORIDA 33625
813-933-5571

****Nineteen Thousand Five Hundred Sixteen and 00/100 Dollars

SUNTRUST BANK, TAMPA BAY CARROLLWOOD OFFICE TAMPA, FL 813-224-2222

63-656/631

DATE

01/09/2018

CHECKNO.	000123

AMOUNT
$19,516.00

PAYTO THE ORDER OF

Dennis J Benham
Dennis J Benham, P.S.M. 11921 Wandsworth Dr.
Tampa, FL 33626

TWO SIGNATURES REQUIRED-VOID 180 DAYS AFTER DATE OF ISSUANCE

11•000 I. 2 j ll1	1: □ i; l 1.0 2 I. 5 21: I.ODO I. '1 I. 2888 !;8

AUTHORIZED SIGNATURE

TRIPLE CREEK CDD CUSTODY ACCOUNT
Payee Vendor ID

Dennis J Benham Dennis J Benham

000123
01/09/2018

Invoice	I	Description	I	Alnount	
Supp 5 Dennis J Benham	Supp 5 Series 2017-2	$19,516.00

<!'.10	

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Dennis J Benham, P.S.M.		INVOICE	

11921 Wandsworth Drive			
Tampa, FL 33626	DATE:	October 29, 2017	
	INVOICE #	102917	
Phone 813.403.0220			
	FOR:	Task Order #3 Village I & J	
djbenham@tampabay.rr.com	DJB Project #	2017066	
Bill To:			
Triple Creek Community Development District			
12750 Citrus Park Lane, Suite 115			
Tampa, Florida 33625			
Attn: District Manager			
DESCRIPTION	AMOUNT	

INTERIM INVOICE			

Topographic and Specific Purpose Survey		
15,936.00	
80% Complete		

15,936.00	

Make all checks payable to Dennis J. Benham			
Due and payable upon receipt			

THANK YOU FOR YOUR BUSINESS!

Dennis J Benham, P.S.M.		INVOICE	

11921 Wandsworth Drive			
Tampa, FL 33626	DATE:	November 29, 2017	
	INVOICE #	112917	
Phone 813.403.0220			
	FOR:	Task Order #1b Village G2	
djbenham@tampabay.rr.com	DJB Project #	2017039	
Bill To:			
Triple Creek Community Development District			
12750 Citrus Park Lane, Suite 115			
Tampa, Florida 33625			
Attn: District Manager			
DESCRIPTION	AMOUNT	

Topographic Survey		

3,580.00	
100% Complete		

3,580.00	

Make all checks payable to Dennis J. Benham			
Due and payable upon receipt			

THANK YOU FOR YOUR BUSINESS!

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT SPECIAL ASSESSMENT BONDS
SERIES 2017B

The 1.mdersigned, a Responsib ie Officer of Triple Creek Community Development District (the " District") hereby s ubmi ts the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture dated as of June I, 2012 from the District to The Bank ofNew 'York Mellon Trus t, N.A., as trustee {the "Trusteej, as supp lemented by the Second Supp lemen tal Trust Indenture dated as of February  I, 2017 (t he " Indentu re"), (all capitalized terms used herein shall ha11c the meaning ascribed to such tenn in the Ind e ntur e):

September 19, 2018

Requisi tion Number: CR325-B

Name of Payee: CRS Building Corporation
100 Second Avenue South, Suite 301-S
St. Pete rsbur g, Floritla 33701
Amount Payable: $621,986.40

{D) Purpose for which paid or incurred (refer alsQ to s pecific contract if amount is due and payable pursuant to a contract inv ol11in g pr-ogress payments , or, state Costs of Issu ance, if applicable): Pay Application #4 for Project Triple Creek .Pl111sc 2 Amenity Center

(E)	Fund or Account fi-om which dis bursement. to be made: 20178 Acquisition and Construction
Account

The undersigned hereby certifies that:
l.	obligations in the slated amount set forth above have been incurred by the District, or
this requis .iti on is for Costs of Issuan ce payable from the Acquisition and Construction Fund that have not previously been paid;

each disbursement set forth above is a proper charge against the Acquisition and Construction Fund;

each disbursement set forth above was incurred in connection with the acquisition and/or CQnstruction of the Project;

each disb ursemen t repr esents aCost oflhe Project which has not previously been paid.

The undersigm:d hereby further certifies th at the re ha.snot been filed with or served upon !he District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set fonh above, which has not been released or will not be released simu ltaneous ly with the payment hereof.
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained
percentage which the District is at the dale of such certificate entitled to ret ain.
Attached hereto are originals of the invoice(s) from the vendor oftlm property acquired or the services rendered with respecl 10 which disbursement is hereby requ ested.

:::- :::._ . .. cqJ .,,z,,7, 1<f

/ 	' .

TRIPLE CREEK COMMVNITY DEVELOPMENT DISTRICT

By:

CONSULTING  ENGINEER'S APPROVAL FOR
NON -COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, the undersigned Consulting Engim:er hereby certifies that this disbursement is for a Cost of the Project and is consis tent witl1: (i) the applicable acquisition or construction contract; (ii) the plans and specitications for the portion of the J>roject with respect to which such disbursement is being mad e; and (iii) the report of the Consul ting Engi neer, as such report shall have been amen ded or modified on the date hereo.f.
 		&;	:::
.-0nsulhng Engineer

APPLICATION AND CERTIFICATION FOR PAYMENT	A/A DOCUMENTG702	Paget of3

TOOWN ER:	PROJECT:
Triple Creek Community Development District 12750 Citrus Park Lane, Suite 115

Triple Creek Phase 2 Amenity Center 12751 Triple Creek Blvd.

APPLICATION NO:

4	Distribution to:

Tampa. Florida 33625 FROM CONTRA CTO R:
CRS Building Corporation
I 00 Second Avenue South, Suite 30 l-S St Petersburg, Florida 33701

Riverview. Florida 33579	PERIOD TO:

Basham & Lucas Design Group. Inc.
7645 Gate Parkway. Suite 201	PROJECT NO: Jacksonville. Florida 32256

3I-Aug-18

@OWNER ARCHITECT

□

CONTRACTO R

CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment. as shown below. in connection with the Contract. Continuation Sheet AJA Document G703. is attached.

SEE AIT ACHED SWORN STATEMENT FROM CONTRACTOR TO OWNER

I. ORIGINAL CONTRACT SUM	    $	3.796.860.00 	
2. Net change by Change Orders	    $	(285.236.00)	
3. CONTRACT SUM TO DATE {Line 1 ± 2)	    $	3.511.624.00 	
4. TOTAL COMPLETED & STORED TO	     $	1.310.612.00 	
DATE	(Column G on G703)
RETAINAGE: (Original Contract Only)
       I 0_% of Completed Work	$	131.061.20
(Column D +Eon G703)
0   % of Stored Material	$
(Column Fon G703)
Total Retamage (Lines Sa+  Sb or	 	
Total in Column I ofG703)	$	131.061.20

CONTRACT DATE:

The undersigned Contractor certifies that to the best of the Contractor's knowledge . information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents. that all amounts have been paid by
the Contractor for Work for which previous Certificate		P 111ent were issued and payments received from th	and that cum, ;,i:1u    	a. .  lff&R 11.. ,  ,n ,A nnw	J,,

I "'"  /	,q;

ra1g R	. P re	e nt
I/	\'\
State of Floridr	County of t'\ t\e\ \(l,.S.

Notary Public:	l	r--u, I

Subscribed and omto beforeLrry t \S   ""\.	day of 5 £4)-\-	, 2018
MyCommissio exp i  rse·	 b		g.CS).)

TOTAL EARNED LESS RETArNAGE (Line 4 Less Line 5 Total)
LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate)	    $	1.179.550.80

    $	557.564.40 	In accordance with the Contract Documents. based on on-site observations and the data comprising the application. the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated,
the quality of the Work is in accordance with the Contract Documents, and the Contractor	
8. CURRENTPAYMENTDUE	    $	621.986.40 	is entitled to payment of the AMOUNT CERTIFIED.	
9. BALANCE TO FINISH, INCLUDING RETAJNAGE	$	2.332.073.20		
(Line 3 less Line 6)		AMOUNT CERTIFIED . . . . . . . . . .   $	 	621.986.40		

CERTIFICATE F	A¼	t

CHANGE ORDER SUMMARY	I	AD	DITIONS	I	DEDUCTIONS	
Total changes approved				
in lltevious months by Owner	I	$0.00	$0.00	
Total a roved this Month		$0.00	$0.00	
TOTALS		$0.00	$0.00	
NET CHANGES  by Change Order	I	$0.00	

By:

#/	N	, •

Date:	f

This Certificate is not'ncgotia!J,IJ
Contractor named he rem. Jss 'l'flce. payment and acceptance ol payment are without
prejudice to any rights of the Owner or Contractor under this Contract

A1A DOCUMENT 0702 APPLICATION AND CERTIFICATION FOR PAYMENT· 1992 EDITION AIA • C1992	THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, OC 20006-5292

CONTINUATION SHEET	AJA DOCUMENT G703	Page 2 of3

AJA Document G702. APPLICATION AND CERTIFICATION FOR PAYMENT. containing
Contractor's signed certification 1s attached.	 	

APPL!CATION NO:	4
APPLICATION DATE: 7-Sep-18

In tabulations below. amounts are stated to the nearest dollar.	I	Triple Creek Phase 2 Amenity Center
Use Column I on Contracts where variable retainage for line items may apply

)		PERIOD TO: 3 l-Aug-18 ARCHITECTS PROJECT NO:

A	B	('	D		F	G	II	I	
ITEM NO.	DESCRIPTION OF WORK	CONTRACT
VALUE	WORK COMPI.F.TED	MATERIALS PRESENTLY STORED (NOT IN
DORE)	TOTAL COMPLETED AND STORED TO DATE
(D+E+F)	%
(G •Cl	BALANCE TO FINISH (C-GJ	RETA!NAGE	
			FROM PREVIO US APPLICATION
(D · E)	T l! IS PElll UO						

1
2
3	
General Conditions Mobilization
Bond/Insurance	
$95.593.00
$5.000.00
$32.379.00	
$35.850.00
$5.000.00
$32,379.00	
$11.950.00
$0.00
$0.00	
$0.00
$0.00
$0.00	
$47.800.00
$5,000.00
$32.379.00	
50.00%
100.00%
100.00%	
$47.793.00
$0.00
$0.00	
$4.780.00
$500.00
$3.237.90	
4	Contracors Fee	$259,717.00	$45.810.00	$51.125.00	$0.00	$96.935.00	37.32%	$162.782.00	$9,693.50	
5	Staking{f esting	$18,100.00	$16.182.00	$1,048.00	$0.00	$17,230.00	95.19%	$870.00	$1,723.00	
6	Clearing/Rough Grading	$21,000.00	$8.810.00	$4,560.00	$0.00	$13.370.00	63.67%	$7,630.00	$1,337.00	
7	Fine Handscape Grading	$17, 135.00	$0.00	$0.00	$0.00	$0.00	0.00%	$17.135.00	$0.00	
8	Pool Deck Drainage (Allowance)	$35.000.00	$0.00	$0.00	$0.00	$0.00	0.00%	$35.000.00	$0.00	
Q

10	Landscaping/Sod
Irrigation	$192,910.00
$78.875.00	$0.00
$0.00	$0.00
$0.00	$0.00
$0.00	$0.00
$0.00	0.00%
0.00%	$192,910.00
$78.875.00	$0.00
$0.00	
JI	Sidewalks	$36.600.00	$0.00	$13.663.00	$0.00	$13,663.00	37.33%	$22,937.00	$1.366.30	
12	Concrete Pavers	$62.854.00	$0.00	$0.00	$0.00	$0.00	0.00%	$62,854.00	$0.00	
13	Seat/Retaining Wall/Fire Pit	$5,963.00	$0.00	$0.00	$0.00	$0.00	0.00%	$5,963.00	$0.00	
14	Concrete Work	$107,423.00	$88.748.00	$0.00	$0.00	$88,748.00	82.62%	$18,675.00	$8,874.80	
IS	Masonry CMU Work	$45,132.00	$45,132.00	$0.00	$0.00	$45,132.00	100.00%	$0.00	$4,513.20	
lb	Brick Masonry	$17,725.00	$0.00	$0.00	$0.00	$0.00	0.00%	$17.725.00	$0.00	
17	Miscellanious Metals	$5.563.00	$0.00	$5.563.00	$0.00	$5,563.00	100.00%	$0.00	$556.30	
18	Handrails/Railing	$28.456.00	$0.00	$0.00	$0.00	$0.00	0.00%	$28,456.00	$0.00	
19	Carpentry/Columns/Fascia	$129.405.00	$72,784.00	$43,886.00	$0.00	$116.670.00	90.16%	$12,735.00	$11.667.00	
20	Siding!frim/Brackets	$61.228.00	$0.00	$0.00	$0.00	$0.00	0.00%	$61,228.00	$0.00	
21	Wood Trusses (Purchase Only)	$15,817.00	$15,817.00	$0.00	$0.00	$15.817.00	100.00%	$0.00	$1,581.70	
22	Interior Wood Trim/Wood Ceilings	$32.690.00	$0.00	$0.00	$0.00	$0.00	0.00%	$32.690.00	$0.00	
23	Cabinetry	$36.975.00	$0.00	$0.00	$0.00	$0.00	0.00%	$36.975.00	$0.00	
24	Metal Roofing/Gutters/Downspouts	$ I 36,370.00	$0.00	$28.274.00	$0.00	$28,274.00	20.73%	$108,096.00	$2,827.40	
25	Insulation	$16,547.00	$0.00	$0.00	$0.00	$0.00	0.00%	$16,547.00	$0.00	
'.!b	Waterproofing/Flashings	$2.245.00	$0.00	$0.00	$0.00	$0.00	0.00%	$2.245.00	$0.00	
27	Doors/Frames/Hardware	$49.854.00	$0.00	$0.00	$0.00	$0.00	0.00%	$49,854.00	$0.00	
28	Windows/Storefront	$66.539.00	$0.00	$49.500.00	$0.00	$49,500.00	74.39%	$17.039.00	$4,950.00	
:!'l	Stucco	$14,060.00	$0.00	$0.00	$0.00	$0.00	0.00%	$14,060.00	$0.00	

!JA DOCUMENT G703 CONTINUATION SHEET FOR G702 111112 EDITION /lJA · C111112
THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVENUE. NW WASHINGTON. DC 20006-5232	6703-1992

CONTINUATION SHEET	AIA DOCUMENT G703	Page 3 of3

AJA Document G702. APPLICATION AND C"ERTIFICATION FOR PAYMENT containing
Contractor's signed certification is attached	 	

APPLICATION NO:	4
APPLICATION DATE: 7-Sep-18

In tabulations below. amount  are stated to the nearest dollar.	I	Triple Creek Phase 2 Ameni ty Center
Use Column I on Contracts where variable retainage for line items may apply

I	PERIODTO: 31-Aug-18
ARCHITEers PROJECT NO:

A	8	C	D	F	F	G	H	I	
ITEM NO.	DESCRIPTION OF WORK	CONTRACT VALUE	WORK COMPLETED	MATERIALS PRESENTLY STORED (NOTIN
DORE)	TOTAL COMPLETED AND STORED TO DATE
(O+E+F)	%
(G C)	BALANCE TO FINISH (C - Gl	RETAINAGE	
			FROM PREV IOI J APPLICATION  (D + E)	l ll lS PliRIUO						

30	
Drywall Systems	
$30.577.00	
$0.00	
$0.00	
$0.00	
$0.00	
0.00%	
$30.577.00
$85.499.00
$35,740.00
$5.584.00
$18.865.00
$645.00
$1.6 50.00
$3,125.00
$3,100.00
$5.156.00
$9,963.00
$388.898.00
$100 .00 0.00
$20.330.00
$131.952.00
$54,710.00
$71,194.00
$70.372.00
$41.683.00
$10.000.00
$13,945.0 0
$29,998.00
$24.015.00
$68.915.00
$209,258.00 ($285,236.00)	
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$43.875.80
$0.00
$0.00
$2,012.50
$0.00
$3,552.10
$0.00
$0.00
$0.00
$0.00
$0.00
$3,352.00
$0.00
$20.660.70
$0.00	
31	Flooring/Wall Tile	$85.499.00	$0.00	$0.00	$0.00	$0.00	0.00%			
32	Painting	$35,740.00	$0.00	$0.00	$0.00	$0.00	0.00%			
33	Acoustical Ceilings	$5,584.00	$0.00	$0.00	$0.00	$0.00	0.00%			
34	Toilet Partitions/Accessories	$18. 865.00	$0.00	$0.00	$0.00	$0.00	0.00%			
35	Fire Extinguishers	$645.00	$0.00	$0.00	$0.00	$0.00	0.00%			
36	Mirrors	$ 1,65 0.00	$0.00	$0.00	$0.00	$0.00	0.00%			
37	Window Treatments	$3.125.00	$0.00	$0.00	$0.00	$0.00	0.00%			
38	Shutters	$3,100.00	$0.00	$0.00	$0.00	$0.00	0.00%			
39	LouversNents	$5.156.00	$0.00	$0.00	$0.00	$0.00	0.00%			
40	Kitchen Appliances	$9,963.00	$0.00	$0.00	$0.00	$0.00	0.00%			
41	Swimming Pools	$827,656.00	$126.500.00	$312 , 258.00	$0.00	$438.758.00	53.01%			
42	Splash Equipment (Allowance)	$ l 00.000.00	$0.00	$0.00	$0.00	$0.00	0.00%			
43	Pool Fence/Gates	$20.330.00	$0.00	$0.00	$0.00	$0.00	0.00%			
44	Gazebo/Shade Structure/Sunshelter	$152,077.00	$0.00	$0.00	$20,125.00	$20.125.00	13.23%			
45	Dog Park Fencing	$54.710.00	$0.00	$0.00	$0.00	$0.00	0.00%			
46	Tennis/Basketball Courts	$106.715.00	$0.00	$35,521.00	$0.00	$35,521.00	33.29%			
47	Playground Equipment	$70.372.00	$0.00	$0.00	$0.00	$0.00	0.00%			
48	Site Fixtures	$41,683.00	$0.00	$0.00	$0.00	$0.00	0.00%			
49	Focal Point Artwork (Allowance)	$10,000.00	$0.00	$0.00	$0.00	$0.00	0.00%			
50	Signage	$13,945 .00	$0.00	$0.00	$0.00	$0.00	0.00%			
51	Dumpster/Equpment Enclosure	$29.998 .00	$0.00	$0.00	$0.00	$0.00	0.00%			
52	Plumbing	$57,535.00	$19.260.00	$14.260.00	$0.00	$33.520.00	58.26%			
53	HVAC	$68,915.00	$0.00	$0.00	$0.00	$0.00	0.00%			
54	Electrical	$415,865.00	$107.2 44.00	$99.363.00	$0.00	$206.607.00	49.68%			
55	Change Order #1- VE	($285,236.00)	$0.00	$0.00	$0.00	$0.00	0.00%			
	GRAND TOTALS	$3,511.624.00	$619,516.00	$670.971.00	$20,125.00	$1,310.612.00	37.32%	$2,201.012.00	$131,061.20	

JA DOCUMENT G703 CONTINUATION St-lEET FOR G702 • 1gg2 EOITION AIA c:11 Im
Tt-lE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW  WASHINGTON. DC   20008-5232	G703-1992

Tab 4

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT SERIES 2018A CONSTRUCTION REQUISITION RECAP FOR BOARD RATIFICATION OCTOBER 16, 2018

REQUISITION NO.	

PAYEE	

AMOUNT	

SUBACCOUNT	
1-G2	Dennis J Benham, P.S.M	$660.00	Village G2	
2-I	Dennis J Benham, P.S.M	$660.00	Village I	
3-J	Dennis J Benham, P.S.M	$660.00	Village J	
4-G2	The Kearney Companies, LLC	$133,669.71	Village G2	
5-I	The Kearney Companies, LLC	$25,957.28	Village I	
6-J	The Kearney Companies, LLC	$35,333.76	Village J	

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

DISTRICT OFFICE · 9428 CAMDEN FIELD PARKWAY · RIVERVIEW, FLORIDA 33578
August 28, 2018

Thomas J. Radicioni
THE BANK OF NEW YORK TRUST COMPANY, N.A.
10161 Centurion Parkway
Jacksonville, FL 32256

RE:	Special Assessment Bonds, Series 2018A Requisitions for Payment

Dear Thomas:

Below please find a table detailing the enclosed requisition(s) ready for payment from the Districts Acquisition/Construction Trust Account.

PLEASE EXPEDITE PAYMENT TO THE PAYEE(S) VIA USPS

REQUISITION NO.	
PAYEE	
AMOUNT	
SUBACCOUNT	
1-G2	Dennis J Benham, P.S.M.	$660.00	Village G2	
2-I	Dennis J Benham, P.S.M.	$660.00	Village I	
3-J	Dennis J Benham, P.S.M.	$660.00	Village J	

If you have any questions regarding this request, please do not hesitate to call me at (813) 533-2950. Thank you for your prompt attention to this matter.

Sincerely,
TRIPLE CREEK
COMMUNITY DEVELOPMENT DISTRICT

Christine Perkins District Manager

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT (HILLSBOROUGH COUNTY, FLORIDA)
SPECIAL ASSESSMENT BONDS, SERIES 2018A

The undersigned., a Responsible Officer of Triple Creek Community Development Dis1rict (the '' Distr ict'') hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture from the District 10 The Bank of New York Mellon Trus1 Company, N.A. a trustee (the "T rustee"), dated as of June l, 2012, as supple mente d by the Fourth Supple mental Trust rndcmture dated as of July I, 2018 (lhe "Indenture"), (e.11 capitalized terms used herein shall he.ve the meaning ascribed to such term in the Indenture}:
August24, 2018
Requisition Number: CR1-G2

Name of Payee: Dennis JBenham
Jl92I Wandsworth Drive
Tll.mpn,  FL  33626

Amount Payable : $660.00

Purpose for which paid or incurred {refer also to specific contract if amount is due and payable pursuant to a contract
involving progress payments, or, state Costs of Issuance , if app lica ble) : Invoice #70118 fQr Professional ScrvicCS'
Relating to 82018 Bond Issue

Fund or Account from which disbursement to be made : Village G2 Construclion Account

The un dersigned hereby certifies that:

obligations in tbe stated amount set forth above have been incurred by the District, or this requisi tion is for Costs of Issuance payable from the Acqu isition and Construction Pund that have no t previously been paid;

each disbursement set forth above is a proper charge against the Acquisition and Const111c1ion Fund;

each dis bursement set forth above was incurred in connection with the acquisition and/or construction of the Project;

each disbursement represents a Cost of the ProjGcl which has not p(eviously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim llffectilig the right to receive payment of, any of the moneys payable to the Payee set Forth above, which has not been released or will not be released simult aneous ly with the payment hereof.
The \lnders[gned hereby further certifies that such requis ition contains no item representi ng payment on account of any re tained percentage which the District is at the date of such certificate entilled to retain.
Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.
Dated: 	J    

By,	¥	2:s

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OP ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs ofl ssuan ce, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost o.fthe 2018 Project and is consistent with; (i) the applicable acquistiion or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such d isbursemen t is be[ng made ; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof.
 	,-,::Z-
 	 11sultingEn .

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT (HILLSBOROUGH COUNTY, FLORIDA)
SPECIAL ASSESSMENT BONDS, SERIES 2018A

The undersigned, a Responsibl1;1 Officer of Triple Creek Community Development District (the "District'') hereby submits the following requis ition for dtsbursllment unde:r and pursuant to the terms oflhe Master Trust Indenture from the District to The Bank ofNew York Mellon Trust Company, N.A. a trustee (the " Trustee''), dated as of June l, 2012, as sup pleme nted by the Fourth Supplcmental Trust Jndenture dated as ofJuly I ,
2018 (the " Inden ture''), (all capitalized tenns used herein shall have me meaning ascribed to such term in the Indenture);
August 24, 2018
Requisition Numb er: CR2-I

Nilme of Payee: Dennis J Benham
11921 Wnndsworllt Drive
Tampa, FL 33626

{C)	Amount Payable:$660.00

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract

involving  progress  paymen,ts
Relating to S2018 Bond Issue

or, s tate Costs of Issuance, if appli cable); Invoice #70ll8 for Professional Services

Fund or Account from which disbursement to be made: Vi1111ge l Construction Account

The undersigned hereby certifies that:

obligations in the slated amount set forth above have been incurred by the Distri ct, or this requisi tion is for Costs of Issuance payable from the Acquisition and Construction Fund that have not prevfously bee n paid;

Gach dis bursement set forth above is a proper charge against the Acquisition and Construction Fund;

each disbursement set forth above was incurred in connection with the acquisition and/or construction of the Project;

etich disbursement represents a Cost of the Project which has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or a1tachmentupon, or claim affecting the right to receive payment of. any of the moneys payable th e Payee set fortl1 above, which has not been released or will not be released simultaneously with the payment hereof.
The undersigned hereby further certifies that such requisition contains no it.em representing payment on account of any retaini;d percentage which the District is at the date of suc h certificate ent itled to retain.
Attached hereto ar-e originals of the invoice(s) from the vendor of th e property acquired or the services rendered with respect to wl1ich
disburseme nt is hereby requested . Dated: - - - - - - -·
TRIPLE CREEK COMMlJNJTV DEVELOPMENT DISTRICT

By:_   _      ;:::,...,.._......;::.;,.=.	"""-="--	-4-      	

CONSULTING  ENGINEER'S APPROVAL FOR
NON-COST OF ISSUANCE REQUEsrs ONLy

lJ this requisition is ror a disbursement from other than Costs ofl ssua.nce, the und ersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the 20J8 Project and is consistent with: (i) the applicable acquisition or construction. contract; (ii) the plans and specific ations for the portion of the Project with respect to which such disbur sement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof.

Con	Engineer

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
(HILLSBOROUGH  COUNTY, FLORIDA)
SPECIAL ASSESSMENT BONDS, SERIES 2018A

The undersigned , a Responsible Officer of Triple Creek Community Development District (the " Distric t'') hereby submits the following requisition for disbursement under and pursuant to the tenns of the Master Trust lndenture from the District to The Ban_k of New York Mellon Trust Company, N.A. a trustee (the "Trustee"), dated as of June 1, 2012, as suppleme nted by the Fourth Supplemental Trust Indenture dated as of July I , 2018 (the " Indenture''), (all capitalized te rms used herein shall have the meaning ascribed to such tenn in the In den ture):
August 24, 2018
Requisition Number : CR3-J

Name of Payee: Dcnni .s J Benham
11921 Wandsworth Drive
Tampa, FL 33626

Amount Payable: $660.00

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract in volving progress payments, or, state Costs of Issuance, if applicable); lnvoice #70118 for Proressional Services Relating to S2018 Bond Issue

(E}	Fund or Account from which disbursement to be made: Village J Construction Account

1l1e undersigned hereby certifies th at;

I.	obligations in the stated amount set forth above have been incurred by the District, or this requisition is for Costs of Issuance payable from the Acquisition and Construction Fund that have not previously been paid;

each dis bursement set forth above is a proper charge against the Acquisition and Construction Fund;

each disbursement set forth above was incurred in connection with th e acquisition and/or construction of the Projec t;

each disbursement represents a Cost of the Project which has not previously been paid.

The undersigned heroby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon; or claim affecting the righl 10 receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment he.reof.
The underSigned hereby further cert ifies that such requisition contains no item representing payment on account of any retained percentage which Ll1e District is at the date of such certificate entitled to retain.
Attached hereto are originals of the invoic:e(s) from the vendor of the property acquired or the services rendered with respec t 10 which disbursement is hereby requested·,
Date d:	,   

TRIPU: CREEK COMMUNITY DEVELOPMENT DIST RI CT

By,

Chair

 i!f!-6

Bo,rd , rs upervi,o

CONSULTING ENGINE ER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance , the undersigned Consulting Engineer hereby cenifies lhal this disbursement is for a Cost of the 2018 Project and is c onsis tent with: (i) the applicable acquisition or construction conlract; (ii) the plans and specifications for the portion of the Project with respect to which such disbu rsement is being made; and (iii) the repon ofthe Consulting Engineer. as such report shall have been amended or modified on the date hereof.

Co		1·neer

Dennis J Benham, P.S.M.		INVOICE	

11921 Wandsworth Drive			
Tampa, FL 33626	DATE:	July 1, 2018	
	INVOICE #	70118	
Phone 813.403.0220			
	FOR:	Triple Creek CDD 2018 Bond Issue	
djbenham@tampabay.rr.com	DJB Project #	2018038	
Bill To:			
Triple Creek Community Development District			
12750 Citrus Park Lane, Suite 115			
Tampa, Florida 33625			
Attn: District Manager			
DESCRIPTION	AMOUNT	

Prepare legal description and boundary exhibit of the parcel of land that	

1,980.00	
represents the 2018 bond issue		
G2 $660 I $660
J $660

1,980.00	

Make all checks payable to Dennis J. Benham			
Due and payable upon receipt			

THANK YOU FOR YOUR BUSINESS!

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

DISTRICT OFFICE · 9428 CAMDEN FIELD PARKWAY · RIVERVIEW, FLORIDA 33578
September 25, 2018

Thomas J. Radicioni
THE BANK OF NEW YORK TRUST COMPANY, N.A.
10161 Centurion Parkway
Jacksonville, FL 32256

RE:	Special Assessment Bonds, Series 2018A Requisitions for Payment

Dear Thomas:

Below please find a table detailing the enclosed requisition(s) ready for payment from the Districts Acquisition/Construction Trust Account.

PLEASE EXPEDITE PAYMENT TO THE PAYEE(S) VIA UPS

REQUISITION NO.	
PAYEE	
AMOUNT	
SUBACCOUNT	
4-G2	The Kearney Companies, LLC	$133,669.71	Village G2	
5-I	The Kearney Companies, LLC	$25,957.28	Village I	
6-J	The Kearney Companies, LLC	$35,333.76	Village J	

If you have any questions regarding this request, please do not hesitate to call me at (813) 533-2950. Thank you for your prompt attention to this matter.

Sincerely,
TRIPLE CREEK
COMMUNITY DEVELOPMENT DISTRICT

Christine Perkins District Manager

TRf PLE CREEK COMMUNITY DEVELOPMENT DISTRICT (H'ILLSBOROUGH COUNTY, FLORIDA)
SPECIAL ASSESSMENT BON OS, SERIES 20J8A

he undersigned, a Responsib le Officer of Triple Creek Communi ty Development District (the "District") hereby submits the following requisition for disbursement under and purSuant to the terms of the Master Trust Indenture from the District to The Bank of New York Mellon Trust Company, N.A . 11. trustee (the "Trus tee"), dated as of June 1, 2012, as supplemented by the Fourth Supplemental Trust Ind enture dated as of July I, 2018 (the " In denture" ), (all capitalized terms used herein shall have the meaning ascribed to such term in !he Indenture):
Septemb er 20, 2018
Requisition Numb er: CR4-G2-

Name of Payee: The l{e.,rney Companies, LLC
9625 Wes Kearney Way
Riverview, FL 33578

Amount Payable: $133,669.71

{D) Purpose for which paid or incurred (refer also to speoific oontract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs ofl ss1J ance, If applica ble): Pay A.r,plication #1 for Triple Creek Villages G2, I & J

(E)	Fund or Accol,lill from which dis bursement to be made: Village G2 Constructfon Account

The Lmdersigned hereby certifies tha t:

I.	obligations in the stated amoun t. set forth above have been incurred by the District, or this requisi tion is for Costs of Issuance
payable from the Acquisition and Construction Fund that have not previous ly been paid·

each disbursement set fortti above is a proper charge against the Acquisirion and Construction Fund ;

each disbursement set forth above was incurred in connection with the acquisition and/or construction of the Project;

4..	each disbursement  represents !l Cost of the;: Project which has not previously been paid.

The undersigned here.by further certifies that there has not been tiled with or served upon the District notice of any lien, right to lien. or attachment upon, or claim affecting the right to receive payment of, B.llY of the moneys payable to the Payee set fortl1 above, which has not been released or will not be released simultaneously with the payment hereof.
The uqdersigned hereby further certifies that s uch requisition contains no item representing payment on account of any retained percentage which the Disrrict is at the date or suoh cerrificate entitled to retain.
Atta.ched hereto are originals of1J1e invoi ce(s) from the vendor of the property acquired or the services rendered wilh respect to which disbursement is here by requested,
Dated: 	,   

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
By;	:;,;6erv:

CONSULTING ENGINEGR'S APPROVAL FOR
NON-COST or ISSUANCE REQUESTS ONyL

If this requisition is for a disbursement from other than Costs ofl ssuance, the undersigned Consuliing l!ngineer hereby certi fies that this disbursement is for a Cost of the 2018 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for lhe portion of the Project with respect to which s uch disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or mod ified on the date hereof

/	Consultin g Engineer

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
(HILLSBOROUGH COUNTY, FLORIDA) SPECIAL ASSESSMENT BONDS, SERIES 2018A
The undersigned, a Responsible Officer of Triple Creek Community Development DislTict (the "District") hereby submits the following requisition for dis bursement under and pursuant to the terms of the Master Trust Indenture from the District lo The Bank of New York Mellon Trust Company, N.A. a trustee (the "Tr ust ee"),dated as of June I, 2012, ns supplemented by the Fourth Supplemental Trust Indenture dated as of July 1, 201 8 (the ''Ind enture''), (all capitalized terms used hereln shall have the meaning ascribed to such tern, in the lndenture):
September 20, 2018
{A)	Requisition Number: CRS..J

(8)	Name of Payee: The Kearney Companies, LLC
9625 Wes Kearney Way Riverview, FL 33578

Amount Payable:  $25,957.28

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs ofl ssuance, if appli cable): Pay Application #1 for Triple Creek Villages G2,I &J

(E}	Fund or Account from which disbursement to be made; Village I Construction Account The undersigned hereby certifies U1at:
obligations in the siated amount set forth above have been incurred by the Distr ict, or this rcquJsition is for Costs oflssuance payable from the Acquisition and Construction rund that have not previously been paid;

each disbursementset forth above is a proper charge against the Acquisition and Construction Fund;

each disbursement set fonh above was incurred in connection with the acquisition and/or construction of the Project;

each disbursement represents a Cos! oft he Project which has nol previously been paid.

The undersigned hereby f1.111her certifies lhat there has not been filed with or served upon the District notice of any lien , right to lien, or attachment upon , or claim affecting the righ1 to receive payment of, nny oflhe moneys payable to the Payee set forth above, which has not been released or wiJI not be released simultaneously with the payment hereof.
The undersigned hereby further certifies that such requis ition contains no item representing payment on account of any retained percentage which ths District is al the date of such certificate entitled to retain.

_ _

 	_

Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested,

Dated: _ _

_  _  _	,

 	25

fr

TRIPLE CREEK COMMUNl'.l'Y DEVELOPMENT DISTRICT

By,

CONSULTING ENGrNEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other tlum Costs ofl ssuance, lhe undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the 2018 J>roject and 1s consistent with: (l) the applicable acquis itio n or construction contract; (if) the plans and specifications for the portion of the Project with respect to which such dis bursement is being made: and (iii) the report of the Consulting Engineer, as such report sha ll have been amended or modified on the date hereof.
 	   .	
@6°nsulting Engineer

TRJPLE CREEK COMMUNITY DEVELOPMENT DISTRICT (HILLSBOROUGH COUNTY, FLORIDA)
SPECIAL ASSESSMENT BONDS, SERIES 2018A

The undersigned, n Responsibie Officer of Triple Creek Community Development District (the "Dist rict") hereby submits the following requis i tion for disbur se ment under nnd pursuant to the terms of the Master Trusl Indenture from the District to The Bank of New York Mellon Trust Company, N.A. a trustee (the 'T rustee''), dated as of June I , 2012, as sup plemented by th e Fourth Su pple men tal Trust lndcnture dat ed as of July I, 2018 (the "Indenture'') , (all capitalized lenns used herein shall have the meaning ascribed to such term in the Indenture):
September 20, 2018
Requi sit ion Number: CR6-J

Name of Payee: The Kearney Companies, LLC
9625 \Ves Keat.ney Way
Riverview, FL 33578

Amount Payable: $35,333.76

Purpose for which paid or in curred (refer als o to specific contract if amount is due and payable pursuant to a contract involving progreS-s payments, or, stale Costs of Issuan ce, if applicable): Pay Application #1 for Triple Creek Villages G2; l &J

Fund or Account from which dis bursement to be made: Village J Construction Account

The unde rsigned hereby certifies that:

obligations in the stated amou nt set forth above have been incurred by the Distric or this requisition is for Costs of Issuance payable from the Acquisition and Construction Fund that have not previously been paid;

2.	each disbu rsement se t forth above is a proper charge against the Acquisition and Cons truction Fund;

J.	each disbursem ent se t forth above was inc urred in connection with the acquisition and/or construction of the Project;

4,	each disbursement represents a Cost of the Project which has not prev ious ly been paid.

Tiu: undersigned hereby Further certifies that th ere has not been filed with or served upon the Dis trict notice of 8.1\Y l ien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable 'tothe Payee set forth above, which has not been relellSe d or will not be released simultaneously with the payment hereof.
The undersigned hereby further certifies that such requisi tion contains no item representinll payment on account of llnY retained percentage which the Disrrict is at the date of such certificate en titled to retain.
Attached hereto are originals of the invoiec(s) from the vendor of the property acquired or the services ronderild wilh respect to which
disbursement .is hereby requested. Dated: 	,   

'           ::C	..JL'?-7X

/  '	¾

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

By:

CONSULTING ENGINE ER'S APPROVAL FOR
NON-COST OF ISSUANCE  REQUESTS ONLY

If this requisition is for a disbursement from other than Costs ofl ssua.nce, the undersi gned Consultin g Engineer hereby certifies Iha.I this disbur sement is for a Cost of the 2018 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbucsement is being made; and (ii!) the report of1he Consulling Engineer, as such re port shall have been amended or modi fied on the date hereof.

@
KEARNEY
COMPANIES
Office (BB) 421-6601

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney W11y, Riverview FL 33571!	Fax (813) 421-6701

Underground Utilities	Site Development

CONTRACTOR'S APPLICATION FOR PAYMENT

PROJECT:	TRPILE CREEK VILLAGES G2, I & J	PROJECT NO.:	0038-03	
PAYMENT REQUEST NO.:	1	FOR PERIOD:	TO	8/31/2018	

1. ORIGINAL CONTRACT AMOUNT .  .  .  .  .  . .  .  . .  .  .  .  .  .  .  . .   .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  $	7,777,777.00
2.  APPROVED CHANGE ORDERS & CONTINGENCIES. . . . . . . . . . . . . . . . . . . . . .  .  .  .  .  .  .  .  .  .  .   _$	_       _5_6.,:4;(,	__58_.9_6.,)

3.  CURRENT CONTRACT AMOUNT.  .  . . . .	. .  .  .  .  .  .  .  .  . . .	.  .  .  .  .  . .
4.  VALUE OF WORK COMPLETED TO DATE	3%	.  .  .  .  .  .  .  .  .  .  . . -$	216,62-3.0-6
5.  LESS AMOUNT RETAINED	10%   .  .  .  .  .  .  .  .  .   .  .  .  .  .  .  .  .  .  .  .   .   $	21,662.31

=$=====7,=7=21=,3=1=8=.0=4=

6.  NET AMOUNT EARNED TO DATE .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . -. -. -. -. -. _....-.:.... - .  - .  - .   .
7. LESS AMOUNT OF PREVIOUS APPLICATIONS . . . . . . . . . . . . . . . . .
8. TOTAL AMOUNT UNPAID TO DATE ..................... $	194,960,75

   $	194,960.75 
$

9. PREVIOUS APPLICATIONS UNPAID	. .-

$'------

CURRENT PAYMENT DUE THIS APPLICATION ............................ $	194,960.75
=======

CERTIFICATION OF CONTRACTOR
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief, the Work covered
by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,
and that current payment shown herein is now due.

CONTRACTOR: THE	DATE:	8/31/2018
TITLE:	PROJECT MANAGER

STATE OF FLORIDA	} COUNTY OF HILLSBOROUGH	}
The foregoing instrument was acknowledged by _

_ _ _ _

_ _, Project Manager of THE KEARNEY

COMPANIES, LLC., a Florida Corporation, on behalf of the corporation before me this 31st day of
August	, 2018.   He/she is personally known to m   or has produced 	as identification.

Notary Slamp 1:r ·ri

JOYCE .. ZEVOlA	IDA
MY COMMISSION# GG 103334

t:. -6 /	EXPIRES: Jun.e 13, 20i1
-.,1.:;sf(.{,i. t- Bonded ThruNotary PublicUnderwrilors
CERTIFICATION OF ENGINEER

I certify that I have checked and verified this Request for Payment and that it is a true and correct statement, to the best  of my knowledge, of work performed	di r material supplied by the Contractor. In accordance with the terms and conditions of  the Contract, t  e un		d approved payment to the Contractor of Balance Due This Payment as shown above.

ENGINEER:

BY:

DATE: TITLE:

-

KEARNEY
COMPANIES
Office (813) 421-6601

-  INVOICE -
THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

N!! 18248

Fax (813) 421-6701

Underground Utilities	S#e Development

SOLD TO:   TRIPLE CREEK COD	PROJECT:	TRPILE CREEK VILLAGES G2, I & J

CLERICAL ERRORS A

Amount

RE SUBJECT TO CORRECTION. DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.

L'

i'   .•.. ---···	··- ', •. ··-···.. ··--
Description

CUST.NO.	W.0.NO.	PERCENTAGE COMPLETE

INVOICE DATE	INVOICE NUMBER
8/31/2018

-

CONTRACTOR'S PAY APPLICATION # 1 LESS 10% RETAINAGE

$216,623.06

$ 21,662.31

TOTAL AMOUNT DUE

$194,960.75

$	194,960.75

/j;.{{,:i,;. er
\JulA1e,J

=-	z	'i" r-7_ 2 8
:::	3 r;:? 3 :s. 16

PLEASE REMIT TO:
THE KEARNEY COMPANIES, LLC,
Please add  tj	ATTN: Dept. AIR
9625 Wes Kearney Way Riverview, FL 33578

PLEASE PAY FROM THIS INVOICE - NO STATEMENT WILL BE RENDERED
INVOICES DUE PER AGREEMENT NO DISCOUNTS. UNPAIO AMOUNTS WILL BEAR INTEREST AT 1" % PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%, PURCHASER AGREES TO PAY ALL COSTS AND FEES FOR COLLECTION ONAC­ COUNTS REMAINING UNPAID INEXCESS OF 30DAYS INCLUDING, BUT NOT LIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

BILL TO:	TRIPLE CREEK CDD
PROJECl : TRPILE CREEK VILLAGES G2, I & J
PROJECT#: 0038-03

THE KEARNEY COMPANIES, LLC, 9626 WES KEARNEY WAY RIVERVIEW, FL 33678
(813) 421-6601

SCHEDULE OF VALUES

APPLICATION NO.: APPUCATION DATE PERIOD TO: GC/OWNER'S NO.:

1
8131/2018
8/31/2018

A	B	C	D	E	F	G	H
ITEM	DESCRIPTION	CONTRACT		FROM		THIS		TOTAL		BALANCE	RETAINAGE NO.		OF WORK		VALUE	PREVIOUS	PERIOD	COMPLETED	%	TO FINISH
APPLICATION	&STORED TO DATE
SCHEDULE A - G2 GENERAL REQUIREMENTS
1.	MOBILIZATION	$	71,587.06	$     71,567.06    $	71,587.08	100%  $	-	$	7,158.71
2.	NPOES COMPLIANCE	$	11,511.90	$	1,726.79  $	1,728.79	15%  $	9,785.11   $	172.68
3.	MAINTENANCE OF TRAFFIC	$	1,416.00	$	-	$	-	0%  $	1,416.00   $	-
4 .	CON S, . STAKEOUT/ RECORD SURVEY	$	93,810.00	$	-	$	-	0%  $	93,810.00   $	-
5.	GEOTECHNICAL & MATERIAL TESTING	"BY OWNER"
6.	PAYMENT & PERFORMANCE BOND	$	39,259.73	$    39,259.73   $	39,259.73	100%  $	-	$	3,925.97
TOTAL SCHEDULE A - G2 GENERAL REQUIREMENTS	$	217,584.69  $	-	$  112,573.58  $	112,573.58	52%  $	105,011.11  $	11,257.36
SCHEDULE B • G2 EARTHWORK

1.	CLEARING & GRUBBING	$	44,827.29	$    11,206.82   $	11,206,82	25%  $	33,820.47  $	1,120.68
2.	SAW CUT EXISTING ASPHALT & REMOVAL	$	2,786.00	$	-	$	-	0%  $	2,786.00   $	-
3,	DISC SITE	$	8,047.60	$	-	$	-	0%  $	8,047.60   $	-
4.	CUTVOLUME	$	89,838.00	$	-	$	-	0%  $	89,838.00   $	-
5.	FILL VOLUME	$	77,666.40	$	-	$	-	0%  $	77,666.40   $	-
6.	IMPORT(FROM ADJACENT PH/STOCKPILE <2,000')	$	102,851.08	$	-	$	-	0%  $	102,651.08   $	-
7.	2 FT WIDE "CLAY WALL" (OR LINER)	$	12,426,96	$	-	$	-	0%   $	12,425.96   $	-
8 .	SODDING	$	71,553.87	$	-	$	-	0%  $	71,553.87   $	-
9,	SILT FENCE	$	23,035.68	$    13,821.41   $	13,821.41	60%  $	9,214.27   $	1,382.14
10.	FLOATING TURBIDITY BARRIER	$	6,078.24	$	-	$	-	0%  $	6,076.24    $	-
11.	INLET PROTECTION	$	378.32	$	-	$	-	0%  $	378.32    $	-
12.	DEWATERING (FOR ALL ASPECTS OF PROJECT)	$	7,311.00	$	-	$	-	0%  $	7,311.00   $	-
13.	FINAL GRADING	$	19,238.58	$	-	$	-	0%  $	19,238,58   $	-
TOTAL SCHEDULE B • G2 EARTHWORK	$	465,838.02   $	-	$	25,028.23   $	25,028.23	5%  $	440,809.79   $	2,502.82 SCHEDULE C "G2 ROADWAY
1.	1.5" TYPE SP-9.5 ASPHALT	$	97,625.11	$	-	$	-	0%  $	97,625.11  $	-
2.	7" CRUSHED CONCRETE (OR OBG 5)	$	113,321.23	$	-	$	-	0%  $	113,321.23   $	-
3.	12" SlABILIZED SUBGRAOE {LBR 40)	$	53,390.59	$	-	$	-	0% $	53,390.59   $	-
4.	MIAMI CURB W/SlABILIZATION	$	84,669.10	$	-	$	-	0%  $	84,669.10    $	-
5 .	TYPE 'P CURB W/STABILIZATION	$	15,437.53	$	-	$	-	0%  $	15,437.53   $	-
6.	CONCRETE SIOEWAlK (REINFORCED· TTM OPT.2)	$	106,577.68	$	-	$	-	0%  $	106,577.68   $	-
7.	ADA RAMPS (5' WIDE)	$	23,231.04	$	-	$	-	0%  $	23,231.04    $	-
8 .	ADA RAMPS {8' WIDE)	$	2,467.12	$	-	$	-	0%  $	2,467.12   $	-
9.	6' WIDE RIBBON CURB	$	8,094.72	$	-	$	-	0%  $	8,094.72   $	-
10.	STOPS SIGNS	$	1,699.20	$	-	$	-	0%  $	1,699.20   $	-
11.	DEAD ENO SIGN	$	283.20	$	-	$	-	0%  $	283.20   $	-
12.	STREET SIGNS	$	3,186.00	$	-	$	-	0%  $	3,186.00   $	-
13 .	ROAD ENO SIGNS (CASE 11)	$	1,486.80	$	-	$	-	0%  $	1,486.80   $	-
1 4.	RETAINING WALL (0-15 FT HT)	$	331,824.48	$	.	$	-	0%  $	331,824.46  $	-
15.	SEAT WALL (0-30" HT)	$	25,528.58	$	-	$	-	0%  $	25,526.58   $	-
16 .	GUARD RAIL (POWDER COATED BLACK)	$	89,406.24	$	-	$	-	0%  $	89,406.24   $	-
17.	10 FT CRUSHED CONCRETE 'TRAIL"	$	13,711.50	$	-	$	-	0%  $	13,711.50   $	-
TOTAL SCHEDULE C - G2 ROADWAY	$	971,940.12    $	-	$	-	$	-	0%  $	971,940.12   $	-
SCHEDULED - G2 POTABLE WATER
1.	CONNECT TO EXISTING 12" WM	$	1,869.12	$	-	$	"	0%  $	1,869.12   $	-
2.	2' POLYETHYLENE SERVICE (LIFT STATION)	$	743.76	$	-	$	-	0%  $	743.76   $	-
3.	6" PVC, C-900	$	36,584.00	$	-	$	-	0%  $	36,584.00   $	.
4.	B' PVC PIPE C-900	$	38,333.19	$	-	$	-	0%  $	38,333.19   $	-
5.	12" FUSIBLE C-900 PVC	$	36,832.68	$	-	$	-	0%  $	36,832.68   $	"
6,	2" GATE VALVE	$	454.04	$	-	$	-	0%  $	454.04   $	-
7.	6" GATE VALVE	$	12,577.50	$	-	$	-	0%  $	12,577.50   $	.
8.	BLOW-OFF ASSEMBLY (SEE CTY DRWG NO. W-6A)	$	1,964.60	$	-	$	.	0%  $	1,964.80   $	-
9.	6"FIRE HYDRANT ASSEMBLY	$	35,235.10	$	-	$	-	0%  $	35,235.10     $	-
10.	8"X6" REDUCER	$	222.08	$	-	$	-	0%  $	222.08   $	-
11.	12"X8' REDUCER	$	335.72	$	-	$	-	0%  $	335.72   $	"
12.	8" X 6" TEE FITTINGS	$	345.61	$	"	$	-	0%  $	345.81   $	-
13.	8" GATE VALVE	$	15,681.64	$	-	$	-	0%  $	15,581.64   $	-

s• TEE FITTING	$	775.96	$
8" BENO FITTINGS	$	7,353.24	$

-	$	-	0%  $	775.96    $	"

.

$	-	0%  $	7,353.24   $	-

.

16.	12" GATE VALVE	$	6,734.76	$	-	$	-	0%  $	6,734.76   $	-
1 7.	12" BENO FITTINGS	$	3,419.68	$	.	$	0%  $	3,419.68   $	-
18.	12'' X 2" TEE FITTINGS	$	521.06	$	-	$	-	0%  $	521.06   $	-
19.	6" TEE FITTINGS	$	883.46	$	-	$	-	0%  $	863,46   $	-

h  nn A-ll TrinlA   ... Ale <-l7-1-1 PAV Ann 1 800000	Paoe 1 of6	8/29/2018 5:18 PM

BILL TO:	TRIPLE CREEK CDD
PROJECT: TRPILE CREEK VILLAGES G2, I & J	THE KEARNEY COMPANIES, LLC.
9626 WES KEARNEY WAY RIVERVIEW, FL 33578
(813) 421-6601	

APPLICATION NO.: APPLICATION DATE	

813112018	
PROJECT #: 0038.03		PERIOD TO:	8/3112018	
A	8	SCHEDULE OF VALUES
C	D	E	GC/OWNER'S NO.:
F	G	H		
ITEM	DESCRIPTION	CONTRACT	FROM	THIS	TOTAL		BALANCE	RETAINAGE	
NO.	OF WORK	VALUE	PREVIOUS	PERIOD	COMPLETED	%	TO FINISH	
			APPLICATION		&STORED			
					TOOATE			

20.	6' BEND FITTINGS	$	7,566.00	$	-	$	-	0%  $	7,566.00   $	-
21 .	18'  HOPE CASING	$	8,032.50	$	-	$	-	0%   $	8,032 . 50   $	-
22 .	SINGLE SERVICE, SHORT SIDE	$	18,712.90	$	-	$	-	0%  $	16,712.90   $	-
23 .	SINGLE SERVICE, LONG SIDE	$	10,060.92	$	$	-	0%  $	10,060.92    $	-
24.	TEMPORARY CONSTRUCTION METER	$	11,569.06	$	-	$	-	0%  $	11,589.08    $	-
25.	CHLORINATION & PRESSURE TESTING	$	7,827.06	$	-	$	-	0%  $	7,827.06   $	-

TOTAL SCHEDULE D • G2 POTABLE WATER
SCHEDULE E - G2 SANITARY SEWER

1.	8" PVC, SDR 26 (0'-14' CUT)

0%  $	262,315.76   $	-

$	262,315.76	$	-	$	-	$	-	

$ 100,670.85	
$	-	
$	-	

0%  $	100,670.85   $	-

2 .	8" PVC, SDR 26 / C900 (14'-16' CUT}	$	18,676.26	$	-	$	-	0%  $	18,676.26    $	-
3.	8"  PVC, C900 (16'-18' CUT)	$	8,100.80	$	-	$	-	0%  $	8,100.80     $	-
4 .	4' SANITARY  MANHOLE (0'-14' CUT)	$	55,340.25	$     16,602.08    $	16,602.08	30%  $	38,738.17    $	1,660.21
5.	4' SANITARY MANHOLE (14'-16') CUT)	$	9,442.08	$	2,832.62   $	2,832.62.	30%  $	6,609.46   $	283.26
6.	5' (DIA) SANITARY MANHOLE (14'-18' CUT)	$	4,623.22	$	1,388.97   $	1,386.97	30%  $	3,236.25   $	138.70
7.	5' (DIA) SANITARY MANHOLE {16'-18' CUT)	$	11,623.80	$	3,487.14    $	3,487.14	30%  $	8,136.66   $	348.71
SINGLE SERVICE (HILLSBOROUGH COUNTY)	$	9,403.92	$	-	$	-	0%  $	9,403.92    $	-
REMOVE EXISTING  DOUBLE SERVICE LATERAL	$	449.50	$	-	$	-	O",(,  $	449.60   $	-
10 .	OOUBLE SERVICE (HILLSBOROUGH COUNTY)	$	32,339.58	$	-	$	.	0%  $	32,339.58     $	-
11.	TEMPORARY BLOW-OFF ASSEMBLY	$	345.74	$	-	$	-	0%  $	345.74    $	.
12.	B"CAP	$	186,98	$	-	$	-	0%  $	188.98    $	-

0%	$	6,013.20	$	
0%	$	11,575.41	$	
0%	$	432,360.66	$	
0%	$	1,344.38	$	
0%	$	15,138.24	$	

13.	INFIUEXFIL TESTING	$	6,013.20	$	-	$	.	-
14 .	TELEVISE SANITARY SEWER (CCTV)	$	11,575.41	$	.	$	-	-
15.	PUMP STATION (10' DIA.)	$	432,360.66	$	-	$	-	-
16 .	CONNECT TO  EXISTING 6" FM	$	1,344.38	$	-	$	-	-
17 .	8 " PVC, C-900 FM	$	15,138.24	$	-	$	-	-
18.	S'' PLUG VALVE	$	2,842.02	$	-	$	-	0%  $	2,842.02    $	-
19 .	6"BENO	$	3,710.10	$	-	$	-	0%  $	3,710.10   $	-
20.	PRESSURE TESTING (FM)	$	3,753.56	$	-	$	.	0%  $	3,753.56    $	-

TOTAL SCHEDULE E-  G2 SANITARY SEWER	$	727,940.55    $	-	$	24,308.81   $	24,308.81 SCHEDULE F - G2 STORM DRAINAGE

3%	$	703,631.74	$	

0%	
$	8,894.88	

$	
0%	$	42,389.90	$	
0%	$	71,255.92	$	
0%	$	10,926.72	$	
0%	$	25,700.20	$	
0%	$	7,962.41	$	
0%	$	8,728.50	$	

2,430.88

1.	15" CLASS Ill RCP	$	8,894.88		$	
2 .	18'' CLASS Ill RCP	$	42,389.90		$	
3 .	24" CLASS Ill RCP	$	71,255.92		$	
4.	30" CLASS Ill RCP	$	10,926.72		$	
5.	36" CLASS Ill RCP	$	25,700.20		$	
6.	42" CLASS Ill RCP	$	7,962.41		$	
7 .	48" CLASS HI RCP	$	8,728.50		$	

-	$	.	-
-	$	-	-
.	$	-	-
-	$	-	-
-	$	-	-
-	$	-	-
-	$	-	.
8.	60" CLASS Ill RCP	$	62,208.98	$	-	$	-	0%  $	62,208.96    $	-
9.	29" X 45" ERCP	$	15,752.40	$	-	$	-	0%  $	15,752.40    $	-
10.	HILLSBOROUGH  CO. TYPE 1 CURB INLET	$	10,8 690.36	$     32,667.11    $	32,667.11	30%  $	76,223.25    $	3,266.71
11.	FOOT TYPE C INLET	$	2,016.24	$	604.87   $	604.87	30%  $	1,411.37   $	60.49
12.	FOOT TYPE E INLET	$	18,239.04	$	5,471.71   $	5,471.71	30%  $	12,767.33   $	547.17
13.	CONTROL STRUCTURE (W SKIMMER)	$	8,308.76	$	2,492.83    $	2,492.83	30%  $	5,816.13   $	249.26
14.	STORM MANHOLE	$	6,113.10	,   $	1,8  33.93   $	1,833.93	30%  $	4,279.17    $	183.39

0%	$	15,404.02	$	
0%	$	53, 944.60	$	
0%	$	7,088.85	$	
0%	$	1,594.98	$	
0%	$	6,197.28	$	
0%	$	2,827.99	$	
0%	$	7,811 .86	$	

48"  STRAIGHT CONCRETE ENDWALL	$	15,404.02	$	-	$	-	-
60" DOUBLE  PIPE STRAIGHT CONCRETE ENDWALL	$	53,944.60	$	-	$	.-	-

.

17 .	1 B'' FOOT FES	$	7,088.85	$	-	$	-
1B.	24" FOOT FES	$	1,594.98	$	$	-	-
19 .	30" FDOTFES	$	6,197.28	$	-	$	-	-
20 .	3S"FDOTFES	$	2,827.99	$	-	$	-	-
21.	29" X 45" ERCP MITEREO END SECTION	$	7,811.BS	$	-	$	-	-
22.	RIP RAP	$	7, 13 6.46	$	-	$	-	0%  $	7,136.46   $	.
23.	TELEVISE STORM SEWER (CCTV}	$	21,812.30	$	-	$	-	0%  $	21,812.30    $	-
TOTAL SCHEDULE F - G2 STORM DRAINAGE	$	521,205 .73   $	-	$	4 3,070.25    $	43,070.25	8%  $	478,135.48    $	4,307.02 SCHEDULE G - G2 ROAD SLEEVE CROSSING
1,	4"SGH40PVC	$	4,985.10	$	-	$	-	0%  $	4,985.10   $	-
2.	6"SCH40PVC	$	3,086.75	$	-	$	-	0%  $	3,068.75   $	-

TOTAL SCHEDULE G - G2 ROAD SLEEVE CROSSING	$	8,051.85    $	-	$	-	$
SCHEDULE H - G2 UNCLASSIFIED ITEMS

-	0"/4 $	8,051.85    $	-

.

1.	ADA RAMPS (10' WIDE)	$	7,435.84	$	-	$	-	0%  $	7,435.84    $	-

h   M'.'UUI TrlnlA f:MAk r:::>-1-.1 PAV An n 1 Rnnnnn	Paoe 2 of 6	8/29/2018 5:18 PM

BILL TO:	TRIPLE CREEK COD
PROJECT:    TRPILE CREEK VILLAGES G2, I & J
PROJECT#: 0038-03

THE KEARNEY COMPANIES, LLC.
9626 WES KEARNEY WAY RIVERVIEW, FL 33678
{813) 421-tiii01

SCHEDULE OF VALUES

APPLICATION NO.: APPLICATION DATE PERIOD TO: Ge/OWNER'S NO.:

1
8/31/2018
8131/2018

A	B	C	D	E	F	G	H
ITEM	DESCRIPTION	CONTRACT		FROM		THIS		TOTAL		BALANCE	RETAINAGE NO.		OF WORK		VALUE	PREVIOUS	PERIOD	COMPLETED	%	TO FINISH
APPLICATION	&STORED TO DATE
TOTAL SCHEDULE H • G2 UNCLASSIFIED ITEMS	$	7,435.64   $	.	$	.	$	-	0%  $	7,435.84   $	-
SCHEDULE I - I GENERAL REQUIREMENTS
1.	MOBILIZATION	$	69,645.90	$	-	$	-	0%  $	69,645.90   $	-
2.	NPDES COMPLIANCE	$	12,267.10	$	-	$	-	0%  $	12,267.10   $	-
3.	MAINTENANCE OF TRAFFIC	$	1,416.00	$	-	$	-	0%  $	1,416,00   $	-
4.	CONST. STAKEOUT/ RECORD SURVEY	$	117,646.00	$	-	$	-	D"/4 $	117,646.00   $	-
5.	GEOTECHNICAL & MATERIAL TESTING	"BY OWNER"
6.	PAYMENT & PERFORMANCE BONO	$	39,259.73	$     39,259.73   $	39,259.73	100%  $	-	$	3,925.97
TOTAL SCHEDULE I - l GENERAL REQUIRMENTS	$	240,234.73   $	-	$     39,259.73   $	39,259.73	16%  $	200,975.00  $	3,925.97 SCHEDULE J • I EARTHWORK
1.	CLEARING & GRUBBING	$	25,227.96	$	-	$	-	0%  $	25,227.96   $	.
2.	SAW CUT EXISTING ASPHALT & REMOVAL	$	4,367.44	$	-	$	-	0%  $	4,367.44   $	-
3.	DISC SITE	$	11,162.80	$	-	$	-	0%  $	11,162.80   $	-
4.	CUT VOLUME	$	216,262.29	$	-	$	-	0%  $	216,262.29   $	-
5.	FILL VOLUME	$	97,486.11	$	-	$	-	0%  $	97,486.11   $	-
6.	EXPORT (TO ADJACENT PH/STOCKPILE <2,000')	$	22,574.94	$	-	$	-	0%  $	22,574.94   $	-
7.	SODDING	$	71,315.16	$	.	$	-	0%  $	71,316.16   $	.
8,	SILT FENCE	$	22,663.04	$	4,532.61   $	4,532.61	20%  $	18,130.43 $	453.26
9.	INLET PROTECTION	$	376.32	$	-	$	-	0%  $	378.32   $	-
10.	DEWATERING (FOR All ASPECTS OF PROJECT)	$	21,933.00	$	-	$	-	0%  $	21,933,00   $	-
11 .	FINAL GRADING	$	34,096.90	$	-	$	0%  $	34,098.90   $	.
TOTAL SCHEDULE J • I EARTHWORK	$	527,469.96  $	-	$	4,532.61   $	4,532.61	1%  $	522,937.35   $	453.26
SCHEDULE K-1 ROADWAY
1.	1.5' TYPE SP-9.5ASPHALT	$	182,885,98	$	-	$	.	0%  $	182,865.96   $	.
2.	7" CRUSHED CONCRETE	$	212.290.28	$	-	$	-	0%  $	212,290.28   $	.
3.	12'' STABILIZED SUBGRAOE (LBR 40)	$	100,019.24	$	-	$	.	Oo/o $	100,019.24   $	-
4.	MIAMI CURB W/STABILIZATION	$	98,620.30	$	-	$	.	0%  $	96,620.30  $	-
5.	DROP CURB W/STABILIZATION	$	71,041.70	$	.	$	-	0%  $	71,041.70    $	-
6.	TYPE 'D' CURB W/STABILIZATION	$	38,870.04	$	-	$	-	D"/4 $	36,870.04   $	-
7.	TYPE 'F' CURB W/STABILIZATION	$	82,882.85	$	.	$	-	0%  $	62,862.85   $	-
8.	VALLEY GUTTER	$	4,851.70	$	-	$	-	0%  $	4,851.70   $	-
9.	CONCRETE SIDEWALK {REINFORCED-TIM OPT.2)	$	171,636.66	$	-	$	-	0%  $	171,636.56   $	-
10.	ADA RAMPS {5' WIDE)	$	73,103.86	$	-	$	-	0%  $	73,103.86   $	-
11.	ADA RAMPS (10' WIDE)	$	13,101.68	$	-	$	-	0%  $	13,101.68   $	-
12.	STOPS SIGNS	$	6,796.80	$	-	$	-	0%  $	6,796.80   $	-
1 3.	SPEED LIMIT SIGN	$	318.60	$	-	$	-	0%  $	318.60   $	-
14.	BOLLARD	$	823.74	$	.	$	-	0%  $	823.74   $	-
15.	RETAINING WALL	$	62,416.41	$	.	$	-	0%  $	62,416.41   $	-
16.	ALLY- 6" CONCRETE APRON	$	15,969.12	$	-	$	-	0%  $	15,969.12   $	-
17.	ROAD END SIGNS (CASE II)	$	14,878.62	$	-	$	-	0%  $	14,878.62   $	-
16.	8 FT CRUSHED CONCRETE "TRAIL"	$	8,812.80	$	-	$	-	Oo/o $	8,812.80    $	-
19.	10 FT CRUSHED CONCRETE ''TRAIL'	$	4,722.30	$	-	$	-	0%  $	4,722.30   $	.
20.	STREET SIGNS	$	8,496,00	$	-	$	-	0%  $	8,498.00   $	-
TOTAL SCHEDULE K - I ROADWAY	$  1,152,518.56   $	-	$	-	$	.	0%  $     1.152,518.56   $	.
SCHEDULE L - I POTABLE WATER
1.	CONNECT TO EXISTING 12" W/M	$	3,738.24	$	-	$	.	0%  $	3,738.24   $	-
2.	4" PVC, C-900	$	4,380.64	$	-	$	-	0%  $	4,380.64   $	-
3.	6" PVC PIPE C-900	$	83,889.00	$	.	$	-	0% $	83,889.00    $	-
4.	12" PVC PIPE C-900	$	42,884.82	$	-	$	-	0%  $	42,884.82   $	-
5.	4° GATE VALVE	$	1,398.92	$	-	$	-	0%  $	1,398.92   $	-
6.	6"GATEVALVE	$	36,894.00	$	-	$	-	0%  $	36,894.00    $	-
7.	12'' GATE VALVE	$	24,694.12	$	-	$	-	0%  $	24,694.12   $	-
6.	SLOW-OFF ASSEMBLY (SEE ClY DRWG NO. W-6A)	$	1,464.37	$	-	$	-	0%  $	1,464.37   $	.
9.	6" FIRE HYORANT ASSEMBLY	$	38,788.64	$	-	$	.	0%  $	38,788.84   $	-
10.	6" TEE FITTING	$	3,149.19	$	-	$	.	0%  $	3,149.19   $	-

11.	12" TEE FITTINGS	$	2,954.50	$	-	$
12.	6" BEND FITTINGS	$	14,057.28	$	-	$

.-.

0%  $	2,954.50   $	-
0%  $	14,057.28  $	-

13.	12" BEND FITTINGS	$	6,205.22	$	-	$	-	0%  $	6,205.22   $	-
14.	6''X4" REDUCER	$	364.24	$	-	$	-	0%  $	354.24   $	-
15.	12"X6" REDUCER	$	619.56	$	-	$	-	0%  $	619.58   $	-
16.	SINGLE SERVICE, SHORT SIDE	$	26,843.11	$	-	$	-	0%  $	28,843.11    $	-
17.	SINGLE SERVICE, LONG SIDE	$	6,377.21	$	-	$	-	0%  $	6,377.21   $	-

k      nn'lo n'J  T..:-1... ,...rv-,,,.,,1,,-  r.!.'l  t   I  D •n ■   """' <I   onnnnn			 AJ?of?n1A '1:•iR DIA

BILL TO:	TRIPLE CREEK COD
PROJECT: TRPILE CREEK VILLAGES 02, I & J
PROJECT#; 0038..03

A	B

THE KEARNEY COMPANIES, LLC.
9626 WES KEARNEY WAY RIVERVIEW, FL 33678
(813) 421-6801

SCHEDULE OF VALUES
C	D	E	F

APPLICATION NO.: APPLICATION DATE PERIOD TO: GC/OWNER'S NO.:
G	H

1
8131/2018
8/31/2018

ITEM	DESCRIPTION	CONTRACT		FROM		THIS		TOTAL		BALANCE	RETAINAGE NO.		OF WORK		VALUE	PREVIOUS	PERIOD	COMPLETED	%	TO FINISH
APPLICATION	&STORED
TO DATE
18.	TEMPORARY CONSTRUCTION METER	$	11,589.08	$	-	$	-	0%  $	11,589.08   $	-
19.	CHLORINATION & PRESSURE TESTING	$	8,090.80	$	-	$	-	0%  $	8,090.80   $	-
TOTAL SCHEDULE L· I POTABLE WATER	$	320,372.94   $	-	$	-	$	-	0%  $	320,372.94  $	-
SCHEDULE M • I SANITARY SEWER

.

1.	8" PVC, SDR 26 {0'-14' CUT)	$	151,498.51	$	-	$	-	0%  $	151,498.51  $	-
2.	8" PVC, SOR 26 (14'-16' CUT)	$	3,489.84	$	-	$	-	0%  $	3,489.84 $
3.       4' SANITARY MANHOLE (0'-14' CUT}	$       93,642.19	$	-   $	-          0%  $         93,642.19   $	-
4.       4' (DIA) SANITARY MANHOLE (14'-16' CUT)	$	3,556.06	$	-   $	-         0%  $	3,556.06   $	-
SINGLE SERVICE (HILLSBOROUGH COUNTY)	$      10,187,58	$	-    $	.	0%  $        10,187,58   $	-
DOUBLE SERVICE (HILLSBOROUGH COUNTY)	$       48,509.31	$	-   $	-        0%  $        48,509.37   $	-
7.        DEWATERING	$       40,173.64	$	-    $	-        0%  $          40,173.64   $	.
8.        INFIL/EXFIL TESTING	$         8,061.60	$	-    $	-       0%  $	8,061.60  $	-
9.        TELEVISE SANITARY SEWER (CCTV)	$       15,518.58	$	-   $	-        0%  $         15,518.58   $	.
10.    CONNECT TO EX.8" SEWER LINE TO EX. MANHOLE        $	8,241.18	$	-    $	.	0%  $	6,241.18   $	.
TOTAL SCHEDULE M - I SANITARY SEWER	$	382,878.55   $	.	$	-	$	-	0%  $	382,878.55  $	.
SCHEDULE N - I STORM DRAINAGE
1.        18'' CLASS Ill RCP	$       56,252.00	$	-    $	-          0%  $         56,252.00   $	.
2.        24" CLASS Ill RCP	$       51,872.48	$	-      $	-          0%   $         51,872.48   $	-
3 .	30" CLASS Ill RCP	$         58,324.64	$	-    $	-        0%  $         56,324.64   $	-
4.	36" CLASS Ill RCP	$      59,229.60	$	-   $	-          0%  $        59,229.60   $	-
5.         42" CLASS Ill RCP	$      48,588.68	$	-    $	-          0%  $       49,588.68   $	.
6.     CONTROL STRUCTURE - FOOT TYPE H INLET	$	9,920.66	$	.       $	-         0%  $	9,920.66   $	. 7.       HILLSBOROUGH CO. TYPE 1 CURB INLET	$     145,744.20	$	-   $	-          0%  $      145,744.20   $	. 8.	FOOT TYPE C INLET	$	3,650.14	$	-   $	-         0% $	3,650.14   $	.
9.        FOOT TYPE E INLET	$          6,426.96	$	-   $	-         0%  $	6,426.96   $	-
10.       STORM MANHOLE	$      10,695.68	$	-   $	-         0%   $	10,695.88   $	-
11.        18" FDOTFES	$        1,417.77	$	-   $	-         0%  $	1,417.77   $	-
12.        30'' FOOT FES	$        2,065.76	$	.     $	-       0%  $	2,065.76   $	.
13.        42'' FDOT FES	$        5,671.68	$	.     $	0%  $	5,671.68   $	-
14.       RIP RAP	$      10,095.48	$	-    $	.	0%  $	10,095.48   $	-
15.      TELEVISE STORM SEWER (CCTV)	$      28,402.60	$	-    $	-          0%  $         28,402.60   $	.
TOTAL SCHEDULE N • I STORM DRAINAGE	$	497,458.33    $	.	$	-	$	-	0%  $	497,458.33   $	-
SCHEDULE O • I ROADWAY SLEEVES
1.         2"SCH40 PVC	$         3,188.01	$	-    $	-        0%  $	3,188.01   $	-
3.         4" SCH40 PVC	$	7,820.90	$	-    $	-         0%  $	7,620.90   $	-
TOTAL SCHEDULE O - I ROADWAY SLEEVES	$	10,808.91   $	-	$	-	$	-	0%  $	10,808.91   $	-
SCHEDULE P • I UNCLASSll=IED ITEMS
PARKING STALL THERMOPLASTIC STRIPING	$        2,TT3.00	$	-    $	-       0%  $	2,773.00   $	-
MODEL CTR PARKING LOT W/HC SIGN & CAR STOPS   $       1,947.00	$	-    $	-         0%  $	1,947.00   $	-
3 .        ADA RAMPS (8' WIDE)	$         2,289.92	$	-   $	-          0%  $         2,289.92   $	-
4.         15" CLASS Ill RCP	$       11,998.16	$	-    $	-         0%  $	11,996.16   $	-
5.         15" FDOT FES	$         1,145.59	$	-    $	-         0%  $	1,145.59   $	.
s.      HIUSBOROUGH CO. TYPE 2 CURB INLET	$        4,176.19	$	-    $	-         0%  $	4,176.18   $	.
7.        COFFER DAM	$         1,590.48	$	-    $	-         0%  $	1,590.48   $	-
TOTAL SCHEDULE P. I UNCLASSIFIED ITEMS	$	25,918.34   $	-	$	-	$	-	0%  $	25,918.34  $	-
SCHEDULE Q • J GENERAL REQUIREMENTS
1.        MOBILIZATION	$      33,346.25	$	-   $	-          0%  $        33,346.25   $	-
2.       NPDES COMPLIANCE	$         8,542.50	$	-    $	-         0%   $	8,542.50   $	-
3.        MAINTENANCE OF TRAFFIC	$        1,418.00	$	-    $	-       0%    $	1,416.00   $	-
4.        CONST. STAKEOUT/ RECORD SURVEY	$       56,522.00	$	-   $	-          0%   $       56,522.00   $	-
5.        GEOTECHNICAL & MATERIAL TESTING	"BY OWNER"
6.	PAYMENT & PERFORMANCE BOND	$      39,259.73	$     39,259.73    $         39,259.73       100%  $	- $ 3,925.97
TOTAL SCHEDULE Q • J GENERAL REQUIREMENTS	$	139,086.48   $	-	$    39,259.73   $	39,258.73	28%  $	89,626.75  $	3,925.87 SCHEDULE R - J EARTHWORK
1.        CLEARING & GRUBBING	$       30,744.61	$	-   $	.	0%  $        30,744.51   $	.
2.	SAW CUT EXISTING ASPHALT & REMOVAL	$        2,541.50	$	.     $	-       0%    $	2,541.50   $	.
3.          OISCSffE	$         4,672.80	$	-   $	-         0%  $	4,672 .80   $	-

BILL TO:	TRIPLE CREEK COD
PROJECT: TRPILE CREEK VILLAGES G2, I & J PROJECT #: 0038--03

THE KEARNEY COMPANIES, LLC.
9626 WES KEARNEY WAY RIVERVIEW, FL 33678
(813) 421-6601

SCHEDULE OF VALUES

APPLICATION NO.: APPLICATION DATE PERIOD TO: GC/OWNER'S NO.:

1
8/31/2018
8/31/2018

A	B	C	D	E	F	G	H
ITEM	DESCRIPTION	CONTRACT		FROM		THIS		TOTAL		BALANCE	RETAINAGE NO.		OF WORK		VALUE	PREVIOUS	PERIOD	COMPLETED	%	TO FINISH
APPLICATION	&STORED
TO DATE
4.	CUT VOLUME	$	22,147.06	$	-	$	-	0%  $	22,147.06  $	-
5.	FILL VOLUME	$	18,706.74	$	-	$	-	0%  $	18,706.74    $	-
6 .	IMPORT {FROM ADJACENT PHASE/STOCKPILE <2,000 F $	194,668.20	$	-	$	-	0%  $	194,668.20  $	-
7.	SODDING	$	13,588.95	$	-	$	-	0%  $	13,588.95  $	-
8 .	SILT FENCE	$	12,483.04	$	.	$	.	00/4 $	1 2,463.04    $	-
9 .	INLET PROTECTION	$	1,229.54	$	.	$	-	0%  $	1,229.64   $	-
10.	DEWATERING (FOR ALL ASPECTS OF PROJECT)	$	4,874.00	$	.	$	-	0%  $	4,874.00   $	-
11.	FINAL GRADING	$	13,073.42	$	-	$	-	0%  $	13,073.42   $	-
TOTAL SCHEDULE R • J EARTHWORK	$	318,709.76   $	-	$	-	$	.	0%  $	318,709.76   $	-
SCHEDULES - J ROADWAY
1.	1.5" TYPE SP-9.5ASPHALT	$	64,828.16	$	-	$	-	0%  $	64,826.16  $	-
2.	7" CRUSHED CONCRETE	$	75,248.88	$	-	$	-	0%   $	75,248.88   $	-
3.	12" STABILIZED SUBGRADE (LBR 40)	$	35,453.04	$	-	$	-	00/4 $	35,453.04   $	-
4 .	MIAMI CURB W/STABILIZATION	$	71,720.61	$	-	$	-	0%  $	71,720.61   $	-
5.	TYPE 'F' CURB W/STABIUZATION	$	639.50	$	-	$	-	0%  $	639.50   $	.
6.	VALLEY GUTTER	$	3,831.17	$	-	$	-	0%  $	3,831.17    $	-
7.	CONCRETE SIDEWALK {REINFORCEP.TTM OPT.2)	$	57,999.67	$	-	$	.	0%  $	57,999.87   $	-
8 .	TREE WELL	$	28,058.25	$	-	$	-	0%  $	28,058.25   $	-
9.	ALLY- 8" CONCRETE APRON	$	9,609.18	$	-	$	-	0%  $	9,609.18 $
10.	ADA RAMPS (5' WIDE)	$	27,727.92	$	-	$	-	0%  $	27,727.92   $	-
11.	ADA RAMPS (6' WIDE)	$	2,183.92	$	-	$	-	0%  $	2,183.92    $	-
12.	STOPS SIGNS	$	3,115.20	$	-	$	-	0%  $	3,115.20   $	-
1 3.	SPEED LIMIT SIGN	$	318.60	$	-	$	.	0%  $	318.60   $	-
14.	DEAD END SIGNS	$	283.20	$	-	$	-	0%  $	263.20   $	-
15.	ROAD END SIGNS (CASE 11)	$	495.60	$	-	$	-	0%  $	495.60    $	-
16.	STREET SIGNS	$	4,779.00	$	-	$	-	0%  $	4,779.00    $	-
TOTAL SCHEDULES - J ROADWAY	$	386,289.90  $	.	$	-	$	.	0%  $	386,289.90   $	-
SCHEDULE T - J POTABLE WATER
1.	CONNECT TO EXISTING a•-12'' WfM	$	3,738.24	$	-	$	-	0%  $	3,738.24   $	-
2.	4• PVC, C-900	$	12,130,62	$	-	$	-	0%  $	12,130.62   $	-
3.	6" PVC, C-900	$	40,946.40	$	-	$	-	0%  $	40,946.40   $	.
4.	4"GATEVALVE	$	6,994.60	$	-	$	-	0%  $	6,994.60   $	-
5.	6'' GATE VALVE	$	18,447.00	$	-	$	-	0%  $	18,447.00   $	.
6.	BLOW-OFF ASSEMBLY (SEE CTY DRWG NO. W-6A)	$	2,101.92	$	-	$	-	0%  $	2,101.92   $	-
7.	6" FIRE HYDRANT ASSEMBLY	$	20,776.14	$	-	$	-	0%  $	20,776.14  $	-
8.	4" TEE FITTING	$	214.74	$	-	$	-	0%  $	214.74   $	-
9.	6"X 4" TEE FITTING	$	813.12	$	-	$	-	0%  $	813.12    $	-
10.	8" TEE FITTING	$	1,151.28	$	-	$	-	0%  $	1,151.28   $	-
11.	6"CROSS	$	381.37	$	-	$	-	0%  $	381,37   $	-
12.	4" BEND FITTINGS	$	3,233.16	$	-	$	-	0%  $	3,233.16  $	-
13.	6" BENO FITTINGS	$	10,155.66	$	-	$	-	0%  $	10,155.66   $	.
14.	6"X4" REDUCER	$	708.48	$	-	$	-	0%  $	708.48    $	-
15.	8"X6'' REDUCER	$	222.08	$	-	$	-	0%  $	222.06    $	-
16,	12"X6" REDUCER	$	309.78	$	-	$	-	0%  $	309.78   $	-
17.	SINGLE SERVICE, SHORT SIDE	$	10,708.88	$	-	$	-	0%  $	10,706.88   $	-
18 .	SINGLE SERVICE, q)NG SIDE	$	7,752.64	$	-	$	.	0%  $	7,752.64   $	-
19,	TEMPORARY CONSTRUCTION METER	$	10,256.84	$	-	$	-	0%  $	10,256.84  $	-
2 0.	CHLORINATION & PRESSURE TESTING	$	7,439.94	$	-	$	-	0%  $	7,439.94   $	-
TOTAL SCHEDULE T - J POTABLE WATER	$	158,481.09   $	-	$	-	$	.	0%  $	158,481.09   $	-
SCHEDULE U - J SANITARY SEWER
1.	8" PVC, SOR 26 (0'-14' CUT)	$	73,380.60	$	-	$	-	0%  $	73,380.60   $	-
2.	4' SANITARY MANHOLE (0'-14' CUT)	$	62,444.20	$	-	$	.	0%  $	62,444.20    $	-
3 .	SINGLESERVICE (HILLSBOROUGH COUNTY)	$	4,701.96	$	.	$	.	0%  $	4,701.96    $	.
4.	DOUBLE SERVICE (HILLSBOROUGH COUNTY)	$	24,839.68	$	-	$	.	0%  $	24,639.68   $	-
5 .	B"PVCCAP	$	186 .98	$	-	$	.	0%  $	186.98    $	-

.

8 .	DEWATERING	$	19,195.80	$	.	$	.	0%  $	19,185.80   $	-
7 .	INFIL/EXFIL TESTING	$	3,852.00	$	$	-	0%  $	3,852.00   $	-
8.	TELEVISE SANITARY SEWER (CCTV)	$	7,415.10	$	-	$	-	0%  $	7,415,10   $	-
9.	CONNECT TO EX.8" SEWER LINE TO EX. MANHOLE	$	2,432.19	$	-	$	-	0%  $	2,432.18   $	-
TOTAL SCHEDULE U • J SANITARY SEWER	$	198,248.51   $	.	$	-	$	-	0%  $	198,248.51   $	-
SCHEDULE V • J STORM DRAINAGE

a..    nt11")0  ""'    T..:-1-  "'--•·,.,,., 1   1  n  ..... "--     "  onnnnn			 A/?Q/?ll1A   /i-1A PU

BILL TO:	TRIPLE CREEK COD
PROJECT: TRPILE CREEK VILLAGES G2, I & J
PROJECT #: 0038-03

THE KEARNEY COMPANIES, LLC.
9626 WES KEARNEY WAY RIVERVIEW, FL 33678
(813) 421-6601

SCHEDULE OF VALUES

APPLICATION NO.: APPLICATION DATE PERIOD TO: GC/OWNER'S NO.:

8/31/2018
8/31/2018

A	B	C	D	E	F	G	H
ITEM	DESCRIPTION	CONTRACT		FROM		THIS		TOTAi.		BALANCE	RETAINAGE NO.		OF WORK		VAI.UE	PREVIOUS	PERIOD	COMPLETED	%	TO FINISH
APPLICATION	&STORED
TO DATE
1.	15" CLASS III RCP	$	6,816.00	$	-	$	-	0%  $	6,818.00    $	-
2 .	18'' CLASS III RCP	$	7,031,5D	$	-	$	-	0%  $	7,031.50    $	-
3.	24" CLASS Ill RCP	$	12,322.84	$	-	$	-	0%  $	12,322.84    $	-
4.	30'' CLASS Ill RCP	$	47,349.12	$	-	$	-	0%  $	47,349.12    $	-
5.	36" CLASS Ill RCP	$	22,721.70	$	-	$	-	0%  $	22,721.70    $	-
6,	42" CLASS Ill RCP	$	33,361.49	$	-	$	-	0%  $	33,361.49    $	-
7.	HILLSBOROUGH CO. TYPE 1 CURB INLET	$        60,376.50	$	-   $	-          0%   $        60,376.50    $	-
8.          RIP RAP	$          1,044.38	$	-   $	-         0%  $	1,044.36    $	-
9.           FOOT TYPE E INLET	$          5,540.64	$	-    $	-         0%  $	5,540.64    $	-
10 .         18" MITERED END SECTION	$	1,109.87	$	-    $	-          0%  $	1,109.87    $	-
11.           CONNECT TO EXISTING MH STRUCTURE  &ADJ. TOP      $         1,710.02	$	-    $	-         0%  $	1,710.02    $	- 12.          STORM MANHOLE	$	8,958.54	$	-    $	-         0%  $	8,958.54    $	- 13.	TELEVISE STORM SEWER (CCTV)	$       11,446.00	$	-    $	-          0%   $        11,446.00    $	-
TOTAL SCHEDULE V • J STORM DRAINAGE	$	219,788.58    $	-	$	-	$	-	0%  $	219,788.58    $	-
SCHEDULE W - J ROADWAY SLEEVES
1.         ◄"  S  CH 40PVC	$         11,230.80	$	-     $	-          0%  $         11,230.80    $	-
2.          6"SCH40PVC	$         6,969.00	$	.     $	.	0%  $	5,969.00   $	-
TOTAL SCHEDULE W-J    ROADWAY SLEEVES	$	17,199.80    $	-	$	-	$	-	0%  $	17,199.80    $	-
CONTRACT SUMMARY
1.           SCHEDULE A-  G2 GENERAi. REQUIREMENTS	$     217,584.69    $	-     $    112,573.58    $        112,573.68          52%   $         105,011.11    $   11,257.36
2.           SCHEDULE 8 - G2 EARTHWORK	$     465,838.02    $	-    $     25,028.23   $        25,028.23	5%   $        440,809.79    $      2,502.82
3.           SCHEDULE C • G2 ROADWAY	$     971,940.12    $	-   $	-   $	.	0%   $       971,940.12    $	-
4.           SCHEDULE D - G2 POTABLE WATER	$     262,315.78    $	-   $	-  $	.	0%   $       262,315.76    $	.
s.        SCHEDULE E-  G2 SANITARY SEWER	$     727,940.55   $	-    $      24,308.81   $         24,308.81	3%   $       703,631.74    $       2,430.88
6.           SCHEDULE F - G2 STORM DRAINAGE	$     521,205.73   $	-    $      43,070.25   $        43,070.25	8%   $         478,135.48    $      4,307.02
7.           SCHEDULE G • G2 ROADWAY SLEEVES	$         8,051.85    $	.     $	-   $	-       0%  $	8,051.85    $	-
8.           SCHEDULE H • G2 UNCLASSIFIED ITEMS	$         7,435.84    $	-  $	.     $	-         0% $	7,435.84    $	-
$   3,182,312.56   $	-	$   204,980.87   $	204,980,87	6%   $     2,977,331.69     $    20,498,08
9.            SCHEDULE! - I GENERAL REQUIREMENTS	$     240,234.73    $	-     $      24,308.81   $         24,308,81	3%   $         200,975.00    $       2,430.88
10.	SCHEDULEJ-IEARTHWORK	$	527,469.96    $	-	$	4,532.61   $	4,532.61	1%  $	522,937.36   $	453.28
11.         SCHEDULE K - I ROADWAY	$   1,152,518.56    $	-   $	.      $	-          0%  $     1,152,518.56    $	-
12.	SCHEDULE L-1  POTABLE WATER	$     320,372.94   $	-   $	-   $	-          0%   $       320,372.94    $	-
13.         SCHEDULE M - I SANITARY SEWER	$     382,878.55    $	-   $	.      $	-          0%   $       382,878.56    $	-
14.          SCHEDULE N-  I STORM DRAINAGE	$     497,458.33    $	-   $	-    $	-          0%  $        497,458.33    $	-
15.	SCHEDULE  O - I ROADWAY SLEEVES	$        10,808.91   $	.       $	-    $	-         0%  $	10,808,91    $	-
16,         SCHEDULE P - I UNCLASSIFIED ITEMS	$       25,918.34    $	-    $	-    $	-          0%   $         25,918.34    $	-
$   3,157,660.32    $	-	$	28,841.42   $	28,841.42	1%   $    3,113,867.98    $	2,884.14
17.         SCHEDULE Q - J GENERAL REQUIREMENTS	$     139,086,48    $	-     $     39,259.73    $         39,259.73         28%  $	99,826.75    $       3,925.97
18.         SCHEDULE R • J EARTHWORK	$     318,709.76    $	-    $	.       $	-       0%   $       318,709.76    $	-
19.	SCHEDULES -J  ROADWAY	$      386,289.90    $	-    $	-    $	-          0%   $      386,289,90    $	-
20.          SCHEDULE T-J   POTABLE WATER	$      158,481.09   $	-      $	-   $	-           0%   $       158,481.09    $	-
21.         SCHEDULE U • J SANITARY SEWER	$      198,248 .51    $	-    $	-   $	- 0% $ 198,248.51 $
22.         SCHEDULE V - J STORM DRAINAGE	$     219,788.58   $	-    $	-   $	-        0% $      219,788.58    $	-
23.	SCHEDULE W-  J  ROADWAY SLEEVES	$         17,199.80    $	-    $	.       $	.	0%   $        17,199.80    $	-
$  1,437,804.12   $	-	$     39,259.73   $	39,259.73	3%   $   1,398,544.39    $	3,925.97
TOTAL ALL SCHEDULES	$  7,777,777.00    $	-	$    273,082.02   $	273,082.02	10"/o   $     7,489,744.06    $    27,308.19
TOTAL CHANGE ORDERS	$	(50,458.96)   $	-	$    (56,458.96)  $	(56,458.96)	0%  $	.	$	(5,645.90)

·-· ·" ·· · · '

ADJUSTED CONTRACT TOTAL	1.fYt;ti1;iliBr!l4J il :': : .-.-..-  . ··-.:.:··   :x-i.1:11;-i,iu,1_i$J : ::,1 1 ;1123;011 : :::-.,;_a   iSi':'.li4,&li;tMJi&: ;$ \: :: f;li.ilt.U ;
CHANGE ORDERS
CO#1	CDD DIRECT PURCHASE MATERIALS	$	(56,458.96)	$   (56,458.96)  $	(56,458.96)	100%  $	-	$	(5,645.90)
$	.	$	-	$	-	0%  $	-	$	-
$	-	$	-	$	-	0%  $	-	$	.
$	-	$	-	$	-	0%  $	-	$	-
$	-	$	-	$	-	0%  $	-	$	.
$	-	$	-	$	-	0%  $	-	$	-
$	-	$	-	$	-	0%  $	-	$	-
iOTAL CHANGE ORDERS	$	(56,45 8.96)  $	-	$   (56,458.96)  $	(56,458.98)	0%  $	-	$	(5,845. 90)

Rl?!l/?01R 5·18 PM

Tab 5

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT CHANGE ORDER SUMMARY
OCTOBER 16, 2018

CHANGE ORDER#	
CONTRACTOR	
DESCRIPTION	
AMOUNT	CONTRACT #	

2	
Kearney	
Atlantic TNG	
($73,727.24)	
0038-03	

2	
Kearney	
Ferguson	
($130,836.00)	
0038-03	

2	
Kearney	
Florida Soil Cement	
($127,572.79	
0038-03	

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development
PROJECT: TRIPLE CREEK VILLAGES G2-I-J CHANGE ORDER NO. 2
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	30-Sep-18	
Conditions: The changes described herein shall be governed by the terms and conditions of the Contract, and shall not in any way alter the terms of the Contract, but shall hereafter be a part of the Contract.

INV. NO.	DESCRIPTION		Invoice Amount	Sales Tax	TOTAL COST	
119883	ATLANTIC TNG 8/20/2018	G2	$	4,193.00			
119884	ATLANTIC TNG 8/20/2018	G2	$	4,314.00			
119901	ATLANTIC TNG 8/21/2018	G2	$	4,045.00			
119903	ATLANTIC TNG 8/21/2018	G2	$	3,448.00			
119924	ATLANTIC TNG 8/22/2018	G2	$	3,028.00			
119930	ATLANTIC TNG 8/22/2018	G2	$	4,280.00			
119950	ATLANTIC TNG 8/23/2018	G2	$	3,846.00			
120030	ATLANTIC TNG 8/29/2018	G2	$	2,568.00			
120033	ATLANTIC TNG 8/29/2018	G2	$	2,568.00			
120113	ATLANTIC TNG 9/5/2018	G2	$ 17,051.00			
120114	ATLANTIC TNG 9/5/2018	G2	$	1,500.00			
120118	ATLANTIC TNG 9/5/2018	G2	$	3,260.00			
120120	ATLANTIC TNG 9/5/2018	G2	$	3,260.00			
120321	ATLANTIC TNG 9/13/2018	G2	$	(1,500.00)			
120316	ATLANTIC TNG 9/18/2018	G2	$	900.00			
120325	ATLANTIC TNG 9/18/2018	G2	$	1,625.00			
120373	ATLANTIC TNG 9/21/2018	G2	$	800.00			
120387	ATLANTIC TNG 9/24/2018	G2	$ 10,368.00			
			$ 69,554.00	$ 4,173.24	$	73,727.24	

1696170	FERGUSON 9/7/2018	G2	$ 10,149.94			
1696172	FERGUSON 9/6/2018	G2	$ 13,455.19			
1696172-1	FERGUSON 9/10/2018	G2	$	268.80			
1696184	FERGUSON 9/7/2018	G2	$	1,614.24			
1696220	FERGUSON 9/7/2018	G2	$ 20,476.38			
1696513	FERGUSON 9/24/2018	G2	$ 67,985.59			
1697433	FERGUSON 9/14/2018	G2	$	3,140.48			
1698311	FERGUSON 9/24/2018	G2	$	6,292.40			
	DISCRETIONARY TAX			$	50.00		
			$ 123,383.02	$ 7,402.98	$	130,836.00	

18032	FLORIDA SOIL CEMENT CO. 9/14/2018	G2	$	2,729.10			
18033	FLORIDA SOIL CEMENT CO. 9/17/2018	G2	$ 12,477.26			
18034	FLORIDA SOIL CEMENT CO. 9/18/2018	G2	$ 11,467.50			
18035	FLORIDA SOIL CEMENT CO. 9/19/2018	G2	$ 32,555.10			
18036	FLORIDA SOIL CEMENT CO. 9/19/2018	G2	$ 39,672.62			
18037	FLORIDA SOIL CEMENT CO. 9/19/2018	G2	$ 18,566.48			
18038	FLORIDA SOIL CEMENT CO. 9/24/2018	G2	$	2,836.46			
	DISCRETIONARY TAX			$	50.00		
			$ 120,304.52	$ 7,218.27	$	127,572.79	
			
TOTAL		$	(332,136.03)	

0038-03 CO2 - CDD Purchase Materials G2	Page 1 of 2

The Kearney Companies LLC hereby requests an extension of

--0--day(s) to the original contract deadline for this work.

Owner

REASON FOR CHANGE: DIRECT PURCHASE OF MATERIALS BY COD

ACCEPTABLE TO:

DATE: _ _

_3_0_-s_e_p-_18_

DATE:

toJoji

DATE:-1-0/1-5/-18- -

0038-03 CO2 - COD Purchase Materials G2	Page 2 of2

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGE G2 INVOICE TRANSMITTAL ATLANTIC TNG
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	30-Sep-18	

INV. NO.	DESCRIPTION	TOTAL COST	
119883	ATLANTIC TNG 8/20/2018	$	4,193.00	
119884	ATLANTIC TNG 8/20/2018	$	4,314.00	
119901	ATLANTIC TNG 8/21/2018	$	4,045.00	
119903	ATLANTIC TNG 8/21/2018	$	3,448.00	
119924	ATLANTIC TNG 8/22/2018	$	3,028.00	
119930	ATLANTIC TNG 8/22/2018	$	4,280.00	
119950	ATLANTIC TNG 8/23/2018	$	3,846.00	
120030	ATLANTIC TNG 8/29/2018	$	2,568.00	
120033	ATLANTIC TNG 8/29/2018	$	2,568.00	
120113	ATLANTIC TNG 9/5/2018	$	17,051.00	
120114	ATLANTIC TNG 9/5/2018	$	1,500.00	
120118	ATLANTIC TNG 9/5/2018	$	3,260.00	
120120	ATLANTIC TNG 9/5/2018	$	3,260.00	
120321	ATLANTIC TNG 9/13/2018	$	(1,500.00)	
120316	ATLANTIC TNG 9/18/2018	$	900.00	
120325	ATLANTIC TNG 9/18/2018	$	1,625.00	
120373	ATLANTIC TNG 9/21/2018	$	800.00	
120387	ATLANTIC TNG 9/24/2018	$	10,368.00	

			

TOTAL		$	69,554.00	

The Kearney Companies, LLC.

DATE:	30-Sep-18

Invoice Transmittal ATLANTIC TNG	Page 1 of 1

A

J lANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LL C Fax, (941) 351-3765

Invoice

 	
Triple Creek COD-Kearney
c/o Rizzetta & Company 12750 Citrus Park Lane
Suite 115	SEP - 4 2018
Tampa, FL 33625

THE KEARNEY COMPANIE	

 	
l=Jiil}•'llh	
Triple Creek Subdivision PH 4 Village G2 Hills borough county
Call Before Loading
Contact: Sherry 813-280-5304	

._ A{ W:iili t;f

1

ST-14

8/20/2018	42740	Net 30

(C\11'1", f l V
l

iri1, •"./{1i(r,J\I	\Tl!sfffnii.	''·r-1,.-,
65" Base  3' x 4½' Grate Inlet Type "E", 6"	9300	769.oo I	769.00
wall, wl EB&C

ST-16	I	1	I 44" Base	4' x 4' Curb Inlet Type "1", 6" wall	7120	856.00	856.00	
ST-19	I	1	I 48" Base	4' x 4' Curb Inlet Type "1", 6" wall	7440	856.00	856.00	
ST-20	I	1	I 57" Base	4' x 4' Curb Inlet Type "1", 6" wall	8660	856.00	856.00	
ST-22	I	1	I 80" Base	4' x 4' Curb Inlet Type "1", 6" wall	10220	856.00	856.00	

Subtotal

$4,193.0 0

. ,fflr,q) ' f'H•.rl-' .-1!'I .  t,.\

;'

"!"O

$0.00

Sales Tax (0.0%)

•\

{ .r I ·• fu. ',LI(". , l '

1: ., I

Balance Due

J ' i h

$4,19 3 .0 0

l P.lF		
8/20/2018	119883	

t -- i ,,  ,t	·,'   ·,	I
.... '-I.. - .J t..-  4,...-..,4 . ~	'
,.....

A

JLANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
1NG LLC Fax, (941) 351-3765

Invoice

rr,

J tl.f{   t	J• •• _. .,	
8/20/2018	119884	

-

t{J;r,1_t1'f;r ·	
Triple Creek Subdivision PH 4 Village 02 Hillsborough county
Call Before Loading
Contact: Sherry 8 I3-280-5304

lES	

l (ffl'T/i :

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP - 4 2018

lHE KEARNEY COMrf>Ari

1i ikJ1irt :

.f	'

IJ!,!;-{l,f,1;-91 '.il J,V;i

44100

ui;,t Ul iJJifaNi .- 1

I	8/20/2018

I

ir1i :6mif(ifriiioi	I	V,.i

fH..lh.11.

'    ':1; ·i\ 1;i:,

!(0)J!f. ,Jijffi y

Net 30

'ltt..tt·.i

I

:·_s·,1    i  .

S-G213	1	4' Base  48" Diameter 5" Wall Sanitary	I	5940	I	747.oo I	747.00
Manhole Base
2	I 8" Z-Lok gasket/clamp
1 2.5'    Cone   48" Diameter 5" Wall Sanitary	I	2100
Manhole Cone

S-G214	I	1	I 3' Base 48" Diameter 5" Wall Sanitary	I
Manhole Base
I 8" Z-Lok gasket/clamp

5120	I

747.00I

747.00

1	I3' Cone  48" Diameter 5" Wall Sanitary	I	2520
Manhole Cone

S-G215	I

1	4' Base   48"  Diameter 5" Wall Sanit  ry	I
Manho le Base
3	8" Z-Lok gasket/clamp
1	2' Riser   48" Diameter 5" Wall Sanitary	I
Manhole Riser

1	1 1.5'    Cone   48" Diameter 5" Wall Sanitary	I
Manhole Cone

5940	I
1680

1260

888.00I

888 . 00

ST-21	I	1	I93" Base     4' x 6' Manhole Type "J8", 6" Wall I
1	I60"x84", 8" Reducing Slab	I

11960	I
4220

1,932.00 I

1,932.00

1	I 30" Riser 48" Diameter Type "J8" 5" Wall I	2100
Storm Manhole Riser

Subtota l

" n	:

, ,,1u·,., ,ff , <;,   • , , 1.   t r

I...,

.l ,'

J,	•\,   ::·	'.

D'   r Ir J.   :  1  1•  , ,   .	:- ·.1 1	:)

Sales Tax (0.0%)

u

... .    '	r	,  •	i•
\  I	I	.,J' ,_
t.l ... -

Balance Due

Page 1

A'.J l

Atlantic TNG, LLC

:H:,;\il'f\,,

1111 IU JIC	PO Box 729 • Sarasota, FL 34230

F·-"	llip(,:-, i\._(.:.·iT	
8/'.W/2018	119884	

Invoice

•.	/illU11	I	Phone • (941) 355-2988
1NG LLC Fax• (941) 351-3765

.	.	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

f

Triple Creek Subdivision PH 4 Village 02 Hillsborough county
Call Before Loading
Contact: Sherry 813-280-5304

--
Uh'.''	"[1/1 ,-'ji 1:1:t,(-.:,(:,;t  /	i,l(i..f,f;,,ir::·

--· -----

8/20/2018	44100	Net 30
,-.-,;. ,'.   '	,,,_.,_,,•,\;,?:·:.:.,	··.	;::.;_,J',	.,\,,, ;,,.':,:;i:

'"" .,.,,_ -·- --,-

1	18" Cone 48" Diameter Type "JB" 5" Wall	1260
Storm Manhole Cone
4	48" Single Offset Gasket

	Subtotal	$4,314.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$4,314.00	
Page 2			

A

JlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Invoice

119901

8/21/2018

r.

:

l i;W

fi,1w   ·1r\;;:i	
Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Call Before Loading
Contact: Sherry 813-280-5304
NIES	

l.i.'."-c  •  ·      , , ..,._.,   1

T     l,:;IO} ff@f
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP -	201

THE KEARNEY CON lPA

.1       6-'	.
1 IQ;fil.lh(<;l 'l li,,hlJ/,	W,i.d !i\ ;t,fi1}lf	i!::r	1--'

, l ...._ ½ '", ;.. f r _- d..

.,._,, 1

, I -

8/21/2018	41100	Net 30

/si);i ):l!?ilii(?·	© r{l\l t •
S-G216	1

IQli!, filiif(pf/1.f•l
4' Base 48" Diameter 5" Wall Sanitary Manhole Base

\,  fM\H
5940

.i} :J
888.00

_:!;.. ( . t :,;
888.00

2	8" Z-Lok gaskeUclamp			
1	2' Riser 48" Diameter 5" Wall Sanitary
, Manhole Riser	1680		
1	2' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1680		
1	2.5' Base 48" Diameter 5" Wall Sanitary	4700	888.00	888.00	

2	Manhole Base
8" Z-Lok gasket/clamp				
1	3' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	2520			
1	2.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	2100			
1

2	2' Base 48" Diameter 5" Wall Sanitary, Manhole Base
8" Z-Lok gasket/clamp	4280	888.00	888.00	
1	4' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	3360			
1	1.5' Cone 48" Diameter 5" Wall Sanitary	1260			
	Manhole Cone				
1	2' Base 48" Diameter 5" Wall Sanitary	4280	634.00	634.00	
	Manhole Base				

S-G217

S-G218	I

S-G219	I

" ur 1

Subtotal

Ln  r.J?' {...<-..i..Ft •    \	;  J '•.

-

Sales Tax (0.0%)

J,..   ·	'

11!	'(._
;)   )	L:;JI  ""	_,)

Balance Due

Page 1

_   TlIII  uJ	IIpI

Atlantic TNG, LLC	Invoice

I .

I

812112018	I

119901

PO Box 729,    Sarasota, FL 34230

lllln!	llllb Phone•(941)355-2988
TNG	LLC	Fax•(941)351-3765

-	
Triple Creek CDD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

;c-

--·	---------
Triple Creek Subdivision PH 4 Village 02
Hillsborough county
Call Before Loading
Contact: Sheny 813-280-5304	

1

	1 :,i:·:':_··:--"iJ: ;:_,'
8/21/2018	i\,,:,J cliM',i	'ii.--'{:;-,/:i·	
		
41 IOO	
Net 30	
-- -- .

•·•,  ,---  •--•w. ••

S-G220	,:,.  _......  _,.,.
.
1
1

1

1

2

1

8	.,.	.			..	•		
_1\,Ji11',i'.tsn	

"	.	.			
		6" Z-lok gasket/clamp
8" Z-Lok gasket/clamp

2.5' Cone 48" Diameter 5" Wall Sanitary
Manhole Cone

4' Base 48" Diameter 5" Wall Sanitary
Manhole Base
8" Z-Lok gasket/clamp

1.5' Cone 48" Diameter 5" Wall Sanitary
Manhole Cone

48" Single Offset Gasket	

2100

5940

1260	

747.00	-~

747.00	
	
Subtotal	$4,045.00	
	Sales Tax  (0.0%)	$0.00	
	Balance Due	$4,045.00	
Page 2

Atlantic TNG, LLC

JLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG l  LC	Fax·(941) 351-3765

Invoice

l:flli l i 	
Triple Creek COD-Kearney
c/o Rizzetta & Company	RECEIVED
12750 Citrus Park Lane
Suite 115
Tampa, FL 33625	SEP -	2018	

 	
,:'li t,.F"	
Triple Creek Subdivision PII 4 Village G2 Hillsborough county
Call Before Load ing
Contact: Sherry 813-280-5304	

11

iutlf ,( lr1iln).:_j('J	°l;t§l.i: LJ(V. 1:i;lJ\f	h:;./  t,I

/ }!l;Ja1111•.:

_i\;1Jl<){'!t (,,	I

8/21/20 18	39 160	Net 30
lfiI:{:-i,il i/lplitt ·1\1	1,•111 irifi•	I	Fv:,,;	I

S-G221	I	1	2' Base  48" Diameter 5" Wall Sanitary	4280	I	634.oo I	634.00
Manhole Base
1	16" Z-lok gaskeUclamp
1	8" Z-Lok gasket/clamp
1	12 .5 ' Cone  48" Diameter 5" Wall Sanitary	I	2100
Manhole Cone

ST-23	I	1	I 93'' Base	4' x 5' Curb Inlet Type "1", 6" Wall	7800	I	1 ,95 8.00I	
		1	I 66" Riser Wall	4' x 5' Curb Inlet Type "1", 6"	7980	

ST-25	I	
1	I 71" Base	
4' x 4' Curb Inlet Type "1", 6" wall	
9280	I	856.00I	
		1	I 71" Riser	4' x 4' Curb Inlet Type "1", 6" wall	7720			

1,958.00

856.00

48" Single Offset Gasket

119903

8/21/2018

(,;co-

u	fu	V

tt

t\t: r:!.'J\'rnu1'ITr"T'<\11G· r \,'."l;t1 ?!-\.'l_' j
f   I'	11 1 J   '·-\·	'
,	;,J •	r..:...--

Subtotal	$3 ,448.00

Sales Tax  (0.0%)	$().00
Balance Due	$3,448.00

A

LANTICJ

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax, (941) 351-3765

Invoice

I , _.  (I.		
8/22/2018	119924	

1  M11·1ri;

Triple Creek Subdivision PH 4 Vi llageG2 Hill sborough county

[ tfff'oo1	
Triple Creek COD-Kearney	RECEIVED
clo Rizzetta & Company
12750 Citrus Park Lane
Suite 115
Tampa, FL 33625	SEP - 4 2018	
RNEY COMPANl	

Sel f Unloader
Contact:Sherry 8I 3-280-5304

S . 		_	_	_

_	_	_

_	_	_J

' ,1,1,,,i i, w 

S-G223

S-G224

S-G225

ST-26

, l11:./l ''-* ,; liif, ff;J	'ffi,,t, : l!'!-11'  :1\o.j,1,

I

8/22 /2018	31200	Ne t 30
I
", '1 f..11•«:1	Jr.l:t:s<t.fli jl\•O!	\11iN(dW	( f; i;  J	I	•,  •:1
1	4' Base  48" Diameter 5" Wall Sanitary	5940	747.oo I	747.00
Manhole Base
3	I8" Z-Lok gasket/clamp
1	11 .5'  Co n e    48" Diameter 5" Wall Sanitary	I	1260
Manhole Cone
1	I 2.5' Base   48" Diameter 5" Wall Sanitary	I	4700	I	634.00I 	634.00
Manhole Base
1	16" Z-lok gasket/clamp
1	8" Z-Lok gasket/clamp
1	I 2' Cone 48" Diameter 5" Wall Sanitary	I	1680
Manhole Cone
1	I2' Base    48" Diameter  5" Wall Sanitary	I	4280	I	634 .00 I	634.0 0
Manhole Base
1	1   6"     Z-   l ok     gasket/c	l amp
1	8" Z- L  ok gasket/clamp

1	I 3' Cone  48" Diameter 5" Wall Sanitary	I	2520
Manhole Cone
1	I 76" Base     3½' x 3½' Manhole  Type "P7'', 6"	8380	I	1,013.oo l	1 , 013	. 00 W a ll
1	I 54"x54"	,  8"     Top	S  l ab	2440

3	48" Single Offset Gasket

" n,

r -   r·.-..-f-· ,..
fl   i      '  1/  '  I

l" - .\,.,.;.). ' 1i	l)

Subtotal	$3,028.00

i \

r •	,

, /	'	..  '•,'·' \'	\:1   I'	:•J
I   I '    i_:,.   I.

L

..         ..     --     -... ..1      ,    ...	-       ..

Sales Tax (0.0%)

$0.00

t. U ..,

Balance Due	$3,028.00

Atlantic TNG, LLC

JLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

S:fa,111w.	
Triple Creek Subdivision Pl I 4 Vill ageG2 Hillsborough county
Call Before Loading
Contact: Sherry 813-280-5304	

TNG LLC Fax, (941) 351-3765

-1	. Jm ti[oJ	RECEIVED	
Triple Creek COD-Kearney c/o Rizzetta & Company
12750 Citrus Park Lane	SEP - 4 1081
Suite 115
Tampa, FL 33625
'THEKE ARNEY COMPAN I E	

1u,;lj '"-le1r)Yl.i.•.1;iL	,    1.,,1 1.v   h11:1i!}HJ	11':i' i · ,_	
I	8/22/2018	
41260	
Net 30	

:i w,nw,;	I	1mnO'iJ,1/	1flJ;{,i:\il/\,oaJ '1it	W/·.(1,Jit

Invoice

li, H'		
8/22/2018	119930	

r ,:}i

10040

9900

6620

6540

8160

ST-27	I
ST-30	I
ST-31	I
ST-32	I
ST-36	I

1	45" Base 4' x 4' Curb Inlet Type "1", 6" wall
1	I 77" Base 4' x 4' Curb Inlet Type "1", 6" wall
1	I34" Base 4' x 4' Curb Inlet Type "1", 6" wall
1	I 38" Base  4' x 4' Curb Inlet Type "1", 6" wall
1	I61" Base  4' x 4' Curb Inlet Type "1", 6" wall

856.00	856.00

856.00	856.00

856.00	856.00

856.00	856.00
856.00	856.00

$0.00

Sales Tax (0.0%)

$4,280.00

Subtotal

:./ ,.. .;:::.1

1Lf	IJ   u  ':.,. ....

.      .     r-    \r >' -•  i	\., . 1J

• •  •r	,	. -

1

-t)1

1

-  •1,t"i'lii;7- \ !      •\·._   ''..•·

.'    • ,

l    l\  ./	U  l  \   '	\•  ,.  ,	i'

Balance Due

$4,280.00

A

TlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax, (941) 351-3765

ID),f' -

Invoice

8/23/2018	119950

1H llf ·	
Triple Creek COD-Kearney
c/o Rizzetta & Company	RECE\VED
12750 Citrus Park Lane
Suite 115
Tampa, FL 33625
SEP -	m2s	

81iji,lfl".	
Triple Creek Subdi visio n Pl I 4 Village G2 Hillsbo rough county
Call Before Loading
Contact: Sherry 813-280-5304	

	1r:1;!Jh'l;i'\'./t1>;tJii	i,,\1;WM!lji1	'' l	
	
8/23/2018	
41220	
Net30	

;· fth Jt)'"j'_· 1	{i'i\, f.j;11fi\•;	inr,.i,r:1Jt,!tt•la	\i.lj,lf d 1i'.	
( -:,    \ .  i		
ST-37 ST-38 ST-54

ST-57 ST-61		59" Base 4' x 4' Curb Inlet Type "1", 6" wall

51" Base 4' x 4' Curb Inlet Type "1", 6" wall

39" Base 2' x 3' Grate Inlet Type "C", 6" Wall

38" Riser 2' x 3' Grate Inlet Type "C", 6" Wall , w/ EB&C

62" Base 3' x 4½' Grate Inlet Type "E", 6" wall, w/ EB&C

96" Base 3' x 4½' Grate Inlet Type "E", 6" wall, w/ EB&C	7940

7080

3920

2760

8980

10540	856.00

856.00

596.00

769.00

769.00	856,00

856.00

596.00

769.00

769,00	
. n.  r,,;·03f\'  \\:·J;i] 1
ij\     \.. -..   \  \..I    'I .	•   I '. I i      '  ... '
\\.,   · ..'	J. ,.,,.	'
1 ;   •:1	u ..., ,.,,
-vU	Subtotal	$3.846,00	
	Sales Tax (0.0%)	$0,00	
	Balance Due	$3,846.00	

d	TLANT

Atlantic TNG, LLC
IC PO Box 729 • Sarasota, FL 34230
Phone • (941) 355-2988

Invoice

, I: < -.:..		
8/29/2018	120030	

-

TNG  l.LC  Fax, (941) 351-3765

1,fll•m,	
Triple Creek COD- Kearney
c/o Rizzetta & Company	RECEIVED
12750 Citrus Park Lane
Suite 115
Tampa, FL 33625
SEP - 4 2018	

f::11111·11r,,	
Triple Creek Subdivi s ion PH 4 Vi llage G2 Hillsboro ugh co un ty
Call Before Loading
Contact: S he rry 8 13-280-5304	

THE KEARNEY COMPANIE S

	,:1-;_'1)W;l)YfutiJ:,	Hr,i;:JJWt ii ,hl		
	
8/29/20 18	
28 140	
Net 30	
\t w1i,!1\.1·	' :l!t;hli •:	fo :l:f,_1/jji(f I·	\1,1;./'r,ih(.	!f,ht;	.;f :1l1 · r	
ST-76 ST-77 ST-79		89" Base 4' x 4' Curb Inlet Type "1", 6" wall

46" Base  4' x 4' Curb Inlet Type "1", 6" wall

39" Base  4' x 4' Curb Inlet Type "1", 6" wall	13080

8120

6940	856.00

856.00

856.00	856.00

856.00

856.00	
		
_:L,,_:- 11r:	,1,  I	,'1i
I ;				
P. f   :'\J1C:, L.         -;
l.,. ,,.....jr. -,r(·.t
\.lJ  U'	◄I     ' •    •  ·	--. I :"T....
\  :J :.I     '_,
I	' •· I - #	Subtotal	$2,568.00	
		Sales Tax (0.0%)	$0 .00	
. ,J	Lo;_	Balance Due	$2 ,568.00	

 	 TlANTI C

Ataln tci

TN   G, LLC	Invoice

8/29/2018	I

120033

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

=	1 11Ilm	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Call Before Loadi ng
Contact: Sherry 813-280-5304	

I	l

I	8/29/2018	I	 3 1520		I 	Net 30	
r--m,	Ji		ll1rm1ili
ST-62	1	46" Base   4' x 4' Curb Inlet Type "1", 6" wall	7920	I	856.oo I	856.00
ST-68	1	56" Base  4' x 4' Curb Inlet Type "1", 6" wall  I	7620	I	856.oo I	856.00
45" Riser 4' x 4' Curb Inlet Type "1", 6" wall I	4900
ST-75	I	1	J    75" Base    4'  x 4' Curb Inlet Type "1", 6" wall   I	11080	I	856.oo I	856.00

n

''•j

I	)                  I                   I         \    '     l	l	(
.	\.	_) .i.J\l ,. •' ,7..J

Subtotal	$2,568.00	
Sales Tax (0.0%)	
$0.00	
Balance Due	
$2,568.00	

r t · -;•-,·:.:·.•" \:··· ·.'
11,•r	,..r	.	·,; 1 i, •	-	1.
·1:-t u	u :...· .,:,•  .,

A

JLANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax , (941) 351-3765

Invoice

[l,,;,_i:_

9/5/2018	120113

qtl,tfl' I

l:'.HftiM	
Trip le Creek COD-Kearney	RECEIVED
c/o Rizzetta & Company
12750 Citrus Park Lane
Suite 115
Tampa, FL 33625	SEP f.o 2018	
T HE KEARNEY COMP!	

Triple Creek Subdivision PH 4 Village 02 Hil lsborough county
Call  Before Loading
Contact: Sherry 813-280-5304

I	ANI  ES 	I

I!%illrt!:J')'r l!?tlw	IH?llitl V t?JMit·	\'

, ' ):t.! f!..RUW"-	@. hl\r;i!W	for4 f•i  •ib01?·

9/5/2018	41600	Net 30

\W14l.'!liti'

!J.,,,,	..

PSA	1		21" Base      120" Diameter Lift Station 1O"	41600	17 ,051.00	17,051.00 wall

1	120" Diameter Single Offset Gasket

1 I t •

t ri ·

-	8 1 ,r-). 'j

,,,r <·f' \ Jv	Subtotal	$17,051.00

u        ill!\  .  ·\ l    ·.,	I

' \.j

r ·   ·••

·\.-1  ' -'   - ·'I;  ,.

\_ l).

Sales Tax (0.0%)	$0.00

Balance Due	$17,0 51.00

 	 l 

: J	LANJ I C

Atlantic TNG, LLC

Invoice

PO Box 729 • Sarasota, FL 34230
Phone • (941) 355-2988
TNG LLC Fax, (941) 351-3765

t .i.1/"		
9/5/2018	I	120114	

r 1il{;J; ij((l)

 	
Triple Creek Subdivisio n Pl I 4 Village 02
Hillsboroug h county Call Before Loading
Contact: Sherry 813-280-5304

NI ES

illl' 1":[,		
Trip le Creek CDD-Kearney	'ED
c/o Rizzetta & Company 12750 Citrus Park Lane	
Suite 115	SEP 1.0 201
Tampa, FL 33625

THE KEARNEY COM	

PAI

Ul,( r.J:IQJ :o	Jo)ffo'AE: 1i1}illhm;

9/5/2018

h r,nt{l 'i	fic,,,_11,.  4•, tltiM,
1	120"0 Lift Bar (Deposit to be credited upon return)

Ln-\ r· \)-'.·, .·••'  r·c3i '.·bJ ',	L.
i1.;··· .I.r.  ....  ' , .•  ;,.,, 1, 	;.,1
,	,            '  .             ;   (,

" \l .. l.l ....	·:c0t /Lb;qj'i.i:	r Ii .	
			Net 30	
		
\1/{iJ /:tl'	I<,{ .i	.	
		1,500.00	1,500.00	

Subtotal	

$1,500.00	
		Sales Tax (0.0%)	
$0.00	
		Balance Due	
$1,500.00	

A

JlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

f.S

Triple Creek Subdivision PH 4 Village G2 Hillsborough county
Call Before Load ing
Contact: Sherry 813-280-5304

:::InfBJ,J@

TNG LLC Fax, (941) 351-3765

Invoice

; , j; l		
9/5/2018	I	120118	

i:e:llU'lri?I
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 336_25

SEP-t 0 2018

THE KEARNEY COMPfllNl f

	.!t,,mx, Jf: l_r i.t;	,;,,id•V/ii,, _,, oi:		
	9/5/2018	32600		Net 30	

"-i1,,1urc!4Urif'J

ST-69	(S1\*11.ii2l 1/
1	ft!t ;: H0lit•Jq1
Index 250 Endwall 48" RCP		\ 11i'-l!jjW	l
32600	:t Ii,,
3,260.00	
.;, ,.' i'

3,260.00	

l	Subtotal	$3,260.0 0	
	Sales Tax (0.0%)	
$0.0 0	
	Balance Due	
$3,260.00	

_i--", •,;r· ·t ·.:':	-f--	1

U

t

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n 1 0  ,tU, ,  \    :   . \    , •, --'·•

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1.1	> • •

; ·1 •1 jf

Atlantic TNG, LLC

L\\ ,  ._f,.·•t.		
91512018	I	1 2 01 20	

JLANTI C PO Box 729 • Sarasota, FL 34230

Invoice

TNG LLC

Phone • (941) 355-2988

SEP 1,0 2018

RECEIVED

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

f;(l11lr't1;

,"M @ llfo,

Fax, (941) 351-3765

Triple Creek Subdiv isio n PH 4 Village G2 Hills borough count y
Call Before Loading
Contact: She rry 813-280 -5304

THE KEARNEY COMPANIES

	Wi.:tb·{}J')l(lrti:u.	i'.i' ) ti !! •, ,i(:-.i.1:ht		..I·	
	9/5/2018	32600		Net 30	
'  w,w Ji•! fi(}c	l1   m-  .m_ ilw1,,	!1 t;1';N n,t,Ht0Jiil		IW i\,:llir	I i; .l l''	
'	
ST-70	1	Index 250 Endwall 48" RCP		32600	3,260.00	3,260.00	

tfi\'•n.r

'J c,- :- '_! '-j	0	1,

Subtotal	$3,260.00

Sales Tax (0.0%)	$0.00

I ' , t., .•

i''     r,<  , , .•,  .,;1  1, ,.,  _.•.-.-1 l)	J1-

u·'!!u t.i ..-.

Balance Due	$3,260.00

TNG.t-'iJ:cl

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

Triple Creek COD-Kea rney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP 1 7 2018

THEKEAR NEY CO MPAM

     mm @ 	
Triple Creek Subdivi sio  n PH,   1 Vi llage  G2 I lillsborough coun ty
Call Before Loading
Co ntact: Sher ry 813-280-5304

S	

Fax• (941) 351-3765

E

Credit Memo

b	@mmID9,	
9/13/2018	120321	

11 20"0 Lift Bar (Deposit to be credited upon return)

1,500.00

-1,500.00

n I      ~  I  l'L .I·I   I'    ..   ►	'.   '

r.:r-l  ,, .,  1.·,••'  .I.,. -.   -'    J        j·'

Total

-$1,500.00

If  '  . '   •,_ i;  F-  - '  ,r      ;, ,   1	. ;., i'

lt W,	t..	'--.:.\

! J

Invoices

$0.00

-$1,500.00

Balance Credit

-1

@41an:rnm,.

[II

.11

JlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

I· ,q,'iffo,	
Triple Creek COD-Kearney	RECE IVED
c/o Rizzetta & Company
12750 Citrus Park Lane
Suite 115	SEP 2 4 2018
Tampa, FL 33625

_TJ-iEKEA_R_NEY COMPANIE	

,;;1;,1:,, w	
Triple Creek Subdi vis io n PI I 4 Village 02 Hillsborough county
PO# 0038-03-13
Call Ilcfore Loading
Contact: Sherry 813- 280-5304	

TNG LLC Fax· (941) 351-3765

Invoice

			

$		

1 ,;J 1 <-ll\'.' l-•.1:1\,	
\··-1.,-.t 1,:1··1.i.,l		

t	
	9/18/20 18	5040		Net 30	

(,,, f'.tti\ l,(·,	t\1(,Mil}•.'	
ji;I*   !•lrl\; f(r,,n1	\ •.\,f;diH	rt.".	.. ,	
S-G209	1	2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	1680	300.00	300.00	
	1	4' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	3360	600.00	600.00	

_  foq fCf '._;:-"- '·'

t
Subtotal	$900.00

r	cfXJ

:: .) \	!,,....,	Sales Tax  (0.0%)	10 .00

		
9/18/2018	I	120316	

LJ..U	l · ,	-,J \g  i..;_
-  -	u	:-.. ··	Balance Due	$900.00

JlANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

J iff 11,"	
Trip le Creek COD-Kearney	RECEIVED
c/o Rizzetta & Company
12750 Citrus Park Lane
Suite 115	SEP 2 4 2018
Tampa, FL 33625	
EARNEY C OIVIPA	

									

l  ,						

I	
		1,i,lh:,w,:· lt,1_, i_;:,		r  11:1·    .._-.} 1:;,t·1					
		
9/18/2018		
14340			
Net 30		

'' ' Lll!i<l \l:li--	(\',),1;1i1{1\\		
J,{,f:1,,Jlc.{,'h•fo;			1'11H (,fa11	

'( .				
ST-05	1	6' Footers				1620		200.00	200.00		
ST-15	1	6' Footers				1620		200.00	200.00		
ST-18	1	6' Footers				1620		200.00	200.00		
ST-35	1	6' Footers				1620		200.00	200.00		
ST-24	1	9' Footers				2620		275.00	275.00		
ST-33	1	19' Footers				2620		275.00	275.00		
ST-34	1	9' Footers				2620		275.00	275.00		

TNG LLC Fax, (941) 351-3765

\.	,/ tur,1· , : ',1_ ;·1•;:.j'J	)

i,:,_, .•

r,.r,::'\l\r.nj R'  ·_·lr~t.1..Ir  \:",' ? •  :J·-_:-'T"  h\

Invoice

I.,		
9/18/2018	120325	

i .l1111;,•llv-'	
T riple Creek Subdivision PH 4 Village G2 Hillsborough county
Call Before Loading
Contact: Sherry 813-280-5304

_J	

Subtoatl	$ 1,625.00

Sales Tax (0.0%)	$0.00

E i•JtI•Ji

u/,   I':",,. ,,,......,R,,.. ·L   l­

Balance Due	$1,625.00

AJl ANJ I C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

Invoice

TNG LLC Fax, (941) 351-3765

ifl i?,	
Triple Creek COD-Kearney	RECEIVED
c/o Rizzetta & Company
12750 Citrus Park Lane
Suite 115	SEP 2 4 2018
Tampa, FL 33625	
NEY COIVlPAN	

(:i,i\;, l ,	
Triple Creek Subdivision PH 4 Vi llage G2
I Tills bo rough county
PO# 0038-03-13
Call Before Loading
Contact: Sherry 813-280-5304
._	_	_	_	_	_	_	_	

jEE.

II  ' •-		
9/21/2018	I	120373	

	11·(,i ,il,,:e,r{ J11.1; 1f	,!•••1   ',.·,._   '     ,d(		
	
922180	
6480	
Net 30	

: •  ,(11,  };1.1  i(·  .	1,,,. ,, w \ 1 •:	Ii •l<f,..,_,;l/i  fiff_,,,	;i ;_ tr '.l'	
,-.·1,.		
ST-56 ST-59 ST-73 ST-74	1

1

1

1	6' Footers

6' Footers

6' Footers

6' Footers	1620

1620

1620

1620	200.00

200.00

200.00

200.00	200.00

200.00

200.00

200.00	
P.,rl(')r .-\.'i,•	r I-j-.1-.•,r,   l..; ,	•
ii  .  \.u, 1 .. .	,• ),,    i-,.-. , . 1	'j
"  'T	S'	r.	) .	•,
-.'...)•u·•·'	,u,    •"" - " 	t	
Subtotal	$800.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$800.00	

912412018	I

12038 7

.4·J	lANJI C

Atlantic TNG, LLC	.
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

Invoice

m G U.C Fax • (941) 351-3765

[:J[lu,	
Triple Creek CDD-l<earney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

 .fllfi0	
Triple Creek Subdivision PH 4 Village G2 Hillsborough county
PO# 0038-03-13
Call Before Loading
Contact: Sheny 813-280-5304	

ltlill	ltm:i1l
9/24/2018	33400	Net 30

§li!al!II		
			     ..il		
	f;tlg	<.:.!ii--mm11	
10 1-103C		1		Headwall			16700			
102-104A		1		Headwall			16700	10,368.00	10,368.00	

I

I

I
I

'

I

I	lo

r	[ l

,--r	.,.•J,. t"b1

Subtotal	$ 10,368.00

LJ•t	u  .	· .)

.	, \ur1iC '1"C:  .It:•'     t·1

\ ' " ' ·'

1 ,t  \ trL.]-.-"(v··I ·r ._ ,. _.' . , \.
.....ti	.... ...

.
, 1 "
,J  -

i J.	L

Sales Tax (0.0%)	$0.00

Balance Due	$10,368.00

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGE G2 INVOICE TRANSMITTAL FERGUSON
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	30-Sep-18	

INV. NO.	DESCRIPTION	TOTAL COST	
1696170	FERGUSON 9/7/2018	$	10,149.94	
1696172	FERGUSON 9/6/2018	$	13,455.19	
1696172-1	FERGUSON 9/10/2018	$	268.80	
1696184	FERGUSON 9/7/2018	$	1,614.24	
1696220	FERGUSON 9/7/2018	$	20,476.38	
1696513	FERGUSON 9/24/2018	$	67,985.59	
1697433	FERGUSON 9/14/2018	$	3,140.48	
1698311	FERGUSON 9/24/2018	$	6,292.40	

			

			

			

			

			
TOTAL		$	123,383.02	

The Kearney Companies, LLC.

DATE:	30-Sep-18

Invoice Transmittal FERGUSON	Page 1 of 1

-----

FERGUSON®
WATERWORKS
8008 E. SLIGH AVE. TAMPA, FL 33610-0000

RECEIVED
SEP '7 20'8

   INVOICE NUMBER I	TOTAL DUE	CUSTOMER	PAGE	
 	1696170	I	$10,149.94	53358	1 of 1	
PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO:

FEI-TAMPA, FL WATERWORKS #044
REMIT TO NEW ADDRESS:

:=;;;;;;;;;:;
"="""""

. .

Please contact with Questions: 813-6f "H'24 c /\RNEYGUMPA N I E

I',,..,.,.,,,,.,

5932 1 AB 0.408 E0039X 100 68 D4031561644 S2 P5712666 0001:0003
ii•I1•11•I•I1111II1111 111111 1II"11 1111" 11111II,
TRIPLE CREEK COD TRIPLE CREEK G2
C/O THE KEARNEY COMPANIES 9625 WES KEARNEY WAY RIVERVIEW FL 33578-0506

PO BOX 100286
ATLANTA, GA 30384-0286

SHIP TO:

TRIPLE CREEK G2

l,-o

l

12961 BOGGY CREEK DR
RIVERVIEW, FL 33579	0

SHIP SELL WHSE.	WHSE.

TAX CODE

CUSTOMER ORDER NUMBER

SALESMAN

JOB NAME

I NVO I CE DATEI B H

44	44	FLE		0038-03-10	027	1ST PIPE SWR	!		09/07/18	101651	
ORDERED		SHIPPED	ITEM NUMBER	DESCRIPTION	UNIT PRICE		UM	AMOUNT	
				1ST PIPE DELIVERY					
400		400	DR18GPX	8 C900 DR18 PVC GJ GREE PIPE	7.010		FT	2804.00	
1274		1274	SDR26HWSPP14	4X14 SDR26 HW PVC GJ SWR PIPE	1.150		FT	1465.10	
924		924	SDR26HWSPU14	6X14 SDR26 HW PVC GJ SWR PIPE	2.410		FT	2226.84	
840		840	SDR26HWSPX14	8X14 SDR26 HW PVC GJ SWR PIPE	4.350		FT	3654.00	
2		2	PSLUBXL1Q	1 QT 2 LB PIPE JT LUB NSF NEW FORM	0.000		EA	0.00	

I•••A, ,.••*••• •••••..ft•••••••••••••••••t   ••   -"•    ••••••••••••••  ••••*•••••••• •••1n11•••• •• 1u1•••••••••   •••••••

INVOICE SUB-TOTAL

10149.94

LEAD LAW Wf NING: IT IS ILLE AL TO INSTALL PROD CTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH
US FEDERAL ROTHER APPL! ABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION PRODUCTS W TH 'NP IN THE D SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABL APPLICATIONS. UYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.

t.';r,:r,i·•-i111 1..n,'r,,"  '

-- W)Jr

.

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.    I,    r  11

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TERMS:	NET 10TH PROX	ORIGINAL INVOICE	I	TOTAL DUE	I	$10,149.94
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html and are incorporated by reference. Seller may convert checks to ACH.
0001:0003

FERGUSON®
WATERWORKS
8008 E. SLIGH AVE.
--		TAMPA, FL 33610-0000
= 

RECEIVED

SEP 1 1 201A

   INVOICE NUMBER	TOTAL DUE	CUSTOMER	PAGE	
 	1696172	$13,455.19	53358	1 of 1	
PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO:

FEI-TAMPA, FL WATERWORKS #044
1	REMIT TO NEW ADDRESS:

- 
!=!!!!!!!!!!!!!!

Please contact with Questions:  813-62l'. H lfo KEARNEY COMP/ , ,,      ,..

PO BOX 100286
ATLANTA, GA 30384-0286

7372 1 AB 0.408 E0062X 10113 D4008858310 S2 P5694890 0001:0001

fil

1111111111111I11111111111•1  i111111•111111111111111111•11hl111111

(.,l {

TRIPLE CREEK G2

SHIP TO:

TRIPLE CREEK CDD TRIPLE CREEK G2
C/O THE KEARNEY COMPANIES 9625 WES KEARNEY WAY RIVERVIEW FL 33578-0506

12961 BOGGY CREEK DR RIVERVIEW, FL 33579
0

SHIP		SELL	TAX CODE	CUSTOMER ORDER NUM/	SALESMAN WHSE.	WHSE.

J O UJ ?i

ro7

INVOICE DATE

09/06/18	BATCH
10
101639	
UM	AMOUNT	
EA	2952.38	
EA	1138.41	
EA	1236.48	
EA	2806.61	
EA	89.55	
EA	3773.70	
EA	118.00	
EA	482.90	
EA	344.30	
EA	224.00	
EA	222.74	
EA	66.12	
	
13455.19	

44	44	FLE	0038-03-10	027	TRIPLE CREEK G2
ORDERED	SHIPPED	ITEM NUMBER	DESCRIPTION		UNIT PRICE	
86	86	MUL067104	4 PVC HW SWR GXGXG TEE WYE		34.330	
63	63	MUL067376	6 PVC HW SWR GXS 45 ELL		18.070	
24	24	MUL067126	6X4 PVC HW SWR GXGXG TEE WYE		51.520	
43	43	MUL067207	6X4 PVC HW SWR GXG DBL WYE		65.270	
	1	MUL067008	8 PVC HW SWR GXGXG TEE		89.550	
63	63	MUL067248	8X6 PVC HW SWR GXGXG WYE		59.900	
1	1	MUL067348	8 PVC HWSWR GXG 90 ELL		118.000	
110	110	MUL040492	4 PVC SWR REC THRO CO PLUG		4.390	
110	110	MUL040949	4 PVC SWR HUB FEM CO ADPT		3.130	
110	50	MUL063959	4 PVC SWR GSKT CAP		4.480	
43	43	MUL043736	6 PVC SWR PLUG		5.180	
3	3	MUL043738	8 PVC SWR PLUG		22.040	

INVOICE SUB-TOTAL		
I******"*******•*•+••••••••••••••••••.+.............................,.. .........., 	,..
LEAD LAW Wf NING: IT IS ILLE AL TO INSTALL PROD CTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH
US FEDERAL ROTHER APPLI ABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION PRODUCTS W TH ' NP IN THE D SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABL APPLICATIONS. UYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.

,I. • ..-'"'\l'- l  -r ·r, .   --=3-:.-  '
Ir_, _,	1 . '  1:-  J   l·

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Log in to Ferguson.com and request access to Online Bill Pay.

,	\·-/V I/,,,
_	cc 1,	'."=- , ,,
' ' / .!"
--:- -  ....L...r

TERMS :	NET 10TH PROX	ORIGINAL INVOICE	TOTAL DUE	$13,455.19
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonab le attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms conditionsSale.html and are incorporated by reference. Seller may convert checks to ACH.	-
0001:0001

-=
---

FERGUSON®
WATERWORKS
8008 E. SLIGH AVE. TAMPA, FL 33610-0000

tE CEIVt C

SEP 1 7 2018

   INVOICE NUMBER	TOTAL DUE	CUSTOMER	PAGE	
 	1696172-1	$268.80	53358	1 of 1	
PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO:

FEI-TAMPA, FL WATERWORKS #044 REMIT TO NEW ADDRESS:

Pleasecontactwith Questions: 813-627-1240
THI:: KEl-\t-.:NEY CUIVI P AI\\IE ::..

6582 1 AB 0.408   E0061X  l0118 D4019032674S2 P5702516 0001:0001
hIII11111•111111•••11•111111I•1••11111111I1111h11II 111111hIII1

PO BOX 100286
ATLANTA, GA 30384-0286

SHIP TO:

TR IPLE CREEK G2

f6rn

TRIPLE CREEK COD TRIPLE CREEK G2
C/O THE KEARNEY COMPANIES 9625 WES KEARNEY WAY RIVERVIEW FL 33578-0506

12961 BOGGY CREEK DR RIVERVIEW, FL 33579

C, )-( 0

I

SHIP		SELL WHSE.	WHSE.
44	44

TAX CODE

FLE

CUSTOMER ORDER NUMBER

0038-03-10

SALESMAN

027

JOB NAME

TRIPLECREEK G2	!

I NVO I CE DATE/ B CH

09/101/ 8	101660

ORDERED	SHIPPED	I	ITEM NUMBER	DESCRIPTION	UNIT PRICE	I  UM	AMOUNT

60	60 I MUL063959	4 PVC SWR GSKT CAP

4.480 I EA	268.80

.....,.............f!t••·········fi······••+••···········........ ......... .... ..... * ..   ..  . .......     ......  .... . ... . .

INVOICE SUB-TOTAL

268.80

LEAD LAW Wf NING: IT IS ILLEiAL TO INSTALL PROD CTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH
US FEDERAL ROTHER APPLI ABLE LAW IN POTABLE WATERSYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION PRODUCTS W TH 'NP IN THE D SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABL APPLICATIONS. UYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.

r, f";;'\ r,,
h\ I i 1, l

IUIv-°UI'J

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L:.

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TE  RMS:	NET 10TH PROX	ORIGINAL INVOICE	I	TOTAL DUE	I	$268.80
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html and are incorporated by reference. Seller may convert checks to ACH.
0001:0001

FERGUSON®
WATERWORKS
8008 E. SLIGH AVE.
-     -	TAMPA, FL 33610-0000
= 

=

- 

, RECEIVED

SEP 1 7 2018

   INVOICE NUMBER	TOTAL DUE	CUSTOMER	PAGE	
 	1696184	$1,614.24	53358	1 of 1	
PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO:

FEI-TAMPA, FL WATERWORKS #044
REMIT TO NEW ADDRESS:

=

th
Please contactw i

. t   .	813-627-1240

PO BOX 100286

""""""'
""""""'

fa®
9

Que S lo ns.	THE: Kf.f\RNEY COMP/\  N / [. '

59321 AB 0.408 E0039 10069 04031561682 S2 P5712666 0002:0003
I 11111I•I' 1111111I •I1•1  1•1•11111II1  11  I II II111III   I I III  I II  I 1111II I,
TRIPLE CREEK COD TRIPLE CREEK G2
C/0 THE KEARNEY COMPANIES 9625 WES KEARNEY WAY RIVERVIEW FL 33578-0506

ATLANTA, GA 30384-0286

TRIPLE CREEK G2
12961 BOGGY CREEK DR RIVERVIEW, FL 33579

i) , llJ

SHIP TO:

I

SHIP	SELL
WHSE.	WHSE.
44	44

TAX CODE

FLE

CUSTOMER ORDER NUMBlR

0038-03-10

SALESMAN

027

JOB NAME

TRIPLE CREEK G2	!

I NVOI CE  DATE'   B    H

09/07/18	101651

ORDERED	SHIPPED	ITEM NUMBER	DESCRIPTION	UNIT PRICE	I	UM	AMOUNT	
1200	1200	T140NL3360	MIRAFI 140NL N/WOV 3X360120 SY	0.690		SY	828.00	
12	12	MUL067306	6 PVC HW SWR GXG 22-1/2 ELL	40.010		EA	480.12	
3	3	MUL043738	8 PVC SWR PLUG	22.040		EA	66.12	
20	20	MUL043855	8 PVC SWR TEMPORARY PLUG	12.000		EA	240.00	
			
INVOICE SUB-TOTAL				
1614.24	
l•••••••••••••••••+••***********•**•*•lt••••..•--•• *•11••  •••••••••••••t•••••••••••••-***"****•*•*••
LEAD LAW Wf NING: IT IS ILLEiAL TOINSTALL PROD CTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH
US FEDERAL ROTHER APPLI ABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION PRODUCTS W TH 'NP IN THE D SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLEDIN
NON-POTABL APPLICATIONS. UYERIS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.

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TERMS:	NET 10TH PROX	ORIGINAL INVOICE	I	TOTAL DUE	I	$1,614.24
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html and are incorporated by reference. Seller may convert checks to ACH.
0002:0003

FERGUSON®
WATERWORKS
8008 E. SLIGH AVE.
-		TAMPA, FL 33610-0000
- 
Please contact with Questions: 813-627-1240

REGEIVf; r;

SEP 1 7 201P

   INVOICE NUMBER	TOTAL DUE	CUSTOMER	PAGE	
 	1696220	$20,476.38	53358	1 of 1	
PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO:

FEI-TAMPA, FL WATERWORKS #044 REMIT TO NEW ADDRESS:
PO BOX 100286

f l-11:: KEARI\IEY C,U MI ANIE!:'
r. 5932 1 AB 0.408 E0039 10 07004031561736 S2 P5712666 0003:0003

ATLANTA, GA 30384-0286

SHIP TO:

1'11'1 11 1'11II'I  II ,jl,l1,j,jll,1ll"'lllll11•llilI11'II,lul'ill•
TRIPLE CREEK COD TRIPLE CREEK G2
C/O THE KEARNEY COMPANIES 9625 WES KEARNEY WAY RIVERVIEW FL 33578-0506

TRIPLE CREEK G2
12961 BOGGY CREEK DR RIVERVIEW, FL 33579

D 1 ti

I

SHIP	SELL
WHSE.	WHSE.
44	44

TAX CODE

FLE

CUSTOMER ORDER NUMBE

0038-03-10

SALESMAN

027

JOB NAME

2ND PIPESWR

!INVOICEDATEI   BATCH
10
09/07/18	101651

ORDERED	SHIPPED	ITEM NUMBER	DESCRIPTION	UNIT PRICE	UM	AMOUNT

	2ND PIPE DELIVERY		
40	40	DR18GPX	8 C900 DR18 PVC GJ GREE PIPE		7.010	FT	280.40	
70	70	DR18GPX14	8X14 C900 DR18 PVC GREE PIPE		7.010	FT	490.70	
56	56	SDR26HWSPP14	4X14 SDR26 HW PVC GJ SWR PIPE		1.150	FT	64.40	
1428	1428	SDR26HWSPU14	6X14 SDR26 HW PVC GJ SWR PIPE		2.410	FT	3441.48	
3724	3724	SDR26HWSPX14	8X14 SDR26 HW PVC GJ SWR PIPE		4.350	FT	16199.40	
				
INVOICE SUB-TOTAL			
20476.38	
'******.............. .u. -•if4.* ***"'** ************,' u l••••••••- •1t• ..•••....•• •••••••••    .....................,. ,.,..........,.  1, u 11•
LEAD	LAW Wf,NING: IT IS ILLEl AL TO INSTALL PROD CTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH
US FEDERAL R OTHER APPLI ABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
! PRODUCTS W TH 'NP IN THE D SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLED IN NON-POTABL APPLICATIONS. UYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.

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TERMS:	NET 10TH PROX	ORIGINAL INVOICE	I	TOTAL DUE	j	$2 0,476.38
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html and are incorporated by reference. Seller may convert checks to ACH.
0003:0003

$ FERGUSON®
WATERWORKS
FEI-TAMPA, FL WATERWORKS #044 REMIT TO NEW ADDRESS:
PO BOX 100286
ATLANTA, GA 30384-0286

EMAIL DUPLICATE INVOICE

Deliver To:
From:	Philip Lack
Comments:

Invoice Number	
Customer	
Page	

1696513	
53358	
1	

Please Contact With Questions:
813-627-1240
Please refer to Invoice Number when making payment and remit to:	TOTAL DUE-·->	67985.59

FEI-TAMPA , FL WATERWORKS #044 REMIT TO NEW ADDRESS:
PO BOX 100286
ATLANTA, GA 30384-0286

Sold To:
TRIPLE CREEK COD TRIPLE CREEK G2

Ship Whse	Sell Whse	Tax Code	Customer Order Number	Sales Person	
Job Name	Invoice Date	
Batch	
44	
44	
FLE	
0038-03-14	
027	
TRPL CRK WTR MTRL	
09/24/2018	
101826	
Ordered	Shipped	Item Number	Description	Unit Price	UM	Amount	
45 I/	o	DSCP25018	18 X .250 STL CASING PIPE	0.000	C	0.00	
50 ,V	o.	, PED11B1850	18X50 DIPS DR11 HOPE PIPE BL STRIPE	0.000	C	0.00	
7,	Ow	SP-CCS12X18	12X18 SS CASING SPACER	0.000	EA	0.00	
2, 1	0 .	SP-CSES12X18	12X18 END SEAL F/CASING	0.000	EA	0.00	
3 I/	0<	'$MJA04	4 STAR FOSTER ADPT WI MJ ACC KIT	103.600	EA	0.00	
1 ,11	0	MJTTLA12K	12X2 MJ C153 TAP TEE UA	395.500	EA	0.00	
2 It	2 "	K7057KOL	2 THRDRWOL GATE VLV	203.680	EA	407.36	
4 I	4 _	K7571LA12OL	12 DI MJ RWOL GATE VLV UA	1310.000	EA	5240.00	
3
',	I	3 .,	K7571LAPOL	4 DI MJ RWOL GATE VLV UA	333.640	EA	1000.92	
26	26 ,	K7571LAUOL	6 DI MJ RWOL GATE VLV UA	430.000	EA	11180.00	
1,0	10\j	KKB1A514LAOLP	5-114 VO K81A HYD 4'0 BURY OL UA	1505.000	EA	15050.00	
3	3 .i	C11182500	11X18X12 MTR BX BOY BCF 2 MSH BLAC	50.000	EA	150.00	
3 ,	3 ,	EMC11182R	11X18 Cl RDR LID	70.000	EA	210.00	
27.	27.J	,SSLCE12AP	12 PVC WDG REST *ONELOK WIA	90.000	EA	2430.00	
3	I	3	SSLCE4AP	4 PVC WDG REST *ONELOK WIA	29.710	EA	89.13	
153 t	75.,	SSLCE6AP	6 PVC WDG REST *ONELOK WIA	37.190	EA	2789.25	
108,	55..i	SSLCE8AP	8 PVC WDG REST *ONELOK WIA	50.000	EA	2750.00	
12	I	12	K7571LAXOL	8 DI MJ RWOL GATE VLV UA	660.000	EA	7920.00	
,3 11	3 -,	MJTPPK	4X2 MJ C153 TAP PLUG	27.740	EA	83.22	
2	2 .1	MJ1LAU	6 MJ C153 11-1/4 BEND UA	40.880	EA	81.76	
1rJY	16	MJ2LAU	6 MJ C153 22-1/2 BEND UA	39.420	EA	630.72	
21,	21 ..	1y/J4 LAU	6 MJ C153 45 BEND UA	43.070	EA	904.47	
10 ,,11	10 ,	MJLSLAU	6X12 MJ C153 LONG SLV UA	46.800	EA	468.00	
1(	1 '	VMJRLAUP	6X4 MJ C153 RED UA	30.660	EA	30.66	

C/O THE KEARNEY COMPANIES 9625 WES KEARNEY WAY

Ship To:
TRIPLE CREEK G2
12961 BOGGY CREEK DR RIVERVIEW, FL 33579

ALL ACCOUNTS ARE DUE AND PAYABLE PER THE CONDITIONS AND TERMS OF THE ORIGINAL INVOICE. ALL PAST DUE AMOUNTS ARE SUBJECT TO A SERVICE CHARGE AT THE MAXIMUM RATE ALLOWED BY STATE LAW PLUS COSTS OF COLLECTION INCLUDING
AHORNEY FEES IF INCURRED. FREIGHT TERMS ARE FOR OUR DOCK UNLESS OTHERWISE SPECIFIED ABOVE. COMPLETE TERMS AND
CONDITIONS ARE AVAILABLE UPON REQUEST OR CAN BE VIEWED ON THE WEB AT htt p:ll wolseleyna.com lterms conditionsSale.html GOVT BUYERS: ALL ITEMS QUOTED ARE OPEN MARKETUNLESS NOTED OTHERWISE.	-
LEAD LAW WARNING: IT IS ILLEGAL TO INSTALL PRODUCTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION. PRODUCTS WITH *NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN NON-POTABLE APPLICA TIONS. BUYER IS SOLELY
RESPONSIBLE FOR PRODUCT SELECTION.	r-.:-,.,-. r:-•r.•, -:. -]'\)

°'

\nr;}•j

v lrnrt:W.'Jm··1	,--j7-·,1, A\ L

Invoice Number

1696513	Customer

53358	
Page

2	

j	FERGUSON®

Ordered	Shipped	Item Number	Description	Unit Price	UM	Amount	
10	10 .I	MJS9U	6 MJ C153 SWVL 90 BEND	99.600	EA	996.00	
5	5,,	MJSTLAU	6 MJ C153 SWVL TEE UA	88.330	EA	441.65	
3	31	MJTLAU	6 MJ C153 TEEVA	76.650	EA	229.95	
8	8.,	MJ1LAX	8 MJ C153 11-114 BEND UA	55.840	EA	446.72	
3	3'	MJ2LAX	8 MJ C153 22-112BEND UA	61.320	EA	183.96	
18	18"	MJ4LAX	8 MJ C153 45 BEND UA	62.780	EA	1130.04	
1	1 , MJ9LAX	8 MJ C153 90 BEND UA	77.010	EA	77.01	
1	1.,	MJLSLAX	8X12 MJ C153 LONG SLV UA	96.300	EA	96.30	
1	1 ,	MJRLAXP	8X4 MJ C153 RED UA	42.340	EA	42.34	
1	1 "	MJRLAXU	8X6 MJ C153 RED UA	44.890	EA	44.89	
5	5 ,.	MJSTLAXU	8X6 MJ C153 SWVL TEE UA	110.590	EA	552.95	
2	2J	MJTLAX	8 MJ C153 TEE UA	114.970	EA	229.94	
1	11,	MJTLAXU	8X6 MJ C153 TEE UA	95.260	EA	95.26	
7	o.,	MJ1LA12	12 MJ C153 11-114 BEND UA	136.150	EA	0.00	
1	111	MJ2LA12	12 MJ C153 22-112 BEND UA	118.990	EA	118.99	
1	o.	',/i,1JRLA12P	12X4 MJ C153 RED UA	87.230	EA	0.00	
1	1 .	MJRLA12X	12X8 MJ C153 RED UA	78.110	EA	78.11	
1	1 "	MJSTLA12U	12X6 MJ C153 SWVL TEE UA	159.140	EA	159.14	
3	3.,	GBRNK24	LF 2X24 BRS NIP GBL	78.230	EA	234.69	
3	3,	GBRNK48	LF 2X48 BRS NIP GBL	156.460	EA	469.38	
1800	1800\	1PEC9BLG300	1X300 CTS DR9 HOPE BLUE PIPE	40.000	C	720.00	
3	3.,	IBRLF9K	LF 2 BRS 90 ELL	20.120	EA	60.36	
3	3 _	OG200ASS	2 SS GBL FNPT ADPT TYPE A	18.120	EA	54.36	
3	3.	DG200DCSS	2SSDUSTCAP	26.820	EA	80.46	
63	30 ,	FF202690IP41	6X1 IP DBL STRP SOL	21.150	EA	634.50	
47	20 ,	lj F202905IP41	8X1 IP DBL STRP SOL	23.830	EA	476.60	
110	30 ,	FKV43342WNL	LF 1 CTS PJ X 314 MTR ANG KEY VLV	36.000	EA	1080.00	
1	1 .	FC8477NL	LF 2 MIP X CTS PJ COUP	80.000	EA	80.00	
110	30	FF11004NL	LF 1 MIP X CTS COMP CORP ST	41.000	EA	1230.00	
1	1 .	FFB11007NL	LF 2 MIP X CTS PJ BALL CORP	225.000	EA	225.00	
3	3'	IMJBGPP	4 MJ Ct 53 BLT GSKT PK UGLAND	10.500	EA	31.50	
30	30 ,	IMJBGPU	6 MJ C153 BLT GSKT PK UGLAND	13.000	EA	390.00	
5	5.,	PD2105B52737	2X1000 UG DET WTR BLUE	20.000	EA	100.00	
22	22 •	C1030BSF500	10GA 30MM 500 FT COP TRCR WIRE BLUE	100.000	EA	2200.00	
23	23 ,	SPWPC6	6 SIGMA BELL REST Fl C900 *PVLOK	36.000	EA	828.00	
28	28 .J	SPWPC8	8 SIGMA BELL REST Fl C900 *PVLOK	64.000	EA	1792.00	
8	,8	SPWPC12	12 SIGMA BELL REST FIC900 *PVLOK	120.000	EA	960.00	

WATERWORKS

,

Invoice Sub-Total Tax
Total Amt

67985.59
0.00

l

67985.59
TOTAL DUE--->	67985.59

ALL	ACCOUNTS ARE DUE AND PAYABLE PER THE CONDITIONS AND TERMS OF THE ORIGINAL INVOICE. ALL PAST DUE AMOUNTS ARE SUBJECT TO A SERVICE CHARGE AT THE MAXIMUM RATE ALLOWED BY STATE LAW PLUS COSTS OF COLLECTION INCLUDING
ATTORNEY FEES IF INCURRED. FREIGHT TERMS ARE FOR OUR DOCK UNLESS OTHERWISE SPECIFIED ABOVE. COMPLETE TERMS AND
CONDITIONS ARE AVAILABLE UPON REQUEST OR CAN BE VIEWED ON THE WEB AT http:ll wolseleyna.comlterms_conditlons GOVT BUYERS: ALL ITEMS QUOTED ARE OPEN MARKETUNLESS NOTED OTHERWISE.
LEAD LAW WARNING: IT IS ILLEGAL TO INSTALL PRODUCTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION. PRODUCTS WITH *NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN NON-POTABLE APPLICATIONS.BUYER IS SOLELY RESPONSIBLE FOR PRODUCT SELECTION.

=;;;;;;;;;;;;

FERGUSON®
WATERWORKS
8008 E. SLIGH AVE. TAMPA, FL 33610-0000

R GCEI \/ED

SEP ?. 0 2018

    IN VO ICE  NUMBER	TOTAL DUE	CUSTOMER	PAGE	
 	1697433	$3,140.48	53358	1 of 1	
PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO:

-	
-	
"""""""'

FEI-TAMPA, FL WATERWORKS #044
lt-11:: KE:ARNt:Y C <JI\JIP ANll=.-i REMIT TO NEW ADDRESS:
Please contact with Questions:  813-627-1240	PO BOX 100286
ATLANTA,GA 30384-0286

SHIP TO:

56111 AB 0.408    E0037X  10081 0403468442S62 P57147020001:0001

m

,	1."11111I1111'1I'1•11I1111•1IIIII1•111I1111I111111111I•11I•1111
TRIPLE CREEK CDD TRIPLE CREEK G2
C/O THE KEARNEY COMPANIES 9625 WES KEARNEY WAY RIVERVIEW FL 33578-0506

COUNTER PICK UP 8008 E SLIGH AVE TAMPA, FL 33610-0000

WHSE.	WHSE.		
44	44	FLE	0038-03-10	027	TRIPLE CREEK G2		09/14/18	101725	

SHIP I	S ELL

TAX CODE

CUSTOMER ORDER NUMBER

SALESMAN

JOB NAME

I NVOI CE  DATE'   BAl CH

!

ORDERED	SHIPPED	ITEMNUMBER	DESCRIPTION	UNIT PRICE	UM	AMOUNT
TO REPLACE 20FT JOINTS

448	448 I DR18GPX14

8X14 C900 DR18 PVC GREE PIPE
448 = 32 PIECES

INVOICE SUB-TOTAL

7 . 010     I   FT	3140.48
3140.48

LEAD LAW WI NING: IT IS ILLE AL TO IN STALL PROD CTS TH AT ARE NOT "LEAD FREE" IN ACCORDANCE WITH
US FEDERAL R OTHER APPLI ABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION PRODUCTS W TH *NP IN THE D SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABL APPLICATIONS. UYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.

'  r'"  . • 11  u,  l  I	I\      I - J  I'•  J

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H.elp stop mail fraud by paying your bills online.

Log in to Ferguson.com and request access to Online Bill Pay.

s \.'

. l .I

.,-    'CfMopo//

;-...__

The(i' ,:;	J
'-       .

TERMS:	NET 10TH PROX	ORIGINAL INVOICE	I	TOTAL DUE	I	$3,140.48
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonab le
attorney fee,s Co mpl ete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html
and are incorporated by reference. Seller may convert checks to ACH.
0001:0001

FERGUSON®
WATERWORKS
FEI-TAMPA, FL WATERWORKS #044 REMIT TO NEW ADDRESS:
PO BOX 100286
ATLANTA, GA 30384-0286

EMAIL DUPL/CATE INVOICE

Deliver To:
From:	Philip Lack
Comments:

Please Contact With Questions:
813-627-1240

Please refer to Invoice Number when making payment and remit to:	TOTAL DUE -··>	6292.40

FEI-TAMPA, FL WATERWORKS #044 REMIT TO NEW ADDRESS:
PO BOX 100286
ATLANTA, GA 30384-0286

Sold To:
TRIPLE CREEK CDD TRIPLE CREEK G2

Ship Whse	Sell Whse	Tax Code	Customer Order Number	Sales Person	Job Name	Invoice Date	Batch	

44	
44	
FLE	
0038-03-14	
027	
TRIPLE CREEK G2	
09/24/2018	
101826	
Ordered	Shipped	Item Number	Description	Unit Price	UM	Amount	
800	800	DR18BPX	8 C900 DR18 PVC GJ BLUE PIPE	7.010	FT	5608.00	
180	180	SDR21BPK	2 SDR21 CL200 PVC GJ BLUE PIPE	0.480	FT	86.40	
460	460	SDR21BPM	3 SDR21 CL200 PVC GJ BLUE PIPE	1.300	FT	598.00	
1	1	PSLUBXL1G	1 GAL 8 LB PIPE JT LUB NSF NEW FORM	0.000	EA	0.00	

C/O THE KEARNEY COMPANIES 9625 WES KEARNEY WAY

Ship To:
TRIPLE CREEK G2
12961 BOGGY CREEi< DR RIVERVIEW, FL 33579

Invoice Sub-Total Tax
Total Amt

6292.40
0.00
6292.40
TOTAL DUE·-·>	""·"l

ALL ACCOUNTS ARE DUE AND PAYABLE PER THE CONDITIONS AND TERMS OF THE ORIGINAL INVOICE.  ALL  PAST DUE AMOUNTS ARE SUBJECT TO A SERVICE CHARGE AT THE MAXIMUM RATE ALLOWED BY STATE LAW PLUS COSTS OF COLLECTION INCLUDING
AHORNEY FEES IF INCURRED. FREIGHT TERMS ARE FOR OUR DOCK UNLESS OTHERWISE SPECIFIED ABOVE . COMPLETE TERMS AND
CONDITIONS ARE AVAILABLE UPON REQUEST OR CAN BE VIEWED ON THE WEB AT http: 1/wolsele yna.coml terms_conditionsSale.html GOVT BUYERS: ALL ITEMS QUOTED ARE OPEN MARKETUNLESS NOTED OTHERWISE.
LEAD LAW WARNING: IT IS ILLEGAL TO INSTALL PRODUCTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION. PRODUCTS WITH *NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN NON-POTABLE APPLICATIONS. BUYER IS SOLELY RESPONSIBLE FOR PRODUCT SELECTION.

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGE G2
INVOICE TRANSMITTAL FLORIDA SOIL CEMENT COMPANY THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	30-Sep-18	

INV. NO.	DESCRIPTION	TOTAL COST	
18032	FLORIDA SOIL CEMENT CO. 9/14/2018	$	2,729.10	
18033	FLORIDA SOIL CEMENT CO. 9/17/2018	$	12,477.26	
18034	FLORIDA SOIL CEMENT CO. 9/18/2018	$	11,467.50	
18035	FLORIDA SOIL CEMENT CO. 9/19/2018	$	32,555.10	
18036	FLORIDA SOIL CEMENT CO. 9/19/2018	$	39,672.62	
18037	FLORIDA SOIL CEMENT CO. 9/19/2018	$	18,566.48	
18038	FLORIDA SOIL CEMENT CO. 9/24/2018	$	2,836.46	

			

			

			

			

			
			
TOTAL		$	120,304.52	

The Kearney Companies, LLC.

DATE:	30-Sep-18

Invoice Transmittal FSCC	Page 1 of 1

INVOICE NUMBER:	18032

9625 Wes Kearney Way Riverview, FL 33578 Phone: 813‐917‐8402

SOLD TO: Triple Creek CDD
C/‐ The Kearney Companies	PROJECT: Triple Creek Village G2
9625 Wes Kearney Way
Riverview, FL 33578‐0506	MATERIAL SOURCE: Alanza Materials
ATTENTION: rdouglas@thekearneycompanies.com
PO NUMBER: 0038‐01‐14
PHONE: (813) 421‐8349

CLERICAL ERRORS ARE SUBJECT TO CORRECTION. DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.

INVOICE DATE

INVOICE DATE

INVOICE DATE

JOB NO.	CUST.  NO.	CONTRACT NO.	INVOICE DATE
0038‐01	9/14/2018

AGP/RD

Item #	Date

1	Wednesday September 12, 2018

Material

57 Stone

Sub Totals:

Qty	Unit	Cost/Unit	Amount

124.05	TN	$22.00	$2,729.10

124.05	$2,729.10

Sales Tax Exemption Certificate On File

By Alan Payne at 9:13 am, Sep 14, 2018

TOTAL AMOUNT DUE:	$2,729.10

PLEASE REMIT TO:

INVOICE DUE ON OR BEFORE:

FLORIDA SOIL CEMENT CO., LLC
09/28/18	9625 Wes Kearney Way
Riverview FL 33578

PLEASE PAY FROM THIS INVOICE ‐ NO STATEMENT WILL BE RENDERED
INVOICES ARE DUE UPON RECEIPT. UNPAID AMOUNTS WILL BEAR INTEREST AT 1½% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. PURCHASER AGREES TO PAY ALL COSTS AND FEES FOR COLLECTION ON ACCOUNTS REMAINING AND UNPAID IN EXCESS OF 30 DAYS, INCLUDING, BUT NOTLIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

INVOICE NUMBER:	18033

9625 Wes Kearney Way Riverview, FL 33578 Phone: 813‐917‐8402

SOLD TO: Triple Creek CDD
C/‐ The Kearney Companies	PROJECT: Triple Creek Village G2
9625 Wes Kearney Way
Riverview, FL 33578‐0506	MATERIAL SOURCE: Rinker Materials
ATTENTION: rdouglas@thekearneycompanies.com
PO NUMBER: 0038‐01‐14
PHONE: (813) 421‐8349

INVOICE DATE

INVOICE DATE

INVOICE DATE

CLERICAL ERRORS ARE SUBJECT TO CORRECTION. DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.
JOB	NO.

0038‐01	CUST. NO.	CONTRACT NO.	INVOICE DATE

9/17/2018	AGP/RD	
Item #	Date	Material	Qty	Unit	Cost/Unit	Amount	

1	
Wednesday September 05, 2018	
30x8' CL3 PF RCP	
64.00	
FT	
$35.65	
$2,281.60	
2	Wednesday September 05, 2018	#711 Lubricant 8LB	6.00	EA	$11.00	$66.00	
3	Wednesday September 05, 2018	30x6' FES OUTLET TG MIA	2.00	EA	$1,249.63	$2,499.26	
4	Wednesday September 05, 2018	30' GASKET PF ISO	46.00	FT	$0.00	$0.00	
5	Wednesday September 05, 2018	24x8' CL3 PF RCP	304.00	FT	$25.10	$7,630.40	
6	Wednesday September 05, 2018	24' GASKET PF ISO	38.00	FT	$0.00	$0.00	

Sub Totals:

460.00

$12,477.26

Sales Tax Exemption Certificate On File

By Alan Payne at 5:55 am, Sep 18, 2018

TOTAL AMOUNT DUE:

$12,477.26

INVOICE DUE ON OR BEFORE:

10/01/18

INVOICES ARE DUE UPON RECEIPT. UNPAID AMOUNTS WILL BEAR INTEREST AT 1½% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. PURCHASER AGREES TO PAY ALL COSTS AND FEES FOR COLLECTION ON ACCOUNTS REMAINING AND UNPAID IN EXCESS OF 30 DAYS, INCLUDING, BUT NOTLIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

PLEASE PAY FROM THIS INVOICE ‐ NO STATEMENT WILL BE RENDERED

PLEASE REMIT TO:
FLORIDA SOIL CEMENT CO., LLC
9625 Wes Kearney Way Riverview FL 33578

INVOICE NUMBER:	18034

9625 Wes Kearney Way Riverview, FL 33578 Phone: 813‐917‐8402

SOLD TO: Triple Creek CDD
C/‐ The Kearney Companies	PROJECT: Triple Creek Village G2
9625 Wes Kearney Way
Riverview, FL 33578‐0506	MATERIAL SOURCE: Alanza Materials
ATTENTION: rdouglas@thekearneycompanies.com
PO NUMBER: 0038‐01‐14
PHONE: (813) 421‐8349

CLERICAL ERRORS ARE SUBJECT TO CORRECTION. DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.

INVOICE DATE

INVOICE DATE

INVOICE DATE

JOB NO.	CUST.  NO.	CONTRACT NO.	INVOICE DATE

0038‐01					9/18/2018		
Item #	Date	Material	Qty	Unit	Cost/Unit	Amount	

1	
Friday September 07, 2018	
57 Stone	
128.28	
TN	
$22.00	
$2,822.16	
2	Wednesday September 05, 2018	57 Stone	136.85	TN	$22.00	$3,010.70	
3	Thursday September 13, 2018	57 Stone	125.55	TN	$22.00	$2,762.10	
4	Friday September 14, 2018	57 Stone	130.57	TN	$22.00	$2,872.54	

AGP/RD

Sub Totals:	521.25	$11,467.50

Sales Tax Exemption Certificate On File

By Alan Payne at 9:47 am, Sep 20, 2018

TOTAL AMOUNT DUE:

$11,467.50

PLEASE REMIT TO:

INVOICE DUE ON OR BEFORE:

FLORIDA SOIL CEMENT CO., LLC
10/02/18	9625 Wes Kearney Way
Riverview FL 33578

PLEASE PAY FROM THIS INVOICE ‐ NO STATEMENT WILL BE RENDERED
INVOICES ARE DUE UPON RECEIPT. UNPAID AMOUNTS WILL BEAR INTEREST AT 1½% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. PURCHASER AGREES TO PAY ALL COSTS AND FEES FOR COLLECTION ON ACCOUNTS REMAINING AND UNPAID IN EXCESS OF 30 DAYS, INCLUDING, BUT NOTLIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

INVOICE NUMBER:	18035

9625 Wes Kearney Way Riverview, FL 33578 Phone: 813‐917‐8402

SOLD TO: Triple Creek CDD
C/‐ The Kearney Companies	PROJECT: Triple Creek G2
9625 Wes Kearney Way
Riverview, FL 33578‐0506	MATERIAL SOURCE: Rinker Materials
ATTENTION: rdouglas@thekearneycompanies.com
PO NUMBER: 0038‐01‐06
PHONE: (813) 421‐8349

INVOICE DATE

INVOICE DATE

INVOICE DATE

JOB NO.

CUST. NO.

CONTRACT NO.

INVOICE DATE

AGP/RD

CLERICAL ERRORS ARE SUBJECT TO CORRECTION.  DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.

0038‐01					9/19/2018		
Item #	Date	Material	Qty	Unit	Cost/Unit	Amount	

1	
Wednesday September 05, 2018	24x8' CL3 PF RCP	
152.00	
FT	
$25.10	
$3,815.20	
2	Wednesday September 05, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
3	Wednesday September 05, 2018	24' GASKET PF ISO	19.00	EA	$0.00	$0.00	
4	Wednesday September 05, 2018	30x8' CL3 PF RCP	104.00	FT	$35.65	$3,707.60	
5	Wednesday September 05, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
6	Wednesday September 05, 2018	30' GASKET PF ISO	18.00	EA	$0.00	$0.00	
7	Wednesday September 05, 2018	24x8' CL3 PF RCP	152.00	FT	$25.10	$3,815.20	
8	Wednesday September 05, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
9	Wednesday September 05, 2018	24' GASKET PF ISO	19.00	EA	$0.00	$0.00	
10	Wednesday September 05, 2018	24x8' CL3 PF RCP	152.00	FT	$25.10	$3,815.20	
11	Wednesday September 05, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
12	Wednesday September 05, 2018	24' GASKET PF ISO	19.00	EA	$0.00	$0.00	
13	Wednesday September 05, 2018	24x8' CL3 PF RCP	152.00	FT	$25.10	$3,815.20	
14	Wednesday September 05, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
15	Wednesday September 05, 2018	24' GASKET PF ISO	19.00	EA	$0.00	$0.00	
16	Wednesday September 05, 2018	24x8' CL3 PF RCP	152.00	FT	$25.10	$3,815.20	
17	Wednesday September 05, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
18	Wednesday September 05, 2018	24' GASKET PF ISO	19.00	EA	$0.00	$0.00	
19	Wednesday September 05, 2018	24x8' CL3 PF RCP	104.00	FT	$25.10	$2,610.40	
20	Wednesday September 05, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
21	Wednesday September 05, 2018	24' GASKET PF ISO	19.00	EA	$0.00	$0.00	
22	Wednesday September 05, 2018	18x6' FES OUTLET TG MIA	4.00	EA	$841.32	$3,365.28	
23	Wednesday September 05, 2018	24x6' FES OUTKET TG MIA	2.00	EA	$961.40	$1,922.80	
24	Wednesday September 05, 2018	42x8' FES OUTLET TG MIA	1.00	EA	$1,719.02	$1,719.02	
		Sub Totals:	948.00			$32,555.10	

Sales Tax Exemption Certificate On File

By Alan Payne at 10:10 am, Sep 20, 2018

TOTAL AMOUNT DUE:

$32,555.10

PLEASE REMIT TO:

INVOICE DUE ON OR BEFORE:

FLORIDA SOIL CEMENT CO., LLC
10/03/18	9625 Wes Kearney Way
Riverview FL 33578

PLEASE PAY FROM THIS INVOICE ‐ NO STATEMENT WILL BE RENDERED
INVOICES ARE DUE UPON RECEIPT.  UNPAID AMOUNTS WILL BEAR INTEREST AT 1½% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. PURCHASER AGREES TO PAY ALL COSTS   AND FEES FOR COLLECTION ON ACCOUNTS REMAINING AND UNPAID IN EXCESS OF 30 DAYS, INCLUDING, BUT NOTLIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

Sub Totals:

1,395.00

$39,672.62

Sales Tax Exemption Certificate On File

By Alan Payne at 10:13 am, Sep 20, 2018

TOTAL AMOUNT DUE:

$39,672.62

PLEASE REMIT TO:

INVOICE DUE ON OR BEFORE:

10/03/18

FLORIDA SOIL CEMENT CO., LLC
9625 Wes Kearney Way Riverview FL 33578

PLEASE PAY FROM THIS INVOICE ‐ NO STATEMENT WILL BE RENDERED
INVOICES ARE DUE UPON RECEIPT. UNPAID AMOUNTS WILL BEAR INTEREST AT 1½% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. PURCHASER AGREES TO PAY ALL COSTS AND FEES FOR COLLECTION ON ACCOUNTS REMAINING AND UNPAID IN EXCESS OF 30 DAYS, INCLUDING, BUT NOTLIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

INVOICE NUMBER:	18036

9625 Wes Kearney Way Riverview, FL 33578 Phone: 813‐917‐8402

SOLD TO: Triple Creek CDD
C/‐ The Kearney Companies	PROJECT: Triple Creek G2
9625 Wes Kearney Way
Riverview, FL 33578‐0506	MATERIAL SOURCE: Rinker Materials
ATTENTION: rdouglas@thekearneycompanies.com
PO NUMBER: 0038‐01‐06
PHONE: (813) 421‐8349

INVOICE DATE

INVOICE DATE

INVOICE DATE

CLERICAL ERRORS ARE SUBJECT TO CORRECTION.  DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.
JOB	NO.

0038‐01	CUST. NO.	CONTRACT NO.	INVOICE DATE
9/19/2018	AGP/RD	
Item #	Date	Material	Qty	Unit	Cost/Unit	Amount	

1	
Friday September 07, 2018	
#711 LUBRICANT 8LB	
2.00	
EA	
$11.00	
$22.00	
2	Friday September 07, 2018	38x60x8' CL3 HERCP	40.00	FT	$127.99	$5,119.60	
3	Friday September 07, 2018	38x60 GASKET PF ISO	0.00	EA	$0.00	$0.00	

4	Friday September 07, 2018	18x18' CL3 PF RCP	232.00	FT	$16.48	$3,823.36	
							
5	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
6	Friday September 07, 2018	24x8' CL3 PF RCP	152.00	FT	$25.10	$3,815.20	
							
7	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
8	Friday September 07, 2018	24' GASKET PF ISO	19.00	EA	$0.00	$0.00	
							
9	Friday September 07, 2018	18x18' CL3 PF RCP	248.00	FT	$16.48	$4,087.04	
							
10	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
11	Friday September 07, 2018	18' GASKET PF ISO	31.00	EA	$0.00	$0.00	
							
12	Friday September 07, 2018	18x18' CL3 PF RCP	248.00	FT	$16.48	$4,087.04	
							
13	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
14	Friday September 07, 2018	18' GASKET PF ISO	31.00	EA	$0.00	$0.00	
							
15	Friday September 07, 2018	18x18' CL3 PF RCP	248.00	FT	$16.48	$4,087.04	
							
16	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
17	Friday September 07, 2018	18' GASKET PF ISO	31.00	EA	$0.00	$0.00	
							
18	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	

19	
Friday September 07, 2018	38x60x8' CL3 HERCP	
8.00	
FT	
$127.99	
$1,023.92	
20	Friday September 07, 2018	38x60x16' CL3 MES BELL 4:1HERCP	2.00	EA	$2,108.07	$4,216.14	
21	Friday September 07, 2018	38x60 GASKET PF ISO	5.00	EA	$0.00	$0.00	
22	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
23	Friday September 07, 2018	38x60x8' CL3 HERCP	40.00	FT	$127.99	$5,119.60	
24	Friday September 07, 2018	38x60 GASKET PF ISO	5.00	EA	$0.00	$0.00	
25	Friday September 07, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
26	Friday September 07, 2018	38x60x8' CL3 HERCP	32.00	FT	$127.99	$4,095.68	
27	Friday September 07, 2018	38x60 GASKET PF ISO	5.00	EA	$0.00	$0.00	

INVOICE NUMBER:	18037

9625 Wes Kearney Way Riverview, FL 33578 Phone: 813‐917‐8402

SOLD TO: Triple Creek CDD
C/‐ The Kearney Companies	PROJECT: Triple Creek G2
9625 Wes Kearney Way
Riverview, FL 33578‐0506	MATERIAL SOURCE: Rinker Materials
ATTENTION: rdouglas@thekearneycompanies.com
PO NUMBER: 0038‐01‐06
PHONE: (813) 421‐8349

INVOICE DATE

INVOICE DATE

INVOICE DATE

CLERICAL ERRORS ARE SUBJECT TO CORRECTION.  DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.
JOB	NO.

0038‐01	CUST. NO.	CONTRACT NO.	INVOICE DATE
9/19/2018	AGP/RD	
Item #	Date	Material	Qty	Unit	Cost/Unit	Amount	

1	
Monday September 10, 2018	
42x8' CL3 PF RCP	
56.00	
FT	
$62.14	
$3,479.84	
2	Monday September 10, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
3	Monday September 10, 2018	42' GASKET PF ISO	7.00	EA	$0.00	$0.00	

4	Monday September 10, 2018	48x8' CL3 PF RCP	48.00	FT	$78.62	$3,773.76	
							
5	Monday September 10, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
6	Monday September 10, 2018	48' GASKET PF ISO	6.00	EA	$0.00	$0.00	
							
7	Monday September 10, 2018	42x8' CL3 PF RCP	24.00	FT	$62.14	$1,491.36	
							
8	Monday September 10, 2018	48x8' CL3 PF RCP	24.00	FT	$78.62	$1,886.88	
							
9	Monday September 10, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
10	Monday September 10, 2018	42' GASKET PF ISO	3.00	EA	$0.00	$0.00	
							
11	Monday September 10, 2018	48' GASKET PF ISO	3.00	EA	$0.00	$0.00	
							
12	Monday September 10, 2018	36x8' CL3 PF RCP	80.00	FT	$49.82	$3,985.60	
							
13	Monday September 10, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
14	Monday September 10, 2018	36' GASKET PF ISO	10.00	EA	$0.00	$0.00	
							
15	Monday September 10, 2018	60x8' CL3 PF RCP	32.00	FT	$119.97	$3,839.04	
							
16	Monday September 10, 2018	#711 LUBRICANT 8LB	2.00	EA	$11.00	$22.00	
							
17	Monday September 10, 2018	60' GASKET PF ISO	4.00	EA	$0.00	$0.00	

Sub Totals:

307.00

$18,566.48

Sales Tax Exemption Certificate On File

By Alan Payne at 10:14 am, Sep 20, 2018

TOTAL AMOUNT DUE:

$18,566.48

PLEASE REMIT TO:

INVOICE DUE ON OR BEFORE:

10/03/18

FLORIDA SOIL CEMENT CO., LLC
9625 Wes Kearney Way Riverview FL 33578

PLEASE PAY FROM THIS INVOICE ‐ NO STATEMENT WILL BE RENDERED
INVOICES ARE DUE UPON RECEIPT. UNPAID AMOUNTS WILL BEAR INTEREST AT 1½% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. PURCHASER AGREES TO PAY ALL COSTS AND FEES FOR COLLECTION ON ACCOUNTS REMAINING AND UNPAID IN EXCESS OF 30 DAYS, INCLUDING, BUT NOTLIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

INVOICE NUMBER:	18038

9625 Wes Kearney Way Riverview, FL 33578 Phone: 813‐917‐8402

SOLD TO: Triple Creek CDD
C/‐ The Kearney Companies	PROJECT: Triple Creek G2
9625 Wes Kearney Way
Riverview, FL 33578‐0506	MATERIAL SOURCE: Alanza Materials
ATTENTION: rdouglas@thekearycompanies.com
PO NUMBER: 0038‐01‐06
PHONE: (813) 421‐8349

INVOICE DATE

INVOICE DATE

INVOICE DATE

CLERICAL ERRORS ARE SUBJECT TO CORRECTION. DO NOT MAKE DEDUCTIONS FROM THIS INVOICE UNLESS AUTHORIZED.
JOB	NO.

0038‐01	CUST. NO.	CONTRACT NO.	INVOICE DATE

9/24/2018	AGP/RD	
Item #	Date	Material	Qty	Unit	Cost/Unit	Amount	

1	
Tuesday September 11, 2018	
57 Limestone	
128.93	
TN	
$22.00	
$2,836.46	

Sub Totals:	128.93	$2,836.46

Sales Tax Exemption Certificate On File

By Alan Payne at 7:44 am, Sep 25, 2018

TOTAL AMOUNT DUE:

$2,836.46

PLEASE REMIT TO:

INVOICE DUE ON OR BEFORE:

FLORIDA SOIL CEMENT CO., LLC
10/08/18	9625 Wes Kearney Way
Riverview FL 33578

PLEASE PAY FROM THIS INVOICE ‐ NO STATEMENT WILL BE RENDERED
INVOICES ARE DUE UPON RECEIPT. UNPAID AMOUNTS WILL BEAR INTEREST AT 1½% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. PURCHASER AGREES TO PAY ALL COSTS AND FEES FOR COLLECTION ON ACCOUNTS REMAINING AND UNPAID IN EXCESS OF 30 DAYS, INCLUDING, BUT NOTLIMITED TO, ATTORNEYS' FEES AND ATTORNEYS' FEES ON APPEAL.

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT CHANGE ORDER SUMMARY
OCTOBER 16, 2018

CHANGE ORDER#	
CONTRACTOR	
DESCRIPTION	
AMOUNT	CONTRACT #	

3	
Kearney	
Atlantic TNG	
($60,666.98)	
0038-03	

THE KEARNEY COMPANIES, LLC.
AANEV'	9625 Wes Kearney Way, Riverview FL 33578
CONIPANIES

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGES G2-I-J CHANGE ORDER NO. 3
THE KEARNEY COMPANIES PROJECT NO. 0038-03
Date:  	    30_-S_e_p.,-_1_8  

Conditions: The changes described herein shall be governed by the terms and conditions of the Contract, and shall not in any way alter the terms of the Contract, but shall hereafter be a part of the Contract.

INV.NO.	DESCRIPTION		Invoice Amount	Sales Tax	TOTAL COST	
			
120098	ATLANTIC TNG 9/4/2018	J	$	2 838.00			
120123	ATLANTIC TNG 9/5/2018	J	$	3,599.00			
120145	ATLANTIC ING 9/6/2018	J	$	3,559.00			
120146	ATLANTIC TNG 9/6/2018	J	$	3,582.00			
120163	ATLANTIC TNG 9/7/2018	J	$	3,101.00			
120164	ATLANTIC TNG 9/7/2018	J	$	3,313.00			
120185	ATLANTIC TNG 9/10/2018	J	$	3,583.00			
120186	ATLANTIC TNG 9/10/2018	J	$	4,081.00			
120194	ATLANTIC TNG 9/10/2018	J	$ 14,120.00			
120200	ATLANTIC TNG 9/11/2018	J	$	3,068.00			
120201	ATLANTIC TNG 9/11/2018	J	$	5,291.00			
120216	ATLANTIC TNG 9/12/2018	J	$	2,684.00			
120251	ATLANTIC TNG 9/13/2018	J	$	4,214.00			
120315	ATLANTIC TNG 9/18/2018	J	$	200.00			
			$ 57,233.00	$ 3,433.98	$	60,666.98	

TOTAL		$	(60.666.98'	

The Kearney Companies LLC hereby requests an extension of

- -0 -

day(s) to the original contract deadline for this work.

REASON FOR CHANGE: DIRECT PURCHASE OF MATERIALS BY CDD

ACCEPTABLE TO:

DATE:	30_-._e..pSi._-_1_8

DATE:

DATE:-10-/1-5/1-8 --

0038-03 CO3 - CDD Purchase Materials-J	Page 1 ofl

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGE I INVOICE TRANSMITTAL ATLANTIC TNG
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	30-Sep-18	

INV. NO.	DESCRIPTION	TOTAL COST	
			
120098	ATLANTIC TNG 9/4/2018	$	2,838.00	
120123	ATLANTIC TNG 9/5/2018	$	3,599.00	
120145	ATLANTIC TNG 9/6/2018	$	3,559.00	
120146	ATLANTIC TNG 9/6/2018	$	3,582.00	
120163	ATLANTIC TNG 9/7/2018	$	3,101.00	
120164	ATLANTIC TNG 9/7/2018	$	3,313.00	
120185	ATLANTIC TNG 9/10/2018	$	3,583.00	
120186	ATLANTIC TNG 9/10/2018	$	4,081.00	
120194	ATLANTIC TNG 9/10/2018	$	14,120.00	
120200	ATLANTIC TNG 9/11/2018	$	3,068.00	
120201	ATLANTIC TNG 9/11/2018	$	5,291.00	
120216	ATLANTIC TNG 9/12/2018	$	2,684.00	
120251	ATLANTIC TNG 9/13/2018	$	4,214.00	
120315	ATLANTIC TNG 9/18/2018	$	200.00	

			

			

TOTAL		$	57,233.00	

The Kearney Companies, LLC.

DATE:	30-Sep-18

Invoice Transmittal ATLANTIC TNG	Page 1 of 1

Atlantic TNG, LLC

JLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG   LLC   Fax• {941) 351;   3765

Invoice

1, - Ml.ll'y10
Trip l e Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP t-0 2018

THE KEARNEY COMPANEI S

@ ,r(;i,"Wt1	
Triple Creek Subdivision PIT 4 Village J Hmsborough County
PO#
Self Unloa der
Contact: Sherry 813- 280-5304	

1

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..

' •	••  •     J..	i j , .

9/4/2018	31160	Net 30

-

['J.,j{_.

I

9/4/2018

120098

·•

• •1

• '	f::iI •r•S. iiirr;d,	,oitl1,1o'i-il\'i	,.	•  1Q°< 1.1. at i4r0;n,	1(11l':i)!:lhii	.  ;  ; Jt	_.\  . •  ,       I
-•

\t·1

SS-1	1

2	4' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gaskeUclamp		5940	1,022.00	1,022.00	
	1	4' Rise r	48" Diameter 5" Wall Sanitary Manhole Riser		3360			
	1	1.5' Cone 48" Diameter 5" Wall Sanitary		1260			
		Manhole Cone					
SS-2	1	3' Riser 48" Diameter 5" Wall Sanitary		2520			
		Manhole Riser					
	1	2.5' Cone 48" Diameter 5" Wall Sanitary		2100.			
		Manhole Cone					
SS-3	1	4' Base 48" Diameter 5" Wall Sanitary		5940	908.00	908.00	
		Manhole Base					
	3	8" Z-Lok gaskeUclamp					
	1	2' Riser 48" Diameter 5" Wall Sanitary		1°680			
		Manhole Riser ·					
	1	3' Cone 48" Diameter 5" Wall Sanitary Manhole Cone		2420			
SS-4	1	4' Base 48" Diameter 5" Wall Sanitary		5940	908.00	908.00	
		Manhole Base					
	2	8" Z-Lok gaskeUclamp					
	
6

&	
Lube
•r•1• *	Subtotal
u '\\\	Sales Tax (0.0%)
1.:.)   \ ,.  i.;.I.
t.:,·  '	Balance Due	

r	t',.•\ · t, \ ) ''
1gi	l\11 ;
u

Page 1

J l IIIN

C	PO Box 729 • Sarasota, FL 34230

	I	
9!4t201s	I	120098	

A	'R

_

Atlantic TNG, LLC

Invoice

H	II	Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Self Unloader
Contact: Sherry 813-280-5304	

>c·.  ''-·Y,,,) [);)•;•	.

. cc,.,,) \'c:,\(',,·	.·	?i,L'.,·

-'• .-

9/4/2018	31160	Net 30
,, .-_._.  :c,r; 		,.,.,_._.   ·"·"	:'·•:-::,- ;,,-,-'

.	'	.. .	.	'	. .

48" Single Offset Gasket

'

	Subtotal	$2,838.00	
	Sales Tax (0.0%)	
$0.00	
	Balance Due	
$2,838.00	
Page 2			

A

Atlantic TNG, LLC

J LANTl C

PO Box 729 • Sarasota, FL 34230
Phone • (941) 355-2988
TNG LLC Fax. (941) 351-3765

Invoice

·--	--!\.-   ,,&,

1

11	flt:ui\;' • . •
- - _ _ ; _ 1
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

RECEIVED

- 0lmt1'1it9	
Trip le Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Self Unloader
Contact: Sheny 8 I 3-280-5304	

THE KEARNEY COMPAN

•l•t1Jf:..Ji.f;t,{f-1iS· lr:'iii5•	··,.:l ..•J,_:!<,l1i1j•t.,1'  -1>1t-1.·•·o·

,	r• ·	_

,.,	. .	,·1

9/5/20 18	34680	Net 30

= ' 1j(•/!J)j{I.".'
'

, :  21 •,11,iyim

ftk4:'./-1i 1t  •iY01 /.l	%;/i\:;/<.,F

1·:   {1	1• I ,

SS-4

2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

2' Cone 48" Diameter 5" Wall Sanitary Manhole Cone

1680

1680

SS-5	
2	4' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gaskeUclamp	5940	908.00	908.00	
		2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	1680			
		1.5' Cone 48" Diameter 5" Wa ll Sanitary Manhole Cone	1260			
SS-6		4' Base 48" Diameter 5" Wall Sanitary Manhole Base	5940	908.00	908.00	
	3	8" Z-Lok gasket/clamp				
		2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	1680			
		1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1260			
SS-7	

2	4' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gaskeUclamp	5940	761.00	761.00	
		2' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1680			

&

I' - .
'  L I  '  l"·I
r.. .r

.	,.	t;I\

Subtotal

Sales Tax (0.0%)

I	ti J t,;'.J

Balance Due

lliJ.J::.		
9/5/2018	120123	

Page 1

/iJ

Jl/1111UJI

Atlantic TNG, LLC
1ft PO Box 729 • Sarasota, FL 34230

Invoice

!'.<e"k"V!.	;r	'¥:i'		
9/5/2018	120123	

_	111'11 li'III	iii II.iii Phone • (941) 355-2988
TNG LLC Fax, (941) 351-3765

	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

Triple Creek Subdivision PH 4 Village J Hillsborough County
PO#
Self Unloader
Contact: Sheny 813-280-5304	

. ··-·--·••----------- ,--------------,

- ---

" :- [,,r;j,)(•

1\ii/?F""''; ', ,,

- -
;=:_...; u··

,::•,,,-.,-,-,, -.-.-

9/5/2018	34680	Net 30

'

.	.
-'''	.<;,0(;1 }L i 'ci

SS-2	1		4' Base   48" Diameter 5" Wall Sanitary	5940	1,022.00	1,022.00 Manhole Base
I	3	8" Z-Lok gaskel/clamp

48" Single Offset Gasket

	Subtotal	$3,599.00	
	Sales Tax (0.0%)	
$0.00	
	Balance Due	
$3,599.00	
Page2			

•r•-••·~,

I

A

JlANTIC

Atlantic TNG, l LC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
1NG LLC Fax·(941) 351-3765

tJlfli, -. ,,

,·

-1,0 2018

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lc1ne Suite 115
Tampa, FL 33625	RECEIVED

..... -- ........).),,.     •""         ..:,::, ,:!
,tMW'IH?;	
Triple Creek Subdivision PH 4 Villag·e J
Hillsborough County
PO#
Call Before Loading
Contact: Sherry 813-280-5304	

, ,

Invoice

[l,i.), r.,	•.:-	
9/6/2018	120145	

THE KEARNEY  COMPANIESI	i Lh,,Ot . pt;.1!:\;((\.,  I

11c11ft'NN( /1;J:

I	· i

:}1i}:1,uc.) .liHC1

-
@  J:.Jil:fj I/	y '

l (--1:;:r,,1ilt  I.W1il

9 /6/2 018

34380	Net 30

						
SS-8		[ 4' Base 48" Diameter 5" Wall Sanitary Manhole Base	5940	761.00	761.00	
	2	8" Z-Lok gaskeUclamp				
		1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1260			
SS-9	

2	2.5' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gaskeUclamp	4700	761.00	761.00	
		[ 3' Co ne	48" Diameter 5" Wall Sanitary Manhole Cone	2520			
SS-10	

3	3' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gaskeUclamp	5120	638.00	638.00	
		1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1260			
SS-11	

2	2' Base 48" Diameter 5" Wall Sanitary Manhole Base
1 8" Z-Lok gaskeUclamp	4280	638.00	638.00	
		2.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	2100			

\Yfi) 1 /hji	1.-·d M

.	'	, .;:

}.	,,. ;	' '

, », ·

SS-19

4' Base 48" Diameter 5" Wall Sanitary Manhole Base
3	8" Z-Lok gaskeUclamp

rrn,f'iit' ·'"' n·r[=i'(!\

if1,.

5940

Subtotal

761.00

761.00

E ·•ru11  i •i\•{o-n1

if ,,A i
\1&. '

Sales Tax (0.0%)
Balance Due

Page 1

Atlantic TNG, LLC
'Ill"Ill  ft  IUJ  111!1\!l  PO Box 729 • Sarasota, FL 34230
•	ibll'I!\ In!	I lb Phone • (941)355-2988
TNG LLC Fax, (941) 351-3765

Invoice

 	.·,, ·	

9/6/2018	120145	j

	
Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Call Before Loading
Contact: Sherry 8 I 3-280-5304	

	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

f"' --····--·-·· ----c--- --c--------

r·· ;,: K ,	""'..  I	c,,i:,·.	I	·•------

··.- r, )'Ci:

9/6/2018

:,t

34380	Net 30

·1·,
-

1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone

5	48" Single Offset Gasket

1260

	Subtotal	$3,559.00	
	Sales Tax (0.0%)	
$0.00	
	Balance Due	
$3,559.00	
Page 2			

I
I

JLANTI C

.4

&\	Atlantic TNG, LLC

Invoice

1:,;:1:-		
9/6/2018	120146	

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

:::11,,j! ]J'.<J

TNG LLC Fax, (941) 351-3765

liilll T((o)	
Triple Creek COD-Kearney		
c/o Rizzetta & Company	RECEIVED	
12750 Citrus Park Lane		
Suite 115		
Tampa, FL 33625	SEP 1.0 2018	

Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Ca ll Before Loading
Contact: Sher ry 813-280-5304

	!•)f{l ,.;;if,(:!!?liltc:	il(r H:::fJ E\/f:f.1::n,_		
	
9/6/2018	
30520	
Net 30	
" :i•l•J (ojj[IIJli,		.,1; ,,i,mw	illl4,f'-Jofrm•Jn'r	\V1'("1,k:l l	
..: -(,p.•		
ST-1 ST-2 ST-17

ST-22		58" Base 4' x 4' Curb Inlet Type "1", 6" wall

69" Base  4' x 4' Curb Inlet Type "1", 6" wall

31" Base 3' x 4½' Grate Inlet Type "E", 6" wall, w/ EB&C

59" Base 3' x 4½' Grate Inlet Type "E", 6" wall, wt EB&C	9220

9720

5800

5780	980.00

980.00

811.00

811.00	980.00

980.00

811.00

811.00	
.	f)r11[Q)mt r-r	.t
U-t i} tr trJ0utb©	_?	Subtotal	$3,582.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$3,582.00	

,

JLANJIC

tlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230

ll i--H,		
9/7/2018	120163	

Phone • (941) 355-2988

Invoice

THEKEARNEY CO

SEP -1 0 2018

RECEIVED

Triple Creek CDO-KP,arney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

l iJli il!fi

Triple CreekSubdivision PH 4 Village J
1lillsbo rough Co un ty PO#
Call Before Loading
Contact: Sherry 813-280-5304

TNG LLC Fax• (941) 351-3765

..::l,$1 Tr't;

s

	,   i'iHh,.; ;r11@m:;	iHfl; l:\11   /J ,,_ifiii			
	
9/7/2018	
33020	
Net 30		
"'l\ Wi<(hj o,	,  , 110:\olihY	lqt.\-·:N l 11r•Jn	\11r,'.,j fH	1·1 /··		
ST-4

ST-6		75" Base 4' x 5' Curb Inlet Type "1", 6" Wall

75" Riser 4' x 5' Curb Inlet Type "1", 6" Wall

57" Base   4' x 4' Curb Inlet Type "1", 6" wall

46" Riser    4' x 4' Curb Inlet Type "1", 6" wall	10040

9060

9120

4800	2,121.00

980.00	2,121.00

980.00	
, filf Jt! J 7	Subtotal	$3, 1 01. 00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$3, IO1.00	

JLANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

l	l    "lt-!,f1c;-11,-t,!', ,.,.;.!<.)1./ 11,_:._··	,,_-,,i,.;,.	'IJCl .ih.t \ y,1!4;/ti';,.	:-:/ 1	

9/7/2018	
33580	
Net 30	
; : >f;r1;111JJurlii	i J!ii JiUti.\}'
•.      ·   :         .	;!_ ·. · •	.,lm.ri,1<;,_iit•l?(riJiif	lt11tcifMh!i	.	fi:! fr'!		
SS-12		2' Base 48" Diameter 5" Wall Sanitary	4280	638.00	638.00	
		Manhole Base				
	2	8" Z-Lok gaskeUclamp				
		2.5' Cone 48" Diameter 5" Wall Sanitary	2100			
		Manhole Cone				
SS-13		2' Base 48" Diameter 5" Wall Sanitary	4280	638.00	638.00	
		Manhole Base				
	2	8" Z-Lok gaskeUclamp				
		2.5' Cone 48" Diameter 5" Wall Sanitary	2100			
		Manhole Cone				
SS-14		3' Base 48" Diameter 5" Wall Sanitary	5120	638.00	638.00	
		Manhole Base				
		6" Z-lok gaskeUclamp				
		8" Z-Lok gaskeUclamp				
		1.5' Cone 48" Diameter 5" Wall Sanitary	1260			
		Manhole Cone				
SS-15		2.5' Base 48" Diameter 5" Wall Sanitary	4700	638.00	638.00	
		Manhole Base				
	2	8" Z-Lok gaskeUclamp				
		2' Cone 48" Diameter 5" Wall Sanitary	1680			
		Manhole Cone				
SS-17		2' Base 48" Diameter 5" Wall Sanitary	4280	761.00	761.00	
		Manhole Base				
	2	8" Z-Lok gaskeUclamp				

kCl;l lllmnnrimlinJi•l tfyl	f.
1  :;\Y lb	Subtotal	
	Sales Tax (0.0%)	
	Balance Due	

TNG LLC Fax, (941) 351-3765

1i  jtll 10t .	··	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	RECEIVED

SEP 1·.0 20\8	

Page 1

Invoice

[ 1;,:J:.:·	,. :- . -,	
9/7/2018	120164	

t·,..,. ....:-;..-..1.i,, <
i:f!hrt•· 1]:i,;	
Triple Creek Subdivision PH 4 Village J
Hi l lsborough County PO#
Call Before Loading
Contact: Sherry 813-280-5304	

I	AtHantic TNG, LLC
-:J	il ft IIU JI IP PO Box 729 • Sarasota, FL 34230
 	   .·.	l!l.Hnl	lb Phone• (941) 355-2988
TNG LLC Fax• (941) 351-3765

],·.'.,\_,..,,.

Invoice

9/712018	I	120154

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Call Before Loading
Contact: berry 813-280-5304

	::,,.,r,,,,t ;c,,.c< ·'	.
le" ::c,i ti".'\,.ii•'	';.':,c,:1  ,t,	
	
9/7/2018	
33580	
Net 30	
i
'		·'-:: <-'f ·:,:.c/..i•{\'		,,.,. ,..,,,,		··-.·,·>r-_T·/	

•---· -·-----·-----·-·-·-·--•.--·. -~· ·--	
1

1

6	
3' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

1,5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone

48" Single Offset Gasket	
2520

1260			
	
Subtotal	$3,313,00	
	Sales Tax  (0.0%)	$0.00	
	Balance Due	$3,313.00	
Page 2

A

JLANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230
.  .  . .  .  .	. Phone • (941) 355-2988 TNG LLC Fax• (941) 351-3765

Invoice

Triple Creek COD-Kearne y c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

RECEIVED

SEP 17 2018

THE KEARNEY COMPANI,E

Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Call Before Loading
Contact: Shen}' 813-280-5304

----------- 	J

SS-16	I	1	1 2.5'   Base  48" Diameter 5" Wall Sanitary	I	4700	I	638.oo I	638.00
Manhole Base
6" Z-lok gaskeUclamp
8" Z-Lok gasket/clamp

2.5' Cone    48" Diameter 5" Wall Sanitary	I
Manhole Cone

1680

SS-18	I	1	1   4'    Base    48" Diameter 5" Wall Sanitary	I	5940	I	161.00 I	761.00
Manhole Base
2	8" Z-Lok gasket/clamp
1,5' Cone   48" Diameter 5" Wall Sanitary	I	1260
Manhole Cone
SS-20	I	1	2' Base   48" Diameter 5" Wall Sanitary	I	5120	I	638.oo I	638.00
Manhole Base
1	1 6"  Z -lok	gaskeUclamp
1	8" Z-Lok gasket/clamp

2.5' Cone   48" Diameter 5" Wall Sanitary	I
Manhole Cone

1260

- -	.a,_	
9/10/2018	120185	

SS-21	I	1	I2• Base   48" Diameter 5" Wall Sanitary	I	4280	I	638.00I 	638.00
Manhole Base
6" Z-lok gasket/clamp
8" Z-Lok gasket/clamp

2.5' Cone   48" Diameter 5" Wall Sanitary	I	2100
Manhole Cone

Subtotal

Sales Tax (0.0%)

Balance Due

Page 1

A

.	JlANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230
.	Phone • (941) 355-2988

Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Call Before Loading
Contact: Sheny 813-280-5304	

SS-22	

6	4' Base 48" Diameter 5" Wall Sanitary
Manhole Base

3' Riser 48" Diameter 5" Wall Sanitary
Manhole Riser

1.5' Cone 48" Diameter 5" Wall Sanitary
Manhole Cone

48" Single Offset Gasket		

2520

1260			
	
Subtotal	
$3,583.00	
	Sales Tax (0.0%)	
$0.00	
	Balance Due	
$3,583.00	

TNG l.LC Fax• (941) 351-3765

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

Page 2

Invoice

A

Atlantic TNG, LLC
TLANTIC PO Box 729 • Sarasota, FL 34230

Invoice

Phone • (941) 355-2988
TNG LLC Fax• (941 ) 351-3765

l f:H•	1	
9/10/2018	120186	

Triple Creek Subd ivision PH 4 Village J

Triple Creek COD-Kearney	RECEIVED
c/o Rizzetta & Company
12750 Citrus Park Lane Suite 115
Tampa, FL 33625	SEP 1 7 2018	
ARNEY COMPA	

Hills boroug h County
PO #
Call Before Loading
Contact:Sherry 813-280-5304

N IElS	I

	lWJW?®)otiT]	

9/10/2018	
36200	
Net 30	

I•				4'iiJmJ'.m	
ST-5

ST-8

ST-9		72" Base  4' x 5' Curb Inlet Type "1", 6" Wall

63" Riser  4' x 5' Curb Inlet Type "1", 6" Wall
80" Base  4' x 4' Curb Inlet Type "1", 6" wall

52" Riser  4' x 4' Curb Inlet Type "1", 6" wall

45" Base  4' x 4' Curb Inlet Type "1", 6" wall

I	9680

5140

9140

4420

7820

I   '	I	2,121.00

980.00

980.00	2,121.00

980.00

980.00	
-.,-     fr:;f''-•l' [/-;--@'
f,\.	l  1ll)l_!"\tS'ei el .I .0,
t:.iu u Utl  lU)   V   .	Subtotal	$4,os1.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$4,081.00	

A

J LANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax • (941) 351-3765

Invoice

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP

l!lrQ	,	
9110120m	I	120194	

T   - rL•	
rip le C eek Subdiv is ion PH 4 Village J
Hillsboroug h County
PO#
Call Before Loading
Contact: Sherry 813-280-5304
C--_ 	

17 2018

THE  KEARNEY COIVPI  A ltJI E L

	 	 :		'itmm	
	
9 /10/20 18		
Net 30	
	@rn,illJU	- -
mi-ra,mnm,,					
(§IlX!I!11.T11l1				mm,		
		HW PO# 10479 DIRECT SHIPPED BY		

j ,	

'1
I	

I!I	I
I	

359.00

165.00
191.00
869.00

ii

I'	

9,334.00

2,475.00
573.00
1,738.00	
		FOUNDRY							
	26	USF #227-SP Ring and Cover HILLSCO							
		SASE							
	15	USF #1255-MF Ring and Cover HILLSCO							
	3	USF #170-E Ring and Cover STORM							
	2	USF #6616 Galvanized Grate							

'							
		I							
		I	I							
		I;							
		,-							

I	I I							
		f· rBpl,"!/I&TiM11'!lbG	v							
	
Subtotal	$ 14 , 120.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$ 14, 120.00	
-

A

JlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230
. .		.   .	.	Phone • (941) 355-2988 TNG LLC Fax, (941) 351-3765

Invoice

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP 17 2018

Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Call Before Loading
Contact: Sheny 813-280-5304

THEKEARNE Y  COMPANf E sl	_	_	_	_	_

- .   ...•,.._:  .-	 	

-

. -

p: _;

.·;,, I

1	J	 		  

=SS•-23

-------

9/ 11/201&

020

[	_  :	30	.I

I	1

2	I 4' Base 48" Diameter 5" Wall Sanitary Manhole Base
I 8" Z-Lok gasket/clamp	I	5940	I	908.00 I	908.00	
		2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser	I	1680				
		1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	I	1260				

SS-24	I	1	14' Base  48" Diameter 5" Wall Sanitary	I	5940	I	761.00 I	761.00
Manhole Base

2	8" Z-Lok gasket/clamp

2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

,-	1680

1.5' Cone 48" Diameter 5" Wall Sanitary	I	1260
Manhole Cone
SS-25	I	1	4' Base  48" Diameter 5" Wall Sanitary	I	5940	I	761.oo I	761.00
Manhole Base
2	I 8" Z-Lok gasket/clamp
3' Cone  48" Diameter 5" Wall Sanitary	I .	2520 Manhole Cone
SS-26	I	1	13' Base   48"  Diameter 5" Wall Sanitary	I	5120	I	638.oo I	638.00
Manhole Base
6" Z-lok gasket/clamp
8" Z-Lok gasket/clamp

Subtotal
I

gf m1r

1v1 IDJk	I  Sales Tax  (0.0%)

l	--® tt: --:--:-,
9/11/2018	120200

;i(	Jl)\j ,[	I  Balance Due
Page 1

.4

JlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

	

6	2' Cone 48" Diameter 5" Wall Sanitary	
		Manhole Cone

48" Single Offset Gasket				
	
Subtotal	$3,068.00	
	Sales Tax  (0.0%)	$0.00	
	Balance Due	$3,068.00	

.    .	.	Phone   •    (941)    355-2988 TNG U.C Fax• (941) 351-3765

Page 2

Invoice

Triple Creek Subdivision PH 4 Village J
Hillsborough County
PO#
Call Before Loading
Contact: Sheny 813-280-5304	

A

Atlantic TNG, LLC

JLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax • (941) 351-3765

Invoice

9/ 1 1/2018

42760

Net 30

mmDii)

™Iill?:m

a

Dmmim

1

60"x60", 8" Top Slab

l

'

I

I

'

I

3020

•

lj
I

I

I

I

	1	·	
9/11/2018	120201	

RSC

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP 1 7 2018

THEK EARNEY COMPAN l  flS:

	
Triple Creek Subdivision PH 4 Village J
Hillsbo roug h County PO#
Call Before Loading
Contact: Sherry 813-280-5304	

ST-10	1	39" Base	4' x 4' Curb Inlet Type "1", 6" wall	6460	980.00	980.00	
ST-11	1	50" Base	4' x 4' Curb Inlet Type "1", 6" wall	6960	980.00	980.00	
ST-12	1	63" Base	4' x 4' Curb Inlet Type "1", 6" wall	8380	980.00	980.00	
ST-13	1	51" Base	4' x 4' Curb Inlet Type "1", 6" wall	7760	980.00	980.00	
ST-7	1	96" Base Wall	4' x 4' Manhole Type "J7B", 6"	10180	1,371.00	1,371.00	

- Jv.1l  , 1ff'r.·11'u·m·?IT; T<HW'  :'int;\_ ./',',,tt tl1 uJn  ""'--
, ,.	li u'-0·u ·L	Subtotal	
$5,291.00	
	Sales Tax (0.0%)	
$0 .00	
	Balance Due	$5,291.00	

A

Atlantic TNG, LLC

JLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax, (941) 351-3765

Invoice

m:rm	I	 		
9/12/2018	120216	

	
Triple Creek COD-Kearney	RECEIVED
c/o Rizzetta & Company
12750 Citrus Park Lane Suite 115
Tampa, FL 33625	SEP 1 7 2018	

 	

T r ip le C reek Subdivisio n PII 4 Village J
Hi lls boroug h County PO#
Call 13cforc Loadi ng
Contact: S herry 813-280-5304	

	rm		
	'ilimm	
	
9 / 1 2/2018	
31360	
Net 30	

	am		

'-1mWilJ	
S T-15		74" Base 4' x 4' Curb Inlet Type "1", 6" wall	9580	980.00	980.00	
		46" Riser 4' x 4' Curb Inlet Type "1", 6" wall	4800			
ST-16		69" Base 4' x 5' Manhole type "J8" , 6" wall	9160	1,704.00	1,70 4.00	
		60"x72" , 8" Reducing Slab	3620			
		30" Riser	48" Diameter Type "J8" 5" Wall	2100			
		Storm Manhole Riser				
		30" Cone 48" Diameter Type "J8" 5" Wall	2100			
		Storm Manhole Cone				
				I		
	rfJ ,. ••  ,	. .I"' _ -: _
\ )\l'"  v\ •I  :,I, ,v \   " ' ;l
uli u	u\lJ \J 'n[ ',,	
Subtotal
I	Sales  Tax  (0.0%)
I   Balance Due	
$2,684.oo

$0.00

$2,684o.o	

A

Atlantic TNG, LLC

DJ:_u     .	lim:1lrmtl	
9/13/20	1 8	120251	

JLANTIC PO Box 729 • Sarasota, FL 34230

Invoice

Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

	
Triple C reek Subd ivision PH 4 Village J
Hi llsbo rough County PO#
Ca ll Before Loading
Contact: Sherry 813-280-530 4	

	lil:"®.m	W!ll	litJ7im	
	
9/13/20 18	
47860	
Net 30	
111TiHlfi":l	©@UW	

l..!iml!lW	
ST-14 ST-19

ST-20

ST-21		41" Base 4' x 4' Curb Inlet Type "1", 6" wall

78" Base 4' x 4' Manhole Type "J8", 6" Wall 60"x60", 8" Reducing Slab
36" Cone 48" Diameter Type "J8" 5" Wall
Storm Manhole Cone

69" Base 4' x 4' Curb Inlet Type "1", 6" wall

48" Riser 4' x 4' Curb Inlet Type "1", 6" wall

72" Base  4' x 4' Curb Inlet Typb "1", 6" wall

29" Riser  4' x 4' Curb Inlet Type "1", 6" wall	6640

8920

3020

2520

9720

4520
'
10060

2460	980.00

1,274.00

980.00

980.00	980.00

1,274.00

980.00

980.00	
D, 2.,tu:ifGffT\t0T.	ffli 01
/!;I1if \f	u\0\'J \b.	Subtotal	$4,2 14.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$4,2 14.00	

AA

Atlantic TNG, LLC

TLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TN G LLC Fax• (941) 351-3765

Invoice

9I1a1201a	I	120315	

_tJjtf· h>	
T riple Creek Subdi vision Pl14 Village J
Hillsborough Count y
PO#
Call Before Loading
Contact: Sherr y 813-280-5304	

I- H 012	
Triple Creek COD-Kearney		
c/o Rizzetla & Company	RE CEIVED	
12750 Citrus Park Lane		
Suite 115		
Tampa, FL 33625	SEP 2	2018	

,,1df\\'.(C\','. 1111,, /;	l1 !S•_:_-l i ' tl) r, -
9 /18/2018	1620	Net 30

::-! .!Hitl!fi<.,	(0\Jt:Wil ':	V:1:,t;:;;i;,f,{pi{i''1\1	i'1Ht51ii1	r-:, -:T,	,I
ST-18	1	6' Footers	1620	200.00	20,0 00

Subtotal	$200.00

ij ,,

ilr. ....•,.,,JJ l#IJ 1L:,i;[;A	t'.

,J

. lI]A..al\rCiTLrO'l'"miJ'"J"ii'r\n"lJ'"',:n	Sales Tax  (0.0%)	$0.00

£;

Balance Due	$200.00

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT CHANGE ORDER SUMMARY
OCTOBER 16, 2018

CHANGE ORDER#	
CONTRACTOR	
DESCRIPTION	
AMOUNT	CONTRACT #	

4	
Kearney	
Atlantic TNG	
($61,837.22)	
0038-03	

                       THE	KEARNEY COMPANIES, LLC.
KE4'WIII..	EV	9625 Wes Kearney Way, Riverview FL 33578
COMPANIES

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGES G2-I-J CHANGE ORDER NO. 4
THE KEARNEY COMPANIES PROJECT NO. 0038-03
Date:      	3_0_e-_S._p-1_8 	

Conditions: The changes described herein shall be governed by the tenns and conditions of the Contract, and shall not in any way alter the tenns of the Contract, but shall hereafter be a part of the Contract.

INV.NO.	DESCRIPTION		Invoice Amount	Sales Tax	TOTAL COST	
			
120202	ATLANTIC TNG 9/11/2018	I	$	4,124.00			
120203	ATLANTIC TNG 9/11/2018	I	$	2,267.00			
120219	ATLANTIC TNG 9/12/2018	I	$	2,267.00			
120220	ATLANTIC TNG 9/12/2018	I	$	3,400.00			
120252	ATLANTIC TNG 9/13/2018	I	$	3,944.00			
120270	ATLANTIC TNG 9/14/2018	I	$	3,399.00			
120271	ATLANTIC TNG 9/14/2018	I	$	3,683.00			
120272	ATLANTIC TNG 9/14/2018	I	$	3,339.00			
120289	ATLANTIC TNG 9/17/2018	I	$	3,947.00			
120290	ATLANTIC TNG 9/17/2018	I	$	300.00			
120291	ATLANTIC TNG 9/18/2018	I	$	4,059.00			
120314	ATLANTIC TNG 9/18/2018	I	$	2,717.00			
120317	ATLANTIC TNG 9/18/2018	I	$	3,532.00			
120331	ATLANTIC TNG 9/19/2018	I	$	3,994.00			
120332	ATLANTIC TNG 9/19/2018	I	$	3,469.00			
120354	ATLANTIC TNG 9/20/2018	I	$	3,399.00			
120374	ATLANTIC TNG 9/21/2018	I	$	2,266.00			
120396	ATLANTIC TNG 9/24/2018	I	$	4,231.00			
			$ 58,337.00	$ 3,500.22	$	61,837.22	

TOTAL		$	(61 837.22 )	

The Kearney Companies LLC hereby requests an extension of

---0	day(s) to the original contract deadline for this work.

REASON FOR CHANGE: DIRECT PURCHASE OF MATERIALS BY CDD

ACCEPTABLE TO:

DATE:---30--S-ep-18

DATE:

DATE:-1-0/-15-/18--

0038-03 C04 - CDD Purchase Materials-I	Page 1 ofl

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK VILLAGE J INVOICE TRANSMITTAL ATLANTIC TNG
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	30-Sep-18	

INV. NO.	DESCRIPTION	TOTAL COST	
			
120202	ATLANTIC TNG 9/11/2018	$	4,124.00	
120203	ATLANTIC TNG 9/11/2018	$	2,267.00	
120219	ATLANTIC TNG 9/12/2018	$	2,267.00	
120220	ATLANTIC TNG 9/12/2018	$	3,400.00	
120252	ATLANTIC TNG 9/13/2018	$	3,944.00	
120270	ATLANTIC TNG 9/14/2018	$	3,399.00	
120271	ATLANTIC TNG 9/14/2018	$	3,683.00	
120272	ATLANTIC TNG 9/14/2018	$	3,339.00	
120289	ATLANTIC TNG 9/17/2018	$	3,947.00	
120290	ATLANTIC TNG 9/17/2018	$	300.00	
120291	ATLANTIC TNG 9/18/2018	$	4,059.00	
120314	ATLANTIC TNG 9/18/2018	$	2,717.00	
120317	ATLANTIC TNG 9/18/2018	$	3,532.00	
120331	ATLANTIC TNG 9/19/2018	$	3,994.00	
120332	ATLANTIC TNG 9/19/2018	$	3,469.00	
120354	ATLANTIC TNG 9/20/2018	$	3,399.00	
120374	ATLANTIC TNG 9/21/2018	$	2,266.00	
120396	ATLANTIC TNG 9/24/2018	$	4,231.00	

			
			
TOTAL		$	58,337.00	

The Kearney Companies, LLC.

DATE:	30-Sep-18

Invoice Transmittal ATLANTIC TNG	Page 1 of 1

.

J

.	.

@ti-..	i.	1· - 1.IMifg;,	
9/11/2018	120202	

A l·ANJ I C

Atlantic TNG, LLC

PO Box 729 • Sarasota, FL 34230
. Phone • (941) 355-2988

Invoice

Triple Creek COD-Kearney c/o Rizzetta & Company
12750 Citrus Park Lane	SEP 17 2018
Suite 115
Tampa, FL 33625

THE  KEARNEY COMPANI B	

Triple Creek Subdivision PH 4 Village I Hillsborough County
PO# 0038-03-09
Self Unloader
Contact: Shen-y 813-280 -5304	

TNG u_c Fax. (941) 351-3765

S

SS-1	I	1		14' Base 48" Diameter 5" Wall Sanitary Manhole Base
I8" Z-Lok gasket/clamp
5' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

4' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone
I2• Base   48" Diameter 5" Wall Sanitary Manhole Base	-
1 8" Z-Lok gasket/clamp

4' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

4' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

2' Cone 48" Diameter 5" Wall Sanitary Manhole Cone
I2• Bas e   48" Diameter 5" Wall Sanitary Manhole Base
1 8" A-lok gasket
8" Z-Lok gasket/clamp Drop Connector	I	5940	I	
		2						
					I	3360		
					I	
4200		
					I	
1260 -		

SS-2	I	
1			I•'	
4280	I	
		3						
					I	3360		
					I	
3360		
					I	1680		

SS-3	I	
1			I	
5440	I	
		1						
		2
1			I		I	
			&	rJ:llG:.,/i''h:•\·u;')l. ij	7
uIf.  '{	tr .-  -;,;,	i,.;...,   l.,		
Subtotal
I

I Sales Tax
I Balance	

1,384.ooI	1,384.00

1,194.00 1	1,194.00

1,194.00 1	1,194.00

250 .00 I	250.00

(0.0%)

Due
Page 1

A

JlANTIC

Atlantic TNG, LLC
PO Box729 • Sarasota, FL 34230 Phone • (941) 355-2988

Triple Creek Subdivision PH 4 Village I Hillsborough County
PO# 0038-03-09
Self Unloader
Contact: Sherry 813-280-5304	

TNG LLC Fax, (941) 351-3765

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

2' Cone 48" Diameter 5" Wall Sanitary
Manhole Cone

2	VF Drop Riser

9	Lube

·7	48" Single Offset Gasket

Invoice

720	51.00	102.00

	Subtotal	$4,124.00	
	Sales Tax (0.0%)	
$0,00	
	Balance Due	
$4,124.00	
Page 2			

A

JlANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230
_	Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Invoice

-     ,     t..'E-tb"! . .	I I-	- I.m:i,f1-  um!	
9/11/2018	I	120203	

Triple Creek Subdivision PH 4 Village I Hillsborough CoW1ty
PO# 0038-03-09
Self Unloader
Contact: Sherry 813-280-5304	

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625
'

SEP 1 7 2018

. THE KEARNEY COIi/ip

SS-3	. I	1	5' Riser 48" Diameter 5" Wall Sanitary	

I

I

\I!
,--
I I
I
I
I			
			Manhole Riser				
			8" Z-Lok gasket/clamp				
			I 3• Riser 48" Diameter 5" Wall Sanitary		2520		

SS-4	I	

1	Manhole Riser

12.5' Base. 48" Diameter 5" Wall Sanitary Manhole Base		

4700	
I	
		2	1 8" Z-Lok gasket/clamp				
		1	5' Riser 48" Diameter 5" Wall Sanitary		4200		
			Manhole Riser		I		
			3' Riser 48" Diameter 5" Wall Sanitary		2520		
			Manhole Riser				
		1	11.5' Cone 48" Diameter 5" Wall Sanitary		1260		
			Manhole Cone				
SS-5		1	6' Riser 48" Diameter 5" Wall Sanitary		5020		
			Manhole Riser				
SS-6		1	4' Base 48" Diameter 5" Wall Sanitary Manhole Base		5120	I	
		2	I 8" Z-Lok gasket/clamp				
			6' Riser 48" Diameter 5" Wall Sanitary		5020		
			Manhole Riser				
			2' Cone 48" Diameter 5" Wall Sanitary		1680		
			Manhole Cone				
	£f.		·l1!@t ·l '·I\V!t'7' [ral.r;-.,,,l··L!!l lJ		

1,194.00 I	1,194.00

Page 1

1,073.00 I	1,073.00

I Subtotal
I Sales Tax (0.0%)		
		
I Balance Due	

.	J

A ·LA  NJI C

Atlantic TNG, LLC

Invoice

PO Box729 • Sarasota, FL 34230 Phone· (941) 355-2988

TNG LLC Fax. (941) 351-3765

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite115
Tampa, FL 33625	

Triple Creek Subdivision PH 4 Village I Hillsborough County
PO# 0038-03-09
Self Unloader
Contact: Sheny 813-280-5304	

	

9	

48" Single Offset Gasket				
	
Subtotal	$2,267.00	
	Sales Tax  (0.0%)	$0.00	
	Balance Due	$2,267.00	
Page 2

Atlantic TNG, LLC

TLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	
SEP t 7 2018

THE KEARNEY C OMA		

TNG LLC Fax , (941) 351-3765

AN

Invoice

l!.!\.1lrJ	I	-	
91 1 212018	I	120219	

	
Triple Creek Subdivision PJ-1 4 Village I Hillsborough County
PO# 00 38-0 3-09
Se lf Unloader
Contact: Sherry 813-280-5304

,ES 		

I

	 .zat11am:m	mmwe		
	
9/12/20 18	
22780	
Net 30	
   !!!Zil		lil¼i Pm			lTmmun	
SS-5	1	4' Base 48" Diameter 5" Wall Sanitary Manhole Base		5940	1,194.00	1,194.00	
	3	8" Z-Lok gasket/clamp					
	1	1.5' Cone 48" Diameter S" Wall Sanitary		1260			
		Manhole Cone					
SS-7	1	4' Base 48" Diameter 5" Wall Sanitary Manhole Base		5940	1,073.00	1,073.00	
	3	8" Z-Lok gasket/clamp					
	1	4' Riser 48" Diameter S" Wall Sanitary	'	i
3360	'		
		Manhole Riser					
	
1	
1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	'	
1260	-		
SS-8	1	6' Riser 48" Diameter 5" Wall Sanitary		5020			
		Manhoel  Riser			1,		
	
4	
48" Single Offset Gasket					
	£_	1lfcU1	_r.•''/Lr'ii1'iJ1, 't·h- Iu /,
Ul.J·		
Subtotal	
$2,267.00	
				Sales Tax (0.0%)	
$ 0.00	
				Balance Due	$2,267.00	

A

Atlantic TNG, LLC

TNG LLC

Phone • (941) 355-2988
Fax, (941) 351-3765

J LANTIC PO Box 729 • Sarasota, FL 34230

REC		
Tr ip le Creek COD-Kearney c/o Rizzetta & Company
12750 Citrus Park Lane	SEP 1 7 2018
Suite 115
Tampa, FL 33625

THE KEARNEY COMP A	

Triple Creek Subdivision P H 4 Village 1 Hillsborough County
PO# 0038-03-09
ISelfUnloader 	04
Conta c t: Sherry 813-280-53
S	

\N ll

Invoice

n	I	TL1!mlUJ	
9/12/2018	120220	

-		wsm1w1mm	Ui.
I	9 / 12/2018	33060	Net 30
.i..::i !!IB	I	l11Jlf]i)ft	I	ffi4-miWUw)	lmrnmn
88-8	I	1	I2' Base 48" Diameter 5" Wall Sanitary	4280	1 ,194.00	1,194.00

	2	I8" Z-Lok gasket/clamp		
	1	I3' Cone 48" Diameter 5" Wall Sanitary		2520			
		Manhole Cone					
88-9	I	1	14' Base 48" Diameter 5" Wall Sanitary Manhole Base		5940	I	1,073.00	I	1,073.00	

Manhole Base

I

I
1	18" Z-Lok gasket/clamp
1	5' Riser    48" Diameter 5" Wall Sanitary	,11	4200
Manhole Riser
I 2.5' Cone 48" Diameter 5" Wall Sanitary	I	2100	I

8-03	
I	
1	I55" Base   4' x 4' Curb Inlet Type "1", 6" wallI	
8900	
		1	I 47" Riser 4' x 4' Curb Inlet Type "1", 6'1 wall	5120	

Manhole Cone

I

I.	1 ,133.00 I	1,133.00

48" Single Offset Gasket

u	lt

lfr\ r;  \!• 1· 1">.  r-:   .1.-- -

ri_ ql  !lic	n  ll_• :_.    ·
u- u	;;.i	u

Subtotal	$3,400.00

Sales Tax  (0.0%)	$0.00
Balance Due	$3,400.00

A

JLANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Invoice

	
Triple Creek COD-Kearney	RECEIVED
c/o Rizzetta & Company
12750 Citrus Park Lane Suite 115
Tampa, FL 33625	SEP 17 2018	

 	
	
Triple Creek Subdivision PH 4 Village I HiUsborough County
PO# 0038-03-09
Cal l Before Loading
Contact: Sherry 813-280-5304	

 	   ft!Ni}l•nm	'ilil!ll	I
9/13/2018	44080	I	Net30
--

- -

m	mronmrJ	fil½iHffiiltwJ	I	I	.Bli'mn1t1
CS-01	1	90" Base   3' x 6½' Control Structure Type	14900	I	1,s13 _00  1	1 ,513 .0 0 "H", 6" Wall, w/ EB&C

1	90" Base  4' x 6' Curb Inlet Type "1", 6" wall I	16740
1	94" Base    4' x 4' Curb Inlet Type "1", 6" wall	12440	I

1    ,298.  00 I	1  , 298	.  0  0
1,133.00	1,133.00

11 1;,   r-		
9/13/2018	120252	

I

Subtotal		$3,944.00	
Sales Tax	(0.0%)	
$0.00	
Balance	Due	
$3,944.00	

n  rr.·• :·,:;-r•   1·-;

E

\   '·l.) I 1,)1. ,)I\ d· \" :- ,,··:
ll	i. ..1\J b0

A

TlANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP 17 2018

THE KEARNEY COMPAf

Triple Creek Subdivision PH 4 Village I Hillsborough Cou nty
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813-280-5304	

TNG LLC Fax . (941) 351-3765

IE

Invoice

-	I	
9/14/2018	I	120270	

	

9/14/20 18	
3262 0	
Net 30	

t-JW(•Wli fl	 		I■ra.-,roi m.filll			iJ,i,iI!l!JJ.ll	
S-04

S-05

S-06		96" Base  4' x 4' Curb Inlet Type "1", 6" wall

50" Base  4' x 4' Curb Inlet Type "1", 6" wall

50" Riser  4' x 4' Curb Inlet Type "1", 6" wall

48" Base  4' x 4' Curb Inlet Type "1", 6" wall

I	1 3360

6960

4740

7560	1,133.00

1,133.00

1,133.00	1,133.00

1,133.00

1,133.00	

&IT.Ju\DrJ=1.-,0J;..f-•t•"\rt·\()"d\,,\ / ,	. :>
'    •.tr,>,'1·1\'9-1	'  IL	\J
. ,'
t.., ·	Subtotal	
$3,399.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$3,399.00	

A

Atlantic TNG, LLC
TLANTIC PO Box 729 • Sarasota, FL 34230

Invoice

l!?iml	I	llmID}(J	
9/14/2018	120271	

Phone • (941) 355-2988

TNG  LLC   Fax, (941)351-3765

	
Triple Creek COD-Kearney		
c/o Rizzetta & Company
12750 Citrus Park Lane	RECEIVEn	
Suite 115		
Tampa, FL 33625	SEP 1 7 2018	

	
Triple Creek Subdivision PH 4 Village T H ill sborough County
PO# 0038-03-09
Call I3cfore Loading
Contact: Sherry 813-280-5304	

COMPANIES

1	54"x54", 8" Top Slab

I	I l

I

	9/14/2018		42200		Net 30	
@l'irGm	@mtUJii7		 				m:rlil	4':mMiO	
S-07	1	59" Base	4' x 4' Curb Inlet Type "1", 6" wall	7940		1,133.00	1,133.00	
	1	46" Riser	4' x 4' Curb Inlet Type "1", 6" wall	4800				
S-08	1	92" Base	4' x 6' Curb Inlet Type "1", 6" wall	16200		1,298.00	1,298.00	
S-09	1	56" Base Wall	3½' x 3½' Manhole Type "P7B", 6"	6460		1,252.00	1,252.00	
	1	45" Riser	3½' x 3½' Manhole Type "P7B",	4360				
		6" Wall			
I			
			I		I			

I

2440	; I

I
I	I

I	t       I	,      I	I	I

&fr [u1\.Wd.l!1\'u([ fl uJb

Subtotal	$3,683.00

Sales Tax  (0.0%)	$0.00
Balance Due	$3,683.00

A

J LANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

Triple Creek Subdivision PH 4 Village I
Hillsborough County
PO# 0038 -03-09
Call Before Loading
Contact: Sherry 813-280-5304	

TNG LLC Fax , (941) 351-3765

	
Triple Creek COD-Kea rney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	
RECEIVE

SEP 17 2018	

COMPANIE

Invoice

l!'m:l.	I	I I	
9/14/2018	I	120272	

		

9/14/2018	
37780	
Net 30	
 		@rnntm,	l!Z;i31t:mml		m$l	Lmt•)lilDI	
SS-11

S-10

S-11	1

3

1

1

1

1

1

2	4' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gasket/clamp

4' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

3' Cone 48" Diameter 5" Wall Sanitary Manhole Cone

53" Base 4' x 4' Curb Inlet Type "1", 6" wall

53" Riser  4' x 4' Curb Inlet Type "1", 6" wall

92" Base  4' x 4' Curb Inlet Type "1", 6" wall

48" Single Offset Gasket
1 11	: I	5940

3360

2520

7280

5760
I
12920	1,073.00

1,133.00

'
1,133.00

I ,	1,073.00

1,133.00

1,133.00	
"□'l.rrf "1   J
1	OJ1	f!\r1.ft\.) !(
1
'1	if lfd9 [ L	CJ	
Subtotal	$3,339.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$3,339.00	

Atlantic TNG, LLC

JLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Invoice

1, 1f!1'll''.•.'	
Triple Creek COD-Kearney	RECEIVED
c/o Rizzetta & Company
12750 Citrus Park Lane Suite 115
Tampa, FL 33625	SEP 2	2018	
,NEYCOMPANl'	

f .i,,V•'li%	C" I,	
Triple Creek Subdivision PH 4 Village I
Hillsborough County
PO# 0038-03-09
Call Bt:fore Loading
Contact: Sherry 813-280-5304

-----_J	

S

;	i t

1

ur,( 1,i  d:,111\  .. r    ' .    ·1;i'   ;J, li\'Y, W:..J\f	':: ;.,n  ,;

,,(_,

)fa,•:

-

._       ·:
,;..

9/17/2018	40700	Net 30

•	,; •. , . •

,

·-       , ,	I 1 '

•     •   -I.i  - '    I	I '.#. _•_ •:.

I	••    ,      \• •     . '   -  , b .   (   '   \	.,	•  . ,	t   .,.'!,"      /.  .      ,,'     :	.,, '·•

.. ,.-

,.,.,. 1,,,l '.i(t,1,1.c,	·      l!f, 1:,i	.	.	,   •	ffi,ol ::; l{,.l,1·.,11.1	'.'N  s/.-;:}',1;	f;\ ,,1;:;	: ..  .,. •.   •·
.   ,  .	.,   . .,    ..,.	,,	.-."';,,	,,   	:.::  .,..  ,   ·V: 1 ·· ·	---    ;.    -:· . ·	,.,•.•.,	·..  ··

SS-12	1

2	4' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gaskeUclamp	5940	752.00	752.00	
	1	2.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	2100			
SS-13	1	3' Base 48" Diameter 5" Wall Sanitary Manhole Base	4280	655.00	655.00	
	3	8" Z-Lok gasket/clamp				
	1	2' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	2520			
SS-14	1

3	2.5' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gasket/cla p	5120	655.00	655.00	
	1	2.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1680			
SS-15	1	4' Base 48" Diameter 5" Wall Sanitary Manhole Base	5940	752.00	752.00	
	2	8" Z-Lok gasket/clamp				
	1	1.5' Cone 48" Diameter 5" Wall Sanitary Manhole Cone	1260			
S-12	1	95"Base 4'x4'CurblnletType"1",6"wall	11860	1,133.00	1,133.00	

Subtotal

rt rorrar, u1t·,frr.rm o,	 	

.	lq;;{\ .	I'	•	
9/17/2018	120289	

llt\r

kLll \1[;JlJ	Sales  Tax  (0.0%)
Balance Due
Page 1

Jl H

llll

Atlantic TNG, LLC
Ni JI11'11  PO Box 729 • Sarasota,  FL 34230
lffl	I 11111 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Invoice

911112018	I	120289

Triple Creek Subdivision PH 4 Village I
Hillsborough County
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813w280R5304

------·····•··

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

· ·

------ •• -- •-"•-m-•o--•-- • --•-,

.;:	"' ,_- ( \

9/17/2018	40700	Net30
r--··

4	1 48" Single Offset Gasket	J	J	I

	Subtotal	$3,947,00	
	Sales Tax (0.0%)	
$0,00	
	Balance Due	$3,947,00	
Page 2			

Atlantic TNG, LLC

I
I

ffil'mS:·• ·
120290

9/ 17 /2 018

•mm

 	 J lANTIC PO Box 729 • Sarasota, FL 34230

Invoice

Phone • (941) 355-2988

TNG LLC Fax • (941) 351-3765

	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

Triple CreekSubdivision PH 4 Vill ageI Hillsborough County
PO# 0038-03-09
Call Befor e Loading
Contact: Sheny 813-280-5304	

I
9/17/2018	I	1680	Net 30

w	®]T.ufJW

-	l!millut

MH -3	1	24" Riser	48" Diameter 5" Wall Sanitary	1680	300.00	300.00
Manhole Riser

48" Single Offset Gasket

I

'I

£@uru

@I   r \rI  1'I,, Ifr'1rJ ;

Subtotal	$300.00	
Sales Tax (0.0%)	
$0.00	
Balance Due	
$300.00	

:J	I v l / .	7

!.J		
9/17/2018	120291	

A-: JlANJIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230

Invoice

1-,t U, 1:,i.,1t· i_r,1,tu		I , ' n: ii 1'.\1 1 <),):r		

·'' t ,	
9/17/2018

;,  1;. i      f ..,\	i\:j',t:.trii.f.i -	Jr,Jot,t,l/i_pJ41•jl,			31420
l'!f.J(;ii\•	1r, ,,. ,		Net 30	
S-13	1	48" Base	4' x 4' Curb Inlet Type "1", 6" wall	6740	1,133.00	1,"133 .0 0	
S-14	1	60" Base	4' x 4' Curb Inlet Type "1", 6" wall	8040	1,133.00	1,133.00	
	1	41" Riser	4' x 4' Curb Inlet Type "1", 6" wall	4460			
S-15	1	94" Base	4' x 5' Curb Inlet Type "1", 6" Wall	12180	1,793.00	1,793.00	

, •.

Phone • (941) 355-2988
1N G LLC Fax, (941) 351-3765

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

RECEIVED

SEP 2

2018

l t f.·

lih ·\

"'ilfi(lf,·	
Triple Creek Subdivision Pl 14 Village I Hillsborough County
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813-280-5304	

&	@ l h

Subtotal	$,4 059 .00

Sales Tax  (0.0%)	$0.00

Balance Due	$4,059.00

A

JLANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax, (941) 351-3765

&f	lWri E	)7

Invoice

,l  H		
9/18/2018	120314	

1iv, 11t	
Triple Creek Subdivision PH 4 Village I Hill sborough County
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813-280-5304	

111		
Triple Creel< COD-Kearney c/o Rizzetta & Company
·12750 Citrus Park Lane
Suite 115	SEP 2 4 2018
Tampa, FL 33625

THEK EARNEY COMPANIE "'	

	•,,,n •:@v,.:1  ;,._,,	'W! c.l: Vl 1 _·•	tl		
	9/18/2018	33480			Net 30	

u ·,!'I jl'.1 ;	'· •l \r.f;, ! tll;		fn11,,r.,,,  ! l(t  io:	\;'1h 1ts:f11'		i;\•- ! ' -	
'	
S-15	1	42" Riser Wall	4' x 5' Curb Inlet Type "1", 6"	5080				
S-16	1	69" Base	4' x 5' Curb Inlet Type "1", 6" Wall	9540		1,793.00	1,793.00	
	1	68" Riser	4' x 5' Curb Inlet Type "1", 6"	8220				
		Wall						
S-22	1	50" Base	48" Diameter Type "P8" 5" Wall	5600		924.00	924.00	
	Storm Manhole Base		
1	48" Riser 48" Diameter Type "P8" 5" Wall Storm Manhole Riser	3360	
1	24" Cone 48" Diameter Type "P8" 5" Wall	1680	
	Storm Manhole Cone		

Subtotal	$2,717.00

Sales Tax (0.0%)	$0.00

Balance Due	$2,717.00

JLANTIC

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone• (941) 355-2988
TNG LLC Fax, (941) 351-3765

j· i(;f  (Ii>,
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625

SEP 2 4 2018

T H E KEARNEY COMPANI E

'  1h lH>".r<fr,<i 1, .>:it:,

Invoice

.. ·:  ·'   \,		
9/18/2018	120317	

.?:!I_Slh···11 ,.	
Triple Creek Subdivision PH 4 Village I Hillsborough County
PO# 0038-03-09
Call Before Loading
Co ntact: Sherry 813-280-5304	

, .l '.!\:J C \t\1;•i \J})[ii	• i•.r f•

9/18/2018	46200	Net 30

:,1n  H,.ii"f"	(,:,).r-1. a,(r'.'/	ifi1of.:,<1ilj_pt1l•1t,	\r;Hclf,1,	;,:.:_.:., \ ; 	I

S-22	1	48" Riser	48" Diameter Type "PS" 5" Wall	3360	
Storm Manhole Riser	
S-17	1	95" Base 4' x 4' Curb Inlet Type "2", 6" wall	13260	1,147.00	1,147.00	
S-18	1	55" Base 4' x 4' Curb Inlet Type "1", 6" wall	8900	1,133.00	1,133.00	
	1	46" Riser 4' x 4' Curb Inlet Type "1", 6" wall	5000			
S-19	1	69" Base 3½' x 3½' Manhole Type "P7B", 6" Wall	8400	1,252.00	1,252.00	
	1	50" Riser 3½' x 3½' Manhole Type "P7'', 6" Wall	4840			
	1	54"x54", 8" Top Slab	2440			

& l fl ":'!T;i i	'-ij

Subtotal	$3,53 2.00

••	r \i ... • f : · _, t. l

v \k

ul	u	,ll.J it'-•  f. /L	Sales Tax  (0.0%)	$0.00
Balance Due	$3,532.00

JLANTI C

Atlantic TNG, LLC	Invoice
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax, (941) 351-3765
9/19/2018	I	120331

ll 1	
Triple Creel< COD-Kearney
c/o Rizzetta& Company	RECEIVED
12750 Citrus Park Lane Suite 115
Tampa, FL 33625	SEP 2 4 2018	

;i ft_l  : ,:	
T r ip le Creek Subdivision PI I 4 Village I I lillsborough County
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813-280-5 304	

1      •1 T  .i "i    ;(•·,	I

O Xf;,l\1/ IPtti.i,J	'1'1,,1,,f\t.11( .,, .
9/19/20 18	42080	l	Net 30
,  ( )·1t;_i:,,fl :tt	J;, J:l:-f:li{Uht ,·1,1	\1/io\ ;fi,	-:;r.:,;·

SS-16	I	1	4' Base  48" Diameter 5" Wall Sanitary	5940	752.oo l	752.00
Manhole Base
2	I 8" Z-Lok gasket/clamp
1	11.5' Cone    48" Diameter 5" Wall Sanitary	I	1260

S-20	I	1	I 58" Base	4' x 4' Curb Inlet Type "1", 6" wall	8020	1,133.00	1,133.00	
S-21	I	1	I 60" Base	4' x 4' Curb Inlet Type "1", 6" wall	8740	1,133.00	1,133.00	

Manhole Cone
1	I 65" Riser 4' x 4' Curb Inlet Type "1", 6" wall	6380
S-25	I	1	I 66" Base  3' x 4½' Grate Inlet Type "E", 6"	7520	I	976 .00 I	976.00
wall
1	I 41" Riser 3' x 4½' Grate Inlet Type "E", 6" I	4220
wall, w/ EB&C
48" Single Offset Gasket

;rrn·	m1\t7fFij 0

Subtotal	$3,994.00

Sales Tax  (0.0%)	$0.00

&-\l '
'

iur

.l.r.i- lUi u	w(Jr,-\---,.t.

Balance Due	$3,994.00

Atlantic TNG, LLC

J lANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988

TNG u_c Fax. (941) 351-3765

Invoice

1·1;    f '. '		
9/19/2018	120332	

	;. /· . . ,•:
''., i.i r1111.v	
Triple Creek Subdivision PH 4 Village I Hillsborough County
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813-280-5304	

I..'  - f·'  f!],i ', 1l	1,
::' · lh!		
Trip le Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane
Suite 115	SEP 2 4 2018
Tampa, FL 33625

THE KEARNEY COMPANI	

-

ES

,	'.ll}iJ fh,;,_-&, ;i l\.i il• .;	'1P J•• _ r  1,._t·:ti\ /.-3!	;;· '! :  ,.._,

9/19/20	1 8	41320	Net 30

,	:}_rt;,(i ,,,Mie

. •· '

-  '!;

' ft) ; l;i '.<'/if'{,•fo"rt qi ·,

,      1 •· .	\\J,Jj:{iJlt

i ,,.1\"·,	:

•·-'   .  .: - ';. --,'

,.(f t fH !fit\;

••1 ..u.	-•

. _ I.

'	.	'

SS-17	

3	4' Base 48" Diameter 5" Wall Sanitary Manhole Base
811  Z-Lok gasket/clamp	5940	752.00	752.00	
		2' Cone 48" Diameter 5" Wall Sanitary	1680			
		Manhole .Cone				
SS-18		2' Base 48" Diameter 5" Wall Sanitary Manhole Base	4280	655.00	655.00	
	2	, 8" Z-Lok gasket/clamp				
		3' Cone 48" Diameter 5" Wall Sanitary	2520			
		Manhole Cone				
SS-19	

2	3' Base 48" Diameter 5" Wall Sanitary Manhole Base
8" Z-Lok gasket/clamp	5120	655.00	655.00	
		2' Cone 48" Diameter 5" Wall Sanitary	1680			
		Manhole Cone				
SS-20		2.5' Base 48" Diameter 5" Wall Sanitary Manhole Base
6" Z-lok gasket/clamp
8" Z-Lok gasket/clamp	4700	752.00	752.00	
		3' Cone 48" Diameter 5" Wall Sanitary	2520			
		Manhole Cone				
SS-21		2' Base 48" Diameter. 5" Wall Sanitary Manhoel  Base
6" Z-lok qasket/clamp	4280	655.00	655.00	

\	tr U\	· \

lDAl ftrn)rmd} 1r_  )r!\:/ V[, L8l1J

Subtotal

Sales Tax  (0.0%)

Balance Due

Page 1

	'	
911912018	I	120332	

A..J

Atlantic TNG, LLC
fi  lUJ m R	PO Box 729 • Sarasota, FL 34230

Invoice

_,	II.H11111	lllll!J Phone• (941) 355-2988
TNG LLC Fax•(941)351-3765

-··•····-·---,--~,-----------------------

Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite115
Tampa, FL 33625

=-,

,;,:,!;-m			
.-, .;.-.·· V.,		
Triple Creek Subdivision PH 4 Village I Hillsborough County
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813-280-5304	

-	C	-_, t;c';;·,\ -		
	9/19/2018
.	-	41320
.	Net30		
,..........

. ,, ..... '"•"----

S-13	------·--
,,_··.,-, -,_.,·'•							
		,',•t,	.·	·.	' . .	
,"·. .		
	1

1

1

1

6	8"Z-Lok gasket/clamp

2' Riser 48" Diameter 5" Wall Sanitary Manhole Riser

1.5' Cone 48" Diameter 5" Wall Sanitary
Manhole Cone

52" Riser 4' x 4' Curb Inlet Type "1", 6" wall

48" Single Offset Gasket	

1680

1260

5660				
	
Subtotal	$3,469.00		
	Sales Tax (0.0%)	$0.00		
	Baiance Due	$3,469.00		

,,.,.,,,n,cc:,,:\t · ·	·  ·  ·· •:c'•'/	j

Page 2

TLANTIC

Atlantic TNG, LLC	Invoice
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax • (941) 351-3765
912012018	I	120354

l	0	
Triple Creek COD-Kearney	RECE IVED
c/o Rizzetta & Company
12750 Citrus Park Lane Suite 115
Tampa, FL 33625	SEP 2 4 2018	

.'1:1i\;'- f;,	
Triple Creek Subdivisio n PH 4 Village I
Hillsboroug h County PO# 0038-03-09
Self Unloader
Co ntact: Sherry 813-280-5 304	

	l 'l:Ht,\:f_i! \; l:IJ: :L,	t1: •J.:_ij  ,  't-.l'• •·.,		
	
9/20/2018	
35620	
Net 30	

:-.,1.t ·:J:.Hd :	t•iiq,w(i t	ff,1, 1an .f(ff<i Jill	h•.,,fff.H	
1:\-:p[		
S-23 S-24

S-26		94" Base  4' x 4' Curb Inlet Type "1", 6" wall

55" Base  4' x 4' Curb Inlet Type "1", 6" wall

48" Riser  4' x 4' Curb Inlet Type "1", 6" wall

89" Base 4' x 4' Curb Inlet Type "1", 6" wall	11580

8200

4520

11320	1,133.00

1,133.00

1,133.00	1,133.00

1,133.00

1,133.00	
£,	r:    rm 	r i[vrfn-_r;r-:,
irfil.fJQ;  1i.jf[!•1;•i;l·.1r Iti\ 'l1: 1	lJ
u fj   fJ/ J•-l 1	1 - i.:=.l	Subtotal	$3,399.00	
	Sales Tax  (0.0%)	$0.00	
	Balance Due	$3,399.00	

A

Atlantic TNG, LLC

JLANTIC

PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax • (941) 351-3765

ilt1 1":'i	
Triple Creel< COD-Kearney
c/o Rizzetta & Company	RECEIVED
12750 Citrus Park Lane
Suite 115
Tampa, FL 33625
SEP 2 4 2mh	

-

THE KEARNEY COMPANIES

Invoice

1 :-' i'		
9/21/2018	120374	

[.,:; j Ht• H- i	
Tri ple Creek Subdivision PH 4 Village I Hillsborough County
PO# 0038-03-09
Call Before Loading
Co ntact: Sherry 813-280-5304	

	1?,!,t l\' , ; ,r{ 1u, ;i,	!.-•,..·,: -:: \if; f J1' •'._	
I     J	i	
	
9/21/2018	
20300	
Net 30	

,  :n 'l•:·:,r,	
, f ) ,11:.HJ1\ 'i	,  /r1:.i"· ':;mr,  .•11,	, ,-,,, rsJ ,i	
!'  ;.)',		
S-27 S-29	1

1	87" Base 4' x 4' Curb Inlet Type "1", 6" wall
48" Base 4' x 4' Curb Inlet Type "1", 6" wall	12380

7920

\	1,133.00

1,133.00	1,133.00

1,133.00	
& ;r")''"1[-. - r·.. .--.-n--r\-\,.;Ii   t;    '    ,1@.       '.      '
,1t.vf il H \(l
f   (ki\J. l	
Subtotal	$2,266.00	
	Sales Tax (0.0%)	$0.00	
	Balance Due	$2,266.00	

\

 	 JlANTI C

Atlantic TNG, LLC
PO Box 729 • Sarasota, FL 34230 Phone • (941) 355-2988
TNG LLC Fax• (941) 351-3765

Invoice

 		,	 1		
9/24/2018	120396	

	
Triple Creek COD-Kearney c/o Rizzetta & Company 12750 Citrus Park Lane Suite 115
Tampa, FL 33625	

 	

Triple Creek Subdivis ion PH 4 Village l
Hillsboroug h Coun ty
PO# 0038-03-09
Call Before Loading
Contact: Sherry 813-280-5304	

rmnltia 1!il	"Ilrul1l !_(ID	m1iiilil	

9/ 24/2018	
42820	
Net30	
 	I!l	I	r.,	f.!	rm	litrtfu	I	f;F"fltmil
SS - 22	I	1	2.5' Base    48" Diameter  5" Wall Sanitary	4700	655.oo I	655.00
Manhole Base
I8" Z-Lok gasket/clamp
12' Cone   48" Diameter 5" Wall Sanitary	I	1680
Manhole Cone
SS-23	I	1	12' Base   48" Diameter 5" Wall Sanitary	I	4280	I	655.00I 	655.00
Manhole Base
I8" Z-Lok gasket/clamp
12.5' Cone   48" Diameter 5" Wall Sanitary	I	2100
Manho le Cone
SS-24	I	1	I2' Base   48" Diameter 5" Wall Sanitary	I	4280	I	655 .00 I	655.00
Manhole Base
18" Z-Lok gasket/clamp
1	1 2'  Cone    48" Diameter 5" W II Sanitary	I	1680
Manhole Cone
S-34	I	1	I50" Base    4'  x 4' Curb Inlet Type "1", 6" wall	6780	I	1 , 1 33.oo l	1,133.00
1	I 41" Riser 4' x 4' Curb Inlet Type "1", 6" wall	2880
S-36	I	1	I77" Base   4' x 4' Curb Inlet Type "1", 6" wall	9640	I	1,133.00 I	1,133.00
1	I 46" Riser 4' x 4' Curb Inlet Type "1", 6" wall	4800

1

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1

'-'   I	l.;;:.ri

1\ I 'I

iJ	Y'      \,q     .•:	,.,,,,

/;1UJ }(1 t  -

Q;	-

gl

3	48" Single Offset Gasket

Subtotal

$4,231.00

••i. i-  -   H	•r··  t\ y L'U

Sa les Tax (0.0%)

$0.00

Balance Due

$4,231.00

Tab 6

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT CHANGE ORDER SUMMARY
OCTOBER 16, 2018

CHANGE ORDER#	
CONTRACTOR	
DESCRIPTION	
AMOUNT	CONTRACT #	

5	
Kearney	
Village G2	
$100,389.21	
0038-03	

6	
Kearney	
Village I	
$194,146.93	
0038-03	

7	
Kearny	
Village J	
$37,786.47	
0038-03	

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK G2-I-J CHANGE ORDER NO. 5
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	10-Oct-18	

Conditions: The changes described herein shall be governed by the terms and conditions of the Contract, and shall not in any way alter the terms of the Contract, but shall hereafter be a part of the Contract.

ITEM NO.	DESCRIPTION	QTY.	UNIT	UNIT COST	TOTAL COST	
	VILLAGE G2					
	ROADWAY					
1.	1.5" TYPE SP-9.5 ASPHALT	(11,891)	SY	$	8.21	$	(97,625.11)	
2.	7" CRUSHED CONCRETE (OR OBG 5)	(11,891)	SY	$	9.53	$	(113,321.23)	
3.	12" STABILIZED SUBGRADE	(11,891)	SY	$	4.49	$	(53,390.59)	
						
4.	1.75" TYPE SP-9.5 ASPHALT	11,891	SY	$	9.44	$	112,251.04	
5.	7" PLANT MIXED SOIL CEMENT	11,891	SY	$	15.68	$	186,450.88	
6.	12" COMPACTED SUBGRADE	11,891	SY	$	0.92	$	10,939.72	

	STORM DRAINAGE SYSTEM					
7.	6" UNDERDRAIN (ROADSIDE - FDOT SAND 18" X 21")	3,474	LF	$	14.02	$	48,705.48	
8.	6" UNDERDRAIN CLEANOUT ASSEMBLY	18	EA	$	192.56	$	3,466.08	

9.	PERFORMANCE/PAYMENT BOND	1	LS	$	2,912.94	$	2,912.94	

						
TOTAL		$	100,389.21	

The Kearney Companies LLC hereby requests an extension of	 	7	day(s) to the original contract deadline for this work.

REASON FOR CHANGE: PLAN REVISIONS/SOIL CEMENT CONTINGENCY	

ACCEPTABLE TO:

Bing Kearney, The Kearney Companies, LLC

DATE:

10-Oct-18

DATE:  	

Engineer

DATE:  	

Owner

0038-03 Triple Creek G2-I-J CO5 - G2	Page 1 of 1

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK G2-I-J CHANGE ORDER NO. 6
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	10-Oct-18	

Conditions: The changes described herein shall be governed by the terms and conditions of the Contract, and shall not in any way alter the terms of the Contract, but shall hereafter be a part of the Contract.

ITEM NO.	DESCRIPTION	QTY.	UNIT	UNIT COST	TOTAL COST	
	VILLAGE I					
	ROADWAY					
1.	1.5" TYPE SP-9.5 ASPHALT	(22,276)	SY	$	8.21	$	(182,885.96)	
2.	7" CRUSHED CONCRETE (OR OBG 5)	(22,276)	SY	$	9.53	$	(212,290.28)	
3.	12" STABILIZED SUBGRADE	(22,276)	SY	$	4.49	$	(100,019.24)	
						
4.	1.75" TYPE SP-9.5 ASPHALT	22,276	SY	$	9.44	$	210,285.44	
5.	7" PLANT MIXED SOIL CEMENT	22,276	SY	$	15.68	$	349,287.68	
6.	12" COMPACTED SUBGRADE	22,276	SY	$	0.92	$	20,493.92	

	STORM DRAINAGE SYSTEM					
7.	6" UNDERDRAIN (ROADSIDE - FDOT SAND 18" X 21")	7,082	LF	$	14.02	$	99,289.64	
8.	6" UNDERDRAIN CLEANOUT ASSEMBLY	28	EA	$	192.56	$	5,391.68	

9.	PERFORMANCE/PAYMENT BOND	1	LS	$	4,594.05	$	4,594.05	

						
TOTAL		$	194,146.93	

The Kearney Companies LLC hereby requests an extension of	 	8	day(s) to the original contract deadline for this work.

REASON FOR CHANGE: PLAN REVISIONS/SOIL CEMENT CONTINGENCY	

ACCEPTABLE TO:

Bing Kearney, The Kearney Companies, LLC

DATE:

10-Oct-18

DATE:  	

Engineer

DATE:  	

Owner

0038-03 Triple Creek G2-I-J CO6 - I	Page 1 of 1

THE KEARNEY COMPANIES, LLC.
9625 Wes Kearney Way, Riverview FL 33578

Office (813) 421-6601
Fax (813) 421-6701

Underground Utilities	Site Development

PROJECT: TRIPLE CREEK G2-I-J CHANGE ORDER NO. 7
THE KEARNEY COMPANIES PROJECT NO. 0038-03

Date: 	10-Oct-18	

Conditions: The changes described herein shall be governed by the terms and conditions of the Contract, and shall not in any way alter the terms of the Contract, but shall hereafter be a part of the Contract.

ITEM NO.	DESCRIPTION	QTY.	UNIT	UNIT COST	TOTAL COST	
	VILLAGE J					
	ROADWAY					
1.	1.5" TYPE SP-9.5 ASPHALT	(7,896)	SY	$	8.21	$	(64,826.16)	
2.	7" CRUSHED CONCRETE (OR OBG 5)	(7,896)	SY	$	9.53	$	(75,248.88)	
3.	12" STABILIZED SUBGRADE	(7,896)	SY	$	4.49	$	(35,453.04)	
						
4.	1.75" TYPE SP-9.5 ASPHALT	7,896	SY	$	9.44	$	74,538.24	
5.	7" PLANT MIXED SOIL CEMENT	7,896	SY	$	15.68	$	123,809.28	
6.	12" COMPACTED SUBGRADE	7,896	SY	$	0.92	$	7,264.32	

	STORM DRAINAGE SYSTEM					
7.	6" UNDERDRAIN (ROADSIDE - FDOT SAND 18" X 21")	430	LF	$	14.02	$	6,028.60	
8.	6" UNDERDRAIN CLEANOUT ASSEMBLY	3	EA	$	192.56	$	577.68	

9.	PERFORMANCE/PAYMENT BOND	1	LS	$	1,096.43	$	1,096.43	

						
TOTAL		$	37,786.47	

The Kearney Companies LLC hereby requests an extension of	 	5	day(s) to the original contract deadline for this work.

REASON FOR CHANGE: PLAN REVISIONS/SOIL CEMENT CONTINGENCY	

ACCEPTABLE TO:

Bing Kearney, The Kearney Companies, LLC

DATE:

10-Oct-18

DATE:  	

Engineer

DATE:  	

Owner

0038-03 Triple Creek G2-I-J CO7 - J	Page 1 of 1

PROPOSAL SUMMARY	
Triple Creek Villages G2, I, and J Infrastructure Construction Project	
Triple Creek Community Development District	
Hillsborough County, Florida	
			5-Oct-18	
ITEM			TOTAL	
Triple Creek Village G2	
Summary of Attached	
1.	General Conditions	Value $	$	2,912.94	
2.	Earthwork	Value $	$	-		
3.	Roadway	Value $	$	(264,336.93)	
4.	Potable Water System	Value $	$	-		
5.	Sanitary Sewer System	Value $	$	-		
6.	Storm Drainage System	Value $	$	52,171.56	
7.	Roadway Sleeves (Irrigation)	Value $	$	-		
8.	Unclassified Items	Value $	$	-		
3.	ALTERNATE NO. A3 - 7" SOIL CEMENT	Value $	$	309,641.64	
Triple Creek Village I	
Summary of Attached	
1.	General Conditions	Value $	$	4,594.05	
2.	Earthwork	Value $	$	-		
3.	Roadway	Value $	$	(495,195.48)	
4.	Potable Water System	Value $	$	-		
5.	Sanitary Sewer System	Value $	$	-		
6.	Storm Drainage System	Value $	$	104,681.32	
7.	Roadway Sleeves (Irrigation)	Value $	$	-		
8.	Unclassified Items	Value $	$	-		
1.	ALTERNATE NO. A1 - 7" SOIL CEMENT	Value $	$	580,067.04	
Triple Creek Village J	
Summary of Attached	
1.	General Conditions	Value $	$	1,096.43	
2.	Earthwork	Value $	$	-		
3.	Roadway	Value $	$	(175,528.08)	
4.	Potable Water System	Value $	$	-		
5.	Sanitary Sewer System	Value $	$	-		
6.	Storm Drainage System	Value $	$	6,606.28	
7.	Roadway Sleeves (Irrigation)	Value $	$	-		
8.	Unclassified Items	Value $	$	-		
3.	ALTERNATE NO. A3 - 7" SOIL CEMENT	Value $	$	205,611.84	
	
NET TOTAL :	
$	332,322.61	

TRIPLE CREEK - VILLAGE G2	
Hillsborough County, FL	
Standard Pay Items	
June 15, 2018	
	Submitting Contractor	 	The Kearney Companies, LLC				

Item No.	

Description	Engineer's Approx. Quantity (Guide Only)	
Contractor's Quantity	

Unit	

Unit Cost	

Contractor Total	
1.06	Payment & Performance Bond - By Contractor	1	1	LS	$	2,912.94	$	2,912.94	
	GENERAL CONDITIONS, SUB-TOTAL					$2,912.94	

3.00	ROADWAY						
3.01	1.5" TYPE SP-9.5 ASPHALT		(11,891)	SY	$	8.21	$	(97,625.11)	
3.02	7" Crushed Concrete (or OBG 5)		(11,891)	SY	$	9.53	$	(113,321.23)	
3.03	12" Stabilized Subgrade (LBR 40)	11,750	(11,891)	SY	$	4.49	$	(53,390.59)	
	ROADWAY, SUB-TOTAL					$	(264,336.93)	
							
4.00	POTABLE WATER SYSTEM						
	POTABLE WATER SYSTEM, SUB-TOTAL					$	-	
							
5.00	SANITARY SEWER SYSTEM						
	SANITARY SEWER, SUB-TOTAL					$	-	
							
6.00	STORM DRAINAGE SYSTEM						
ADD	6" UNDERDRAIN (ROADSIDE - FDOT SAND) (18" X 21")		3,474	LF	$	14.02	$	48,705.48	
ADD	6" UNDERDRAIN CLEANOUT ASSEMBLY		18	Each	$	192.56	$	3,466.08	
	STORM DRAINAGE SYSTEM, SUB-TOTAL					$	52,171.56	
				
7.00	ROAD SLEEVE CROSSINGS (Electrical/Misc Lighting)						
	ROAD SLEEVE CROSSINGS, SUB-TOTAL					$	-	
							
8.00	UNCLASSIFIED ITEMS						
	UNCLASSIFIED ITEMS, SUB-TOTAL					$	-	
					TOTAL	$	(209,252.43)	

BID ADDS & ALTERNATES	
Specify the unit cost for which an add or alternate is proposed. Include the total cost for all items associated with the add or alternate. All "Adds" shall include a   cost, but the associated task/fee may not be included in the final bid award. As a reminder, the District reserves the right to award the contract in full, in part, with or without bid alternatives, or cancel the Project altogether. Contractor has no financial or vested interest in the Project prior to commencement of construction.	

A1	EARTHWORK - Add No. 1						
			TOTAL for Add No. 1	$	-	
					
A2	STORMWATER-ADS Alternate No. 2						
			TOTAL for Add No. 2	$	-	
A3	PAVING & BASE-Alternate No. 3						
A3.01	1.75" TYPE SP-9.5 ASPHALT	0	11,891	SY	$	9.44	$	112,251.04	
A3.02	7" PLANT MIXED SOIL CEMENT	0	11,891	SY	$	15.68	$	186,450.88	
A3.03	12" Compacted Subgrade (LBR 20)	0	11,891	SY	$	0.92	$	10,939.72	
				TOTAL for Add No. 3	$	309,641.64	
		
$	309,641.64	

18-0509-1 Triple Creek Villages G2, I & J with 7 in SC Alt PCOA- Details.xlsx	Page 2 of 4

TRIPLE CREEK - VILLAGE I	
Hillsborough County, FL	
Standard Pay Items	
June 15, 2018	
	Submitting Contractor	 	The Kearney Companies, LLC				

Item No.	

Description	Engineer's Approx. Quantity (Guide Only)	
Contractor's Quantity	

Unit	

Unit Cost	

Contractor Total	
1.00	GENERAL CONDITIONS						
1.06	Payment & Performance Bond - By Contractor	1	1	LS	$ 4,594.05	$	4,594.05	
	GENERAL CONDITIONS, SUB-TOTAL					$	4,594.05	
							
2.00	EARTHWORK						
	EARTHWORK, SUB-TOTAL					$	-	
							
3.00	ROADWAY						
3.01	1.5" TYPE SP-9.5 ASPHALT	21,703	(22,276)	SY	$	8.21	$	(182,885.96)	
3.02	7" Crushed Concrete	21,703	(22,276)	SY	$	9.53	$	(212,290.28)	
3.03	12" Stabilized Subgrade (LBR 40)	21,703	(22,276)	SY	$	4.49	$	(100,019.24)	
	ROADWAY, SUB-TOTAL					$	(495,195.48)	
							
4.00	POTABLE WATER SYSTEM						
	POTABLE WATER SYSTEM, SUB-TOTAL					$	-	
							
5.00	SANITARY SEWER SYSTEM						
	SANITARY SEWER, SUB-TOTAL					$	-	
							
6.00	STORM DRAINAGE SYSTEM						
ADD	6" UNDERDRAIN (ROADSIDE - FDOT SAND) (18" X 21")		7,082	LF	$	14.02	$	99,289.64	
ADD	6" UNDERDRAIN CLEANOUT ASSEMBLY		28	Each	$	192.56	$	5,391.68	
	STORM DRAINAGE SYSTEM, SUB-TOTAL					$	104,681.32	
				
7.00	ROAD SLEEVE CROSSINGS (Electrical/Misc Lighting)						
	ROAD SLEEVE CROSSINGS, SUB-TOTAL					$	-	
							
8.00	UNCLASSIFIED ITEMS						
	UNCLASSIFIED ITEMS, SUB-TOTAL					$	-	
					TOTAL	$	-	

BID ADDS & ALTERNATES	
Specify the unit cost for which an add or alternate is proposed. Include the total cost for all items associated with the add or alternate. All "Adds" shall include a cost, but the associated task/fee may not be included in the final bid award. As a reminder, the District reserves the right to award the contract in full, in part, with or without bid alternatives, or cancel the Project altogether. Contractor has no financial or vested interest in the Project prior to commencement of construction.	

A1	PAVING & BASE-Alternate No. 1						
A1.01	1.75" TYPE SP-9.5 ASPHALT	0	22,276	SY	$	9.44	$	210,285.44	
A1.02	7" PLANT MIXED SOIL CEMENT (300 PSI)	0	22,276	SY	$	15.68	$	349,287.68	
A1.03	12" Compacted Subgrade (LBR 20)	0	22,276	SY	$	0.92	$	20,493.92	
			TOTAL with ALTERNATES No. 1	$	580,067.04	
					
A2	STORMWATER-ADS Alternate No. 2						
			TOTAL for Add No. 2	$	-	

							
		$	-	

18-0509-1 Triple Creek Villages G2, I & J with 7 in SC Alt PCOA- Details.xlsx	PAGE 3 of 4

TRIPLE CREEK - VILLAGE J	
Hillsborough County, FL	
Standard Pay Items	
June 15, 2018	
	Submitting Contractor	 	The Kearney Companies, LLC				

Item No.	
Description	Engineer's
Approx. Quantity (Guide Only)	
Contractor's Quantity	
Unit	
Unit Cost	
Contractor Total	
1.00	GENERAL CONDITIONS						
1.06	Payment & Performance Bond - By Contractor	1	1	LS	$	1,096.43	$	1,096.43	
	GENERAL CONDITIONS, SUB-TOTAL					$	1,096.43	
							
2.00	EARTHWORK						
	EARTHWORK, SUB-TOTAL					$	-	
							
3.00	ROADWAY						
3.01	1.5" TYPE SP-9.5 ASPHALT	7,857	(7,896)	SY	$	8.21	$	(64,826.16)	
3.02	7" Crushed Concrete	7,857	(7,896)	SY	$	9.53	$	(75,248.88)	
3.03	12" Stabilized Subgrade (LBR 40)	7,857	(7,896)	SY	$	4.49	$	(35,453.04)	
	ROADWAY, SUB-TOTAL					$	(175,528.08)	
							
4.00	POTABLE WATER SYSTEM						
	POTABLE WATER SYSTEM, SUB-TOTAL					$	-	
							
5.00	SANITARY SEWER SYSTEM						
	SANITARY SEWER, SUB-TOTAL					$	-	
							
6.00	STORM DRAINAGE SYSTEM						
ADD	6" UNDERDRAIN (ROADSIDE - FDOT SAND) (18" X 21")		430	LF	$	14.02	$	6,028.60	
ADD	6" UNDERDRAIN CLEANOUT ASSEMBLY		3	Each	$	192.56	$	577.68	
	STORM DRAINAGE SYSTEM, SUB-TOTAL					$	6,606.28	
					
7.00	ROAD SLEEVE CROSSINGS (Irrigation/Misc)						
	ROAD SLEEVE CROSSINGS, SUB-TOTAL					$	-	
							
8.00	UNCLASSIFIED ITEMS						
	UNCLASSIFIED ITEMS, SUB-TOTAL					$	-	
					TOTAL	$	-	

BID ADDS & ALTERNATES	
Specify the unit cost for which an add or alternate is proposed. Include the total cost for all items associated with the add or alternate. All "Adds" shall include a cost,
but the associated task/fee may not be included in the final bid award. As a reminder, the District reserves the right to award the contract in full, in part, with or without bid alternatives, or cancel the Project altogether. Contractor has no financial or vested interest in the Project prior to commencement of construction.	

A1	EARTHWORK - Add No. 1 (Offsite Import)						
			TOTAL for Add No. 1	$	-	
					
A2	STORMWATER-ADS Alternate No. 2						
			TOTAL for Add No. 2	$	-	
A3	PAVING & BASE-Alternate No. 3						
A3.01	1.75" TYPE SP-9.5 ASPHALT	0	7,896	SY	$	9.44	$	74,538.24	
A3.02	7" PLANT MIXED SOIL CEMENT	0	7,896	SY	$	15.68	$	123,809.28	
A3.03	12" Compacted Subgrade (LBR 20)	0	7,896	SY	$	0.92	$	7,264.32	
				TOTAL for Add No. 3	$	205,611.84	

18-0509-1 Triple Creek Villages G2, I & J with 7 in SC Alt PCOA- Details.xlsx	Page 4 of 4

Tab 7

Triple Creek
FIELD INSPECTION REPORT

September, 2018 Rizzetta & Company
L. Scott Green –	Field Services Manager

Triple Creek

The following are action items for Sitex Landscaping complete. Please refer to the item # in your response listing action already taken or anticipated time of completion. Red text indicates deficient from previous report. Bold Red text indicates deficient for more than a month. Green text indicates a proposal has been requested. Blue indicates irrigation.

   1	
Reference Pic (1) Located at the front entrance to Triple Creek annuals have now been rotated and appear to have good color and be receiving adequate water from irrigation. Ask contractor to ensure annual bed remains weed free.

   2	

Reference Pic (2) Located at front entrance photo of newly installed annuals.

2

Triple Creek

   3	
Reference Pic (3) Located at front of Triple Creek ditch needs to be mowed once area is dry. Ditch appeared to be dryer at the time of this inspection and should be dry enough to mow or string trim by the next inspection in (30) days.

   4	
Reference Pic (4) Landscape beds in the center median of Triple Creek Blvd. still have heavy weed pressure in areas that will need to be hand removed as weeds are tall.

   5	
Ask contractor to also ensure all landscape beds are edged weekly in Summer months and bi-weekly in Winter months.

Reference Pic (5) Located along Triple Creek Blvd. plant material is going over sidewalk and needs to be trimmed.

3

Triple Creek

   6	
Reference Pic (6) Located along wooden bridge plant material is still growing over railing and needs to be trimmed and removed as it could pose a hazard to pedestrian on the bridge. Referenced in previous reports.

   7	
Reference Pic (7) Another photo of the plant material growing over bridge railing that needs to be trimmed ASAP. Referenced in previous reports.

Reference Pic (7) Landscape beds in front of the bridge also need to be treated with herbicide for weed control.

   8	

Reference Pic (8) Area located behind 12318 Juniper Field Ct. in which a resident submitted a complaint that grass was not mowed or string trimmed.

Reference Pic (8) Area should be residents reasonability as this is not a CDD tract and is closed off by the fences.

4

Triple Creek

  09 

Reference Pic (09) Annuals at the amenities center have also been replaced and appear to be in good health with good color.

  10 

Reference Pic (10) Located along Streambed Dr. there are still low hanging tree limbs that need to be trimmed as they can cause a hazard to a pedestrian on the sidewalk.

  11 

Reference Pic (11) CDD tract next to 12103 Streambed Dr. ask contractor to inspect and submit irrigation report for this area.

5

Triple Creek

  12 

Reference Pic (12) Located in the CDD tract next to 12103 Streambed Dr. low hanging tree limbs need to trimmed up as it is posing a hazard to service workers while on mowing equipment.

Reference Pic (13) Large landscape bed in traffic circle is inundated with weeds that need to be treated with herbicide for weed control. Referenced in last months report.

Ask contractor to also insure all sidewalks are edge as it appears some were missed throughout the community.

  13 

  14 

Crack weeds also need to be treated along sidewalks in new phase.

Reference Pic (14) Plant material in traffic island of Triple Creek Blvd. in needs plant material trimmed off curb.

6

Tab 8

 	CONTRACT FOR PROFESSIONAL FIELD SERVICES	

DATE:	October 1, 2018

BETWEEN:	RIZZETTA & COMPANY, INC.
3434 Colwell Avenue
Suite 200
Tampa, Florida 33614

(Hereinafter referred to as "Consultant")

AND:

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
9428 Camden Field Parkway Riverview, Florida 33578

(Hereinafter referred to as "District," and together with Consultant, the “Parties.”)

PURPOSE; SCOPE OF SERVICES:

The purpose of this contract for professional field management services (hereinafter referred to as “Contract”) is for the Consultant to provide professional field services to the District pursuant to industry standards and best practices. A detailed description of these services is provided below.

STANDARD ON-GOING SERVICES. The Consultant shall provide the following Standard On-Going Services to the District pursuant to this Contract:

Perform one (1) monthly landscape maintenance inspection to ensure oversight of onsite landscape maintenance contractors and compliance with the District’s landscape maintenance and irrigation contracts – should the District desire additional inspections, the Parties agree to negotiate a fee for such additional services in good faith and such additional fee(s) shall be reduced to writing and executed by both Parties;

Provide the District with one (1) monthly landscape maintenance inspection report, which shall be provided in the District’s agenda package and include, among other things, recommended action items;

Upon request of the District, attend monthly District meetings in person or via phone to review landscape maintenance inspection report;

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Notify landscape maintenance contractors about deficiencies in service or need for additional care;

Monitor the progress of landscape maintenance contractors in accordance with scope of work provided in maintenance contracts with the District, which may be amended from time to time;

Provide input for preparation of the District’s annual budget;

Upon request, prepare and develop a scope of services for landscape maintenance proposals and oversee bidding process. This service is only to be provided once per fiscal year at no additional charge to the District. Additional requests for this service will require a proposal be presented to the Board and approval by the District prior to conducting such additional services; and

Obtain landscape maintenance proposals as requested by the District and provide them to the District Manager.

TIME FRAME. The Standard On-Going Services shall be provided on a monthly basis as detailed in this Contract.

ADDITIONAL SERVICES. In addition to the Standard On-Going Services described above, or in any addendum executed between the Parties, the District may, from time to time, require additional services from the Consultant. Any services not specifically provided for in the scope of services above, or necessary to carry out the Services as described herein, as well as any changes in the scope requested by the District, will be considered additional services. Such additional services may include, but are not limited to, attendance at additional meetings, District presentations, and vendor responses. If any additional services are required or requested, the Consultant will provide a detailed description of these services and fees for such services to the District for approval prior to beginning any additional services. The Consultant shall undertake the additional services after the District has issued its written approval of the description and fees for such services to the Consultant.

LITIGATION SUPPORT SERVICES. Upon the District’s request, the Consultant shall prepare documentation in response to litigation requests and provide necessary expert testimony in connection with litigation involving the subject matter of this Contract. If the District requires or requests any litigation support services, the Consultant will provide a detailed description of the services and fees for such services to the District for approval prior to beginning any litigation support services. The Consultant shall undertake the litigation support services after the District has issued its written approval of the description and fees for such services to the Consultant.

TERM. The Consultant’s services as provided in this Contract shall commence upon execution of this Contract. This Contract shall automatically renew annually unless terminated pursuant to its terms. The Consultant acknowledges that the prices of this Contract are firm and that the Consultant may change the prices only with the District’s written consent. All prior agreements between the parties with respect to the subject matter of this Contract are terminated upon the execution of this Contract.

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FEES AND EXPENSES; PAYMENT TERMS.

FEES AND EXPENSES.

A schedule of fees for the services described in Sections I, II, and III of this Contract is shown in Exhibit A to this Contract, which is attached hereto and incorporated herein. The District shall pay the Consultant for the services provided under the terms of this Contract in accordance with the schedule of fees in Exhibit A. For purposes of the Consultant’s compensation for services provided pursuant to this Contract, the District shall compensate the Consultant only for those services provided under the terms of this Contract. Unless otherwise specified by this Contract, the Consultant will invoice the District for the Consultant’s services as soon as may be practicable in advance of each month and in the amounts set forth in Exhibit A. The fees for those services which are not being requested at the time this Contract is approved will be provided to the District at such time as those services are required. Payment shall be made by the District within thirty (30) days of receipt of a correctly submitted invoice.

Fees for the Standard On-Going Services in this Contract may be negotiated annually by the Parties. Any amendment to Standard On-Going Services fees must comply with the amendment procedure in this Contract and must be reflected in the adopted General Fund Budget of the District. The District’s adoption of the General Fund Budget shall not constitute the District’s consent for payment of any expenses.

In the event the District authorizes a change in the scope of services requested, Consultant shall submit, in writing to the District, a request for a fee amendment corresponding to the change in services being requested, if it has not already done so. Any change in the scope of requested services and the corresponding fee amendment shall comply with the amendment procedure in this Contract. Such amendment must be validly executed by the Parties before Consultant is authorized to begin providing services pursuant to the change in scope and the revised fees are adopted.

For the purposes of this Contract, an out-of-pocket expense is an unexpected expense that the Consultant or one of its subcontractors, if applicable, incurs during the performance of the Standard On-Going Services, as provided in this Contract. Such out-of-pocket expenses are included in the fees shown in Exhibit A. Out-of-pocket expenses incurred in connection with the performance of Additional Services and Litigation Support Services will be subject to reimbursement at cost. These expenses include, but are not limited to, airfare, mileage, transportation/parking, lodging, postage, copies, and binding.

Fees for services to be billed on an hourly basis will be billed at the Consultant’s current hourly rates at the time of the execution of this Contract, as set forth in Exhibit A. The hourly rate for the services may be amended from time to time pursuant to the amendment procedure in this

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Contract and in advance of such proposed change. Consultant’s current hourly rates are shown in Exhibit A to this Contract. Any proposed change shall indicate the new hourly fee for such services.

PAYMENT TERMS.

Standard On-Going Services. Standard-On Going Services will be billed monthly as a fixed fee pursuant to the schedule shown in Exhibit A.

Additional Services. Additional Services will be billed monthly on an hourly basis for the hours incurred at the Consultant’s current hourly rate as shown in Exhibit A.

Litigation Support Services. Litigation Support Services will be billed monthly on an hourly basis for the hours incurred at the Consultant’s current hourly rate as shown in Exhibit A.

Out-of-Pocket expenses. Out-of-Pocket expenses of the Consultant will be billed monthly as incurred.

All invoices will be due and payable thirty (30) days from the date of invoice pursuant to the Prompt Payment Act, Chapter 218.70 Florida Statutes.

SUSPENSION OF SERVICES FOR NON-PAYMENT. The Consultant shall have the right to suspend services being provided as outlined in this Contract if the District fails to pay Consultant’s invoices in a timely manner, which shall be construed as thirty (30) days from date of the invoice or as otherwise provided by the Prompt Payment Act, Section 218.70 Florida Statutes. Consultant shall notify the District, in writing, at least ten (10) days prior to suspending services.

NON-CONTINGENCY. The payment of fees and expenses, as outlined in this Contract, are not contingent upon any circumstance not specifically outlined in this Contract.

AMENDMENT. Amendments to, and waivers of, the provisions contained in this Contract may be made only by an instrument in writing that is executed by both the District and the Consultant.

RESPONSIBILITIES.

DISTRICT RESPONSIBILITIES. The District shall provide for the timely services of its legal counsel, engineer, and any other consultants, contractors, or employees, as required, for the Consultant to perform the duties outlined in this Contract. Expenses incurred in providing this support shall be the sole responsibility of the District unless specified herein.

LIMITATIONS OF RESPONSIBILITIES. To the extent not referenced herein, Consultant shall not be responsible for the acts or omissions of any other contractor

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or any of its subcontractors, suppliers, or of any other individual or entity performing services as part of this Contract which are not under the control of the Consultant. Consultant shall not be liable for any damage that occurs from Acts of God, which are defined as those caused by windstorm, hail, fire, flood, hurricane, freezing, or other similar occurrences of nature.

DISAGREEMENTS BETWEEN DISTRICT AND LANDSCAPE CONTRACTOR. Consultant shall, as necessary, render a written opinion on all claims of District and the landscape contractor relating to the acceptability of the landscape contractor’s work or the interpretation of the requirements of the landscape and irrigation contract documents pertaining to the progress of landscape contractor’s work.

TERMINATION. This Contract may be terminated as follows:

By the District for "good cause" immediately which shall include misfeasance, malfeasance, nonfeasance, or dereliction of duties by the Consultant. Termination for “good cause” shall be effected by written notice to Consultant at the address noted herein.

By the Consultant for “good cause”, immediately which shall include, but is not limited to, failure of the District to timely pay Consultant for services rendered in accordance with the terms set forth in this Contract, malfeasance, nonfeasance, or dereliction of duties by the District, or upon request or demand by the Board, or any member thereof, for Consultant to undertake any action or implement a policy of the Board which Consultant deems unethical, unlawful, or in contradiction of any applicable federal, state, or municipal law or rule. Termination for “good cause” shall be effected by written notice to District at the address noted herein.

By the Consultant or District, for any reason, upon provision of a minimum of thirty (30) days written notice of termination to the address noted herein.

Upon any termination, Consultant will be entitled to the total amount of compensation pursuant to the terms of this Contract, through the termination date, but subject to any off-sets that the District may have for services not performed. Consultant will make all reasonable effort to provide for an orderly transfer of the books and records of the District to the District or its designee.

GENERAL TERMS AND CONDITIONS.

All invoices are due and payable within thirty (30) days of invoice date, or as otherwise provided by the Florida Prompt Payment Act, Section 218.70. Florida Statutes. Invoices not paid within thirty (30) days of presentation shall be charged interest on the balance due at the maximum legally permissible rate.

In the event either party is required to take any action to enforce this Contract, the prevailing party shall be entitled to attorney’s fees and costs, including fees and costs incurred in determining entitlement to and reasonableness of such fees and costs.

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This Contract shall be interpreted in accordance with and shall be governed by the laws of the State of Florida. Venue for all proceedings shall be in Hillsborough County, Florida.

E. In the event that any provision of this Contract shall be determined to be unenforceable or invalid by a Court of Law, such unenforceability or invalidity shall not affect the remaining provisions of the Contract which shall remain in full force and effect.

The rights and obligations of the District as defined by this Contract shall inure to the benefit of and shall be binding upon the successors and assigns of the District. There shall be no assignment of this Contract by the Consultant.

The Consultant and its officers, supervisors, staff, and employees shall use due care to protect the property of the District, its residents, and landowners from damage. The Consultant agrees to take steps to repair any damage resulting from the Consultant’s activities and work pursuant to the Contract within twenty-four hours
(24) hours.

Dissolution or court declared invalidity of the District shall not relieve the District of compensation due for services theretofore rendered.

INDEMNIFICATION.

DISTRICT INDEMNIFICATION. To the extent allowable under applicable law (and only to the extent of the limitations of liability set forth in Section 768.28, Florida Statutes), and except and to the extent caused by the negligence or reckless and/or willful misconduct of the Consultant, the District agrees to indemnify, defend, and hold harmless the Consultant and its officers, supervisors, staff, and employees from and against any and all liability, claims, actions, suits, demands, assessments or judgments asserted and any and all losses, liabilities, damages, costs, court costs, and expenses, including attorney's fees, that Consultant may hereafter incur, become responsible for, or be caused to pay out arising out of or relating to the negligent or intentionally wrongful acts or omissions of the District. The indemnification provided for herein shall not be deemed exclusive of any other rights to which the Consultant may be entitled and shall continue after the Consultant has ceased to be engaged under this Contract.

CONSULTANT INDEMNIFICATION. The Consultant agrees to indemnify, defend, and hold harmless the District and its officers, supervisors, staff, and employees from and against any and all liability, claims, actions, suits, demands, assessments or judgments asserted and any and all losses, liabilities, damages, costs, court costs, and expenses, including attorney's fees, that the District may hereafter incur, become responsible for, or be caused to pay out arising out of or relating to the negligent, reckless, and/or intentionally wrongful acts or omissions of the Consultant. The indemnification provided for herein shall not be deemed exclusive of any other rights to which the District may be entitled and shall continue after the Consultant has ceased to be engaged under this Contract.

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SOVEREIGN IMMUNITY; INDEMNIFICATION OBLIGATIONS. Nothing herein shall be construed to limit the District’s sovereign immunity limitations of liability as provided in Section 768.28, Florida Statutes, or other applicable law. Indemnification obligations under this Contract shall include the payment of all settlements, judgments, damages, liquidated damages, penalties, forfeitures, back pay awards, court costs, arbitration and/or mediation costs, litigation expenses, attorney fees, and paralegal fees (incurred in court, out of court, on appeal, or in bankruptcy proceedings) as ordered.

INSURANCE.

The District shall provide and maintain Public Official Liability and General Liability insurance policies, each in an amount not less than One Million Dollars ($1,000,000.00) throughout the term of this Contract.

The Consultant shall provide and maintain the following levels of insurance coverage at all times throughout the term of this Contract:

Worker’s Compensation Insurance in accordance with the laws of the State of Florida.

General Liability Insurance with the limit of One Million Dollars ($1,000,000.00) per each occurrence.

Professional Liability Insurance with limit of no less than One Million Dollars ($1,000,000.00) per each occurrence.

Employment Practices Liability Insurance with limit of Two Million Dollars ($2,000,000.00) per each occurrence.

Comprehensive Automobile Liability Insurance for all vehicles used by the Consultant’s staff, whether owned or hired, with a combined single limit of One Million Dollars ($1,000,000.00).

Except with respect to Professional Liability and Worker’s Compensation insurance policies, the District and its officers, supervisors, staff, and employees will be listed as additional insureds on each insurance policy described above. None of the policies above may be canceled during the term of this Contract (or otherwise cause the District to not be named as an additional insured where applicable) without thirty (30) days written notice to the District. Consultant will furnish the District with a Certificate of Insurance evidencing compliance with this section upon request. Insurance should be from a reputable insurance carrier, licensed to conduct business in the State of Florida.

If the Consultant fails to secure or maintain the required insurance, the District has the right (without any obligation to do so, however) to secure such required insurance, in which event the Consultant shall pay the cost for that required insurance and shall furnish, upon demand, all information that may be required in connection with the District’s obtaining the required insurance.

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ASSIGNMENT. Except as provided in this section, neither the District nor the Consultant may assign this Contract or any monies to become due hereunder without the prior written approval of the other. Any assignment attempted to be made by the Consultant or the District without the prior written approval of the other party is void.

COMPLIANCE WITH PUBLIC RECORDS LAWS. Consultant understands and agrees that all documents of any kind provided to the District in connection with this Contract may be public records, and, accordingly, Consultant agrees to comply with all applicable provisions of Florida law in handling such records, including but not limited to Section 119.0701, Florida Statutes. Consultant acknowledges that the designated public records custodian for the District is Rizzetta & Company, Inc. (“Public Records Custodian”). Among other requirements and to the extent applicable by law, the Consultant shall 1) keep and maintain public records required by the District to perform the service; 2) upon request by the Public Records Custodian, provide the District with the requested public records or allow the records to be inspected or copied within a reasonable time period at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes; 3) ensure that public records which are exempt or confidential and exempt from public records disclosure requirements, are not disclosed except as authorized by law for the duration of the contract term and following the contract term if the Consultant does not transfer the records to the Public Records Custodian of the District; and 4) upon completion of the Contract, transfer to the District, at no cost, all public records in Consultant’s possession or, alternatively, keep, maintain and meet all applicable requirements for retaining public records pursuant to Florida laws. When such public records are transferred by the Consultant, the Consultant shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the District in a format that is compatible with Microsoft Word or Adobe PDF formats.

IF THE CONSULTANT HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONSULTANT’S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (813) 514-0400, OR BY EMAIL AT INFO@RIZZETTA.COM, OR BY REGULAR MAIL AT 3434 COLWELL AVENUE, SUITE 200, TAMPA, FLORIDA 33614.
NOTICES. All notices, requests, consents and other communications under this Contract (“Notices”) shall be in writing and shall be delivered, mailed by First Class Mail, postage prepaid, or overnight delivery service, to the parties, as follows:

If to the District:	Triple Creek Community Development District
9428 Camden Field Parkway Riverview, FL 33578
Attn: District Manager

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With a copy to:	Hopping Green & Sams, P.A.
119 South Monroe Street, Suite 300 (32301)
P.O. Box 6526 Tallahassee, FL 32314 Attn: District Counsel

If to the Consultant:	Rizzetta & Company, Inc.
3434 Colwell Avenue, Suite 200
Tampa, FL 33614

Except as otherwise provided in this Contract, any Notice shall be deemed received only upon actual delivery at the address set forth above. Notices delivered after 5:00 p.m. (at the place of delivery) or on a non-business day, shall be deemed received on the next business day. If any time for giving Notice contained in this Contract would otherwise expire on a non-business day, the Notice period shall be extended to the next succeeding business day. Saturdays, Sundays, and legal holidays recognized by the United States Government shall not be regarded as business days. Counsel for the District and counsel for the Consultant may deliver Notice on behalf of the District and the Consultant, respectively. Any party or other person to whom Notices are to be sent or copied may notify the other parties and addressees of any change in name or address to which Notices shall be sent by providing the same on five (5) days written notice to the parties and addressees set forth herein.

EFFECTIVE DATE. This Contract shall become effective upon execution by both the District and the Consultant, and shall remain effective until terminated by either the District or the Consultant in accordance with the provisions of this Contract.

HEADINGS FOR CONVENIENCE ONLY. The descriptive headings in this Contract are for convenience only and shall neither control nor affect the meaning or construction of any of the provisions of this Contract.

AGREEMENT; CONFLICTS. This instrument, together with accompanying Exhibit A, shall constitute the final and complete expression of this Contract between the District and the Consultant relating to the subject matter of this Contract. To the extent of any conflict between this instrument and Exhibit A, this instrument shall control.

DEFAULT AND PROTECTION AGAINST THIRD PARTY INTERFERENCE. A default by either the District or the Consultant under this Contract shall entitle the other to all remedies available at law or in equity, which may include, but not be limited to, the right of damages, injunctive relief, and/or specific performance. The District shall be solely responsible for enforcing its rights under this Contract against any interfering third party. Nothing contained in this Contract shall limit or impair the District’s right to protect its rights from interference by a third party to this Contract.

THIRD PARTY BENEFICIARIES. This Contract is solely for the benefit of the District and the Consultant and no right or cause of action shall accrue upon or by reason, to or for the benefit of any third party not a formal party to this Contract. Nothing in this Contract, express or implied, is intended or shall be construed to confer upon any person or corporation other than the District and the Consultant any right, remedy, or claim under or by reason of this Contract or any of the provisions or conditions of this Contract; and all of the provisions, representations, covenants, and conditions contained in this Contract shall

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TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

inure to the sole benefit of and shall be binding upon the District and the Consultant and their respective representatives, successors, and assigns.

COMPLIANCE WITH GOVERNMENTAL REGULATION. The Consultant shall keep, observe, and perform all requirements of applicable local, State, and Federal laws, rules, regulations, and ordinances. If the Consultant fails to notify the District in writing within five
(5) days of the receipt of any notice, order, required to comply notice, or a report of a violation or an alleged violation, made by a local, State, or Federal governmental body or agency or subdivision thereof with respect to the services being rendered under this Contract or any action of the Consultant or any of its agents, servants, employees, or materialmen, or with respect to terms, wages, hours, conditions of employment, safety appliances, or any other requirements applicable to provision of services, or fails to comply with any requirement of such agency within five (5) days after receipt of any such notice, order, request to comply notice, or report of a violation of an alleged violation, the District may terminate this Contract, such termination to be effective immediately upon the giving of notice of termination.

ARM’S LENGTH TRANSACTION. This Contract has been negotiated fully between the District and the Consultant as an arm’s length transaction. The District and the Consultant participated fully in the preparation of this Contract with the assistance of their respective counsel. In the case of a dispute concerning the interpretation of any provision of this Contract, the Parties are deemed to have drafted, chosen, and selected the language, and any doubtful language will not be interpreted or construed against any party.

COUNTERPARTS. This Contract may be executed in any number of counterparts, each of which when executed and delivered shall be an original; however, all such counterparts together shall constitute, but one and the same instrument.

(Remainder of this page is left blank intentionally)

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Therefore, the Consultant and the District each intend to enter this Contract, understand the terms set forth herein, and hereby agree to those terms.
ACCEPTED BY:

RIZZETTA & COMPANY, INC.	
BY:		

PRINTED NAME:	
  William J. Rizzetta		
TITLE:	  President		
DATE:	 		

WITNESS:	 	
Witness

Print Name of Witness

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT	
BY:	 		
PRINTED NAME:	 		
TITLE:	  Chairman/Vice Chairman		
DATE:	 		

ATTEST:

Vice Chairman/Assistant Secretary
Board of Supervisors

Print Name

Exhibit A – Schedule of Fees

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ADDITIONAL AND LITIGATION SUPPORT SERVICES:

Additional and Litigation Support Services will be billed hourly pursuant to the current hourly rates shown below:

JOB TITLE:

HOURLY RATE:

CONTRACT FOR PROFESSIONAL FIELD SERVICES	12
TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
EXHIBIT A
Schedule of Fees

Standard On-Going Services will be billed monthly in advance pursuant to the following schedule:

MONTHLY

$650.00

Principal	$300.00	
Vice President	$250.00	
Chief Financial Officer	$250.00	
Director	$225.00	
Regional District Manager	$200.00	
Financial Services Manager	$200.00	
Accounting Manager	$200.00	
District Manager	$175.00	
Amenity Services Manager	$175.00	
Supervisor, Field Services	$175.00	
Clubhouse Manager	$175.00	
Financial Analyst	$150.00	
Senior Field Services Manager	$150.00	
Senior Accountant	$150.00	
Field Services Manager	$125.00	
Financial Associate	$100.00	
Staff Accountant	$100.00	
Accounting Clerk	$ 85.00	
Administrative Assistant	$ 85.00	

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Tab 9

Triple Creek CDD

Monthly Report Inspection Date: 10/01/18

Prepared For: Christine Perkins Rizzetta & Company

Prepared By:
Joe Craig
P: 407-717-5851
E: joe@sitexaquatics.com

Monthly Report

Ponds 2a,2b,4a,4b

 	
	
Ponds received treatment for shoreline grasses and invasive species as needed, 2b & 4b were treated for Algae		
Pond 4c,4d,5a,5b

 	
Ponds received treatment for shoreline grasses and invasive species as needed. 4c, 5a & 5b were treated for Algae , Pond 5b was treated for Midge Flies	

Monthly Report

Ponds 14,14a,16a,16b

 		
Ponds received treatment for shoreline grasses and invasive species as needed, 14a was treated for algae		
Pond 32a,38a,38c,38e

 	
Comments: Ponds received treatment for shoreline grasses and invasive species as needed. 38e was treated for algae	

Monthly Report

Ponds 38k1,38k2,wca38,38g1

 	
	
Ponds received treatment for shoreline grasses and invasive species as needed		
Pond 38g2,38f1,Ditch1,Ditch2

 	
Ponds received treatment for shoreline grasses and invasive species as needed.	

Monthly Report

Pond 41a

Comments: Pond treated for shoreline grasses and invasive species

MONTHLY SUMMARY

As the closing of another warm season comes, we are definitely ready for some cooler weather. This time between the rainy season & cooler weather usually brings some dry hot air which typically causes s algae blooms & we are seeing some pop up on various ponds. The lily pads on ponds 4b & 4c will be thinned out on the next treatment as they are getting a little thick . Starting October we will start to introduce blue dye to some of the ponds also, now that the rain has slowed & the water will stay in the ponds this will help with blocking sun & slowing algae growth.

As always please feel free to reach out to myself or one of my staff should you have any questions or concerns.

Regards Joe Craig President
Sitex Aquatics llc

Tab 10

7643 Gate Parkway
Suite 104-127
Jacksonville, FL 32256
407-717-5851

Mosquito Management Program

This agreement is between Sitex Aquatics, LLC. Hereafter called “Sitex” and Triple Creek CDD hereafter called “customer” Customer: Triple Creek CDD
C/O: Rizzetta & Company Contact: Mrs. Christine Perkins
Address: 9428 Camden Field Parkway Email: cperkins@rizzetta.com
Phone: 813.533.2950

The following bid includes the below services:

32 Weekly ULV treatments with Adulticide Synthetic pyrethroid insecticide
ULV particle size evaluation
Exclusion zone availability
All services performed by licensed applicator
Monthly detailed application reports
Service runs March 1st thru October 31
Additional applications priced at $705.00 per occurrence

Total Cost Annual Cost	$22,560

Customer is responsible for all electrical services to the control box, Sitex is not an electrical contractor nor claims to be responsible for any electrical responsibilities. Customer agrees to pay separate cost incurred by said electrical contractor.

Invoice is due and payable within 30 days. Overdue accounts may accrue a service charge.

Customer acknowledges that he/she has read and is familiar with the additional terms and conditions printed on the reverse side, which are incorporated in this agreement.

Submitted: Joe Craig	Date: 9/11/18	Accepted	Date:

Joseph T. Craig	
President	Customer

Terms and Conditions

Sitex agrees to provide all labor, supervision, and equipment necessary to carry out the work. There shall be no variance from these specifications unless expressly stated though an addendum.
Cancellation by either the Customer or Sitex may terminate the Agreement without cause at any time. Termination shall be by written notice, received by either the customer or Sitex at least thirty (30) days prior to the effective date of the termination. If cancelation does occur, there may be a start-up charge of fifty percent (50%) of the normal monthly investment of each month that service is suspended.
Neither party shall be responsible for damage, penalties or otherwise for any failure or delay in performance of any of its obligations hereunder caused by strikes, riots, war, acts of Nature, accidents, governmental orders and regulations, curtailment or failure to obtain sufficient material, or other force majeure condition (whether or not of the same class or kind as those set forth above) beyond its reasonable control and which, by the exercise of due diligence, it is unable to overcome.
Sitex agrees to hold Customer harmless from any loss, damage or claims arising out of the sole negligence of Sitex. However, Sitex shall in no event be liable to Customer or other for indirect, special or consequential damage resulting from any cause whatsoever.
It is agreed by both Parties that the work performed under this Agreement will be done on a schedule that is sensitive to the overall function of the property. Additionally, it is understood that all work will be performed during the normal business week (Monday- Friday) unless otherwise stipulated.
Sitex shall maintain the following insurance coverage and limits;(a) Workman’s Compensation with statutory limits; (b) Automobile Liability;(c) Comprehensive General Liability including Property Damage, Completed Operations, and Product Liability. A Certificate of insurance will be provided upon request. Customers requesting special or additional insurance coverage and/or language shall pay resulting additional premium to Sitex to provide such coverage.
This Agreement shall be governed by the laws of the state of Florida.

Tab 11

ADDITIONAL SERVICES AUTHORIZATION

Authorization No.: 	1	
Date:	September 13, 2018	Project No.: 	6198-018	

Submitted To:	Triple Creek Community
Development District
3434 Colwell Ave., Suite 200
Tampa, FL 33614	Submitted By:	Kyle L. Thornton, P.E.
GGI, LLC (dba GENESIS)
1000 N. Ashley Drive, Suite 900
Tampa, FL 33602	

Project: Triple Creek – Phase 5 – Villages M, N & P

Services: The following tasks that have been requested in connection with the above project are considered to be beyond the original scope of work and our original Agreement dated September 15, 2015.

Design and permit infrastructure construction plans for Triple Creek – Phase 5 – Villages M, N & P of the Triple Creek Project. This phase is master planned to contain between 500 and 530 detached single family lots of varying sizes and approximately 200 acres of project area. Geo-Technical Engineering and Surveying will be provided by the CDD and therefore are not included in this scope. Genesis may need to retain additional sub consultants as necessary to design and permit this infrastructure, which will be provided as a reimbursable expense. Off-site improvements are not included in the budget and are not expected. Enhanced Landscape/Irrigation, Bidding, Construction Observation/Administration services are not included within this task, but may be provided as necessary, budget permitting. A separate task order may be prepared when/if these tasks are required/requested or additional budget is necessary.

Method of Billings/Payments: $550,000.00 Hourly (Not-to-Exceed Plus Reimbursable Expenses)

Additional Service Request Fees: This Agreement constitutes our understanding of the required Additional Services and our relationship under this project, and may only be modified in writing, signed by both parties. All other terms and conditions contained in our original Agreement signed by the Parties and/or dated September 15, 2015 , and any/all amendments relating thereto and executed by the Parties since the said date will remain in effect. The signature below authorizes the work herein described and does so on behalf of the Signatory and on behalf of the Owner of the land or property upon which the work is to be performed, and warrants that he/she has authority to sign this Agreement on behalf of the Signatory and on behalf of the Owner of the land.

GENESIS

Kyle L. Thornton, P.E. Senior Vice President
Engineering Department Manager	Date		Bruce T. Kaschyk, AICP	Date Senior Vice President
Tampa Division Manager	
ACCEPTED BY:				

CLIENT Signature	Date	Typed/Printed Name and Title

Tab 12

RESOLUTION 2019-01

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT APPROVING REQUEST FOR PROPOSAL DOCUMENTS  FOR THE DISTRICT’S VILLAGES G2, I, AND J LANDSCAPING, HARDSCAPING AND IRRIGATION PROJECT; PROVIDING A SEVERABILITY CLAUSE; AND PROVIDING AN EFFECTIVE DATE.

WHEREAS, the Triple Creek Community Development District (“District”) is a local unit of special-purpose government created and existing pursuant to Chapter 190, Florida Statutes (the “Act”); and

WHEREAS, the Act authorizes the District to maintain systems and facilities for certain basic public infrastructure, including landscaping, hardscaping, and irrigation improvements; and

WHEREAS, it is in the District’s best interests to competitively solicit proposals through a Request for Proposals (“RFP”) process for its Villages G2, I, and J landscaping, hardscaping, and irrigation installation project (the “Project”); and

WHEREAS, the Board desires to approve in substantial form the RFP notice and Evaluation Criteria for the Project attached hereto as Exhibit A; and

WHEREAS, the Board desires to authorize the Chairman or Vice Chairman, in consultation with District staff, to effectuate any revisions to the documents attached as Exhibit A, and the preparation of the additional documents necessary to prepare a final RFP project manual for the Project, and other documents that are in the best interests of the District;

WHEREAS, the Board further desires to authorize the Chairman or Vice Chairman, in consultation with District staff, to approve the scope of the Project that will be subject to the RFP, the timing of the RFP notice, and all procedural matters related to the RFP.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF THE TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT:

SECTION 1. All of the representations, findings and determinations contained above  are recognized as true and accurate, and are expressly incorporated into this Resolution.

SECTION 2. The Board hereby approves in substantial form the documents attached hereto as Exhibit A, and subject to further review and revision by District staff as finally approved by the Chairman or Vice Chairman.

1

SECTION 3. The Board hereby authorizes the Chairman, in consultation with District staff, to 1) effectuate any revisions to the documents attached as Exhibit A, and the preparation of the additional documents necessary to prepare the RFP; and 2) approve the scope of the Project that will be subject to the RFP, the timing of the RFP notice, and all procedural matters related to the RFP. Consistent with such approvals, the Chairman, District Manager, District Counsel, Secretary, and Assistant Secretaries are hereby authorized, upon the adoption of this Resolution, to do all acts and things required of them to effect the procurement contemplated by the RFP, and all acts and things that may be desirable or consistent with the RFP’s requirements or intent. The Chairman and Secretary are hereby further authorized to execute any and all documents necessary to affect the RFP. The Vice Chairman shall be authorized to undertake any action herein authorized to be taken by the Chairman, in the absence or unavailability of the Chairman, and any Assistant Secretary shall be authorized to undertake any action herein authorized to be taken by the Secretary, in the absence or unavailability of the Secretary.

SECTION 4. If any provision of this Resolution is held to be illegal or invalid, the other provisions shall remain in full force and effect.

SECTION 5. This Resolution shall become effective upon its passage and shall remain in effect unless rescinded or repealed.

PASSED AND ADOPTED this 16th day of October, 2018.

ATTEST:	TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

Secretary	Chairman/Vice Chairman

Exhibit A: RFP Notice and Evaluation Criteria

2

Exhibit A

RFP Notice and Evaluation Criteria

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT REQUEST FOR PROPOSAL FOR
VILLAGES G2, I, AND J LANDSCAPING, HARDSCAPING, AND IRRIGATION INSTALLATION PROJECT

Notice is hereby given that the Triple Creek Community Development District (“District”) will receive proposals for the following District project:

Villages G2, I, and J Landscaping, Hardscaping, and Irrigation Installation Project

The contract will require contractors to provide for the construction, labor, materials and equipment necessary to construct and install certain landscaping, hardscaping and irrigation improvements within Villages G2, I, and J, other associated scopes necessary to complete such improvements, as more particularly described in the Project Manual and in accordance with the plans and specifications.

The Project Manual, consisting of the proposal package, contract, proposal form, plans, and other materials, will be available for public inspection and may be obtained via e-mail beginning 	, 2018 at
    :	 .m and for a fee of $150.00, made payable to Scarola Associates Engineering Design and Land Consultants, P.A.

There will be a mandatory pre-bid proposal conference at the offices of Scarola Associates Engineering Design and Land Consultants, P.A., located at 6505 Surfside Boulevard, Apollo Beach, Florida 33572 on
 	, 2018 at 	 .m. Failure to attend may preclude a proposer from responding to this Request for Proposals.

Proposals will be evaluated in accordance with the criteria included in the Project Manual. The District reserves the right to reject any and all proposals, make modifications to the work, award the contract in whole or in part with or without cause, provide for the delivery of the project in phases, and waive minor or technical irregularities in any Proposal, as it deems appropriate, if it determines in its discretion that it is in the District’s best interests to do so. Any protest of the Project Manual, including, but not limited to the terms and specifications must be filed with the District within 72 hours of pickup of the Project Manual, together with a protest bond in a form acceptable to the District and in the amount of $10,000.00. Filing will be perfected and deemed to have occurred upon receipt by the District Manager, Rizzetta & Company, Inc., 9428 Camden Field Parkway, Riverview, Florida 33578. In the event the protest is successful, the protest bond shall be refunded to the protestor. In the event the protest is unsuccessful, the protest bond shall be applied towards the District’s costs, expenses and attorney’s fees associated with hearing and defending the protest. Failure to timely file a protest will result in a waiver of proceedings under Chapter 190, Florida Statutes, and other law.

Firms desiring to provide construction services for the referenced project must submit one (1) original and one (1) electronic copy of the required proposal no later than       : 	.m. on 	, 2018 at the offices of Scarola Associates Engineering Design and Land Consultants, P.A., located at 6505 Surfside Boulevard,
Apollo   Beach,  Florida  33572.	The   District’s   Engineer   will   conduct   a workshop  at 	:           .m.  on
 	, 2018 at the offices of Scarola Associates Engineering Design and Land Consultants, P.A., located at 6505 Surfside Boulevard, Apollo Beach, Florida 33572 to publicly open the proposals. No official action will be taken at the workshop, which is open to the public and will be conducted in accordance with the provisions of Florida law including but not limited to Chapter 190, Florida Statutes. The workshop may be continued in progress without additional notice to a time, date, and location stated on the record. Pursuant to provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in the workshop is asked to advise the District Office at least forty-eight (48) hours before the workshop by contacting Rizzetta & Company, Inc., the District Manager, at (813) 533-2950. If you are hearing or speech impaired, please contact the Florida Relay Service at 1 (800) 955-8770, who can aid you in contacting the District Office.

As further described in the Project Manual, each proposer shall supply a bid bond or cashier’s check in the sum equal to five percent (5%) of the total amount of the bid with its proposal. Proposals shall be in the form provided in the Project Manual and submitted in a sealed envelope pursuant to the Instructions to Proposers. The District reserves the right to return unopened to the Proposer any proposals received after the time and date

stipulated above. Each proposal shall remain binding for a minimum of one hundred and twenty (120) days after the proposal opening.

The successful Proposer will be required upon award to furnish a payment and performance bond for one hundred percent (100%) of the value of the contract, with a Surety acceptable to the District, in accordance with section 255.05, Florida Statutes.

All questions regarding the Project Manual or this project shall be directed in writing only to Jamie Scarola, at js@scarola.com, with a copy to District Counsel, Lindsay Whelan, at lwhelan@hgslaw.com. No phone inquiries please.

TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT
Request for Proposals – Villages G2, I, and J Landscaping, Hardscaping and Irrigation Installation Project
Evaluation Criteria

Personnel.	(10 Points)

(E.g., geographic locations of the firm’s headquarters or permanent office in relation to the project; capabilities and experience of key personnel, including the project manager and field supervisor; present ability to appropriately staff and manage this project; evaluation of existing work load; proposed staffing levels, etc.)

Proposer’s Experience.	(20 Points)

(E.g. past record and experience of the respondent in similar projects; volume of work previously performed by the firm; past performance for other community development districts in other contracts; character, integrity, reputation, of respondent, etc.)

Understanding of Scope of Work.	(10 Points)

Extent to which the proposal demonstrates an understanding of the District’s needs for the services requested.

Financial Capability.	(10 Points)

Extent to which the proposal demonstrates the adequacy of Proposer’s financial resources and stability as a business entity, necessary to complete the services required.

Price.	(25 Total Points)

Points available for price will be allocated as follows:

15 Points will be awarded to the Proposer submitting the lowest cost proposal , (i.e., the summation of the unit price extensions using quantity estimates provided, the allowances shown, plus the proposal contractor’s fee) for completing the work. All other proposals will receive a percentage of this amount based upon the difference  between the Proposer’s bid and the low bid.

10 Points are allocated for the reasonableness of unit prices and balance of bid.

Schedule.	(25 Points)

Points available for schedule will be allocated as follows:

15 Points will be awarded to the Proposer submitting the proposal with the most expedited construction schedule (i.e. the fewest number of days) for completing the work. All other proposals will receive a percentage of this amount based upon the difference between the Proposer’s timeline and the most expedited construction schedule.

10 Points will be allocated based on the Proposer’s ability to credibly complete the project within the Proposer’s schedule without a premium cost for accelerated work and demonstrate on-time performance. These points will also take into account the demonstration of Proposer’s understanding (through presentation in the proposal of a milestone schedule) of how to meet the required substantial and final completion dates and the delivery approach outlined in the Project Manual.

Tab 13

N o :	8572	
quest No:	2098854	
stomer of Record:	Triple	Creek	Community	Development District	
dress:	9428	CAMDEN	F IEL D	PKWY
RIVE RVIE W. FL 33578 -0000	
	45-0563644	
Partner No:		

u d

MPA ELECTRIC COMPANY
OICES Outdoor Lighting Agreement

set forth mp any")
) agrees

in   this   outd oor   ligh ting   agreement   (the  ··Agreement"), ag r  e e s      t o      provide     and      Tri    le     Creek     Community to accept and pay for the outdoor lighting services

tall,  oper  a t e   a nd	m a in t a in ,  the	follo\Ning  lighting  equipment  (all  of es , att ach m ents , rep la ce m ent pa rt s, additions and repairs, shall
e n t ") :

I H   -  3 K   3 9  W  a t Ls   L E D	B la ck
A l u m i n u m 16 Ft B la ck

 D F L O W E R	MEADOW	DRIVE	RIVERVIEW,	FL 33578 -000 0
e availability of such Equipment for the term of this Agreement.

lighting system d esign specifications approved by the Customer by the Customer, the Company sh all prepare and provide the al design and/or sketch at least five (5) business daysp rior to the f the E quipment at the Installation Site. If the Company is unab le selected by the Customer or the Comp any is unable to install the b le proximity to the locations identified in the approved design allation of the Eq  uipment, the Company sh all note any material
esgi	n  specifications   or  Eq  uipment  selections  in  the  final  design
notif ica tion  of  any  ad justments  aff ecting	m  o n t h ly   ch  a rg   e s .	If   the provided   to   the    Customer,   as   required  immed  iately above,
dvised the Company of specific  changes  to  be  made to the he commencement of  work  at  the  Installation  Site, then  the o	have consented  to  the  configuration  and  installation  of nal design sketch. The final design sketch \Nill co nfo rm , to  the m er's pref ere nces or preferr ed design.

ired  or  replaced  with  th e  closest  availab le  light  and/or  lgi   h  t   pole
arts or Equipment become unavailab le.

WARRANTY,	 EITHER  EXPRESSED  OR  IMPL IED,  INCLUDING F  F ITNE SS	FOR	A	PARTICULAR	PURPOSE	of	either	the

'l

np lanp  ursuant  to \Nhich  the Eq  upi   ment  is  installe_d

C  us   t o  m  er	Initial l,	(

(	O a.Le :	s (-z.y I,

gured and installed pursuant to the final design sketch.	Any Customer after consenting to the final design sketch sh all be
pense.

sible for all costs incurred to repair  or  replace  any  Equipment mer, its agents, emp loyees, representatives or thi1· d parties other ruction  of  Customer's  facilities  includ ing     but     not     limited  to  costs uipment to proper depths in response to a lo\Nering of the grade
ving the Equipment.

paration
advise the Company, through the prov1s1on of an accurate tten descriptions, of the exact location of all underground
 ited to: sewage pipes, septic tanks. wells. swimmingp ools, ables. valves, lines. fuel storage tanks, and storm drainage ities") at  the Installation  Site at least two (2) days  prior to
 rk by the Company at the  Installation Site.		Any and all cost erground	Facilities	by	the	Company	that	\Nere	not p rop erly escrib ed under this Paragraph, shall be paid by th e Customer. and damages arising out of  Company's sole  negligence, the its O\Nh expense, and ind emnify the Company for any and all cluding attorney's fees and costs, \Nhich arise or are alleged to design, installation, operation, maintenance  or  removal of  the rty		damage"	includes,  but	is  not	limited  to,	damage		to th e e	Company,		or	any	third p arties.		For p urposes	of	this tion of liability provided in P aragraph 11 of this Agreement , the s   Tarnp a   Electric   Company,	its   parent,	Emera,		Inc.,	and   all
of,   and   each   of   their   respective   officers,  dri  ectors,   affiliates,
ts,	servants,	employees,	contractors,	or	parent,	sister,	of

stake the locations of Equipment on road\Nays and commercial f the Equipment by the Company. To assist the Customer with ny    shall  provide  the  Customer  with  an  approved  design  sketch ons approved by the Customer.

associated with any add itional Company facilities  and  services rd for providing lighting service including, but not limited  to:  rmers, relays, p rotective sh ields, bird deterrent d evices, light quired by local regulations to control the level or duration of ated p  lanning  and  engineering    costs,  removal  and  replacement nderg   r o u nd    l igh  t i ng    c a b l e,      and     d  i r e c t io n a l  b  o r i ng  .     Charges  will tions and light pole relocations. The Company \Nill b ill the
non-standard facilities and services as incurred.

f Construction

Custorne,-J nitial  j'::J{L-{	D  a  t e  :	q fz_4L  / I ,:\:,

normal Equipment installation costs, with the exception of the ution in Aid of Construction(CIAC).. If applicab le, a final invoice ed to the Customer based upon d eviations of actual  costs in mer contribution.  CIAC payment to satisfy actual costs are non­

n t, th e Customer shall pay the Company monthly for the ligh ting ate Schedule LS -1 as the rate schedule, which is on file with the sion,  may be  amended  from time  to time.   All bills shall  be due

rges for facilities installed under this agreement are $1109.88. se charges and (where applicab le) franch ise fees and taxes per ursuant to the Rate Schedule shall be $98 .64 . The total monthly onth.

es  to  d eposit  with  the	Company, the additional cash sum of approximately tvvo (2) months  service  under this Agreement, or ny so agrees, p rovide a  surety  bond  or  an  irrevocab le letter of th e	Company in  the  same  amount.  The  Company will annually n  interest  amount,  at  the rate currentl	approved by the Florida
cash  deposits  received .	The  currently  author  iz ed	interestr  a t e   is

in this agreement are tied to the tariff charges currently c   Service  Commission  and  may  change  during  the  term.  of
with filed changes to the relevant tariffs.

ive   on   the   later   of  th e   dates   ind icated   on  the   sgi	n a t u r e   b  lo c k
a in in force for  ap rimary term of ten (10) year(s) (the "Pd mary ne or more of the Equipment is installed and , if applicable, at ready  for  use  and  shall  continue  thereafter   for  successive   one erm") until terminated by either party upon providing the other
\Nritten notice of termination.

i c i ty		to	operate the Equipment for dusk to dawn service or less, evice,   each  calend ar  year_		The	Company will use reasonable continuous  operation  during	the  term.	The  Company  shall  not ny   damages  ar  i s i ng	f r o m	c a u s e s	 beyond  its  control  or  from  the ud ing   ,  but	not	l im  i t ed		to,	c o mp   le t e   or	partial failure  or interruption s or	adjustments, delay in providing or restoring service, or for
n  of  service  or  lgi   h t i ng  .

le for	monitoring the function of the Equipment and for notifying utages.

r;{z_L\	{1 S--

ntain adequate clearance (e.g. trees and vegetation) around the ion  ob struction  and/or  a  delay	in	r e q u e s t ed	repairs  or  req  uired

ght to terminate this Agreement without any liab ility or obligation ee (3) business day pe,·iod following the Effective Date ("Initial that written	notice	of	such	termination	is	received	by	the
of business on the third business day following the Effective omer	may	terminate	this	Agreement	during	the	period	that Initial Termination P eriod and ends at 5:00p .m. on the business date on which installation of the Equipment at the Installation
(''Final  Termination P eriod"),  provid ed  that  wr  i t t e n   n o t ic e   of	s u ch C o m p a n y	no	l a t e r	than   5 :00  p .m.	on	the   b usiness		day
te   on	which   installation	of   the   Eq upi   ment	commences	and ,
omer reimb urses the Company for any costs incurred by the termination by  the  Custome.-.  These  costs  include,  but  are  not r o o m handling   cost  for   items   purchased   pursuant  to   or   in t, restocking, fees on returnedp urch ases, the cost ofp urchased
ed ,  or  in the  Comp any  's  sole judgment,  reasonabyl	absorbed  in
ng time. The Customer may not terminate this Agreement once s commenced.
and on five (5) days written notice to  Customer, terminate this h e Company for any of the services provided h erein;
terms  of  this  ag   r e e m  e n t ;
of b a n k r u p t c y or	for	r e o rg a n i z a t i o n o r r e a r r a ng e m e n t is f i le d by federal or·state bankruptcy law or similar federal or state law; or ointed to take  possession  of  the  Installation  Site  (or  if  Customer on S ite, tenant's interest in  the  Installation  S it e)  and  possession ith i n th i rty	(30) days.

to th e expiration of the P rimary Term, the Customer agrees to
d   d amag   e ,s	an	amount   equal   to   the   net p resent   value   of   the
taken, less	all applicable	fuel and other	adjustment	clause
e) franchise  fees  and  taxes, for  each  month of  the unexpired

that it owns or controls the Installation Site and is authorized to nt  to  per-mit  performance  of  the  Agreement.  The  Customer	and lation Site, if other than the Customer (ind ividually, the "Granter'' eby grant the  Company a  Non-exclusive Easement for ingress
e I n s t a ll a t io n Site and for installation, inspection,  operation, ent,   and   removal   of   the   Eq  uipment.   The    Non-exclusive the Company's removal of the Equipment. The Eq uipment shall p  roperty,  notwithstand ing   the  manner  or  mode of  its attach ment not be deemed fixtures. Any claim(s) that th e Company has or
t  to  the  Equipment  sh all  be  sup erior  to  any  lien,  rgi  h  t   or	c l a i m   of

C  us to m er	I niLi a l LJ  GY,	D a tc q: 

{LY.( l 

anyone claiming through Grantor now has or may hereafter h ave y law, agreement or otherwise _

t  is  terminated   pursuant  to  Paragraph  14  or  exp  ires  pursuant  to ntors expressly grants the Company or its assigns or agents the reasonable time to remove the Equipment, or any part hereof, e	Gr  a n t er  s ,	i nd  i v id  u a lly	or	c o l le c t i v e ly .	shall	make   no   claim
a n y in t e r e s t or	right therein.

,  or  any  other  Grantor,  place   upon  or  attach  to  the  Equip  ment, or  written  consent  and  as  set  forth  in  app licab le  Tamp  a E lectric of  any  nature, or place,	install or permit to exist, anything, which would	interfere with	the Eq uipment or tend to create a
n,p any   is  h ereby   g   ra n t ed	th  e	r gi   h  t	t o   r  e m  o v e ,	without   liab ility  ,
isting in violation of this paragraph.

ch be made by a party  other  than  the  Customer,  the  initiating ritten approval from the Customer to attach to th e specific p ole   tag   numb er   _     S   u  c h      approval   of   th e   Customer   must  b e
e final app roval is granted for physical attachment.

expense, sh all maintain insurance, in amounts and under p olicy at  all  times d uring    the  life  of  this  Agreement.  F ai.lu r e   to     provide is S ection sh all constitute a material breach of th is Agreement.

ent, Company and Customer may amend or enter into add itional d end a")  upon the  mutual  written  ag   r e e m  e n t  of   both parties  in  the

grees  that  the  Customer  is  soleyl	responsible  for  specifying  the
ent and  the d irection  and  orientation  of the illumination  provided t be required to install or continue to operate th e Eq u ip m e n t at
ay be  or  h  a s b e c o m e  objectionable to others.  If removal of any le resolution of the ob jection, such removal will be deemed a tion    of    the   Primary   Term   as   provided   in   P arag   r ap  h     15      and
h e  Company  the liquidated damages specified	therein for the ipment that must be removed.

he b enefit of, and be binding upon, the r e s p e c t iv e h e i r s , l e g a l nd	a s s ig n s	o f	the	parties	hereto.	Th is	Agreement	may	be with   the   Company's   prior written  consent.		In the event of an be substituted herein for the  Customer  and/or  other Granter  with and obligations, but th e initial Customer shall not be  released eement except by a separate writing from the Company in the

(_-• (	(, .
Customer	Iniual..f l,·.·._,(	D  a te :	(	L L\  l .-'<:

mer  or  the  Company  to  exercise  any  right  under  this  Ag   r e e m  e n t

or  any other  rgi

h t,  unless othenNise  expressyl

provided h erein.

ccordance with and governed by the laws of the State of Florida.

ach  of  whom  represents  and  warrants  that  he  or  she  is d uyl  ave caused this instrument to be executed in due form of law.

velopment		Tampa Electric Company Representative: B y/Title:

S gi   n a t u r e :	 	

D ep   a rt m  e n t :   	

Date:   	

ity	Tampa Electric Company Manager: By/Title:	 	
Sign atu	r e  :   	

Department: Lighting  Department
Date   :	 	

Custo1-nee Loi t..ia 

,\.

-..,{	D a t..c :	>s;

Tab 14

CONSTRUCTION FUNDING AGREEMENT FOR VILLAGE H INFRASTRUCTURE PROJECT BETWEEN TC VENTURE 1, LLC AND TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

THIS AGREEMENT (the “Agreement”) is made and entered into this 19th day of September, 2018 by and between:

Triple Creek Community Development District, a local unit of special-purpose government established pursuant to Chapter 190, Florida Statutes, and located in Hillsborough County, Florida (the “District”), and

TC Venture 1, LLC, a Delaware limited liability company and a landowner in the District (the “Landowner”).

RECITALS

WHEREAS, the District was established by an ordinance adopted by the County Commission of Hillsborough County, Florida, for the purpose of planning, financing, constructing, operating and/or maintaining certain infrastructure; and

WHEREAS, the Landowner is the owner of certain parcels of land in Hillsborough County, Florida, located within the boundaries of the District (the “Development”) upon which the District’s improvements have been or will be made; and

WHEREAS, the District, pursuant to Chapter 190, Florida Statutes, is authorized to issue bonds, levy special assessments, taxes, fees, and other charges as may be necessary in furtherance of the District’s infrastructure program, activities and services; and

WHEREAS, the District is without sufficient funds available to provide for the construction of anticipated improvements and facilities for the development of Village H within the District, prior to the issuance of anticipated special assessment bonds, including construction and any design, engineering, legal, or administrative costs (collectively, the “Village H Project”); and

WHEREAS, in order to induce the District to proceed at this time with the construction of the necessary improvements, prior to the issuance of bonds, the Landowner desires to provide the funds necessary to enable the District to proceed with such improvements; and

WHEREAS, the District anticipates accessing the public bond market in the future to obtain financing for the construction of the Village H Project and the parties agree that, in the event that bonds are issued, the funds provided under this Agreement are to be reimbursed from the proceeds of those bonds subject to the terms and conditions set forth herein and in compliance with Florida and federal law.

Page 1 of 4

NOW, THEREFORE, in consideration of the recitals, agreements, and mutual covenants contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the parties, the parties agree as follows:

Incorporation of Recitals. The recitals stated above are true and correct and by this reference are incorporated herein as a material part of this Agreement.

Funding. Landowner hereby acknowledges that the sole source of funding for the Village H Project at this time is through funds remitted pursuant to this Agreement unless and until bonds are issued. This Agreement does not obligate the District to issue bonds now or in the future. Landowner agrees to make available to the District such monies as are necessary to enable the District to proceed with the design, engineering, and construction of the Village H Project. Landowner will make such funds available on a monthly basis, within fifteen (15) days of a written request by the District.

Repayment. The parties agree that the funds provided by Landowner pursuant to this Agreement are reimbursable from proceeds of the District’s planned issuance of tax-exempt bonds. Within forty-five (45) days of receipt of the proceeds of the bonds for the financing of the Village H Project, the District shall reimburse Landowner until i) full reimbursement is made or
ii) until all funds generated by the anticipated financing are exhausted, exclusive of interest, for the funds advanced under Section 2 above; provided, however, that in the event bond counsel engaged in connection with the District’s issuance of bonds providing such financing determines that any such monies advanced or expenses incurred are not properly reimbursable for any reason, including, but not limited to federal tax restrictions imposed on tax-exempt  financing, the District shall not be obligated to reimburse such monies advanced or expenses incurred. If  the District does not or cannot issue bonds to provide the funds for the Village H Project within five (5) years of the date of this Agreement, and, thus does not reimburse the Landowner for the funds advanced, then the parties agree that such funds shall be deemed paid in lieu of taxes, fees, or assessments (so long as such funds are properly reimbursable from the issuance of tax-exempt bonds) which might be levied or imposed by the District in the District’s sole discretion.

Default. A default by either party to this Agreement shall entitle the other to all remedies available at law or in equity, which may include, but not be limited to, the right of actual damages, injunctive relief and/or specific performance, but shall exclude, in any event, consequential, incidental, special or punitive damages.

Enforcement of Agreement. In the event that either party is required to enforce this Agreement by court proceedings or otherwise, then the substantially prevailing party shall be entitled to recover all fees and costs incurred, including reasonable attorneys’ fees, paralegal fees, and expert witness fees and costs for trial, alternative dispute resolution, or appellate proceedings.

Agreement. This Agreement shall constitute the final and complete expression of the agreement between the parties relating to the specific subject matter of this Agreement.

Page 2 of 4

Amendments. Amendments to and waivers of the provisions contained in this Agreement may be made only by an instrument in writing which is executed by both of the parties hereto.

Authorization. The execution of this Agreement has been duly authorized by the appropriate body or official of all parties hereto, each party has complied with all of the requirements of law, and each party has full power and authority to comply with the terms and provisions of this Agreement.

Notices. All notices, requests, consents and other communications hereunder (“Notices”) shall be in writing and shall be delivered, mailed by First Class Mail, postage prepaid, or overnight delivery service, to the parties, as follows:

If to District:	Triple Creek Community Development District
9428 Camden Field Parkway Riverview, Florida 33578 Attn: District Manager

With a copy to:	Hopping Green & Sams, P.A.
119 S. Monroe Street, Suite 300
Tallahassee, Florida 32301 Attn: District Counsel

If to Landowner:	TC Venture 1, LLC
7807 Baymeadows Road East, Suite 205
Jacksonville, FL 33765 Attn:  	

With a copy to:	Donna Feldman
19321-C US Hwy 19 N, Suite 600
Clearwater, FL 33764 Attn: Donna Feldman

Except as otherwise provided herein, any Notice shall be deemed received only upon actual delivery at the address set forth herein. Notices delivered after 5:00p.m. (at the place of delivery) or on a non-business day, shall be deemed received on the next business day. If any time for giving Notice contained in this Agreement would otherwise expire on a non-business day, the Notice period shall be extended to the next succeeding business day. Saturdays,  Sundays and legal holidays recognized by the United States government shall not be regarded as business days. Counsel for the parties may deliver Notice on behalf of the party he/she represents. Any party or other person to whom Notices are to be sent or copied may notify the other parties and addressees of any change in name or address to which Notices shall be sent by providing the same on five (5) days written notice to the parties and addressees set forth herein.

Third Party Beneficiaries. This Agreement is solely for the benefit of the formal parties herein and no right or cause of action shall accrue upon or by reason hereof, to or

Page 3 of 4

for the benefit of any third party not a formal party hereto. Nothing in  this  Agreement  expressed or implied is intended or shall be construed to confer upon  any  person  or  corporation other than the parties hereto any right, remedy or claim under or by reason of this Agreement or any provisions or conditions hereof; and all of the provisions, representations, covenants and conditions herein contained shall inure to the sole benefit of and shall be binding upon the parties hereto and their respective representatives, successors and assigns.

Assignment. Neither party may assign this Agreement or any monies to become due hereunder without the prior written approval of the other party.

Controlling Law; Venue. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of Florida.  Venue shall be in Hillsborough County, Florida.

Effective Date. The Agreement shall be effective after execution by all parties hereto and shall remain in effect unless terminated by any of the parties hereto.

Public Records. Landowner understands and agrees that all documents of any kind provided to the District or to District staff in connection with the work contemplated under this Agreement are public records and are treated as such in accordance with Florida law and the District’s Record Retention Schedule.

Counterparts. This Agreement may be executed in one or more counterparts which, when taken together, shall constitute one and the same instrument.

IN WITNESS WHEREOF, the parties execute this Agreement to be effective the day and year first written above.

Attest:	TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

Secretary/Assistant Secretary	Chairman/Vice Chair, Board of Supervisors

TC VENTURE 1, LLC, LLC

By:	 Name:	 Title: 	

Page 4 of 4

Tab 15

CONSTRUCTION FUNDING AGREEMENT FOR VILLAGES M, N AND P INFRASTRUCTURE PROJECT BETWEEN TC VENTURE 1, LLC AND TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

THIS AGREEMENT (the “Agreement”) is made and entered into this 16th day of October, 2018 by and between:

Triple Creek Community Development District, a local unit of special-purpose government established pursuant to Chapter 190, Florida Statutes, and located in Hillsborough County, Florida (the “District”), and

TC Venture 1, LLC, a Delaware limited liability company and a landowner in the District (the “Landowner”).

RECITALS

WHEREAS, the District was established by an ordinance adopted by the County Commission of Hillsborough County, Florida, for the purpose of planning, financing, constructing, operating and/or maintaining certain infrastructure; and

WHEREAS, the Landowner is the owner of certain parcels of land in Hillsborough County, Florida, located within the boundaries of the District (the “Development”) upon which the District’s improvements have been or will be made; and

WHEREAS, the District, pursuant to Chapter 190, Florida Statutes, is authorized to issue bonds, levy special assessments, taxes, fees, and other charges as may be necessary in furtherance of the District’s infrastructure program, activities and services; and

WHEREAS, the District is without sufficient funds available to provide for the construction of anticipated improvements and facilities for the development of Villages M, N and P within the District, prior to the issuance of anticipated special assessment bonds (the Villages M, N & P Bonds), including construction and any design, engineering, legal, or administrative costs (collectively, the “Villages M, N & P Project”); and

WHEREAS, in order to induce the District to proceed at this time with the construction of the necessary improvements, prior to the issuance of bonds, the Landowner desires to provide the funds necessary to enable the District to proceed with such improvements; and

WHEREAS, the District anticipates accessing the public bond market in the future to obtain financing for the construction of the Villages M, N & P Project and the parties agree that, in the event that bonds are issued, the funds provided under this Agreement are to be reimbursed from the proceeds of those bonds subject to the terms and conditions set forth herein and in compliance with Florida and federal law.

Page 1 of 4

NOW, THEREFORE, in consideration of the recitals, agreements, and mutual covenants contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the parties, the parties agree as follows:

Incorporation of Recitals. The recitals stated above are true and correct and by this reference are incorporated herein as a material part of this Agreement.

Funding. Landowner hereby acknowledges that the sole source of funding for the Villages M, N & P Project at this time is through funds remitted pursuant to this Agreement unless and until bonds are issued. This Agreement does not obligate the District to issue bonds now or in the future. Landowner agrees to make available to the District such monies as are necessary to enable the District to proceed with the design, engineering, and construction of the Villages M, N & P Project. Landowner will make such funds available on a monthly basis, within fifteen (15) days of a written request by the District.

Repayment. The parties agree that the funds provided by Landowner pursuant to this Agreement are reimbursable from proceeds of the District’s planned issuance of tax-exempt bonds. Within forty-five (45) days of receipt of the proceeds of the bonds for the financing of the Villages M, N & P Project, the District shall reimburse Landowner until i) full reimbursement is made or ii) until all funds generated by the anticipated financing are exhausted, exclusive of interest, for the funds advanced under Section 2 above; provided, however, that in the event bond counsel engaged in connection with the District’s issuance of bonds providing such financing determines that any such monies advanced or expenses incurred are not properly reimbursable for any reason, including, but not limited to federal tax restrictions imposed on tax-exempt financing, the District shall not be obligated to reimburse such monies advanced or expenses incurred. If the District does not or cannot issue bonds to provide the funds for the Villages M,  N & P Project within five (5) years of the date of this Agreement, and, thus does not reimburse the Landowner for the funds advanced, then the parties agree that such funds shall be deemed paid in lieu of taxes, fees, or assessments (so long as such funds are properly reimbursable from the issuance of tax-exempt bonds) which might be levied or imposed by the District in the District’s sole discretion.

Default. A default by either party to this Agreement shall entitle the other to all remedies available at law or in equity, which may include, but not be limited to, the right of actual damages, injunctive relief and/or specific performance, but shall exclude, in any event, consequential, incidental, special or punitive damages.

Enforcement of Agreement. In the event that either party is required to enforce this Agreement by court proceedings or otherwise, then the substantially prevailing party shall be entitled to recover all fees and costs incurred, including reasonable attorneys’ fees, paralegal fees, and expert witness fees and costs for trial, alternative dispute resolution, or appellate proceedings.

Agreement. This Agreement shall constitute the final and complete expression of the agreement between the parties relating to the specific subject matter of this Agreement.

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Amendments. Amendments to and waivers of the provisions contained in this Agreement may be made only by an instrument in writing which is executed by both of the parties hereto.

Authorization. The execution of this Agreement has been duly authorized by the appropriate body or official of all parties hereto, each party has complied with all of the requirements of law, and each party has full power and authority to comply with the terms and provisions of this Agreement.

Notices. All notices, requests, consents and other communications hereunder (“Notices”) shall be in writing and shall be delivered, mailed by First Class Mail, postage prepaid, or overnight delivery service, to the parties, as follows:

If to District:	Triple Creek Community Development District
9428 Camden Field Parkway Riverview, Florida 33578 Attn: District Manager

With a copy to:	Hopping Green & Sams, P.A.
119 S. Monroe Street, Suite 300
Tallahassee, Florida 32301 Attn: District Counsel

If to Landowner:	TC Venture 1, LLC
7807 Baymeadows Road East, Suite 205
Jacksonville, FL 33765 Attn:  	

With a copy to:	Donna Feldman
19321-C US Hwy 19 N, Suite 600
Clearwater, FL 33764 Attn: Donna Feldman

Except as otherwise provided herein, any Notice shall be deemed received only upon actual delivery at the address set forth herein. Notices delivered after 5:00p.m. (at the place of delivery) or on a non-business day, shall be deemed received on the next business day. If any time for giving Notice contained in this Agreement would otherwise expire on a non-business day, the Notice period shall be extended to the next succeeding business day. Saturdays,  Sundays and legal holidays recognized by the United States government shall not be regarded as business days. Counsel for the parties may deliver Notice on behalf of the party he/she represents. Any party or other person to whom Notices are to be sent or copied may notify the other parties and addressees of any change in name or address to which Notices shall be sent by providing the same on five (5) days written notice to the parties and addressees set forth herein.

Third Party Beneficiaries. This Agreement is solely for the benefit of the formal parties herein and no right or cause of action shall accrue upon or by reason hereof, to or

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for the benefit of any third party not a formal party hereto. Nothing in  this  Agreement  expressed or implied is intended or shall be construed to  confer  upon  any person  or corporation other than the parties hereto any right, remedy or claim under or by reason of this Agreement or any provisions or conditions hereof; and all of the provisions, representations, covenants and conditions herein contained shall inure to the sole benefit of and shall be binding upon the parties hereto and their respective representatives, successors and assigns.

Assignment. Neither party may assign this Agreement or any monies to become due hereunder without the prior written approval of the other party.

Controlling Law; Venue. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of Florida.  Venue shall be in Hillsborough County, Florida.

Effective Date. The Agreement shall be effective after execution by all parties hereto and shall remain in effect unless terminated by any of the parties hereto.

Public Records. Landowner understands and agrees that all documents of any kind provided to the District or to District staff in connection with the work contemplated under this Agreement are public records and are treated as such in accordance with Florida law and the District’s Record Retention Schedule.

Counterparts. This Agreement may be executed in one or more counterparts which, when taken together, shall constitute one and the same instrument.

IN WITNESS WHEREOF, the parties execute this Agreement to be effective the day and year first written above.

Attest:	TRIPLE CREEK COMMUNITY DEVELOPMENT DISTRICT

Secretary/Assistant Secretary	Chairman/Vice Chair, Board of Supervisors

TC VENTURE 1, LLC, LLC

By:	 Name:	 Title: 	

Page 4 of 4

Tab 16

 	 	 	

ECS Florida, LLC

Proposal for Subsurface Exploration and Geotechnical Engineering
Triple Creek Village H

Triple Creek Boulevard
Riverview, Hillsborough County, Florida ECS Proposal Number 41:2713‐GP
September 25, 2018

September 25, 2018

Triple Creek CDD c/o Mr. Joe Roethke District Manager Rizzetta & Company
12750 Citrus Park Lane Suite 115
Tamp, Florida 33625

ECS Proposal No. 41:2713‐GP

Reference:	Proposal for Subsurface Exploration and Geotechnical Engineering
Triple Creek Village H Triple Creek Boulevard Riverview, Florida

Dear Mr. Roethke:

As requested, ECS Florida, LLC (ECS) is pleased to present the following lump sum item basis proposal for providing subsurface exploration and geotechnical engineering services for the proposed development northeast of Triple Creek Boulevard in Riverview, Florida.

In preparing this proposal, we have had the opportunity to review the information provided by Mr. Kyle Thornton in an email dated September 24, 2018. We have also reviewed the available geologic and geotechnical information in our files for the general site vicinity. This proposal is based on our “Agreement for Geotechnical Engineering Services between Triple Creek Community Development District and ECS‐Florida, LLC” dated May 1, 2017.

Project Background and Adjacent Project Experience

With over 10 years’ experience in the state of Florida, ECS enjoys a large database of subsurface information. Past project data is stored digitally and cross referenced to latitude/longitude coordinates for ease of retrieval, both at the proposal stage and during your specific project’s exploration.

ECS has performed a number of geotechnical explorations in the project vicinity which demonstrates our local experience.

4524 N 56th Street, Tampa, FL 33610 • T: 813-302-1644 • F: 407-859-9599 • ww.ecslimited.com
ECS Carolinas, LLP • ECS Florida, LLC • ECS Midwest, LLC • ECS Mid-Atlantic, LLC • ECS Southeast, LLC • ECS Texas, LLP

September 25, 2018

ECS Florida, LLC

Project Description

The project site consists of one parcel identified by Hillsborough County Property Appraisers as Parcel U‐ 12‐31‐20‐ZZZ‐000003‐14500.0 and is approximately 641 acres in size. The site is bound by Triple Creek Boulevard to the south, pastures to the west and north, and woodlands to the east. Based on our review of available street‐views, we understand the property consists of fields and moderately wooded areas.

It is our understanding the proposed construction consists of Village H, consisting of four stormwater ponds, 171 single family lots, and associated parking and drive areas.

In order to evaluate the subsurface conditions within limits of the proposed development, a subsurface exploration consisting of a series of soil borings will be performed. The scope of services proposed for this subsurface exploration and geotechnical engineering analysis is given in the following section.

SCOPE OF SERVICES

Our integrated services will include drilling of soil borings by drill crews under our direct supervision, laboratory testing of representative soil samples for pertinent engineering properties, and various engineering analyses preparation of an engineering report. If you concur, we propose to perform a total of 15 soil test borings and 34 hand auger borings. The borings will be extended to the proposed depths below the existing ground surface, unless auger refusal causes them to be terminated at a more shallow depth. Upon completion of drilling operations, the samples will be returned to our laboratory in Tampa, Florida for further identification and testing. Our proposed scopes of field and laboratory services are as follows:

Field Exploration

Field locate borings by referencing existing site features and available plans. It is our understanding the boring locations will be surveyed by Genesis Consulting Group. If not, elevations may be interpolated from civil drawings and/or referenced from published topographical maps.

Mobilize an All‐Terrain Vehicle (ATV) mounted drilling rig to the site.

Perform up to 15 borings to depths on the order of 40 feet below existing grades within the proposed stormwater pond footprint.

Perform up to 34 borings to depths on the order of 5 feet below existing grades within the proposed roadway alignments.

Perform Standard Penetration Test (SPT) tests at standard intervals within the borings for engineering analysis.

Measure depth of groundwater with each boring at time of drilling and prior to grouting.

ECS Proposal No: 41:2713‐GP Page | 2

September 25, 2018

ECS Florida, LLC

Laboratory Testing

Perform natural moisture tests.

Perform gradation analysis tests (wash sieve).

Report

Upon completion of testing and engineering analysis, we will prepare a written engineering report that presents our findings and recommendations. The engineering report will include the following items:

Information on site conditions including surface drainage, geologic information, and special site features.
Description of the field exploration and laboratory tests performed.
Final log of the soil boring and records of the field exploration per the standard practice of geotechnical engineers. A site location plan will be included, and the results of the laboratory tests will be plotted on the final boring logs.
Evaluation of the on‐site soil characteristics encountered in the soil borings. Specifically, we will discuss the suitability of the on‐site materials for reuse as engineered fill. We will also include compaction requirements and suitable material guidelines.
Recommendations for fill placement and subgrade preparations.
Recommendations for additional testing and/or consultation that might be required to complete the geotechnical assessment and related engineering for this project.
ECS Advantages

In addition to the standard services many local geotechnical engineering firms provide, ECS has distinguished itself on multiple disciplines to allow us to “Set the Standard of Service” for you, our clients. Most notably:

Experience. ECS has established an extensive subsurface database for all local geologies, allowing us to economically price subsurface explorations and offer the most appropriate techniques initially, not after the first phase of testing is complete.

Technology. ECS utilizes Global Positioning System (GPS) services to accurately locate borings in the field. This technology allows us to control the responsiveness of our subsurface exploration and ultimately our report deadlines, versus relying on other firms to locate borings.

Expertise. ECS has in‐house geotechnical and geophysical testing. These services include vibration monitoring, pile driving analyzer (PDA) testing, pressuremeter testing, site classification for seismic design, seismic refraction (rock surface studies), ground penetrating radar (GPR), and electrical resistivity imaging (ERI) services.

ECS Proposal No: 41:2713‐GP Page | 3

September 25, 2018

ECS Florida, LLC

Fee

ECS will provide our services outlined in this proposal for a lump sum fee of $11,923.00 based on the contracted rates as noted at the end of this proposal.

Our fee assumes that the proposed site reasonable accessible based upon our assumptions detailed in this proposal. If any additional services are requested or required based on differing site conditions, we will contact your office (or assigned representative) for verbal and written authorization for additional services. Any additional services will be performed in accordance with our project unit rates on a time and material basis.

Schedule

In preparing this proposal, we have assumed that the client will assist in the coordination of our access to the site with the current site owners/occupants. We anticipate being able to mobilize to the site within approximately 5 days after authorization to proceed and notification that the appropriate on‐site personnel have been informed

We anticipate that the drilling operations will require about 1 day, and that the laboratory testing, after drilling is completed, will require about 5 days. Therefore, for time budget purposes, the entire scope should take about 3 weeks from initial authorization through final report submission. Verbal comments on findings can be provided within three days of completion of the borings, if requested.

Utility Clearance and Site Restoration

We will contact Sunshine State One Call to locate underground utilities at the site; however, our experience indicates that One Call will not locate utilities beyond the point of distribution (meters or gauge points) on private property. We will coordinate our test boring/pit locations in order to avoid any underground utilities indicated by the Miss Utility locating system. However, we will not be responsible for any private utilities not pointed out to us by the land owner or client prior to drilling activities. If private utilities are a concern, we can provide a private utility line locator to reduce your liability. Please read the following section on private utility locator services and if desired, indicate your request for their services on the attached Proposal Acceptance sheet.

Contracting a private utility locator service is not a guarantee that all utilities within a work site will be identified, but a service that is offered to lower the risk of the owner/client. ECS and our clients have had past success in avoiding utility conflicts by augmenting the One Call services with a private utility locator service. Private utility locator services can identify utility alignments that incorporate significant iron content in the conduit materials. However, private utilities possessing the higher likelihood of not being easily identifiable, beyond the point of distribution, include all utilities not containing significant ferrous (iron) content (examples would include but not be limited to most sanitary sewer alignments, copper or PVC water lines, fiber optic lines without tracer ribbons, copper electric lines with no surface exposure, drainage tiles/pipes, and irrigation lines).

ECS Proposal No: 41:2713‐GP Page | 4

September 25, 2018

ECS Florida, LLC

Where a private locator service identifies a potential risk that is not traceable through conventional methods, ECS will notify the client immediately and work to resolve the issue. Additional costs related  to the resolution of these potential utility conflicts will be invoiced out per our unit rates, as identified in this proposal, or as negotiated and approved at the time of the occurrence.

Upon completion of subsurface exploration drilling/test pitting, we will backfill each of the excavations with the excavated soil and mound the excess spoil back up over the test location. In pavement areas, we will patch the asphalt surface with a cold mix asphalt patch of an equivalent or greater thickness of asphalt. Typically, we will not provide site restoration beyond what is outlined above unless specifically contracted. Alternatively, we will remove excess spoils from job sites and dispose of them in an approved manner for a negotiated fee.

Please note that some disturbance to off‐pavement/gravel covered the surface areas, including the possible cutting of trees, running over of brush and understory in wooded areas might occur. We will attempt to minimize such disturbance; however, we have not budgeted for site restoration of the site including filling of tire ruts, seeding of lawn areas, or the planting of trees. If necessary, additional site restoration can be provided at an additional cost.

Closing

If other items are required because of unexpected field conditions or because of a request for additional services, they would be invoiced in accordance with our current Fee Schedule. Before modifying or expanding the extent of our exploration program, you would be informed of our intentions for both  your review and authorization.

Our “Terms and Conditions of Service,” which are included as an attachment to this letter, is an integral part of our proposal. These conditions represent the current recommendations of the ASFE Professional Firms Practicing in the GeoSciences, the Consulting Engineers' Council, and the Geo‐Institute of the American Society of Civil Engineers.

Our insurance carrier requires that we receive written authorization prior to initiation of work, and a signed contract prior to the release of any work product. This letter is the agreement for our services. Your acceptance of this proposal may be indicated by signing and returning the enclosed copy to us. We are pleased to have this opportunity to offer our services and look forward to working with you on the project.

ECS Proposal No: 41:2713‐GP Page | 5

September 25, 2018

ECS Florida, LLC

Respectfully submitted,

ECS FLORIDA, LLC

Robert C. Mixson, P.E.	Surendra Sagi, P.E.
Project Manager	Geotechnical Department Manager

Enclosures:	Proposal Acceptance Sheet
Boring Exhibit (provided by Genesis) Geotechnical Engineering Unit Rates Exhibit A ‐ Form of Work Authorization Terms and Conditions of Service

ECS Proposal No: 41:2713‐GP Page | 6

September 25, 2018

ECS Florida, LLC

ECS Florida, LLC

Proposal No.:	41:2713‐GP
Scope of Work:	Subsurface Exploration and Geotechnical Engineering Services Location:	Triple Creek Boulevard, Riverview, FL
Client Signature:	 		Date:	 	

Please complete this page and return one copy of this proposal to ECS to indicate acceptance of this proposal and to initiate work on the above‐referenced project. The Client’s signature above also indicates that he/she has read or has had the opportunity to read the accompanying Terms and Conditions of Service and agrees to be bound by such Terms and Conditions of Service.

BILLING INFORMATION
(Please Print or Type)
Name of Client:
Name of Contact Person:

Telephone No. of Contact Person: Party Responsible for Payment: Company Name:

Person/Title Department: Billing Address:

Telephone Number:

Fax Number:
Client Project/Account Number: Special Conditions for Invoice: Submittal and Approval:

ECS offers a full array of services to assist you with all phases of your project, including but not limited to:
Phase I, II and III Environmental Site Assessments
Archaeological Assessments Wetlands Delineations Asbestos/Lead Paint Services Indoor Air Quality Mold Services	Third Party Mechanical, Electrical, Plumbing Inspections Services
Geotechnical Engineering Services Construction Materials Testing Septic/Drainfield Design Services LEED® Consulting Services	Building Envelope, Roofing, and Waterproofing Inspection and Consultation
Pre‐ and Post‐Construction Condition Assessments
Specialty Materials and
Forensics Testing	
Please indicate any of the services you are interested in and a member of the ECS team will contact you to discuss how we can be of service to your project.

ECS Proposal No: 41:2713‐GP Page | 7

 

5317 56th Commerce Park

Tampa, Florida 33610	
Blvd.	
Project Name:	
Triple Creek CDD	
Phone: 813-302-1643	Proposal Number:

Date:	

April 28, 2017		
GEOTECHNICAL ENGINEERING UNIT RATES	
Field Services:	Quantity	Unit Rate	Cost	
Drilling/Utility Coordination/Boring
Layout	Hour	$90.00 / hour		
Drill Rig Mobilization (ATV)	Lump Sum	$400.00 / each		
SPT Borings 0-50 feet	Foot	$10.00 / foot		
SPT Borings 51-100 feet	Foot	$12.00 / foot		
Grout Borings 0-50 feet	Foot	$2.00 / foot		
Grout Borings 50-100 feet	Foot	$3.50 / foot		
Additional Split Spoons	Each	$30.00 / each		
Double Ring Infiltrometer (DRI) Test	Each	$400.00 / each		
Coring Asphalt	Location	$25.00 / each		
Clearing for Difficult Access	Day	$750.00 / day		
Standby Time	Hour	$125.00 / hour		
Field Services Subtotal:				

Laboratory Testing:	
Quantity	
Unit Rate	
Cost	
Visual Classification Moisture Content
Wash No. 200 Seive Analysis Organic Content
Falling Head Permeability Test	Hour Test Test Test
Test	$90.00 / hour
$6.00    test
$25.00  / test
$60.00  / test
$125.00  / test		
Laboratory Testing Subtotal				
Engineering/Project Management: Principal Engineer (P.E. Licensed) Sr. Project Engineer
CADD Draftsman
Secretary
Engineering/Project Management Subtotal:	Quantity

Hour Hour Hour Hour	Unit Rate
$165.00  / hour
$100.00  / hour
$65.00  / hour
$35.00    hour		
ESTIMATED TOTAL COST:	

EXHIBIT A
FORM OF WORK AUTHORIZATION

_,20

Triple Creek Community Development District Hillsborough County, Florida

Subject:	Work Authorization Number 1
Triple Creek Community Development District

Dear Chairperson, Board of Supervisors:
ECS-Florida, L.L.C. ("Engineer") is pleased to submit this work authorization to provide geotechnical engineering services for the Triple Creek Community Development  District  ("District"). We will provide these services pursuant to our current agreement dated	2017
("Engineering Agreement") as follows:

Scope of Work
The District will engage Engineer to:

[INSERT SCOPE OF WORK HERE]

Fees
The District will compensate Engineer pursuant to the hourly rate schedule contained in the Engineering Agreement. The District will reimburse Engineer all direct costs which include items such as printing, drawings, travel, deliveries, et cetera, pursuant to the Agreement.

This proposal, together with the Engineering Agreement, represents the entire understanding between the District and Engineer with regard to the referenced work authorization. If you wish to accept this work authorization, please sign both copies where indicated, and return one complete copy to our office. Upon receipt, we will promptly schedule our services.

APPROVED AND ACCEPTED	Sincerely,

By:
Authorized Representative of

_	By:--------------

Triple Creek Community Development District

Date:	20

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ECS Proposal No. 41:2713-GP

Client: Triple Creek CDD

ECS FLORIDA, LLC
TERMS AND CONDITIONS OF SERVICE

The professional services (the “Services”) to be provided by ECS FLORIDA, LLC [“ECS”] pursuant to the Proposal shall be provided in accordance with these Terms and Conditions of Service (“Terms”), including any addenda as may be incorporated or referenced in writing shall form the Agreement between ECS and Client.
1.0 INDEPENDENT CONSULTANT STATUS - ECS shall serve as an independent professional consultant to CLIENT for Service on the Project, identified above, and shall have control over, and responsibility for, the means and methods for providing the Services identified in the Proposal, including the retention of Subcontractors and Subconsultants
2.0	SCOPE OF SERVICES - It is understood that the fees, reimbursable expenses and time schedule defined in the Proposal are based on information provided by CLIENT and/or CLIENT’S contractors and consultants. CLIENT acknowledges that if this  information is not current, is incomplete or inaccurate, if conditions are discovered that could not be reasonably foreseen, or if CLIENT orders additional services, the scope of services will change, even while the Services are in progress.
STANDARD OF CARE
In fulfilling its obligations and responsibilities enumerated in the Proposal, ECS shall be expected to comply with and its performance evaluated in light of the standard of care expected of professionals in the industry performing similar services on projects of like size and complexity at that time in the region (the “Standard of Care”). Nothing contained in the Proposal, the agreed-upon scope of Services, these Terms and Conditions of Service or any ECS report, opinion, plan or other document prepared by ECS shall constitute a warranty or guaranty of any nature whatsoever.
CLIENT understands and agrees that ECS will rely on the facts learned from data gathered during performance of Services as well as those facts provided by the CLIENT. CLIENT acknowledges that such data collection is limited to specific areas that are sampled, bored, tested, observed and/or evaluated. Consequently,  CLIENT waives any and all claims based upon erroneous facts provided by the CLIENT, facts subsequently learned or regarding conditions in areas not specifically sampled, bored, tested, observed or evaluated by ECS.
If a situation arises that causes ECS to believe compliance with CLIENT’S directives would be contrary to sound engineering practices, would violate applicable laws, regulations or codes, or will expose ECS to legal claims or charges, ECS shall so advise CLIENT. If ECS’ professional judgment is rejected, ECS shall have the right to terminate its Services in accordance with the provisions of Section 25.0, below.
If CLIENT decides to disregard ECS’ recommendations with respect to complying with applicable Laws or Regulations, ECS shall determine if applicable law requires ECS to notify the appropriate public officials. CLIENT agrees that such determinations are ECS’ sole right to make.
CLIENT DISCLOSURES
Where the Scope of Services requires ECS to penetrate a Site surface, CLIENT shall furnish and/or shall direct CLIENT’S consultant(s) or agent(s) to furnish ECS information identifying the type and location of utility lines and other man-made objects known, suspected, or assumed to be located beneath or behind the Site's surface. ECS shall be entitled to rely on such information for completeness and accuracy without further investigation, analysis, or evaluation.
“Hazardous Materials” shall include but not be limited to any substance that poses or may pose a present or potential hazard to human health or the environment whether contained in a product, material, by-product, waste, or sample, and whether it exists in a solid, liquid, semi-solid or gaseous form. CLIENT shall notify ECS of any known, assumed, or suspected regulated, contaminated, or other similar Hazardous Materials that may exist at the Site prior to ECS mobilizing to the Site.
If any Hazardous Materials are discovered, or are reasonably suspected by ECS after its Services begin, ECS shall be entitled to amend the scope of Services and adjust its fees to reflect the additional work or personal protective equipment and/or safety precautions required by the existence of such Hazardous Materials.
5.0	INFORMATION PROVIDED BY OTHERS - CLIENT waives, releases and discharges ECS from and against any claim for damage, injury or loss allegedly arising out of or in connection with errors, omissions, or inaccuracies in documents and other information in any form provided to ECS by CLIENT or CLIENT’s agents, contractors, or consultants, including such information that becomes incorporated into ECS documents.
6.0 CONCEALED RISKS - CLIENT acknowledges that special risks are inherent in sampling, testing and/or evaluating concealed conditions that are hidden from view and/or neither readably apparent nor easily accessible, e.g., subsurface conditions, conditions behind a wall, beneath a floor, or above a ceiling. Such circumstances require that certain assumptions be made regarding existing conditions, which may not be verifiable without expending additional sums of money or destroying otherwise adequate or serviceable portions of a building or component thereof. Accordingly, ECS shall not be responsible for the verification of such conditions unless verification can be made by simple visual observation. Client agrees to bear any and all costs, losses, damages and expenses (including, but not limited to, the cost of ECS’ Additional Services) in any way arising from or in connection with the existence or discovery of such concealed or unknown conditions.
RIGHT OF ENTRY/DAMAGE RESULTING FROM SERVICES
CLIENT warrants that it possesses the authority to grant ECS right of entry to the Site for the performance of Services. CLIENT hereby grants ECS and its subcontractors and/or agents, the right to enter from time to time onto the property in order for ECS to perform its Services. CLIENT agrees to indemnify and hold ECS

harmless from any claims arising from allegations that ECS trespassed or lacked authority to access the Site.
CLIENT warrants that it possesses all necessary permits, licenses and/or utility clearances for the Services to be provided by ECS except where ECS’ Proposal explicitly states that ECS will obtain such permits, licenses, and/or utility clearances.
ECS will take reasonable precautions to limit damage to the Site and its improvements during the performance of its Services. CLIENT understands that the use of exploration, boring, sampling, or testing equipment may cause minor, but common, damage to the Site. The correction and restoration of such common damage is CLIENT’S responsibility unless specifically included in ECS’ Proposal.
CLIENT agrees that it will not bring any claims for liability or for injury or loss against ECS arising from (i) procedures associated with the exploration, sampling or testing activities at the Site, (ii) discovery of Hazardous Materials or suspected Hazardous Materials, or (iii) ECS’ findings, conclusions, opinions, recommendations, plans, and/or specifications related to discovery of contamination.
UNDERGROUND UTILITIES
ECS shall exercise the Standard of Care in evaluating client-furnished information as well as information readily and customarily available from public utility locating services (the “Underground Utility Information”) in its effort to identify underground utilities. The extent of such evaluations shall be at ECS’ sole discretion.
CLIENT recognizes that the Underground Utility Information provided to or obtained by ECS may contain errors or be incomplete. CLIENT understands that ECS may be unable to identify the locations of all subsurface utility lines and man-made features.
CLIENT waives, releases, and discharges ECS from and against any claim for damage, injury or loss allegedly arising from or related to subterranean structures (pipes, tanks, cables, or other utilities, etc.) which are not called to ECS’ attention in writing by CLIENT, not correctly shown on the Underground Utility Information and/or not properly marked or located by the utility owners, governmental or quasi- governmental locators, or private utility locating services as a result of ECS’ or ECS’ subcontractor’s request for utility marking services made in accordance with local industry standards.
SAMPLES
Soil, rock, water, building materials and/or other samples and sampling by-products obtained from the Site are and remain the property of CLIENT. Unless other arrangements are requested by CLIENT and mutually agreed upon by ECS in writing, ECS will retain samples not consumed in laboratory testing for up to sixty
(60) calendar days after the issuance of any document containing data obtained from such samples. Samples consumed by laboratory testing procedures will not be stored.
Unless CLIENT directs otherwise, and excluding those issues covered in Section 10.0, CLIENT authorizes ECS to dispose of CLIENT’S non-hazardous samples and sampling or testing process by-products in accordance with applicable laws and regulations.
ENVIRONMENTAL RISKS
When Hazardous Materials are known, assumed, suspected to exist, or discovered at the Site, ECS will endeavor to protect its employees and address public health, safety, and environmental issues in accordance with the Standard of Care. CLIENT agrees to compensate ECS for such efforts.
When Hazardous Materials are known, assumed, or suspected to exist, or discovered at the Site, ECS and/or ECS’ subcontractors will exercise the Standard of Care in containerizing and labeling such Hazardous Materials in accordance with applicable laws and regulations, and will leave the containers on Site. CLIENT is responsible for the retrieval, removal, transport and disposal of such contaminated samples, and sampling process byproducts in accordance with applicable law and regulation.
Unless explicitly stated in the Scope of Services, ECS will neither subcontract for nor arrange for the transport, disposal, or treatment of Hazardous Materials. At CLIENT’S written request, ECS may assist CLIENT in identifying appropriate alternatives for transport, off-site treatment, storage, or disposal of such substances, but CLIENT shall be solely responsible for the final selection of methods and firms to provide such services. CLIENT shall sign all manifests for the disposal of substances affected by contaminants and shall otherwise exercise prudence in arranging for lawful disposal.
In those instances where ECS is expressly retained by CLIENT to assist CLIENT in the disposal of Hazardous Materials, samples, or wastes as part of the Proposal, ECS shall do so only as CLIENT’S agent (notwithstanding any other provision of this AGREEMENT to the contrary). ECS will not assume the role of, nor be considered a generator, storer, transporter, or disposer of Hazardous Materials.
Subsurface sampling may result in unavoidable cross-contamination of certain subsurface areas, as when a probe or excavation/boring device moves through a contaminated zone and links it to an aquifer, underground stream, pervious soil stratum, or other hydrous body not previously contaminated, or connects an uncontaminated zone with a contaminated zone. Because sampling is an essential element of the Services indicated herein, CLIENT agrees this risk cannot be eliminated. Provided such services were performed in accordance with the  Standard of Care, CLIENT waives, releases and discharges ECS from and against any claim for damage, injury, or loss allegedly arising from or related to such cross- contamination.

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CLIENT understands that a Phase I Environmental Site Assessment (ESA) is conducted solely to permit ECS to render a professional opinion about the likelihood of the site having a Recognized Environmental Condition on, in, beneath, or near the Site at the time the Services are conducted. No matter how thorough a Phase I ESA study may be, findings derived from its conduct are highly limited and ECS cannot know or state for an absolute fact that the Site is unaffected or adversely affected by one or more Recognized Environmental Conditions. CLIENT represents and warrants that it understands the limitations associated with Phase I ESAs.
OWNERSHIP OF DOCUMENTS
ECS shall be deemed the author and owner (or licensee) of all documents, technical reports, letters, photos, boring logs, field data, field notes, laboratory test data, calculations, designs, plans, specifications, reports, or similar documents and estimates of any kind furnished by it [the “Documents of Service”] and shall retain all common law, statutory and other reserved rights, including copyrights. CLIENT  shall have a limited, non-exclusive license to use copies of the Documents of Service provided to it in connection with the Project for which the Documents of Service are provided until the completion of the Project.
ECS’ Services are performed and Documents of Service are provided for the CLIENT’S sole use. CLIENT understands and agrees that any use of the Documents of Service by anyone other than the CLIENT, it’s licensed consultants and its contractors is not permitted. CLIENT further agrees to indemnify and hold ECS harmless for any errors, omissions or damage resulting from its contractors’ use of ECS’ Documents of Service.
CLIENT agrees to not use ECS’ Documents of Service for the Project if the Project is subsequently modified in scope, structure or purpose without ECS’ prior written consent. Any reuse without ECS’ written consent shall be  at CLIENT’S sole risk and without liability to ECS or to ECS’ subcontractor(s). CLIENT agrees to  indemnify and hold ECS harmless for any errors, omissions or damage resulting from its use of ECS’ Documents of Service after any modification in scope, structure or purpose.
CLIENT agrees to not make any modification to the Documents of Service without the prior written authorization of ECS. To the fullest extent permitted by  law, CLIENT agrees to indemnify, defend, and hold ECS harmless from any damage, loss, claim, liability or cost (including reasonable attorneys’ fees and defense costs) arising out of or in connection with any unauthorized modification of the Documents of Service by CLIENT or any person or entity that acquires or obtains the Documents of Service from or through CLIENT. CLIENT represents and warrants that the Documents of Service shall be used only as submitted by ECS.
SAFETY
Unless expressly agreed to in writing in its Proposal, CLIENT agrees that ECS shall have no responsibility whatsoever for any aspect of site safety other than for its own employees. Nothing herein shall be construed to relieve CLIENT and/or its contractors, consultants or other parties from their responsibility for site safety. CLIENT also represents and warrants that the General Contractor is solely responsible for Project site safety and that ECS personnel may rely on the safety measures provided by the General Contractor.
In the event ECS assumes in writing limited responsibility for specified safety issues, the acceptance of such responsibilities does not and shall not be deemed an acceptance of responsibility for any other non-specified safety issues, including, but not limited to those relating to excavating, trenching, shoring, drilling, backfilling, blasting, or other construction activities.
CONSTRUCTION TESTING AND REMEDIATION SERVICES
CLIENT understands that construction testing and observation services are provided in an effort to reduce, but cannot eliminate, the risk of problems arising during or after construction or remediation. CLIENT agrees that the provision of such Services does not create a warranty or guarantee of any type.
Monitoring and/or testing services provided by ECS shall not in any way relieve the CLIENT’S contractor(s) from their responsibilities and obligations for the quality or completeness of construction as well as their obligation to comply with applicable laws, codes, and regulations.
ECS has no responsibility whatsoever for the means, methods, techniques, sequencing or procedures of construction selected, for safety precautions and programs incidental to work or services provided by any contractor or other consultant. ECS does not and shall not have or accept authority to supervise, direct, control, or stop the work of any contractor or consultant or any of their subcontractors or subconsultants.
ECS strongly recommends that CLIENT retain ECS to provide construction monitoring and testing services on a full time basis to lower the risk of defective or incomplete Work being installed by CLIENT’S contractor(s). If CLIENT elects to retain ECS on a part time basis for any aspect of construction monitoring and/or testing, CLIENT accepts the risks that a lower level of construction quality may occur and that defective or incomplete work may result and not be detected by ECS’ part time monitoring and testing. Unless the CLIENT can show that the error or omission is contained in ECS’ reports, CLIENT waives, releases and discharges ECS from and against any other claims for errors, omissions, damages, injuries, or loss alleged to arise from defective or incomplete work that was monitored or tested by ECS on a part time basis. Except as set forth in the preceding sentence,  CLIENT agrees to indemnify and hold ECS harmless from all damages, costs, and attorneys’ fees, for any claims alleging errors, omissions, damage, injury or loss allegedly resulting from Work that was monitored or tested by ECS on a part time basis.
14.0  CERTIFICATIONS - CLIENT may request, or governing jurisdictions may require, ECS to provide a “certification” regarding the Services provided by ECS. Any “certification” required of ECS by the CLIENT or jurisdiction(s) having authority over some or all aspects of the Project shall consist of ECS’ inferences and professional opinions based on the limited sampling, observations, tests, and/or analyses performed by ECS at discrete locations and times. Such “certifications” shall constitute ECS’ professional opinion of a condition's existence, but ECS does not guarantee that such condition exists, nor does it relieve other parties of the responsibilities or obligations such parties have with respect to

the possible existence of such a condition. CLIENT agrees it cannot make the resolution of any dispute with ECS or payment of any amount due to ECS contingent upon ECS signing any such “certification.”
BILLINGS AND PAYMENTS
Billings will be based on the unit rates, plus travel costs, and other reimbursable expenses as stated in the Professional Fees section of the Proposal. Any Estimate of Professional Fees stated in these Terms shall not be considered as a not-to- exceed or lump sum amount unless otherwise explicitly stated. CLIENT understands and agrees that even if ECS agrees to a lump sum or not-to-exceed amount, that amount shall be limited to number of hours, visits, trips, tests, borings, or samples stated in the Proposal.
CLIENT agrees that all Professional Fees and other unit rates shall be adjusted annually to account for inflation based on the most recent 12-month average of the Consumer Price Index (CPI-U) for all items as established by www.bls.gov when the CPI-U exceeds an annual rate of 2.0%.
Should ECS identify a Changed Condition(s), ECS shall notify the CLIENT of the Changed Condition(s). ECS and CLIENT shall promptly and in good faith negotiate an amendment to the Scope of Services, Professional Fees, and time schedule.
CLIENT recognizes that time is of the essence with respect to payment of ECS’ invoices, and that timely payment is a material consideration for this agreement. All payment shall be in U.S. funds drawn upon U.S. banks and in accordance with the rates and charges set forth in the Professional Fees. Invoices are due and payable upon receipt.
If CLIENT disputes all or part of an invoice, CLIENT shall provide ECS with written notice stating in detail the facts of the dispute within fifteen (15) calendar days of the invoice. CLIENT agrees to pay the undisputed amount of such invoice promptly.
ECS reserves the right to charge CLIENT an additional charge of one-and-one-half (1.5) percent (or the maximum percentage allowed by Law, whichever is lower) of the invoiced amount per month for any payment received by ECS more than thirty
(30) calendar days from the date of the invoice, excepting any portion of the invoiced amount in dispute. All payments will be applied to accrued interest first  and then to the unpaid principal amount. Payment of invoices shall not be subject  to unilateral discounting or set-offs by CLIENT.
CLIENT agrees that its obligation to pay for the Services is not contingent upon CLIENT’S ability to obtain financing, zoning, approval of governmental or regulatory agencies, permits, final adjudication of a lawsuit, CLIENT’S successful completion of the Project, settlement of a real estate transaction, receipt of payment from CLIENT’S client, or any other event unrelated to ECS provision of Services. Retainage shall not be withheld from any payment, nor shall any deduction be made from any invoice on account of penalty, liquidated damages, or other sums incurred by CLIENT. It is agreed that all costs and legal fees including actual attorney's fees, and expenses incurred by ECS in obtaining payment under this Agreement, in perfecting or obtaining a lien, recovery under a bond, collecting any delinquent amounts due, or executing judgments, shall be reimbursed by CLIENT.
Unless CLIENT has provided notice to ECS in accordance with Section 16.0 of these Terms, payment of any invoice by the CLIENT shall mean that the CLIENT is satisfied with ECS’ Services and is not aware of any defects in those Services.
DEFECTS IN SERVICE
CLIENT, its personnel, its consultants, and its contractors shall promptly inform ECS during active work on any project of any actual or suspected defects in the Services so to permit ECS to take such prompt, effective remedial measures that in ECS’ opinion will reduce or eliminate the consequences of any such defective Services. The correction of defects attributable to ECS’ failure to perform in accordance with the Standard of Care shall be provided at no cost to CLIENT. However, ECS shall not be responsible for the correction of any deficiency attributable to CLIENT- furnished information, the errors, omissions, defective materials, or improper installation of materials by CLIENT’s personnel, consultants or contractors, or work not observed by ECS. CLIENT shall compensate ECS for the costs of correcting such defects.
Modifications to reports, documents and plans required as a result of jurisdictional reviews or CLIENT requests shall not be considered to be defects. CLIENT shall compensate ECS for the provision of such Services.
17.0 INSURANCE - ECS represents that it and its subcontractors and subconsultants maintain Workers Compensation insurance, and that ECS is covered by general liability, automobile and professional liability insurance policies in coverage amounts it deems reasonable and adequate. ECS shall furnish certificates of insurance upon request. The CLIENT is responsible for requesting specific inclusions or limits of coverage that are not present in ECS insurance package. The cost of such inclusions or coverage increases, if available, will be at the expense of the CLIENT.
LIMITATION OF LIABILITY
CLIENT AGREES TO ALLOCATE CERTAIN RISKS ASSOCIATED WITH THE PROJECT BY LIMITING ECS’ TOTAL LIABILITY TO CLIENT ARISING FROM ECS’ PROFESSIONAL LIABILITY, I.E. PROFESSIONAL ACTS, ERRORS, OR OMISSIONS AND FOR ANY AND ALL CAUSES INCLUDING NEGLIGENCE, STRICT LIABILITY, BREACH OF CONTRACT, OR BREACH OF WARRANTY, INJURIES, DAMAGES, CLAIMS, LOSSES, EXPENSES, OR CLAIM EXPENSES (INCLUDING REASONABLE ATTORNEY’S FEES) RELATING TO PROFESSIONAL SERVICES PROVIDED UNDER THIS AGREEMENT TO THE FULLEST EXTENT PERMITTED BY LAW. THE ALLOCATION IS AS FOLLOWS.
If the proposed fees are $10,000 or less, ECS’ total aggregate liability to CLIENT shall not exceed $20,000, or the total fee received for the services rendered, whichever is greater.
If the proposed fees are in excess of $10,000, ECS’ total aggregate liability to CLIENT shall not exceed $40,000, or the total fee for the services rendered, whichever is greater.
CLIENT agrees that ECS shall not be responsible for any injury, loss or damage of any nature, including bodily injury and property damage, arising directly or indirectly, in whole or in part, from acts or omissions by the CLIENT, its employees, agents, staff, consultants, contractors, or subcontractors to the extent such injury, damage,

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or loss is caused by acts or omissions of CLIENT, its employees, agents, staff, consultants, contractors, subcontractors or person/entities for whom CLIENT is legally liable.
CLIENT agrees that ECS’ liability for all non-professional liability arising out of this agreement  or  the  services  provided  as  a  result  of  the  Proposal  be  limited  to
$500,000.
INDEMNIFICATION
Subject Section 18.0, ECS agrees to hold harmless and indemnify CLIENT from and against damages arising from ECS’ negligent performance of its Services, but only to the extent that such damages are found to be caused by ECS’ negligent acts, errors or omissions, (specifically excluding any damages caused by any third party or by the CLIENT.)
To the fullest extent permitted by Law, CLIENT agrees to indemnify, and hold ECS harmless from and against any and all liability, claims, damages, demands, fines, penalties, costs and expenditures (including reasonable attorneys’ fees and costs of litigation defense and/or settlement) [“Damages”] caused in whole or in part by the negligent acts, errors, or omissions of the CLIENT or CLIENT’S employees, agents, staff, contractors, subcontractors, consultants, and clients, provided such Damages are attributable to: (a) the bodily injury, personal injury, sickness, disease and/or death of any person; (b) the injury to or loss of value to tangible personal property; or (c) a breach of these Terms. The foregoing indemnification shall not apply to the extent such Damage is found to be caused by the sole negligence, errors, omissions or willful misconduct of ECS.
It is specifically understood and agreed that in no case shall ECS be required to pay an amount of Damages disproportional to ECS’ culpability. IF CLIENT IS A HOMEOWNER, HOMEOWNERS’ ASSOCIATION, CONDOMINIUM OWNER, CONDOMINIUM OWNER’S ASSOCIATION, OR SIMILAR RESIDENTIAL OWNER, ECS RECOMMENDS THAT CLIENT RETAIN LEGAL COUNSEL BEFORE ENTERING INTO THIS AGREEMENT TO EXPLAIN CLIENT’S RIGHTS AND OBLIGATIONS HEREUNDER, AND THE LIMITATIONS, AND RESTRICTIONS IMPOSED BY THIS AGREEMENT. CLIENT AGREES THAT FAILURE OF CLIENT TO RETAIN SUCH
COUNSEL SHALL BE A KNOWING WAIVER OF LEGAL COUNSEL AND SHALL NOT BE ALLOWED ON GROUNDS OF AVOIDING ANY PROVISION OF THIS AGREEMENT.
IF CLIENT IS A RESIDENTIAL BUILDER OR RESIDENTIAL DEVELOPER, CLIENT SHALL INDEMNIFY AND HOLD HARMLESS ECS AGAINST ANY AND ALL CLAIMS OR DEMANDS DUE TO INJURY OR LOSS INITIATED BY ONE OR MORE HOMEOWNERS, UNIT-OWNERS, OR THEIR HOMEOWNER’S ASSOCIATION, COOPERATIVE BOARD, OR SIMILAR GOVERNING ENTITY AGAINST CLIENT WHICH RESULTS IN ECS BEING BROUGHT INTO THE DISPUTE.
	IN NO EVENT SHALL THE DUTY TO INDEMNIFY AND HOLD ANOTHER PARTY HARMLESS UNDER THIS SECTION 19.0 INCLUDE THE DUTY TO DEFEND.
CONSEQUENTIAL DAMAGES
CLIENT shall not be liable to ECS and ECS shall not be liable to CLIENT for any consequential damages incurred by either due to the fault of the other or their employees, consultants, agents, contractors or subcontractors, regardless of the nature of the fault or whether such liability arises in breach of contract or warranty, tort, statute, or any other cause of action. Consequential damages include, but are not limited to, loss of use and loss of profit.
ECS shall not be liable to CLIENT, or any entity engaged directly or indirectly by CLIENT, for any liquidated damages due to any fault, or failure to act, in part or in total by ECS, its employees, agents, or subcontractors.
SOURCES OF RECOVERY
All claims for damages related to the Services provided under this agreement shall be made against the ECS entity contracting with the CLIENT for the Services, and no other person or entity. CLIENT agrees that it shall not name any affiliated entity including parent, peer, or subsidiary entity or any individual officer, director, or employee of ECS, specifically including its professional engineers and geologists.
In the event of any dispute or claim between CLIENT and ECS arising out of in connection with the Project and/or the Services, CLIENT and ECS agree that they will look solely to each other for the satisfaction of any such dispute or claim. Moreover, notwithstanding anything to the contrary contained in any other provision herein, CLIENT and ECS’ agree that their respective shareholders, principals, partners, members, agents, directors, officers, employees, and/or owners shall have no liability whatsoever arising out of or in connection with the Project and/or Services provided hereunder. In the event CLIENT brings a claim against an affiliated entity, parent entity, subsidiary entity, or individual officer, director or employee in contravention of this Section 21, CLIENT agrees to hold ECS harmless from and against all damages, costs, awards, or fees (including attorneys’ fees) attributable to such act.
22.0  THIRD PARTY CLAIMS EXCLUSION - CLIENT and ECS agree that the Services   are performed solely for the benefit of the CLIENT and are not intended by either CLIENT or ECS to benefit any other person or entity. To the extent that any other person or entity is benefited by the Services, such benefit is purely incidental and such other person or entity shall not be deemed a third party beneficiary to the AGREEMENT.  No third-party shall  have the right to rely on ECS’ opinions rendered in connection with ECS’ Services without written consent from both CLIENT and ECS, which shall include, at a minimum, the third- party's agreement to be bound to the same Terms and Conditions contained herein and third-party’s agreement that ECS’ Scope of Services performed is adequate.
DISPUTE RESOLUTION
In the event any claims, disputes, and other matters in question arising out of or relating to these Terms or breach thereof (collectively referred to as “Disputes”), the parties shall promptly attempt to resolve all such Disputes through executive negotiation between senior representatives of both parties familiar with the Project. The parties shall arrange a mutually convenient time for the senior representative of each party to meet. Such meeting shall occur within fifteen (15) days of either  party’s written request for executive negotiation or as otherwise mutually agreed.

Should this meeting fail to result in a mutually agreeable plan for resolution of the Dispute, CLIENT and ECS agree that either party may bring litigation.
CLIENT shall make no claim (whether directly or in the form of a third-party claim) against ECS unless CLIENT shall have first provided ECS with a written certification executed by an independent engineer licensed in the jurisdiction in which the Project is located, reasonably specifying each and every act or omission which the certifier contends constitutes a violation of the Standard of Care. Such certificate shall be a precondition to the institution of any judicial proceeding and shall be provided to ECS thirty (30) days prior to the institution of such judicial proceedings.
Litigation shall be instituted in a court of competent jurisdiction in the county or district in which ECS’ office contracting with the CLIENT is located. The parties agree that the law applicable to these Terms and the Services provided pursuant to the Proposal shall be the laws of the Commonwealth of Virginia, but excluding its choice of law rules. Unless otherwise mutually agreed to in writing by both parties, CLIENT waives the right to remove any litigation action to any other jurisdiction. Both parties agree to waive any demand for a trial by jury.
CURING A BREACH
A party that believes the other has materially breached these Terms shall issue a written cure notice identifying its alleged grounds for termination. Both parties shall promptly and in good faith attempt to identify a cure for the alleged breach or present facts showing the absence of such breach. If a cure can be agreed to or  the matter otherwise resolved within thirty (30) calendar days from the date of the termination notice, the parties shall commit their understandings to writing and termination shall not occur.
Either party may waive any right provided by these Terms in curing an actual or alleged breach; however, such waiver shall not affect future application of such provision or any other provision.
TERMINATION
CLIENT or ECS may terminate this agreement for breach or these terms, non- payment, or a failure to cooperate. In the event of termination, the effecting party shall so notify the other party in writing and termination shall become effective fourteen (14) calendar days after receipt of the termination notice.
Irrespective of which party shall effect termination, or the cause therefore, ECS shall promptly render to CLIENT a final invoice and CLIENT shall immediately compensate ECS for Services rendered and costs incurred including those Services associated with termination itself, including without limitation, demobilizing, modifying schedules, and reassigning personnel.
26.0 TIME BAR TO LEGAL ACTION - Unless prohibited by law, and notwithstanding any Statute that may provide additional protection, CLIENT and ECS agree that a lawsuit by either party alleging a breach of this agreement, violation of the Standard of Care, non- payment of invoices, or arising out of the Services provided hereunder, must be initiated in a court of competent jurisdiction no more than two (2) years from the time the party knew, or should have known, of the facts and conditions giving rise to its claim, and shall under no circumstances shall such lawsuit be initiated more than three (3) years from the date of substantial completion of ECS’ Services.
27.0 ASSIGNMENT  -  CLIENT  and  ECS  respectively  bind  themselves,  their successors, assigns, heirs, and legal representatives to the other party and the successors, assigns, heirs and legal representatives of such other party with respect to all covenants of these Terms. Neither CLIENT nor ECS shall assign these Terms, any rights thereunder, or any cause of action arising therefrom, in whole or in part, without the written consent of the other. Any purported assignment or transfer, except as permitted above, shall be deemed null, void and invalid, the purported assignee shall acquire no rights as a result of the purported assignment or transfer and the non-assigning party shall not recognize any such purported assignment or transfer.
28.0  SEVERABILITY - Any provision of these Terms later held to violate any law, statute, or regulation, shall be deemed void, and all remaining provisions shall continue in full force and effect. CLIENT and ECS shall endeavor to quickly replace a voided provision with a valid substitute that expresses the intent of the issues covered by the original provision.
29.0 SURVIVAL - All obligations arising prior to the termination of the agreement represented by these Terms and all provisions allocating responsibility or liability between the CLIENT and ECS shall survive the substantial completion of Services and the termination of the agreement.
TITLES; ENTIRE AGREEMENT
The titles used herein are for general reference only and are not part of the Terms and Conditions.
These Terms and Conditions of Service together with the Proposal, including all exhibits, appendixes, and other documents appended to it, constitute the entire agreement between CLIENT and ECS. CLIENT acknowledges that all prior understandings and negotiations are superseded by this agreement.
CLIENT and ECS agree that subsequent modifications to the agreement represented by these shall not be binding unless made in writing and signed by authorized representatives of both parties.
All preprinted terms and conditions on CLIENT’S purchase order, Work Authorization, or other service acknowledgement forms, are inapplicable and superseded by these Terms and Conditions of Service.
CLIENT’s execution of a Work Authorization, the submission of a start work authorization (oral or written) or issuance of a purchase order constitutes CLIENT’s acceptance of this Proposal and its agreement to be fully bound the foregoing Terms. If CLIENT fails to provide ECS with a signed copy of these Terms or the attached Work Authorization, CLIENT agrees that by authorizing and accepting the services of ECS, it will be fully bound by these Terms as if they had been signed by CLIENT.

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Tab 17

EXHIBIT A
FORM OF WORK AUTHORIZATION

October 8, 2018

Triple Creek Community Development District Hillsborough County, Florida

Subject:	Work Authorization Number 12
Triple Creek Community Development District

Dear Chairperson, Board of Supervisors:

Dennis J. Benham, PSM (“Surveyor”) is pleased to submit this work authorization to provide surveying services for the Triple Creek Community Development District (“District”). We will provide these services pursuant to our current agreement  dated     May 4       , 2017 (“Surveying Agreement”)   as follows:

Scope of Work
The District will engage Surveyor to:

TRIPLE CREEK - VILLAGE H
Scope of Services
Stake soil borings as provided by project engineer with lathe.
Obtain ground elevation at each soil bring location.
Field collected data will be provided to project engineer.

Fees

Description	Hours	Rate	Total	
2 Man Survey Crew	50	85.00	4250.00	
Survey Technician	8	60.00	480.00	
Professional Surveyor and Mapper	4	120.00	 	480.00		
			    $ 5,210.00		

The District will compensate Surveyor pursuant to the hourly rate schedule contained in the Surveying Agreement. The District will reimburse Surveyor all direct costs which include items such as printing, drawings, travel, deliveries, et cetera, pursuant to the Agreement.

This proposal, together with the Surveying Agreement, represents the entire understanding between the District and Surveyor with regard to the referenced work authorization. If you wish to accept this work authorization, please sign both copies where indicated, and return one complete copy to our office. Upon receipt, we will promptly schedule our services.

APPROVED AND ACCEPTED	Sincerely,	

By:  	
Authorized Representative of
Triple Creek Community Development District	 	Dennis J Benham	
By: 	Dennis J. Benham	
Date:	 	October 8, 2018