Golden Gem Community Development District

Agenda February 12, 2025

Agenda

Golden Gem
Community Development District

219 E. Livingston Street, Orlando, Florida 32801 Phone: 407-841-5524 – Fax: 407-839-1526
February 5, 2025

Board of Supervisors Golden Gem Community Development District

Dear Board Members:

The meeting of the Board of Supervisors of the Golden Gem Community Development District will be held Wednesday, February 12, 2025 at 10:30 a.m. at the offices of GMS-CF, 219 E. Livingston Street, Orlando, Florida. Following is the advance agenda for the regular meeting:

Roll Call
Public Comment Period
Approval of Minutes of the November 13, 2024 Meeting
Ratification of Pioneering Agreement Funding Agreement Obligation Letter
Ratification of Easement Agreement – Under Separate Cover
Ratification of Series 2024 Requisitions #20 - #31
Consideration of Hold Harmless Agreement with Pugh Cattle Company, LLC
Staff Reports
Attorney
Engineer
District Manager’s Report
Balance Sheet and Income Statement
Ratification of Funding Requests #11 - #13
Other Business
Supervisor’s Requests
Adjournment

The balance of the agenda will be discussed at the meeting. In the meantime, if you should have any questions, please contact me.

Sincerely,
George S. Flint
George S. Flint District Manager

Cc:	Alyssa Willson, District Counsel Kevin Roberson, District Engineer

Enclosures

Minutes

MINUTES OF MEETING GOLDEN GEM
COMMUNITY DEVELOPMENT DISTRICT

The regular meeting of the Board of Supervisors of the Golden Gem Community Development District was held Wednesday, November 13, 2024 at 10:30 a.m. at the Offices of GMS-CF, 219 E. Livingston Street, Orlando, Florida.

Present and constituting a quorum were:

Craig Linton, Jr.	Chairman
H.M. Ridgely, III	Vice Chairman
Taylor Edwards by phone	Assistant Secretary
Duane “Rocky” Owen	Assistant Secretary Also present were:
George Flint	District Manager
Alyssa Wilson by phone	District Counsel
Kevin Roberson by phone	District Engineer

FIRST ORDER OF BUSINESS	Roll Call
Mr. Flint called the meeting to order and called the roll. Three Board members were in attendance constituting a quorum. Mr. Edwards joined by phone.

SECOND ORDER OF BUSINESS	Public Comment Period
Mr. Flint stated no members of the public were present to provide comment.

THIRD ORDER OF BUSINESS	Approval of Minutes of the September 11,
2024 Meeting
Mr. Flint presented the minutes of the September 11, 2024 Board of Supervisors meeting.
He asked if the Board had any comments or corrections to the minutes.

On MOTION by Mr. Ridgely, III, seconded by Mr. Linton, Jr., with all in favor, the Minutes of the September 11, 2024 Meeting, were approved.

FOURTH ORDER OF BUSINESS	Consideration of Infrastructure Change
Order #4 for RCS Construction Co.

November 13, 2024	Golden Gem CDD

Mr. Roberson stated this has to do with Orange County requiring an additional mill and overlay pavement repair on Golden Gem in order to do the force main tap.

On MOTION by Mr. Ridgely, III, seconded by Mr. Linton, Jr., with all in favor, the Infrastructure Change Order #4 for RCS Construction Co., was approved.

FIFTH ORDER OF BUSINESS	Ratification of Execution of the Wyld
Oaks Plat
Mr. Flint noted the Board adopted a resolution authorizing the Chair or Vice Chair to execute certain documents and then the Board can ratify those. Under that authority, the Chair or Vice Chair executed the plat and we are asking the Board to ratify their actions.

On MOTION by Mr. Linton, Jr., seconded by Mr. Ridgely, III, with all in favor, the Execution of the Wyld Oaks Plat, was ratified.

SIXTH ORDER OF BUSINESS	Ratification of Series 2024 Requisitions
#11 – #19
Mr. Flint stated these are requisitions that were submitted to the Trustee and paid out of the construction account. They were reviewed and signed by the District Engineer and by George himself on behalf of the CDD and funded by the Trustee. Review requisition #19 for Duke Energy.

On MOTION by Mr. Linton, Jr., seconded by Mr. Ridgely, III, with all in favor, Series 2024 Requisitions #11-#19, were ratified.

SEVENTH ORDER OF BUSINESS	Staff Reports
Attorney
Ms. Wilson reminded the Board of the ethics training requirement before the end of the year. She updated the Board of some sales of property within the District.

Engineer
Mr. Roberson updated the Board on paving work in the community.

District Manager’s Report
Balance Sheet and Income Statement
Mr. Flint reviewed the unaudited financial statements through October 31st. He asked for any questions. There was no action required.

November 13, 2024	Golden Gem CDD

Ratification of Funding Request #9 – #10
Mr. Flint reviewed Funding Requests #9 - #10. Funding request #9 includes the liability insurance, District Management fees, some engineering, Kutak Rock, and supervisor fees for the September 11th meeting. Funding request #10 includes District Management, District Counsel, legal advertising and the annual fee to the state of $175.

On MOTION by Mr. Linton, Jr., seconded by Mr. Ridgely, III, with all in favor, Funding Requests #9-#10, were ratified.

EIGHTH ORDER OF BUSINESS	Other Business
There being no comments, the next item followed.

NINTH ORDER OF BUSINESS	Supervisor’s Requests
Mr. Flint asked for any Supervisors requests. Hearing none.

TENTH ORDER OF BUSINESS	Adjournment

On MOTION by Mr. Ridgely, III, seconded by Mr. Owen, with all in favor, the meeting was adjourned.

Secretary/Assistant Secretary	Chairman/Vice Chairman

Section IV

KELLY PARK VB DEVELOPMENT, LLC
660 Beachland Boulevard, Suite 301 Vero Beach, FL 32963
January 31, 2025

VIA EMAIL TRANSMISSION

GOWEN GEM COMMUNITY DEVELOPMENT DISCTRICT
c/o Alyssa Willson, Esq. Kutak Rock LLP
107 West College Avenue Tallahassee, FL 32301
E-Mail: Alyssa.Willson@kutakrock.com

CITY OF APOPKA
Attn: Blanche W. Sherman, City Administrator 120 E. Main Street
Apopka, FL 32703
E-mail: bsherman@Apopka.net

Re:		Roadway Funding Agreement for West Kelly Park Road Interchange between the City of Apopka ("City"), Kelly Park VB Development, LLC ("KPVB"), Golden Gem Investments, LLC and Galvin-Harris Land Services, LLC dated June 21, 2023 and recorded July 6, 2023 as Document No. 20230378714 In the Public Records of Orange County, Florida, as amended (collectively, the "Agreement")

Ladies and Gentlemen:

As you know, KPVB is named as a Co-Developer under the above-referenced Agreement. Capitalized terms not otherwise defined in this letter have the meanings ascribed thereto in the Agreement.
Pursuant to Section 5.b.i.1. of the Agreement, as amended by the First Amendment thereto, KPVB is obligated to fund the sum of $6,750,000.00 into the KPI Roadway Account established for the KPR Widening. The Initial Funding Date required for that payment pursuant to the Agreement, as amended by the First Amendment, is February 1, 2025. Since that is a Saturday, the City has confirmed that funding is to occur on Monday, February 3, 2025.
The Golden Gem Community Development District ('CDD") was established for the purpose of financing and managing the acquisition, construction, installation, maintenance and operation of the major Infrastructure within and without the boundaries of KPVB's Wyld Oaks project, and several of the parcels therein have been dedicated to the CDD for this purpose. The foregoing payment required from KPVB is eligible for payment by the CDD, as a result of which KPVB and the CDD have agreed that KPVB's obligation for that payment should be assigned to and assumed by the CDD. Pursuant to Section 7.q of the Agreement, the assignment of any obligation of a Co-Developer under the Agreement requires the consent of the City, not to be unreasonably withheld.

0894184\195616\14543044vl

The purpose of this letter is to evidence that KPVB hereby assigns the aforesaid funding obligation to the CDD, that the CDD hereby assumes that obligation, and that the City hereby consents thereto. The provisions of this letter shall also apply to any other COD eligible Prefunding Obligations of KPVB which may be required pursuant to the Agreement.
If you are in agreement with the foregoing, please sign, date and circulate a scan of this letter to all parties in order to evidence same.
Your cooperation and assistance are appreciated.

Very truly yours,

KELLY PARK VB DEVELOPMENT, LLC,
a Delaware limited liability company

By:�--	 Kevin Barry, Manager

"l Q,')
AGREED TO THIS ..:>	DAY

AGREED TO THIS	3	DAY

OF i;:-��"	2025

GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

By,6!:�n	

OF	&hrv�1't , 2025
I

CITY OF APOPKA

cc:	Apopka City Attorney Cliff Shepard, Esq. - Via email to cshepard{,@sheoardfirm.com
Kelly Park VB Development, LLC (Attn: Tylor Edwards) - Via email to tedwards@Doubleb­ development.com
Tara L. Tedrow, Esq. -Via email to Tara.Tedrow@lowndes-law.com Gary M. Kaleita, Esq. - Via email to Gary.Kaleita@lowndes-law.com

Section V

This item will be provided under separate cover

Section VI

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 20

Name of Payee:	RCS Construction Co. Inc.

Amount Payable:	$19,236.62

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Authol'iztd Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

APPLICATION AND CERTIFICATION FOR PAYMENT	AJA DOCUMENT G701	PAGE ONE OF	PAGES	3	

TO OWNER:	PROJECT: Wyld Oaks - Mas
Golden Gem Community Development District	s Grading	APPLICATION NO:	10	
Distribution to:
OWNER	
			ARCHITECT	
	PERIOD TO:	10/16/	24	CONTRACTOR	
FROM CONTRACTOR:	VIA ARCHITECT:				
RCS CONSTUCTION CO. INC. 295 E. HWY 50 SUITE I	
PROJECT NOS:			
CLERMONT. FL 34 71I				
CONTRACT FOR:	CONTRACT DATE:			

§

CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached.

The undersigned Contractor certifies that to the best ofthe 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 Cenificates for Payment were issued and payments received from the Owner, and that current payment

I ORIC,I Al CONTR ( I SUM
2. 'let change by Change Order,
3. CO IRACI 1/M IODAIF(lmc I  '.!)
IO I Al CO 1PI rl I D & S fORH) I 0
DATE	(Column G on G703)
5. RETAINAGE:

281,,842.53

	6.520,o'.! .07 
5,	_;_39_7-".'-'I2;..;;6...c.2'-2-
	6. 9 l 7, I54.29 
	5.7l6.850.65 

shown herein is now due.

CONF/fCTOR.:	RCS CONSTRU TION CO•• CNC.
1
By:_	1 �		Date:	,,	,l�f---'--"-1//�-///_t/_	

	5_% of Completed Work		 (Column D + Eon G703)

Stat	. FI.:	DA	County of: LAKE
Subscribed and sworn to before me this	16th day of September, 2024

BREANNA ROZAR
Notary Publlc

5 % of Stored Material
(Column Fon G703)		

Notary Public: My ommissi

,.-.,,,.-,_-r,,,..,,,-(,h�--IO IzI IZ¥

St.ate of Florida
Comm# HH192726

Total Retainage (Lines Sa + Sb or I n1,1l ,n Lolumn I (ll (.,703)
I,  rm Al I a\R I I) LI ss RI T•\l'IAGI
(Line 4 Less Line 5 Total)
7. LESS PREVIOUS CERTlFICATES FOR		
PAYMENT (Line 6 from prior Certificate)
� CURR!  T PAYMLNI D I	�
9, BALA C I TO FINI II. INCLUDI G Rl'T INACol
(Line 3 les Line 6)

Total Completed and Stored To Date That is Eligible For CDD Paymen Total Retainage Al 5%
Total Earned W11ich Is Eligible For CDD Payment, Less Retainage Les Amount Previously Paid By CDD

	�86.�42.53 
	5.450.00S. I 2 

$	5,257,063.12 
	192,945 no 
	1.467,146 17 

	1,735,520.67 
	86,776.03 
	1,648,744.64 
	1.629,508.02 

...

ENGINEER'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents. based on on-site observations and the data comprising the application, the Engineer cenilies to the Owner that to the best of the Engineer'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 is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFTED ........... $	192,945.00

fl),..---

(Auach expla11atio11if amount certified dijJersfrom the amount applied. fllitial allfigures 011 this Application and 011the Continuation Sheet that are cha11ged to co,!form with the amount certified.)
ENGINEER:	J/J.	Kevin Roberson, Kimley-Horn and Assoc.
By:	{f,/J"l f/1	Date:	10-25-24

&plres 'JD/3l/1D2S

Current Payment Due By CDD

Total Completed and Stored To Date - Eligible For KPVBD Payment	19,236.62

4,001,329.98	This Cenificate is not negotiable. The AMOUNT CERTIFTED is payable only 10 the Contractor named herein. Issuance, payment and acceptance of payment are without	
Total Rctainage Al 5%		200,066.50 	prejudice 10 any rights of the Owner or Contractor under this Contract.	
Total Earned Which Is Eligible For KPVBD Payment, Less Retainage		3,801,263.48 		
Less Amount Previously Paid By KPVBD		3,627,555.10 		
Current Payment Due By KPVBD	173,708.38		
CHANGE ORDER SUMMARY	ADDITIONS	DEDUCTIONS		
Total changes approved in previous months by Owner	$69,787.00	$0.00		
Total a  roved this Month	$327,339.22	$0.00		
1011\L�	397.126 22	000		
NFT ('J IANGF"i b • Chan � Order	397.126.22			

AIA DOCUMENT G702 APPLICATION ANO CERTIFICATION FOR PAYMENT 1992 EDITION AIA e'l1992	THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW., WASHINGTON, DC 20006--5292
Users may obtain validation of this document by requesting a completed AJA Document D401 - Certification of Document's Authenticity from the Licensee.
•••  Contractor agrees that Owner will pm•with w/1at/1111din,�s mwlable which ma,·1101eq11a/ the C11rre111Pnymefl/ D11e. Am 1111paid bala11ce will remam 011acco11111/or Owner to pal' wuh /11111re /1111ds
ote: Items in RED FO Tare automatically calculated from the G703 form or from items within thi G702 Form. Do  OT hand enter the e items on this sheet.

DEVELOPER'S R'EPRESENTATIVE CERTfFICATE fOR PAYMENT

�yld Oaks• MassSite ARP.licati�n #10 Pe1·iod Through 10/16/24 (sent10/21/241

In ac.cordance with the Contracc Docume.nts, ba�ed on on-site observations and the.data comprising
this apJ>lication. the De.veloper's Representative c.e11ifies to the Ownerthat to the.best of the Developer's Re.presentative's knowledge. infonna1ion and belief the Work has progressed as indicated, the quality of the Wor;k is in.accordance.with rhe Contract Documents, and the Contractor is emitle.d m payment of the
AMOUNT CERTIFIED.

AMOUNT CERTrffED........................................................................Jill=9�45"::.1=10    �
(Atmch exp1anarion if amount cen:itied differs from the amount applied. foitia1 all figures on lhis
Application and on the Cominuation Sheet that are changed m conform widl c.he amount ce11ified.)

DEVELOPER'SREPRESENTATIVE:

By:			Date:	10/30124

Name:	 Timo1hy It. Dennard	

Title:'		Presidem	

□

This Ce11ifica1e is 1101 nego1iable. The AMOUNT CERTIFIED is payable only ,o the Contractor named herein. Issuance, payment and acce.fltance of payment are without prejudice ,o any rights of the Owner or Contractor under this Contract.

CONTINUATION SHEET	A/A DOCUMENT G703
AlA Oocmncnt 0702. APPUf'ATION AND tERTIFJC'A r!ON FOR PAYMENT. con1aining
Coiuraclor's sif,!1100 ccr1ifica11oi1 is attacho.l.

APPLICATION NO: APPLICATION DATE:
PERIOD TO,

10
10/16/2024
10/16/2024

llscColwnr1 lou Coolracls where \'aria le n.1ama c rO, f rme 11cms ma • aroolv.

ARCHITE:CT'S PROJECT NO

A	ll	C	D	E	F	G	II	I	J	I	K	I	L	M	I	N	I	0	
llEM
NO.	
DESCRll'TION or \YORK	SCHEDULED VAUJI:	'w'ORK COMPU;71�1)	MAIERlALS
l'RESEN11.Y STORED (NOTIN DOKE)	r<HAL
C'OMl'LETI:l) ANDS10RFD TO l)ATE
(l)tE4n	%
lG•C'>	IIALANCI: TOANISII 1t-GJ	RElAINAGE
('akubtcd at .S�',,	( 'DIJ Eh ,hilit,.,	KJ'VIJI) Fm•1bdJty	
			l·ROM l'N£VIOUS
Al'l'I.IC"AllON
(D .. lH	1IIIS l'ERIOD						%El11!ibk:for
Pa)11r11 Dy COD	1otal Con-.,k:l.cd Ani
Stored To Date Eligible For l'■ync,c Dv("IJI>	folal CDO Rctaim11-e @)5%	�. Elis!il>le rot
Paymc,1 Uy Kf'VOD	lNal C'(lmfllctcd Ard
�hlrcd lo l);,1c
El�ibk for P11�r1 D�•KPVl.lO	lou,IKl'VBI)
k�111n-aic(?<.s••	
		Q1111uy	lm1	ITICC	Total														
	11.dt1Cra  onml on•. ;,,1001 1.ahon, :o.urve •																		
1.	MOBILIZATION	I	LS	$250 000.00	$250.000.00	S150.000 00	S0.00		S250.000.00	100%	S0.00	S12.500.00	9.97%	S2J.925.00	SI ,246.25	90.03'Jo	S22507500	SI 1.253,75	
2.	ATTORNEY FEE	1	LS	S9S 000.00	S95.000.00	S95.000.00	S0.00		S95.000.00	100'/o	S0.00	S4,750.00	9.9�.	S?.471..50	S.473.58	90.0J�.	S85,S28.SO	S4.276 43	
3.	GENERAL CONDITIONS	I	LS	$21 457.44	S21.457.4J	S:?1.457.44	S0.00		521,457.44	100%	S0.00	Sl.072.87	9.9�9	S2.IJ9.31	$106.97	90.03%	$19,318.13	S%5.91	
4.	PERFORMANCE BOND	I	LS	S80 494.SO	S80,494.50	S80.494.:,0			SS0.49--1.50	100•1.	S0.00	S4.024.73	9.9.,.,	SS.025.30	$401.27	90.oJ,•	$72,469.20	S.J.62).46	
5.	LAYOUT/ASBUILTS	I	LS	$48 391.25	S48.J91..25	S42.700.00	Sl,400.00		S-14.100.00	91%	$4.291.25	52.205.00	9.970/4	S4,396.77	S219.84	9().QJllfo	SJ9.70J.13	Sl.985 16	
6.	SWWWP	I	LS	$10	003.75	SI0.003.75	SI0.OOJ.75	S0.00		Sl0.003.75	100%	S0.00	SS00.19	9.97%	S997.37	SJ9.87	9003%	$9.006.JS	$450.)2	
7.	SILT FENCE	I	LS	S38 618.08	S38.618.08	SJ8,618.08			S38,618.08	100%	S0.00	Sl.930.90	9.9��	S)JIS0,22	S192..SI	9003'/o	$34.767.86	Sl.738.39	
8.	TREE PROTECTION	I	LS	$19	718.90	Sl9.7l8.'Xl	$19.718.90	S0.00		$19.718.90	100%	S0.00	S985.95	9.97"/,	Sl,965,97	S98.30	90 0J�'ii	s11.1s:,93	S887.65	
9.	CONSTRUCTION ENTRY	2	EA	512 461.65	$24,923.30	S:?4,923.JO	S0.00		524.923.30	100%	S0.00	Sl.246.17	9.97°/,	S2,4M.85	S12•U4	90 OJ�·•	$21.438-.45	SJ,121.92	
10.	CLEAR SITE/WYLD OAKS	I	LS	S52 000.00	S52.000.00	S52.000.00	S0.00		SS:?.000.00	100%	S0.00	S:?.600.00	9.9�•	S5.1&4..iQ	S259.2:?	90.0J�O	$46.81.5.60	S:?.340 71S	
11.	DEMO STRUCTURES •WYLD OAKS	I	LS	$34500.00	S34,500.00	534,500.00	S0.00		$34,500.00	100%	S000	Sl.7:!500	9.97%	SJ.439.6S	Sl71.98	90 03�,a	$31.060.35	SJ.553.02	
12.	DEMO PAVEMENT	3658	SY	SS.92	S21,655.36	518.800.00	S0.00		Sl8,800.00	87%	S:?.855.36	5940.00	9.9,./,,	Sl,874,36	S93.7:!	90.03'/4	Sl6,92S.64	S84" 28-	
13.	DEMO CONCRETE	960	SY	$9.56	$9.177.60	S9.177.60	S0.00		S9,l 77.60	100%	S0.00	S45S.88	9.97%	$915.01	S4.5.75	90.o3,,	511,:?6:?.59	$413.13	
14.	MASS GRADE	1273657	CV	$2.42	53.082.249.94	S.2..96J.308.00	SJS,000.00		S:?.999.308.00	9��	582,941.94	$149.965.40	9.97%	5299,031.01	514.951.55	90.0J,,.	52,700.276.99	SI 35.Ul 3.85	
15.	DEMO GOLDEN GEM PROPERTY	I	LS	sss 333.23	S.55.333.23	555.333..:?3	S0.00		S.55.333.23	100,.	S0.00	$2,766.66	9.97%	SS.516.72	S275.R4	90.0J'Jo	$49.816,51	$2,490.83	
16.	DOUBLE SILT FENCE FOR STOCK PILE AREA	3800	LF	$4.35	SI 6,530.00	S0.00			S0.00	0%	SJ(\.530.00	S0.00	9.9,-/o	S0.00	S0.00	90.0J��	S0.00	S0.00	
17.	HYDRO SEED STOCK PILE AREA	57000	SY	$1.00	S57.000.00	S0.00			S0.00	0%	557.000.00	S0.00	9_9-,.1,	S0.00	S0.00	90.03%	S0.00	S0.00	
18.	OVER EXCAVATE SOILSAREAS S' IN DEPTH	47682	CV	$5.52	S263.20-t6-I	$263..204.64	S0.00		S:?63.:!04.64	100%	S0.00	SJ3.160.23	9.97%	S26.2Jl.50	Sl.312.08	9003%	S236.96J.I 4	SI 1,848.16	
19.	GRADE SITE	1	LS	$42 707.00	S41.707.00	537.800.00	S0.00		S37.800.00	89"/.	S4,907.00	Sl.890.00	9.97"	S3,7611.66	Sl8�.4J	90.03%	$34,031.34	$1,701.57	
20	EROSION BLANKET	I	LS	$25 851.20	S25.851.20	S0.00			S0.00	O�'o	$25,851.20	S0.00	9.9��	S0.00	S0.00	90.03\S	S0.00	S0.00	
21.	WELL A80NOONMENT • wYLO/GOlDEN GEM	4	EA	$9 700.00	S38.800.00	$34,500.00	SO.OD		SJ4.SOO.UO	89'/4	S4.JOO.00	Sl,725.00	9.97%	S:l,439.65	Sl7l.98	Y0.03�0	S3l.060.J5	SI .553.0:!	
22.	CLEAR SITE/GOLDEN GEM	I	LS	$51 000.00	551,000.00	S49.500.00	51.500.00		SSl,000.00	100%	sooo	$2,550.00	9,9'74'/1	SS.084.70	S.254.:!4	90.03%	S-15.915.JO	S:':,::!95.77	
23.	SOD PONDS	67270	SY	$4.81	S323.568.10	S0.00			S0.00	0•1o	S323.568 70	S0.00	9.97'/o	S0.00	S000	90.0J�o	50.00	S0.00	
24.	POND LINER 30 Mill	20645	SF	$3.57	S73.702 65	S0.00			S0.00	0%	S73.701.65	S0.00	9.97�o	S000	S0.00	90.0J'h	S0.00	S0.00	
25.	HYDRO SEED BOTTOM OF PONDS	72900	SY	$1.00	S7:!.'XI0.00	S0.00			S0.00	0%	sn.900.oo	S0.00	9.97%	S0.00	S0.00	900.3%	S0.00	sooo	
26.	DEWATER ING	I	LS	$30	000.00	SJ0,000.00	530,000.00	S0.00		SJU.000.00	100%	S0.00	51.500.00	9.97%	S2.991.00	Sl49.55	90.0.3'/o	527,009.00	Sl.350.45	
27.	SEED/MULCH	I	LS	�354 813.60	S35-l,813.(.0	S0.00	574.000.00		574,000.00	21o/,	S.280.81.1.60	SJ.700.00	9.97%	S7J77 KO	SJ68.k9	900Jo/.	566,622.20	SJ.331.t I	
28.	60" HDPE	1414	LF	$274.81	$388,581.34	S388.581.34	S0.00	S0.00	S388.581.34	100%	S0.00	519,429.07	100%	S3S8.51ll.J4	Sl9,429.07	0.00%	S0.00	sooo	

NADQCVM.fNTGm CONTINUA.TIONSHEETF�0702 111'112EOITION AJA. OIQQ2
THEN,lfR1,c.A.NtNSTITVlfOFA.RCHllEC1S.113!ol'EW VORKA.�NUE.NW WASHINGTON OC 20006-S23:2	G703·19112

CONTINUATION SHEET	A/A DOCUMENT G703	P110•lllf3P.. H

ALA Documt,-i\ G70�. /1.l'PIJC ATION /\NU ("EKT11:1c ATION FOK l'A YMENT. ron1ai11ing	APPLICATION NO:	10
Contr,u:-lof's s1J!110'.I ci.rtilicatiQn 1s auachat	APPLICATION DATE:	10/1612024
PERIOD TO:	\0/1612024

ll

("

D

E

F

G

I

K	I

I

	WORK COMl'I..E'Ifl)	 MAlt=KL\IS

I

rn;M NO.

DJ-:"-CRJrTION 01: WORK

Quan11y

CONTROL STRUCTURE
MANHOLE
BUBBLE UP
BOX CULVERT
TV LINES

8
3
617

SCIIEDULlil>
VALlJh
Uni	Price
LS	$7 331.82
EA	$8 144.54
EA	$6 067.44
LF	$1317.89
LS	$34 017.00

rotnl
S7.331.82 565.156.32 Sl8.202.J'.! S813.IJ8.13
S34.017.00

FKOM l'IU�VIOl1S Al'l'LK"All()N
(D • Fl

llllS l'ERIOD

57,)31.8'.! S65.156.32
Sl8,202.J2 S!IIJ,1311.13
S0.00

S0.00 S0.00 S0.00 S0.00

l'RFSENTI.Y STORED (NOTIN DOREI
S0.00
S0.00

IOIAI.
COMPl,l:ffiD ANDSTOR£D TO DA11i
ll)iE•�) 57.331.8'.! S65.156.32 SJ8.202.l!
$813.138.13
S0.00

	CJJOE111ubllit	Kl'VBUl:li 1bilitv	

(G+C)

HAL,\NCF
TOl1NISII
«:-GI

RITTAINAGF
CakUUl1cd11S%

% Eli@ibk For
P1)'Tlll::!1llyCDO

·1�1Con1)k1ca Anl
StorcdT01>11c  To1alC'DIJRc\aiMJ1.C

100%
100%
100%

S0.00

100%

o,,

S0.00 S0.00 S0.00 S0.00
$34.01700

S366.59 S3.257.1[!
$910.12
$40,656.91
S0.00

JOO�•
100�•
100�•
100••
JOO�•

Eli3iblcFor f11yn1Cf1
DYCDD
S7,JJl.82 S65.156.32 S\8,202.32 S813,13K.13
Sl).00

@IS¾

o/.FJqlihle r'<» l'lymmBy Kf'VDO
o.ocw.
0.00•1, OJJO¾
0JJ0o/o
o.oo•:,,

l'otalCcin1>Jcf«IAn:I Ston:dTo Dale E�ible For P.tym1.,1 ByKPVDD
S0.00 50.00 SO.OD S0.00
so.oo

'lutal Kl'VBD
RcUiin:igc@\S¾

SJ66.59
$3,257.82
$910.12 540,656.91
S0.00

S0.00
sooo
S0.00
sooo
sn.oo

Chanae Orders
1. C0#1 Builder Risk Insurance
C0#2 Revelslan 8 & 9
1. Added Pond Liner to Sheets C-309 and C-310

LS

$  69,787.00

S.69,787.00

569,787.00

S0.00

S69.787.00  100'¼

SD.00

SJ.489.35

9.97'.

S6,957.76

S347.119

90.03°/1

$62,829.24

SJ,141.46

38760
14634

58947
1

SF
CY LS
CY
LS

$3.S7

Sl38J7J.20

50.00

0�1,

S138,373.:!0

SO.OD

9.9�.

SJS,414.28 S4.100.00 Sl42.6Sl.74 56.800.00

SJS.414.'.!8
S-1.100.00

S0.00 S0.00 S89.000.00
$2.'.!.00.00

535.414.28
S-U00.00
$89.000.00
S:?.200.00

100%
100¾
62%
32%

S0.00 S0.00 S53,651.74 S<.600.00

S1.770.71 S205.00 S4.450.00
$110.00

9.9r/e
9.9�'o
9.9-r..
9.97'•

sooo
SJ.530.80 S408.77 SS.873.30
S'.!.19.3-1

S0.00

9003%

S0.00

S0.00

306)
Madison New Lavout and As-Built
Mass Gradiniz North/West Sheet C-301 Adiustments
New Lavout and As-Builts for C-301

2. Madison Mass Grading Adjusted - Sheets (C-304, 305,

$2.42
,;4 100.00
$2.42
$6 800.00

$176.54
S20.44 S44J 67 SI0.97

90.03�.
9003,.
90.0J�o
90.03"•

SJl.8113.48 SJ.691.23 SSO.l'.!.6.70 Sl.980.66

Sl.59-1.17 Sl84.56
$4,006.)4
S99.03

SUOlOTAL

GRAND TOTALS

S6.917.154.29
S6,917.154.29

S5.533.750.65
$5.533.750.65

S:!03.100.00
S::!03.100.00

S0.00
S0.00

S5,736.!t50.65
SS.736.850.65

83%

S1.180.303.64
S1.180.3()3.64

S286.842.53

SI, 735,520.67
S1.735,520.67

SR6.776.03
$86,776.0)

$4,001.329.98
S.:&.OOI.J:?998

S,00,066.lO
5200.066.lO

Use Column I oo Ccwor.icts where ,·,1riablc rctam.a�c for line 11cms ni.a aool •.	ARCHITECTS PROJECT NO

Users may obtain validation of this document by requesting of the hcensa a completed AlA Document 0401 - Certification of Document's Authenticity

NAOOCUMEP'1'0703 CONTINUATIONSl;EE1FOAG10,' IW?EIJITIQN �A 1)11191
lHE AME.AICAN\N$TITUtt 0, AAC�TECTS 17:J�NEW l'OAK AVEMJE NW WASHINGTON.DC 2'tl00&-$tll	G703·1992

WAIYER AND RELEASE OF LIEN UPON PROGRESS PAYMENT

The undersigned lienor, in consideration of the sum of$ 192,945.00	, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished through 10/16/2024 to Double B Development and Kelly Park VB Development, LLC on the job of Wyld Oaks Mass Grading Improvements to the following property:
S of Kelly Park Rd & Effie Dr.
3620 W Kelly Park Rd.
Apopka, FL 32712, Orange County (description of property)

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.

DATED on October 30, 2024.

Lienor RCS Construction Company, Inc. Address 295 E SR 50, Suite 1,
	Clermont FL 34711	

By:�'9b'=----f--Y=�-----=�:..  :	_

Print Its: V

State of Florida
County of�L=a=k=e	
The foregoing instrument was acknowledged before me this 30th	day of  October
20 24_, by, as of said company, who has presented as identification or is personally known to me.

Signr1tur	.otary Public

'--

°

:::!

VICTORIA E. LAUTERIA
Notary Public State of Florida Comm# HH276625
Expires 6/19/2026

(Seal)	i	/ _.,.	.
'	t/(;!Vlf_

		Victoria E Lauteria	 Print, Type or Stamp Commission

PROGRESS PAYMENT AFFIDAVIT

STATE OF FLORIDA COUNTY OF LAKE

BEFORE ME, the undersigned authority, duly qualified and authorized in the State and County aforesaid to administer oaths and take acknowledgements, this day, personally appeared	Jody Bass	, who being by me first duly sworn, deposes and says:

The facts and matters contained and recited in the Affidavit are based upon personal knowledge of the Affiant.
Affiant is the Owner of	RCS Construction Company, Inc.	. a North Dakota Corporation company (hereinafter the "Contractor")
Contractor and	Kelly Park VB Development, LLC	(hereinafter the "Owner") have executed, delivered and entered into that certain CONTRACT AND AGREEMENT dated	December 4, 2023	(hereinafter the "contract").
Affiant now requests partial payment under the Contract. In Consideration of Owner providing such partial payment, Contractor hereby provides this Affidavit upon which Owner intends to rely.
Contractor is not aware of any Claims that would require an adjustment of the Contract Time or the Contract Price except for any Change Order Requests or Change Order Proposals previously submitted in writing to Owner prior to execution of this Affidavit.
Contractor releases any Claims for an adjustment to the Contract Time or the Contract Price except for those previously made in writing and delivered to Owner prior to execution of this Affidavit.
Affiant states that all bills for labor, services or materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien upon Progress Payment forms for every such potential lienors are provided herewith through 10/16/2024
Affiant states that, except as provided herein, all bills for labor, services or materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien Upon Progress Payment forms for every such potential lienor are provided herewith, except as provided below:

Name of Lienor	Amount due for labor1 services or	
Or Potential Lienor	materials furnished1 delivered1	
	Installed or performed	

1.  Acme Barricades	
$456.89	
2. City Electric Supply Co.	$1,564.52	
3. Florida Design Consultants	$3,875.00	
4. Fortiline Inc	$0.00	
5. Koncept Carma, Inc.	$715.00	
6. Krane Development, Inc. dba ADS Services, Inc.	$0.00	
7.  Mid Florida Materials Co.	$0.00	
8.  Newsome land Clearing, LLC	$17,000.00	
9.  Oldcastle Infrastructure	$9,303.62	
10. Quality Petroleum Corporation	$18,701.32	
11. Sunbelt Rentals, Inc.	$0.00	

FURTHER AFFIANT SAYETH NOT.

  RCS Construction Company, Inc.	
��-	 fu...,... .,,	,Affiant
Sworn to and subscribed before me this	30th	day of October	2024, by Jody Bass	, who (check one): [ X] is personally known to me, [ )

produced a driver's license (issued by a state of the United States within the last five (5) years) as identification, or [ ] produced other identifioafioJ , to wit:--�--+-1'------+----
Affiant did take anoath.	t-bf,.t-.l.(,L...l..��fi�;.£.......:�f-+-fl-'l-�_..!...:::..L..<:!4---    	_

:-� .�'( ·�·�\·	0 \ •· �

-.,,GTORlA E. LAtn�	Print Name:	Victoria	a teria 	 _
,-:l;::.�i: ,·,rt>. Notary. u,w_	Notary Public, State of Florida
!£'·.•<,·	·:·,...� S�a·.,�off'lorida	Commission No.:	HH276625
��c�';:' ����•::•�: ��;;;;:	My Commission Expires:	06/19/2026

JOINDER AND INDEMNIFY AGREEMENT

Contractor, joins in the execution of this Affidavit for the purpose of adopting all representations of fact contained therein. Contractor understands that this Affidavit will be relied upon by Owner for all purposes relating to the Contract. Contractor agrees to indemnify, hold harmless and defend the Owner from, against and with respect to any and all loss, cost, damage and expense, including reasonable attorneys' fees, arising out of any claims by laborers, subcontractors or materialmen who might claim that they have not been paid for labor, services or material.

A Florida Corporation Company

��:me: Jody Br��-�	 Title:	Vice P:s;ent

(CORPORATE SEAL)[where applicable]

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 21

Name of Payee:	Kutak Rock LLP

Amount Payable:	$63.00

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Auth-fu ��

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

K U T A K  R O C K  L L P
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

October 31, 2024

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

ACH/Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3470314 Client Matter No. 47123-4
Notification Email: eftgroup@kutakrock.com

Mr. George Flint Golden Gem CDD
c/o Governmental Management Services 219 East Livingston Street
Orlando, FL 32801	Invoice No. 3470314
47123-4

Re:	Series 2024 Construction
For Professional Legal Services Rendered

09/12/24	A. Willson	0.20	63.00	Review change order items; confer
with Roberson regarding same
TOTAL HOURS	0.20
TOTAL FOR SERVICES RENDERED	$63.00
TOTAL CURRENT AMOUNT DUE	$63.00

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 22

Name of Payee:	RCS Construction Co. Inc.

Amount Payable:	$613,995.81

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Auth-fu ��

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

TO OWNER:
Golden Gem Community Development District

APPLICATION AND CERTIFICATION FOR PAYMENT	AJA DOCUMENT G702	PAGE ONE OF	PAGES	4

FROM CONTRACTOR:
RCS CONSTUCTION CO. INC. 295 E. HWY 50 SUITE I
CLERMONT, FL 34711
CONTRACT FOR:

PROJECT: Infrastructure - Wyld Oaks	APPLICATION NO:

PERIOD TO:

VIA ARCHITECT:

5

I 0/16/24

Distribution to:
OWNER ARCHITECT
CONTRACTOR

§

PROJECT NOS: CONTRACT DATE:

CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached.

ORIGINAL CO  I RACT SI 'M

14.205)06.4()

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.

2		et chang.e b} Chang Order, CONIR\CTSUM rODl\lL(Lmel  2) l 01 f\l CO 1Pl I T[D & 1 ORI.D I 0
DATE	(Column G on G703)
5. RETAINAGE:
	5 % of Completed Work (Column D +Eon G703)
	5 % of tored Material (Column Fon G703)
Total Retainage (Lines 5a + 5b or
Total 111 ( olumn 1,,1 <,703)
o. TO I Al LARNI D l I SS RrT •\INA(il
(Line 4 Less Line 5 Total)

		540,020.5,  14.745,22".0"
5,J'l7,l35.43

	$269,R5o.77 

$IJ.llt)

	269.856.77 
� 	5.127.278 00 

CONTRACTOR:	RCS CONSTRUCTION CO., INC.

::,&!:A��

Dale:	10/-16/-20-24
County of: LAKE
16th day of September, 2024
/v/z1/z<1

ENGINEER'S CERTIFICATE FOR PAYMENT

...

In accordance with the Contract Documents, based on on-site observations and the data comprising the application, the Engineer certifies 10 the Owner that to the best of the

ROIM
Ile lorldl H192721
1/1111.5

7. LESS PREVIOUS ERTlFICATES FOR		
PAYMENT (Line 6 from prior Certificate)
. (URRI NT l'AYML T DUI
9 llAI.ANCl 10 r1 ISll, INCi UOIN , RET I A(,1
(Line 3 less Line 6)

Total Completed and Stored To Date Allocated To Cadence Total Retainage At 5%
Total Allocated To Cadence, Less Retainage
Less Previous Balances Due By Cadence

$ 	4,387,524.67 
73(),753 ()()
	9,617,94 .41 

	$880,933.07
	$44,046.65 
	$836,886.42 
	$711,128.24 

Engineer'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 is entitled to payment of the AMOUNT CERTl�lED.
AMOUNT CERTIFIED ........... $	739,753.99

(Attach expla11aIio11if amoum cerlijied differsfrom 1he amoum applied. Initial al/figures 0111his Application and onthe Co111i11uatio11 Sheel thal are changed lo conform with the amou111 cert//ied.)
ENGINEER:	J/J. fVI�	Kevin Roberson, Kimley-Horn and Assoc.

CurrenI Payment Due By Cadence

$125,758.18

By: 	

_;_(V/"	 Date:	1Q-25-24

Total Completed and Stored To Date Allocated To CDD Total Retainage At 5%
Total Allocated To CDD, Less Retainage Less Previous Balances Due By CDD Current Payment Due By CDD

	$4,516,202.36
	$225,8 I0.12
	$4,290,392.24 
	$3,676,396.43 
$613,995.81

This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only 10 the Contractor named herein. Issuance, payment and acceptance of payment arc without prejudice to any rights of the Owner or Contractor under this Contract.

CHANGE ORDER SUMMARY
Total changes approved in previous months by Owner Total a roved this Month

ADDITIONS
$215,446.20
$324,574.38 540,020�8
540.020 5

DEDUCTIONS

000

AIA DOCUMENT G702 APPLICATION ANO CERTIFK:ATION FOR PAYMENT· 1992 EDITION AIA • (i;)1992	THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE, N.W, WASHINGTON, DC 20006-5292
Users may obtain validation of this document by requesting a completed AJA Document 0401 • Certification of Document's Authenticity from the Licensee.
••• Contractor aP,rees that O11'11er ll't!I pai•11·ith ..-hat /1111di11g 1s a,·ailable which mai•1101equal the Current Parment Due. A111 unpaid balance will re111a111011 accou/11for O,mer 10 pm·11·11!, I111I,re funds
otc: Item in RED FO T arc automatically calculated from the G703 form or from items within this G702 Form. Do OT hand enter these items on this sheet.

DEVELOPER'S REPRESENTATIVE CERTIFICATE FOR PAYMENT

Wyld Oaks- Infrastructure Applicatiou #5 Period Through 10/16/24 (seut 10/21/24)

In accordance with the Contract Documents, based on on-site observations aud the data comprising
thisapplication, the Developer's Representative certifies to the Owner that to the best of the Developer's Representative'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 is entitled to payment of the
AMOUNT CERTIFIED.

AMOUNT CERTIFIED	$739,753 99
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to confonn with the amount certified.)

DEVELOPER'S REPRESENTATIVE:

By:			Date:	10/30/24

Name: Title:·

Timothy R. Dennard	

President

This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor w1der this Contract.

CONTINUATION SHEET

AIA DOCUMcNTG703

AIA Documcnl G702. APPLICATION AND CERTIFICATION FOR PAYMENT, oont,1in111g
Contractor'ssignod cl'l11ficat10111s a11achOO.

Use Column I on Contracts whu-c variahlc r«.Ulllaf.!.C for line ilt.'lllS mav annlv.

A		C	I)	E		G	II	I	J	K	L	M	N	()	I'	
ffEM
NO.	
UESCKll'l!ON OF WORK	SCIIEDl/1.ELJ
VALUE	WORKCOMPL.ETEU	MATERlAI.S PRESEN'll,Y STORFD (NOT IN
DOR!l}	"IO"IAI. COMPU:1cl) AN))STORED
TOOATI:
(l)+E+F)	%

(G + C)	
UAu\NCE TO J/INISII (C-Gl	
RlilAINAGE
(IFVARl/\JlU
RATE)	Considcrw
"Sh.arcd
lmpr()\\.'1111.."llt�	
Pt.,u.i11 Eligible For l'3)mcnt O>·Ca,d(:no:	
Total ComplcrcJAnd Slon:d To D.:ih:- J:ligihlc For !'J)TnCfil
n, Cadc!lcc	

Tota1Cadt.'11C'C Rct3ina1,c@ 5•,;,	Percent Eligibk ForPaymem ByCDI>	
TOlal Cc,mpk:1.cd And S1orcd lo 1.>a1c Eligible For Pa)'lllCrll
UvCIJIJ	

T011l(l)I)
lk1amagc (ti S"•	
			FROM PREVIOUS Al'PLICA'IK)N (l)+E)	
'1111$PERIOD													
		Quarnity	U11i1	Price	'1'01111															
1.	1-..cncra1 l..Onml ons.,	1.a1on. �urvt '
MOBILIZATION	1	
LS	SB 750.00	$13,750.00	SIJ 750.00	S0.00		SIJ 750.00	
IU0"/4	S0.00	$687.50	
Yes	
17.(Mr/4	52 337.50	SI 16.88	
83.W,'e	
SI I 412.50	
S570.63	
2.	GENERAL CONDITIONS	I	LS	S221 250.00	5221,250.00	5105,000.00	SIS 000.00		5120 000.00	54o/.	S101,250.00	$6,000.00	Yes	17.00-/4	S20.4'tJ.00	SI 020.00	si.om,	S99 600.00	5< 980.00	
3.	PERFORMANCE BOND	1	LS	5103 750.00	510] 750.00	S103 750.00			SIOJ 750.11(1	100-/o	S0.00	ss 187.50	Yes	17.00'/o	S17,637.50	5881.88	83.00-/4	S86 112.50	S4,305.63	
4.	LAYOUTIASBUILTS	1	LS	596 518.75	596.518.75	S43,420.00	S2 500.00		545 920.00	48%	550,598.75	S2,296.00	Yes	17.<lm'e	$7806.40	S390.32	83.00'/,	S38 113.60	S1.905.68	
5.	SWWWP	1	LS	$28 750.00	S28 750.00	510,200.00	SJ ouo.oo		Sil 200.00	46%	SIS 550.00	Sf,60.00	Ye,	17.00-/4	S2244.00	SI 12.20	83.00%	.110 956.00	S547.80	
6.	SILTFENCE	21818	LF	$1.81	SJ9,490.58	SJJ,100.00	S2,500.00		535,600.00	90%	SJ 890.58	S1,780.00	Yes	17.00%	S6 052.00	SJ02.60	8).(J(J%	529,548.00	Sl,477.40	
7.	TREE PROTECTION	2930	LF	$6.73	Sl9 718.90	Sl9 718.90	S0.00		$19,718.90	100'/o	S0.00	$985.95	Yes	17.00-/,	SJ,352.21	5167.61	8J.fl0'/4	Sl6 366.69	$818.JJ	
8.	CONSTRUCTION ENTRY	2	EA	512 647.28	S25 2.94.56	S8,800.00	SJ 500.00		512 300.00	49'"/4	512 994.56	$615.00	Yu;	17.0ffl�	S2 091.00	SI04.55	!!J.l,0-/4	Sl0209.00	SSI0.45	
9.	MASS GRADING	31971	C{	$2.81	589 838.51	$75,250.00	SJ 500.00		$78,750.00	88%	SI 1,088.,t	SJ 937.50	Yo;	17.0tl°/4	S13387.50	S669.J8	8).00%	S65 362.50	SJ 268.13	
10.	RDADWAV GRADING	I	LS	597 182.84	S97 182.84	S47 700.00	SJ 500.00		SSl,200.00	53%	545 982.84	Sl,560.BO	Yes	17.00%	$8 704.00	5435.20	83.00%	S42 496.00	S2 124.80	
11.	SOD BEHIND CURB	10613	S'<	$3.69	SJ? 161.97	SO.BO			S0.00	0%	SJ'J 161.97	SO.BO	Yes	17.00-/4	50.00	50.00	83.00%	so.oo	S0.00	
12.	ID" FORCE MAIN	5244	LF	�70.72	$370,855.68	5175,700.00	S43 6\�J.00	su.oo	S219 300.00	5'J9/4	5151,555.68	510%5.00	Yes	17.00%	$37 281.00	SI 864.0S	83J,)0%	S182,019.00	S9 10<1.95	
13.	10" PLUG VALVE	14	EA	$5 619.7S	S78 676.50	S58 750.00	S0.00	50.00	558 750.00	75%	519,926.50	52 937.50	Yes	17J.)()4'/4	S9 9117.50	S499.l8	83.00%	548,762.50	Sl,438.IJ	
14.	12"XIO" WIT TAP	2	EA	$16 066.18	S32 132.36	511 300.00		50.00	SI 1,300.00	35%	520 832.36	S565.00	Yes	17.00%	SI 921.00	S96.05	83.ocw.	59 379.00	5468.95	
15.	6" FORCE MAIN	648	LF	$50.13	Sl2 484.24	Sil 800.00	S4.HIO.OO	S0.00	Sl6.900.00	s2,�	SIS 584.24	S845.00	Yes	17.00-/4	S2 873.U<l	S14l.65	83.00%	$14 027.00	5701.JS	
16.	6" PLUG VALVE	12	EA	S3 905.17	S46 862.04	$14,154.00	SS.800.00	50.00	522 954.00	4�·	S23 908.04	Sl.147.70	Yes	17.fl0'/4	SJ902.18	Sl95.l 1	83.00'/4	519051.82	5952.59	
17.	4" FORCE MAIN	20	LF	$36.17	572).40	S0.00			Sll.00	0'/4	5723.40	S0.00	Yc,s	l?.00'/4	S0.00	50.00	83.00'/4	50.00	so.on	
18.	4" PLUG VALVE	I	EA	$2 366.34	52 366.34	S690.00		S0.00	S69\1.00	2.9''-	SI 676.34	$)4.50	Yes	17.0(tt'/4	5117.30	SS.87	83J)()%	5572.70	S28.64	
19	FORCE MAIN FITTINGS	l	LS	$78 184.45	578 184.45	566 952.00		S0.00	S66 952.00	86%	SI I 232.45	53 347.60	y"'	17.tXW,	SI I 381.84	S569.09	8).00'/,	S55 570.16	S2 778.51	
20.	TESTING	I	LS	s12 21s.25	S12,278.25	S2 IOCH)()	50.00		52 100.00	11•;.	510 178.25	SI05.00	Yes	17.00'/4	5357.00	517.85	83.00%	SI 743.00	587.15	
21.	18" HDPE	931	LF	$50.28	$46,810.68	532 856.U<)	SO.O<J	.10.00	S32,856.00	70-/4	Sil 954.68	SI 642.80	Yes	17.00-/4	55 585.52	S279.28	83.00-/4	S27 270.48	SI 363.52	
22.	24" HOPE	1279	LF	573.70	S94 262.JO	S71,298.00	S0.00	50.00	S71 298.00	76'/.	522,964.30	SJ 564.90	Yes	17.00%	Sl2 120.66	5606.0J	IJ).00-/4	559 177.34	S2,958.87	
23.	42" HOPE	106	LF	$246.26	S26 103.56	519 185.00		S0.00	Sl9 185.00	73%	56 918.56	5959.25	Yes	17.(10%	SJ 261.45	Sl63.07	83.00%	S15 923.55	57%.18	
24.	48" HOPE	691	LF	$320.16	5221 230.56	592 900.00	S43 000.00	S0.00	$135,900.00	61%	585 JJ0.56	56,795.00	Yes	17.00%	S23,103.0U	SI 155.15	83.(IO"/,	SI 12 797.00	S5 639.85	
25.	54"/60" HOPE	1462	LF	$360.14	$526 524.68	SJ58 000.!IO	$79 O<JQ.00	SO.II()	$437 000.00	83%	589,524.68	521 850.00	Yo,	17.00'/o	S74,290.00	!3 714.50	83.00'/o	SJ<i2 710.00	SIS DS.50	
26.	60" HOPE	64	LF	$480.83	SJ0,773.12	SJO 773.12	S0.00	SO.BO	SJO 773.12	100%	S0.00	S1,538.(,6	Yes	17.00'/4	$\231.43	S261.57	83.00°/,	S25 541.69	51,277.08	
27.	36" HDPE	1394	LF	$114.98	S160,282.12	S111 800.00	57.200.00	S0.00	S119,000.IJQ	74%	S4 I 282.12	55,950.00	Yes	17.(IO'/o	520 230.110	!I 011.50	83.00%	S98,770.0<)	S4 9�8.50	

"

APPLICATION NO:
APPLICATION DATE:
PERIOD TO: ARCHITECTS PROJECT NO-
"

5
10/16/2024
10/16/2024

Al.f, OOCVMENT G703 C0NT1MJA.TION SHEET FO� G702 100? EDITION Al.r. C\002
ltn;AMERICANINSRtuTEOFAACHITECTS 1735,-iEWVORKA\IEm!E NW WASHINGTON OC 20000-5232	0703-1002

CONTINUATION SHEET	AJA DOCUMENT G70J
AIA Documa1I G702. APPLICATION AND CERTIFICATION FOR PAYMENT, oonI;11ning
Contrac1or's signul u::11ifk.1t1on i� i'\lt;'IChll.l.

APPLICATION NO: APPLICATION DATE:
PERIOD TO:

5
10/16/2024
10/16/2024

A	ll	C	I)	I	E	F	G		I	J	K	I.	M	N	0	p	

ffEM
NO	

l>l:SCRIP noN OF WORK	SC'llEDULEIJ
VALUF	WURKCOMl'Lb�ll:])	MA"fflUAl.S
PRIZSENTLY STORED (NOr IN
DORE)	TOfi\L COMPI.ETF.D AND STORED
TOnArn
tD-!-E+F>	%
(\I •C)	BALANCE TOFrNISII (C-GJ	
RIITAINAGE
cn:vARlABU RATE)	Considered
·shared
lmpnwemct1f	P<:rl.X:tll Eli{?:iblc l'or Payment llyC'adcnc:c	Tolal Complelcd And SIN'l.'d1'o D.l1e i!ligiblcFor 1>.t)ffletll
RvCa<k."OCC	
Tola] Cadt.'110.!
Rctauugc@5'�	Pi.TI:cnt l;lig1blc
F,;,r Pa)fflcnt
lly('IJI)	Total C(lf)'Jpletcd And
$t('nXI To Dale
1.:Ji1?iblc For Pa)mt.,it O·CDD	
l\'l\alCIJO
Rctainagi.:@s•"	
			FROM l'REVK)U') APPLICATION (D+l':I	
111IS l'bRl()O													
		Quamily	Unit	Price	TOlal															
28.	72" RCP	1381	LF	5747.54	SI 032 352.74	5895,400.00	S57 000.00	S0.00	S952,4(!0.00	92%	579 952.74	547 620.110	Yes	17.00%	5161 908.00	58 095.40	83.00o/,	S790 492.00	SJ9 524.60	
29.	TYPE "P" MANHOLE	4	EA	$15 330.53	S61.322.12	S27 600.00	S4 900,00	S0.00	5)2 500.00	53%	528,822.12	SI 625.00	Yes	17.00%	S5,525.IIO	S276.25	KJ.00%	S26 975.00	!1,)48.75	
31.	TYPE P-5 WITH "J" BOTTOMS	II	EA	$12 400.26	Sl36,402.86	S 104,700.00	S0.00	S0.00	5104,700.00	77%	SJI 7112.86	55 235.00	Ycs	17.00%	517 799.00	5889.95	8).00%	586,901.00	54.345.05	
32.	TYPE P-5 INLETS	25	EA	$6 492.88	SI62 322.00	S74 200.00	516 000.00	$11.00	S90 200.00	56o/,	$72,122.00	$4,510.00	Y<,1	17.QOG'/,	$15 334.00	S766.70	8J.00o/,	S74 866.00	SJ,743.30	
33.	TYPE P-6 WITH "J" BOTTOMS	8	EA	$14 844.13	SIIR 753.04	S52 60\1.00	SIi 200.00	S0.00	563,800.00	54%	554,953.04	SJ 190.00	Yes	17.00°/,	SIO,K46.00	Sl42J0	83.f:,OOA	552,954.00	52,647.70	
34.	TYPE P-6 INLETS	4	EA	$7 220.65	528,882.60	SIJ,620.00	S0.00	S0.00	51).620.00	47%	S 15,2<,2.60	5681.00	Ye.	17.00"/,	S2 ll5.40	Sll5.77	83.00'/4	SIi 304.60	5565.2)	
35.	TYPE "J" BOTTOM WITH TYPE "A" MANHOLE	1	EA	$33 164.59	533 164.59	519 000.00		S0.00	519,000.00	51%	514,164.59	S950.tXI	Yes	17.<m�	SJ 230.00	5161.50	83.0(1"/,	515 770.00	5788.50	
36.	BOX CULVERT 5'X10'	280	LF	$1 319.81	5369 546.80	S369 546.80	so.oo		5369.546.811	100%	S0.IIO	S18,477.34	Y.:s	17.00'/,	562 822.96	S) 141.15	83.00%	5306,723.84	Sl5,3l6.I9	
37.	TV LINES	1	LS	531 524.38	531524.38	S0.00			50.00	0"/4	SJI 524.38	S0.00	Yo,	17.00'/4	!0.00	511.00	tB.O(f}•	SO.()(>	S0.00	
38.	8" C-900	487	LF	550.94	$24.f<07.78	S9 300.0ll	SJ 700.00	S0.00	Sil 000.00	52%	511,807.78	S650.00	Yo,	17.00'A	52 210.00	SII0.50	83.oo,•	SIO 790.00	5539.50	
39.	16" DIP	2,581	LF	5131.18	5338,575.58	S24I,576.00	SIi 800.00	S0.00	52S3 l76.00	75%	S85 199.58	512 668.80	y.,.	17.00%	S43,073.92	52 153.70	83.00'/4	S2I11302.08	$10,515.10	
40.	12" C-900	2,752	LF	$87.96	$242 065.92	516) 960.00	Sil 300.00	50.00	SI 712611.00	73%	S64 805.92	S8 863.00	Ye;	17.00°/,	S30 134.20	SI 506.71	83.IXW,	Sl47,125.80	S7 356.29	
41.	6" C-900	816	LF	537.07	$30249.12	$6 380.0ll		so.oo	S6 380.00	21%	$23 869.12	SJl9.0ll	Ycs	17.00°/,	Sl.084.60	554.23	83.0CW,	$5 295.411	!264.77	
42.	12" GATE VALVE	13	EA	$4 796.85	S62 359.05	S62 700.0o	15340.95	50.00	$62 359.0S	100-/4	S0.00	SJ,117.95	Yes	17.()00/,	SI060l.04	S5J0.05	83.00%	551,758.01	S2,S87.90	
43,	6" GATE VALVE	13	EA		I 903.55	S24,746.15	50.00	SI0,300.00		SIO 300.00	42%	Sl4 446.15	S515.<l()	Yes	17.00'/,	SI 751.00	S87.5.:'i	83.00'/4	58 549.00	5427.45	
44.	16" GATE VALVE	18	EA		8 950.47	5161 108.46	5<,8.550.oo	SIi 000.00	so.oo	$79 550.()(1	49'/4	581 558.46	SJ 977.S0	Ycs	17.00"/4	SIl.523.50	5676.18	83.00'/4	566 026.50	SJ)OI.J:l	
45.	8" GATE VALVE	17	EA		2 648.89	$45 113 I.I)	59 600.00	S 12 400.00	S0.IIO	S22 0011.00	49'/4	523031.1)	SI 100.00	Yes	17.001/o	SJ 740.00	5187.00	!B.OW/•	SIS 260,00	$913.00	
46,	RELOCATE FHA	1	EA		3 474,50	SJ 474.50	S0.00			sn.oo	0"/4	SJ 474.50	S0.(J(I	Ye<	17.W!.	SO.()(!	so.no	IH.00%,	SO,()(>	so.on	
47.	FIRE HYDRANT ASSEMBLY	18	EA		6 239.51	5112311.18	SJ9 000.00	$13 900.00		552 900.00	47%	559411.18	S2 645.00	Ye;	17.00'/4	58 993.IIO	5449.65	83.00-/4	543 907.00	$2 195.35	
48,	ARV	I	EA	$7 426.58	$7426.58	50.()(l			S0.00	O"/,	57426.58	S0.00	Yccs	17.00'/4	50.00	SO.OIi	83.00%	S0.00	50.0()	
49.	!6"XJ2" WET TAP	1	EA	$15 160.96	515,160.96	$7 500.00		so.no	S7 500.UO	49'"/4	SJ,Mi0.96	5375.00	Yo;	17.00'/4	Sl,275.00	563.75	83.fl(r'/4	56 22S.OO	SJI 1.25	
50.	16"Xl6" WETTAP	1	EA	$33 555.01	!3),555.01	58,200.00		SU.00	S8,200.00	24%	SZ5.l55.III	S4I0.00	Yes	17.00'/4	SI 394.00	S69.70	83.00%	Sf, 806.00	S340.J0	
51.	14"DIRECTIONAL DRILL	80	LF	5173.41	Sil 872.80	57 200.00		SU.00	$7,200.00	52%	S6 672.80	5360.00	Yes	17.00'/4	SI 224.00	561.211	83.00%	S5 976.00	5298.811	
52.	JUMPER	2	EA	52 787.30	55 574.60	S0.00			S0.00	IJ"/,	55 574.60	S0.00	Yes	17.00'/4	50.00	50.00	83.00"/4	S0.00	S0.00	
53,	RESTORATION/MOT FOR OFFSITE WORK	I	LS	S33 392.21	533 392.21	S0.00			SO.I)()	0%	S33 392.21	S0.00	Yes	17.00-/4	S0.00	50.00	83.00'/4	S0.00	50.00	
54.	WATER FITTING	I	LS	$122 471,75	5122 471.75	590,700.00		!0.00	S90100.00	74%	SJJ,771.75	S4,535.00	Yes	17.00"/,	Sl5,419.(J(I	5770.95	83.00%	575,281.00	S),764.115	
55.	TESTING	I	LS	$11 475.00	SI 1,475.00	S0.00			S0.00	0%	SI I 475.00	so.oo	Y<S	17.00'/,	50,00	S0.00	83.00'/4	S0.00	so.on	
56.	8" REUSE	5,392	LF	$49.11	5264 801.12	5123 480.00	SJJ 600.00	S0.00	Sl57080.00	59"/o	5107,721.12	57 854.00	YL...,	17.00'/,	S26703.60	SI 335.18	83.00'/o	SIJOJ7<>.40	S6 518.82	
57.	8" GATE VALVE	17	EA	$2 738.50	546 554.S0	!I I 1100.00	Sl,700.00		518,700.IIO	40'/,	527.854.S0	5935.11()	Y<S	17.00'/.	SJ,I79.00	Sl58.95	83.00'/4	515 521.()(1	5776.05	
58.	4" REUSE C-900	590	LF	530.67	SIB {)<)S.30	S0.00	55 21!0.00		S5 200.00	29'/4	512 895.30	S260.00	Y<S	17.00'/4	S884.IIO	S44.20	83.00%	54.)16.00	5215.80	
59.	4" GATE VALVE	14	EA	S2 295.78	!32 140.92	S6 60(1.()(1	56.100.00		Sl2 700.IIO	40'!.	519 440,92	5635.00	Yes	17.00'/o	S2,I59.IIO	5107.95	83.00%	SI0541.00	5527.05	
60.	30"X8" WET TAP	2	EA	$12 237.97	$24.475.94	S0.00	$6 400.00		S6 400.00	26':-♦	SIS 075.94	5320.00	Yc,	17.00"!-,.	SI 088.00	$54.40	83.CIO¾	55 3I2.IJCI	S265.60	
61.	JO" DIRECTIONAL DRILL	80	LF	5136.25	SIU 900.00	52,400.00		S0.00	S2400,IIO	22%	!8 500.IKl	5120.00	Yes	17.��	S408.00	S20.40	SJ.Im'.	SI 992.11()	S99.60	
62.	REUSE JUMPER	2	EA	$2 737.)4	S5 474.28	S4 600.UO		S0.00	$4,600.00	84o/,	S874.28	52311.00	Yes	17.0C../4	5782.00	539.10	83.00%	SJ 818.00	Sl90.90	
63.	REUSE FITTINGS	I	LS	S41 221.83	S4 I ,221 .83	S23 000.()(l		S0.00	S23 1100.00	56o/,	518 221.83	SI 150.00	Yo;	17.00'/4	SJ,9I0.00	Sl9S.50	83.00'/4	Sl9.090.(J(I	S9S4.50	
64.	REUSE TESTING	I	LS	$9 750.38	59,750.)8	S0.00			S0.00	0%	59 750.)8	SO.OU	Yes	17,l)(t'/o	S0.IIO	SO.Oil	83.00'/4	50.((1	S0.00	
65,	TYPE "D" CURB	1,487	LF	$21.25	531,598.75	50.00	55 (.00.00		ss 600.00	18%	525 998.75	S280.00	Y<>	17.00'/4	5952.IIO	$47.60	83.00'A	$4,648.00	5232.40	
66.	TYPE "F" CURB	17,785	LF	528.13	!50() 292.05	Sl78,750.!IO	S0.00		5178,751).11()	36%	5321 542.05	S8 937.50	Yes	17.00%	S30 387.50	Sl.5I9.38	83.00'/4	5148,362.50	57.418.13	
67.	10' CONCRETE SIDEWALK	3,647	LF	$61.44	5224 071.68	S0.00			S0.IKI	0"/4	$224,071.(,8	Sll.llO	Yo,	17.00'/4	S0.00	50.00	83.00"/o	S0.IIO	S0.lK>	
68.	10' HCR	11	EA	S2 7S0.00	S10,250.00	SO.Oil			S0.IIO	I)"/,	530,250.00	S0.00	YL""	17.00-/4	S0.IIO	so.on	R).00¾	50.00	S0.00	
69.	5' SIDEWALK	6,562	LF	$29.94	S1%,466.28	S0.<IO			S0.00	0"/4	5196 466.28	50.00	Yes	17.00-/4	S0.OCJ	S0.00	83.<X)¾	S0.00	S0.IIO	
70.	S' HCR	14	EA	$1 481.25	520,737.50	S0.00			$0.()(l	ll'/4	sin n1.so	so.no	Y<:,	17.00'/4	50.l)(J	S0.00	8).111)"/,	S0.00	$0.00	
71,	12" STABILIZATION	25,301	SY	$5.42	Sl37,l31.42	556,11)1).11()	512,700.00		S68 800.00	50'¼	568 JJl.42	SJ 440.00	Yu,	17.�/4	Sll,696.00	S584.80	83.00-/o	S57,I04.00	SH55.20	
72.	I" SP 12.S !ST LIFT	21,349	SY	$13.81	5294,829.69	SO.II()			S0.00	0%	!294 829.69	S0.00	Ye,;	17.00%	S0.00	S0.00	83.00'/4	S0.00	10.00	

Use Column I on Contracts whu-c van.tbk rct,111m •c for hue I11.,.ns mav annl .

ARCHITECT'S PROJECT NO
"

Al400CVMENT G70J CONflMJATION SHEET F� 0702 lt192EOIIION AJA 01082
tHE,•,MER!C-'NINSTilVTEOFAACHllEClS, !73SNEVIYO'U(A.VEN1JE NY/ WASHING10N DC 20006-!,232

G703·1'192

AJA Documcnl G702. APPLICATION AND CERTIFICATION FOR PAYMENT, conlmnmg
Con1rac1or's si(!:110:I cil1ilica11on 1sauaclml.

AJA DOCUMENTG703

APPLICATION NO: APPLICATION DATE:
PERIOD TO:

5
10/16/2024
10/1612024

Use Column I on Coniraccs where vanable n..1·1i11al.'c for hocit'-111s mav anolv.

ARCHITECTS PROJECT NO·
G

A	ll	C	I)	E	F		II	I	J	K	L	M	N	0	p	

ffEM
NO.	
l>FSCRD•noN OF WORK	SCIIEDULEO
VAWE	WOkK COMJ>Ui I l�D	MATERJ/\1.S PRESEN11..Y S10RED
(NOflN
DOR El	IOTAt COMl'U-:'n::D ANDSTORt:n
TOOAll:
11>+-E+FJ	�-
(G+C)	
HAI.ANCE 10 l•INISII (C·G)	
RETAINAGE (IF VARlABIJ RAU)	Considcn.'.d
�Shared
fmprM1.·mcnl"	
1'1.'TCCfll Eligible For l'ayment Dy ('aOC-no:	
1 otal CompklcJ And Ston.,;1ToD.11c 1:lii!:iNc F11t Payment
llvClldcncc	

Total Cad<ficc
kcta\11llJC(eJS�♦	
l'an.-nt Eli1?-iblc ForJ>t)TilCJJt ByCDD	
Tol3I C('lnpktcd And Ston.'ll To Dale Fligiblt:for Pa)nt<.ill
U COD	

To1aJ(:1>l)
R<.1ain.aic � S"j>	
			FROM PREVIOUS
Al-'PUCATK>N
(D+EI	TIIIS PERIOO													
		QtLinll\)·	Unil	Price	'l('llal															
73.	I" SP 9.S ASPHALT WITHIN 6 MONTHS Of CFC	21,349	SY	$17.63	S376.382.87	S0.00			S0.00	()"I,	SJ76.382.87	SIU)()	Yes	17.00%	S0.00	S0.00	83.00%	SU.OIJ	so.no	
74.	I" SP 9.5 ASPHALT	21,349	SY	513.71	S292 694.79	so.no			S0.00	0"1,	S292,694.79	S0.00	Yes	17.(,0-/4	S0.00	so.on	8].00°/,	S0.00	S0.00	
75.	10" LIME ROCK	21,349	SY	$24.71	S527,533.7?	S0.00	S202,350.00		S202 350.00	)8o/,	S32l,l83.79	SI0,117.50	Ye,	17.00"/4	$34,399.50	Sl,719.98	8).()()9/,	Sl67 9511.50	S8,)97.53	
76.	STAMPED ASPHALT	1,680	SF	S13.7S	S23 IO<UIO	S0.00	S23 H)O.IIO		S2J 100.00	l�/4	S0.00	SI Ill.OU	Yes	17.00o/,	SJ 927.00	$196.35	83.0W/,	Sl9,17J.OO	S958.65	
78.	TEMP MARKING	I	LS	$18 402.50	518402.50	sooo			S0.00	0%	$18 402.50	S0.00	Ye<	17.ll0°/4	S0.00	S0.00	83.00o/,	so.on	SO.OU	
79.	PERMENATE MARKINGS	1	LS	S72 125.00	S72 125.00	S0.00			S0.00	0'/4	$72,125.00	SU.00	y.,	17.�/4	Sll.00	SO.O<l	83.00%	so.oo	S0.00	
																				
80.	DRY UTILITIES						ll!IS PERX'.>D													
81.	MOBILIZATION/GENERAL CONDITIONS	1	LS	$45 120.00	S45 120.00	S3 500.0fl	$4,600.00		58 100.00	18o/,	SJ7 020.00	$405.00	Yes	17.0(W,.	SI 377.00	S68.85	8).00'/,	S6 723.00	SJJ6.15	
82.	PERFORMANCE BOND	1	LS	$60 768.00	Sf,0 768.00	S60 768.00			S60.768.00	100%	S0.00	SJ 038.40	y.,.	17.00�•	SIO JJ0.56	S516.51	83.00"/4	sso 437,44	52,521.87	
83.	6" SCHEDULE 40 GREY	60,530	LF	$2S.17	S1.523.540. I0	S36.fl(l(l.(l0	521,000.00		Sl7,000.0<l	4%	Sl.466.540.I0	S2.850.00	Yes	17.00-/4	59,690.1)()	$484.50	83.00¾	S47 JIO.CIO	S2 365.50	
84.	CONCRETE DUCT BANK	S,490	LF	$14.97	S82,185.JO	S0.00	S0.00		S0.00	0%	S82,185.3U	S0.00	Yoi	17.�/4	S0.00	S0.00	83.tm'.	SO,IXI	S0.00	
83.	2" SCHEDULE 40 GREY	15,212	LF	S15.10	$229,701.20	SJ9.200.00	516,400.00		555 600.00	24%	Sl74.IOl.21l	S2 780.00	Yes	17.00%	S9 452.00	S472h0	R3.1)(1°/4	S46 148.00	S2 307.40	
85.	2" FITTINGS	I	LS	$26 884.00	S26 884.00	52 600.00	S3 900.1)(1		S6,500.0U	24%	S20,384.00	Sl25.00	Yes	17.00%,	SI !05.tl()	!55.25	83.00¾	Sl 395.00	S269.75	
86.	4" SCHEDULE 40 GREY	51,000	LF	$20.31	SI 035.8!0.00	S0.00			S0.00	0%	S1,035.810.00	S0.00	Yes	17.{)(�/4	S0.00	S0.00	83.00%	50.(IO	S0.00	
87.	4"& 6" FITTINGS	I	LS	$64 118.00	S64, 118.00	$4 (i(l0.00	S0.00		S4 600.00	1%	S59 ll8.00	sno.oo	Yes	11.i)0"/4	sn2.oo	SJ9.IO	83.00"/o	SJ818.00	!190.90	
88.	30' TALLLED SINGLE HEAD LIGHT	22	EA	$12 274.00	$270 028.00	S0.00			S0.00	0%	$270,028.00	S0.00	Yes	17.00-/,	SO.I)()	SO.!lO	83.00'/o	S0.00	S0.00	
89.	30' TALL POLE WITH TWIN HEADS	24	EA	$14 363.00	SJ44,712.00	S0.00			S(l.00	0'1,	5344 712.(M)	S0.00	Yes	17.0(W,	S0.00	S0.00	83.00%	S0.00	SO.<)()	
90.	ADD BLACKE DYETO CONCRETE POLES	46	EA	$909.00	S41 IH4.00	S0.00			S0.00	()"I,	S41 814.00	SO.<XI	Ye;	17.00'/,	SO.(lO	S0.00	83.00'%	S0.00	SO.IX)	
91.	SPLICE BOXES	52	EA	$5 770.00	53(1() 0<0.00	$0.()(1			SO.O<l	0'1,	5300 040.00	S0.00	Yu<	17.00%	$0.00	SO.O<l	83.00%	S0.00	S0.00	
92.	LAYOUT/AS-BUILTS	1	LS	$17 410.00	Sl7410.!l0	S0.00			S0.00	O'/,	S17 4IO.OO	so.oo	YL"i	17.00-/.	so.oo	SO.(lO	83.00%	SD.00	$0.00	
93.	HAN DHOLES	IS	EA	$3 145.00	$47,175.00	S0.00			S0.00	0%	!47.175.()()	S0.00	Ye-	17.00-/4	SO.OU	S0.00	8).00'/,	$0.()()	S0.00	
94.	MAHOLES	4	EA	57 793.00	$31 172.()()	S0.00			S0.00	(�/,	!31,172.00	S0.O<I	Yu,;	l7Jtffl'.	S0.00	S0.00	83.004'/4	SO.OU	S0.00	
																				
95.	LANDSCAPE/IRRIGATION						·nusPERMJD													
96.	MOBILIZATION/GENERAL CONDITIONS	I	LS	$29 560.00	S29 560.00	SJ 500.00	S0.00		S.l,500.0<)	12'¼	526 060.00	Sl75.00	YOi	17.00'/,	5595.00	S29.75	83.1)()%	S2.905.0<l	!145.25	
97.	PERFORMANCE BOND	I	LS	$22 693.00	S22 69J.OO	S22 693.00			S22 693.00	100-/4	S0.00	Sl,134.65	Ye,	17.<Xl°/,	SJ 857.81	Sl92.89	83.00%	SIS.835.19	S941.76	
98.	SURVEY/LAYOUT	I	LS	$6 880.00	S6 880.00	S0.00			S0.00	o•;.	S6 880.00	sn.oo	y.,.	17.004'/,	S0.00	SO.I)()	SJ.00"/4	S0.00	S0.00	
99.	LANDSCAPE	I	LS	S421 116.00	S421 116.00	SO.llO			SO.IXI	(r,,	$421 116.00	S0.00	Ye<	17.00%	S0.00	SO.<lO	83.IXl¾	S0.00	S0.00	
100.	IRRIGATION	I	LS	S393 612.00	$393 612.00	SJJ 200.00	so.oo		533.200.00	8%	SJ(,() 412.00	Sl.660.(lO	Yes	17.00-,.	$5.644.00	S282.20	U.OOC'/4	S27 556.1)(1	Sl,377.80	
101.	MAINTENANCE	I	LS	$73 440.00	573,440.00	S0.00			S0.00	0"1,	S7J.440.00	S0.00	v..	17,0C)'/,	SO.IXl	sn.oo	83.00'/4	S0.00	SO.()()	
102.	SOD/GROUND COVERING	1	LS	5141 212.00	$141,212.00	S0.00			so.oo	()'I,	$141 212.00	S0.00	y,.	17.0(>-I,	50.00	S0.00	ll3.�/o	S0.00	S0.00	
																				
104.	Change Order #1 Fire Access Rd																			
105.	Install Fire Access Rd. 8" lime Rock with Prime	9,111	SY	$14.20	$129,376.20	Sl29 376.20	S0.00		5129176.20	trJQ-/,	S0.00	S6468.81	No	o.��	S0.00	S0.00	100.00%	5129 376.20	56.468.81	
106.	Install Two Extra Fire Hydrant Assembly	2	EA	$6,400.00	Sl2 800.00	Sl2 S<l0.00	S0.0(1		512 8()().1)()	100'/,	S0.00	$640.00	No	0.l)()%	S0.00	so.on	11)().00%	Sil 800.00	S640.00	
107.	Install Extra PVC with Fittinf.?.s	1	LS	s 3,200.00	SJ 200.00	SJ 200.00	S0.00		SJ 200.00	100-/4	so.oo	$160.00	No	0.00%	SO.IX)	SO.O<I	100.00'I.	S3 200.00	Sl60.00	
108.	Exira Labor/Crew and Equipment to Facilitate Install	1	LS	S 69,800.00	S6'.I 800.00	569 800.00	50.00		S69 800.00	100'/4	SO.Of!	SJ.490.llO	No	0.OOo/,	S0.00	S0.00	100.00%	S69 800.00	S) 490.00	
																				
	Chan2e Order #2						·nus PERIOD													
109.	Storm - 0-24 Remove S4'' HOPE	-16	LF	S360.14	(S5 762.24)	S0.00			S0.00	o•;.	(Sl 762.24)	S0.00	y,.	17.<m•	S0.00	'i0.00	83.00-/,	SO.O<l	S0.00	
110.	D-24 Add 36" HOPE	16	LF	$114.98	Sl,839.68	S0.00			SO.f)O	,w.	SI 839.68	S0.00	Ye<	17.00'/,	S0.00	so.oo	83.00'/4	50.00	S0.00	
111.	Reuse- Delete 8"x4" Tee	-I	EA	$281.00	($281.<X))	SO.OU			S0.00	0-1.	(S281.00)	S0.00	Yo;	17.()()'/,	S0.00	SO.{)()	83.00'/4	SO.IJO	so.oo	
112.	Delete 8" Gate Valve	-1	EA	�2 648.89	(!2 648.89)	so.oo			$0.00	(]'/,	iS2 648.89)	S0.00	Yes	17.00'/,	50.00	sn.oo	8].()(]'/,	S0.00	SO.OU	
113.	Add 4n PVC Reuse Pioe	70	Lf	$30.67	S2 146.90	so.on			S0.(>J	(]'/,	S2 146.90	S0.00	Yes	17.00'/,	S0.00	S0.O(J	83.00'/4	S0.00	S0.00	
114.	Add Storm Structure D-72	I	LS	$41 180.00	S41 180.00	S0.00	528 000.00		S28.000.00	68%	SIJ,180.00	SI 400.00	Ye,	17.00"/4	54 760.00	S238.00	83.00"/,	523,240.00	SI 162.00	
115.	Curb Minus- "F" Curb	-171	Lf	$28.13	1$4 MI0.231	S0.00			S0.00	0"/4	154 8I0.2J)	S0.00	Yo;	17.0ffl�	S0.00	S0.00	8J_()M,.	S0.00	so.oo	
116.	Add- Tvoe ''D" Curb	184	Lf	526.S8	$4 890.72	S0.00			S0.00	Cl'/4	$4 890.72	S0.00	Yes	17.00%	S0.00	S0.00	83.00'/4	SO.IXJ	SO.OU	
117.	Add 54"/60" HP	54	LF	$360.14	Sl9,447.56	S0.00			S0.00	()"I,	Sl9,447.l6	SO.!)()	Yes	}7.()()%	SO.llO	S0.00	83.00'!.	SO.IX)	S0.00	
118.	Add S4"/60Can	1	LS	SI 170.00	Sl.170.00	S0.00			50.00	O'/,	SI 170.00	S0.00	Yes	17.00'/4	S0.00	so.oo	83.��	S0.00	S0.00	
119.	D-21 • Delete 18" HP	-38	LF	SS0.28	151 910.64)	S0.00	(Sl,910.64		ISi 910.64)	100-/4	50.00	(S95.lll	Y.s	17.00-/4	(5324.81	iSl6.24)	83.00%	(SI 585.83	(579.29)	
120.	D-21 -Add 48" HP	12S	lF		320.16	S40 020.llO	S0.00	526 290.00		S26 290.00	66%	SIJ 730.00	Sl,314.50	Yes	17.lN)%	S4 469.30	5223.47	83.00'/4	$21 820.711	Sl,091.04	
121.	0-21 - Add 48" Can	I	EA		770.00	S770.ll0	S0.00			S0.00	0"1,	$770.00	S0.00	Ye,	17.lm�	S0.00	S0.00	83.00'/4	50.IXI	50.1111	
123.	D-21 - Add Core	I	EA	51 440.00	SI 440.00	50.00			SO.OD	0'/4	SI 440.00	S0.00	Yes	17.CX)"/4	S0.00	50.110	83.00'/4	S0.00	Sll.00	
124.	0-22 - 36" HP	16	LF		114.98	SI 839.68	S0.00			so.no	O'!.	SI 839.68	S0.00	Yes	17.00'/4	S0.00	S0.00	83.00'/4	$0.00	S0.00	
125.	Add - 36" Cao	I	EA		620.00	S620.00	SO.CKl			S0.00	0o/,	5620.00	S0.00	Yes	17.00'/o	S0.00	S0.00	83.00'/4	S0.00	SO.<lO	
126.	Add - 36" Core	I	EA		580.00	558000	S0.00			SO.I)()	()'I,	SSS0.00	S0.00	y.,.	17.�·	S<l.00	SO.O<I	8).()0'/,	S0.00	S0.00	
127.	Force Main Add • 6" PVC FM Pine	185	Lf		50.13	S9 274.05	S0.00			SO.O<l	0'/4	59,274.05	SO.OIi	Y<S	17.00'/.	S0.00	S0.00	8'.\.00%,	S0.00	S0.00	
128.	Add· 10"x6" Tee	2	EA		998.00	SI 996.00	SO.I)()			S0.00	O'I,	SI 996.00	S0.00	Ye,	17.00'/o	S0.00	S0.00	83.00%	SO.IX)	Stl.00	
129.	Add-10" Plu" Valve	2	EA	ss 619.75	SI I 239.50	S0.00			SO.O<I	(]'I,	SI I 239.50	S0.00	Yu<	17.M9	so.oo	S0.00	83.00'/4	SO.IX)	S0.00	
130.	Add--6" Plu" Valve	2	EA	�3 905.17	S7 810.34	SU.I)()			S0.00	O'/,	S7 8I0.34	S0.00	Y<>	17.��	S0.00	S0.00	83,0()"/4	S0.00	S0.00	
131.	Add-6" Cao	2	EA	S197.00	SJ94.IXI	SO.<Xl			S0.00	()'I,	S394.00	S0.00	Ye,;	17.00'/4	SO.lXI	S0.00	&3.1�·	S0.00	S0.00	
132.	Reuse Main Add • 6" PVC FM Pioe	90	LF	SS0.13	S4511.70	S0.00			S0.00	(>°/,	$4,511.70	so.on	\'0<	17.00%	S0.00	Sll.00	83.00'!.	S0.00	S0.<Ml	

A.IA DOCUMENT G7'03 CONTl�ATION SHE£fl'"QR G7'02 1Qtl2EDITION AJA C19112
IHEAMEFUCANINSTLTVTEOFARCHllECTS 1735NEW�l':AVEN� NW WASHJNGT0'1 DC �232	0703-1992

133.	4" Gate Valve	I	EA		990.00	S990.00	S0.00			S0.00	[�lo	S990.00	S0.00	Yes	17.()(1/,	SU.00	SO.(l(l	83.00%	SO.(l(l	S0.00	
134.	4" Stub Out	I	EA		705.00	$705.00	S0.00			SO.O<l	0%	S705.00	S0.00	Yes	17.00-/4	Sll.00	S0.00	8).00'/,	so.oo	so.no	
135.	Water -Delete 16"x6" Tee	-1	EA		8I0.00	1$810.00	S0.00			S0.00	[l'I,	,mo.om	S0.00	y�	17.00--/4	S0.00	S0.00	83.()(r,.	S0.00	SO.O<l	
136.	Delete 16"x8" Tee	-1	EA	I 1 020.00	(51.020.001	S0.00			S0.00	0'/o	ISi 020.00	S0.00	Ye;;	17.00%	S0.00	S0.00	83.00'/o	so.on	511.00	
137.	Delete 6" Gate	-1	EA	'I 903.55	151.90).55	S0.00			S0.00	0%	tSJ 903.55	50.00	Yes	17.00%	sn.t,o	S0.00	•J.Oll'J.	S0.00	S11.()(1	
138.	Delete 16" Gate Valve	-1	EA		8 950.47	158 950.471	S0.00			SU.00	o•;.	,ss 950.47)	SO.fkl	Yo,	17.00o/4	SO.o<>	S0.00	83.00'/o	S0.00	50.00	
139.	Delete 8" PVC Pioe	-60	LF	�50.94	($3 056.40	S0.00			S0.00	0%	IS) 056.401	S0.00	Yes	17.(M.W,	S0.00	SO.()()	83.00'/o	S0.00	S0.00	
140.	Delete 6" PVC Pioe	-60	LF	$37.07	152,224.20	S0.00			S0.00	O"/,	152.224.20	S0.00	Yes	17.o<W,	Sll.00	S0.00	83.00o/4	SO.IIO	so.no	
141.	Delete 6" Cao	-1	EA	$202.00	15202.00	SO.lXJ			SU.00	0%	15202.00	50.00	Yes	17.00%	50.(JO	50.00	SJ.Oil'/,	SO.(IO	50.00	
142.	Delete 8" Cao	-1	EA	$274.00	(5274.00	50.00			S0.00	0%	(5274.00	SO.I)()	Yes	17.<m•	SU.00	so.no	83.00o/4	50.00	S0.00	
143.	16" xl0" Cross	1	EA	$] 440.00	SI 440.00	50.00			S0.00	0%	Sl,440.00	50.00	Yes	11.<m•	50.00	SU.HO	83.()0%	S0.00	SO.IX)	
144.	10" Gate Valves	2	EA	$4 202.00	S8 404.00	SO.O<l			so.no	ll'/4	58 404.00	S0.00	Yes	17.00%	SO.o<l	Sll.00	83.00'/o	S0.00	S0.00	
145.	10'" PVC C-900	125	LF		74.90	59.362.50	S0.00			S0.00	0%	S9 362.50	S0.00	Yes	17.00'/o	S0.00	SO.OIi	83.fl(��	S0.00	Sn.OU	
146.	10" Stub Outs	2	EA		240.00	$4811.00	S0.00			S0.00	11%	$480.00	SU.00	Yo.	17.00%,	S0.00	S0.00	83.oo•;.	50.00	SU.lHl	
147.	Stamped Asphalt - Delete	-1680	LF		13.7S	(523 l(Jt).QO\	S0.00	IS2J.IOO.OO\		•S23 100.ilO\	10()91.	S0.00	ISi 155.0ll)	Yes	17.00'/o	(SJ 927.001	(51%.351	83.00'!.	IS19 17).(MI)	15958.6S1	
148.	Curb Minus - "F" Curb	·244	LF		28.13	IS6863.72\	Sll.00			S0.00	0%	<S6.863.72	S0.00	y.,,	17.00"/4	S0.00	S0.00	8HX:W,	so.no	S0.00	
149.	Add- Tvoe "D" Curb	244	LF		26.58	S6 48S.52	Sil.Oil			S0.00	O"J.	S6 485.52	SO.o<l	Ve,.	17.00-/4	S0.00	so.on	83.00-/4	S0.00	S0.00	
150.	Storm - D-90 Storm Manhole Added	1	EA	Sl! 280.00	SIi 280.00	so.oo			50.00	ll'/,	Sll,280.00	S0.00	Yes	17.00'/4	S0.00	S0.00	83.00%	S0.00	50.(l()	
151.	D-91 Storm Manhole Added	1	EA	Sll 280.00	Sll.280.00	S0.00			S0.00	ll'/4	Sil 280.00	so.oo	Ye.	17.00o/,	S0.00	SO.IIO	83.00'/o	SO.OU	S0.00	
152.	Add - 48" Core D-60	I	EA	S! 440.00	S1.440.00	S0.00			SO.Oil	IW,	51,440.00	S0.00	Yes	11.00"/,	50.(lO	S0.00	SlfHI¾	S0.00	SO.()()	
153.	Add - 48" Core D-90	I	EA	Sl 440.00	SI 440.00	S0.00			S0.00	o,�	SI 440.00	S0.00	Vt.."'	17.00o/,	SO.OCI	50.!lO	IB.00-/4	S0.00	S0.00	
154.	Add 48" HP Pi e	132	LF	S320.16	S42 261.12	S0.00			so.oo	(,./.	S42 261.12	S0.00	Yes	17.()(,./4	S0.00	so.oo	83.00%	SO.<IO	SO.Oil	
155.	Water - 10" Gate Valves	2	EA	S4 202.00	S8.404.00	S0.00			S0.00	ll'/,	58 404.00	SO.o<1	Ye<	17.00"/4	SO.!Kl	SO.Ol.l	R3.00'°'•	SO.Oil	SO.Oil	
156.	JO" PVC C-900	12S	LF	S74.90	S9,362.50	S0.00			S0.00	ll'/4	59 362.50	50.00	Ye,	17.00%,	SO.ilO	S0.00	81.00'/4	50.00	so.no	
157.	Delete 16.. Gate Valve	-1	EA	S8 950.47	158.950.47	S0.00			so.oo	(t°/,	158.950.47\	S0.00	Yes	17.00-/4	S0.00	so.oo	8J.O(W.	S0.00	SO.Oil	
158.	Delete 6" PVC C-900	-60	LF	S37.07	152.224.20	S0.00			S0.00	ll'/,	<S2 224.20l	SO.II()	Yes	17.00'/,	50.00	S0.00	83.00'1,	50.00	SO.()(!	
159.	Delete 8" PVC C-900	-60	LF	SS0.94	(SJ 056.401	SO.II()			S0.00	ll'/,	ISJ.056.40'	S0.00	Yes	17.00"/.	S0.00	S0.00	•J.()O'/.	so.no	S0.00	
160.	Reuse - Add - 4" PVC Pioe	50	LF	530.67	SI SJJ.50	50.00			S0.00	()'}.	SI 533.50	so.on	Yo;	17.004'/,	SO.OU	S0.00	83.00'l-�	SO.llO	S0.00	
161.	Force Main -Add - 6" PVC Ptoe STA 12+70	50	LF	$50.13	S2.S06.50	S0.00			S0.00	ll'/,	S2,506.50	S0.00	Yes	Ii.�/,	SO.(lO	S0.00	83.00-/4	S0.00	SO.Oil	
162.	Curb Minus- "F" Curb	-228	LF	S28.13	(S641l.64)	S0.00			SO.IIO	O"J.	S6.413.64'	SO.Oo	Y<S	17.00%	S0.00	SO.()()	83.00'/o	SO.Oil	SO.Oil	
163.	Add- Tvoe "D" Curb	228	LF	S26.58	S6 060.24	so.oo			S0.00	ll'/4	S6,060.24	SO.O<l	Yes	17.00'/4	Sll.00	S0.00	83.00%	S0.00	S0.00	
164.	Storm- Delete 60" HP- 16+-70	-21	LF	$480.83	(510097.43)	S0.00			S0.00	ll'/4	'510,097.431	S0.00	Yes	17.00o/o	SO.Oil	SO.()()	83.om�	S0.00	S0.00	
165.	Add - Adiust 0-47	l	LS	$590.00	5590.00	S11.00			S0.00	O"J.	SS90.00	S0.00	Yes	17.00%	SO.Oil	SO.Oil	83.00'/,	S0.00	S0.00	
166.	Add - Adiust 0-07	I	LS	5630.00	S630.00	S0.00			S0.00	ll'/4	S6Jll.Oll	S0.00	Yes	17.00'/4	S0.00	SO.Oil	83.00'/,	SO.ilO	S0.00	
167.	Water - Add • 8" C-900	55	LF	SS0.94	S2 801.70	SO.(lO			SO.fl()	ll'/4	S2 801.70	SO.Oil	Yes	17.00-/,	SO.IIO	50.00	83.00'/o	S0.00	S0.00	
168.	Reuse -Add - 4" PVC Pioe	55	LF	$30.67	51.686.85	SO.O<l			SO.Oil	Ml	SI 686.85	50.00	Yes	17.00%	S0.00	SO.DO	83.00'/,	SO.OIi	so.no	
170.	Force Mafn -Add - 6" PVC Pioe STA 16+69	55	LF	$50.13	$2,757.15	S0.00			Sll.00	ll'/,	S2 757.15	SO.OU	Ycs	17.00'/4	SO.Oil	S0.00	8].00'/4	S0.00	50.00	
171.	Survev/3-0 Flies	1	LS	512 994.00	512.9')4.0ll	50.00			SO.llll	O"I.	Sl2 994.00	so.on	Ycs	I7.00-/o	S0.00	S0.0(1	J.00'1.	S0.00	S0.00	
172.	As/Builts	1	LS	$7 644.00	S7.644.00	S0.00			S0.00	0%	S7 644.00	S0.00	Yo;	17.00%	SO.Oil	SO.Oil	8).00'/4	S0.00	511.(l()	
173.	Addftional Well Abandonment	3	EA	$9 700.00	529 100.00	S0.00	S9 700.00		S9.7!l0.00	J.W,	Sl9400.00	S485.00	YC\	17.00"/4	SI 649.00	SM2.45	83.00'/4	S8 051.00	S402.55	
174.	Curb Minus• "F" Curb	-131	LF	52813	(53.685.0ll	SOJKl			S0.00	0%	/Sl.(,85.03'	S0.00	Ycs	17.00-/4	S0.00	Sll.00	83.00-/4	S0.00	S0.00	
175.	Add-Tvoe "O" Curb	131	LF	$26.58	53481.98	SO.II()			SO.Oil	ll'/4	53481.98	S0.00	Yo,	17.00'/o	Sl!.00	S0.(lO	83.(MI	SO.Oil	SO.OU	
176.	Water· Add • 10" PVC C-900	42	LF	574.90	Sl 145.80	S0.00			S0.00	()'},;,	SJ 145.80	SO.OU	Ye,	17.()()9/4	S0.00	$11.00	8).1�/,	S0.00	S0.00	
177.	Gradin2 • Suoer Elevate Roadwav	l	LS	$11890.00	SI l,890.IK1	S0.00			SO.Oil	0'/4	SIi 890.00	S0.00	Yes	17.(>0%	SO.OU	S0.00	83.00%	S0.00	S0.00	
178.	Add Sod	1160	SY	<3.69	54 280.40	S0.00			S0.00	O"lo	S4,280.40	S0.00	Yes	17.00'/4	SO.Oil	S0.00	83.00'/,	SO.Oil	511.00	
179.	Add - Tvoe P-8 Inlet Tons	3	EA	<3 345.00	SIOOl5.00	S0.00			SO.Oil	[l'/,	SI0.035.00	SO.Oil	Yes	17.00'/,	50.00	SO.IXI	8).0()•;.	so.oo	S0.00	
180.	Add Tvne "O" Curb	400	LF	<26.S8	SI0,632.00	SO.flll			SO.Oil	(rl.	Sl06)2Jl0	S0.00	Yi:S	17.00'/,	S0.00	S0.00	8).001/.	SU.<IO	su.oo	
181.	Survev/30 File	1	LS	<6 715.00	56.715.00	S0.00			Sll.00	Oo/,	S6.715.00	S0.00	Ycs	17.00%	S0.00	S0.00	83.00%	S0.00	so.on	
182.	As-Builts	1	LS	S4 110.00	S4 1111.00	!0.00			S0.00	ll'I.	S4,II0.OO	S0.00	Y<S	17.00'/,	Sil.I)()	S0.<10	8U)()"/4	S0.00	S0.00	
183.	Added Markinlls and Si,ms	I	LS	S5 360.00	SS l/.0.00	SO.llO			S0.00	ll'/4	ss 360.00	S0.00	Yo;	17.00%	S0.00	SOJJO	8).00'/4	so.oo	SU.(XI	
																				
	ChanH Order #3						TIIIS l'ERK>D													
184.	2" lrriaation - Sleevin"	1900	LF	Sl3.40	$25 460.00	SO.Oil	S6,JOO.ll0		S6 JOO.Oil	25o/,	Sl9.160.(l0	S315.00	Yes	17.00'/o	SI 071.00	55).55	83.00%	S5 229.00	S261.45	
185.	Lavout for Sleevino.	I	LS	SJ 600.00	SI f,00.00	SO.Oil	S400.00		S4fl0.00	2�%	Sl.200.00	520.00	Yes	17.00'/o	S61:l.UO	Sl.40	83.00°/4	SJJ2.00	Sl6.6I)	
186.	As-Built and Locate Sleevine:	I	LS	$3 300.00	Sl.J00.00	Sfl.00			SO.Oil	11%	53 JOO.Oil	S0.00	Yo;	17.00"/4	S0.00	S0.00	83.�/,	so.oo	SO.flll	

																				
	SUOTOTAL				Sl4,744,957.07	S4.fil8,447.02	S778,688.41	S0.00	SS,397, 135.43	37"/o	$9,347,821.64	$269.856.77			5880,933.07	S44.(l46.65		S4,S16,202.l6	S225,8l0.l2	
	GRAND TOTALS				$14.744.957.07	S4.6 I8,447.02	5778.688.41	SO.Oil	S5.l97,135.43		59.)47,821.64	5269.856.77			SiR0.933.07	$44,()46.65		S4,516,202.l6	S225.81fl.12	
Users may obtain validation of this document by requesting of the llcenae a completed AIA Document 0401 - Certification of Document a Authentlc,ty

AIA00CVMENTG1tl3 CONTINUATIONSHEETFORG71J2 IIXl?E()ITION AIA Clill2
THE At.IERICAN INSTITUTE Of AACMtlECfS H3SNEW 'f'ORI( A\IEN\JE NW WASl-!INOTON OC 20009-6232

G703-1V92

WAIYER AND RELEASE OF LIEN UPON PROGRESS PAYMENT

The undersigned lienor, in consideration of the sum of$ 739,753.99	, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished through 10/16/2024 to Double B Development and Kelly Park VB Development, LLC on the job of Wyld Oaks Infrastructure to the following property:
S of Kelly Park Rd & Effie Dr.
3620 W Kelly Park Rd.
Apopka, FL 32712, Orange County (description of property)

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.

DATED on October 30, 2024.

Lienor RCS Construction Company, Inc. Address 295 E SR 50, Suite 1,
	Clermont FL 34711	
BP��e:J-obd?y :Ba'ss.:
Its: Vice President

State of Florida
County of_L=a=k=e	
The foregoing instrument was acknowledged before me this 30th	day of October	, 20  11_, by , as of said company, who has presented as identification or is personally known to me.

	Victoria E Lauteria	 Print, Type or Stamp Commission

PROGRESS PAYMENT AFFIDAVIT

STATE OF FLORIDA COUNTY OF LAKE

BEFORE ME, the undersigned authority, duly qualified and authorized in the State and County aforesaid to administer oaths and take acknowledgements, this day, personally appeared	Jody Bass	, who being by me first duly sworn, deposes and says:

The facts and matters contained and recited in the Affidavit are based upon personal knowledge of the Affiant.
Affiant is the Owner of	RCS Construction Company, Inc.	, a North Dakota Corporation company (hereinafter the "Contractor")
Contractor and	Kelly Park VB Development, LLC	(hereinafter the "Owner") have executed, delivered and entered into that certain CONTRACT AND AGREEMENT dated	December 4,2023	(hereinafter the "contract").
Affiant now requests partial payment under the Contract. In Consideration
of Owner providing such partial payment, Contractor hereby provides this Affidavit upon which Owner intends to rely.
Contractor is not aware of any Claims that would require an adjustment of the Contract Time or the Contract Price except for any Change Order Requests or Change Order Proposals previously submitted in writing to Owner prior to execution of this Affidavit.
Contractor releases any Claims for an adjustment to the Contract Time or the Contract Price except for those previously made in writing and delivered to Owner prior to execution of this Affidavit.
Affiant states that all bills for labor, services or materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien upon Progress Payment forms for every such potential lienors are provided herewith through 10/16/2024
Affiant states that, except as provided herein, all bills for labor, services or
materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien Upon Progress Payment forms for every such potential lienor are provided herewith, except as provided below:

Name of Lienor Or Potential Lienor

Amount due for labor, services or materials furnished, delivered, Installed or performed

1.  Atlantic Directional Drilling, Inc.	$0.00	
2. Central Florida Transport, LLC	$33,486.31	
3. Central Florida Turf Pros	$2,000.00	
4.  County Materials Corporation	$33,904.10	
5. Dixie Lime & Stone	$0.00	
6. Florida Design Consultants	$4,774.75	
7.  Formasters Concrete Specialists	$73,050.00	
8. Fortiline, Inc.	$56,849.93	
9. Oldcastle Infrastructure	$49,403.84	
10. Volusia General Contractors &	$0.00	
Trinity Construction Products, Inc.

11. WLM Services, Inc.	$17,940.00

FURTHER AFFIANT SAYETH NOT.

  RCS Construction Company, Inc.	
-�---=-�-H4-'--· ��---· Affiant Sworn to and subscribed before me this	30th	day of October	,2024, by
Jody Bass	, who (check one): [ X] is personally known to me, [ ] produced a driver's license (issued by a state of the United States wit I  the last five (S) years) as identification, or [
] produced other identification, to wit:--r----t'--:---.1,,	-.--· -Aff 	\ •	take ,	oa!h.

®

�,�R	VICTORIAE. LAUTERIA

Print Name:	Victoria	Lauteria Notary Public, State of Florida

	c:;		"'

Nota,v Public

Commission No.:_....:.H..:..:H :.;2=7"-'6a..:6=2=5	

i

o1	�  State of Florida
� Comm# HH276625

MCyommission Expires:	06/19/2026

1

'.r,	<o'
NCE ,�"	Expires 6/19/2026

JOINDER AND INDEMNIFY AGREEMENT

Contractor, joins in the execution of this Affidavit for the purpose of adopting all representations of fact contained therein. Contractor understands that this Affidavit will be relied upon by Owner for all purposes relating to the Contract. Contractor agrees to indemnify, hold harmless and defend the Owner from, against and with respect to any and all loss, cost, damage and expense, including reasonable attorneys' fees, arising out of any claims by laborers, subcontractors or materialmen who might claim that they have not been paid for labor, services or material.

A Florida Corporation Company

��:me:m�.�. �	
Title:	Vice President

(CORPORATE SEAL)[where applicable]

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 23

Name of Payee:	Kutak Rock LLP

Amount Payable:	$252.00

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Auth-fu ��

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

K U T A K  R O C K  L L P
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

November 20, 2024

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

ACH/Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3483595 Client Matter No. 47123-4
Notification Email: eftgroup@kutakrock.com

Mr. George Flint Golden Gem CDD
c/o Governmental Management Services 219 East Livingston Street
Orlando, FL 32801	Invoice No. 3483595
47123-4

Re:	Series 2024 Construction
For Professional Legal Services Rendered

10/01/24	A. Willson	0.80	252.00	Review	final	plat;	confer	with
Roberson	regarding	execution	of same
TOTAL HOURS	0.80
TOTAL FOR SERVICES RENDERED	$252.00
TOTAL CURRENT AMOUNT DUE	$252.00

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
(A)	Requisition Number: 24

(B)
(C)

Name of Payee: Amount Payable:

KimleyHom
$1,435.00

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account
The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Authori.Jd Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase l Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

Kimley>))Horn	,_nv_o_ic_e_fo_r _Pr_of_es_s_io_na_l _Se_rv_ic_e_s

Please remit payment electronically to:	If paying by check, please remit to:	
Account Name:	KIMLEY-HORN AND ASSOCIATES, INC.
Bank Name and Address:	WEUS FARGO BANK, N.A., SAN FRANCISCO, CA 94104
Account Number:	2073089159554
ABA#:	121000248
Please send remittance
information to:	payments@kimley-horn.com	KIMLEY-HORN AND ASSOCIATES, INC.
P.O. BOX 932520
ATLANTA, GA 31193-2520	

GOLDEN GEM CDD	Invoice Amount: $1,435.00

C/O GOVERNMENTAL MANAGEMENT SERVICES 219 EAST LIVINGSTON ST
ORLANDO, FL 32801

Federal Tax Id: 56-0885615
For Services Rendered through Oct 31, 2024

Invoice No: Invoice Date:
Project No: Project Name: Project Manager:

29867464R
Oct 31, 2024
147968000.3
GOLDEN GEM CDD INTERIM ROBERSON, KEVIN

Client Reference:	RESOLUTION 2024-05

HOURLY NOT TO EXCEED

Description	
Contract Value	Amount Billed to Date	Previous Amount BIiied	Current Amount Due	
INTERIM ENGINEERING	25,000.00	13,487.50	12,052.50	1,435.00	
Subtotal	25,000.00	13,487.50	12,052.50	1,435.00	
Total HOURLY NOT TO EXCEED	1,435.00	
DESCRIPTION OF SERVICES PERFORMED:
REVIEW AND APPROVE PAY REQ 16
REVIEW AND APPROVE REQUISITES 13, 14 AND 15
COORD UPDATED CHANGE ORDER 2 AND 3 FOR INFRASTRUCTURE AND 3 FOR MASS GRADE
REVIEW AND APPROVE REQUISITE 19

Total Invoice: $1,435.00

If you have any questions, please contact Zach.Reuther at 561-234-4519 or Zach.Reuther@kimley-hom.com.

31ZSR

Kimley>)) Horn	La_bo_r_an_d_E	lxp_e_ns_e_D_eta_il

GOLDEN GEM COD
C/O GOVERNMENTAL MANAGEMENT SERVICES 219 EAST LIVINGSTON ST

Invoice No: Invoice Date:

29867464R Oct 31, 2024

ORlANDO, FL 32801

Project No:	147968000.3
Project Name:	GOLDEN GEM CDD INTERIM
Project Manager: ROBERSON, KEVIN

HOURLY NOT TO EXCEED

Task	
Description	
Hrs/Qty	
Rate	Current Amount Due	
01INTERIM ENGINEERING	SENIOR PROFESSIONAL II	3.5	390.00	1,365.00	
	SUPPORT STAFF	0.5	140.00	70.00	
TOTAL 0lINTERIM ENGINEERING	4.0	1,435.00	
TOTAL LABOR AND EXPENSE DETAIL	1,435.00	
This page is for informational purposes only. Please pay amount shown on cover page.

31ZSR

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 25

Name of Payee:	RCS Construction Co. Inc.

Amount Payable:	$653,766.19

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

ffi

GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Authorized

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

APPLICATION AND CERTIFICATION FOR PAYMENT	A/A DOCUMENT G702	PAGE ONE OF	PAGES

TO OWNER:
Golden Gem Community Development District

Vero Beach, FL 32963 FROM CONTRACTOR:
RCS CONSTUCTION CO. INC. 295 E. HWY 50 SUITE I
CLERMONT, FL 34711 CONTRACT FOR:

PROJECT: Infrastructure - Wyld Oaks	APPLICATION NO:

PERIOD TO:
VIA ARCHITECT:

PROJECT NOS: CONTRACT DATE:

6

11/18/24

Distribution to:

§

OWNER ARCHITECT CONTRACTOR

CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is auached.

ORIGIN \I CO TR.\  I Sl r-..1

I4,205,2064Q

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.

Net change h) ( hange Orders
CO IRACI 'illM ro DATI (I ine I  2)
1OI<\LCOMPLLTED&STORLD ro
DATE	{Column G on G703)
RETAJNAGE:
    5_% of Completed Work
{Column D +Eon 0703)
	5 % of Stored Material (Column Fon 0703)
Total Rctainage (Lines 5a + 5b or

540,020.5X	CONTRACTOR:	RCS CONSTRUCTION CO., INC.
	14,745,227.07 
	6,226)61.85 

	JI I.JIJ0Q 

$0.00

Total m Column I ol G703)
fOIAI I AR LO I lS'i RI fl\l .\(ii
{Linc 4 Less Line 5 Total)
LESS PREVIOUS CERTIFICATES FOR		
PAYMENT (Linc 6 from prior Certificate)
, . CURRIN! PAYMI. T Ol/F	�
Q  ll  I AN(! 10 HNISII. I Cl UDI G RF I AINAGI
{Line 3 le s Linc 6)

Total Completed and Stored To Date Allocated To Cadence Total Retainage At 5%
Total Allocated To Cadence, Less Retainage
Less Previous Balances Due By Cadence

Current Payment Due By Cadence

	"UIJO<I 
5,914,114..76

$	5,127,278.66 787,t,70.I0
'i>	8.�30,278.J1 

	$1,021,884.56
	$51,094.23
	$970,790.33
	$836,886.42

$I 33,903.91

...

ENGINEER'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on-site observations and the data comprising the application, the Engineer certifies to the Owner that to the best of the Engineer's knowledge, information and belief the Work has progressed a indicated,
the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT ERTIFIED .	..... $	787,670.10

(Allach expla11atio11ifa11101111t certified d/{fersfrom the amo11111 applied. l11itial al/figures 011this Applicatio11a11d 011the Co111i11ua1io11Sheet that are changed to co11f9r11w1 ith the amount certified.)
ENGINEER:	�	Kevin Roberson, Kimley-Horn and Assoc.	•

By:

	I'\-\	Dale:	12-12-24

/ffei

Total Completed and Stored To Date Allocated To DD Total Retainage At 5%
Total Allocated To DD, Less Retainage Le s Previous Balances Due By COD Current Payment Due By COD

$5,204,377.29
	$260,218.86
	$4,944,158.43
	$4,290,392.24
$653,766.19

This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract.

CHANGE ORDER SUMMARY
Total changes approved in previous months by Owner Total a roved this Month
l<HALS
1:.1 C IIAN<il S h ('han •c Order

ADDITIONS
$540,020.58
$0.00 54U,020.5�
540.020.5 •

DEDUCTIONS

0.00

IA DOCUMENT 0702 APPLICATION ANO CERTIFICATION FOR PAYMENT HKl2 EDITION AlA &)1992	THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON. OC 20006-5292
Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.
*** Co111mc1or a�rees that O11·11er u·i/1 pal' 11·11h whm /u11d111f(, a.-a,lable 11•l11c/1mm•1101 equal the Current Parn1e11t D11e. Am·1111paid halance "·ill remain 011acco11111/or O11'11er 10/XII'1111h /11111re /u11ds.
otc: Items in RED FO T arc automatically calculated from the G703 form or from items within this G702 Form. Do NOT hand enter these items on this sheet.

DEVELOPER'S REPRESENTATIVE CERTIFICATE FOR PAYMENT

Wyld Oaks- Infrastructure Application #6 Period Through 11/18/2024

In accordance with the Contract Documents, based on on-site observations and the data comprising
this application, the Developer’s Representative certifies to the Owner that to the best of the Developer's Representative’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 is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED	 $787,670.10	
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.)

DEVELOPER'S REPRESENTATIVE:

By:					Date:	12/17/24 Name: 		Timothy R. Dennard					 Title:` 		President			
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract.

CONTINUATION SHEET	AIA DOCUMENT G703
AJA Documml G702, APPLICATION AND CERTIFICATION FOR PAYMENT. oomainmg
Con1racior',o. s1gnl'll ccr1ific.111or1 ,� a11achcd.

APPLICATION NO: APPLICATION DATE:
PERIOD TO:

(,
11/1812024
1111812024

A	ll	C	I)	E			II	I	J	K	I.	M	N	()	p	
rrnM
NO.	
nESCRLP"I ION OF WORK	
SCHL:Dl/1.ED
VI\UJF	WORKCOMl'IJ!IUD	MATEIUAI.S PRESENn.v STORED (NOTIN
l)OR E)	IOIAI. "
COMl'Um:.D
ANnSTORED TO l)ATH H)+E+F)	
fG+C)	
IJAJ.ANCE TO FINJSII IC·G)	
RETAINMiE
(A: VARIAJJI.I
RAll;)	Cl'lruldl.-red
�shared
bll)'lm\\."UK'nl�	Pcftcllt Ehg1bk FN Paymcnl ll)·Ca&..,,a:	l'Olal (\implc1cJ And StorcJ lo L41c l!ligible ForPa)'mcul D11('1dcncc	
TC11.al <.:adcnt-c
Rctamaj!.c (aJ s�.	
Pl-ra:n\ Eligible ForPa)11'".'111 ByCl)I>	T(.'llal Ccmrlctcd And Slorcd lo l)alc Plii1hlc 1-'or l'a.)tncnl
DvfDI)	

TolalC'DD
Rctamagc 0 s<>.	
			FN.OM PREVIOUS
Al'PLICATION (IJ.+ El	
'l1IL<;Pt!IU0D													
		Qwmlily	lfoit	Price	TOl�I															
	\.>tncra 1 '-..ORUlhons,.u,111111.atlon, !,,un·cv																			
1.	MOBILIZATION	1	LS	$13 750.00	Sl3 750.00	SIJ 750.00	SO.OU		SIJ,750.00	100•;.	so.on	S687.50	y.,	17.IJ0'/4	S2 337.50	SI 16.88	83.�/,	Sll,4I2.50	S570.6J	
2.	GENERAL CONDITIONS	1	LS	$221 250.00	S221 250.00	5120 ouo.oo	522.500.(l(J		Sl42 500.00	M%	$78,750.00	S7 125.00	fo;	17.00"/4	S24,225.00	SI 211.25	83.00°/4	SI 18 275,00	55,913.75	
3.	PERFORMANCE BOND	1	LS	$103 750.00	SIOl 750.00	SIOJ,750.00			5I03 750.00	100%	50.00	55 187.50	y.,,	17.00,.	Sl7 637.50	58Kl.88	83.00"'/4	586 112.50	54,305,63	
4.	LAYOUT/ASBUILTS	1	LS	$96 518.75	S%,5 I 8.75	545,920.00	S8 500.00		S54 420.00	56¾	S42 098.75	S2 721.00	y.,.	11.00�•	$9 251.40	S462.57	83.()09/4	545 168.6-0	S2,258.43	
5.	SWWWP	1	LS	$28 750.00	S28 750.00	SIJ,200,00	SJ 500.00		Sl6,700.00	5g-;.	512,050.(1()	5835.00	Y<s	17.IJ0'/4	52 839.00	S14l.95	83.00%	513,861.00	!69).05	
6.	SILTFENCE	21818	Lf	$1.81	$39,490.58	SJH,00.00	Sl,890.58		S39 490.58	100°/.	50.00	SI 974.53	Vt,;	17.00-/4	S6 713.40	SJJS.67	sJ.oo•;.	532,777.18	51,638.!6	
7.	TREE PROTECTION	2930	LF	%.73	519,718.90	Sl9 718,90	so.oo		!19,718.90	100-/o	S0.00	5985.95	Yes	17.()0",I	53,352.21	5167.61	83.flO¾	516 )61,.69	S8I8.J3	
8.	CONSTRUCTION ENTRY	2	EA	$12 647.28	S2.5 294.56	512 300.00	SO.Oil		Sl2 300.00	49%	S12 994.56	5615.()()	Ye,	17.(H)¾	52 091.00	5104.55	83.00'/4	510 209.00	S5I0.45	
9.	MASS GRADING	31971	CT	$2.81	589 838.51	578 7SO.OO	S0.00		578 750.00	88�-	SI I 088.51	SJ 937.50	y.,	17.0(W,	SIJ )87.50	5669.38	83.00'/,	S65 362.511	SJ 268.IJ	
10.	ROADWAY GRADING	1	LS	$97 182.84	597 182.84	S5I 200.00	SI 1,500.00		!62,700.00	65'/o	SJ4,482.84	SJ 135.00	Yes	17.IJ0'/4	510659.()()	S532.95	83.cJ<m	S52 041.00	S2 6(12.05	
11	SOD BEHIND CURB	10613	SY	53.69	$)9,161.97	S0.00			S0.00	O"I,	SJ9,16l.97	S0.00	Yes	17.00%	SO.()(I	50.<JO	8),(1()'/4	S0.00	SO.!lO	
12.	10" FORCE MAIN	5244	LF	$70.72	5370 855.68	521931').(l()	SJJ 350.00	S0.00	5252,650.()(1	6�¾	Sll8 205.68	Sl2,632.50	Yes	17,()()%	542 950.50	S2 147.53	83.00"/o	S209 691J.S0	S 10 4M4.9S.	
13.	10" PLUG VALVE	14	EA	$5 619.7S	$78,676.50	558 750.00	54,500.00	SO.()(l	563 250.00	8�\	SIS 426.50	SJ 162.50	Ye.	17.00%	510,752.50	S5J7,63	8).()()%	552 497.50	S2,624.88	
14.	12"Xl0" WET TAP	2	EA	S16 066.18	$32 132.]6	SI1.300.00	,18 8()(1.00	S0.00	$20,1()().00	6)%	Sl2 032.36	SI 005.00	y.,.	17.00%	SJ 417.00	S170.85	83.00"/4	Sl6,68).011	S8J4.IS	
15.	6" FORCE MAIN	648	LF	$50.13	S32 484.24	Sl69<KI.OO	SJ,300.00	S0.00	520 200,00	62¾	$12 284.24	SI OI0.00	YL...	17.()0%	SJ 434.00	S171.70	8].(,00/4	S16 766.iXI	SXJX.30	
16.	6" PLUG VALVE	12	EA	53 905.17	S46.862.04	S22,954.00	SOJJO	SO.()(J	S22.954.00	49"/,	S23,908.04	$1,147.70	YL"t	17.00'/4	SJ 902.18	S195.11	83.00%	519.051.82	5952.59	
17,	4" FORCE MAIN	20	LF	$36.17	5723.40	SO.CKI			sooo	09/,	S723.40	S0.00	y"	17.00'/,	SO.tlO	S0.00	83.00%	S0.00	S0.00	
18.	4" PLUG VALVE	1	EA	s2 366.34	S2,J66.34	$690,00		S0.00	S690.00	29%	Sl,676.34	534.50	Yes	17.00%	SI 17.30	SS,87	8).11()%	S572.70	S2R.M	
19	FORCE MAIN FITTINGS	1	LS	$78 184.45	$78,184.45	S66.952.00	S2,200.00	S0.00	569 I52(KI	88%	S9 032.45	SJ 457.60	Yes	I7.IJO'/,	$11,755.84	5587.79	83.��	S57.39<!.16	S2 869.81	
20.	TESTING	1	LS	$12 278.25	s,2.2n.25	S2,100.00	SO.!IO		52,100.00	17o/,	SIO 178.25	SI05.00	Ye.	17.00,11	5357.00	517.85	8].()()'/4	SI 743.()(l	S87.15	
21.	18" HOPE	931	LF	$50.28	S46 810.<>8	S32 856.00	Sll.00	S0.00	532,856.00	70%	SI3 954.68	SI M2.80	Yes	17.00'/4	55,585.52	5279.28	83.00-/4	527,270.48	SI JM.52	
22,	24" HOPE	1279	LF	$73.70	S94,262.JO	571 298.00	S0.00	S0.00	571,298.00	76o/,	S22 964.JO	SJ 564.90	Yo;	17.<m:.	Sl2,I20.66	S6()6_0:t	Kl.00'1.	S59 177.34	$2,958.87	
23.	42" HOPE	106	LF	$246.26	S26 l03.56	519,185.00		S0.00	519,185.00	73%	56 918.56	S959.25	Yu;	17.00'/4	SJ,261.45	Sl63.o7	SJ.CX)'/,	SIS 923.55	S796.18	
24.	48" HDPE	691	LF	$320,16	S22 l.23U.56	$1)5,900.()()	S21i.00II.00	S0.00	5163 900.00	74o/,	Sl7,JJ0.56	58 195.00	Yes	17.00%	S27 863.00	$))93.15	83.00"/4	SIJ6 037.00	56,801.85	
25.	S4"/60" HOPE	1462	LF	5360.14	5526 524.68	S437 000.00	532,000.00	S0.00	5469,(1()().00	89%	557 524.68	S23 450.00	Yc,	17.00'/,	S79 730.00	53,986.50	83.00"/,	S389,270.00	S!9,463,50	
26.	60" HDPE	64	LF	S480.83	SJ0,773,12	SJO 773.12	S0.00	50.f)()	SJ0,773.12	I0<m,	S0.00	SI 538,66	Yo;	I7.IJO'/o	55,231.43	5261.57	83.00°/,	S25 541.69	!1,277.08	
27.	36" HOPE	1394	LF	$114.98	5160,282.12	$119,000.(�)	Sil 880.00	S0.00	$132 88().{)(I	sm	!27 402.12	S6,644.tl0	Yes	17.00'/,	S22,589,6-0	SI 129.48	83.00o/,	SI 10 290.40	55,514.52	

Use Column I on Contrn\..1S wh{1'C variahlc rctam.tl!,C for line i1a11s may anply.

ARCHITECT'S PROJECT NO·

,,

.,

"'A OOCUM£Nl 0103 CONTINU.t,TION SI-IEEl f0RG702 IIIO?EOITION AJA o,1X12
lHE >,).lERlCANtNSTJT\JTE OF ARCHITECTS 1135NEW YORI< A\IE�E NW WA$Hlt,C.10N OC XIOOll-s232

CONTINUATION SHEET

AJA DOCU/ltENT G703

AJA OocumCTII G702, APPLICATION AND CERTIFICATION FOR PAYMENT, con1nini11g
Co111ractor's s1guL'CCI.t21ific.11ion is a11ad1ul.

USC C0 IUll\11 I on Coniracl!il w 1crc van•a blcrt..1a111a •c ror rinc l\t,in�mav aDil v.

APPLICATION '0:
APPLICATION DATE:
PERIOD TO: ARCHITECTS PROJECT NO

6
1111812024
11/1812024

A	11	C	r,	I	I'	F	G	II	I	J	K	I,	M	N	()	I'	
rn:
NO.	M	
l>ES('R 11r1 ON OF WORK	SCIIEDULEI)
VALIJI!	WOK.KCOMPU.:.11�0	MAl1:.KIAJ.S
PRESEN"ll.Y STORED (NOT IN
DORE)	rQ'IAI.
COMl'U! mu
AND STORED '1'0 IJATF
(D+E+F)	o/,

(G""C)	DAI.AN<.:E
rQflNlSII
(C.G)	RfflAIN/\GE (IF VAH.lAlll.l RAll:)	Cu,1s1dt.Tod
�Shared
lmpr('l\'Clll(:111�	Pcra.'flt Elig1Mc For l'aymcn1 Dy Cadena.:	TM.11 Con1rlc1cd And S1orcd To 1Ja1c Eligihlc For l'a)mcnl
IJvCadtnoe	
TotalCa&"!K"-'
R;,.-tanu.gc@S'i,	Pcro..·m l!.lit-iblc
l'flf P.iym1,."!1I
nyCDn	1tital ('omplclcd And
Sloted T�• l);itc
Fhg1tilc 1:('r Paymc111 HvCDI)	

Total('l)I)
Rcl/lllJ.ajJC {" s�•	
				FROM PREVIOUS
APPl�ICATION
m• El	11l1SPPRIOO													
			Quan111y	Umt	l'rkc	lot:il															
28.	72" RCP	1381	LF	S747.54	Sl.012152.74	S952 400.00	547 650.00	S0.00	SI 000050.00	97¾	Sll.302.74	S50.00250	Yes	17.(K)I'/,	Sl71l 008..SO	S8 500.43	S3.(Hl'/4	S830041.50	$41.502.0�	
29.	TYPE "P" MANHOLE	4	EA	SIS 330.53	S61 322.12	SJ2 500.00	SIi.OU	so.oo	532.500.00	53'/4	528.822.12	S 1625.00	Yes	17.00'/,	S5 525.00	5276.25	8).()0'/4	526 975.fX)	SI J4V5	
31.	TYPE P-5 WITH "J" 80TTOMS	11	EA	512 400.26	51)6402.86	SI04,71)(I.00	511.00	SO.I)()	5104 700.00	77%	SJI 702.86	Sl 235.00	Yts	17.00%	Sl7 799.00	5889.95	83.00%	S86 901.00	S4 �45.05	
32.	TYPE P-5 INLETS	25	EA	�6 492.88	5162 )22.00	590 200.00	SJI 000.00	50.00	Sl2l,200.00	1s,,.	541.122.00	56 060.00	Ye;	17,0C"r/4	S20 (,()4.00	SI OJ0.20	8]J)0%	51005%.00	Sl 029.80	
33.	TYPE P-6 WITH "J" BOTTOMS	8	EA	S14 844.13	!118 75).04	!6) 800.00	518.500.00	S0.00	582,300.00	6�'o	5)6 45).04	54 115.00	Yes	17.00-/4	Sll 991.flO	5699.55	83.1��	568,309.00	13,415.45	
34.	TYPE P-6 INLETS	4	EA	$7 220.65	S28 882.60	SIJ 620.00	S0.00	S0.00	Sl3 620.00	47�'o	Sil 262.60	5681.00	Yl's	17.00%	52315.40	5115.77	83.00"/4	511 304.60	S565.2J	
35.	TYPE "J" BOTTOM WITH TYPE "A" MANHOLE	I	EA	$33 164.59	SJJ 164.59	519000.00		SO.!IO	SI') 000.00	57%	Sl4.(64.59	$950.00	Ye;	17.00'/4	53.2)().1)(1	Sl61.SO	83.00%	SIS,770.00	5788.50	
36.	BOX CULVERT S'XIO'	280	LF	$1 319.81	5)69 546.80	Sl69 546.80	S0.00		S369.546.8ll	100'/o	S0.(Xl	$18,477.34	Yo.	17.00%	S62 822.%	SJ 141.15	8J.00'/4	SJ06 72J.>S4	515))6.19	
37.	TV LINES	I	LS	$31 524.38	SJ1,524.38	S0.00			SO.I)()	IJ"/4	SJI 524.38	S0.00	Y<S	17.fN)%	!0.00	SO.(Xl	83.00%	so.oo	S0.00	
38.	8" C-900	487	LF	550.94	S24 807.78	SIJ,000.00	S0.00	SO.OU	SIJ 01.10.00	52o/,	Sii 807.78	SfiS0.00	Ye;	17.(J0"/4	52.210.00	SII0.50	83.00%	Sl079U.OO	Sl39.50	
39.	16" DIP	2,581	LF	$131.18	SJJ8 575.58	$25] 376.00	$17 700.00	S0.00	5271 076.00	80%	S67.499.58	SIJ.55HO	Yu,;	17.00%	S46 082.1)2	S2J04.15	83.00-/4	S224 993.08	511,249.65	
40.	12" C-900	2,752	LF	$87.96	5242.()(,5.92	S177,260.00	$18900.00	50.00	SI% 160.00	81%	S45 905.92	S9,808.00	Yo;	17.00-/4	SJJ 347.20	Sl.667.36	8).()0"/,	$162 812.80	S8 140.64	
41.	6" C-900	816	LF	$37.07	S3U,249.12	S6,l80.00	S4 500.00	SO.DO	SIO 880.00	36%	Sl9,J69.l2	$544.00	Yes	17.00%	SI 849.60	S92.48	83.00%	$9.0)0.411	S45l.52	
42.	12" GATE VALVE	13	EA	54	796.85	S62,359.05	S(,2 359.05	S0.00	so.uo	St,2,359.05	100'/.	50.IIO	SJ 117.95	Yes	17.0(l°I.	$10601.04	5530.05	83.00"/,	551 758.01	S2 587.90	
43.	6" GATE VALVE	13	EA	$1 903.55	$24.746.15	510 )00.00	S0.00		510 300.00	42%	Sl4.446.l5	S5l5.00	Yes	17.(X>°/i	SI 751.(IO	587.55	8).00'/,	SR 5<9.00	S427.45	
44.	16" GATE VALVE	18	EA	$B 950.47	Sl61 108.46	579.550.00	$28,450.00	S0.00	SI0il.000.00	(i71/,	$53 108.46	SS,400.00	YO!	17.(l(.14'/,	SIS 360.00	S9l8.UO	Xl.OOo/,	S89 640.<Xl	54 482.00	
45.	8" GATE VALVE	17	EA	$2 648.89	$45.11) I.I)	522 000.00	$6,200.00	S0.00	528 200.00	63%	Sl6 831.1.1	Sl,410.00	Yes	17.�l�'o	$4,794.00	S239.70	8).()(1'/,	S23 406.00	Sl,1711.30	
46.	RELOCAHFHA	1	EA	$3 474.50	SJ 474.50	S0.00			S0.00	0'/4	53.474.50	SO.()()	Yo<	17.00o/4	S0.00	S0.00	83.CXW,	50.00	S0.00	
47.	FIRE HYDRANT ASSEMBLY	18	EA	S6 239.51	SI 12.311.18	552 900.00	518,400.00		571 300.00	63%	541,011.18	S3,565.00	Yc,	17.00%	Sl2,l2I.OO	S606.05	8).1)()"/,	S59.I79.00	S2,958.95	
48.	ARV	I	EA	$7 426.58	$7 426.58	S0.00			S0.00	IJ"/4	S7 426.58	50.(K)	Y<S	17.0(W,	50.00	SO.()(>	83.IX�/,	SO.(){)	SO.IN)	
49.	16"Xl2" WET TAP	1	EA	SIS 160.96	$15 160.96	S7 500.00		S0.00	!7 5(1().00	49-/o	S7 660.96	SJ75.00	Yes	17.ll0"/4	Sl,275.00	!63.75	83.00%	!6,225.(XI	Sll 1.25	
50.	16"Xl6" WET TAP	I	EA	$33 555.01	SJJ 555.01	S8 200.00		S0.00	S8.200.00	24%	S25 355.01	5410.00	Yes	17.00�0	Sl,394.00	$69.70	83.00o/,	S6 806.00	$3411.JO	
51.	14"DIRECTIONAL DRILL	80	LF	5173.41	Sil 872.80	S7 200.00		S0.00	S7.200.00	52%	S6.672.811	5360.00	Yes	17.()()'/4	SI 224.(1(1	S61.20	83.00%	55 976.00	!298.80	
52.	JUMPER	2	EA	$2 787.30	s.s 574.60	50.(IO			S0.00	()'I,	S5 574.60	S0.00	Yes	11.oo�.	SO.()(I	SO.DO	83.�'o	S0.00	50.(JO	
53.	RESTORATION/MOT FOR OFFSITE WORK	1	LS	$33 392.21	!33 392.21	S0.00			so.no	IJ"/,	SJJ 392.21	so.on	Yes	17.0(W,	511,00	!0.00	83.(H�/4	S0.00	S0.00	
54.	WATER FITTING	I	LS	$122 471.75	5122,471.75	590,700.00	53,300.00	S0.00	S94,(KJ0.1Xl	11o/,	S28 471.75	$4 700.00	Y..s	17.00'/,	SIS 980.00	S799.00	83.01)9/4	$78.020.00	SJ 901.00	
55.	TESTING	I	LS	$11 475.00	511,475.00	SO.!NJ			50.00	Oo/•	SI 1,475.00	50.00	Yes	17.00%	50.(NJ	SO.OD	83.00-/4	SO.OU	S0.()(J	
56.	8" REUSE	5392	Lf	$49.11	$264 801.12	Sl57.080.00	536000.00	Sfl.(XJ	$193 080.00	73%	S71.721.12	S9 654.00	Yes	17.II0"/4	S32 823.60	SI 641.18	83.00%	Sl60,256.40	$8,012.82	
57.	8" GATE VALVE	17	EA	$2 738.50	$46 554.50	SI8700.00	S9 l(I0.00		527,800.00	60%	518 754.50	SI 390.00	y�	17.00'/4	54 726.00	5236.)0	83.ocr,r.	523,074.00	SI 153.70	
58.	4" REUSE C,900	590	LF	$30.67	Sl�.095.30	ss 200.00	Sll.00		S5 200.00	29%	Sl2 895.30	5260.00	Ye,.	17.00'/4	5884.00	$44.20	83.00'/.	S4.316.00	S21�.80	
59.	4" GATE VALVE	14	EA	$2 295.78	532,140.92	S12,700,00	S0.00		512,700.00	40°/,	$19 440.92	S635.00	Yes	17.00'/4	52 159.00	5107.95	83.00%	510.541.00	S527.05	
60.	30"K8" WET TAP	2	EA	$12 237.97	S24,475.94	S6 400.00	SO.()(>		S6 400.(IO	26o/,	S18,075.94	SJ20.00	Yes	17.00'/4	SI 088.00	$54.40	83.00%	Sl 3I2.(X)	5265.60	
61.	10" DIRECTIONAL DRILL	80	LF	5136.25	510,900.00	$2,400.00		S0.00	52,400.00	22o/o	58 j()().00	5120.00	Yu;;	17.00'/4	S408.00	520.40	83.00'/,	Sl,992.00	599.60	
62.	REUSE JUMPER	2	EA	$2 737.14	S5 474.28	54 600.00		S0.00	$4,600.00	84o/,	5874.28	S230.00	Yo.	17.()()l'/.	5782.00	SJ9.l0	83.00%	SJ 818.00	$190.90	
63.	REUSE FITTINGS	I	LS	$41 221.83	541 221.8]	s2J.l)(JO.oo		S0.00	S23,000.00	56o/,	Sl8 221.83	SI 150.00	Ye,	17,00'/4	SJ 910.00	SI95.50	�3.()()0'/,	5I9,090.(JO	5954.50	
64.	REUSE TESTING	I	LS	59 750.38	$9,750.)8	50.00			so.on	�o	S9,750.38	S0.00	Yes	17.(K1'!.	S0.00	S0.00	8).00¾	so.no	SO.!)()	
65.	TYPE "D" CURB	1,487	LF	521.25	S3 I 598.75	55.600.00	S0.00		55,600.00	18¾	525 998.75	5280.00	y.,.	I7.()()"J.	S9S2.00	547.60	83.<>0'/,	$4,648.00	S232.411	
66.	TYPE "F" CURB	17,785	LF	528.13	ssoo 292.05	S178 750.00	S48.500.()(I		S227250.00	45%	5273,042.05	SI I 362.50	Yu;	17.00'/4	SJ8.632.50	SI 931.63	83.()()"/,	Sl88 617.50	59 430.88	
67.	10' CONCRETE SIDEWALK	3,647	Lf	$61.44	S224.07l.68	SO.IX)			!0.0()	1)%	S224 071.68	S11.00	Yes	17.00'/4	SO.DO	S0.00	83.M•	so.oo	so.on	
68.	10' HCR	11	EA	S2 750.oo	530,250.00	S0.00			S0.00	0%	SJO 250.IJO	SO.DO	y"	17.00%	S0.00	S0.00	83.00%	50.00	SO.DO	
69.	5' SIDEWALK	6,562	LF	529.94	Sl96,466.28	50.()(1			S0.00	I)"/,	$1%,466.28	S0.00	Yes	17.00'/4	SO.DO	S0.(KI	8).00'/,	sn.oo	so.oo	
70.	5' HCR	14	EA	51	481.25	S211.7J7.SU	SO.()(I			so.no	IJ"/4	$20.737.50	50.(IO	Yes	17.00%	S0.00	S0.(>0	83.00%	S0.00	sn.oo	
71.	12" STABIL12ATION	25,301	SY	$5.42	SIJ7 IJl.42	$68,800.00	SI I 600.IJIJ		!80,4(J0.00	59%	S56731.42	S4 020.IXI	Yl:S	17.II0'/4	SIJ 668.00	S683.40	8),00%	566 732.00	SJ 336.60	
72.	!" SP 12.5 !ST LIFT	21,349	SY	513.81	!294,829.69	S0.00	S107,l�I0.00		S 107 000.00	36��	5187,829.69	S5 35000	Ye,	17.00%	S18 190.00	S'J09.50	83.00%	S88 8!0.00	$4,4411.50	

Al.-. OOCUIAENT C103 CONTINUAlJO'-!Sl-EET FOR0702 11X1, EDITION AIA C1W2
THE AMERICAN INSTITUTE OF I\RCHIIECIS 1735NEW YORXAVEHUE NW WASHINGTON OC 2000&.'$231	0703-1002

AJA Oocumml G702. APPLICATION AND CERTIFICATION FOR PAYMENT. om1ai11i11g
Con1rac1or'ssi�nW cmific.11ion 1s at1a1,:hu:I.

AJA DOCUMENT G703

APPLICATION NO: APPLICATION OATE:
PERIOOTO:

6
11/18/2024
11/18/2024

G

,.

UscColunm I 011 Conlra(..1Swhere v;iri;iblc fl-1illfl.l •c 1hr lmc 1ll111Sma ann\v,	ARCHITECT'S PROJECT NO

A	fl

("	I)	I	E
WORK COMPIJ;llm

F
MATE.RIALS

II
TfYIAI.

I	J	K	I.

M	N	0	I'

ffEM

SCJtEIJIJUD

FM.OM l'KEVKJUS

PREsmrn.v

('OMPU:llm

JIAI.ANCE

RETAINAGE

CC!nsiOC'1\XI

l\.n:cnl Eligihlc 'I cilal l:('(11pk1cJ Ami

J>erccnl �!lg1blc

Tt:'1111 C'cvnptct«! And

NO.

DESfRIPTION OF WORK

Quaulity Uni1

VAl,UE
'"'"

Tol.'11

Al'l'I.K"A rlON
(D +-E)

'1111SPERIOD

STORED
(NOT IN
DORE)

AND STORED

ron,,;m

(D+-E+FJ

(G+C)

TO FINISII
(C-G)

(WVARJADU
KATI:)

"Shared
lmpro\'\."llk."111"

For Paymcm
DyCadl.'tl«

StOf"l.'dTo Date 1mi!ibk fol Pa)'tllCllt By{'ad�cc

Tl'ltal C:a<lcl,cc Rc1a1naic 0j s•;

for Pa)'ment
IJyCOD

Stored ro Date
Ehg1hlc FN l'a)i111,.-nt UyCDIJ

rou,tCOD
Rc1a111a(!.c (ii 5•,

73.

l" SP 9.5 ASPHALT WITHIN 6 MONTHS OF CFC	21,349 SY

$17.63

5376,)82.87

S0.O<I

S0.0(1	0¾

5376 382.87

S0.00

Ye;

11.00•;.

SD.00

S0.00

83.U<W•

sn.oo

S0.00

74.

I" SP9.SASPHALT	21,349 SY

Sl3.7!

S292,694.79

$0.0(J

SI 06 0()().00

5106 000.00

36o/,

Sl86 694.79

55.3011.00

y.,

17.fKl°/4	SI� 020.00

5901.00

83.00'/4

587,980.00

54.39'.I.II0

10" LIME ROCK	21,349 SY

$24.71

5527 533.79

5202 350.00

S39 990.00

5242,340.llO

46o/,

$285 193.79

Sl2117.00

Yes

17.(.)(r,�	541,197.80

S2,059.89

83.00'/4

S201 142.20

Sl0057.II

STAMPEDASPHALT

1,680  SF

$13.75

S23 100.00

$23 100.00	S0.00

$23 100.00

100•;.

S0.00

Sl,155.00

Yes

17.00'/4

Sl,927.00

$196.35

83.00-/,

Sl9 173.00

5958.65

78.
79.

TEMP MARKING
PERMENATE MARKINGS

I	LS
1	LS

$18 402.SO
$72 125.00

518,402.50
572,125.00

50.()(J
so.oo

SO.OD S0.00

0%
U'/4

518 402.50
572 125.00

S0.(lO
S0.00

Yes Yu-

17.00'/4
17.ll0'/4

SO.DO
S0.00

50.00
SO.IX)

83.00%
8-3.00"/,

SO.O<I
so.oo

50.00
SO.DO

80. DRY UTILITIES

fll!S PERIOD

81.
82.

MOBILIZATION/GENERALCONDITIONS PERFORMANCE BONO

1	LS
1	LS

$45 120.00
$60 768.00

545.120.00
S60 768.00

58 100.00	S5 500.00
S60 768.00

Sil 600.00
560,7(,8.00

30"/4
100•;.

SJ I 520.00
so.on

5680.00
53,038.40

Yc.s
Y�

17.00"/4
17.00%

S2.J 11.00 SIO330.56

$115.60
S516.53

83.Dm,
8].()(�;.

SI I 288.0<J
SS0,437.44

5564.40
52,521.87

6" SCHEDULE 40 GREY	60,S30  LF

$2S.17

51,523 540.10

$57 000.00	54 600.00

S61 600.00	4%

$1,461 940.10

SJ 080.00

Ye<

17.00'/4

SIO 472.00

S5B.6CI

IH.00"/,

551.128.00

S2 55().40

CONCRETE DUCT BANK

S,490  LF

$14.97

$82 185.30

so.no	Sfl.00

S0.00

II"/,

S82, I 85.30

S0.00

Yes

17.0l)"/4

SO.Oil

SO.O(J

83,00,,

S0.00

S0.00

83.

2" SCHEDULE 40 GREY	15,212  LF

$1S.10

5229101.20

sss(i00.00

S0.00

S55 600.00

24%

Sl74 l01.20

S2 780.00

Yu.

17.0i)G/4

S9,452.00

S472.60

83.0ll"/4

S46 148.00

S2 307.40

2" FITTINGS

1	LS

526 884.00

$26,884.00

S6 500.00

S0.00

$6 500.00

24¾

S20 384.00

SJ25.00

Yo,

17.��	SI 105.00

$55.25

8].00-/4

S5 395.00

5269.75

4" SCHEDULE 40 GREY	51,000  LF

$20.31

SI 035810.00

so.oo

S26,000.00

S26 000.00	3%

SI 009810.00

Sl,J0<>.00

Yes

17.00%

S4 420.00

$221.00

83.00%

S21 580.00

Sl,079.00

4"& 6" FITTINGS

I	LS

S64 118.00

564.118.00

$4 600.00	SO.CXI

S4 600.(Hl	7%

$59518.IIO	S230.00

Yo:.

17.00'/4	$782.00

S39.IO

83.00o/,

SJ 818.00

$190.90

30' TALL LED SINGLE HEAD LIGHT
30' TALL POLE WITH TWIN HEADS
ADD BLACKE DYETO CONCRETE POLES
SPLICE BOXES

22	EA
24	EA
46 EA
S2	EA

$12 274.00
514 363.00
$909.00
ss 770.00

$270 028.00
$344.712.00
S41 814.00
.s3U0040.00

SO.(�) S0.00 S0.0\1 SO.OU

S0.00
su.oo
50.00
SO.\HI

0%
0'1,
0%
()"/,

S270 028.0<1 S344 712.UO S41,814.00 SJll0,040.0\1

S0.00 S0.00 S0.00
$0.llO

Yes Yes Ye< Ye,

17.00"/.
17.0CW,
17.00"/1
17.00'!.

$11.00
SD.00
so.no
S0.00

SO.I)() 50.00 S0.00
$0,0(1

83.001/.
83.0<W,
83.0CW,
83.0ll"/4

SO.OIi SU.00 50.00
50.00

S0,00
SU.00 SO.DO
SO.Oil

LAVOUT/AS-BUILTS

1	LS

$17 410.00

Sl7 4IO,OO	S0.00	SI 71Ml.OO

SI 700.00

10"/,

SIS,710.0U

S85.00

Yes

17.0CW,

S28Y.00

Sl4.45

83.00'/4

S1,411.00

$70.55

HANDHOLES MAHOLES

IS	EA
4	EA

S3 145.00
57 793.00

S41 175.00
SJI 172.00

S0.00 S0.00

S0.00	0%
SU.00	0%

S47 175.00
$31,172.00

S0.00 S0.00

Ye< Yes

17.0II"/.
17.00"/,

SO.DO
so.no

S0.00
so.no

BJ.om,
33.00-/4

S0.00 S0.00

$0,()() S0.0<1

LANDSCAPE/IRRIGATION
MOBILIZATION/GENERALCONDITIONS

1	LS

S29 560.00

S29 560.00

S3 500.00

1111S PERIOD
51,600.00

S5 100.00

17%

S24 460.00

525.1.00

Yci;:

17.00%

$867.00

543.35

S3.00°/,

54,1JJ.IIO

5111.65

PERFORMANCE BONO

1	LS

522 693.00

522,693.00

S22 693.00

S22,693.00

100%

SO.IJO SI 134.65

Yes

17,0,�/,

SJ 857.!JI

Sl92.89

83.00'/,

$18 835.19

S941.76

SURVEY/LAYOUT

1	LS

$6 880.00

S6 880.(M)

StJ.00	Sl.200.00

S1,200.00

17%

$5 680.0U

S60.00

Ye,;

17.00°/,

$204.()()

SI0.20

83.0IJ'/,

5996.00

$49.80

LANDSCAPE

1	lS

S4ZI 116.00

S421 116.00

S0.00

so.oo

()"/,

S421 I 16.00

S0.00

Yes

17.1,0-/4

S0.00

so.no	83.00'/4

$().(Ml

so.oo

IRRIGATION

1	LS

$393 612.00

SJ93 612.00

$33,200.00	so.no

SJJ 200.00	8%

$360 412.00

Sl,660.00

Ye,

17.00%

s.s 644.00

$282.20

83.00'/4

S27 556.00

SI J77.80

MAINTENANCE

I	lS

$73 440.00

S73 440.(IO	so.no

SO.(lO

()"/,

S7J 440.00

SO.!IO	Yes

17.00%

so.no

SO.IHI

83.00•/o

S0.00

S0.00

SOD/GROUNDCOVERING

1	LS

5141212.00

Sl41,212.00

$0,()(1

SO.!Kl

O"/,

Sl41 212.00

so.no

y.,.

17.QOG/4

SO.IIO

SU.0(1

83.00'/4	$0,()()

S0.00

Chante Order #1 Fire Access Rd
Install Fire Access Rd. 8" Lime Rock with Prime
Install Two Extra Fire Hvdrant Assemblv
Install Extra PVC with fittinRs
Extra Labor/Crew and EQulpment to Facilitate Install

9,111
'1
1

SY	$14.20
EA  $6,400.00
LS $ 3,200.00
LS $ 69,800.00

$129 37fi.211
$12,800.00
SJ 200.00
S69 800.00

S129,376.20	S0.00
Sil 800.00	SO.I)()
SJ 200.00	S0.00
S69 800.00	so.no

Sl29 l76.20 S12 800.llO
S3 200.00
SMS00.00

H.K.Wo 100'/4
IOll"/4
tn()t/4

so.no
S0.00 S0.00 S0.00

S6 468.81	No
$640.00	No
$160.00	No
SJ 490.00	No

0.()0% Q_00°/4 ().O()'/,
o.on•;.

SO.fl()
S0.00 S0.00
so.no

50.00
so.on
SO.Oil
S0.00

100.00'/4 l00.00'/4 100.1,01/,
100.00%

S129,376.20 S12 800.00 SJ 200.!lO S69 800.00

S6 468.81
SMo.no SH.0.U0 SJ.490.00

Chamze Order #2
Storm• 0-24 Remove 54" HOPE

-16	LF

360.14

($5,762.24

·nlfi PERIOD
S0.00	(55 762.241

($5 762.241

100"/4

S0.00

($288.1 ll

Y<>

17.()11"/,

IS979.58l

1548.98)

83.00"1,

($4,782.66)

(52)9.131

0-24 Add 36" HOPE

16	LF

114.98

Sl,839.68

S0.00	SI 839.68

$1,839.68

l0(1%

S0.00

$91.98

Ye,

17.00-/4	$312.75

S15.64

83.00o/..

Sl,526.93

576.35

Reuse - Delete 8"x4" Tee

·l	EA

281.00

IS2'1.00)

$(),0()

(S281.001

/5281.001 100%

so.no

/S14.05

y.,,

17.00"/4

($47.77)

152.39)

83.00'/4

/S23l.231	ISi 1.66)

Delete 8" Gate Valve

·l	EA

s2 648.89

ISH,48.89

S0.00

so.no

()"I,

<S2 648.89

so.on

Yo;

17.0II"/,

S0.00

S0.00

83.0(��	SO.Oil

$0.00

Add 4" PVC Reuse Pine

70	LF

S30.67

$2,146.90

S0.00

S0.00

o•;.

S:2,146.90

S0.00

Yes

17.0llo/o	S0.00

S0.00

83.00%

so.or,

S0.00

Add Storm Structure 0-72

1	LS

S41180.00

S41,180.00

528,000.00

S4 600.llO

$326011.00

79'/,

S8 580.00

SI 630.00

y.,.

17.00%

$5,542.00

S277.10

83.00%

$27 058.00

$1,352.90

Curb Minus• MF" Curb

-171  LF

S28.13

($4,810.23

$0,0()

SO.OU

()"/,

IS4 8!0.23

so.no	Yt>

17.{)(l'/4

S0.00

SO.{)(>

83.00%

SO.!Kl

S0.00

Add- Tvoe "O" Curb

184  LF

S26.S8

S4 890.72

S0.00

S0.00

()"/,

$4,890.72

S0.00

Yes

17.lXWo	S0.00

so.no	83.00-/o

S0.00

$0,0,)

Add S4"/60" HP
Add S4"/60 Cao

S4	LF
1	LS

S360.14
$1 170.00

$19 447.56
SI 170.()(J

SO.llO 50.IM)

512.200.00

5)2,20\).00
S0.00

63�·
f)"/4

S7 247.56 Sl,1711.(lO

$610.00
S0.00

Yes Ye,

17.00%
17.0()"/4

$2 074.00
S0.00

SI03.70 50.00

83.00%
&3.rm•

SI0,126.00
S0.00

5506.30
S0.00

D-21 • Delete 18" HP

-38	LF

$50.28

!Sl.910.64

(SI 910.64)	S0.00

(Sl,9l0.64)

l{M)'I,

so.on

(S95.53

Y.,;

17.00%

(SJ24.81

($16.24)

83.<X1%

(SI ,585.81)

($79.29

D-21 • Add 48" HP

125 LF

$320.16

S40 020.00

526,290.00

SS,500.00

SJ4.790.00	87%

S5 230.00

SI 739.50

Ye;

17.{)()t/o

55,914.JO

$295.72

83.00"/,

$28 875.70

$1,443.79

D-21 • Add 48" Cao

1	EA

$770.00

S770.00

SO.I)()

SO.DO  o•;.

$770.00

S0.00

Ye;

17.00%

SO.O<I

S0.00

83.00'/,

S0.00

so.no

0-21 • Add Core

EA

SJ 440.00

SI 440.flO

so.no

S0.00

II"/,

$1,440.00

so.no

Yes

17.()()9/,.	S0.00

S0.00

83.00'/,

S0.00

S0.00

D-22 • 36" HP
Add· 36" Cao
Add • 36" Core
Force Main Add - 6" PVC FM Pioe

16	LF
1	EA
I	EA
18S  LF

S114.98
$620.00
$580.00
SS0.13

$1,839.68
$620.0U
$580.00
$9,274.05

S0.00 SO.II() SU.O<I
S0.00	S4,700.00

SO.()(J S0.00 SO.()()
S4 700.00

0%
0"1,
{i-/o 51%

SI !139.68 S620.00 S580.00
$4,574.05

S0.00 S0.00 S0.00 S235.00

Yes Ye.<
Yu.
Ye;

17.001/o
17.00"/o
17.00-J.
17.00"/4

S0.00 S0.00
so.no
S79?.0<I

S0.00 S0.00 S0.00
$)9.95

IB.006/,
83.M,
83.\lml
83.()()"/,

so.no S0.00 50.00 SJ.901.0(J

S0.00 SO.II() SO.(lO
$195.05

Add· 10"x6" Tee

EA

$998.00

SI 996.0\1

S0.00

S0.00	0%

SI 996.00

so.on

Y.,;

17.()()'/4	S0.00

SO.DO

83.00,•

S0.00

so.no

Add-10" Plue. Valve

2	EA

ss 619.75

SI I 239.50

S0.00	$5 200,()()

55 200.00	46%

$6,039.50

S260.00

Yes

l7.()(J"/4

5884.00

S44.20

�3.00'/,

S4,Jl6.00

S215.80

Add-6" Plue: Valve

2	EA

S3 90S.!7

S7 810.34

so.no

so.oo 0%

57 810.34

S0.00

Yes

17.00%

so.oo

SO.O<I

83.IIO'/,

50.00

so.on

Add-6" Cao
Reuse Main Add - 6" PVC FM Pine

2	EA
90	LF

$197.00
SS0.13

5394.00
S4,51l.70

S0.00
S0.00

S0.l>O
S0.00

0%,
()"/,

SJ94.00
$4,511.70

$0.(1()
S0.00

Yu;
Yes

17.()(p/4
17.00'/,

S0.00
so.no

SO.OU S0.00

83.00'/4
KJ.00��

so.no
S0.00

$0.00
SO.OU

Alit.00CUMENT0703 CONTINUAIIONSHEETFORG702 1�:1EDITION AJil. �11»2
THEAME�ICANINSJIJUTEOFARCHITECTS 17"NEWVOFtlCA\ll:NUC NW WASHINOTON OC 20006•5232	G703-11X12

133.	4" Gate Valve	1	EA	S990.00	S990.00	SU.OD			so.no	0%	$990.00	S0.00	Yes	17.110%	S0.00	so.on	83.00-/4	S0.()(1	SU.00	
134.	4" Stub Out	1	EA	S705.00	S705.IX1	so.uo			so.on	0%	5705.00	SO.OU	Y,:,;	17.00"/4	so.uo	so.no	83.ruw.	so.uo	SO.OD	
135.	Water -Delete 16"x6" Tee	-1	EA	S810.00	/S810.00	so.on			so.on	fl'/,	CS810.00)	SO.Oil	Yes	17.00-/o	so.uo	so.on	83.00%	SU.OD	S0.00	
136.	Delete 16"x8" Tee	-I	EA	51	020.00	/SI 020.00	so.on			so.on	fl'/,	/Sl.020.()(l)	so.on	Yes	17.��	S0.00	so.on	83.00%	so.on	so.on	
137.	Delete 6" Gate	-1	EA	SI 903.55	/Sl,903.55	SCl.00			50.()(1	0%	(SI 903.55)	S0.00	Yes	17.00-/o	SO.OD	50.<Hl	83.0CW.	so.oo	so.no	
138.	Delete 16" Gate Valve	·I	EA	58	950.47	m�S0.47)	SO.llO			S0.00	l)t/4	rss 950.47l	S0.00	Yes	17.00Y.	SO.OD	S0.(>0	83.00%	�0.(>0	S<UXI	
139.	Delete 8" PVC Pioe	-60	LF	S50.94	(SJ,056.40)	SO.OD	(SJ 056.40)		ISJ,056.40)	100-/4	SO.OD	1$152.821	Ye;	17.00-/4	(S519.59	/S25.98)	83.00%	,s2 536.81'	<S126.�4)	
140.	Delete 6" PVC Pioe	-60	LF	S37.07	(S2,224.20)	SO.()(I	(S2,224.20)		(S2 224.20	l00¾	SO.OD	(S111.21l	Ycs	17.�/.	IS378.11	<SIS.91	KJ.00"/e	<SI 846.091	<S92.JOI	
141.	Delete 6" Cao	-I	EA	s202.oo	,s202.om	S0.00			so.on	M•	,s202.001	SO.OD	v..	17.00o/.	SO.OU	S0.00	83.00-/,	SIi.OU	so.oo	
142.	Delete 8" Cao	-1	EA	S274.00	(S274.00J	so.on			S0.00	(1%	1$274.llOl	S0.00	Yo;	17.00%	SO.llO	S0.00	�].(��	so.on	S0.00	
143.	16" xlO.. Cross	1	EA	Sl 440.00	Sl,440.00	so.uo			SO.OD	o•;.	Sl,440.on	S0.00	Ye,;	17.(X)o/,	S0.00	so.no	�].()(f,�	Sll.00	sn.oo	
144.	10" Gate Valves	2	EA	S4 202.00	S8.404.00	S0.00	SJ 900.00		SJ,900.UO	46%	S4,504.00	5195.00	Ye;	17.00-/4	S/,63.llO	SJJ.15	8).00%	SJ 237.UO	S161.85	
145.	10" PVC C-900	125	LF	,74.90	S9 362.SO	SO.llO	$4 400.00		S4,400.00	47%	S4 962.50	5220.00	Y<>	17.00"/,	5748.00	537.40	!H.tlfl'/4	SJ,652.00	Sl82.60	
146.	10" Stub Outs	2	EA	S240.00	S480.I)()	so.no			S0.00	0%	S481/.I)()	SO.OD	Ye,	17.0(>-J.	S0.00	SO.OD	83.00%	SO.I)()	so.on	
147.	Stamoed Asohalt - Delete	·1680	Lf	S13.75	(523,H>O.llO)	(S2J lllO.llOJ			IS23 100.(�I	l{X�/4	SO.llO	<Sl,155.\KI)	Yes	17.00-/4	<SJ 927.001	(Sl9(d5	83.00%	1$19,17).00	<S9S8.65J	
148.	Curb Minus - "F" Curb	-244	Lf	528.13	(S6 K63.72)	so.no			so.oo	0%	<56.863.72l	SO.OD	Yo;	17.0()'/,	SO.OD	SO.(KI	�3.00-/4	S0.00	so.on	
149.	Add- Tvoe "O" Curb	244	Lf	526.58	$6,485.52	S0.00			S0.00	0%	$6,485.52	so.on	Yo,	17.00%	S0.00	Sll.()(t	8).00%	Sll.00	S0.00	
150.	Storm- 0-90 Storm Manhole Added	I	EA	,11	280.00	Sil 280.00	SO./lO			so.uo	0%	SI I 280.00	so.uo	y,.	17.00%	S0.00	so.on	83.00'/4	SO.OD	SO.()(I	
151.	0-91 Storm Manhole Added	1	EA	Sll	280.00	Sll,280.IKI	S0.00			S0.00	0%	S11 280.00	Sll.()(t	Ye,	17.00-/o	S0.00	SO.Oil	83.00%	S0.00	SO.I)()	
152.	Add - 48" Core D-60	I	EA	Sl 440.00	SI 440.00	S0.00			S0.00	0%	Sl.440.UO	SO.llO	Y.;s	17.00%	so.uo	S0.00	83.00%	SO.Oil	so.oo	
153.	Add - 48" Core D-90	I	EA	�l 440.00	.Sl.440.00	SO.OD			S0.00	0%	SI 440.00	SO.llO	YL,;;	17.00%	so.no	SO.OD	83.00'/4	S0.00	sn.oo	
154.	Add 48" HP Pipe	132	Lf	,320.16	S42 261.12	so.on	Sl2,60U.UO		Sl2 600.UO	30-/e	S29,<,til.I2	S630.ll0	Yo;	17.00%	Sl.142.00	SIOJ.10	83.00-/4	SI0,458.00	S522.91l	
155.	Water -10" Gate Valves	2	EA	,.	202.00	SS,404.00	Sll.00			so.no	0%	S8 404.UO	S0.00	Yes	17.00°/4	S0.00	S0.00	8].00-/4	SO.Oil	SOJMJ	
156.	10" PVC C-900	125	LF	S74.90	S9.362.50	SO.OD			S0.00	0%	$9,362.50	so.uo	Vo;	17.00%	SO.IKI	so.uo	8).00"/o	so.on	sn.(Hl	
157.	Delete 16" Gate Valve	•l	EA	,s	950.47	IS8 950.471	so.on			S0.00	0'/4	IS8.950.47\	SO.OD	Yes	17.00'/4	S0.00	so.no	83.00-/4	S0.00	so.on	
158.	Delete 6" PVC C-900	-60	Lf		37.07	($2,224.20)	S(UHJ			SO.()(I	0%	IS2.224.20)	so.no	Yes	17.00"/4	SO.OD	so.no	8).00%	so.Ou	SO.Oil	
159.	Delete 8" PVC C-900	-{;()	LF		50.94	IS),056.401	SO.OD			sn.oo	0%	(S3 05(i.40l	SO.OD	Yu;	17.()09/4	50.()()	S0.00	8).00%	SO.OD	S0.00	
160.	Reuse- Add· 4"PVC Pipe	so	LF		30.67	Sl 533.50	SO.Oil			so.uo	1)'%	SI 533.50	SO.llO	Ye,	17.00%	SU.Oil	S0.00	83.om-:.	SO.()(l	SO.I)()	
161.	Force Main -Add - 6" PVC Pipe STA 12+-70	so	Lf		50.13	S2 506.50	S0.00			so.no	0%	S2 506.50	SO.()(I	Yes	I7.0(W,	so.uo	S0.00	83.00%	SO.(lO	SO.llO	
162.	Curb Minus - "F" Curb	-228	Lf		28.13	IS6,4ll.64l	so.no			SO.OD	fl'/,	IS6,413.64l	so.uo	Vo;	17.00"/4	S0.00	SO.CKI	8).()(1'',	SO.OD	S0.00	
163.	Add- Tvoe "D" Curb	228	LF		26.S8	56 060.24	S0.00			S0.00	0%	S6 060.24	SO.OD	Yo;	17.00%	S0.00	S0.00	RJ.00-/,	so.on	Sll.00	
164.	Storm - Delete 60" HP- 16+-70	-21	Lf		480.83	<SIO 1197.43)	so.on			SO.IKI	0%	ISl0097.4Jl	S0.00	Yes	17.()110/4	S0.00	SO.OIi	83.00%	so.oo	so.no	
165.	Add - Adiust D-47	1	LS		590.00	Sl90.00	S0.00			S0.00	()0/4	S590.00	SO.I)()	y.,_	l7_()00/4	S0.00	S0.00	83.ilOI'.	Sll.00	Sll.UO	
166.	Add· Adiust D-07	1	LS		630.00	S630.00	so.uo			S0.00	0%	S6JO.on	SO.OD	Yes	17.()0'/,	SO.IKI	S0.00	10.00%	so.uo	$11.00	
167.	Water • Add • 8" C-900	ss	Lf		50.94	S2 801.70	so.uo			so.uo	()0/,	S2.801.70	S0.00	Y<>	17.()0'/4	SO.OD	S0.00	83.00"/o	S0.00	SU.00	
168.	Reuse-Add�4" PVC Pipe	55	LF		30.67	Sl.686.85	SO.OD			SO.Oil	0%	SI 686.85	so.on	Yes	17.00"/4	Sll.00	SO.lKI	83.00-/4	SO.OD	so.uo	
170.	Force Main -Add - 6" PVC Pine STA 16+69	55	lf		50.13	52757. ll	SO.IXI			SOJ}O	0%	52757.ll	S0.00	Yes	17.00"/o	S0.00	so.uo	83.00"/.	SO.I)()	S0.00	
171.	SuNev/3-D Files	l	LS	s12	994.oo	Sll,994.00	S0.00	s2.1100.oo		52 000.<KJ	15o/.	SIO 994.00	SIOl).00	Yes	17.00-/4	$34000	517.00	83.��	Sl,660.00	S8J.00	
172.	A,;/Buitts	l	LS	S7 644.00	S7.644.on	so.on			SO.OD	0%	S7,644.ll0	SO.OIi	Ye;	17.00%	so.on	so.no	83.()(1%	so.on	S0.00	
173.	Additional Well Abandonment	3	EA	59	700.00	S29,IOO.IHJ	S9,7UO.on	S6,500.00		Sl6,2()(J.00	5(,o/,	Sll 900.00	S810.0II	Y<£	17.00'/4	$2,754.00	SIJ7.70	83.00%	Sl3.44(d)(I	S672.JO	
174.	Curb Minus - "F" Curb	-131	LF	528.13	IS) 685.i\Jl	S0.00			S0.00	ll¾	ISJ.685.0))	so.no	Ye,,	17.00-/4	so.on	S0.00	8).00,',	sn.oo	S0.00	
175.	Add- Tvne "D" Curb	131	Lf	S26.58	SJ,481.98	SO.llO			so.on	0%	SJ 481.98	S0.00	Yo;	17.00-/o	so.no	Sll.00	SJ.00°/,	so.oo	so.uo	
176.	Water· Add - 10" PVC C-900	42	LF	S74.90	SJ 145.80	.10.00			SO.Oil	1r1o	SJ 145.80	so.oo	Yo.	17.00%	S0.00	S0.00	83.00-/,	SO.llO	SO.OD	
177.	Gradfn"' -Suoer Elevate Roadwav	1	LS	Sil	890.00	Sl l,8�.00	S0.00			S0.00	0%	SI 1.890.00	SU.00	v�	17.00%,	S0.00	SO.OD	83.00"/o	S0.00	SO.I)()	
178.	Add Sod	1160	SY	S3.69	$4,280.40	Sll.00			so.no	O"t,	S4,280.40	SO.OD	y.,.	17.00-/4	S0.00	S0.00	83.llm•	so.oo	Sll.00	
179.	Add• Tvne P-8 Inlet Tons	3	EA	S3 345.00	SIOOJl.00	S0.0(1			SO.II()	0'/1	SI0.035.00	SO.OD	Ye,;	17.00%,	SO.lXI	so.uo	83.00'!.	so.on	sn.oo	
180.	Add Tvne "O" Curb	400	Lf	S26.58	S10632.00	S0.00			S0.00	O"I.	510 6)2.00	S0.00	Yu;	17.()0"/4	so.on	SO.OD	83.U0"/4	SO.Oil	SO.llO	
181.	Survev/3D File	1	LS	56 715.00	S6,715.00	S0.00			S0.00	0%	S6 715.00	SO.OD	Y<l!	17.0()-/4	so.oo	so.no	83.t)O"/,	so.no	so.on	
182.	As-Built$	1	LS	54 110.00	S4 110.00	so.uo			S0.00	0'¼	$4 1111.00	S0.00	v�	17.00'/4	S0.00	so.on	83.00%	SO.OIi	SO.(JO	
183.	Added Marklnas and Siuns	1	LS	S5 360.00	S5 360.00	SO.II()			SOOD	0%	ss )611.00	SO.Oil	Yes	17.00%	S0.00	S0.00	83.00%	so.on	S0.00	
																				
	Chanu Order #3						TIUS PER.IOD													
184.	2" lrri5!.ation - Sleeviniz	1900	LF	513.40	S25 460.00	56 300.00	S4 70(1.00		SI I 000.00	43%	Sl4,460.00	S.550.00	Ye,	17.00%	Sl.870.00	S9J.50	83.00'/o	$9 IJ0.00	5456.50	
185.	Lavout for Sleeviml	I	LS	51	600.00	SI 6()().00	$400.00	so.no		S400.<KI	25%	Sl,200.00	Sl0.00	Y-,;	17.(1()%	S68.00	SJ.40	8).0()"/,	53)2.00	516.60	
186.	As-Built and Locate Sleevimr	l	LS	S3 300.00	Sl JOll.00	SO.OD			SO.I)()	0%	S),Jll0.00	S0.00	YL."'i	17.00'/o	S0.00	S0.00	SJ.00°/,	S0.00	so.no	

																				
	SUOTOTAL				$14,744,957.07	Sl.397,135.43	5829,126.42	so.oo	S6,226,261.85	42%	SS.518,695.22	SJll,313.09			S1,021,884.56	$51,094.23		S.S,204,377.29	$260,21S.8(,	
	GRAND TOTALS				S14,744,957.117	Sl.397,135.43	S829,126.42	S0.00	S(,.226.261.85		S8,5I8,695.22	SJll,31).09			S1,021,884.56	SSl,094.23		55,204,377.29	Sl60.2 I 8.86	
U&era may obtain valldatlon of this document by requesting of the license a completed AIA Document D401 • Certification of Documat1t s Authenticity

J\!AOOCLNAENT 0703 C:ONTlNVATION SHEET FORO'l'll2 11Xl2 EDITION AIA ID10D2
ff-IC: A.l.lERICAN INSTITUTE OF "RCHIIECT:!i 11:l�NEW 'l'OAA AVENUE NW WASHINGTON DC 200011�3:1	O703-1U92

WAIYER AND RELEASE OF LIEN UPON PROGRESS PAYMENT

The undersigned lienor, in consideration of the sum of$ 787 670. l0	, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished through
l 1/18/2024 to Double B Development and Kelly Park VB Development, LLC on the job of Wyld Oaks Infrastructure to the following property:
S of Kelly Park Rd & Effie Dr.
3620 W Kelly Park Rd.
Apopka, FL 32712, Orange County (description of property)

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.

DATED on November 21, 2024.

Lienor RCS Construction Company, Inc. Address 295 E SR 50, Suite 1,
	Clermont FL 34711	

By�ht-��
Pr�i	e: Jody Bass
Its: Vice President

State of Florida
County of-=L=ak=ec,		_
The foregoing instrument was acknowledged before me this 21st	day of November 20_1±	, by, as of said company, who has presented as identification or is personally known to me.

-s

I ItJlfDlj ()J

�y	VICTORIA E. LAUTERIA

Signature of Notary Public

i	� Comm# HH276625
s1Nc ,i-..�	Expires 6/19/2026

�	t SNtoattae,vofMFllo• rida

(Seal)

>- .	• . 7�

/7  /__

		Victoria E Lauteria	 Print, Type or Stamp Commission

PROGRESS PAYMENT AFFIDAVIT

STATE OF FLORIDA COUNTY OF LAKE

BEFORE ME, the undersigned authority, duly qualified and authorized in the State and County aforesaid to administer oaths and take acknowledgements, this day, personally appeared	Jody Bass	, who being by me first duly sworn, deposes and says:

The facts and matters contained and recited in the Affidavit are based upon personal knowledge of the Affiant.
Affiant is the Owner of	RCS Construction Company, Inc.	. a North Dakota Corporation company (hereinafter the "Contractor")
Contractor and	Kelly Park VB Development, LLC	(hereinafter the "Owner") have executed, delivered and entered into that certain CONTRACT
AND AGREEMENT dated	December 4,2023	(hereinafter the "contract").
Affiant now requests partial payment under the Contract. In Consideration of Owner providing such partial payment, Contractor hereby provides this Affidavit upon which Owner intends to rely.
Contractor is not aware of any Claims that would require an adjustment of the Contract Time or the Contract Price except for any Change Order Requests or Change Order Proposals previously submitted in writing to Owner prior to execution of this Affidavit.
Contractor releases any Claims for an adjustment to the Contract Time or the Contract Price except for those previously made in writing and delivered to Owner prior to execution of this Affidavit.
Affiant states that all bills for labor, services or materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien upon Progress Payment forms for every such potential lienors are provided herewith through 11/18/2024
Affiant states that, except as provided herein, all bills for labor, services or
materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien Upon Progress Payment forms for every such potential lienor are provided herewith, except as provided below:

Name of Lienor
Or Potential Lienor

Amount due for labor, services or materials furnished, delivered, Installed or performed

1.  Atlantic Directional Drilling, Inc.	$0.00	
2. Central Florida Transport, LLC	$12,899.92	
3.  County Materials Corporation	$19,998.40	
4.  Dixie lime & Stone	$12,550.13	
5.  Florida Design Consultants	$3,020.25	
6.  Fortiline, Inc.	$43,554.02	
7.  Luis Concrete Services, Inc.	$12,576.43	
8. Oldcastle Infrastructure	$20,427.30	
9. Prime Masters, Inc.	$3,184.40	
10. Rozar Electric	$34,617.00	
11. Seminole Asphalt Paving, Inc.	$143,595.04	
12. Volusia General Contractors &	$0.00	
Trinity Construction Products, Inc.

FURTHER AFFIANT SAYETH NOT.

  RCS Construction Company, Inc.	

---(fcj-\&--�-�· Affiant

Sworn to and subscribed before me this	2l5t	day of November	2024, by Jody Bass	, who (check one): [ X] is personally known to me, [ ] produced a driver's license (issued by a state of the United States within the last five (5) years) as identification, or [
] produced other identification, to wit: 	. Affiant did take an oath.
/Zclou���

Print Name:	Victoria Hauteria
Notary Public, State of Florida
Commission No.:--'-"�H...H.;:2;;7..6;:-6=2::5;..	
MCommisysion Expires:	06/19/2026

JOINDER AND INDEMNIFY AGREEMENT

Contractor, joins in the execution of this Affidavit for the purpose of adopting all representations of fact contained therein. Contractor understands that this Affidavit will be relied upon by Owner for all purposes relating to the Contract. Contractor agrees to indemnify, hold harmless and defend the Owner from, against and with respect to any and all loss, cost, damage and expense, including reasonable attorneys' fees, arising out of any claims by laborers, subcontractors or materialmen who might claim that they have not been paid for labor, services or material.

A Florida Corporation Company By:	��\ll•�	
Name:ycCass
Title:	Vice President

(CORPORATE SEAL)[where applicable]

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
(A)	Requisition Number: 26

(B)
(C)

Name of Payee: Amount Payable:

KimleyHom
$1,170.00

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account
The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Authojl:	 �	\----

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

Kimley>))Horn	l_nv_o_ic_e_fo_r_Pr_of_es_s_io_na_ls_e_rv_ic_e_s

Please remit payment electronically to:	If paying by chec:lc,.please remit to:	
Account Name:	KIMLEY-HORN AND ASSOCIATES, INC.
Bank Name and Address:	WELLS FARGO BANK, N.A., SAN FRANCISCO, CA 94104
Account Number:	2073089159554
ABA#:	121000248
Please send remittance
information to:	payments@kimley-horn.com	KIMLEY-HORN AND ASSOCIATES, INC.
P.O. BOX 932520
ATI.ANTA, GA 31193-2520	

GOLDEN GEM COD	Invoice Amount: $1,170.00

C/0 GOVERNMENTAL MANAGEMENT SERVICES
219 EAST LIVINGSTON ST ORLANDO, FL 32801

Federal Tax Id: 56-0885615
For Services Rendered through Nov 30, 2024

Invoice No: Invoice Date:
Project No: Project Name: Project Manager:

30225404
Nov 30, 2024
147968000.3
GOLDEN GEM CDD INTERIM ROBERSON, KEVIN

Client Reference:	RESOLUTION 2024-05

HOURLY NOT TO EXCEED

Description	
Contract Value	Amount Billed to Date	Previous Amount Billed	Current Amount Due	
INTERIM ENGINEERING	25,000.00	14,657.50	13,487.50	1,170.00	
Subtotal	25,000.00	14,657.50	13,487.50	1,170.00	
Total HOURLY NOT TO EXCEED	1,170.00	
DESCRIPTION OF SERVICES PERFORMED:
COORDINATE CHANGE ORDER AND PLAT ITEMS NEEDED FOR COD BOARD AGENDA
ATTEND NOV BOARD MEETING
FOLLOW UP CALL ON DUKE ENERGY INVOICES
REVIEW AND APPROVE REQUISITIONS 20, 21 AND 22 AND 23

Total Invoice: $1,170.00

If you have any questions, please contact zach.Reuther at 561-234-4519 or Zach.Reuther@kimley-horn.com.

31ZSR

Kimley>>)  Horn 	L_a_bo_r_an_d_E..x.p.._e_ns_e_De_ta_il

GOLDEN GEM CDD
C/O GOVERNMENTAL MANAGEMENT SERVICES 219 EAST LIVINGSTON ST

Invoice No: Invoice Date:

30225404
Nov 30, 2024

ORLANDO, FL 32801

Project No:	147968000.3
Project Name:	GOLDEN GEM CDD INTERIM
Project Manager: ROBERSON, KEVIN

HOURLY NOTTO EXCEED

Task	
Desafptlon	
Hrs/Qty	
Rate	Current Amount
Due	
0lINTERIM ENGINEERING	SENIOR PROFESSIONAL II	3.0	390.00	1,170.00	
TOTAL 01INTERIM ENGINEERING	3.0	1,170.00	
TOTAL LABOR AND EXPENSE DETAIL	1,170,00	
This page is for Informational purposes only. Please pay amount shown on cover page.

31ZSR

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
(A)	Requisition Number: 27

(B)
(C)

Name of Payee: Amount Payable:

RCS Construction Co. Inc.
$32,783.42

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account
The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

APPLICATION AND CERTIFICATION FOR PAYMENT	A/A DOCUMENT G702	PAGE ONE OF	PAGES		

TOOWNER:	PROJECT: Wyld Oaks- Mass Grading  APPLICATION NO:	II	§Distrib���� Golden Gem Community Development District
660 Beachland Blvd.	ARCHITECT
Vero Beach, FL 32963	PERIOD TO:	11/20/24	CONTRACTOR		
FROM CONTRACTOR:	VIA ARCHITECT:
RCS CONSTUCTION CO. INC. 29S E. HWY SO SUITE I CLERMONT. FL3471 l CONTRACT FOR:		
PROJECT NOS: CONTRACT DATE:		
CONTRACTOR'S APPLICATION FOR PAYMENT
pplicalion is made for paymen1, as shown below, in cooncction with the Contra«. Continuation Sheet, AIA Document 0703, is auached
I. ORKllNALCONTRACr SUl\.1
2. N;.1 c  n  by Cl12ng�0rdco;
3. CONT tAC"T S J Ii m DA.Tl::(Liu I ± i)	�
. TO 'AL ('O PLbT!:D & STORED TO	s
DATE	(ColumnGonG703)
5. RETAINAGE:	

(,,917.1>' � 6.,...o""s,.,.2..,.,9-:c1�,....1-	The undersigned Contractor certifies that to the besl of the Ccntnlctor's knowledge, information and
belief the Work coveted by this Application for Payment has bo:n completed in acconiancc with the Conlr.lCl Documenta, tbat all amounts haoe been paid by the Contractor for Work for which previous Certificates for Pat'Jl1elll wCJc: wucd and payments m:eived &om the Owner. and that current payment shown herein is now due.

�sC�NST�ON co., INC.
�.--------;:L--� 		Date:  \Y�/ 2- y  	

S % of Completed Work		
�nD+EonG703)
5 % of Stored Material	. I
�nFonCl703)		

1·01al Rctainage (Lines Sa + 5b or ola,ln Coium I ofCi703I

3(14.14 •

Subscribed and s rom 10 before me this Notary Public:11��..-..il'f.:�""-.,I,/

My Commission expim;: 10/. 1

z'I

,�  10
ENGINEER'S CERTIFICATE FOR PAYMENT
In acconlance with the Conttact Documents, based on on-11itc observations and the data

. TOTAL E, RNl::J>I.E 'S RETAINAGE
(Linc 4 Less Linc 5 Total)
LESS PREVIOUS CERTIACATES FOR		
PAYMENT (Line 6 ftom prior Ccrtilicatc}
C'URRl.!NT l'AYMl:NT O IE	,
.ll, LANCI:: TO ANISH, INCI.UD!NG RETAINAGE
(Line 3 less Line 6)

Total Completed and Slored To Date Thal is Eligible For CDD Paymen Toial Retainagc At 5%
Total Earned Which Is Eligible For CDD Payment, l..css Retaina1,-e

s	5.77 .112

s	5,450,008.12
)	328.n20 ,,
:;	1.133.32  �

11110102ci.s4
881501.48
11681,528.06

...

comprising the appli"tion, the Engineer certifies to the Owner that to the bcS1 of the
Engineer's knowledge, information and bclieflhc Work has progressed as indicated,
the quality of the Work is in accordance with lhc Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED ........... S 328,820.7Q

(Allacll explanation (f amount ttrtifled differs from tl,e amo11•t applied. /nilial all figures on tl,is
Application and 01111,e Co11ti11uation Sheet tluu�  challJ!.ed to conforpJ.wif/1 tlt1?.amm1ntdceArtilied.)
ENGINEER:	,-/l _	l\ev1n l'iobersoh, Nmrey-Hom an	ssoc.
$i��

Less Amount Previously Paid By CDD I Payment Due By CDD

1,648,744.64
32,783.42

By:

Date:	12-19-24

olal Completed and Stored To Date· Eligi'ble For KPVBD Payment
01al Reiainage Al 5%
ro1a1 Earned Which I& Eligjblc for KPVBD Paymen1. Less Rctainagc
Lesa Amount Previously Paid By KPVBD
Current Payment Due By KPVBD

4,312,948.16

21S,647.41
4,097,300.76

3,801�63.4

296,037.28

This Certifscatc is not negotiable. The AMOUNT CERTIAEO ii payable only to the Contractor named herrin. Issuance, payment and acceptance cif payment arc without prejudice to any righls of the Owner or Contrachlt' under this Contract.

CHANGE ORDER UMMARY	ADDmONS	DEDUCTION	
Total dlan1,'C:!I approved in previous months by Owner	$69,787.00	$0.00	
Total a	ved this M.mnh	$327.339.22	S0.00	
	S397,12,22	$UOQ	
	5397.126.22		

00<:UMENT G702 • Al'PIJCATION ANOCERTIFICATION FOR PA'IMENf • 1"2 £DITION • AIA • 01"2	1HEIIMERICAN lkSTrrllTE (W ARCH!fEC?S, 1731NEW VOAKAVE.,N.W,. WASHINGTON. 0C 20CICIWm
UHnl may obtain validation of thla document by raqunting a completed AIA Document 0401 • Certification of Document's Authantlclty from the Ucensee.
u•  Co11trocu,,· agrees tbnt Ow11cl' will /J<l)1 with -·knt.fimding is available which may ,rut equal tlu► Cm�111 filymc11t Due. A11v m1paid balnuce w/l/ 1·emai11o,r accoufll /Or Owner to pay witlt,fim,re.fimds.
 Nqte: Ire	1n  ED FONT are Htomatically calculated from the C703 form or froa111 rw �lthl11tbl, G702 Form. Do NOT hand ent�r thne ittms on tllis mttt.	

DEVELOPER'S REPRESENTATIVE CERTIFICATE FOR PAYMENT
Wyld Oaks- Mass Site Application #11
In accordance with the Contract Documents, based on on-site observations and the data comprising
this application, the Developer's Representative certifies to the Owner that to the best of the Developer's Representative's knowledge, information and belief the Work has progressed as indicated, the quality of 1he Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the
AMOUNT CERTIFIED.
AMOUNT CERTIFIED-............_ 	...,.,.	$328,820.70
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.)
DEVELOPER'S REPRESENTATIVE�

By:	�

Date:	12//31/24

Name: Title:'

 TimothyR Dennard.	 _
	President	

This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract.

CONTINUATION SHEET	AU DOCUMENT G70J	,.:1..1.....

,\IA Dualmoll G'10:?. APPLICA1"10N ANDC1;,nu:ic,\l'K)l'I f0ll l'I\YMUNl'. (ml.lininit	APPLICATION NO:	II
(.:oou-.c1or'i•i�c,J ccrtilialion �,1111:hW.	APPLICATION DATE:	1112012024

ll.eColunvl 1un C"ontnas ui'ticrev-Wblcr$illol� M'litxilans nlilval'f•h•··

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�.729.0iU\.59
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S66,1S4.50

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!11.IIO
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5.al:UJ SIJ6.-4>D3 U,-490.t!J
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Sll�.'5 S."iSl!.J.l 50.00

PERlODTO:	I l/2012024

VAl.Ur::		APPLICATION	TIUSi'l:IUOD	!!limmo	AHl>SlOkEI>	(G.,.C)	TOHNISII	Caladil1cd115',		Sil.lfWl•U.W	Tota.lCDDKc1ain;isc	%,filitlli,JFv,	SwiedT11UIIC'	Tl,IWXJ'VD[)	
	'fl.II.II	10� E>		(NOTIN
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l'tltAMEAICAHeontlltt 0, .uttHlfl'.C1S. 17)$,,CW ,,.,�""'4:.�W.W""91'GtCH,DC:, ..  ll»	GJ'DS,,,1111

CONTINUATION SHEET	Al,C DOCUMENT G70J	....,J_,J ... N

AtA Ono11ncn1 (i'M:!. APPI.JCAltOti ANDCl�TU:lCAl'tON i:oa rAYMUNT. �"(1Jlgi11i111
Ci.:nnclllf's ,i5'W,Jcatilk.alit.1is.11b=m:i.

APPLIC.-.TION NO: APPLICATION DATE:
PERIOD TO:

II
11120/2024
11120/2024

U,eCohuur1 lool"oolr.:icbwhcre,1rUbl�nuina�.cla: linciumsm., ar,,,h',

ARCHITECTS PROJECT NO:

A	II

lll!M

""·

UESC.'llll'ltON OI·�llK

S(.1IEUUU:D

Vl,Ulli

29, CONTROl. ).fJU1CW-E
MANIIOtf
BUB&l<UP
80XCUlVUl1
lVllN S

LS

7.331.82

-

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l11bMJIU!Vll1d'i

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S'1.3)1.82 S65.U6.3�

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(0+1;1

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{NOtlN
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50.00
$0,00

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lOUAl'E
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,6 067.44

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SIJ,00  5813,1:W.IJ  lotr.,
I0.00  0%

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SIJ,00
SJ.IJl11.00

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-•1
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2_ ��dKOn Mass Gradln&AdJus.ted • Sheets (C·304, 305,
Madiu,n Hin. u .,aw, •n• Al-tl,uJII
M;m Gr1dina, North/We5l SheelC-301 Adjus1meots
Ntw l•Wtu1 •nd M•&wJllfcK C Jill

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$0.00
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S1.59.f.17

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S23.000.00
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$6,917,IS<.!9
$6,917.1'4.!9

5lll4.176..59 Sl3o1,176,j9

Sl04.141.19

GRAND TOTALS

$0.QO S!,,0ll2,9T7.70

\1Qi,5illqj
SU.501.'8

$i.'.U:?,94U6

$215.64741
S2UM7,41

UH rs may obtain va&ld.flltlop of this �Mlt by raquestlnu of U. lleal"IN • completsd A1A Docam■nl D401 - Certification uf ODCUm■nt._ Aulh■nlk:lty

11,j/,,,�UlMtGrtn•i;ot,ll'll<tUAtlOfllttl!f'lfDflQJU ....-u,.J,O,O·-·Dlft? r)EoU,lflf!CNflJQfl"J\ltfOF�ltC,S lf7.i�'l'l'TOMK�,"W W.	,IOH_OC �

WANER AND RELEASE OF LIEN UPON PROGRESS PAYMENT

The undersigned lienor, in consideration of the sum of$ 328,820.70	, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished through 11/20/2024 to Double B Development and Kelly Park VB Development, LLC on the job of Wyld Oaks Mass Grading. Improvements to the following property:
S of Kelly Parle Rd & Effie Dr.
3620 W Kelly Park Rd.
Apopka, FL 32712. Orange County (description of property)

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.
DATED on December 20. 2024.
Lienor RCS Construction Company. Inc. Address 295 E SR 50. Suite 1,
Clermont. FL 34711

By:�P�	
Print��: Jody Bass
Its: Vice President

State of Florida
County of-'L=ak=e  	_
The foregoing instrument was acknowledged before me this 20th	day of December	, 20_li_, by,as of said company, who has presented as identification or is personally known to
�-

VICTORIA E. LAUTERIA
NotaryPubllc
state of Aorlda
Comm# HH276625
Expires 6/19/2026

S(Sieagl n¼,I	,

Public

{

		Victoria E Lauteria	 Print, Type or Stamp Commission

PROGRESS PAYMENT AFFIDAVIT

STATE OF FLORIDA COUNTY OF LAKE

BEFORE ME, the undersigned authority, duly qualified and authorized in the State and County aforesaid to administer oaths and take acknowledgements, this day, personally appeared	Jody Bass	, who being by me first duly sworn, deposes and says:

The facts and matters contained and recited in the Affidavit are based upon personal knowledge of the Affiant.
Affiant is the Owner of	RCS Construction Company, Inc.	, a North Dakota Corporation company (hereinafter the "Contractor")
Contractor and	Kelly Park VB Development. LLC	(hereinafter the "Owner'') have executed, delivered and entered into that certain CONTRACT AND AGREEMENT dated	December 4. 2023	(hereinafter the "contract").
Affiant now requests partial payment under the Contract. In Consideration of Owner providing such partial payment, Contractor hereby provides this Affidavit upon which Owner intends to rely.
Contractor is not aware of any Claims that would require an adjustment of the Contract Time or the Contract Price except for any Change Order Requests or Change Order Proposals previously submitted in writing to Owner prior to execution of this Affidavit.
Contractor releases any Claims for an adjustment to the Contract Time or the Contract Price except for those previously made in writing and delivered to Owner prior to execution of this Affidavit.
Affiant states that all bills for labor, services or materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien upon Progress Payment forms for every such potential lienors are provided herewith through 11/20/2024
Affiant states that, except as provided herein, all bills for labor, services or materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien Upon Progress Payment forms for every such potential lienor are provided herewith, except as provided below:

Name of lienor Or Potential Lienor

Amount due for labor. services or materials furnished, delivered.
Installed or performed

1. Acme Barricades	$851.83	
2. City Electric Supply Co.	$4,649.98	
3. Erosion Control Systems of Florida	$83,138.68	
4. Florida Design Consultants	$4,090.00	
5. Fortiline Inc	$0.00	
6. Koncept Carma, Inc.	$605.00	
7. Krane Development, Inc. dba ADS Services, Inc.	$0.00	
8. Mid Florida Materials Co.	$0.00	
9. Mobil Modular	$2,346.63	
10. Newsome Land Clearing, LLC	$12,750.00	
11. Oldcastle Infrastructure	$0.00	
12. Quality Petroleum Corporation	$20,126.70	
13. Sunbelt Rentals, Inc.	$0.00	
14. Street Smart Rentals LLC	$1,389.93	

FURTHER AFFIANT SAYETH NOT.

RCS Construction Company, Inc.
---+-+�...;;. �..,., ,.·\l	• fu_�_	  ,.Affiant

Sworn to and subscribed before me this	20th	day of December	,2024, by Jody Bass	, who (check one): [ X] is personally known to me, [ ]
produced a driver's license (issued by a state ofthe United States within the last five (5) years)
as identi�cation, or( ) produced other identi[/4• ficn,a�ow: · ... �	�	

Affiant did take an oath.	.

a�...,z-'"/	_/	(.',

VICTORIAE, LAUTERlA
Notary Public State of Florida
Comm# HH27662S
E1CPlres 6/19/2026

Print Name:	Victoria	Lauteria 	_ Notary Public, State of Florida
Commission No.:.	HH""'2=7;. ;:6=6=2=5	 _
My Commission Expires:	06/19/2026

JOINDER AND INDEMNIFY AGREEMENT

Contractor, joins in the execution of this Affidavit for the purpose of adopting all representations of fact contained therein. Contractor understands that this Affidavit will be relied upon by Owner for all purposes relating to the Contract. Contractor agrees to indemnify, hold harmless and defend the Owner from, against and with respect to any and all loss, cost, damage and expense, including reasonable attorneys' fees, arising out of any claims by laborers, subcontractors or materialmen who might claim that they have not been paid for labor, services or material.

A Florida Corporation Company

:�:m_e_=J:_,._44-�:�:B��s�V)_=:·=�be::-.LA-:::::_-:_-=_-=_-=_-=_-=_-=_-=_-=_-=_-=._-= 
Title: ---'V"""ic=e;;...;Pc...:rc.;::e=si=d=e=nt"--	_ (CORPORATE SEAL)[where applicable]

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
(A)	Requisition Number: 28

(B)

(C)

Name of Payee: Amount Payable:

Kutak Rock LLP
$126.00

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account
The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

KUTAK  ROCK  LLP
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

December 30, 2024

Mr. George Flint Golden Gem CDD
c/o Governmental Management Services 219 East Livingston Street

Check Remit To: Kutak Rock LLP POBox30057
Omaha, NE 68103-1157

ACH/Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP
NC # 24690470
Reference: Invoice No. 3501839 Client Matter No. 47123-4
Notification Email: eftgroup@kutakrock.com

Orlando, FL 32801	Invoice No. 3501839
47123-4

Re:	Series 2024 Construction
For Professional Legal Services Rendered
11/13/24    A. Willson	0.40    126.00	Confer  with  Flint,  Edwards,  and
Roberson regarding scope of project and eligibility of items for reimbursement; review items regarding same
TOTAL HOURS	0.40

TOTAL FOR SERVICES RENDERED TOTAL CURRENT AMOUNT DUE

$126.00
$126,00

PRNILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"}, as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 29

(B)

(C)

Name of Payee: Amount Payable:

RCS Construction Co. Inc.
$5,754.10

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account
The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Autho�

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

TOOWNER:
Golden Gem Community Development Dislrict	PROJECT: Wyld Oaks - Mass Grading	APPLICATION NO:	12	Distrib����	
660 Beachland Blvd.				ARCHITECT	
Vero Beach, FL 38963		PERIOD TO:	12/20/24	CONTRACTOR	
FROM CONTRACTOR:	VIA ARCHITECT:				
RCS CONSTUCTJON CO. INC. 295 E. HWY SO SUITE I		
PROJECT NOS:			
CLERMONT. FL 34711					
CONTRACT FOR:		CONTRACT DATE:			

APPLICATION AND CERTIFICATION FOR PAYMENT	AJA DOCUMENT G702	PAGE ONE OF	PAGES	3

CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment. asshown below, in connection with the Contract. Continua1ion Sheet, AJA Document G703, is auached.

 	

I. OR GIN; L ('ONl'R/\L T SUM
NL ,h.1. ng;! hy C'h:m�: Jrrler;
.i. co  m11cr su.i m }AH, t jn<; t ,. 21
fOT \L t'OM LElW & STO t '0 TO
DATE	(Column G on G703)

RETAINAGE:
	S % of Completed Work		 (Column D+ Eon G703)
	S % of Stored Material (Column Fon G703)

The undersigned Contractor certifies that to the best of the Con1ractor's knowledge, infonnation and belierthe Work covered by this Application for Payment has been completed in accordance with the Contract DocumeNS, that all amounts have been paid by !heContraclor for Work for which previous Certificates tor Payment were issui:d and payments received from the Owner, and that current p.iyment shown herein is now due,

VICTORIAE­
Notarv Public State of Florida Comm# HH276 25
Expires 6/19/2 6

Total Rc1ainagc (Lines Sa+ Sb or To,al i.1Co:··ni, I ofGm: 1
.-oT I.F, Nl:O ;_,:;:-·;u,TAI 'A{il:
(Line 4 Less Line 5 Total)
7. LESS PRINIOUSCERTIFICATES FOR		
PAYMENT (Line 6 from prior Certificale)
S. ('lJRf!f ff  A< >!,·.NTrn;,	,
�- •·AI.ANC'f:T ) MNISH. INCUJl)!NG ll!ff INAGE
(Line 3 less Line 6)

$	s.778,828.82
S--�...,!--7.�'f.,.M-.-,,.,..._. •••
i 	 1�.o_,;,_·>._&_11�---·)_.

In accordance with the Contract Documents, based on on-sile observations and the data comprising the application, lhe Engineer certifies to the Owner that to the best of the Engineer's knowledge, infont1ation and belief the Werle has progressed as indica1cd,
the quality of the Work is in accordance with the Contract Documen1s, and the Conlractor is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED ........... S	57,714.15

(Auaclt expla11atio11 if a111011m certi]ied diJ)ersfrom 1/te amount applied. /11ilia/ all Jigures 011 this

l-

Total Completed and Stored To Dale That is Eli1,tjblc For COD P.aymen\ Total Retainage At 5%

	1.776.086.49 
	88,8U4.32 

Applica1io11 and onlhe Co111i1111111io11Sheet thai are cha,1ged to conform witlt the amount certi]ied.)
ENGINEER:	//J. ft\�·	Kevin Roberson, Kimley-Horn and Assoc.

Total Earned Which Is Eli1,,ible for COD Paymen1, Less Retainage		

.ess Amount Previously Paid By COO
Current Payment Due By COD	•
Total Completed and Stored To Date • Eligible For Kl'VBD Payment Tolal Rclainage Al 5%
Total Earned Which Is Eligible For KJ>VBD Payment, Less Rclainage
Less Amount Previously Paid By KPVBD Current Payment Due By KPVBD

	l,681..S28.06 
5,754 ID

	4,367.642.95 
	218,38�.lS 
	4,149.200.81 
	4,097,30071) 
51,960.05

By:	...;..../J,1/'1	 Date:	1-20-25
This Cet1ificate is nol negotiable. The AMOUNT CERTIFIED is payable only 10 lhe Contraclor named herein. Issuance, payment and a�ptanl!e of payment are without prejudice to any rights of the Owner or Contractor under this Contract

CHANGE ORDER SUMMARY	ADDITIONS	DEDUCflONS	
Total changes approved in previous months by Owner	S397,126.22	S0.110	
Total a roved ,h,. Month	S0.00	S0.00	
		I(	
	397.12[•.22		
			
IA, OOC\JMENT G102 • APPLICATION ANOCERTlFICATION F� PAYMENT· 1DSl:2 EDITION· At.A • 01092	THE AMERICAN INSTilUTE OF ARCHITECTS. 1736 NEWYOAK AVE.. N.W.• WASHINGTON, DC 2'00CJ&..$292
Users may obtain validation of this document by requesting a completed AJA Document D401 - Certification of Document's Authenticity from the Licensee.
..,,..., C'mrtrnctm· unrees tftnt Olnwr n·i/1/>fl\' willt ,v/uu .fim1Ji11,, i,",' ,rrt1il11ble M·/JicJ1 mm·not t•q11<rl the C11rre111 Pnymem Due. Am: 1111pnid balance will r1:mnm ou ncC'o,,m flJr Uwuer to pny w1tit /ttlllre-}rmd.r.
 Nore: Items in RED FONT are auro111atleallv calculated from the G703 rorm or fro it  I within this G702 Fonn. Do NOT hand enrrr these Items t"' this • ,, .	

DEVELOPER'S REPRESEJ'\,'TATIVE CERTIFICATE FOR PAYMENT
Wyld Oaks- Mass Site Application #1212/20/24
In accordance with the Contract Documents, based on on-site observations and the data comprising
this application, the Developer's Representative certifies to the Owner that to the best of the Developer's Representative's lmowledge, information and belief the Worl<: has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the
AMOUNT CERTIFIED.
AMOUNT CERTIFIED.	SS7,714.1S
{Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.)
DEVELOPER'S REPRESENTATIVE�
By:
Name: _T�	D-at_e_:   1_12_0125

Title:'

President

This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract

CONTINUATION SHEET	A/A DOCUMENTG70J	Pael-ld:llp._..

AlA Do.:Wlk%11 G701.APPLICA110N AND CERl'll'ICATH)N FOR 11AVMEN'l�contiinilfl	APPLICATION NO,	le
, 'ontrac1ur'1 sii?Md ccr11r1C0.1ion1�aum::lao.t.	APPLICATION DATE:  12/2012014
PERIOD TO:  12/20/2024

A	II	{"	I)				II		K	M	I	N		
m�r
.'O.	
ll�°"'Rll'llONOf�RK
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12.	DEMO ll'AVI.MUIT	3658	SY	�5.92	$21,655.36	SIH"IU)O�i	3Qn•		Sll,1100.00	117'!�
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15.	DEMO GOLDEN GEM PROPERTY	1	LS	SSS.333.23	$55,333,JJ	S!i5..3sl3o...,!..\,	.	50,00		sss.:n:u.,	ux,•/4	S0.00	S.?.7�.6<•	9.m,	\1illi.72	5215.84	91.1.03"'0	�9.&16.51	$-.?,-1!:iii.ll.1	
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18.	OVER EXCAVATE 501l5 AREAS S,' IN DEPTH	47682	CV	$S.S2	aJ.�-i.M	.S.?fi:l.31-1 ....	'MIIMI		5:!61.�04.6-t	1.0.0,%,	50.00	Sl:1.IC,O.:!:J	9.97'<■	li�""-J!ll	SI.Jl.:?.01	90.0J!a	S2.l6.%l.l-l	SII.K�IUl'i	
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22.	CLEAR SJlt/GOllKN [ilM	1	15	�10DD.DD	551.000.00	S!lil.OOOUtJ	"'""		SSl,000,00	100�	S0.00	SJ.5JO.UO	9.97!-;.	.. \,U.l"lli	SJS4.:?.4	90.031-.	S4S.91S.l0	S.?,'.?95.77	
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(°l'4llr,ldl.'ln t'f!hU,I ,0111K"1111.lft ti,; all:XIW	\PPW.'A'TION DATE:	12,20/21)24

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PERIOD TO:	111201202,

2•	Madison Ma$$ Grffln& Ad1u1ted • Sheets (C-304, 305,
I,,,.,	14634	"	$2.42	
3,	Madison New t.avout and As-Built		LS	$4100.00	
4.	Man Gfldtn11: N011h/West �  C-301 AdjLJSUT1efll$	58947	Cf	suz	
5.	New L:a-, ll'ld M-&Jth( fn, C-:iOl		LS	'i6 800,00	

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.,... ,,.oblttn w-lmldatiDn o# Uws document by ,..,_llfl9 ofthe ilCMN • 00t1pialad AlA Oocunaitnl: 0401 - Certlflc•flon of Documenl"a AUIMnUcity

.. •�NIGlfl C�l'li..1-'TICHWtHJH)lolCJICR' ltAltO.flCIN MJ, Cllll:2
TtilMWRICM1Nj11tuTl,O'l'AlteliJUC:lS 1r.»Jtt,,'fOA•IM:Mt.1t 1t• W.\SHIHGIC!t<,QC ��J1	G703•1HZ

WANER AND RELEASE OF LIEN UPON PROGRESS PAYMENT

The undersigned lienor, in consideration of the sum of$ 57,714.15	, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished thr-ough 12/20/2024 to Double B Development and Kelly Park VB Development, LLC on the job of Wyld Oaks Mass Grading Improvements to the following property:
S of Kelly Park Rd & Effie Dr.
3620 W Kelly Park Rd.
Apopka, FL 32712, Orange County (description of property)

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.

DATED on January 10, 2025.

..

11

Lienor RCS Construction Company, Inc. Address 295 E SR 50, Suite 1.

By:

Pri-+-+-,1-t-:,.,=-f�........_;�---------
Its:

State of Florida
County of-L_ak	.._e	 _
The foregoing instrument was acknowledged before me this 10th	day of January	, 20.-li_, by, as of said company, who has presented as identification or is personally known to me.

�..,_

A	\IICTORIA E. LAUTERIA
.
. ,  Nutary Public
,	'.'� State of Florida
, •  t;emmll HH27662S
J}�tt 1•1'	EXpli'CS 6/19/2026		Victoria E Lauteria	
Print, Type or Stamp Commission

PROGRESS PAYMENT AFFIDAVIT

STATE OF FLORIDA COUNTY OF LAKE

BEFORE ME, the undersigned authority, duly qualified and authorized in the State and County aforesaid to administer oaths and take acknowledgements, this day, personally appeared	Jody Bass	, who being by me first duly sworn, deposes and says:

The facts and matters contained and recited in the Affidavit are based upon personal knowledge of the Affiant.
Affiant is the Owner of	RCS Construction Company, Inc.	, a North Dakota Corporation company (hereinafter the "Contractor")
Contractor and	Kelly Park VB Development, LLC		(hereinafter the "Owner") have executed, delivered and entered into that certain CONTRACT AND AGREEMENT dated	December 4,2023	(hereinafter the "contract").
Affiant now requests partial payment under the Contract. In Consideration of Owner providing such partial payment, Contractor hereby provides this Affidavit upon which Owner intends to rely.
Contractor is not aware of any Claims that would require an adjustment of the Contract Time or the Contract Price except for any Change Order Requests or Change Order Proposals previously submitted in writing to Owner prior to execution of this Affidavit.
Contractor releases any Claims for an adjustment to the Contract Time or the
Contract Price except for those previously made in writing and delivered to Owner prior to execution of this Affidavit.
Affiant states that all bills for labor, services or materials furnished,
delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien upon Progress Payment forms for every such potential lienors are provided herewith through 12/20/2024
Affiant states that, except as provided herein, all bills for labor, services or
materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien Upon Progress Payment forms for every such potential lienor are provided herewith, except as provided below:

Name of Uenor	Amount due for labor, services or
Or Potential Lienor	materials furnished, delivered,

Installed or performed

Florida Design Consultants	$5,194.00

Koncept Carma, Inc.	$605.00

Krane Development, Inc.	$0.00 dba ADS Services, Inc.

Mid Florida Materials Co.	$0.00

Quality Petroleum Corporation	$2,531.96

Sunbelt Rentals, Inc.	$0.00

Trench Plate Rental Co.	$115.02

FURTHER AFFIANT SAYETH NOT.

Sworn to and subscribed before me this	10th	day of January	.2025, by Jody Bass	. who (check one): [ X) is personally known to me, [ )
produced a driver's license (issued by a state of the United States within the last five (5) years) as identification, or [ ] produced other ident.ifi2·on, to wit:	�		.

Affiant did take an oath.

��j �"	� )f-..	..

_{/ZQJ

oJF �?J;LV
Print Name:	Victoria E Lauteria 	
VICTORIA E. LAUTERIA Notary Public, State of Florida

Notary Public	.  .

�	state ofFlorida	Comm1ss1on No.:	 H_H_2_7_6_62 5	_

Comm# HH276625	My Commission Expires:	06/19/2026
Expires 6/19/2026

JOINDER AND INDEMNIFY AGREEMENT

Contractor, joins in the execution of this Affidavit for the purpose of adopting all representations of fact contained therein. Contractor understands that this Affidavit will be relied upon by Owner for all purposes relating to the Contract. Contractor agrees to indemnify, hold harmless and defend the Owner from, against and with respect to any and all loss, cost, damage and expense, including reasonable attorneys' fees, arising out of any claims by laborers, subcontractors or materialmen who might claim that they have not been paid for labor, services or material.

A Florida Corporation Company

By:��•�	
NamefaJass  Title:	Vice President

(CORPORATE SEAL)[where applicable]

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the ''Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
(A)	Requisition Number: 30

(B)
(C)

Name of Payee: Amount Payable:

RCS Construction Co. Inc.
$694,257.28

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 of Issuance, if applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account
The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbur.sement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Authorizld Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

APPLICATION AND CERTIFICATION FOR PAYMENT	A/A DOCUMENT G701	PAGEONEOf	PAGES	4

TOOWNER:
Golden Gem Community Development District

Vero Beach, FL 38963
FROM CONTRACTOR:
RCS CONSTUCTION CO. INC. 295 E. HWY SO SUITE I CLERMONT, FL 34711 CONTRACT FOR:

PROJECT: lnfrastruclUre - Wyld Oaks	APPLICATION NO:

PERIOD TO:
VIA ARCHITECT:

PROJECT NOS:

CONTRACT DATE:

7

12120/24

Distrib�!;���

§

ARCHITECT CONTRACTOR

CONTRACTOR'S APPLICATION FOR PAYMENT
Applicalion is mode for payment, as shown below, in conneclion with the Contract. Continuation Sheet, AIA Document 0703, is allached.

. O!tKi!N,\i. COi "RAc�n;1_1r.1
M�t �h?n,g1: l>-; 01a·11,,� Order�
l l 'O;,rv,c--t->UM ( D"'T '' Ill� I �i
4.  -� ·1N ..COM?£1'1]1} a STO:U:ll TO
DATE	(ColumnG on 0703)
S. RETAINAGE:

	5 % of Completed Work		 (Column D +Eon G703)
	5 % ofSlored Material		 (Column Fon 0703)
Total Relllinage (Lines Sa + 5b or

The undersigned Contractor certifies that to the best of the Con1ractot's knowledge, informa1ion and belief lhe Worlc covered by this Applica1ion for Payment has been cornpleled in accordance with the Conlract Documents,
!hat all amounts have been paid by the Contractor for Work for which previous Cenificales for Payment were issued and payments received ftom lhc Owner, and thal current paymenl shown hen.'in is now due .

CONTRACTOR:	RCS CONSTRUCTION CO., !NC.

·, otal m Column I otG7031
IOTi\l. :ARNI:() LES!'i RETAINAGI
(Line 4 Less Line 5 To1al)
LESS PREVIOUS CERTIFICATES FOR		
PAYMENT (Line6 from prior Cenificate) g_ ClJRREN'I l'A 'M NT OlW
9. HAIAN('F. ro flNISII. INf LUOINU RE.I AINAGt
(Linc 3 less Linc 6)

Total Completed and Stored To Date Allocated To Cadence Total Retainage Al 5%
Total Alloca1ed To Cadcnc-e, Less Rctainage Less Previous Balances Due By Cadence Current Payment Due By Cadence

\ 	3�5.337.\ll 

..

	l>.i51 403.32 

s	5,914,948.76 
	16.454.Sb 
s	.,_�J.K2'.7' 

	$1,171,565.90
	$ 8,.5R.30
	$1,112,987.61
	$970.T'lO.JJ
$142,197.28

ENGINEER'S CERTIFICATE FOR PAYMENT
In accordance with the Conlroct Documents, based on on-site observalions and lhe data comprising the applicalion, the Engineer certifies to the Owner that to the best of the Enginl-er's knowledge, information and belief the Work has progressed as indicated,
the quality oflhe Work is in accordance wilh the Conmct Documents, and the Contrnc1or is entitled to payment of the AMOUNT CERTIAED.
AMOUNT CERTIFIED ........... S	836,454.56

(Attach explanation ifamormt certified d/Dersfro,n the amo1111t applied. initial all fig,,res on this Appfica,ion af/d ontl,e Conti1111ation Sheet that are changed to co11form with the amount cenijied.)
ENGINEER:  / /J. ,vi�	Kevin Roberson, Kimley-Horn and Assoc.
By:  	_::._tvJ "I	 Date:   1_-2_0_-_2 5	_

Total Completed and Smred To Dale Allocated To CDD Total Retainage Al 5%
Tolal Allocated To CDD, Less Retainage Less Previous Balances Due By CDD Current Payment Due By CDD

CHANGE ORDER SUMMARY
Total changes approved in previous months by Owner Tollll a	ved 1his Month

ADDITIONS
$540,020.58
$0.00

	SS,935,174.44
	$290.158.11
	$5,6J�.�15.71
	$4,944,ISll.43
$694,257.28

DEDUCTION�
�·

This Certificate is not negotiable. Toe AMOUNT CERTIFIED is payable only to the Contraclor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights ofthe Owner or Contractor under this Contract.

r'Oi I

SS 0.020.5S	'
$541.l,OZ0.58

lA DOCUMENT 0702 • APPLICATtON ANO CERTIFICATION FOR PJ.'l'M&NT • i992 EDITION· AIA. • C1092	THE AMEFUCAN INSTITUTE OF AACHJTECTS, 1735NEW 'YOFU( ...ve..N,W,, WASHINGTON, OC 200C'Je.5292
Users may obtain validation of this document by requesting a c:ompleted AJA Document D401 • Certific:atlon of Doc:ument's Authenticity from the Licensee.
••• Co11trac1or u11rees 1hm o,..,,t',. ,..ill pm•wilh wha1./1111ding 1.t awii/able which"""' 11m eq11al the Curl"<'lll l'aymem Oue. A111•1111paid balnnce will 1·e111ai1101111cco11111 ti,r·011•11c1· to pay ll'itl, /i1111re fw1ds.
Note: Items in RED FONT are automaticalh calculated from the G703 form 111· from items within this G702 Form. D11 NOT hand enter thl'Se irem, on this sheet.

DEVELOPER'S REPRESEI''ll"IATIVE CERTIFICATE FOR PAYMENT
Wyld Oaks- IpfrgstructureApplication lfZ 12/20/24
In accordance with the Contract Docwnents, based on on-site observations and the data comprising
this application, the Developer's Representative certifies to the Owner that to the best of the Developer's Representative's knowledge, information and belief the Work bas progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the
AMOUNT CERTIFIED.
AMOUNT CERTIFIED..........................................................-.	$836,454.56
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.)
DEVELOPER'S REPRESENTATIVE:
� 
By:	;;di�,..	n_a_re_= 1_a_ons
Name:		

Title:'

Presidem

This Certificare is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract.

CONTINUATION SHEET	A/A DOCUMENTG703	.,..,.,.,_

.

AIA Dol'llmo11 Ci702, APPLICATION AND CERTlflCA TION FOR PAVMF.NT, L'll11.1i11ing	APPLICATION NO:	7

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.\I•�NGnl:JJ CQM1f"""''°"' SNEE'f I� Cilllll 1tU fOltoQH •� _,_,1
.-: AW:lne.u.,.,.STUOTf Of. olliGMlltEC!-S •7MttfW W)IM •!1l(l'd,ll -'"" W�"Ok OC �l"	07Q3..1ffZ

WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT

The undersigned lienor, in consideration of the sum of$ 836.454.56	hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished through 12/20/2024 to Double B Development and Kelly Park VB Development. LLC on the job of Wyld Oaks Infrastructure to the following property:
S of Kelly Park Rd& Effie Dr.
3620 W Kelly Park Rd.
Apopka, FL 32712. Orange County (description of property}

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.
DATED on January 10, 2025.

Lienor RCS Construction Company, Inc. Address 295 E SR 50, Suite 1.

By:-+--�-.1-=:1.L----�--------

Pri
Its:

State of Florida
County of-=L=ak==--e	_
The foregoing instrument was acknowledged before me this 10th	day of January   , 20  lL_, by , as of said company, who has presented as identification or is personally known to me.

		Victoria E Lauteria	 Print, Type or Stamp Commission

PROGRESS PAYMENT AFFIDAVIT

STATE OF FLORIDA COUNTY OF LAKE

BEFORE ME, the undersigned authority, duly qualified and authorized in the State and County aforesaid to administer oaths and take acknowledgements, this day, personally appeared	Jody Bass	, who being by me first duly sworn, deposes and says:

The facts and matters contained and recited in the Affidavit are based upon personal knowledge of the Affiant.
Affiant is the Owner of	RCS Construction Company, Inc.	, a
North Dakota Corporation company (hereinafter the "Contractor")
Contractor and	Kelly Park VB Development. LLC	(hereinafter the "Owner") have executed, delivered and entered into that certain CONTRACT AND AGREEMENT dated	December 4.2023	(hereinafter the "contract").
Affiant now requests partial payment under the Contract. In Consideration of Owner providing such partial payment, Contractor hereby provides this Affidavit upon which Owner intends to rely.
Contractor is not aware of any Claims that would require an adjustment of
the Contract Time or the Contract Price except for any Change Order Requests or Change Order Proposals previously submitted in writing to Owner prior to execution of this Affidavit.
Contractor releases any Claims for an adjustment to the Contract Time or the Contract Price except for those previously made in writing and delivered to Owner prior to execution of this Affidavit.
Affiant states that all bills for labor, services or materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien upon Progress Payment forms for every such potential lienors are provided herewith through 12/20/2024
Affiant states that, except as provided herein, all bills for labor, services or
materials furnished, delivered, installed or performed on the job site through the date of this Affidavit have been FULLY paid and that no lien for such may properly be filed, recorded or enforced. Waiver and Release of Lien Upon Progress Payment forms for every such potential lienor are provided herewith, except as provided below:

Name of lienor
Or Potential Lienor

Amount due for labor, services or materials furnished, delivered, Installed or performed

1. Atlantic Directional Drilling, Inc.	$0.00	
2.  Central Florida Transport, LLC	$0.00	
3. Dixie Lime & Stone	$12,550.13	
4. Erosion Control Systems	$0.00	
5. Florida Design Consultants	$12,087.00	
6. Fortiline, Inc.	$50,496.10	
7. Jack Per Trucking	$4,743.00	
8.  Koncept Carma	$550.00	
9. Lake Jem Farms	$20,684.16	
10. Lenard Powell Inc	$35,424.09	
11. Meyer Paving & Construction Corp	$78,156.95	
12. National Trench Safety	$0.00	
13. Quality Petroleum	$315.65	
14. Rinker Pipe	$288.32	
15. Seminole Asphalt Paving, Inc.	$0.00	
16. Universal Engineering Sciences	$4,159.00	
17. Volusia General Contractors &	$0.00	
Trinity Construction Products, Inc.

18. WLW Construction, Inc.	$2,970.00

FURTHER AFFIANT SAVETH NOT.

RCS Construction Company, Inc.

�#�--�--><---, �-----· Affiant

Sworn to and subscribed before me this	10th	day of January	,2025, by Jody Bass	. who (check one): [ X] is personally known to me, [ ] produced a driver's
license (issued by a state of the United States within the last five (5) years) as identification, or [
] produced other identification, to wit:-----,--..-----· Affiant did take an oath.
f21)Cb16!rf�,W�
:\�	VICTORIA E. LAUTERIA	Print Name:	VictontE lauteria
�	a	Notary Public	.	.
@	� state of Florida	Notary Public. State of Florida
':::	.� Comm# HH276625	Commission No.:_..,.H=H=2:.:..7-=-6=62=5=--------
�c  ii'ltJ	Expires 6/19/2026	My Commission Expires:	06/19/2026

JOINDER AND INDEMNIFY AGREEMENT

Contractor, joins in the execution of this Affidavit for the purpose of adopting all representations of fact contained therein. Contractor understands that this Affidavit will be relied upon by Owner for all purposes relating to the Contract. Contractor agrees to indemnify, hold harmless and defend the Owner from, against and with respect to any and all loss, cost, damage and expense, including reasonable attorneys' fees, arising out of any claims by laborers, subcontractors or materialmen who might claim that they have not been paid for labor, services or material.

A Florida C��poration Company

�:me: �	�	 Title:	Vice President

(CORPORATE SEAL)[where applicable]

REQUISITION

The undersigned, an Authorized Officer of Golden Gem Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and U.S. Bank Trust Company, National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of June 1, 2024 (the "Master Indenture"), as amended and supplemented by the First Supplemental Trust Indenture between the District and the Trustee, dated as of June 1, 2024 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 31

Name of Payee:	City of Apopka

Amount Payable:	$6,750,000

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 applicable):
Fund, Account and/or subaccount from which disbursement is to be made:
Series 2024 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2024 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Phase 1 Project and each represents a Cost of the Phase 1 Project, and 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 has not been released or will not be released simultaneously 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.

A-1

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.
GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

Autho • ed

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY
If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Phase 1 Project and isconsistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Phase 1 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Trust Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
Kevin M Roberson
Kimley-Horn and Associates, Inc

A-2

KELLY PARK VB DEVELOPMENT, LLC
660 Beachland Boulevard, Suite 301 Vero Beach, FL 32963
January 31, 2025

VIA EMAIL TRANSMISSION

GOWEN GEM COMMUNITY DEVELOPMENT DISCTRICT
c/o Alyssa Willson, Esq. Kutak Rock LLP
107 West College Avenue Tallahassee, FL 32301
E-Mail: Alyssa.Willson@kutakrock.com

CITY OF APOPKA
Attn: Blanche W. Sherman, City Administrator 120 E. Main Street
Apopka, FL 32703
E-mail: bsherman@Apopka.net

Re:		Roadway Funding Agreement for West Kelly Park Road Interchange between the City of Apopka ("City"), Kelly Park VB Development, LLC ("KPVB"), Golden Gem Investments, LLC and Galvin-Harris Land Services, LLC dated June 21, 2023 and recorded July 6, 2023 as Document No. 20230378714 In the Public Records of Orange County, Florida, as amended (collectively, the "Agreement")

Ladies and Gentlemen:

As you know, KPVB is named as a Co-Developer under the above-referenced Agreement. Capitalized terms not otherwise defined in this letter have the meanings ascribed thereto in the Agreement.
Pursuant to Section 5.b.i.1. of the Agreement, as amended by the First Amendment thereto, KPVB is obligated to fund the sum of $6,750,000.00 into the KPI Roadway Account established for the KPR Widening. The Initial Funding Date required for that payment pursuant to the Agreement, as amended by the First Amendment, is February 1, 2025. Since that is a Saturday, the City has confirmed that funding is to occur on Monday, February 3, 2025.
The Golden Gem Community Development District ('CDD") was established for the purpose of financing and managing the acquisition, construction, installation, maintenance and operation of the major Infrastructure within and without the boundaries of KPVB's Wyld Oaks project, and several of the parcels therein have been dedicated to the CDD for this purpose. The foregoing payment required from KPVB is eligible for payment by the CDD, as a result of which KPVB and the CDD have agreed that KPVB's obligation for that payment should be assigned to and assumed by the CDD. Pursuant to Section 7.q of the Agreement, the assignment of any obligation of a Co-Developer under the Agreement requires the consent of the City, not to be unreasonably withheld.

0894184\195616\14543044vl

The purpose of this letter is to evidence that KPVB hereby assigns the aforesaid funding obligation to the CDD, that the CDD hereby assumes that obligation, and that the City hereby consents thereto. The provisions of this letter shall also apply to any other COD eligible Prefunding Obligations of KPVB which may be required pursuant to the Agreement.
If you are in agreement with the foregoing, please sign, date and circulate a scan of this letter to all parties in order to evidence same.
Your cooperation and assistance are appreciated.

Very truly yours,

KELLY PARK VB DEVELOPMENT, LLC,
a Delaware limited liability company

By:�--	 Kevin Barry, Manager

"l Q,')
AGREED TO THIS ..:>	DAY

AGREED TO THIS	3	DAY

OF i;:-��"	2025

GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT

By,6!:�n	

OF	&hrv�1't , 2025
I

CITY OF APOPKA

cc:	Apopka City Attorney Cliff Shepard, Esq. - Via email to cshepard{,@sheoardfirm.com
Kelly Park VB Development, LLC (Attn: Tylor Edwards) - Via email to tedwards@Doubleb­ development.com
Tara L. Tedrow, Esq. -Via email to Tara.Tedrow@lowndes-law.com Gary M. Kaleita, Esq. - Via email to Gary.Kaleita@lowndes-law.com

2

Prepared bv and return to:
The Grosshans Group Attention: Jacob Schumer, Esq. 884 S. Dillard Street
Winter Garden, FL 34787

DOC# 20230378714
07/06/2023 02:45:27 PM Page 1 of 45
Rec Fee: $384.00 Deed Doc Tax: $0.00 DOR Admin Fee: $0.00

111�rl�!1��,���,t�rill

Intangible Tax: $0.00 Mortgage Stamp: $0.00 Phil Diamond, Comptroller Orange County, FL
M13 - Ret To: CITY OF APOPKA CITY CLERK
1	III

ROADWAY FUNDING AGREEMENT FOR WEST KELLY PARK ROAD
Kelly Park VB Development LLC, Golden Gem Investments, LLC
& Galvin-Harris Land Services, LLC
THIS FUNDING AGREEMENT (the "Agreement") -is made and entered into effective as of the Effective Date (as defined herein), by and between THE CITY OF APOPKA, FLORIDA, a political subdivision of the State of Florida (the "City"), by and through its City Council, the governing body thereof, and KELLY PARK VB DEVELOPMENT, LLC, a Delaware limited liability company qualified to do business in the State of Florida , ("Kelly Park VB") whose address is 660 Beachland Blvd, Suite 301, Vero Beach, FL 32963, GOLDEN GEM INVESTMENTS, LLC, a Florida limited liability company, whose address is 400 N. Ashley Dr., Suite 700, Tampa, FL 33629 ("GGI"), and GALVIN-HARRIS LAND SERVICES, LLC, a
Florida limited liability company ("Galvin''), whose address is 121 Snell Isle Blvd., St. Petersburg, FL 33704 (Kelly Park VB, GGI and Galvin also are referred to herein as the "Co-Developers"and each may be referred to herein as a "Developer" where the context requires), with reference to the following matters:
RECITALS
The City is currently expecting rapid development of the Kelly Park Interchange area ("KPI") shown in Appendix A of the City's Code of Ordinances (the "Code") specifically such KPI area lying west of Plymouth-Sorrento Road ("KPI West," as depicted in Exhibit A) and expect the area to require significant improvements to its roadway network.
The City has completed a Kelly Park Road Corridor Srudy (the ..Study"), available in the office of the City Clerk, which concluded that portions of West Kelly Park Road from Golden Gem Road to Jason DweUey Parkway should be increased from a two-lane to a four-lane road, with other portions of West Kelly Park Road requiring other improvements.
ln order to provide the roadway improvements required for the commencement of respective portions of development within the KPI, the Co-Developers and the City mutually desire to enter into this Agreement to facilitate the KPI Master Roadway Plan, attached hereto as Exhibit A-1 (the "Plan").
The Co-Developers and the City mutually desire enter this Agreement, to enable funding for the improvements contemplated by the Plan, with Co-Developers agreeing to be bound

20230378714 Page 2 of 45

by this Agreement for the mutual benefit of orderly construction of the roadway improvements and for the Transportation Credits, as defined below, which will be awarded for funds invested into the Improvements by said Co-Developers.
The City and Co-Developers expect the development of the KPI to require the City to obtain a significant number of rights-of-way, easements, and other real property interests ("Real Property Rights"), and to achieve development, Co-Developers agree to convey such Real Property Rights to the City as described herein.
With respect to any parcels within KPI West ("KPI Parcels") listed on Exhibit B attached hereto, this Agreement shall be immediately applicable thereto. However, this Agreement shall also apply to KPI Parcels later acquired by any Developer, or its related entities, as provided below.
The City desires to ensure timely funding for the expansion and improvement of West Kelly Park Road as indicated by the Study by securing commitments to provide funds in the form of direct payments or impact fees from Developers.
NOW, THEREFORE, for and in consideration of the mutual promises, covenants and conditions set forth herein, the City and the Developers agree as follows:
AGREEMENT
I. Recitals & Exhibits. The above recitals are true and correct, and together with all exhibits hereto, are incorporated by reference herein and made a part of this Agreement.
Intent & Purpose. It is the intent and purpose of this Agreement to induce the Co-Developers to fund, design, permit and construct certain KPI roadway projects, in exchange for certain Transportation Credits (as defined herein). Consequently, this Agreement provides for (i) certain procedures that will enhance the development feasibility of the KPI and facilitate future regulatory approvals and permit issuance. (ii) specifically identified Developer commitments for certain roadways to support the KPI; and (iii) the process for funding the costs for the designated public roadway improvements and for the verification, issuance and use of the applicable Transportation Credits.
Designated KPI Parcels; Public Infrastructure Permitting.
Designated Parcels; Applicability. The KPI Parcels which shall be governed by this Agreement (the "Designated Parcels") and their respective, contemplated entities are set forth on Exhibit B. The listed Owner(s) are either fee simple record owners or contract purchasers having authorization to enter this Agreement for the respective Designated Parcel. As stated above, this Agreement shall further apply to any parcel within KPI West that is within the City or is annexed into the City and acquired by a Co-Developer or an affiliated or related entity upon the Co­ Developer (each, an "Additional Parcel") for which a Co-Developer (1) provides a written request to the City, which the City Administrator or designee may approve or deny within their discretion, provided that the approval by the City of the addition of parcels by a Co-Developer designated on Exhibit B-1 shall not be

20230378714 Page 3 of 45

withheld by the City, absent an uncured breach of this Agreement by the applying Co-Developer and (2) records a memorandum in the public records of the relevant parcel establishing that this Agreement applies to that parcel. The request to the City shall include a copy of the recorded deed or other recorded document, as well as any other evidence necessary to establish the authority to bind the Designated Parcels to this Agreement. Upon the approval by the City of an Additional Parcel to be added to this Agreement by a Co-Developer, such Additional Parcel shall become a Designated Parcel. Co-Developers shall not have the right to approve the addition of Additional Parcels to this Agreement by another Co-Developer.
Approvals and Permits. The City of Apopka shall accept and process in the normal course of business pursuant to the City's Code allapplications for approvals, permits, and permit modifications reasonably necessary for the design, permitting and/or construction of any public roadways covered by this Agreement, and the City is not obligated by this Agreement to provide any form of expedited or special consideration to applications of Co-Developers.
KPI Roadway Master Plan; Kelly Park Road Widening; Phasing Plan.
Kelly Park Road Widening: The City, or a consenting party designated by the City (the "Designated Constructing Party") shall be responsible for the construction and signalization of the widening of Kelly Park Road as depicted in the Plan and as described in the Study ("KPR Widening").
1.  The design of the KPR Widening is to be completed by Galvin, pursuant
to separate agreement with the City, and such design shall be completed within fifteen (15) months of the Effective Date. The deadlines for KPR Widening construction stated herein shall be tolled for any amount of time that the KPR Widening design remains pending past this deadline.
The City or Designated Constructing Party shall commence construction by the later of January 1, 2025, or 60 days after the City has acquired all right of way ("ROW") and easements necessary to construct the KPR widening, whichever occurs later.
The City or Co-Developer or Designated Constructing Party shall make reasonable efforts to acquire necessary ROW and easements from third party property owners, including through the use of eminent domain by the City, as described in Section 6; provided any inability or failure to acquire ROW for the KPR Widening will not slow down or prevent the ability for any Co-Developers to pull permits or commence site work on their respective properties as typical under the City Code.
The failure of the City, Galvin or Designated Constructing Party to meet the deadlines for the KPR Widening stated above shall not slow down or prevent any other Co-Developer from obtaining permits or certificates of occupancy when such permit or certificate of occupancy would ordinarily be issued under the City's Code.
The timelines provided above are contingent on Co-Developers providing funding for the K.PR Widening as described in Section 5(b) below.

20230378714 Page 4 of 45

v1. Co-Developers shall convey all Real Property Rights located within the Designated Parcels to the City as necessary for the KPR Widening as described in the Study, including for drainage ponds; provided, however, the Exhibit B parcels owned or under contract by Kelly Park VB shall be obligated to dedicate Real Property Rights, including ROW fronting their parcels on Kelly Park Road and Golden Gem Road, pursuant to an anticipated separate agreement with the City regarding Kelly Park VB's obligations to construct roadway improvements internal to such parcels (the ''KPVB Agreement").
The locations of the drainage ponds are set forth on the drainage pond plan on file with the City and provided to the Co­ Developers on June 10, 2023 (the "Pond Plan"), the receipt of which each Co-Developer hereby acknowledges. A Co­ Developer may change the location of a drainage pond to another location upon providing evidence sufficient to the City Administrator or designee that such location does not negatively affect the drainage system for the KPR Widening. Co­ Developers may cooperate in changing the location such that a drainage pond is placed on another consenting Co-Developer's or third party's property.
The Co-Developers shall convey such Real Property Rights
within 60 days of receiving written notice from the City that such rights are necessary to achieve the KPR Widening. The City may extend this deadline as necessary for a Co-Developer to take reasonable efforts to establish clear title to the Real Property Rights to be conveyed, which extension shall not be unreasonably denied. This section shall not be read to prevent the earlier conveyance of Real Property Rights as provided by any separate agreement.
Golden Gem Improvements: The City is responsible for the design, permitting, construction, signaliz.ation and/or wjdening of Golden Gem Road south of West Kelly Park Road, as depicted in the Plan ("Golden Gem Improvements").
1. Upon having sufficient funds within the KPI Roadway Account, as defined in Section 5(a), following 1) completion of the KPR Widening and 2) reimbursing Co-Developers as provided in Section 5, it is the City's intention for the City or Designated Constructing Party to commence and construct the Golden Gem Improvements upon having sufficient funds within the KPI Roadway Account following completion of the KPR Widening.
u. Nothing herein shall impose any contractual obligation on the City or Designated Constructing Party to perform work on the Golden Gem Improvements on any specific timeline, or to prevent the City from entering into a separate agreement with any party to perform or contribute towards the Golden Gem Improvements.
Developer Obligations for Designated Roads; Subsequent Revisions. In addition to the KPR Widening, the City and the Co-Developers have agreed on

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certain roads, identified in the Plan, which will require either original construction or construction of improvements alongside the development within the KPI (such roads being labeled on the Plan and referred to herein as "Designated Roads"; alternatively described herein as "Designated Road Projects"). For the sake of clarity, Designated Parcels which only front those roads labeled "Road Part of Plan" (and as colored in blue on the Plan), and which do not connect to or abut a Designated Road would not be subject to the requirements herein for DEP&C of a Designated Road.
Any Co-Developer that applies for any development permit or approval related to a Designated Parcel, which either directly abuts a Designated Road or utilizes a Designated Road for direct access into the Designated Parcel shall be required to design, engineer, permit and construct ("DEP&C") such Designated Road Projects, including any signalization, lighting, stormwater improvements, and any other improvements necessary such that the Co-Developer turns over to the City a completed road built to City standards under the Code in a "turnkey" fashion.
The approval of any of the following applications for a Designated Parcel shall trigger the obligation to DEP&C a Designated Road and associated signalization discussed herein:
Final subdivision plat, including any revisions to a previously approved or existing subdivision or plat.
Planned unit development.
Preliminary development plan.
Final development plan.
Rezoning.
Site plan.
Substantial change in any of the above.
If any Co-Developer has doubts as to whether a pending application will trigger the obligation to DEP&C a Designated Road as provided herein, Co-Developer may send a written request to the City for a detennination of the City's position as to whether the approval of the application would trigger such obligation, and the extent of such obligation. The City shall respond to such request within thirty (30) days.
The obligation to DEP&C a Designated Road shall apply to the portion of the Designated Road, as described in the Plan, that (1) directly abuts the Designated Parcel being developed, and (2) is utilized for access to Kelly Park Road by the Designated Parcel being developed.
This requirement shall not apply where (1) another Co­ Developer has a pending or approved application which utilizes the same road for access, or (2) a property owner not party to this agreement has a pending application to the City which would require the construction of the same Designated Road, in which case said nonparty applicant shall be required to construct

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the road as typical under City procedures. Notwithstanding this exception, Developers understand no applications which utilize a Designated Road for access will be approved untiJ a Developer or third party has made a binding commitment to build the Designated Road by approval of an application.
Should a pending application which relieves a Developer from the obligation to construct a Designated Road be withdrawn or denied, the City shall provide written notice to any Developer whose obligation under this section had been relieved by the pending appHcation, at which time the Developer shall be obligated to build the Designated Road as otherwise provided by this Agreement.
This section shall not be read to prevent a Developer from voluntarily constructing a Designated Road with the approval of the City.
11. Upon approval of any application which triggers a Developer's obligation to construct or improve a Designated Road, the responsible Developer shall adhere to the following timeline for construction:
l. Design Phase: Twelve months from the date of approval to complete the design of the Designated Road improvement.
The firm(s) selected to design and engineer the Designated Road Project shall be subject to the approval of the City Administrator or designee without the requirement for competitive bidding in accordance with
F.S. § 287.055; provided that Kirnley-Horn and Associates, Inc. and Poulos & Bennett, LLC have all been approved by the City.
"Property Acquisition Phase": Six months from the date of completion of the design to acquire necessary Real Property Rights for the Designated Road improvement, as described in Section 6.
This deadline may be paused pursuant to Section 6.
Except as otherwise set forth herein, the Co-Developers shall donate, at no cost to the City, any Real Property Rights necessary to construct any Designated Road, regardless of whether they are responsible for that specific Designated Road. However, a Co-Developer may change the location of a drainage pond as depicted in any design or engineering associated with a Designated Road to another location upon providing evidence sufficient to the City Administrator or designee that such location does not negatively affect drainage or otherwise negatively affect the public interest. Co­ Developers may cooperate in changing the location such that a drainage pond is placed on another Co­ Developer's or third party's property. However, in no

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event shall the rights-of-way required to be conveyed exceed the minimum width required to build a Designated Road to the standard set out by the City Code.
Except as otherwise set forth herein, a Co-Developer shall convey any Real Property Rights necessary to construct a Designated Road, as described in subsection
(b) above, within 60 days of receiving written notice from the City and/or a Co-Developer (provided the City confirms the Co-Developer's notice is accurate if such confirmation is requested by any party) that such rights are necessary to complete the Designated Road Project. The City may extend this deadline as necessary for the Co-Developer to take reasonable efforts to establish clear title to the Real Property Rights to be conveyed, which extension shall not be unreasonably denied. The deadline for the Property Acquisition Phase shall be tolled during such extension.
Should the City determine, at its sole discretion, that the costs associated with acquiring the necessary Real Property Rights are greater than the City would consider advisable, the City shall amend the Plan to eliminate the Designated Road. In such a case, the Co-Developer shall retain any Credits for costs incurred.
Construction and Permitting Phase: Eighteen months fol1owing approval of construction plans and the acquisition of all necessary ROW and easements to complete construction of the Designated Road improvement as described in this Agreement.
The final design of any Designated Road must generally adhere to the Plan and shall be subject to the approval of the City Administrator or designee, which shall not be unreasonably withheld. The Co-Developer and any firm(s) designing any Designated Road shall reasonably cooperate and communicate with the City to ensure continued agreement on road design.
Costs associated with DEP&C of the Designated Road improvements are subject to Transportation Credits as described in Section 5.
Prior to the commencement of construction on a Designated Road Project, the responsible Co-Developer or its designee shall provide a security through either (a) a performance and payment bond from an A­ rated surety in the amount of 110 percent of the estimated total cost of the Designated Road, or (b) any other financial assurance in the amount of 110 percent of the estimated total cost of the Designated Road deemed acceptable by the City Administrator or designee.
Upon approval of any application which triggers an obligation to construct or improve a Designated Road under this Agreement, that

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obligation shall treated as associated with the parcel for which the application was sought, and any third-party purchaser shall be treated as a separate party to the Agreement for the purposes of performing their obligations associated with the Designated Road. Thus, the failure of the third-party purchaser to adhere to its obligations to construct the Designated Road shall not prevent any Co-Developer from obtaining approvals, permits and certificates of occupancy as typical under the City's Code, and the failure of any Co-Developer to adhere to any obligation under this Agreement shall not prevent the third-party purchaser from obtaining approvals, permits and certificates of occupancy as typical under the City's Code.
v1. A Co-Developer may request that the City confirm release of a Designated Parcel or properly subdivided parcel thereof from this Agreement (a "Release Request") by providing written notice to the City of their request to release the parcel. The Release Request shall granted if (I) the Prefunding Obligations, as defined herein, have been satisfied by the relevant Co-Developer, or the parcel bas been released from such Prefunding Obligations pursuant to a Relief Request under Section (5)(b); (2) the Designated Roads required to be constructed for the parcel as provided under Section 4(c), if any, have been completed, and (3) all Real Property Rights required to be dedicated or donated under this Agreement from the parcel has been dedicated or otherwise conveyed to theCity. Within thirty (30) days after receiving the Release Request of Developer, the City shall execute an instrument in recordable form acknowledging the completion of obligations under this Agreement, identifying the parcel being released, or otherwise provide a written explanation for denial of the Release Request. The Co­ Developer shall be entitled thereafter to resubmit a Relief Request addressing or correcting any matter which was a reason for a denial.
vii. The City may enter into agreements with individual Co-Developers
regarding the construction of Designated Roads, so long as such agreements are consistent with the requirements set forth in this Section. vm.	Should a Co-Developer fail to perform any of the above duties regarding a Designated Road, the City, at the City Administrator's option, may utilize KPI Roadway Account funds to assume the duties required by this Agreement on such Designated Road; a co-Developer may also exercise self-help remedies as described in Section 4(:f) below.
Utilization of such remedies shall not preclude the City from seeking injunctive or monetary relief as otherwise allowable by law and this Agreement.
Deadline Extensions. Upon request from the responsible entity (i.e. the Co­ Developer performing DEP&C on a Designated Road), the deadlines for the KPR Widening and Designated Road Projects may be extended for up to six (6) total months at the discretion of the City Administrator or designee, which shall not be unreasonably denied. Any extensions greater than six (6) total months may be granted by the City Council.

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Plan Amendments. Prior to the issuance of permits by the City for such work, the specifications and exact location of the KPR Widening and Designated Roads as depicted in the Plan are subject to change by the City with written notice, provided that the functionality of the Plan is not adversely impacted by such modifications, as reasonably determined by the City Administrator or his/her Designee. However, upon the City (1) approving any site plan or plat depicting a location of a Designated Road and (2) a Co-Developer commencing the Design Phase for such Designated Road, the City may not amend the Plan to relocate the Designated Road except with the approval of the relevant Co-Developer. Should a Co-Developer desire to amend the Plan, the Co-Developer shall give notice of the request to the City and all Co-Developers along with a justification for the amendment to the Plan. The City shall allow at least thirty (30) days for objections from other Co­ Developers prior to any decision to amend the Plan. However, Designated Roads may not be added or removed from the Plan without the written consent of all parties to this Agreement except as provided by Section 5.
Self-Help. With respect to any Designated Road identified by this Agreement or subsequently designated as authorized above, a Co-Developer shall have the right upon thirty (30) days' prior written notice to the City and the other Co-Developers to assume responsibility for funding, design, permitting and construction thereof in the event (i) the Co-Developer originally assigned such project fails to pursue same as required by this Agreement or (ii) the Designated Road otherwise becomes necessary to serve anolher KPJ Paree] at an earlier date, due to actual project development sequencing within the KPI. Should a Co-Developer utilize this right to assume control of a Designated Road Project which is in progress and in compliance with this Agreement, the Co-Developer assuming control waives the right to any impact fee credits for the phase in progress unless the (1) Co-Developer assuming the phase, (2) the previously responsible Co-Developer and (3) the City agree in writing to prorated share.
Designated Road Bidding Requirements. Except to the extent provided for to the contrary herein, the responsible Co-Developer, in performing its obligations to DEP&C a Designated Road, shall comply with the bidding procedures set forth in either (i) the City of Apopka's procurement process, as amended by the City from time to time, (ii) the required bid procedures for a COD pursuant to Florida Statutes as amended from time to time, and subject to City approval thereof, or (iii) such other public bidding process as approved by the City Administrator or his designee, which complies with general state and federal law. The Co-Developer shall retain full control of all bids and determinations regarding bidder qualification and detennination of the qualified lowest bidder for any Co-Developer. Similarly, the following qualified construction companies have undergone a solicitation and review of bids and shall be permitted to construct and complete any transportation improvements that a Co-Developer is responsible for constructing under this Agreement without the requirement for competitive bidding in accordance with F.S.
§ 287.055: Blue Ox Enterprises, LLC, Boykin Construction, lnc.,WLW Construction, Inc, The Briar Team, LLC and Jon M. Hall Company, Inc.
Funding Process; KPI Transportation Impact Fee Credits.

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KPI Roadway Account. The City shall establish a segregated account for the transportation impact fees paid and funding provided by the Co-Developers pursuant to this Agreement for the exclusive purpose of funding the roadway projects within the Kelly Park Interchange (the "KPI Roadway Account"), including any costs of administration of such roadway projects. The funds deposited into the KPI Roadway Account shall not be commingled with any other City funds, except for the funds (1) contemplated under the anticipated KPVB Agreement and (2) contemplated under the agreement, as amended, between the City and Kelly Park Land Investments, LLC, Harriskp, LLC, and Galvin Land Services, LLC and recorded at Orange County Doc. #s 20220474291, 20230100263 and 202300J 9619 ("KPP Agreement"). All transportation impact fees generated by development of KPI Parcels shall be deposited into the KPI Roadway Account.
1.  Notwithstanding anything to the contrary in this Agreement, the funds
provided to the City pursuant to the KPP Agreement, including any funds kept in the KPI Roadway Account, may be utilized for the purposes provided within said KPP Agreement, including through requests for release of funds for approved costs as provided by Section 18 of the KPP Agreement.
Prepayment of KPR Widening. Co-Developers agree to pre-fund the KPR Widening as described in this Section.
1. Co-Developers shall fund, or cause to be funded, the KPI Roadway Account as described as follows:
According to the funding breakdown set forth below, the Co­ Developers shall, through either direct payment or through payment of transportation impact fees in the KPI as they come due, deposit or cause to be deposited into the KPI Roadway Account at least fifteen million dollars ($15,000,000.00)(the "Initial Funding") by August 1, 2024 ("Initial Funding Date"), and, subject to the limitation of the Developer Caps, as defined below, twenty million dollars ($20,000,000.00) (the "Total Funding") by January I, 2026 ("Total Funding Date"). Each Co-Developer's respective obligation to prefund the KPR Widening is described as follows:
Impact fees paid by subsequent third-party purchasers
shall be treated as paid by the predecessor Co-Developer. Impact fees paid pursuant to the development of parcels identified in blue in Exhibit B-2 (the "Galvin Predecessor Parcels", controlled by Galvin but held by DFC Kelly Park LLC, PRM Apopka/Kelly Park Owner LLC, and DHIC, LLC, shall be credited as paid by Galvin, and such impact fees shall be deposited into the KPT Roadway Account as if a part of this Agreement. Except as described in this subsection and Section 5(a), the Galvin Predecessor Parcels shall not be affected by or associated with this Agreement.

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The Initial Funding should be allocated as follows:
Galvin shall be responsible for payment of six million seven hundred fifty thousand dollars ($6,750,000.00), of which two million seven hundred seventy thousand seventy-one dollars ($2,770,071.00) for Kelly Park Road Improvements covered by the KPP Development Agreement will be applied towards this payment;
11. Kelly Park VB shall be responsible for payment of six million seven hundred fifty thousand dollars ($6,750,000.00); and
iii. GGI shall be responsible for payment of one million five hundred thousand dollars ($1,500,000.00).
Funding of the cost of the KPR Widening in excess of the Initial Funding amount (the "Additional Funding," with the Initial Funding, Additional Funding and Total Funding obligations together being referred to herein as "Prefunding Obligations") shall be paid by each Developer in proportion to the acreage of Additional Parcels added by each Developer to this Agreement up to the Developer Cap, as defined below. Amounts due as Additional Funding shall be determined based on the calculation below sixty (60) days prior to the Total Funding Date (the "Calculation Date", andshall be due by the Total Funding Date. Attached to this Agreement as Exhibit B-1 is a preliminary listing of the parcels contemplated to be added by the Developers to this Agreement, which properties become "Additional Parcels" for purposes of this section upon annexation of such parcels by the City, rezoning of such parcels by the City to the MU-KPI designation and designation of such parcels for addition to this Agreement by a Developer in accordance with the requirements of Section 3(a) above. The amount of the Additional Funding for which each Developer shall be responsible (the"Developer Cap") shall be equal to the product of (i) $5,000,000.00 and (ii) a fraction, the denominator of which is the total acreage of the Additional Parcels, as listed on Exhibit B-1, as increased by the acreage of Additional Parcels added to this Agreement that are not listed on Exhibit B-1 and the numerator of which is the total acreage of the Additional Parcels that such Developer adds to the Agreement. Any Co-Developer which adds an Additional Parcel following the execution of this Agreement shall, within ten (10) days after the Calculation Date, provide written notice to the City and all Co-Developers of the amount of Additional Funding it considers due on its own behalf.

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If and to the extent the Additional Funding requirement exceeds the sum of the Developer Caps applicable to all Co-Developers, such excess shall be paid in accordance with the procedure outlined in Section S(b)(i)(3) below. The $20,000,000.00 amount described above is meant to represent the entire funding necessary to construct the KPR Widening, including acquisition of Real Property Rights necessary for such construction.
Should the City determine that the amount of the Initial Funding plus the sum of all Developer Caps is insufficient to complete the KPR Widening, the City shall provide written notice of such increase in estimated costs to all Co-Developers. The written notice shall be supported by specific information justifying the increased estimate. For the avoidance of doubt, none of the Developers shall have the obligation to participate in the funding over their respective obligations to fund the Initial Funding or the Additional Funding up to the applicable Developer Cap, as stated above.
Co-Developers shall respond in writing to such notice within thirty (30) days, either by agreeing to the increased amount or objecting to the inaccuracy or lack of infonnation supporting the increased cost estimate.
If no Co-Developers object to the increased estimate, the KPR Widening funding obligation for the Total Funding Date shall be increased to the updated amount, with each Co-Developer being responsible for a proportionate percentage share of such funding based on a per-acre basis for property subject to this Agreement
Should one or more Co-Developer object to the increased estimate, one or more other Co-Developer shall have the option to resolve the objection by assuming the objecting Co-Developer's obligation for the noticed increased share of costs.
Should the City be unable to resolve objections to the increased amount, either with the objecting Co­ Developer(s) or by securing commitment from another Co-Developer as described above, the City may either terminate this Agreement or proceed with the expectation of securing alternative funding for the excess costs of the KPR Widening.
Should any Co-Developer sell or convey any Designated Parcel (or portion thereof) to one or more third parties prior to the completion of the KPR Widening, the Co-Developer and any direct or subsequent purchaser shall be jointly and severally responsible for the Co­ Developer's funding obligations pursuant to this Section 5(b). Any transportation impact fees paid based on the development on the sold parcel shall be credited towards the selling Co-Developer's funding

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obligations as if still owned by the Co-Developer. Nothing in this provision shall be read to prohibit a Co-Developer from entering an agreement with such a third party to hold the third party harmless from obligations under this Agreement.
A Co-Developer may relieve a third-party purchaser from their prefunding obligation under this Section 5(b) relating to a specific parcel (a ''Relief Request") by (1) providing written notice to the City of their intention to relieve the specific parcel of their prefunding obligation, and (2) foUowing confirmation by the City, paying an amount equivalent to 100% of transportation impact fees associated with that specific parcel, as determined by its approved uses, as described below.
The written notice shall include the description of the parcel to be relieved, the amount of transportation impact fees expected be generated by the parcel, and the regulatory action on which the impact fee calculation was based. The City shall notify the Co-Developer of the City's approval or denial of the Relief Request within thirty (30) days of receipt. If denied, the City's notice to the Co-Developer shall include an explanation of the reason for the denial. The Co-Developer shall be entitled thereafter to resubmit a Relief Request addressing or correcting any matter which was a reason for a denial. Approvals shall be valid for a period of ninety (90) days (which may be extended by another ninety (90) days if approved by theCity Administrator or its designee), after which period if payment has not been made, a new Relief Request will be required if the Co-Developer wishes to pursue same.
Relief Requests are only available if (1) the parcel is subject to a site plan, final development plan, or other
similar regulatory approval establishing a certain amount of transportation impact fees to be owed, and (2) the remaining Designated Parcels owned by Co-Developer have an appraised market value, according to the Orange County Property Appraiser or any other appraisal reasonably acceptable to the City, greater than the Co­ Developer's remaining Initial Funding obligation under Section 5(b).
Payment for a Relief Request is not considered a payment of impact fees, but rather a contractual method of determining the amount of funding necessary to satisfy the specific parcel's obligation to contribute to the funding of the K.PR Widening. Funds from a Relief Request will be treated as funds provided as part ofKPR Widening prepayment under Section (5)(b). The Co-Developer providing funds for a Relief Request shall receive

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Transportation Credits for the payment made pursuant to Subsection (5)(b)(ii)(l) above, which Credits may be assigned to the third-party purchaser as otherwise provided by this Agreement.
Such impact fees shall be paid based on the 2023 Impact Fee Schedule as defined below, or any impact fee or mobility fee schedule adopted subsequent to the 2023 Impact Fee Schedule, if such a schedule is so adopted.
After the City has received payment for an approved Relief Request, the City shaU execute and record a Partial Release of this Agreement releasing the applicable parcel from the prefunding obligations under this Section 5(b).
Co-Developers shall be entitled to reimbursement through Transportation Credits for 100% of contributions to this KPR Widening pre-funding, except that payment of transportation impact fees as they come due shall not create an additional entitlement to Transportation Credits. Any reimbursement of Transportat-ion Credits as set forth herein shall be subject to the following constraints as agreed upon by the Co-Developers:
The priority of the allocation of cash reimbursements for Transportation Credits to the Co-Developers pursuant to Section 5(d) shall be as follows, notwithstanding anything to the contrary in the KPP Agreement or any other agreement which any party hereto has entered into with the City,: (i) first, to Kelly Park VB and Galvin for the Credits attributed to their Designated Parcels listed on Exhibit B, (ii) second, to GGI for Credits attributed to its Designated Parcel listed on Exhibit B and (iii) third, to the Developers, pari passu, for the Credits attributed to the Additional Parcels listed on Exhibit B-1 that are made Designated Parcels under the terms of this Agreement.
Any remaining Transportation Credit reimbursements under this
Agreement shall be paid on a first come first served basis, as described in Section 5(d).
1v. The timelines for construction of the KPR Widening discussed in Section 4 above shall be tolled for any time that Co-Developers have not deposited funds into the KPI Roadway Account as required by this Section.
Reflecting the damages from delay from KPR Widening, which are not readily ascertainable, should any Co-Developer fail meet its respective prefunding obligations as set out in Section 5(b) above, subject to its cure opportunities set forth in Section 7(d) hereinbelow, said Co­ Developer shall be obligated to pay transportation impact fees by a rate increased by 20% for each dollar that remains due at the time that the Co-Developer fails the obligation.
For example, should a Co-Developer be obligated to provide
$5,000,000.00 to the KPI Roadway Account by January 1, 2026,

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but only provides $4,000,000 by that date, such Co-Developer shall be contractually liable for $200,000 in liquidated damages, collected through 20% increased transportation impact fees on the next $1,000,000 in impact fees paid for projects on Designated Parcels associated with that Co-Developer.
This increased transportation impact fee rate shall be considered an alternative method of collecting contractual liquidated damages and shall not be governed by Florida law regarding impact fees.
This method of charging a 20% increased transportation impact fee shall be in addition to other methods of collecting money owed for KPR Widening and shall not prevent the City from seeking the funding or these liquidated damages in a Court of competent jurisdiction or other legal method of collection.
v1. The liquidated damages provision set forth in subsection (iv) above shall not apply when, notwithstanding the individual Co-Developer's failure to meet its prefunding obligations, the KPI Roadway Account has the total funding contemplated by Section 5(b) above by the Funding Deadline dates.
vii. Should all of the Co-Developers collectively fail to meet either the Initial Funding or Total Funding requirements for a continuing period of six (6) months, the City may terminate this Agreement with written notice to Co-Developers.
KPI Transportation Development Fee Credits; Use and Assignment. As a material inducement for the Co-Developers to enter into this Agreement, and as authorized by Section 22-57 of the City's Code, the City agrees that the Co­ Developers (or their designee in their sole discretion) shall receive Transportation Impact Fee Credits (the "Transportation Credits" or "Credits") in the circumstances described above.
1.  The Co-Developers and their respective designee(s) shall be allowed to use and/or assign the Transportation Credits (1) against applicable Transportation Impact Fees for any KPI Parcel; (2) for private sale and assignment to any other KPI owners, developers, builders, CDDs, or other persons or entities within KPI not included within this Agreement, in the sole discretion of the Co-Developer or its designee(s); or (3) for reimbursement of costs as provided in this Section 5.
11.  To be eligible for reimbursement through the Credits for work
performed on a Designated Road as provided by Section 4, Co­ Developer shall submit a proposal of expenditures (each, a "Cost Proposal") to the City for prior approval by the City Administrator or his designee before incurring said expenditures (except for such previously incurred approved expenses and contracts with outside contractors as set forth herein). Such Cost Proposals, when established as reasonably necessary or prudent for the construction of a Designated Road, shall not be unreasonably denied.

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Designated Road costs eligible for reimbursement through the Credits shall include, without limitation, costs of design, engineering, permitting, utilities, storrnwater retention, third­ party property acquisition as described in Section 6 and construction. Attorneys' fees and administrative costs shall not be eligible for Credits.
Such Cost Proposals shall include sufficient documentation establishing that each proposed cost is reasonably necessary for the completion of the relevant Designated Road.
The City shall approve, approve in part, or deny a Cost Proposal in writing within thirty (30) days; provided, however, that to the extent a proposed cost is a design, engineering, or permitting cost within the scope of and addressed bythe most recent version of the "Design Staff Hour Estimation Guidelines" and/or the "PD&E Staff Hour Estimation Guidelines" published by the Florida Department of Transportation, (the "FDOT Standards"), then the City wilt rely on such FDOT Standards if application of such FDOT Standards would be reasonable, practicable, and applicable.
iii. Credits to which a Co-Developer has become entitled pursuant to this
Agreement shall be awarded to such Co-Developer by City within thirty
(30) days following City's receipt of a request for Credits from such Co­ Developer (each, a "Credit Application").
With each Credit Application, each submitting Developer shall also provide City documentation as may be reasonably necessary or reasonably requested by City to substantiate such submitting the Developer's entitlement to Credits pursuant to this Agreement and/or the amount of such Credits claimed by such Application; as well as all information and/or documentation described in Section 22-57(f) of the City's Code.
Credits awarded pursuant to a Credit Application shall be
awarded for incurred costs.
Developer shall be allowed to submit a Credit Application at various stages in the DEP&C of a Designated Road; provided, however, that no Credit Application shall be submitted to City sooner than ninety days (90) following the submittal of an earlier Credit Application for the same Designated Road.
A Credit Application shall not be required for a Co-Developer to be entitled to Credits for providing payment towards the KPR Widening or for property acquisition under Section 6, which shall automatically be awarded by the City upon the funds being provided by Co-Developer along with written notice for the explanation for the payment as intended for the KPR Widening or property acquisition.
The City may withhold approval of any Credit Application where the Co-Developer is out of compliance with the deadlines

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established in Section 4 until successful completion of each phase.
1v. Credit Registry. Upon the City awarding Credits pursuant to a Credit Application or receipt of KPR Widening funding, the City Administrator or designee shall log such approval or funding in a Transportation Impact Fee Credit Registry (the "Registry") and provide confirmation of such award to the applicable Co-Developer. The Registry shall keep a chronological log of Credits awarded, with each approved Credit Application and each .instance of KPR Widening prefunding receiving a separate entry. The Registry shall treat Credits awarded as assigned to the Co-Developer rather than any assignee, designee, or agent of the Co-Developer.
The Credits cannot be used for any purpose other than offsetting
transportation impact fees assessed by City and cannot be converted to
U.S. currency or any other form except as provided in Subsection (d). The Credits are not applicable towards any other City of Apopka fee, connection fee or other charge other than impact fe.es for transportation. The Credits awarded hereunder expire twenty (20) years after award.
The City may, at its discretion, hire one or more contractors to determine the appropriateness of Cost Proposals and Credit Applications submitted under this Agreement. Costs for such contractors may be paid for using funds from the KPI Roadway Account.
The City shall, on a quarterly basis, provide a written report to the Co­ Developers of the KPI Roadway Account and the Registry, specifically listing (1) the amount of funds in the KPI Roadway Account, and (2) the outstanding credits earned by each Co-Developer, including the priority of such credits.
Reimbursement. Following completion of the K.PR Widening, Co-Developers may, in lieu of using Transportation Credits to offset Transportation Impact Fees, instead seek cash reimbursement of funds for outstanding Transportation Credits to be paid from the KPI Roadway Account.
Upon completion oftbe KPR Widening, the City shall provide notice of
such completion to all Co-Developers. Co-Developers may, within sixty
(60) days of the City mailing such notice, provide the City with a request for reimbursement from the KPI Roadway Account (a "Reimbursement Request"). The Reimbursement Request shall state the amount of funds that the party is requesting to be reimbursed.
Following this sixty-day period, the City shall pay the Reimbursement Requests, with priority for reimbursement determined by the Registry on a first-in, first-out basis. For example, if Co-Developer X provided one million dollars in Kelly Park Road prefunding, followed by Co-Developer Y securing approval of two million dollars in Credits, followed by Co-Developer X securing approval of one million dollars in Credits, but only three million dollars remain available in the KPI Roadway Account, Co-Developer X would receive one

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million dollars in reimbursement and Co-Developer Y would receive two million, with Co-Developer X then first in line to receive one million dollars in reimbursement upon funds being available.
Notwithstanding the above, Credits earned through prepayment of KPR Widening shall be reimbursed prior to Credits earned through incurring of costs eligible for Credits under this Agreement, including those deemed approved and awarded by the approval of this Agreement, with priority set out by the provisions of Section 5(b).
Following the initial reimbursement payments described above, Co-Developers may file Reimbursement Requests at any time by providing written notice to the City and all Co-Developers of the request. If the City confirms that the requesting Co­ Developer has Transportation Credits available and no other Co­ Developer with higher priority submits a Reimbursement Request within the 30 days, the City shall pay the request if such funds are available.
No Reimbursement Request shall be submitted to City sooner than ninety (90) days following the submittal of an earlier Reimbursement Request.
Should funds in the KPI Roadway Account only be sufficient to partially fulfill a Reimbursement Request, the City shall inform the relevant Co-Developer, whomay elect to either accept partial reimbursement or delay the request.
11.  The City may, at its discretion, designate up to one million dollars
($1,000,000) in the KP! Roadway Account as unavailable for cash reimbursement to ensure funding for administrative costs associated with effectuating the Plan.
Any time following the payment of initial Reimbursement Requests submitted pursuant to Subsection (d) above, should the City determine in its discretion that sufficient funds are available to perform any phase of the construction of the Golden Gem Improvements, the City may provide notice to all Co-Developers of funds within the KPI Roadway Account to be utilized for the Golden Gem Improvements, at which time such funds will be rendered unavailable for cash reimbursement.
In no event shall a Co.Developer be entitled to funds from any City source or account other than the KPI Roadway Account. Cash reimbursement under this section is the sole mechanism by which a Co­ Developer shall be entitled to any funds from the City under this Agreement.
Should a Co-Developer submit a Reimbursement Request under this section and the City determine that insufficient funds are available within the KPI Roadway Account for cash reimbursement, the Co­ Developer may retain thepriority statusfor the Reimbursement Request until funds are available.

20230378714 Page 19 of 45

Requirement of Completion of KPR Widening. Notwithstanding anything else in this Agreement, until the KPR Widening is completed, no Co-Developer may seek reimbursement under Section 5(d).
Impact Fee Rate Applicable. Notwithstanding any agreement to the contrary, each Co-Developer agrees that for any development on a Designated Parcel which is subject to this Agreement, the transportation impact fee schedule included in Ordinance No. 3001, adopted on second reading by the City on or about May 17, 2023 (the "2023 Impact Fee Schedule"), or any impact fee or mobility fee schedule adopted subsequent to the 2023 Impact Fee Schedule, shall apply. This provision shall prevail over any other Development Agreement between the City and any Co-Developer or affiliate of Co-Developer, including the KPP Agreement.
Necessity of Impact Fee Adoption. This Agreement is expressly premised and contingent upon the successful adoption of the 2023 Impact Fee Schedule. The Co­ Developers agree that the 2023 Impact Fee Schedule was properly adopted and supported as required by Florida law, and that (l) Co-Developers and their assigns shall not challenge the 2023 Impact Fee Schedule, in court or otherwise, and (2) voluntarily will comply with the 2023 Impact Fee Schedule as adopted regardless of any subsequent declaration or decision invalidating the 2023 Impact Fee Schedule. This provision shall be considered inseverable from remainder of this Agreement.
Authorized Assignees and Applicants. Only Co-Developers, their designees and assignees may utilize the Credits or submit Cost Proposals and Credit Applications under this Agreement.
1.  Co-Developers shall provide the City a list of entities which may submit Credit Applications and Cost Proposals on its behalf A Co-Developer may update the list of entibes by written notice. Credit Applications and Cost Proposals shall be treated as submitted on behalf of Co-Developer and shall be treated as an action of the Co-Developer.
11. For any assignment or sale of Credits to be effective, the assignment shall be evidenced by a written instrument, executed by the Co­ Developer, specifically referencing this section of this Agreement and that the Credits are being assigned pursuant to this Section.
Procurement Process for Right-of-Way or Easements Required for Public Infrastructure Projects. With respect to any rights-of-way, easements, or other use rights required for any Designated Road identified under this Agreement, and which lie over, across or under any third-party land not owned or controlled by Co-Developer, the following procurement process shall apply:
If the subject land lies within lands included in a pending application within the KPI, the City shall require the provision of the subject right-of-way or easement area subject to and in accordance Florida law and the City's Code.
For any land not covered by (a) above, then:
1. The Co-Developer first shall utilize good faith, commercially reasonable efforts to negotiate the procurement from such third-party

20230378714 Page 20 of 45

landowner, on the City's behalf, and any proposed compensation to be paid to such third-party owner shall be subject to the City's approval, which shall not be unreasonably withheld. The City may, at its option, assume control of efforts to voluntarily acquire Real Property Rights by written notice to the applicable Co-Developer.
u. If the Co-Developer notifies the City in writing that the foregoing negotiations are not successful, the City may initiate condemnation proceedings in accordance with applicable Florida law to effect a "quick taking" of the required rights and pw-sue the completion of such condemnation process to establish the final just compensation due to such third-party landowner pursuant to applicable Florida law. The foregoing condemnation process shall not apply in any circumstance where the affected landowner has an existing zoning or other development approval condition which requires the conveyance of right-of-way, easements, or other similar cooperation, in which event the City shall diligently pursue enforcement of such pre-existing zoning or development approval condition with such third-party landowner. No third-party landowner is intended to be a third-party beneficiary of this provision, which is intended solely to identify the respective rights and obligations of the City and the Co-Developers with respect to the projects identified herein. Prior to the initiation of any formal condemnation process under this Section, the Co-Developer shall enter into a right-of-way acquisition agreement which memorializes the terms and conditions for such action consistent with this Agreement. The Co­ Developer shall initially advance the costs for any such condemnation action, in exchange for l00% Transportation Credits pursuant to this Agreement, as applicable.
Upon (1) the City assuming control of the procurement process under Subsection (b)(i) above or (2) a Co-Developer notifying the City that negotiations were not successful, as described in Subsection (b)(ii), the deadlines within Section 4 shall be tolled until the City successfully acquires the Real Property Rights necessary for the Designated Road.
Should the City fail to either (1) acquire the necessary Real Property Rights or (2) initiate a "quick take" eminent domain action within twelve (J2) months of the City assuming control of procurement or the Co-Developer notifying the City that negotiations were not successful, the Co-Developer may, by written notice to the City, be relieved of the obligation to DEP&C the Designated Road to the extent such obligation arises from this Agreement.
General Provisions.
Constitutional Limitations. The terms and conditions of this Agreement placed upon the City of Apopka are applicable only to the extent they are within and consistent with the constitutional and statutory limitations on the authority of the City. Specifically, the parties acknowledge that the City is without authority to

20
0894184\195616\l2816678v4

20230378714 Page 21 of 45

grant or pledge a security interest in any of the City's revenue sources or City property.
Independent Capacity; Limitation on Liability. The Co-Developers, any Designated Constructing Party/Developer and any consultants, contractors, or agents are and shall be, in the performance of all work, services, and activities under this Agreement, independent contractors and not employees, agents, or servants of the City of Apopka or joint venturers with the City. The Co-Developer, their agents and representatives do not have the power or authority to bind the City of Apopka in any promise, agreement, or representation other than specifically as provided for in this Agreement. The City of Apopka shall not be liable to any person, firm, or corporation who contracts with or provides goods or services to the Co-Developers with respect to any private infrastructure project for debts or claims accruing to such parties against the Co-Developer(s) for such private infrastructure project, and the City's liability hereunder shall extend only to the funds deposited into the KPI Roadway Account, as applicable, as discussed in this Agreement.
Law Compliance. The Co-Developers and The City of Apopka will comply with all applicable Federal, State, and local laws, rules, regulations, and guidelines related to performance under this Agreement.
Default.  Failure by any Party to perform any of its obligations hereunder shall constitute a default, entitling any non-defaulting Party to pursue, subject to the limitations provided by Section (7)(h), such remedies as may be available to it under Florida law or equity, including, without limitation, an action for specific performance and/or injunctive relief. Prior to any Party filing an action as a result of a default under this Agreement, a non-defaulting Party shall first provide the defaulting Party with written notice of said default. Upon receipt of said notice, the defaulting Party shall be provided a thirty (30) day opportunity inwhich to cure the default, except where otherwise provided herein. In the event any Developer has received notice of a default, then: (1) any of Developer's lenders may exercise self­ help in curing all Developer defaults as listed in the notice (including exercising such self-help rights during Developer transfers of ownership or foreclosure proceedings, if any) to the extent provided insuch Developer's loan agreement; (2) any administrative agent for a lender of Developer may exercise self-help in curing all respective defaults on the Property as listed in the notice (including exercising such self-help rights during Developer transfers of ownership or foreclosure proceedings, if any); and (3) any designee of Developer may also exercise self-help provisions in curing defaults by Developer; such self-help rights shall be outlined in a separate agreement between Developer and any such designee. In the case of any default by Developer which is not cured by Developer within the cure period stated above, if a party commences efforts to cure such default and as long as such party is diligently and in good faith proceeding to cure such default, City will give the party reasonable additional time to cure such default, including, if possession is required to cure, reasonable and sufficient time to acquire any relevant portion of property in question through foreclosure, before City exercises any of its remedies hereunder, including, without limitation, termination of this Agreement.

21
0894184\195616\12816678v4

20230378714 Page 22 of 45

Notice.  Any notice or demand to be given to or seived upon any party hereto in connection with this Agreement shall be in writing and shall be (i) delivered by hand, or (ii) delivered through the United States mail, postage prepaid, certified or registered, return receipt required, or (iii) delivered through a nationally recognized overnight delivery seivice, such as FedEx, which provides proof of delivery. Or, if notice is given by a method other than the foregoing, it shall be deemed to be given and received when delivered to and received by the party to whom it is addressed. Such notices shall be given to the parties hereto at the following addresses:

If to the City of Apopka:

With a copy to:

If to Co-Developers: Developer:

Developer:

With a copy to:

Developer:

with a copy to:

0894184\l95616\12816678v4

CITY OF APOPKA
Attn: City Administrator 120 E. Main Street Apopka, FL 32703
City of Apopka Attn: City Attorney 120 E. Main Street Apopka, FL 32703

GALVIN-BARRIS LAND SERVICES, LLC
Attn: Mike Galvin 121 Snell Isle Blvd.
St Petersburg, FL 33704
GOLDEN GEM INVESTMENTS, LLC
400 N. Ashley Dr., Suite 700
Tampa, FL 33629
Spotts Fain
411 E. Franklin Street, Suite 600
Richmond, VA 23219 Attention: Brian R. Marron bmarron@spottsfain.com

KELLY PARK VB DEVELOPMENT, LLC
Attn: Ronald L. Edwards 660 Beachland Blvd
Suite 301
Vero Beach, FL 32963 redwards@evansprop.com
Lowndes Law
22

20230378714 Page 23 of 45

Attn: Tara Tedrow 215 N Eola Drive Orlando, FL 32801
Tara.tedrow@lowndes-law.corn

It is agreed that, if any party hereto is represented by legal counsel, such legal counsel is authorized to deliver notice directly to the other party on behalf of his or her client, and the same shall be deemed proper notice hereunder if delivered in the manner hereinabove specified.
Any party hereto may, at any time by giving three (3) days written notice to the other party hereto, designate any other address in substitution of the foregoing address to which such notice shall be given and other parties to whom copies of all notices hereunder shall be sent.
Any notice or demand that may be given hereunder shall be deemed complete (notwithstanding the lack of actual receipt by addressee) (i) three (3) days, after depositing any such notice or demand in the United States mail with proper postage affixed thereto, certified or registered, return receipt requested, or (ii) on the next business day after deposit (prior to the deadline for delivery on such business day) with a nationally recognized overnight delivery service which provides evidence of delivery, or (iii) upon hand-delivery to the appropriate address as herein provided during normal business hours.
Entire Agreement. This Agreement embodies and constitutes the entire understanding and agreement between the parties with respect to the transactions contemplated herein, and this Agreement supersedes all prior and contemporaneous agreements, understands, representations, communications, and statements, either oral or written benveen the Co-Developers and the City of Apopka as to the specific subject matters set forth herein.
Modification and Amendment. Neither this Agreement, nor any portion hereof, may be waived, modified, amended, discharged, nor tenninated, except as authorized by law pursuant to an instrument in writing, signed by the party against which the enforcement of such waiver, modification, amendment, discharge, or termination is sought and then only to the extent set forth in such instrument.
No Liability or Monetary Remedy. Co-Developers hereby acknowledge and agree that they are sophisticated and prudent in business transactions and proceed at their own risk under advice of their own counsel and advisors and without reliance on City, and that City bears no liability for direct, indirect, or consequential damages. The only remedies available to Co-Developers for any breach by City are actions for declaratory judgment and/or mandamus to require City's specific perfonnance W1der the terms and conditions of this Agreement.
1.		Waiver. The failure of any party to this Agreement to object to or to take affirmative action with respect to any conduct of the other which is a violation of the terms of this Agreement shall not be construed as a waiver of the violation or breach or of any future violation, breach, or wrongful conduct.

23
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20230378714 Page 24 of 45

J·	Contract Execution. This Agreement may be executed in several counterparts, each constituting a duplicate original, but all such counterparts shall constitute one
(1) and the same agreement.
Gender and Headings. Whenever the context hereof shall so require, the singular shall include the plural, the male gender shall include the female gender and the neuter and vice versa. All articles and descriptive headings of paragraphs in this Agreement are inserted for convenience only and shall not affect the construction or interpretation hereof.
Severability. In case any one (1) or more of the provisions contained in this Agreement is found to be invalid, illegal, or unenforceable in any respect, such invalidity, or unenforceability shall not affect any other provision hereof, and this Agreement shall be construed as if such invalid, illegal, or unenforceable provisions had never been contained herein, unless such unenforceable provision results in the frustration of tbe purpose of this Agreement or the failure of consideration.
Construction. The parties hereby agree that each has played an equal part in the negotiation and drafting of this Agreement and, in the event any ambiguity should be realized in the construction or interpretation of this Agreement, the result of such ambiguity shall be equally assumed and realized by each of the parties to this Agreement.
Third Party Beneficiaries. The Agreement is solely for the benefit of the Parties signing hereto and their successors and assigns, and no right, nor any cause of action, shall accrue to or for the benefit of any third party.
Si2natories Authority. By the execution hereof, the parties covenant that the provisions of this Agreement have been duly approved and signatories hereto are duly authorized to execute this Agreement on behalf of the parties and the properties to be encompassed by this Agreement. Kelly Park VB further covenants that it is authorized enter the Agreement to the extent it modifies the KPVB Agreement, and Galvin covenants that it is authoiized enter the Agreement to the extent it modifies the KPP Agreement.
Controlling Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Florida. Venue for any litigation arising from this Agreement shall be in the 9th Judicial Circuit in and for Orange County, Florida.
Successors and Assi2ns. The terms of this Agreement shall run with the land and be binding upon the Co-Developers, the'ir respective successors and assigns except as otherwise provided in this Agreement. Any Co-Developer may assign its interest in this Agreement and its respective rights and obligations hereunder, in whole or in part, to any firm, corporation, or other legal entity with the consent of the City, which shall not be unreasonably withheld. In requesting approval of an assignment by the City, the Co-Developer shall deliver to the City a copy of a proposed assignment instrument which shall describe whether the assignment is in whole or in part and the status of any pending obligations, Credits, Cost Proposals and Credit Applications to be assigned to the new entity. Upon any such assignment,

24
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20230378714 Page 25 of 45

such assignee shall succeed to all the rights and obligations of the applicable Co­ Developer as to such assigned matters, only. Notwithstanding the above, this Agreement shaU cease running with the land and shall not attach to specific properties foJlowing (I) as to any single-family residential parcel, the platting of the relevant parcel or (2) as toany multi-family residential, commercial or industrial parcel, the issuance of a certificate of occupancy for all planned structures on the relevant parcel, and the City agrees in either of such events to execute and record a Partial Release of any such properties from the provisions of this Agreement. Notwithstanding the foregoing, in the event that a Project mortgagee (or its nominee) shall acquire title to the Property or a portion thereof through foreclosure or deed in lieu of foreclosure, such project mortgagee (or its nominee) shall be deemed a permitted assignee under this Agreement, provided such assignee gives City prompt notice of the acquisition thereby of the Property (or portion thereof) and such assignee agrees to assume and timely perform all of the covenants and obligations of Co-Developer under this Agreement accruing from and after the date of such acquisition of title.
Survival.  The provisions of all sections of this Agreement that, from their sense and context are intended to survive the term or any termination of this Agreement, including, but not limited to, affirmative maintenance and other obligations, in order for them to be effectual and have the meaning intended by the parties, shall so survive (but shall expire within any specific time limitation which may be expressly stated elsewhere in this Agreement) the term or any termination of this Agreement and remain independently binding upon the parties, as applicable. Within fifteen (15) days following the written request of a Co-Developer, City and other Co-Developer(s) shall execute an instrument in recordable form acknowledging that any and all obligations under and pursuant to this Agreement have been fully satisfied and performed, and that this Agreement has terminated, or if termination has not then occurred, specifying which, if any, obligations under this Agreement remain unsatisfied or unperformed, and Co-Developer may record any such instrument in the Public Records of Orange County, Florida.
Force Maieure. In the event any party's performance of this Agreement is delayed or interrupted by consequent act of God, or the public enemy, or national emergency, or a government restriction upon the use of availability of labor or materials, or civil insurrection, riot, racial or civil rights disorders or demonstration, strike, embargo, flood, tidal wave, fire, explosion, bomb detonation, nuclear fallout, windstorm hurricane, sinkholes, earthquake, or other casualty, disaster, or catastrophe, or judgment, or a restraining order or injunction of any court, or material supply shortage, equipment or labor disruption beyond the control of such party (individually or collectively a "Force Majeure" event), such party shall not be liable for such nonperformance, and the time of performance shall be extended for the number of days that the force majeure event delays or interrupts such party's performance of this Agreement as reasonably determined by the other parties. This paragraph shall not apply to Force Majeure events caused by the party with delayed or interrupted performance or under the control or caused by the party with delayed or interrupted performance. In the event performance by any party of the commitments set forth in this Agreement shall be interrupted or delayed in

25
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20230378714 Page 26 of 45

connection with acquisition of necessary governmental permits or approvals which interruption or delay is caused through no fault of the party with a delayed performance, then the party with a delayed performance shall submit documentation to the other parties regarding such event for review and concurrence. If such documentation shows that such event(s) have taken place, then the party with a delayed performance shall be excused from such performance for such period of time as is reasonably necessary after such occurrence to remedy the effects thereof. Any Force Majeure event which exceeds one hundred eighty
(180) days shall require a formal amendment to this Agreement.
Indemnification.  The Co-Developer responsible for the constrnction of a Designated Road shall defend, indemnify, and hold harmless City from and against any and all suits, claims, damages, losses, liabilities, and reasonable costs and expenses whatsoever (including attorneys' fees and costs through appeal), which City may incur (or which may be claimed against City by any person whomsoever) by reasons of or in connection with the design or construction of such Designated Road. Nothing herein shall require Developer to indemnify City or its agents for their own negligence. This paragraph shall survive expiration or earlier termination of this Agreement.
Public Records. The Co-Developer and all contractors performing work under this Agreement, as applicable, shall comply with the requirements of Florida's Public Records Act, Chapter 119, Florida Statutes. To the extent required by Section 119.0701, Florida Statutes, each such party shall (a) keep and maintain those public records required by the City hereunder to perform the services under this Agreement; (b) upon request from the City's custodian of public records provide the City with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided for under Florida's Public Records law; (c) ensure that the public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the Agreement term andfollowing completion of the Agreement if the applicable party does not transfer the records to the City; and (d) upon completion of the Agreement, transfer, at no cost to the City, all public records in possession of such party. Upon transfer, the party shall destroy any duplicate public records that are exempt or confidential and exempt from public records requirements. All records stored electronically must be provided to the City in a format that is compatible with the information technology systems of the City. All documentation produced as part of this Agreement will become the property of the City. This paragraph shall survive the expiration or termination of this Agreement.

IF ANY APPLICABLE PARTY HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE PARTY'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT TELEPHONE NUMBER (407) 703-1704, E-MAIL ADDRESS SBONE@APOPKA.NET.

26
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Under Florida law, a company who fails to provide the public records to the City within a reasonable time may be subject to penalties under Section 119.10, Florida Statutes, and such non-compliance will constitute a breach of the Agreement and may serve as grounds for termination oftbis Agreement. Such records shall be and remain available at the applicable party's place of business at all reasonable times during the term of this Agreement and for five (5) years after Agreement termination.
Term. This Agreement shall remain in effect from the date of execution by the last party to sign the agreement (the "Effective Date") until December 31, 2043, or until all Designated Road depicted in the Plan have been completed, whichever occurs earlier, unless otherwise extended by mutual consent of the parties.
Recording in Public Records. This Agreement, executed by all Parties, shall be recorded in the Public Records of Orange County, Florida. The City Clerk of City shall insure that proper recording of this Agreement is accomplished within fourteen (14) days after the execution of this Agreement by all Parties.

[SIGNATURES BEGIN ON FOLLOWING PAGE]

27
0&94184\195616\12816678v4

20230378714 Page 28 of 45

JN WITNESS WHEREOF, lhe parties have sci thelr hands and seals on the respective dates set
(onh below.

Signed, scaled, and delivered
in the presence of:

Print Nam;}) BU¥: Ui\U
cLL-
Print Name: eu.e.,s	La::i(e

CO-DEVELOPER
KELLY PARK VB DEVELOPMENT, LLC,a
Delaware limited li1bili1y company qualified to do business in the State of Florida
By: KPVB Acquisition, LLC, a Delaware limited liability company,
its member By:R��t� Print Name: Ronald L. Edwards
Title: Manager
Date:	_

STATE OF FLORIDA
COUNTY OF ::r::-�,)\w e,.,EC...
The foregoing instrumen�as ackn�Jedged before me by means of �sical presence or O online notarization, this .L.2::-day of J,L)() � ,,  , 2023 by Ronald L. Edwards, as Manager of KPVB Acquisition, LLC, a Delaware limited liability company, as the member of KELLY PARK VB DEVELOPMENT, LLC, a Delaware limited liability company quaJified to do business in the State of Florida, on behalf of the company, �ho is personally known to me or has produced
	as identification.

{AFFIX NOTARY SE.AL}	Notary Public

l(u t-tn f7 7,LL	
Print Name
My Commission Expires:

[SIGNATURES CONTINUE ON FOLLOWING PAGE] 28

20230378714 Page 29 of 45

CO-DEVELOPER:

Galvin-Harris Land Services, LLC,
A Florida limited liability company

STATE OF FLORIDA  rior"tn 0_o...ro\i<'O.

By:-�.� Name:� (,A-,LV l cJ
Title:  MAr.J A (-,G rL. 
Date:	6 .. i S:... 2 3

be

The foregoing instrument was acknowledged before me by means of ptical presence or online notarization, this J!.day of	:s)lul,u		, 2023 b:y'Y\'\j 	rJ lw'n	of
Galvin-Harris Land Services, LLC, a Florida limited liab�lity c��	 behalf of the company.

He/she is personally known to me or has produced u)Jµ.µu,
•

 . �	 as identification.

Not�<�ary�

PEGGY EVATT
NOTARY PUBUC
Tranaytvanfa County	'
_North Carolfna

State of-f'toifcla 1\/(lr"� Car-o I,,, r,
Print Name: ?e�� E:..v� f f-
My Commission xpires: c>�/6 If I?-.o ;;_7

fSJGNATURES CONTINUE ON FOLLOWING PAGE]

29
0894184\J95616\12816678v4

20230378714 Page 30 of 45

CO-DEVELOPER:

Golden Gem Investments, UC,
A Florida limited liability company

By:�
Name:	ny M. Benge, Jr. Title: Vise President
Date: June 5.  2023

STATE OF FLORIDA COUNTY OF ()c�.,.);
The foregoing instrument was acknowledged before me by means of physical presence or
online notarization, this_ day of June, 2023 by Tony M. Benge, Jr., as Vice President of Golden G	LLC, a Florida limited liability company, on behalf of the company. He/she is personally known to m or has produced 	as identification.

�,�1,e)<.

•
,
'
◄

Not1ry Publk: St1t1 of Ftorid1

�

M!I Comml11lon

Valerle J Dack	I

111

Exp. 3/17/2028

l4H 242174

1
1

Notary Publi
State of Flori a
Print Name:	\Q. c, ..Q. :S -�

,

My Commission Expires: _"-+-	_.f,,IC;�

[SIGNATURES CONTINUE ON FOLLOWING PAGE]

20230378714 Page 31 of 45

IN WITNESS WHEREOF, the panics have set their hands and seals on the respective dates set forth below.

SiBned, sealed, and delivered
in the presence of:

Print Nam;J) �	 L..)�u,s
CLdL-:
Print Name: Q�,s 	Ltt:1(€

CO-DEVELOPER
KELLY PARK VB DEVELOPMENT, LLC,a
Delaware limited liability company qualified to do business in the State of Florida
By: KPVB Acquisition, LLC, a Delaware limited liability company,
its member
By:R�oRrlt�
Print Name: Ronald L. Edwards
Title: Manager
Date:.	

STATE OF FLORIDA
COUNTY OF :I:"��-..) l2,,1e,t..

The foregoing instrumen�as ackn.Q,_.wledged before me by means of �sical presence or D online notarization, this11:day of .Ju11 o� , 2023 by Ronald L. Edwards, as Manager of KPVB Acquisition, LLC, a Delaware limited liability company, as the member of KELLY
PARK VB DEVELOPMENT, LLC, a Delawm limited liability company qualified to do business in the State of Florida, on behalf of the company, who is personally known to me or has produced
	as identification.

[AFFIX NOTARY SEAL]	Notary Public

lw1-rntn,u
Print Name

My Commission Expires:

(SIGNATURES CONTINUE ON FOLLOWING PAGE]

28

20230378714 Page 32 of 45

CITY:

• ' • ,i•

·,.

.

;  ' •'

: ts�iLY;�.I •
i	:,, '

0894184\195616\12816678v4

THE CITY OF APOPKA, FLORIDA,

&-i

through its City Council

By:	0."'\ u\,Q_�JO'\'\
T3Aj<tt1 NaISM, Mayor

�	!1J&

Date:	/J1!Jl/.a.,-,-J-·G)---- 

Clerk of the Board

31

20230378714 Page 33 of 45

Exhibit A KPI West

32
0894184\195616\l2816678v4

20230378714 Page 34 of 45

Exhibit A-1
KPI Master Roadway Plan

1.EGEIID
-...-ea.,,,,
--«-1'"-'ROOCl�II�
--�a.-.0-1-0.,n.-l�.._
1'111,_P...,_tioltlol•�-
-AoodToBt-byC..S

□-11o--,

-en-.iRut>

""'--c--

20230378714 Page 35 of 45

Exhibit B
List of Desi2:nated Parcels by Orange County Parcel ID and/or Legal Description
Kelly Park VB:

Parcel ID List:

13-20-27-4300-01-000
I 3-20-27-0000-00-056
13-20-27-0000-00-024
13-20-27-0000-00-072
J3-20-27-0000-00-036
13-20-27-0000-00-037
13-20-27-0000-00-059
13-20-27-0000-00-038
13-20-27-0000-00-064

Galvin:

Parcel ID List:

l l-20-27-0000-00-003
J l-20-27-0000-00-013
A portion of l l-20-27-0000-00-036
A portion of l I-20-27-0000-00-070
A portion of 11-20-27-0000-00-054
A portion of  ll-20-27-6135-00-013
l 1-20-27-6135-00-010

MORE PARTICULARLY DESCRIBED AS:
That part of the Northeast Quarter of the Northwest Quarter of Section 11, Township 20 South, Range 27 East, Orange County, Florida, lying South and East of Ondicb Road.
AND
The Southeast Quarter of the Northwest Quarter of Section 11, Township 20 South, Range 27 East, Orange County, Florida.

TOGETHER WITH:

A portion of the West half of the East half of Section 11, Township 20 South, Range 27 East, lying
in Orange County, Florida, being more particularly described as follows:
Commence at the North quarter comer of said Section 11, being a 6"x6" concrete monument; thence go South 00°12'00" East along the Westerly line of said West half of the East half of said

20230378714 Page 36 of 45

Section 11 a distance of 30.00 feet to a round c,oncrete monument bearing the license number 1916 and being the point of beginning; thence North 89°11'16" East along the Southerly right-of-way line of Ondicb Road, a 60 foot right-of-way a distance of 1328.54 feet, thence South 00°18'17" East along the Easterly line of the aforementioned West half of the East half of said Section 11 a distance of2626.42 feet to an iron rod monument with license 3763 said rod being on the Southerly line of the Northeast quarter of said Section 11; thence South 00°24'28" East a distance of 490.38 feet to a concrete monument; thence South 89°'19'44" West a distance of 1333.50 feet to a concrete monument with license 3763 said monument being on the aforementioned Westerly line of the West half of the East half of said Section 11; thence North 00°12'32" West a distance of 496.88 feet to a 4"x4" concrete monument said point being on the South line of the Northeast quarter of said Section 11; thence No.rth 00°12'00" West along the Westerly line of said West half of the East half of said Section 11 a distance of 2617.03 feet to the point of beginning.

TOGETHER WITH:

From the East 1/4 corner of Section 11, Township 20 South, Range 27 East, Orange County, Florida, run thence South 00°22'00" East, 150..00 feet along the East line of the Southeast Quarter of said Section 11, thence South 89°36'26" West, 589.09 feet parallel to the North line of the Southeast Quarter for a point of beginning: run thence South 00°22'00" East, 338.52 feet to a point 2174.38 feet North of the South line of said Southeast Quarter; thence South 89°18'07" West,
744.89 feet parallel to the South line of said Southeast Quarter to the West line of the East Half of said Southeast Quarter; run thence North 00°06'47" West, 492.48 feet to the Northwest corner of said East Half of the Southeast Quarter; run thence North 00°16'44" West, 663.59 feet, more or less to the Southwest comer of the Northwest Quarter of the Southeast Quarter of the Northeast Quarter of said Section 11, thence East along the South line of the North Half of the Southeast Quarter of the Northeast Quarter of Section 11 to a point 589.09 feet West of the Southeast comer thereof; run thence South to the point of beginning.
AND

The North 15 feet of the South 30 feet of the East 589.09 feet of the Southeast Quarter of the Northeast Quarter of Section 11, Township 20 South, Range 27 East, Orange County, Florida.
AND

The North 15 feet of the South 30 feet of the South Half of the Southwest Quarter of the Northwest Quarter of Section 12, Township 20 South, Range 27 East, Orange County, Florida (less the Easterly 30 feet thereof for Effie Road).

TOGETHER WITH:

The North 993.38 feet of:

Go to a point 589.09 feet West of the Southeast comer of the Southeast Quarter of Section 11, Township 20 South, Range 27 East, Orange County, Florida for a Point of Beginning. Then

20230378714 Page 37 of 45

proceed North 2174.38 feet, thence West 1000 feet, thence South 2174.38 feet to Section line,
thence East 1000 feet to Point of Beginning.
LESS the West 406.27 feet thereof; LESS the East 390.73 feet thereof; AND LESS Road Right­ of-Way on South.
TOGETHER WITH:

The North 993.38 feet of:
Go to, a point 589.09 feet West of the Southeast comer of the Southeast Quarter of Section 11, Township 20 South, Range 27 East, Orange County, Florida for a Point of Beginning. Then proceed North 2174.38 feet, thence West 1000 feet, thence South 2174.38 feet to Section line, thence East I000 feet to Point of Beginning.
LESS the West 609.27 feet thereof; AND LESS Road Right-of-Way on South.
TOGETHER WITH:

A parcel of land in the Southeast J/4 of Section 11, Township 20 South, Range 27 East, Orange Cow1ty, Florida, being more particularly described as follows:
Commence at the South 1/4 comer of said Section 11; thence go N 00 degrees l 2'53" W, along the west line of the Southeast J/4 of said Section 11, a distance of 30.00 feet to the Northerly right of way line of Kelly Park Road (60' wide county maintained right of way); thence go N 89 degrees 16'55''' E:, along the said Northerly right of way line a distance of 560.00 feet to the Point of Beginning of the herein described parcel; thence go N 00 degrees 18'45" W, a distance of 780.35 feet; thence S 89 degrees 16'55" W, a distance of 558.67 feet to the West line of the Southeast 1/4 of said Section 11; thence N 00 degrees 12'53" W, along the West line of the Southeast 1/4 of said Section 11 a distance of 1365.45 feet; thence N 89 degrees 19'44" E, a distance of 1078.81 feet; thence S 00 degrees 18'45" E, a distance of 553.14 feet; thence S 89 degrees 16'55" W, a distance of 472.47 feet; thence S 00 degrees 18'45" E, a distance of 1591.77 feet to the aforesaid Northerly right of way line of Kelly Park Road; thence S 89 degrees 16'55" W, along said right of way line a distance of 50.00 feet to the Point of Beginning.
TOGETHER WITH:

The West 406.27 feet of the following described property: Go to a point 589.09 feet West of the Southeast corner of the Southeast Quarter of Section 11, Township 20 South, Range 27 East, for a POINT OF BEGINNING, thence proceed North 2174.38 feet; thence West 1000 feet; thence South 2174.38 feet to section line, thence East 1000 feet to POINT OF BEGINNING. Said property being situate in Orange County, Florida.. Subject to road right-of-way (Kelly Park Road), to Orange County, recorded in Deed Book 398, Page 158, Public Records of Orange County, Florida.
LESS AND EXCEPT:

20230378714 Page 38 of 45

(DFC Kelly Park, LLC)
A TRACT OF LAND LYING IN SECTION l 1, TOWNSHIP 20 SOUTH, RANGE 27 EAST, ORANGE COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCE AT THE NORTH QUARTER CORNER OF SAID SECTION 11 FOR A POINT OF REFERENCE; THENCE RUN SOUTH 00°17'05" EAST, ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF SAID SECTION 11, A DISTANCE OF 30.00 FEET TO THE SOUTHERLY RIGHT-OF-WAY LINE OF ONDICH ROAD; THENCE DEPARTING SAID WEST LINE, RUN NORTH 89°08'52" EAST, ALONG SAID SOUTHERLY RIGHT-OF­ WAY LINE, 1328.91 FEET TO THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 11; THENCE DEPARTING SAID SOUTHERLY RIGHT-OF-WAY LINE, RUN SOUTH 00°22'34" EAST, ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 11, A DISTANCE OF 489.84 FEET TO THE POINT OF BEGfNNING; THENCE CONTINUE SOUTH 00°22'34" EAST, ALONG SAID WEST LINE TO THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 11, A DISTANCE OF 1470.39 FEET TOTHE NORTHWEST CORNER OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 11; THENCE RUN NORTH 89°24'56" EAST, ALONG THE NORTH LINE OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 11, A DISTANCE OF 742.90 FEET; THENCE DEPARTING SAID NORTH LINE, RUN SOUTH 00°28'01" EAST, 664.56 FEET TO A POINT LYING ON THE SOUTH LINE OF THE NORTHEAST QUARTER OFSAID SECTION 11; THENCE RUN SOUTH 00°27'50" EAST, 339.32 FEET; THENCE RUN SOUTH 89°31'59" WEST, 139.06 FEET; THENCE RUN NORTH 00°28'01" WEST, 10.59 FEET; THENCE RUN SOUTH 89°31'59" WEST, 296.99 FEET TO THE POINT OF CURVATURE OF CURVE, CONCAVE SOUTHERLY; THENCE RUN WESTERLY, ALONG SAID CURVE, HAVINO A RADIUS OF
470.50 FEET, A CENTRAL ANGLE OF 05°29'10", AN ARC LENGTH OF 45.05 FEET, A CHORD LENGTH OF 45.03 FEET AND A CHORD BEARING OF SOUTH 86°47'24" WEST; THENCE NON-RADIAL TO SAID CURVE, RUN NORTH 05°57'1 l" WEST, 59.00 FEET TO A POINTON A NON-TANGENT CURVE, CONCAVE NORTHEASTERLY; THENCE RUN NORTHWESTERLY, ALONG SAID NON-TANGENT CURVE, HAVING A RADIUS OF
25.00 FEET, A CENTRAL ANGLE OF 95°29'10", AN ARC LENGTH OF 41.66 FEET, A CHORD LENGTH OF 37.01 FEET AND A CHORD BEARING OF NORTH 48°12'36" WEST TO THE POINT OF TANGENCY; THENCE RUN NORTH 00°28'01" WEST, 93.68 FEET TO THE POINT OF CURVATURE OF A CURVE, CONCAVE SOUTHEASTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 565.00 FEET, A CENTRAL ANGLE OF 12°14'34", AN ARC LENGTH OF 120.73 FEET, A CHORD LENGTH OF 120.50 FEET AND A CHORD BEARING OF NORTH 05°39'16" EAST TO THE POINT OF COMPOUND CURVATURE OF A CURVE, CONCAVE SOUTHEASTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 5.00 FEET, A CENTRAL ANGLE OF 44°37'27", AN ARC LENGTH OF 3.89 FEET, A CHORD LENGTH OF
3.80 FEET AND A CHORD BEARING OF NORTH 34°05'16" EAST TO THE POINT OF

20230378714 Page 39 of 45

REVERSE CURVATURE OF A CURVE, CONCAVE NORTHWESTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 57.02 FEET, A CENTRAL ANGLE OF 24°22'10", AN ARC LENGTH OF 24.25 FEET, A CHORD LENGTH OF 24.07 FEET AND A CHORD BEARING OF NORTH 44°12'5511 EAST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE SOUTHEASTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 5.00 FEET, A CENTRAL ANGLE OF 56°05'38", AN ARC LENGTH OF 4.90 FEET, A CHORD LENGTH OF
4.70 FEET AND A CHORD BEARING OF NORTH 60°04'39" EAST TO THE OF POINT OF TANGENCY; THENCE RUN KORTH 88°07'28" EAST, 32.61 FEET; THENCE RUN NORTH 00°28'01" WEST, 59.02 FEET TO A POJNT ON A NON-TANGENT CURVE, CONCAVE NORTHEASTERLY; THENCE RUN NORTHWESTERLY, ALONG SAID NON-TANGENT CURVE, HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 112°27'5411, AN ARC LENGTH OF 49.07 FEET, A CHORD LENGTH OF 41.56 FEET AND A CHORD BEARING OF NORTH 35°38'35" WEST; THENCE NON-RADIAL TO SAID CURVE, RUN NORTH 69°24'38" WEST, 59.00 FEET TO A POINT ON A NON-TANGENT CURVE, CONCAVE NORTHWESTERLY; THENCE RUN SOUTHWESTERLY, ALONG SAID NON-TANGENT CURVE, HAVING A RADIUS OF l 70.50 FEET, A CENTRAL ANGLE OF 10°44'46", AN ARC LENGTH OF 31.98 FEET, A CHORD LENGTH OF 31.93 FEET AND A CHORD BEARING OF SOUTH 252°57'45" WEST TO THE POINT OF COMPOUND CURVATURE OF A CURVE, CONCA VE NORTHWESTERLY; THENCE RUN SOUTHWESTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 5.00 FEET, A CENTRAL ANGLE OF 46°23'52", AN ARC LENGTH OF 4.05 FEET, A CHORD LENGTH OF 3.94 FEET AND A CHORD BEARING OF SOUTH 54°32'0411 WEST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE SOUTHEASTERLY; THENCE RUN SOUTHWESTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 57.02 FEET, A CENTRAL ANGLE OF 30°50'21", AN ARC LENGTH OF 30.69 FEET, A CHORD LENGTH OF 30.32 FEET AND A CHORD BEARING OF SOUTH 62°18'50" WEST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE NORTHWESTERLY; THENCE RUN SOUTHWESTERLY, ALONG SAID CURVE, HAYING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 39°13'52", AN ARC LENGTH OF 17.12 FEET, A CHORD LENGTH OF J6.79 FEET AND A CHORD BEARING OF SOUTH 66°30'36" WEST TO THE POINT OF TANGENCY; THENCE RUN SOUTH 86°07'32" WEST, 60.81 FEET TO THE POINT OF CURVATURE OF A CURVE, CONCAVE NORTHERLY; THENCE RUN WESTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 165.00 FEET, A CENTRAL ANGLE OF 03°17'24", AN ARC LENGTH OF 9.47 FEET, A CHORD LENGTH OF 9.47 FEET AND A CHORD BEARING OF SOUTH 87°46'14" WEST TO THE POINT OF TANGENCY; THENCE RUN SOUTH 89°24'56" WEST, 163.27 FEET TO THE POINT OF CURVATURE OF CURVE, CONCAVE NORTHEASTERLY; THENCE RUN NORTHWESTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 430.00 FEET, A CENTRAL ANGLE OF 54°44'56", AN ARC LENGTH OF 410.88 FEET, A CHORD LENGTH OF 395.43 FEET AND A CHORD BEARING OF NORTH 63°12'36" WEST TO THE POINT OF TANGENCY; THENCE RUN NORTH 35°50'08" WEST, 102.00 FEET TO THE POINT OF CURVATURE OF CURVE, CONCAVE EASTERLY; THENCE RUN NORTHERLY, ALONG SAID CURVE, HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 86°30'09", AN ARC LENGTH OF 37.74 FEET, A CHORD LENGTH OF 34.26 FEET AND A CHORD BEARfNG OF NORTH 07°24'57" EAST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE NORTHWESTERLY; THENCE RUN NORTHEASTERLY, ALONG

20230378714 Page 40 of 45

SAID CURVE, HAVING A RADITJS OF 946.00 FEET, A CENTRAL ANGLE OF 00°25'2911, AN ARC LENGTH OF 7.01 FEET, A CHORD LENGTH OF 7.01 FEET AND A CHORD BEARING OF NORTH 50°27'17" EAST; THENCE NON-RADIAL TO SAID CURVE, RUN NORTH 39°45'28" WEST, 55.00 FEET TO A POINT ON A NON-TANGENT CURVE, CONCAVE NORTHERLY; THENCE RUN WESTERLY, ALONG SAID NON-TANGENT CURVE, HAVING A RADlliS OF 25.00 FEET, A CENTRAL ANGLE OF 93°55'2011, AN ARC LENGTH OF 40.98 FEET, A CHORD LENGTH OF 36.54 FEET AND A CHORD BEARING OF NORTH 82°47'4811 WEST TO THE POINT OF TANGENCY; THENCE RUN NORTH 35°50'0811 WEST, 204.97 FEET TO THE POCNT OF CURVATURE OF CURVE, CONCAVE EASTERLY; THENCE RUN NORTHERLY, ALONG SAID CURVE. HAVING A RADITJS OF
25.00 FEET, A CENTRAL ANGLE OF 85°02'5111,  AN ARC LENGTH OF 37.11 FEET, A
CHORD LENGTH OF 33.79 FEET AND A CHORD BEARING OF NORTH 06°41'17" EAST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE NORTHWESTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADITJS OF 670.00 FEET, A CENTRAL ANGLE OF 46°14'02", AN ARC LENGTH OF
540.65 FEET, A CHORD LENGTH OF 526.lO FEET AND A CHORD BEARING OF NORTH
26°05'4211 EAST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE SOUTHEASTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF25.00 FEET, A CENTRAL ANGLE OF 86°38'45",AN ARC LENGTH OF 37.81 FEET, A CHORD LENGTH OF 34.31 FEET AND A CHORD BEARING OF NORTH 46°18'03" EAST; THENCE NON-RADIAL TO SAID CURVE, RUN NORTH 00°51'50" EAST, 55.01 FEET TO A POINT ON A NON-TANGENT CURVE, CONCAVE NORTHEASTERLY; THENCE RUN NORTHWESTERLY, ALONG SAID NON-TANGENT CURVE, HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 90°00'00", AN ARC LENGTH OF 39.27 FEET, A CHORD LENGTH OF 35.36 FEET AND A CHORD BEARING OF NORTH 45°22'34" WEST TO THE POINT OF TANGENCY; THENCE RUN NORTH 00°22'3411 WEST, 705.98 FEET; THENCE RUN SOUTH 89°37'2611 WEST, 50.00 FEET; THENCE RUN NORTH 00°22'3411 WEST, 201.67 FEET TO THE POINT OF CURVATURE OF CURVE, CONCAVE SOUTHWESTERLY; THENCE RUNNORTHWESTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 71°27'34", AN ARC LENGTH OF 31.18 FEET, A CHORD LENGTH OF 29.20 FEET AND A CHORD BEARING OF NORTH 36°06'2 l 11 WEST TO THE POINT OF COMPOUND CURVATURE OF A CURVE, CONCAVE SOUTHWESTERLY; THENCE RUN NORTHWESTERLY, ALONG SAID CURVE, HAVING A RADITJS OF 450.00 FEET, A CENTRAL ANGLE OF 03°37'27", AN ARC LENGTH OF
28.46 FEET, A CHORD LENGTH OF 28.46 FEET AND A CHORD BEARING OF NORTH
73°38'5111 WEST; THENCE NON-RADIAL TO SAID CURVE, RUN NORTH 14°32'25" EAST,
50.00 FEET TO A POINT ON A NON-TANGENT CURVE, CONCAVE NORTHWESTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID NON-TANGENT CURVE, HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 104°54'59", AN ARC LENGTH OF 45.78 FEET, A CHORD LENGTH OF 39.65 FEET AND A CHORD BEARING OF NORTH 52°04'56" EAST; THENCE NON-RADIAL TO SAID CURVE, RUN NORTH 89°37'2611 EAST, 50.00 FEET; THENCE RUN SOUTH 00°22'3411 EAST, 26.00 FEET TO THE POINT OF CURVATURE OF CURVE, CONCAVE NORTHEASTERLY; THENCE RUN SOUTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 90°00'00", AN ARC LENGTH OF 39.27 FEET, A CHORD LENGTH OF 35.36 FEET AND A CHORD BEARING OF SOUTH 45°22'3411 EAST TO THE POINT OF

20230378714 Page 41 of 45

TANGENCY; THENCE RUN NORTH 89°37'26" EAST, 190.00 FEET TO THE POINT OF CURVATURE OF CURVE, CONCAVE NORTHWESTERLY; THENCE RUN NORTHEASTERLY, ALONG SAID CURVE, HAYING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 90°00'00", AN ARC LENGTH OF 39.27 FEET, A CHORD LENGTH OF 35.36 FEET AND A CHORD BEARING OF NORTH 44°37'26" EAST; THENCE NON­ RADIAL TO SAID CURVE, RUN NORTH 89°37'26" EAST, 50.00 FEET TO A POINT ON A NON-TANGENT CURVE, CONCAVE NORTHEASTERLY; THENCE RUN SOUTHEASTERLY, ALONG SAID NON-TANGENT CURVE,HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 90°00'00", AN ARC LENGTH OF 39.27 FEET, A CHORD LENGTH OF 35.36 FEET AND A CHORD BEARING OF SOUTH 45°22'34" EAST TO THE POINT OF TANGENCY; THENCE RUN NORTH 89°37'26" EAST, 110.00 FEET TO THE POINT OF BEGINNING.
LESS AND EXCEPT:

(DHIC, LLC)

A TRACT OF LAND LYING IN THE SOUTHEAST QUARTER OF SECTION 11, TOWNSHIP 20 SOUTH, RANGE 27 EAST BEING DESCRIBED AS FOLLOWS:
COMMENCE AT SOUTH QUARTER CORNER OF SAID SECTION 11, FOR A POINT OF REFERENCE; THENCE RUN NORTH 89°12'25" EAST, AT,ONG THE SOUTH LINE OF THE SOUTHEAST QUARTER OF SAID SECTION 11, A DISTANCE OF 1082.13 FEET TO THE SOUTHERLY EXTENSION OF THE EAST LINE OF LOT 1, 0 C B ACRES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 53, PAGE 82 OF THE PUBLIC RECORDS OF ORANGE COUNTY, FLORIDA; THENCE DEPARTING SAID SOUTH LINE, RUN NORTH 00°22'27" WEST, ALONG SAID SOUTHERLY EXTENSION AND THE EAST LINE OF SAID LOT 1, A DISTANCE OF 579.79 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE NORTH 00°22'27" WEST, ALONG THE EAST LINE OF SAID LOT 1, A DISTANCE OF 1041.88 FEET; THENCE DEPARTING SAID EAST LINE, RUN SOUTH 89°13'13" WEST, 85.82 FEET; THENCE RUN NORTH 00°44'27" WEST, 553.19 FEET; THENCE RUN NORTH 89°15'33" EAST, 495.48 FEET; THENCE RUN SOUTH 00°27'50" EAST, 1594.63 FEET; THENCE RUN SOUTH 89°12'25" WEST, 408.62 FEET TO THE POINT OF BEGINNING.

THE ABOVE DESCRIBED TRACT OF LAND LIES IN ORANGE COUNTY, FLORIDA AND CONTAINS 16.027 ACRES MORE OR LESS.

LESS AND EXCEPT:

(PRM Apopka/Kelly Park Owner, LLC)

A TRACT OF LAND LYING IN THE SOUTHEAST QUARTER OF SECTION 11, TOWNSHIP 20 SOUTH, RANGE 27 EAST BEING DESCRIBED AS FOLLOWS:

20230378714 Page 42 of 45

COMMENCE AT SOUTH QUARTER CORNER OF SAID SECTION 11, FOR A POINT OF REFERENCE; THENCE RUN NORTH 89°12'25" EAST1 ALONG THE SOUTH LINE OF THE SOUTHEAST QUARTER OF SAID SECTION 11, A DISTANCE OF 1082.13 FEET TO THE SOUTHERLY EXTENSION OF THE EAST LINE OF LOT 1, 0 CB ACRES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 53, PAGE 82 OF THE PUBLIC RECORDS OF ORANGE COUNTY, FLORIDA; THENCE DEPARTING SAID SOUTH LINE, RUN NORTH 00°22'27" WEST, ALONG SAID SOUTHERLY EXTENSION AND THE EAST LINE OF SAID LOT 1, A DISTANCE OF 519.79 FEET; THENCE RUN NORTH 89°12125" EAST, 418.62 FEET; THENCE RUN NORTH 00°27'50" WEST, 601.23 FEET; THENCE RUN NORTH 89°12'25" EAST, 70.00 FEET TO THE POINT OF BEGINNING; THENCE RUN NORTH 00°27'50" WEST, I128.26 FEET TO THE POINT OF CURVATURE OF A CURVE, CONCAVE SOUTHEASTERLY; THENCE, RUN NORTHEASTERLY, ALONG SAID CURVE, HAYING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 83°09'57", AN ARC LENGTH OF 36.31 FEET, A CHORD LENGTH OF 33.20 FEET AND A CHORD BEARING OF NORTH 41°08'24" EAST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE SOUTHERLY; THENCE, RUN EASTERLY, ALONG SAID CURVE, HAYING A RADIUS OF 470.50 FEET, A CENTRAL ANGLE OF 06°47'21", AN ARC LENGTH OF 55.75 FEET,ACHORDLENGTHOF 55.72FEET ANDACHORDBEARINGOFNORTH86°08'18" EAST TO THE POINT OF TANGENCY; THENCE RUN NORTH 89°31'59" EAST, 296.99 FEET; THENCE RUN SOUTH 00°28'01" EAST, 10.59 FEET; THENCE RUN NORTH 89°32'10" EAST, 139.06 FEET; THENCE RUN SOUTH 00°27'50" EAST, 1142.86 FEET; THENCE RUN SOUTH 89°12'25" WEST, 513.72 FEET TO THE POINT OF BEGINNING.

THE ABOVE DESCRIBED TRACT OF LAND LIES IN ORANGE COUNTY, FLORIDA AND CONTAINS 13.580 ACRES MORE OR LESS.

LESS AND EXCEPT:

(PRM Apopka/Kelly Park Owner, LLC)

A TRACT OF LAND LYING IN THE SOUTHEAST QUARTER OF SECTION 11, TOWNSHIP 20 SOUTH, RANGE 27 EAST BEING DESCRIBED AS FOLLOWS:
COMMENCE AT SOUTH QUARTER CORNER OF SAID SECTION 11, FOR A POINT OF REFERENCE; THENCE RUN NORTH 89°12'25" EAST, ALONG THE SOUTH LINE OF THE SOUTHEAST QUARTER OF SAID SECTION 11, A DISTANCE OF 1082.13 FEET TO THE SOUTHERLY EXTENSION OF THE EAST LINE OF LOT 1, 0 C B ACRES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 53, PAGE 82 OF THE PUBLIC RECORDS OF ORANGE COUNTY, FLORIDA; THENCE DEPARTING SAID SOUTH LINE, RUN NORTH 00°22'27" WEST, ALONG SAID SOUTHERLY EXTENSION AND THE EAST LINE OF SAID LOT 1, A DISTANCE OF 1621.67 FEET; THENCE DEPARTING SAID EAST LINE, RUN SOUTH 89°13'13" WEST, 85.82 FEET; THENCE RUN NORTH 00°44'27" WEST,
553.19 FEET TO THE POINT OF BEGINNING; THENCE RUN NORTH 00°44'27" WEST,
FEET TO THE POINT OF CURVATURE OF A CURVE, CONCAVE SOUTHEASTERLY; THENCE, RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 90°00'00", AN ARC LENGTH OF 39.27

20230378714 Page 43 of 45

FEET, A CHORD LENGTH OF 35.36 FEET AND A CHORD BEARING OF NORTH 44°15'33" EAST TO THE POINT OF TANGENCY; THENCE RUN NORTH 89°15'33" EAST, 380.87 FEET TO THE POINT OF CURVATURE OF A CURVE, CONCAVE NORTHWESTERLY; THENCE, RUN NORTHEASTERLY, ALONG SAID CURVE, HAVING A RADIUS OF 529.50 FEET, A CENTRAL ANGLE OF 07°47'25", AN ARC LENGTH OF 71.99 FEET, A CHORD LENGTH OF 71.94 FEET AND A CHORD BEARING OF NORTH 85°21'50" EAST TO THE POINT OF REVERSE CURVATURE OF A CURVE, CONCAVE SOUTHWESTERLY; THENCE, RUN SOUTHEASTERLY, ALONG SAID CURVE, HAYING A RADIUS OF 25.00 FEET, A CENTRAL ANGLE OF 98°04'03", AN ARC LENGTH OF 42.79 FEET, A CHORD LENGTH OF 37.75 FEET AND A CHORD BEARING OF SOUTH 49°29'51" EAST TO THE POINT OF TANGENCY; THENCE RUN SOUTH 00°27'50" EAST, 115.00 FEET; THENCE RUN SOUTH 89°15'33" WEST, 505.48 FEET TO THE POINT OF BEGINNING.

THE ABOVE DESCRIBED TRACT OF LAND LIES IN ORANGE COUNTY, FLORIDA AND CONTAINS 1.567 ACRES MORE OR LESS.

Parcel ID List:

12-20-27-0000-00-11J

20230378714 Page 44 of 45

Exhibit B-1
List of Additional Parcels

Parcel ID List:
27-20-11-0000-00-057
27-20-11-0000-00-030
27-20-12-0000-00-060
27-20-12-0000-00-062
27-20-12-0000-00-086
27-20-12-0000-00-085
27-20-12-0000-00-055
27-20-12-0000-00-013
27-20-12-0000-00-097
27-20-12-0000-00-057
27-20-11-0000-00-037
27-20- l l-0000-00-069
27-20-12-0000-00-001
27-20-12-0000-00-048
27-20-12-0000-00-046
27-20-12-0000-00-012
27-20-12-0000-00-015
27-20-12-0000-00-081
27-20-12-0000-00-088
27-20-12-0000-00-016
27-20-12-0000-00-018

20230378714 Page 45 of 45

ExhibitB-2
Galvin Predecessor Parcels

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44
0894184\195616\I2816678v4

Prepared by and return to:
Lowndes, Drosdick, Doster, Kantor & Reed, P.A.
Attention: Gary M. Kaleita, Esq. 215 N Eola Drive
Orlando, Florida 3280 I Phone:407-843-4600

AMENDMENT TO ROADWAY FUNDING AGREEMENT FOR KELLY PARK ROAD INTERCHANGE
Kelly Park VB Development LLC, Golden Gem Investments, LLC
& Galvin-Harris Land Services, LLC
THIS	AMENDMENT	TO	ROADWAY	FUNDING	AGREEMENT	(the
"Amendment") is made and entered into effective as of the   day of 	., 2024, by and between THE CITY OF APOPKA, FLORIDA, a political subdivision of the State of Florida (the "City"), whose address is 120 E. Main Street, Apopka, FL 32703, by and through its City Council, the governing body thereof, and KELLY PARK VB DEVELOPMENT, LLC, a Delaware limited liability company qualified to do business in the State of Florida, ("Kelly Park VB") whose address is 660 Beachland Blvd, Suite 301, Vero Beach, FL 32963, GOLDEN GEM INVESTMENTS, LLC, a Florida limited liability company, whose address is 400 N. Ashley Dr., Suite 700, Tampa, FL 33629 ("GGI"), and GALVIN-HARRIS LAND SERVICES, LLC, LLC,
a Florida limited liability company ("Galvin"), whose address is 121 Snell Isle Blvd., St. Petersburg, FL 33704 (Kelly Park VB, GGI and Galvin also are referred to herein as the "Co­ Developers" and each may be referred to herein as a "Developer" where the context requires), with reference to the following matters:
WIT  NE S S ETH:
WHEREAS, the City and the Co-Developers executed that ce11ain Roadway Funding Agreement for Kelly Park Road Interchange effectively dated June 23, 2023 and recorded on July 6, 2023 in Document Number 20230378714 of the Public Records of Orange County, Florida (the "Agreement"); AND
WHEREAS, the City and the Co-Developers desire by their execution of this Amendment to extend certain of the dates specified for the performance of various obligations under the Agreement, as hereinafter provided;
NOW, THEREFORE, for and in consideration of the premises hereof and other good and valuable consideration, the City and the Co-Developers hereby amend the Agreement as follows:
Recitals/Capitalized  Terms. The foregoing recitals are true and correct and are incorporated herein by this reference. All capitalized terms not expressly defined herein shall have the meanings ascribed to such terms in the Agreement.

KPR Widening. Section 4(a)(ii) of the Agreement is hereby modified in its entirety to read as follows:
The City or Designated Constructing Party shall commence construction by the later of June 1, 2025, or 60 days after the City has acquired all right of way ("ROW") and easements necessary to construct the KPR widening, whichever occurs later.
Prepayment of KPR Widening. Section S(b)(i)(l) of the Agreement is hereby modified as follows:
The Initial Funding Date is hereby extended from August 1, 2024 to February 1, 2025;and
The Total Funding Date is hereby extended from January 1, 2026 to June 1, 2026.
Amendment Binding. This Amendment shall be binding upon and shall inure to the benefit of the City and Co-D.,velopers, and their successors-in-interest and/or title. Except as hereby changed, amended and modified, the Agreement shall remain in full force an effect.
IN WI1NESS WHEREOF, the parties have set their hands and seals on the respective dates set forth below.
[SEE FOLLOWING PAGES FOR SIGNATURES]

CO-DEVELOPER
KELLY PARK VB DEVELOPMENT, LLC,
a Delaware limited liability company

By: KPVB Acquisition, LLC, a Delaware limited liability company, its Member

By: WO Assignment, LLC, a Florida limited liability company, its Member
By: Kn-..0-lct ;r £��	
Ronald L. Edwards,
Manager

, 2024

STATE OF FLORIDA
coUNTY oFL�,�  \<.""\:IL

re

The foregoing instrument was executed before me by means of �ysical presence or □ online notarization this 7�  day of O�		, 2024 by Ronald L. Edwards, as Manager of WO Assignment, LLC, a Florida limited liability company, as Member of KPVB Acquisition, LLC, a Delaware limited liability company, as Member of KELLY PARK VB DEVELOPMENT, LLC, a Delaware limited liability company, on behalf of the company. He is
personally known to me or produced	;!Jf  �on.

[AFFIX NOTARY SEAL]	Not	Public
KLtrtn ft11KL	

Notary Public State of Florida
Karen Mike
My Cor:nmlulon HH 494717
Expires 6/5/2028

Print Name
My Commission Expires:

[SIGNATURES CONTINUE ON FOLLOWING PAGE]

CO-DEVELOPER:
Galvin Land Services, LLC,
a Florida limited liability company

By: 		_ Name: 			 Title: 			 Date: 	2024
STATE OF FLORIDA COUNTYOF 	
The foregoing instrument was executed before me by means of□physical presence or □ online notarization, this_ day of 	 2024 by 	of Galvin Land Services, LLC, a Florida limited liability company, on behalf of the company. He/she is personally known to me or has produced 		as identification.

Notary Public State of Florida
Print Name:	 My Commission Expires: 		

[SIGNATURES CONTINUE ON FOLLOWING PAGE]

CO-DEVELOPER:
Golden Gem Investments, LLC,
a Florida limited liability company

By: 	_ Name: Charles M. Pinckney Title: President
Date: 	 2024

STATE OF FLORIDA COUNTYOF 	
The foregoing instrument was executed before me by means of□physical presence or □
online notarization, this _	day of 	 2024 by Charles M. Pinclmey, as
President of Golden Gem Investments, LLC, a Florida limited liability company, on behalf of the company. He is personally Im.own to me or has produced 	as identification.

Notary Public State of Florida
Print Name:	 My Commission Expires: 		

[SIGNATURES CONTINUE ON FOLLOWING PAGE]

CITY:

(SEAL)

THE CITY OF APOPKA, FLORIDA,

&v��

through its City�	 ,,.. 

By

I	, Mayor
Date:	t -1K,)	Y	, 2024

Clerk of the Board

Section VII

HOLD HARMLESS AGREEMENT

This Agreement is made and entered into this 	 day of 	, 2025, by and among:

Pugh Cattle Company, LLC, a Florida limited liability company, whose mailing address is P.O. Box 1996, Okeechobee, Florida 34973 (“Pugh Cattle”); and
Golden Gem Community Development District, a local unit of special-purpose government established pursuant to Chapter 190, Florida Statutes, and located in Orange County, Florida, whose mailing address is 219 East Livingston Street, Orlando, Florida 32801 (“District”).
Recitals

Whereas, the District was established for the purpose of planning, financing, constructing, installing, operating, and/or maintaining certain infrastructure improvements and recreational facilities; and

Whereas, the District retains ownership of certain property known as Tract C, Wyld Oaks, recorded in Plat Book 116, Pages 116-119 of the Official Records of Orange County, Florida (“Property”); and

Whereas, Pugh Cattle owns cattle that occupy adjacent land to the Property and desires to use the Property for cattle when the adjacent land is occupied (“Cattle”); and
Whereas, the District has agreed to allow the use of the Property by Pugh Cattle only if Pugh Cattle agrees to indemnify and hold the District harmless from damages and expenses that may be incurred as a direct or indirect result of such use of the Property; and

Now, therefore, based upon good and valuable consideration and the mutual covenants of the parties, the receipt of which and sufficiency of which is hereby acknowledged, the District and Pugh Cattle agree as follows:

Section 1.  Recitals. The recitals so stated are true and correct and by this reference are incorporated into and form a material part of this Agreement.

Section 2.  Property Utilization. Pugh Cattle may place its Cattle on the Property under the terms and conditions contained herein. The cost of repair or replacement of any damage to any of the District’s property as a direct or indirect result of Pugh Cattle’s use of the Property shall be paid by Pugh Cattle.

Section 3.	Indemnification.

Pugh Cattle agrees to defend, indemnify, and hold harmless the District and its officers, agents, employees, successors, assigns, members, affiliates, or

representatives from any and all liability, claims, actions, suits, liens, demands, costs, interest, expenses, damages, penalties, fines, judgments against the District, or loss or damage, whether monetary or otherwise, arising out of, wholly or in part by, or in connection with the services to be performed by Pugh Cattle, its subcontractors, its employees and agents in connection with this Agreement, including litigation, mediation, arbitration, appellate, or settlement proceedings with respect thereto. Additionally, nothing in this Agreement requires Pugh Cattle to indemnify the District for the District’s percentage of fault if the District is adjudged to be more than 50% at fault for any claims against the District and Pugh Cattle as jointly liable parties; however, Pugh Cattle shall indemnify the District for any and all percentage of fault attributable to Pugh Cattle for claims against the District, regardless whether the District is adjudged to be more or less than 50% at fault. Pugh Cattle further agrees that nothing herein shall constitute or be construed as a waiver of the District's limitations on liability contained in section 768.28, Florida Statutes, or other statute.
Obligations under this section 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, attorneys’ fees, paralegal fees (incurred in court, out of court, on appeal, or in bankruptcy proceedings), any interest, expenses, damages, penalties, fines, or judgments against the District.

Section 4.  Sovereign Immunity. The District and Pugh Cattle agree that nothing in this Agreement shall constitute or be construed as a waiver of the District’s limitation on liability contained in Section 768.28 Florida Statutes.
Section 5.	Insurance.
Pugh Cattle shall maintain throughout the term of this Agreement the following insurance:

Worker’s Compensation Insurance in accordance with the laws of the State of Florida.
Commercial General Liability Insurance covering Pugh Cattle’s legal liability for bodily injuries, with limits of not less than
$1,000,000 combined single limit bodily injury and property damage liability, and covering at least the following hazards:
Independent Contractors Coverage for bodily injury and property damage in connection with any subcontractors’ operation.

Employer’s Liability Coverage with limits of at least $1,000,000 (one million dollars) per accident or disease.

Automobile Liability Insurance for bodily injuries in limits of not less than $1,000,000 combined single limit bodily injury and for property damage, providing coverage for any accident arising out of or resulting from the operation, maintenance, or use by Pugh Cattle of any owned, non-owned, or hired automobiles, trailers, or other equipment required to be licensed.
The District, its staff, consultants and supervisors shall be named as an additional insured. Pugh Cattle shall furnish the District with the Certificate of Insurance evidencing compliance with this requirement. No certificate shall be acceptable to the District unless it provides that any change or termination within the policy periods of the insurance coverages, as certified, shall not be effective within thirty (30) days of prior written notice to the District. Insurance coverage shall be from a reputable insurance carrier, licensed to conduct business in the State of Florida, and such carrier shall have a Best’s Insurance Reports rating of at least A-VII.
Section 6.  Severability. If any word, phrase, sentence, part, subsection, section, or other portion of this Agreement, or any application thereof, to any person or circumstance is declared void, unconstitutional, or invalid for any reason, then such word, phrase, sentence, part, subsection, other portion, or the proscribed application thereof, shall be severable, and the remaining portions of this Agreement, and all applications thereof, not having been declared void, unconstitutional, or invalid shall remain in full force, and effect.

Section 7.  Governing Law and Venue. This Agreement shall be construed according to the laws of the State of Florida. Venue for any administrative and/or legal action arising under this Agreement shall be in Orange County, Florida.
Section 8. Amendments to Agreement. Both the District, and Pugh Cattle, acknowledge that this Agreement constitutes the complete agreement and understanding of both parties. Both the District, and Pugh Cattle, acknowledge that any amendment to this Agreement shall be in writing, and shall be executed by duly authorized representatives of both the District and Pugh Cattle.

Section 9.  Compliance with Public Records Laws. Pugh Cattle understands and agrees that all documents of any kind provided to the District in connection with this Agreement may be public records, and, accordingly, Pugh Cattle agrees to comply with all applicable provisions of Florida law in handling such records, including but not limited to Section 119.0701, Florida Statutes. Pugh Cattle acknowledges that the designated public records custodian for the District is its District Manager (“Public Records Custodian”). Among other requirements and to the extent applicable by law, Pugh Cattle 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 Pugh Cattle 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 Pugh Cattle’ 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 Pugh Cattle, Pugh Cattle 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 PUGH CATTLE HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO PUGH CATTLE’ DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (407) 841-5524, GFLINT@GMSCFL.COM, OR 219 EAST LIVINGSTON STREET, ST. AUGUSTINE, FLORIDA 32092.

Section 10.  Termination. The District may terminate this Agreement immediately with cause by providing written notice of termination to Pugh Cattle. The District shall provide thirty (30) days written notice of termination without cause.

In witness whereof, the District and Pugh Cattle have caused these presents to be executed on the day and year first written above.
Executed in the presence of:	Golden Gem Community Development District

Print Name: 		Chairperson, Board of Supervisors

Print Name: 	

Pugh Cattle Company, LLC,

		By:	  Print Name: 	 	Print Name:	
Its:	

Print Name: 		Attest:	
Print Name:		 Title:	

Section VIII

Section C

Section 1

Golden Gem
Community Development  District

Unaudited Financial Reporting
January 31, 2025

Table of Contents

	Balance Sheet

	General Fund

	Series 2024 Debt Service Fund

	Series 2024 Capital Projects Fund

	Month to Month

	Long Term Debt Report

Golden Gem	
Community Development District	
Combined Balance Sheet	
January 31, 2025	
General	Debt Service	Capital Projects	Total	
Fund	Fund	Fund	Governmental Funds	

Assets:	
Cash:	
Operating Account	
Investments	
Series 2024	
Revenue	
Interest	
Sinking Fund	
Prepayment	
Reserve	
Capitalized Interest	
Acquisition & Construction	
Cost of Issuance	
Due from Developer	
Due from Capital Projects Fund	
Due from General Fund	
Prepaid Expenditures	

$	-	
$	-	
$	-	
$	-	
$	-	
$	-	
$	-	
$	-	
$	-	
$	-	
$	-	
$	-	

$

Total Liabilites	$	-	$	-	$	-	$	-

Total Assets	$	8,227	$ 4,999,704	$ 15,735,928	$	20,743,859	
Liabilities:	
Accounts Payable	$	-	$	-	$	-	$	-	
Accrued Expenses	$	-	$	-	$	-	$	-	
Contracts Payable	$	-	$	-	$	-	$	-	
Due to Capital	$	-	$	-	$	-	$	-	
Due to General Fund	$	-	$	-	$	-	$	-	

Fund Balance:	
Nonspendable:	
Deposits and Prepaid Items	
Assigned:	
Debt Service - Series 2024	
Capital Projects Fund	
Unassigned	

$

8,227

-

$

$	-	
$	-	
$	-	
$	-	
$  2,712,768	
$  2,286,937	
$	-	
$	-	
$	-	
$	-	
$	-	
$	-	

$

-

-

$

$	-	
$	-	
$	-	
$	-	
$	-	
$	-	
$ 15,735,928	
$	-	
$	-	
$	-	
$	-	
$	-	

$

-

-

$

$	-	
$	-	
$	-	
$	-	
$	2,712,768	
$	2,286,937	
$	15,735,928	
$	-	
$	-	
$	-	
$	-	
$	-	

$

8,227

-

$	-	
$	-	
$	8,227	

	
$  4,999,704	
$	-	
$	-	

	
$	-	
$ 15,735,928	
$	-	

 
$	4,999,704	
$	15,735,928	
$	8,227	

Total Fund Balances	$	8,227	$ 4,999,704	$ 15,735,928	$	20,743,859	
					
Total Liabilities & Fund Balance	$	8,227	$  4,999,704	$ 15,735,928	$	20,743,859	

Golden Gem	
Community Development District	
General Fund	
Statement of Revenues, Expenditures, and Changes in Fund Balance	
For The Period Ending January 31, 2025	

Adopted	Prorated Budget	Actual		
Budget	Thru 01/31/25	Thru 01/31/25	Variance	

Revenues:					
Developer Contributions	$	153,628	$	65,981	$	65,981	$	-	

Total Revenues	$	153,628	$	65,981	$	65,981	$	-	
Expenditures:					
General & Administrative:					
Supervisor Fees	$	12,000	$	4,000	$	800	$	3,200	
FICA Expenditures	$	918	$	306	$	61	$	245	
Engineering	$	15,000	$	5,000	$	-	$	5,000	
Attorney	$	25,000	$	8,333	$	753	$	7,581	
Annual Audit	$	5,000	$	-	$	-	$	-	
Assessment Administration	$	5,000	$	-	$	-	$	-	
Arbitrage	$	450	$	-	$	-	$	-	
Dissemination	$	5,000	$	1,667	$	1,667	$	(0)	
Trustee Fees	$	5,000	$	-	$	-	$	-	
Management Fees	$	37,500	$	12,500	$	12,500	$	-	
Information Technology	$	1,800	$	600	$	600	$	-	
Website Maintenance	$	1,200	$	400	$	400	$	-	
Telephone	$	300	$	100	$	-	$	100	
Postage & Delivery	$	1,000	$	333	$	1	$	332	
Insurance	$	6,000	$	6,000	$	5,000	$	1,000	
Printing & Binding	$	1,000	$	333	$	-	$	333	
Legal Advertising	$	15,000	$	5,000	$	-	$	5,000	
Contingency	$	5,000	$	1,667	$	161	$	1,505	
Office Supplies	$	625	$	208	$	0	$	208	
Travel Per Diem	$	660	$	220	$	-	$	220	
Dues, Licenses & Subscriptions	$	175	$	175	$	175	$	-	
Property Taxes	$	-	$	-	$	35,636	$	(35,636)	

Total Administrative Expenditures	$	143,628	$	46,843	$	57,754	$	(10,911)	

Contingency	$	10,000	$	3,333	$	-	$	3,333	

Total Field Expenditures	$	10,000	$	3,333	$	-	$	3,333	

Total Expenditures	$	153,628	$	50,176	$	57,754	$	(7,578)	

Excess (Deficiency) of Revenues over Expenditures	$	-	$	15,805	$	8,227	
				
Fund Balance - Beginning	$	-		$	-	
				
Fund Balance - Ending	$	-		$	8,227	

Golden Gem	
Community Development District	
Debt Service Fund Series 2024	
Statement of Revenues, Expenditures, and Changes in Fund Balance	
For The Period Ending January 31, 2025	

Adopted	Prorated Budge	Actual	
Budget	Thru 01/31/25	Thru 01/31/25	Variance	

Revenues:		
Assessments - Tax Roll	$	-	
Interest	$	-	

$	-	
$	-	

$	-	
$	83,869	

$	-	
$	83,869	

Total Revenues	$	-	$	-	$	83,869	$	83,869	

Expenditures:		
Interest - 11/1	$	-	$	-	$	813,882	$  (813,882)	
Principal - 5/1	$	-	$	-	$	-	$	-	
Interest - 5/1	$	-	$	-	$	-	$	-	
Total Expenditures	$	-	$	-	$  813,882	$ (813,882)	

Excess (Deficiency) of Revenues over Expenditures	$	-	$  (730,013)	

Other Financing Sources/(Uses):

Bond Proceeds	$	-	
Transfer In/(Out)	$	-	

$	-	
$	-	

$	-	
$	-	

$	-	
$	-	

Total Other Financing Sources/(Uses)	$	-	$	-	$	-	$	-	
		
Net Change in Fund Balance	$	-	$	-	$ (730,013)	$	-	
		
Fund Balance - Beginning	$	-	$	-	$ 5,729,717	$	-	
		
Fund Balance - Ending	$	-	$	-	$ 4,999,704	$	-	

Golden Gem	
Community Development District	
Capital Projects Fund	
Statement of Revenues, Expenditures, and Changes in Fund Balance	
For The Period Ending January 31, 2025	

Adopted	Prorated Budget	Actual	
Budget	Thru 01/31/25	Thru 01/31/25	Variance	

Revenues:		
Developer Advances	$	-	
Developer Contributions	$	-	
Interest	$	-	

$	-	
$	-	
$	-	

$	-	
$	-	
$	281,928	

$	-	
$	-	
$	281,928	

Total Revenues	$	-	$	-	$	281,928	$	281,928	

Expenditures:		
General & Administrative:		
Capital Outlay	$	-	$	-	$  2,166,423	$	(2,166,423)	
Capital Outlay - COI	$	-	$	-	$	-	$	-	

Total Expenditures	$	-	$	-	$ 2,166,423	$  (2,166,423)	

Excess (Deficiency) of Revenues over Expenditures	$	-	$ (1,884,495)	

Other Financing Sources/(Uses):		

Bond Proceeds	$	-	
Bond Discount	$	-	
Transfer In/(Out)	$	-	

$	-	
$	-	
$	-	

$	-	
$	-	
$	-	

$	-	
$	-	
$	-	

Total Other Financing Sources/(Uses)	$	-	$	-	$	-	$	-	
		
Net Change in Fund Balance	$	-	$	-	$ (1,884,495)	$	-	

Fund Balance - Beginning	$	-	$	-	$ 17,620,423	$	-	
		
Fund Balance - Ending	$	-	$	-	$ 15,735,928	$	-	

Golden Gem	
Community Development District	
Month to Month	

Oct	Nov	Dec	Jan	Feb	March	April	May	June	July	Aug	Sept	Total	

Revenues:														
Developer Contributions	$  12,088	$	3,968	$  45,818	$	4,107	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$  65,981	

Total Revenues	$ 12,088	$	3,968	$ 45,818	$  4,107	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$ 65,981	

Expenditures:														
General & Administrative:														
Supervisor Fees	$	-	$	800	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	800	
FICA Expenditures	$	-	$	61	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	61	
Engineering	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Attorney	$	438	$	315	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	753	
Annual Audit	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Assessment Administration	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Arbitrage	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Dissemination	$	417	$	417	$	417	$	417	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	1,667	
Trustee Fees	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Management Fees	$	3,125	$	3,125	$	3,125	$	3,125	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$  12,500	
Information Technology	$	150	$	150	$	150	$	150	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	600	
Website Maintenance	$	100	$	100	$	100	$	100	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	400	
Telephone	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Postage & Delivery	$	1	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	1	
Insurance	$	5,000	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	5,000	
Printing & Binding	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Legal Advertising	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Contingency	$	38	$	38	$	47	$	38	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	161	
Office Supplies	$	0	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	0	
Travel Per Diem	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Dues, Licenses & Subscriptions	$	175	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	175	
Property Tax	$	-	$  35,636	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$  35,636	
Total Administrative Expenditur	$  9,444	$ 40,642	$  3,838	$  3,830	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$ 57,754	

Contingency	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
Total Field Expenditures	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	
														
Total Expenditures	$  9,444	$ 40,642	$  3,838	$  3,830	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$ 57,754	

Excess Revenues (Expenditures)	$	2,644	$ (36,674)	$  41,980	$	277	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	8,227	

- 5 -

Golden Gem	
Community Development District	
Long Term Debt Report	

	

Series 2024 Special Assessment Revenue Bonds	
Interest Rate:	5.15% to 6.00%	
Maturity Date:	11/1/2055	
Optional Redemption Date:	On or After 5/1/2034

Reserve Fund Definition:	50% MADS After Release Conditions Reserve Fund Requirement:		$2,712,768
Reserve Fund Balance:	$2,712,768

Bonds outstanding - 5/31/2024	$36,550,000 Less: May 1, 2029 Principal		$0	
Current Bonds Outstanding	$36,550,000	

- 6 -

Section 2

Golden Gem	
Community Development District	
Funding Request #11
November 13, 2024

Bill to:	Wyld Oaks Development	

Payee	General Fund

1	GMS- Central Florida, LLC	
	Invoice # 12 - Management Fees November 2024	

$	3,791.67

2	Kutak Rock, LLP	
	Invoice # 3470311 - General Counsel September 2024	

$	1,300.41

3	Orange County Tax Collector	
	Tax Year 2024 Property Taxes	

$	35,268.51

4	Supervisor Fees - 11/13/2024 Meeting	
	Craig Linton, Jr.	
	H.M. Ridgely, III	
	Taylor Edwards	
	Duane "Rocky" Owen	

$	215.30	
$	215.30	
$	215.30	
$	215.30	

$	41,221.79

Total:

$	41,221.79

Please make check payable to:

Golden Gem Community Development District	
4530 Eagle Falls Place	
Tampa, FL 33619	

GMS-Central Florida, LLC
1001 Bradford Way
Kingston, TN 37763

Invoice

Bill To:
Golden Gem CDD 219 E. Livingston St. Orlando, FL 32801

Invoice#: 12
Invoice Date: 11/1/24
Due Date: 11/1/24
Case:
P.O. Number:

Description	Hours/Qty	Rate	Amount

Management Fees - November 2024 Website Administration - November 2024 Information Technology - November 2024
Dissemination Agent Services - November 2024		3,125.00
100.00
150.00
416.67	3,125.00
100.00
150.00
416.67	

Total	$3,791.67	
Payments/Credits	$0.00	
Balance Due	$3,791.67	

K U T A K  R O C K  L L P
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

October 31, 2024

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

ACH/Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3470311 Client Matter No. 47123-1
Notification Email: eftgroup@kutakrock.com

Golden Gem CDD
c/o Governmental Management Services 219 East Livingston Street
Orlando, FL 32801	Invoice No. 3470311
47123-1

Re:	General Counsel
For Professional Legal Services Rendered

09/03/24	A. Willson	0.40	126.00	Confer	with	Roberson	and	
				Vanderbilt	regarding	upcoming	
				board meeting agenda items; work	
				session with Gillis regarding same	
09/04/24	J. Gillis	0.90	157.50	Draft  resolution  ratifying  sale  of	
				Series 2024 bonds; draft disclosure	
				of public finance	
09/04/24	A. Willson	0.80	252.00	Review  and  revise  disclosure  of	
				public	financing	and	resolution	
ratifying same of bonds; confer with Edwards,	Kaleita,	Walda	and	
				Beninati regarding same	
09/10/24	A. Willson	0.30	94.50	Review	meeting	agenda;	prepare	
				materials for board meeting	
09/11/24	A. Willson	0.80	252.00	Attend board meeting; post meeting	
				follow up	
09/12/24	A. Willson	0.20	63.00	Confer	with	Edwards	regarding	
		impact fee credits and sale process	
09/16/24	A. Willson	0.70	220.50	Confer with Edwards, Mossing, and	
		Flint regarding upcoming property	
		sales, impact fee credits, and sale of	
		same; review items regarding same	

KUTAK ROCK LLP
Golden Gem CDD October 31, 2024
Client Matter No. 47123-1 Invoice No. 3470311
Page 2

09/17/24	J. Gillis	0.40	70.00	Draft  form  of  partial  release  of	
				assessment lien	
09/30/24	J. Gillis	0.30	52.50	Coordinate recording of disclosure of	
				public financing	

TOTAL HOURS	4.80

TOTAL FOR SERVICES RENDERED		$1,288.00	
DISBURSEMENTS			
Freight and Postage	12.41		
TOTAL DISBURSEMENTS		12.41	
TOTAL CURRENT AMOUNT DUE		$1,300.41	
UNPAID INVOICES:			
August 26, 2024	Invoice No. 3439068		277.00	
September 30, 2024	Invoice No. 3454613		249.50	
TOTAL DUE		$1,826.91	

ORANGE COUNTY TAX COLLECTOR
SCOTT RANDOLPH
INDEPENDENTLY ELECTED TO SERVE YOU

2024 Real Estate
Orange County Notice of Ad Valorem Taxes & Non-Ad Valorem Assessments

GOLDEN GEM COMMUNITY DEVELOPMENT C/O GOVERNMENTAL MNGT SERVICES LLC 219 E LIVINGSTON ST
ORLANDO, FL32801-1508

Account Number: 0660690-9
Assessed Value: 2,276,155
Millage Code: 11 APK
Parcel Number: 13-20-27-0000-00076
Address: 0 GOLDEN GEM RD APOPKA 32712
Exemptions:

AD VALOREM TAXES

	Assessed Value.		
STATE SCHOOL	2,276,155	0	2,276,155	3.2160	$7,320.11	
LOCAL SCHOOL	2,276,155	0	2,276,155	3.2480	$7,392.95	
GEN COUNTY	2,276,155	0	2,276,155	4.4347	$10,094.06	
APOPKA	2,276,155	0	2,276,155	4.6876	$10,669.70	
LIBRARY	2,276,155	0	2,276,155	0.3748	$853.10	
SJWM	2,276,155	0	2,276,155	0.1793	$408.11	
Total Millage: 16.1404	Subtotal: $36,738.03	

Levying Authority

Am<;>unt	Levying Authority

Subtotal: $0.00

NON-AD VALOREM ASSESSMENTS
Payments not received by March 31st are delinquent.

DETACH AND RETURN THE BOTTOM PORTION WITH YOUR PAYMENT

0660690-9
0 GOLDEN GEM RD APOPKA 32712
13-20-27-0000-00076
COMM AT SW COR OF LOT 2 KELLY PARK CROSSINGS 111/122 TH N0-29-47W 973.3 FT TO POB TH S89-30-21W 1304.38 FT TH N0-21-3W 1

	

Dec.31,2024	$35,268.51	
	$35,635.89	
Jan.31,2025	$36,003.27	
Feb.28,2025	$36,370.65	
Mar. 31, 2025	$36,738.03	

Make checks payable to:
Scott Randolph or Orange County Tax Collector

GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT
--, � C/O GOVERNMENTAL MNGT SERVICES LLC
.'..	219 E LIVINGSTON ST

<D

-  �	ORLANDO FL 32801-1508
"'	1'1'1••11•1111•1•111111•11•11•1•11111•1••1•111'•···•'1•1•••111•1'

P.O. BOX 545100
ORLANDO FL 32854-5100
•11•111•11111•111••l11111111••11•1•1••11111••11l1111•111•1••11111

IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII	2024 Real Estate

-�-·---	--

Attendance Confirmation
for
BOARD OF SUPERVISORS

'1'/l/.l/l/l/l/l'/l/l/l/l/l/l/l/.l/l/l/l/l/l/l/l/l/l/l'/,l/l/l/l/l/l/,l'/I/.I/I/I/I/I/I/I/IYl/l/l/l/l/l/l/#/l/l/l/l/l/l/l/l/l/l/l/l/l/l/l/l/l/l/.1/1/l/l/l/l/l/,l/l/l/l/l/l/l/l�I/I/I/I/I/I/I/I/I/I/I/I.

District Name:		Golden Gem CDD	

Board Meeting Date:		November 13, 2024	

	
Name	In Attendance
Please✓	Fee Involved Yes/No	

1	
Craig Linton, Jr.	./	
Yes ($200)	

2	
H.M. Ridgely, III	✓	
Yes ($200)	

3	
Taylor Edwards	/cf/l��,)	
Yes ($200)	

4	
George Hamner, Jr.		
Yes ($200)	

5	
Duane "Rocky" Owen	/	
Yes ($200)	

The supervisors present at the above referenced meeting should be compensated accordingly.

Approved for Payment:

Dist ict Manager Signature

**RETURN SIGNED DOCUMENT TO DISTRICT ACCOUNTANT**

Golden Gem	
Community Development District	

1	GMS- Central Florida, LLC	
	Invoice # 13 - Management Fees December 2024	

2	Kutak Rock, LLP	
	Invoice # 3483594 - General Counsel October 2024	

3	Orange County Tax Collector	
	Tax Year 2024 Property Taxes (Balance)	

Funding Request #12	
December 18, 2024	

Bill to:	Wyld Oaks Development	

Payee		General Fund	
			
		$	3,791.67	
			
		$	437.60	
			
		$	367.38	
		
$	4,596.65	

Total:	
$	4,596.65	

Please make check payable to:			

Golden Gem Community Development District	
4530 Eagle Falls Place	
Tampa, FL 33619	

GMS-Central Florida, LLC
1001 Bradford Way
Kingston, TN 37763

Invoice

Bill To:

1·

Golden Gem COD 219 E. Livingston St. Orlando, FL 32801

Invoice #: 13
Invoice Date: 12/1/24
Due Date: 12/1/24
Case:
P.O. Number:

Description	Hours/Qty	Rate	Amount	
Management Fees - December 2024		3,125.00	3,125.00	
Website Administration - December 2024		100.00	100.00	
Information Technology - December 2024		150.00	150.00	
Dissemination Agent Services - December 2024		416.67	416.67	

Total	$3,791.67	
Payments/Credits	$0.00	
Balance Due	$3,791.67	

K U T A K  R O C K  L L P
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

November 20, 2024

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

ACH/Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3483594 Client Matter No. 47123-1
Notification Email: eftgroup@kutakrock.com

Golden Gem CDD
c/o Governmental Management Services 219 East Livingston Street
Orlando, FL 32801	Invoice No. 3483594
47123-1

Re:	General Counsel
For Professional Legal Services Rendered

10/01/24	J. Gillis	0.10	17.50	Follow up on recording of disclosure	
				of public finance	
10/24/24	A. Willson	0.90	283.50	Confer	with	Edwards	and	Flint	
				regarding sale of property within the	
				district;	review	items	regarding	
same;	review	and	revise	partial release of assessment lien
10/25/24	A. Willson	0.20	63.00	Confer	with	Edwards	regarding
property sale and District items
TOTAL HOURS	1.20

KUTAK ROCK LLP
Golden Gem CDD November 20, 2024
Client Matter No. 47123-1 Invoice No. 3483594
Page 2		
TOTAL FOR SERVICES RENDERED		$364.00	
DISBURSEMENTS			
Filing and Court Fees	73.60		
TOTAL DISBURSEMENTS		73.60	
TOTAL CURRENT AMOUNT DUE		$437.60	
UNPAID INVOICES:			
August 26, 2024	Invoice No. 3439068		277.00	
September 30, 2024	Invoice No. 3454613		249.50	
October 31, 2024	Invoice No. 3470311		1,300.41	
TOTAL DUE		$2,264.51	

ORANGE COUNTY TAX COLLECTOR
SCOTT RANDOLPH
INDEPENDENTLY ELECTED TO SERVE YOU

2024 Real Estate
Orange County Notice of Ad Valorem Taxes & Non-Ad Valorem Assessments

GOLDEN GEM COMMUNITY DEVELOPMENT C/O GOVERNMENTAL MNGT SERVICES LLC 219 E LIVINGSTON ST
ORLANDO, FL32801-1508

Account Number: 0660690-9
Assessed Value: 2,276,155
Millage Code: 11 APK
Parcel Number: 13-20-27-0000-00076
Address: 0 GOLDEN GEM RD APOPKA 32712
Exemptions:

	A-ssessed Value.		
STATE SCHOOL	2,276,155	0	2,276,155	3.2160	$7,320.11	
LOCAL SCHOOL	2,276,155	0	2,276,155	3.2480	$7,392.95	
GEN COUNTY	2,276,155	0	2,276,155	4.4347	$10,094.06	
APOPKA	2,276,155	0	2,276,155	4.6876	$10,669.70	
LIBRARY	2,276,155	0	2,276,155	0.3748	$853.10	
SJWM	2,276,155	0	2,276,155	0.1793	$408.11	

Levying Authority

Am9unt	Levying Authority

Subtotal: $0.00

Total Millage: 16.1404

Subtotal: $36,738.03

NON-AD VALOREM ASSESSMENTS
Payments not received by March 31st are delinquent.

	DETACH AND RETURN THE BOTTOM PORTION WITH YOUR PAYMENT

0660690-9
0 GOLDEN GEM RD APOPKA 32712
13-20-27-0000-00076
COMM AT SW COR OF LOT 2 KELLY PARK CROSSINGS 111/122 TH N0-29-47W 973.3 FT TO POB TH S89-30-21W 1304.38 FT TH N0-21-3W 1

Make checks payable to:
Scott Randolph or Orange County Tax Collector

P.O. BOX 545100

	

Dec.31,2024	$35,268.51	
	$35,635.89	
Jan.31,2025	$36,003.27	
Feb.28,2025	$36,370.65	
Mar. 31, 2025	$36,738.03	
$35,635.89 - $35,268.51 = $367.38

GOLDEN GEM COMMUNITY DEVELOPMENT DISTRICT
--, � C/O GOVERNMENTAL MNGT SERVICES LLC
.'...	219 E LIVINGSTON ST

<D

-  �	ORLANDO FL 32801-1508
"'	1'1'1••'1•1111•1•111111•11•11•1•11111•1••1•111'••••111•11••111•11

ORLANDO FL 32854-5100
•11•111•11111•1111•l11111111••11•1•1••11111••11l1111•111•1••11111

Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllllll111111111111111111	2024 Real Estate

Golden Gem	
Community Development District	

Funding Request #13	
January 15, 2025	

Bill to:	Wyld Oaks Development	

Payee	General Fund

1	GMS- Central Florida, LLC	
	Invoice # 14 - Management Fees January 2024	

$	3,791.67

2	Kutak Rock, LLP	
	Invoice # 3501834 - General Counsel November 2024	

$	315.00

$	4,106.67

Total:

$	4,106.67

Please make check payable to:

Golden Gem Community Development District	
4530 Eagle Falls Place	
Tampa, FL 33619	

GMS-Central Florida, LLC
1001 Bradford Way
Kingston, TN 37763

Invoice

Bill To:
Golden Gem CDD 219 E. Livingston St. Orlando, FL 32801

Invoice #: 14
Invoice Date: 1/1/25
Due Date: 1/1/25
Case:
P.O. Number:

Description	Hours/Qty	Rate	Amount

Management Fees - January 2025 Website Administration - January 2025
Dissemination Agent Services - January 2025 Information Technology - January 2025		3,125.00
100.00
416.67
150.00	3,125.00
100.00
416.67
150.00	

Total	$3,791.67	
Payments/Credits	$0.00	
Balance Due	$3,791.67	

K U T A K  R O C K  L L P
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

December 30, 2024

Golden Gem CDD
c/o Governmental Management Services 219 East Livingston Street

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

ACH/Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3501834 Client Matter No. 47123-1
Notification Email: eftgroup@kutakrock.com

Orlando, FL 32801	Invoice No. 3501834
47123-1

Re:	General Counsel
For Professional Legal Services Rendered

11/07/24	A. Willson	0.30	94.50	Confer	with	Vanderbilt	and
Roberson	regarding	upcoming meeting agenda
11/13/24	A. Willson	0.70	220.50	Review	meeting	agenda;	prepare
materials for board meeting; attend same

TOTAL HOURS	1.00

TOTAL FOR SERVICES RENDERED	$315.00

TOTAL CURRENT AMOUNT DUE	$315.00

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT