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RESIDENTIAL EXTERIOR IMPROVEMENT GRANT AGREEMENT - NG-R-25-20RESIDENTIAL EXTERIOR IMPROVEMENT GRANT AGREEMENT NG -R-25-20 This Residential Exterior Improvement Grant Agreement (this "Agreement") is made as of FOP. A0g(the "Effective Date"), by and between THE COMMUNITY REDEVELOPMENT AGE CY OF THE CITY OF CLEARWATER, FLORIDA, a public body corporate and politic of the State of Florida created pursuant to Part III, Chapter 163, Florida Statutes (the "Agency"), and Diann Hill, an individual (the "Applicant ")(collectively the Agency and the Applicant are the "Parties"). WITNES SETH: WHEREAS, the Agency was created to implement community redevelopment activities as provided in the Florida Community Redevelopment Act of 1969 (the "Act") codified at Chapter 163, Part III, Florida Statutes; and WHEREAS, on January 12, 2023, the Agency adopted the North Greenwood Community Redevelopment Area Plan (the "Plan"); and WHEREAS, in furtherance of the Plan, the Agency has established the Residential Exterior Improvement Grant Program (the "Program") to rehabilitate single-family homes, improve property conditions, aesthetics, reduce housing cost burden, and aid in the elimination of slum and blight in the North Greenwood Community Redevelopment Area (the "Redevelopment Area"); and WHEREAS, the Agency has approved a grant to the Applicant in an amount not to exceed $20,000.00 in financial assistance under the Program to provide exterior improvement assistance to the property located at 712 Nicholson Street, Clearwater, FL 33755 (the "Property"). The grant is intended to replace windows and a Heating, Ventilation, and Air Conditioning (HVAC) system at the Property (the "Project") as further detailed in the Applicant's grant application and plan specifications attached hereto as Exhibit "C" (the "Specifications"); and WHEREAS, the Agency finds that providing financial assistance for the exterior improvement of the Property is a permissible use of the Agency's funds; and WHEREAS, the Agency finds that the Project comports with and furthers the goals, objectives, and policies of the Plan. NOW, THEREFORE, in. consideration of the mutual promises and covenants contained herein, the Parties hereby agree as follows: I. GENERAL 1. Recitals. The foregoing recitals are true and correct and are incorporated in and form a part of this Agreement. 2. Purpose of Agreement. The purpose of this Agreement is to further the implementation of the Plan by the completion of the Project. 1 3. Legal Description. The legal description for the Property is attached hereto as Exhibit "A". II. APPLICANT WARRANTIES AND RESPONSIBILITIES 1. Development of the Proiect. The Applicant shall complete the Project in accordance with the Specifications and the grant application. The Applicant shall complete all Project work within one hundred and eighty (180) days from the date of application approval. Such completion shall be evidenced by receipt of a Finding of Project Completion from the Agency. A Finding of Project Completion shall be granted in accordance with the criteria contained in the Agency's Residential Exterior Improvement Grant Policy attached hereto as Exhibit "B" (the "Policy"). The date of application approval shall be the Effective Date. 2. Applicant's Project Contribution. As a condition of receiving reimbursement grant funding from the Agency, the Applicant shall provide two thousand dollars and 00/100 cents ($2,000.00) in monetary contribution (the "Monetary Contribution") toward the Project. Evidence of expenditure of the Monetary Contribution towards the Project shall be submitted to the Agency's satisfaction before disbursement of the Agency's grant funding. Notwithstanding the foregoing, the Applicant may have the Monetary Contribution reduced if the Applicant completes certain community service acts in accordance with the Policy. The Applicant has agreed to complete fourteen (14) hours of community service ("Hours") reducing the Monetary Contribution to zero dollars and 00/100 cents ($0.00) (the "Reduced Contribution"). In the event the Applicant is unable to provide the number of Hours agreed to herein, the Reduced Contribution shall be calculated only by the number of Hours actually provided. The difference between the Monetary Contribution and the Reduced Contribution shall be added to the balance of the Applicant's available grant funds. For avoidance of doubt, the amount that can be added to the Applicant's available grant funds is the amount of money that is subtracted out of the Monetary Contribution for the completion of Hours to calculate the Reduced Contribution. Proof of completion of Hours shall be provided to the Agency before release of grant funds. 3. Warranties of the Applicant. The Applicant warrants that the following information is true and correct: a. The Applicant is the owner of the Property; b. A single-family home is located on the Property; c. The Property is located in the Redevelopment Area; d. The Property is the primary residence and legal homestead of the Applicant or meets an alternative qualification under the Policy; e. The Applicant is current on their property taxes for the Property or a payment plan has been approved by the Director; f. The Applicant is current on all mortgage payments, if applicable; 2 g. The Property has no outstanding code enforcement or building code violations or the Applicant has made the Agency aware of such violations and the Agency has agreed to allow the Project to move forward as the renovations will remediate any violations; and h. The Property has not received a grant from the Agency in the preceding thirty-six (36) months prior to the Effective Date. III. AGENCY RESPONSIBILITIES 1. Grant Funding. The Agency shall reimburse the Applicant for the Project's eligible costs up to a base amount of eighteen thousand dollars and 00/100 cents ($18,000.00). Depending upon the number of Hours completed or a waiver of the community service option pursuant to the Policy, the Applicant may receive up to an additional two thousand dollars and 00/100 cents ($2,000.00) in grant funds for a total grant not to exceed twenty thousand dollars and 00/100 cents ($20,000.00) (the "Grant Funds"). The Grant Funds shall be payable within thirty (30) days of receipt of a fully completed reimbursement request after the issuance of a Finding of Project Completion by the Agency assuming the Applicant has also complied with Section II of this Agreement where applicable. 2. Upon agreement between the Agency and the Applicant, the Agency may provide the Grant Funds directly to any approved licensed contractor or vendor in lieu of providing the Grant Funds to the Applicant. Notwithstanding Paragraph 1 of this section, The Agency's director (the "Director") may allow earlier draw requests of the Grant Funds to approved licensed contractors or vendors in accordance with the Policy. However, the Grant Funds disbursed to a contractor or vendor shall not be disbursed more frequently than once every thirty (30) days. The Parties understand and agree that nothing in this Agreement creates any contractual relationship between the Agency and any contractor or vendor and the Agency shall not be liable for any monies owed to any contractor or vendor. The ability of the Agency to pay the contractor or vendor directly is only for the sake of convenience to the Applicant and the Applicant remains exclusively liable for any funds owed to the contractor or vendor. 3. If the Director determines that a reimbursement request does not meet the requirements of this Agreement or the Policy, then the Parties agree that the Agency shall not owe any monies to the Applicant for the requested reimbursement, the Applicant shall have no recourse against the Agency, and the Director's decision shall be final without any means of appeal. IV. APPLICANT DEFAULT 1. Failure to Timely Complete the Project. If the Applicant fails to obtain a Finding of Project Completion within one hundred eighty (180) days of the date of application approval, then the Parties agree that the Applicant shall be in default under this Agreement without notice or opportunity to cure the default. An extension to this timeframe may be granted by the Director for good cause if the Applicant submits a written request for such an extension before the expiration of the one hundred eighty (180) day period. 3 2. Other Events of Default. In addition to the foregoing event of default, the occurrence of any one or more of the following events after the Effective Date shall also constitute an event of default by the Applicant: a. The Applicant makes a general assignment for the benefit of its creditors, or admits in writing its inability to pay its debts as they become due or files a petition in bankruptcy, or is adjudicated a bankrupt or insolvent, or files a petition seeking any reorganization, arrangement, composition, readjustment, liquidation, dissolution or similar relief under any present or future statute, law or regulation or files an answer admitting, or fails reasonably to contest, the material allegations of a petition filed against it in any such proceeding, or seeks or consents to or acquiesce in the appointment of any trustee, receiver or liquidator of the Applicant or any material part of such entity's properties; b. Within sixty (60) days after the commencement of any proceeding by or against the Applicant seeking any reorganization, arrangement, composition, readjustment, liquidation, dissolution or similar relief under any present or future statute, law or regulation, such proceeding shall not have been dismissed or otherwise terminated, or if, within sixty (60) days after the appointment without the consent or acquiescence of the Applicant or any trustee, receiver or liquidator of any such entities or of any material part of any such entity's properties, such appointment shall not have been vacated; or c. A breach by the Applicant of any other term, condition, requirement, or warranty of this Agreement or the Policy. 3. Agency's Remedy Upon Certain Applicant Default. In the event of default and if the Applicant has failed to cure the default within the allotted time prescribed under Section IV, Paragraph 4 (if applicable), then the Parties agree that: a) this Agreement shall be null and void; b) that the Agency will have no further responsibility to the Applicant, including the responsibility to tender any remaining amounts of the Grant Funds to the Applicant; and c) that if the Agency has tendered any of the Grant Funds to the Applicant, the Agency shall be entitled to the return of all the Grant Funds plus default interest at a rate of ten percent (10%) starting from the date of default. The remedial provisions shall survive the termination of this Agreement. 4. Notice of Default and Opportunity to Cure. The Agency shall provide written notice of a default under Section IV, Paragraph 2 of this Agreement and provide the Applicant thirty (30) days from the date the notice is sent to cure such a default. This notice will be deemed received when sent by first class mail to the Applicant's notice address or when delivered to the Applicant if sent by a different means. V. MISCELLANEOUS 1. Notices. All notices, demands, requests for approvals, or other communications given by either party to another shall be in writing, and shall be sent to the office for each party indicated below and addressed as follows: 4 To the Applicant: Diann Hill 712 Nicholson Clearwater, FL 33755 To the Agency: Community Redevelopment Agency of the City of Clearwater P.O. Box 4748 Clearwater, Florida 33758 Attention: Executive Director with copies to: City of Clearwater P.O. Box 4748 Clearwater, Florida 33758 Attention: Clearwater City Attorney's Office 2. Unavoidable Delay. Any delay in performance of or inability to perform any obligation under this Agreement (other than an obligation to pay money) due to any event or condition described in this section as an event of "Unavoidable Delay" shall be excused in the manner provided in this section. 3. "Unavoidable Delay" means any of the following events or conditions or any combination thereof: acts of God, acts of the public enemy, riot, insurrection, war, pestilence, archaeological excavations required by law, unavailability of materials after timely ordering of same, building moratoria, epidemics, quarantine restrictions, freight embargoes, fire, lightning, hurricanes, earthquakes, tornadoes, floods, extremely abnormal and excessively inclement weather (as indicated by the records of the local weather bureau for a five year period preceding the Effective Date), strikes or labor disturbances, delays due to proceedings under Chapters 73 and 74, Florida Statutes, restoration in connection with any of the foregoing or any other cause beyond the reasonable control of the party performing the obligation in question, including, without limitation, such causes as may arise from the act of the other party to this Agreement, or acts of any governmental authority (except that acts of the Agency shall not constitute an Unavoidable Delay with respect to performance by the Agency). An application by any party hereto for an extension of time pursuant to this section must be in writing, must set forth in detail the reasons and causes of delay, and must be filed with the other party to this Agreement within thirty (30) days following the occurrence of the event or condition causing the Unavoidable Delay or thirty (30) days following the party becoming aware (or with the exercise of reasonable diligence should have become aware) of such occurrence. The party shall be entitled to an extension of time for an Unavoidable Delay only for the number of days of delay due solely to the occurrence of the event or condition causing such Unavoidable Delay and only to the extent that any such occurrence actually delays that party from proceeding with its rights, duties and obligations under this Agreement affected by such occurrence. In the event the party is the Applicant then the Director is authorized to grant an extension of time for an Unavoidable Delay for a period of up to six (6) months. 5 Any further requests for extensions of time from the Applicant under this section must be agreed to and approved by the Agency's Board of Trustees. 4. Indemnification. The Applicant agrees to assume all inherent risks of this Agreement and all liability therefore, and shall defend, indemnify, and hold harmless the Agency and the City of Clearwater, Florida, a Florida municipal corporation ("the City"), and the Agency's and the City's officers, agents, and employees from and against any and all claims of loss, liability and damages of whatever nature, to persons and property, including, without limiting the generality of the foregoing, death of any person and loss of the use of any property, except claims arising from the negligence of the Agency, the City, or the Agency's or the City's agents or employees. This includes, but is not limited to, matters arising out of or claimed to have been caused by or in any manner related, to the Applicant's activities or those of any approved or unapproved invitee, contractor, subcontractor, or other person approved, authorized, or permitted by the Applicant whether or not based on negligence. Nothing herein shall be construed as consent by the Agency or the City to be sued by third parties, or as a waiver or modification of the provisions or limits of Section 768.28, Florida Statutes, or the Doctrine of Sovereign Immunity. 5. Assignability; Complete Agreement. This Agreement is non -assignable by either party and constitutes the entire Agreement between the Applicant and the Agency and all prior or contemporaneous oral and written agreements or representations of any nature with reference to the subject of this Agreement are canceled and superseded by the provisions of this Agreement. 6. Applicable Law and Construction. The laws of the State of Florida shall govern the validity, performance, and enforcement of this Agreement. This Agreement has been negotiated by the Agency and the Applicant, and the Agreement, including, without limitation, the exhibits, shall not be deemed to have been prepared by the Agency or the Applicant, but by all equally. 7. Severability. Should any section or part of this Agreement be rendered void, invalid, or unenforceable by any court of law, for any reason, such a determination shall not render void, invalid, or unenforceable any other section or part of this Agreement. 8. Amendments. This Agreement cannot be changed or revised except by written amendment signed by the Parties. 9. Jurisdiction and Venue. For purposes of any suit, action or other proceeding arising out of or relating to this Agreement, the Parties do acknowledge, consent, and agree that venue thereof is Pinellas County, Florida. Each party to this Agreement hereby submits to the jurisdiction of the State of Florida, Pinellas County and the courts thereof and to the jurisdiction of the United States District Court for the Middle District of Florida, for the purposes of any suit, action or other proceeding arising out of or relating to this Agreement and hereby agrees not to assert by 6 way of a motion as a defense or otherwise that such action is brought in an inconvenient forum or that the venue of such action is improper or that the subject matter thereof may not be enforced in or by such courts. If, at any time during the term of this Agreement, the Applicant is not a resident of the State of Florida or has no office, employee, agency, registered agent or general partner thereof available for service of process as a resident of the State of Florida, or if any permitted assignee thereof shall be a foreign corporation, partnership or other entity or shall have no officer, employee, agent, or general partner available for service of process in the State of Florida, the Applicant hereby designates the Secretary of State, State of Florida, its agent for the service of process in any court action between it and the Agency arising out of or relating to this Agreement and such service shall be made as provided by the laws of the State of Florida for service upon a nonresident; provided, however, that at the time of service on the Florida Secretary of State, a copy of such service shall be delivered to the Applicant at the address for notices as provided in Section V, Paragraph 1. 10. Termination. If not earlier terminated as provided in this Agreement, this Agreement shall expire and shall no longer be of any force and effect one hundred eighty (180) days from the anniversary of the date of application approval. IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed on the date and year first above written. 7 (CRA SIGNATURE PAGE) Approved as to form: Matthew J. Mytych, Es CRA Attorney Date: COMMUNITY REDEVELOPMENT AGENCY OF THE CITY OF CLEARWATER, FLORIDA, a public body corporate and politic of the State of Florida. By: 8 Jesus Nino CRA Executi eDirect� Date: Attest: aqli_ Rosemarie Call Cit y Clem Date: Jo?* (APPLICANT SIGNATURE PAGE) APPLICANT: B STATE OF FLORIDA ) COUNTY OF PINELLAS ) The foregoing instrument was a notarization, thiti day of personally known to me or has/have Print name: ctrnv\ 14 1 1 k Title: 1 s(. i 6 04 ctl Date: t/26/gj(Q knowledged before me by mean t+4hhysical rese a or ❑ online , 2026 by ho ❑ is/are oduced a driver's license as identification. (NOTARIAL SEAL) �4;; ►;,••.,, Vickie L Shire :_ 71 Comm.: HH 630592 15 rP`, Expires: Jan. 26,2029 4:0,i' �`'' Notary Public - State of Florida 9 Notary Public, State o Name of Notary: My Commission Expires: My Commission No.: Fl rida EXHIBIT "A" LEGAL DESCRIPTION A PORTION OF LOTS 8 AND 9, BLOCK 1, IRA NICHOLSON'S ADDITION TO CLEARWATER. FUTHER DESCRIBED AS FOLLOWS: ALL OF LOT 9, BLOCK 1 AND THE EAST 33 FEET OF LOT 8. BLOCK 1. IRA NICHOLSON'S ADDITION TO CLEARWATER, FLORIDA, LESS ROAD -RIGHT-OF-WAY. AS RECORDED IN. PLAT BOOK H-2, PAAGE 44, OF THE PUBLIC RECORDS OF HILLSBOROUGH COUNTY, FLORIDA, OF WHICH PINELLAS COUNTY WAS FORMERLY A PART. 10 EXHIBIT "B" RESIDENTIAL EXTERIOR IMPROVEMENT GRANT PROGRAM POLICY 11 RESIDENTIAL EXTERIOR IMPROVEMENT GRANT PROGRAM APPLICATION FORM City of Clearwater Community Redevelopment Agency North Greenwood Community Redevelopment Area TABLE OF CONTENTS SECTION 1 — PROGRAM GOAL 1 SECTION 2 — PURPOSE AND INTENT 1 SECTION 3 — AVAILABLE ASSISTANCE AND PROGRAM ELIGIBILITY 2 SECTION 4 — ELIGIBLE RESIDENTIAL IMPROVEMENTS 4 SECTION 5 — PROGRAM REQUIREMENTS AND APPLICATION PROCESS 5 SECTION 6 — DISBURSEMENT POLICY AND PROCEDURE 6 SECTION 7 — GRANT EXPIRATION 7 SECTION 8 — COMPLIANCE WITH THE CITY OF CLEARWATER ETHICS CODE 7 SECTION 9 — APPLICATION 8 SECTION 10 — ELIGIBLE CRA AREA MAP 11 Residential Exterior Improvement Grant Program Approved by the CRA Trustees July 15, 2024 Case Number: RESIDENTIAL EXTERIOR IMPROVEMENT GRANT PROGRAM The Program provides a matching grant of up to $20,000. SECTION 1 — PROGRAM GOAL The City of Clearwater (City) Community Redevelopment Agency (CRA) Residential Exterior Improvement Grant Program (Program) is designed to increase access to redevelopment funding for residential improvements to homesteaded single-family homes in the North Greenwood Community Redevelopment Area (NGCRA). The purpose of the Program is to rehabilitate single family homes, improve property conditions, aesthetics, reduce housing cost burden, and aid in the elimination of slum and blight. The focus of this Program is directed to the exterior improvement of residential properties to enhance neighborhood aesthetics and pride. SECTION 2 — PURPOSE AND INTENT The purpose of the Program is to support the implementation of the adopted Community Redevelopment Area Plan (Plan) for the North Greenwood Community Redevelopment Area in accordance with the Florida Community Redevelopment Act of 1969. Sections 163.330, et seq., Florida Statutes, by: 1) Carrying out plans for a program of voluntary or compulsory repair and rehabilitation of buildings or other improvements in accordance with the community redevelopment plan (Sections 163.370(2)(c)(5), Florida Statutes). 2) Reducing the percent of households that are housing cost burdened (Plan Section 3.2, Goals and Objectives, Goal 4 Housing Affordability, Objectives, page 94). 3) Prioritizing keeping existing residents in their homes through funding for addressing property maintenance and building code issues and reducing visual blight (Plan Section 3.3, Redevelopment Policies, Housing, page 95). 4) Developing grant programs to improve the exterior and interior of blighted properties (Plan Section 4.5, Plan Implementation, Table 15, Goal 1 Policy Implementation: Public Safety, page 134). 5) Developing programs to encourage neighborhood pride in yard and home appearance (Plan Section 4.5, Plan Implementation, Table 15, Goal 1 Policy Implementation: Public Safety, page 136). 6) Providing emergency assistance funds for low-income residents for life safety home repairs and renovations to accommodate physical disabilities (Plan Section 4.5, Plan Implementation, Table 15, Goal 4 Policy Implementation: Housing Affordability, page 140). 7) Creating a grant program to reduce blight through the repair and preservation of historic homes (Plan Section 4.5, Plan Implementation, Table 15, Goal 4 Policy Implementation: Housing Affordability, page 142). 8) Creating value for the citizens of Clearwater and improving the North Greenwood CRA by (themes stressed throughout the Plan): a) Promoting a resident and neighborhood friendly atmosphere; 1 b) Promoting economic development and neighborhood revitalization; c) Incentivizing property owners to enhance and sustain the values of their property; d) Creating a more inviting and visually appealing atmosphere; and e) Instilling a greater sense of place and civic identity. It is not the intent of the CRA to engage in any rehabilitation activity that requires vacating property or displacing any residents from property.. Moreover, this Program does not assist in temporary relocation cost or the development of new construction projects. Rather, it is to rehabilitate existing single-family structures. SECTION 3 — AVAILABLE ASSISTANCE AND PROGRAM ELIGIBILITY The Program provides a matching grant, as specified below, of up to $20,000 to assist applicants with exterior home repairs. Program assistance is based on a sliding scale and adjusted for family size and income limits, which are subject to change from time to time. Applicants with Household incomes that exceed 120% Area Median. Income do not qualify for this Program. Applicant will match the grant amount by the percentages listed below (must provide proof of matching funds prior to project work commencing): Area Median Income (AMI) % Applicant Contribution/Match 0 — 30% 5%* 31%-50% 10%* 51% — 80% 15%** 81% —120% 20%** 121% — plus Not eligible for grant. *Match may be waived at the rate of one hour of community service per $150 of approved grant amount and will be added back into the total grant amount not to exceed $20,000. **Up to 50% of Applicant's match may be waived at the rate of one hour of community service per $150 of approved grant amount and will be added back into the total grant amount not to exceed $20,000. (Community Service must be performed by Applicant, or anyone over 18 years of age legally residing in the home, within the NGCRA boundary and through a tax- exempt not-for-profit organization recognized by the CRA or City of Clearwater. Community service must be performed without pay or compensation from the not-for- profit organization, and service must be performed in full hour increments rounding up to the nearest whole hour. Scope of community service must be pre -approved, by the CRA Director, prior to commencement. In addition, said community service must be performed prior to release of grant funds.) The CRA Director may waive, or reduce, on a case-by-case basis, the community service provision for certain individuals with disabilities, including age related disabilities, or other verifiable hardships, that prevent the Applicant, and anyone over 18 years of age legally residing in the home, from performing community service. In the event the waiver is granted, then the Applicant Contribution/Match will be set to zero percent. The grant is a reimbursement grant, unless otherwise approved by the CRA Director to pay an approved licensed contractor directly, no more than one payment within a 30 -day period. The CRA Director may require in all grant applications that licensed contractors 2 be paid directly, eliminating the need for homeowners to pay contractors, and then requesting reimbursement from the CRA. The chart below is data provided by the Florida Housing Finance Corporation (FHFC) which is based upon figures provided by the United States Department of Housing and Urban Development (HUD) and are subject to change. Updated charts by FHFC will supersede any income limit chart provided within this document. When updates are made available by FHFC, the chart below will be updated. County (Metro) Percentage Category Income Unit by Number of Persons in Household 1 2 3 4 5 8 7 8 PinellasCourdy 30% 21,050 25,050 1 28,200 32,150 37,650 43,150 48,650 54,150 'Tames-St.Petersbarg- 50% 36,500 41,700 46,950 52;1 r0 56,350 60,500 64,700 68,850 Clearwater MSA) 80% 58,450 66,800 ' 75,150 83,450 90,150 95,850 103,500 110,200 Median_ ,400 120% 87,800 100,080 112,680 125,160 ; 135,240 145,200 155,280 165,240 140% 102,200 116,760 131,460 146,020 157,780 169,400 181,160 192,180 Eligibility Criteria To be eligible for the Program, the project/property must meet all the following qualifications: • Applicant must be the owner of the subject property. * • The subject property must be a single-family home. • Property must be located within the North Greenwood Community Redevelopment Area. • The single-family home must be the primary residence and legal homestead of the Applicant. In addition, the following may qualify for the Program. • Owners of property that have applied to Pinellas County for homestead exemption consideration may be eligible for this Program. • Applicants that reside at the property, control said property other than through outright ownership, and are authorized to approve the repairs and other work that are the subject of this program, may provide alternative documents to substantiate that they have such control and authority regarding the property. This documentation may include probate court documents, wills, heirship affidavit, letters of administration, or other legal documentation. After review of the documents, the residing applicant(s) may qualify for the Program, provided the applicant(s) wishing to apply for the Program reside at the property as their primary residence. If such control or authority is disputed by another party or parties, the application may be denied until such time as the Applicant resolves such disputes. • Must demonstrate property taxes are current or a satisfactory payment plan is approved by the CRA Director. • Must be current on mortgage payments (if applicable). • Must be in good standing with the city (no outstanding code enforcement or building code violations). This requirement may be waived by the CRA Director if the work proposed under this application will remediate the code violations. • If combined with a Home Rehabilitation Loan from the Economic Development and Housing Department, other requirements may vary. *The owner of the Property (Owner) shall be the. Applicant. Owner means a holder of any legal or equitable estate in the premises, whether alone or jointly with others and 3 whether in possession or not shall include all individuals, associations, partnerships, corporations, limited liability companies and others who have interest in a structure and any who are in possession or control thereof as agent of the owner, as executor, administrator, trustee, or guardian of the estate of the owner. No Owner shall receive more than $20,000 in total CRA grant value across all CRA grant programs within a 36 - month rolling year. For the purposes of this application, the total CRA grant value that an Owner has received over such period shall be the combined value, in the 36 month period immediately preceding the submission of an application for this program, of: (1) the amount of CRA grant funds that the applicant has received; (2) the amount of CRA grant funds that any holder of legal title in the subject property other than the applicant has received; and (3) if a business entity holds legal title in the subject property, the total amount of CRA grant funds received by any directors, members, partners, shareholders, any others with an ownership interest in such entity, and any others able to exert managerial control over or direct the affairs of said entity. Previous Participation — Each property may not receive a grant any more than every thirty-six months. The following are ineligible for Program assistance: • Work or improvements that are completed prior to an application being approved. • Any unpermitted work or improvements performed on the property that required a permit and inspections. • Any work or improvements on the property that fail required inspections. • Multi -family properties. • Properties that do not qualify for homestead exemption. • New construction or improvements on vacant land. Project Implementation Projects are to be coordinated, managed, and implemented by the Applicant with close interaction with Community Redevelopment Agency Department staff and the appropriate City departments. Applicant is responsible for obtaining/arranging any permits required by the city. SECTION 4 — ELIGIBLE RESIDENTIAL IMPROVEMENTS One or more of the following improvements may be eligible for Program assistance: 1) Exterior repairs (walls, foundation, piers, siding, etc.); 2) Exterior painting; 3) Exterior windows and doors; 4) Roof repairs or replacement, including facia board, soffits, and gutters; 5) Window or door awnings and shutters (including hurricane shutters; replacement or repair); 6) Exterior weatherization improvements; 7) The installation, repair, or renovation of porches; 8) The installation of decorative lighting; 9) Decorative fencing; 10) Driveway, pedestrian walkways/pathways, and sidewalk improvements; 11) American with Disabilities Act (ADA) accessibility improvements; 4 12) The installation. of landscaping and irrigation systems, not to exceed twenty percent (20%) of the total grant amount; 13) Tree trimming or removal (requires city approval, and city may require a licensed arborist to confirm tree removal is necessary); 14) Heating, ventilation, and air conditioning (HVAC) systems; 15) Certain interior repairs: a. Interior deterioration/damage directly resulting from an exterior defect or damage, may qualify for grant funding to repair said deterioration/damage. Such interior repairs may include, but are not limited to, load bearing walls, drywall, insulation, and wood repair. However, grant funds must first be used for improvements or repairs to fully remedy the external defect or damage that resulted in such interior deterioration/damage prior to any use of grant funds on interior repairs. b. Interior deterioration/damage that is verified by the city as a life safety issue to home inhabitants. c. ADA accessibility improvements. 16) Home fumigation (including tenting if necessary) for termites; and 17) Other improvements may be submitted for consideration but must demonstrate that the improvement meets the intent of this grant program. The following improvements are not eligible for Program assistance: 1) Repairs to unsafe or substandard structures that cannot be made safe for habitation with Program funds. 2) Room additions, garage conversions, repairs to structures separate from the living units (detached garage, shed, etc.), furnishings, and pools. 3) Repairs covered by insurance. 4) Non -permanent improvements. 5) Enclosing a front porch. 6) Installation of window or door security bars. 7) General interior home improvements and repairs. SECTION 5 — PROGRAM REQUIREMENTS AND APPLICATION PROCESS Program Requirements • All statements and representations made in the application must be correct in all material respects when made. Any applicant requesting grant funding from this program will have their income verified by City staff and must supply the items listed below, and, if requested, any other income or employment documents that are not listed below: • If applicable, self-employed year to date profit and loss statements. • All pages of last two year's tax returns, with all schedules and W-2s/1099(s). • Most recent and consecutive last two months of bank statements (with bank name and account number) (ALL PAGES, even if blank) for all household members with accounts. • If combined with a Home Rehabilitation Loan from the Economic Development and Housing Department, additional information may be required. Applicants that do not wish to have their income verified will automatically be disqualified from Program participation. 5 • • Color digital photographs of the existing structure exterior, showing all sides of the building, must be provided with application. • An estimated detailed budget must be provided on the attached project budget form (Attachment A). • Work required to be performed by licensed contractors. Applicant must provide, as attachments, three quotes from contractors and copies of their licenses. Quotes to include complete description of materials to be used). o If work is performed by non -licensed workers, then only materials purchased will be eligible for grant funds, unless the work performed was required to be performed by a licensed individual per City codes. • Portions of the project costs not funded by the requested grant must be provided by Owner funding. Owner funding may consist of bank loans, lines of credit, a Home Rehabilitation Loan from the city's Economic Development and Housing Department, and owned assets (Owner Equity), etc. • Owner must demonstrate their source of the Owner Funding and their ability to meet the financial obligations of the Program prior to Program approval. • Proceeds from other City -managed financial assistance programs may be used as Owner Equity to satisfy the Owner Funding requirements of this Program and may be used to assist with funding of remaining portion of larger improvement project. Grant funds cannot be used as Owner Equity to satisfy the Owner Funding requirements of other City -managed financial assistance programs. Grant Application Process • Submittal of an application does not guarantee a grant award. • Grant preference will be given to Applicants at or below 80% AMI, applicants 65 years of age and above, and the disabled. • Completed applications that meet all the Program requirements will be reviewed by the CRA Director. • The CRA Director will approve or deny applications based on the criteria set forth in this document. • Incomplete applications will not be considered submitted until all required documentation has been submitted to Community Redevelopment Agency Department staff. • All construction/design contracts will be between the Applicant and the contractor/design professional. SECTION 6 — DISBURSEMENT POLICY AND PROCEDURE Grant funds will, unless otherwise approved by the CRA Director to allow initial project deposits or other necessary draws, up to fifty percent of the grant amount, to be paid directly to a City/CRA approved licensed contractor, be disbursed upon a "Finding of Project Completion" by CRA Director. A "Finding of Project Completion" will be granted when the following criteria are met: 1) Applicant must demonstrate their ability to meet the financial match/obligations of the Program and any required community service has been completed by qualifying applicants. 6 2) Requests for disbursement of project costs will be viewed as a single, completed package, unless prior disbursement of funds arrangements have been made to pay licensed contractors directly (no more than one payment within a 30 -day period). Costs not included in the approved application budget will not be considered for disbursement. 3) Required documentation for disbursement of project costs must include: a. Copies of cancelled checks, certified checks or money orders of project costs, or credit card statements of project cost; b. Detailed invoices and paid receipts signed, dated, and marked "paid in full;" c. Name, address, telephone number of design professional(s), general contractor, etc.; and d. Photos of the project (before and after photos). 4) The Applicant must have obtained all necessary/required permits (e.g. zoning and building), passed all required inspections, and prior to final disbursement of funds received (if relevant) notice, in the form of a Certificate of Occupancy or Certificate of Completion for the project demonstrating the legal occupancy of the project area. Any work performed without a permit that required a permit will not be eligible for grant funding. 5) The CRA disburses funds to grant recipients within 30 days of fully completed reimbursement request. SECTION 7 — GRANT EXPIRATION Applicants must receive a "Finding of Project Completion" within 180 calendar days from the date of application approval. After the said 180 days, the grant will expire. An extension for the grant funds may be granted by the CRA Director for a good cause. It is the responsibility of the Applicant to request, in writing, from the CRA Director an extension of the grant approval before the expiration date. SECTION 8 — COMPLIANCE WITH THE CITY OF CLEARWATER ETHICS CODE The applicant will comply with all applicable City rules and regulations including the City's Ethics Codes. Moreover, each applicant to the Program acknowledges and understands that the City's Ethics Code prohibit City employees from receiving any benefit, direct or indirect, from any contract or obligation entered with the City. 7 EXHIBIT "B" RESIDENTIAL EXTERIOR IMPROVEMENT GRANT PROGRAM POLICY 11 EXHIBIT "C" GRANT APPLICATION AND PLAN SPECIFICATIONS 12 SECTION 9 — APPLICATION 1) Applicant (Property Owner) Full Legal Name(s): 0\ Cm, \-\ \ ,\ Mailing Address: *---70\ r�l\ _ City/State/Zip: e\ ecrLa1- r 2g -75s- Phone E-mail P(idress nctcsbAcNare t t Number: jor7 3 g3 -- 2) Subject Property c6n1 ( qi.- i'f S`I/ Vnodkn a SSesnnccjc- Address commonly known as: '712 NtGHOL cI Si - Parcel Identification Number(s): 09--29 - 15-Ge1o2.- oot - COO 3) Project description, scope of work to be performed, sketch plans and specifications detailing the scope of work (provide attachment(s) if needed). (Applicant understands that depending on the project, certain city departments may require additional documentation, plans, etc. to properly review and approve the proposed project described in this application.) ior tllC w n- d ocvS 8 9 4) Financial and Other Disclosures Annual Household Income: $45 CS30 4P (Income examples (not limited to the following): employment or self-employment income, Social Security, Pension, Disability, etc.) Household Size: # Le s Is the subject property current with property tax payments, mortgage payments (if applicable), fees, and in compliance with City codes and regulations? (must provide copiespf property tax payment and mortgage payment statements) Yes ( V No If no, please explain: Have you received a loan or grant assistance from a city -managed financial assistance progra or a project at the subject property? Yes No 10 If yes, please specify the program(s), dates received, and the loan/grant amount(s) below or provide attachment(s). Program Name: Date Received: Amount Received $ Program Name: Date Received: Amount Received $ 5) Amount of Grant Requested under this program: $ .01,6 I AAO Are you requesting direct payment of approved grant funds to an authorized contrac r? Yes F No If yes, please specify the contractor's name: Note: This option must be approved by the CRA Director. 9 AtLu.hment A - Project Budget Fc, m (Attach contractor/vendor estimates/quotes for consistency verification of items listed below. Contractor/vendor estimates/quotes improvement item descriptions and cost will supersede if improvement item descriptions and cost are listed different below. If more project budget form lines are need, Applicant may duplicate budget template below on separate sheet. If new Project Budget Form is created, write "See Attached" in Line No. 1 below. For Applicant Use For staff use only Line Item No. Improvement(s) Item Description (Including construction materials, labor, permitting, other fees, etc.) Improvement(s) Cost Amount Line Item Eligible for Grant Consideration Yes/No Cost Amount Eligible for g' Grant 1 1 q V �i nekO1M rept l \1( $ $ 2 1 Tvoc 9: $:lm rcpiarfd $ $ 3 $101 !@0.56 03, 1C3 X0(0, 4 $ $ 5 $ $ 6 $ $ 7 $ $ 8 $ $ 9 $ $ 10 $ $ 11 $ $ 12 $ $ 13 $ $ 14 $ $ 15 $ $ 16 $ $ 17 $ $ - Total Improvement(s) Cost Amount $ Total Cost Amount Eligible for Grant Consideration $ _Line ,No: ' : :_ _: . _ :. ' , .: Fo'r Staff Use Only : . . 1• ;TotalCost Arnount Eligible for :Grarit Consideration (from `Attachment A above and/or from .attached 'contractor estimates/quotes. , . lk l ,'.2 Amount of Grant Requested under this program (Section'9question,5 of Application)• M 3 Enter�the amount with the lower monetary value from=either Line No::1 or Line No `2.. 4 - Enter:required Applicant Contribution/Match`(either 5 •,o, 15% or 20% pontribution/match see Section, 3 of Grant Program).... r 5 Subtract Line No:.4 from Line No 3 and enteramount 6 . ,Enter.value of eligiblecommurnty service hours for'contnbution/match waiver, if applicable, (See Section 3 of Grant Program for value of service.h ) Number of service hours' approved' by CRA;Director.. :. $ ^^ c.c , 7. - Add Line No. 6 to amount in. Line NO: 5 and enter amount ', " $ 8 . - Enter. amount from Line N�. 7 This is eligible grant award amount to enter m; approval letter r` $ 10 PLEASE NOTE: For multiple signers: This Application may be executed in one or more counterparts, each of which when executed and delivered, shall be an original, but all such counterparts shall constitute one and the same instrument. I ACKNOWLEDGE THAT I HAVE RECEIVED AND UNDERSTAND THE GRANT GUIDELINES HEREIN ABOVE STATED. IN ADDITION, BY EXECUTING THIS APPLICATION, I ACKNOWLEDGE THAT I AM LAWFULLY AUTHORIZED TO EXECUTE THIS APPLICATION AND THAT ALL INFORMATION AND STATEMENTS CONTAINED HEREIN AND ON ANY ATTACH EMENTS ARE TRUE, CORRECT, AND COMPLETE. get,/c OMI Xi/1 Applicant Signature rinted Name Date STATE OF COUNTY OF The foregoing instrument was acknowledged before me this o� day of k_Th, 20 -1—y., by CCLVV\k4 produced identification. Type of identification produced: L—�J �' �L2✓1 who [ ] is personally known to me or [ ] has My commission expires: 594'9.4 (Notary Seal) Not Public Signature Notary Public GREGORY A MANDESSIAN Notary Public State of Florida Comm# HH41941.7 Expires 8/7/2027 rint Name Mail or hand deliver completed application form to: Community Redevelopment Agency _ City of Clearwater / 600 Cleveland Street, Suite 600 / Clearwater, FL 33755 For question call the Community Redevelopment Department at 727-562-4039 11 Form W -9 (Rev. March 2024) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. Print or type. See Specific Instructions on page 3. 1 Name of entity/individual. An entry is required. (For a sole, proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.) ( 1 2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only o of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) dividual/sole proprietor • C corporation • S corporation III Partnership • Trust/estate . . ii LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check box for the tax classification of its owner. for the tax the appropriate Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) ■ Other (see instructions) 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, this box if you have any foreign partners, owners, or beneficiaries. See instructions classification, check (Applies to accounts maintained outside the United States.) II 5 Address (number, street, and apt. or suite no.). See instructions. 7/ m) t(hi) Icon - Requester's name and address (optional) 6 City, state, and ZIP code _ -- C� W 3-1 C S 7 List account number(s)�re (optional) Part I Taxpayer Identification Number (TIN) - - I c..... --witn„mhur Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. Part II ) Employer identification number Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required tosign ntthe certification, but you must provide your correct TIN. See the instructions for Part II, later. U.S. personA Qm M!\A. 1 �Q�I� �J\ Date 1 / f (J New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Sign Here Signature • `J General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. What's New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise. it should check the "LLC" box and enter its appropriate tax classification. Cat. No. 10231X Form W-9 (Rev. 3-2024) BID PROPOSAL Boutros Construction, LLC 108 Pinckney St. Oldsmar FL 34683 CBC 1262525 CGC 1532346 813-358-6056 TO: Mr. Hill 712 Nicholson St Clearwater, FL 33755 727-692-1454 vondena55na gmail.com Breakdown of Scope of Work and Cost AMOUNT HVAC System Replacement: This includes the replacement of the existing HVAC system with new 2.5 Ton 14.3 SEER2 Straight Cooling HVAC System, Tuttokool Brand (Labor and Materials). 7,000.00 Windows Replacement: This includes the replacement of 9 window openings with new 8800 Series Wincore Impact Rated Vinyl Windows with low E and Argon gas (Labor and Materials). NOTE: The windows have a limited lifetime factory warranty and a 1 -year labor warranty. Stucco/ drywall repairs are included. See attached quote with order # 1702768 for itemized windows estimate. 12,920.36 Permit Fees: 200.00 TOTAL ESTIMATED JOB COST 520,1-20.316j Mina Boutros PREPARED BY BOtJT_ROS CONSTRUCTION 10/6/2025 DATE RE: Letter of Intent to Volunteer CITY OF CLEARWATER COMMUNITY REDEVELOPMENT AGENCY POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748 600 CLEVELAND STREET, CLEARWATER, FLORIDA 33755 TELEPHONE (727) 562-4039 As part of the North Greenwood Community Redevelopment Agency (NGCRA) Residential Exterior Improvement Grant Program, you are making a commitment to complete volunteer hours in order to waive the financial match portion of the grant. This letter serves as a formal acknowledgment of your commitment to complete this volunteer requirement. Applicant Name O.A \ \S AO Organization: 3-"'2- + Li' /4-144-41e-v+-2 Address: ! '7 $7 K449 Contact Person: Y %!15 1 / Contact Number/Email: -2 ' 237 f G 3 z J42 h'n s 8 4111 ►t 4 • 4-151.• Brief Description of Role: Ste- a pr -P prcow-, Total Volunteer Hours Required: / Please Note: In the event the Applicant is unable to complete or provide the amount of hours agreed to in the application, the required contribution shall be reduced by the monetary value of the number of hours actually provided. Volunteer Commitment By signing, you confirm your intent to complete the required volunteer hours to fulfill the volunteer match for the North Greenwood Residential Improvement Grant. Upon completion, our organization may verify your service. Print Name: \ O C"\ V:1\, Signature: /OA A_ Date: CRA Staff Signature: Date: Ryan Cotton, Councilmember Mike Mannino, Councilmember Bruce Rector, Mayor David Allbritton, Councilmember Lina Teixeira, Councilmember "Equal Employment and Affirmative Action Employer" iZ211J tctdeiy,I ". "Cele6rating 25 years of Cu(tura[Arts with the Wear' 1751 Kings Highway 838 22nd Street South Clearwater, FL 33755 St. Petersburg, Fl 33712 (727) 216-3519 (727) 216-3903 Fax email: jaihinson@artz4life.org www.artz4l ife.orq Home of Dundu Dole Urban African Ballet, OST BT2U Girls Program, Young Gents, Explore The Arts Summer Camp, ACE After School Program October 27, 2025 Re: Letter of Satisfied Community Service Hours for Diann Hill Dear Representatives of the City of Clearwater, This letter confirms that Diann Hill fulfilled 12 hours of the required community service hours at Artz 4 Life Academy. Mrs. Hill completed 12 hours of community service in total, assisting with Site cleaning and after-school program setup. It was a pleasure to have her contribute her energy and expertise to our mission and purpose. Please find included the hours tracking sheet used at the Artz 4 Life facility. Please feel free to contact us with any questions, comments, or concerns. ely, Jai_ � on Ex- tiv- Director Artz 4 Life Academy, Inc. ARTZ 4 LIFE ACADEMY's Mission is to reinforce resilience to life's challenges by enhancing education, promoting diversity and developing life skills through cultural and preforming arts for youth, adults and families. 'S i LIFE stctdemy, Inc. "Cel Grating 30 years of Cultural:Arts with the Wo fdl" 1751 Kings Highway 838 22nd Street South Clearwater, FL 33755 St. Petersburg, Fl 33712 (727) 216-3519 (727) 216-3903 Fax email: vmelendez@artz4life.org www.artz4life.orq Home of Dundu Dole Urban African Ballet, OST BT2U Girls Program, Young Gents, Explore The Arts Summer Camp, ACE After School Program SERVICE HOURS - VERIFICATION FORM ,/Volunteer ✓ Community Service Educational Other Name of Participant: vN. -14\\\ Agency Contact and signature Referred: V 1c lbr i` 4 r�t,2 , 721 .2j to .343-11 DATE TIME IN TIME OUT HOURS TYPE WORK STAFF 9,1511.6" 1 O %Li 0 0, 13°•L1 2 ,0 , c, , ve - pt ,�,,, S r .a `SIGNATURE -I..-)1.--6 112t0)2-5 i'v'V c' la'...13° a.v pmscotANN reir--ve ,, rtiltAlw 1.01D Ik.bD a vo (,.__-,e_ ,Q,,,_e -Aj--..-r------ yol02a6'Ia..i? iZ►'.q,V avb -5k_e,, ak, ----7-.- 11* L 1* w. 15:-41-- v 434,-- �lokb\6 ‘ o'.ucc 1,Y.qc 31 t-'0' -,ktk. c")\---1 4 pThp0.1PA This worker has completed the hours he/she has agreed to work for us. This worker has partially completed the hours he/she has agreed to work for us. _V I would be willing to have this individual work for me in the future. I do not wish to have this individual return for community service work in the future. If needed, please call me regarding this worker at (727) 216-3519. ARTZ 4 LIFE ACADEMY's Mission is to reinforce resilience to life's challenges by enhancing education, promoting diversity and developing life skills through cultural and preforming arts for youth, adults and families. ' I e``�}�-� I 3s I - I 09-0g. Ala = P-11 '((, . ` , ' I Photographs Pt S, = (a.42A 6 11 Quotes from Contractors 1e u or Pay 13 Scope of Work Eligible for Grant Award 14 Volunteer Hours for Applicant's Match 15 Applicant is Requesting a Wavier 16 Property Tax are Current 17 Code Violations 18 W9 19 Vendor Request/PO 20 Create Grant Agreement 21 Additional Information Residential Exterior Improvement Grant Program Due Diligence Check Applicant: b 6 `(' Hill Property Address: - N v 'L l 6 Requirement: 1 Entered into Grant Log 2 Applicant is the Property Owner 3 Located in CRA Boundary 4 Single -Family Residential Property 5 Primary Residence/Legal Homestead 6 Area Median Income/Applicant Match 7 Completed Application w/ Project Budget Form 8 Self -Employed, Tax Returns, Bank Statements 9 Income Verification a1 y . S-1 — �1��.5 1 - j1, otal Project Cost Eligible for Grant Consideration Applicant's Match Amount Grant Amount iRecpmm nd d by Staff V S l d-- li —; Yes_1fo_ Yes1_4'o_ Yest, No_ Yes_VAQo_ Yeo_ Yes_ No_ Yes No_ Yes j) Iles_ No_ Yes YesVATo Yes No_ Yes No Yes No_ Yes No Yes Po_ Yes+_4q_ YevIQo_ Yes_ No_ Yes_ No_ r� anal6WFDLyt. vJ 1 .nn . Comments: Sp to ? p ata, 1aRa.ssibw c1u,+C)'[-I 1 c Qrn J 1013o la), tab. 3CL CRA ED Approval. Yet‘ Date: 111 VIP Sr- Yest Date: Zi (r ( Z `5.-- Approval Comments: Entire File Scanned in Sharepoint Wd-- Ow, R -i C GJIvn Date: tb vYlG,d — Senct-��.R,. Am I located within the North Greenwood CRA? Enter street address 712 Nicholson St, Clearwater, FL, USA Search Map Satehite Po91 Chrv,,I OLD C a —rar'ada or 0 Use my location bw�td Cr _ . 5> N Soars Cr -- Sower t Mho ad •ate A! "met St 1 .rood St Ver k'e1trror SI treeraW. SI tll w:; Urerleo St St Sx H A ROO BLUFFS WATERFRONT > z 1 ,. i0.Ewa *R. PLAZA I 4 ria ',kerr SI O a Cia:a R C°ew St Lan. St i EareCa SI COUNTRY CLUB ESTATES 2 7 Nt. Grc c S! Clearwater DOWNTOWN Area Not in Clearwater Jurisdiction g North Greenwood CPA Boundaries X15 1 a � l J 5 I SUNSET LAKE A 3 ESTATES 4 Etxx,r1+4e Sunset Poli Rd Sptng In : I ! I w BRENTWOOD ESTATES 7 en. St � G„kv+a.. al S• Saneyln arvler1 St l c..ocC Dt Crown SI er Iter.ocd SI CLeilry C:: -roti SI P. 8,00i tr * Czar: Sx n ► q i Pair, rt,) z 'Xair at 51 v ,7 E: inward St 3 > Nifty Sr c N rit+scut St PuMm2tto St GLENW00D Drew St t•, Kuto rd Qdrtotr. +A.10 r.., G:232Ti Cocoa Torts G Pinellas County Property AppraisC Nww.pcpao.gov Parcel Summary (as of 19 -Sep -2025) Parcel Number 09-29-15-60102-001-0090 Owner Name H N Property Use 0110 Single Family Home Site Address 712 NICHOLSON ST CLEARWATER, FL 33755 Mailing Address 712 NICHOLSON ST CLEARWATER, FL 33755-3836 Legal Description NICHOLSON'S, IRA E. ADD BLK 1, LOT 9 LESS E 13FT FOR ST AND LESS S 15FT FOR RD & LOT 8 LESS W 17FT AND LESS RD ON S Current Tax District CLEARWATER (CW) Year Built 1994 Generated on 09/19/2025 16:14 PM Parcel Map Exemptions Year Homestead Use % 2026 Yes 100% Assuming no ownership changes before Jan. 1, 2026. Status 2025 Yes 100% 2024 Yes 100% Property Exemptions & Classifications No Property Exemptions or Classifications found. Please note that Ownership Exemptions (Homestead, Senior, Widow/Widower, Veterans, First Responder, etc... will not display here). Miscellaneous Parcel Info Last Recorded Sales Deed Comparison Census Tract Evacuation Zone Flood Zone Elevation Certificate Zoning Plat Bk/Pg 08554/0182 $363,500 262.00 NON EVAC Current FEMA Check for EC Maps Zoning Map H2/44 2025 Preliminary Values Year Just/Market Value Assessed Value/SOH Cap County Taxable Value School Taxable Value Municipal Taxable Value 2025 $308,473 $85,875 $35,153 $60,875 $35,153 Value History (yellow indicates corrected value) Year Homestead Exemption Just/Market Assessed Value/SOH County Taxable Value Value Cap School Taxable Value Municipal Taxable Value 2024 2023 2022 2021 2020 Y Y Y Y Y $366,473 $330,920 $201,731 $210,550 $195,217 $83,455 $81,024 $78,664 $76,373 $75,319 $33,455 $31,024 $28,664 $26,373 $25,319 $58,455 $56,024 $ 53,664 $51,373 $50,319 $33,455 $31,024 $28,664 $26,373 $25,319 202 'Wing 1 Structural Elements and Sub Area lnf.. ..tion Structural Elements Foundation Continuous Footing Poured Floor System Slab On Grade Exterior Walls Cb Stucco/Cb Reclad Unit Stories 1 Living Units 1 Roof Frame Gable Or Hip Roof Cover Shingle Composition Year Built 1994 Building Type Single Family Quality Average Floor Finish Carpet/ Vinyl/Asphalt Interior Finish Drywall/Plaster Heating Central Duct Cooling Cooling (Central) Fixtures 6 Effective Age 27 Sub Area Living Area SF Gross Area SF Base (BAS) Garage (GRF) Open Porch (OPF) Total Area SF 1,394 0 0 1,394 34 BAS 41 41 1394 34 21 20 GRF 420 20 15 OPF 6 6 84 1,394 420 84 1,898 2025 Extra Features Description Value/Unit Units Total Value as New Depreciated Value Year No Extra Features on Record. Permit Data Permit information is received from the County and Cities. This data may be incomplete and may exclude permits that do not result in field reviews (for example for water heater replacement permits). We are required to list all improvements, which may include unpermitted construction. Any questions regarding permits, or the status of non -permitted improvements, should be directed to the permitting jurisdiction in which the structure is located. Permit Number Description Issue Date Estimated Value BCP2024-040064 ROOF 04/02/2024 $10,500 BCP2023-030607 WINDOWS/DOORS 03/21/2023 $2,285 BCP2006-23072 ADDITION/REMODEL/RENOVATION 04/14/2006 $500 Search > Account Summary Real Estate Account #R99962 Owner: Situs: Parcel details HILL, DIANE 712 NICHOLSON ST PropertyAppraiserE CLEARWATER 9 Homestead Exemption uGet bills by email Amount Due Your account is paid in full. There is nothing due at this time. Your most recent payment was made on 11/27/2024 for $748.28. Account History J�7 BILL AMOU DUE STATUS ACTION 2024 Annual Bill 0 $0.00 Paid$748.28 11/27/2024 Receipt#0-24-137647 SI Print(PDF) 2023 Annual Bill 0 $0.00 Paid $71. 11/29/2023 Receipt #0-23-153054 (0 Print (PDF) 2022 Annual Bill 0 - aid $676.73 11/29/2022 Receipt #0-22-149703 ! 1 Print (IE:01) 2021 Annual Bill 0 $0.00 Paid $666.31 11/22/2021 Receipt #0-21-126629 (l Print (PDF) 2020 Annual Bill 0 $0.00 Paid $654.63 11/30/2020 Receipt #0-20-118616 Print (PDF 2019 Annual Bill 0 $0.00 Paid $647.51 11/25/2019 Receipt #0-19-073716f'3II_ Print (PDF) 2018 Annual Bill 0 $0.00 Paid $645.70 11/29/2018 Receipt #0-18-064700 fgl Print (PDF) 2017 Annual Bill 0 $0.00 Paid $629.71 11/30/2017 Receipt #0-17-000640 0 Print (PDF) 2016 Annual Bill 0 $0.00 Paid $633.00 11/23/2016 Receipt #0-16-000519 a Print (PDF) 2015 Annual Bill 0 $0.00 Paid $648.59 11/23/2015 Receipt #0-15-000542 0 Print (PDF) 2014 Annual Bill 0 $0.00 Paid $647.88 11/21/2014 Receipt #0-14-000955 Print (PDF) 2013 Annual Bill 0 $0.00 Paid $649.56 11/22/2013 Receipt #0-13-000700 C1 Print (PDF), 2012 Annual Bill 0 $0.00 Paid $644.22 11/30/2012 Receipt #0-12-000826 0 Print (PDF) 2011 Annual Bill 0 $0.00 Paid $624.08 11/23/2011 Receipt #0-11-000138 C213 Print (PDF) 2010 Annual Bill 0 $0.00 Paid $609.13 11/29/2010 Receipt #0-10-000261 I Print (PDF) 2009 Annual Bill 0 $0.00 Paid $597.71 11/25/2009 Receipt #0-09-000111 01 Print (PDF), 2008 Annual Bill 0 $0.00 Paid $577.98 11/26/2008 Receipt #0-08-000058 0 Print (PDF) 2007 Annual Bill 0 $0.00 Paid $665.19 11/29/2007 Receipt #075-07-00065826 (g Print (PDF) 2006 Annual Bill 0 $0.00 Paid $695.71 11/28/2006 Receipt #066-06-00004155 1 Print (PDF) 2005 Annual Bill 0 $0.00 Paid $704.93 11/30/2005 Receipt #066-05-00003867 Print (PDF) 2004 Annual Bill 0 $0.00 Paid $661.52 11/30/2004 Receipt #075-04-00007871 c1 Print (PDF) 2003 Annual Bill 0 $0.00 Paid $642.69 11/25/2003 Receipt #063-03-00008632 I Print (PDF), 2002 Annual Bill 0 $0.00 Paid $621.59 11/26/2002 Receipt #063-02-00027021 ea Print PDF) 2001 Annual Bill 0 $0.00 Paid $598.68 11/26/2001 Receipt #070-01-00005857 1 Print (PDF) 2000 Annual Bill 0 $0.00 Paid $562.88 11/28/2000 Receipt #075-00-00031257 IIIQ_3 Print (PDF). 1999 Annual Bill 0 $0.00 Paid $533.82 11/29/1999 Receipt #075-99-00029620 0 Print (PDF) Total Amount Due $0.00 Shire, Vickie From: Green, Sarah Sent: Friday, October 31, 2025 1:13 PM To: Shire, Vickie Cr Root, Dana; Garriott, Kevin; Mulder, Rebecca; Kurleman, Scott; Kozak, Ted Subject: RE: Code Violations - Check please No violations from Code Compliance. Sarah Green Code Compliance Supervisor Planning & Development City of Clearwater Office: 727-444-8711 i BRIGHT AND BEAUTIFUL BAY TO BEACH From: Shire, Vickie <Vickie.Shire@MyClearwater.com> Sent: Thursday, October 30, 2025 3:53 PM To: Kozak, Ted <Ted.Kozak@myclearwater.com>; Kurleman, Scott <Scott.Kurleman@myClearwater.com>; Mulder, Rebecca <Rebecca.Mulder@MyClearwater.com>; Garriott, Kevin <Kevin.Garriott@myClearwater.com>; Root, Dana <Dana.Root@myClearwater.com>; Green, Sarah <Sarah.Green@MyClearwater.com> Subject: Code Violations - Check please Good afternoon - Can you please Let me know if any of the properties have violations. They are applying for a North Greenwood Grant 911 N Garden Ave. Clearwater 33755 712 Nicholson Street Clearwater, Fl 33755 Thank you Vickie Shire, FRA -RP CRA Manager: Programs Community Redevelopment Agency Please note that our office has moved! 100 S. Myrtle Ave, 3rd Floor Clearwater, FL 33756 727-444-7127 1 Social Security Administration Benefit Verification Letter Date: September 10, 2024 BNC#: 24F7010F08617 REF: A iiIIIIhIIIpIIniii IIII�III��I��IIIII�I��'�III�II'II��II�I�III� QD9IANN'HILL 712 NICHOLSON ST CLEARWATER FL 33755-3836 You asked us for information from your record. The information that you requested is shown below. If you want anyone else to have this information, you may send them this letter. Information :. t Cu° rent Social Security Benefits Beginning deductions We deduct ecember 202 s E1`.203.6o.._ 0.00 for the f\ 1 monthly Social Security benefit before any edical insurance premiums each month. The regular monthly Social Security payment is $1,203.00. (We must round down to the whole dollar.) Social Security benefits for a given month are paid the following month. (For example, Social Security benefits for March are paid in April.) Your Social Security benefits are paid on or about the fourth Wednesday of each month. Information About Past Social Security Benefits From February 2023 to November 2023, the full monthly Social Security benefit before any deductions was $1,166.30. We deducted $0.00 for medical insurance premiums each month. The regular monthly Social Security payment was $1,166.00. (We must round down to the whole dollar.) Type of Social Security Benefit Information You are entitled to monthly retirement benefits. Date of Birth Information The date of birth shown on our records is January 30, 1961. See Next Page *0)01BEV726GP4UC* CCM.M72.BEV72.R240910 BANKING FOR GOOD' Member Sentic� Center;W--�-..-...727.4313680, 800.593.2274 Member Number: ***1723 Maneyl.Ine,.,—w....,......v.,,,—.727.586:6669, 866,667.9651 Statement Period: 07/01/2024 to 07/31/2024 Website W w _ ..-. .achievacu,co n Page Number: 1 of 5 Mailing address .........—...P.O. Box 1500 I Dunedin FL, 34697 DIANN HILL 712 NICHOLSON ST CLEARWATER FL 33755 Deposit Account Balances as of 07/31/2024 Total Shares: Total Certificates: $1,232.41 $0.00 L I.M IT E:D TIME OFFER GET UP. Ta.$250,W'HiEN YOU: OpEN A CHECKING 'ACCOUNT" U'NT" CONSUMER SAVINGS 0001 Posted Eff Date Date Transaction Description 07/01 Beginning Balance 07/31 Ending Balance Deposit Accounts !TERMS & CONDI-MPG APPLY SCAN THE OR CODE TO,.GET STARTED Withdrawals/ Deposits/ New Debits Credits Balance $27.22 $27.22 Overdraft Fee Summary for this Suffix Overdraft Fees Total Returned Item Fees Total Total for this period $0.00 $0.00 Total year-to-date $0.00 $0.00 ACHIEVA CHECKING PLUS 0600 Posted Eff Withdrawals/ Deposits/ New Date Date Transaction Description Debits Credits Balance 07/01 Beginning Balance $1,516.56 07/01 Bill payment Card purchase Withdrawal CITIBANK, N.A. -60.00 1,456.56 SIOUX FALLS SD 07/01 Bill payment Card purchase Withdrawal CITIBANK, N.A. -60.00 1,396.56 SIOUX FALLS SD 07/01 Withdrawal Loan ID 0023 ******7073 -100.00 1,296.56 07/02 ATM Withdrawal ATM AMSCOT 1-K487442 1874 N. -62.00 1,234.56 HIGHLAND AVE. CLEARWATER FL 07/02 Fee Withdrawal Non-Achieva ATM Fee -3.00 1,231.56 07/02 POS Card purchase Withdrawal BEALLS 914 PATRICIA -150.00 1,081.56 AVE DUNEDIN FL 07/02 POS Card purchase Withdrawal WENDYS #2405 23072 -4.28 1,077.28 US HIGHWAY 19 N CLEARWATER FL 07/02 Card purchase Withdrawal DD DOORDASH -47.69 1,029.59 WINGSTOP (2024-07-01) 8559731040 CA 07/03 POS Card purchase Withdrawal WM SUPERC Wal-Mart -163.53 866.06 Sup Wal-Mart Super Center CLEARWATER FL 502892 BANKING FOR GOOD' Member Service tenter. ---.727.431.7680, S00.5932274 866:667.9651 Mailing address -- .P O. Box 1500 I Dunedin FL, 34697 Posted Eff Date Date Transaction Description Member Number: ***1723 Statement Period: 07/01/2024 to 07/31/2024 Page Number: 3 of 5 Withdrawals/ Deposits/ Debits Credits New Balance 07/19 ACH Withdrawal DIANN HILL PREM DEBIT WASHINGTON NAT 240717/PPD 07/20 Bill payment Card purchase Withdrawal GTL INMATE PHONE SVC RESTON VA 07/23 ACH Withdrawal DIANN HILL LIFE INSUR TruStage 825875206/PPD _ 07/23 VACH ep DIA NN HIL-�-X-(SOC-SEC`SSA-T A 31-0%PPD 07/26 Card purchase Withdrawal DD DOORDASH MCDONALDS (2024-07-25) 8559731040 CA 07/27 POS Card purchase Withdrawal N&S CLEARWATER CA 07/27 POS Card purchase Withdrawal CITI TRENDS #346 1279 CLEARWATER FL 07/28 Card purchase Withdrawal RAINBOW #1008 (2024-07-26) CLEARWATER FL 07/29 ACH Withdrawal Diann Hill INS PREM LINCOLN HERITAGE 800-930-7459/PPD 07/30 Withdrawal Loan ID 0023 ******7073 07/30 POS Card purchase Withdrawal K TIRES INC 1371 SOUTH MISSOURI AVE BELLEAIR FL 07/31 POS Card purchase Withdrawal N&S CLEARWATER CA 07/31 Card purchase Withdrawal DD DOORDASH DUNKIN (2024-07-30) 8559731040 CA 07/31 Card purchase Withdrawal SQ *ATRIUM CAFE (2024-07-30) CLEARWATER FL 07/31 Fee Withdrawal Consumer Achieva Checking Plus Fee 07/31 Annual Percentage Yield Earned 1.000% on average balance of 953.85 from 2024-07-01 through 2024-07-31 07/31 Ending Balance -16.62 -20.00 - 39.20 -10.90 -32.88 -24.57 - 99.51 -184.23 \1S 628.77 608.77 569.57 1,772.57 1,761.67 1,728.79 1,704.22 1,604.71 1,420.48 -100.00 1,320.48 -53.50 1,266.98 - 30.00 -9.06 - 16.59 -6.95 1,236.98 1,227.92 1,211.33 1,204.38 0.81 1,205.19 $1,205.19 Overdraft Fee Summary for this Suffix Overdraft Fees Total Returned Item Fees Total Total for this period $0.00 $0.00 Total year-to-date $0.00 $0.00 DEPOSIT & LOAN ACCOUNTS YEAR-TO-DATE SUMMARY Account 0001 -Consumer Savings 0600-Achieva Checking Plus Total Dividend Federal /Interest /Withholding CD Penalties Finance Charge Charges $4.50 $4.50 $0.00 $0.00 $15.95 $0.00 $15.95 IF YOU ARE IN BANKRUPTCY, OR HAVE BEEN GRANTED A BANKRUPTCY DISCHARGE, THIS NOTICE, LETTER OR STATEMENT IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT INTENDED AS AN ATTEMPT TO COLLECT, ASSESS OR RECOVER ANY PORTION OF A DEBT FROM YOU PERSONALLY. BANKING FOR GOQD- 1 Member Service Centers..„d,.....„,..727.4319680, 8a0.5+33.2274 Member Number: ***1723 MoneyL.ine.G..Wemd—.„mane..—,,.727586.6669, 866:6679651 Statement Period: 08/01/2024 to 08/31/2024 Page Number 1 of 6 Mailing address _................P.o. Box 1500 I Dunedin FL 34697 DIANN HILL 712 NICHOLSON ST CLEARWATER FL 33755 Deposit Account Balances as of 08/31/2024 Total Shares: Total Certificates: $1,812.29 $0.00 LIMITED UP TO EN iA CH 'SC:Aft THE Q 2 CODE' TO, GET, STARTED %x Deposit Accounts CONSUMER SAVINGS 0001 Posted Eff Date Date Transaction Description -!:TERMS&,CONDfTIOMS APPLY Withdrawals/ Debits Deposits/ New Credits Balance 08/01 Beginning Balance 08/01 Deposit Share ID 0600 08/10 ATM Withdrawal ATM AMSCOT 1-K487442 1874 N. HIGHLAND AVE. CLEARWATER FL 08/10 Fee Withdrawal Non-Achieva ATM Fee 08/21 Withdrawal Share ID 0600 Overdraft Transfer 08/25 Withdrawal Share ID 0600 Overdraft Transfer 08/31 Annual Percentage Yield Earned 0.090% on average balance of 132.94 from 2024-08-01 through 2024-08-31 08/31 Ending Balance ACHIEVA C Posted Eff Date Date 08/01 08/01 -102.00 -3.00 -43.10 -19.78 200.00 0.01 Overdraft Fee Summary for this Suffix Overdraft Fees Total Returned Item Fees Total Total for this period $0.00 $0.00 Total year-to-date $0.00 $0.00 HECKING PLUS 0600 08/01 08/01 08/01 Withdrawals/ Transaction Description Debits Beginning Balance POS Card purchase Withdrawal WAL-MART #4667 -23.46 1803 N HIGHLAND AVE CLEARWATER FL Withdrawal Share ID 0001 -200.00 POS Card purchase Withdrawal DOLLAR -GENERAL -11.49 #9256 DG 092561600 N MYRTLE A CLEARWATER FL ACH Deposit HILL DIANN PAYROLL PINELLAS COUNTY /PPD Deposits/ Credits 375.00 $27.22 227.22 125.22 122.22 79.12 59.34 59.35 $59.35 New Balance $1,205.19 1,181.73 981.73 970.24 1,345.24 502892 BANKING FOR GO©©' E Member Service Center:.. MoneyLine.dmWmem .............727.431.7680, 600.5.93.2274 .. W. m.727566.rr669, 866,6679651 Mailing address d , .P.O. Box 1500 I Dunedin FL, 34697 Posted Eff Date Date Transaction Description Member Number: ***1723 Statement Period: 08/01/2024 to 08/31/2024 Page Number: 3 of 6 Withdrawals/ Debits Deposits/ New Credits Balance 08/06 Card purchase Withdrawal AMK PINELLAS CNTY JAIL (2024-08-05) CLEARWATER FL 08/07 Bill payment Card purchase Withdrawal NETFLIX.COM LOS GATOS CA 08/07 POS Card purchase Withdrawal WENDY'S 125 2290 GULF TO BAY BLVD CLEARWATER FL 08/08 Card purchase return Withdrawal Adjustment ACCESS/MCP INMATE PACK (2024-08-07) SAINT LOUIS MO 08/08 Card purchase return Withdrawal Adjustment ACCESS/MCP INMATE PACK (2024-08-07) SAINT LOUIS MO 08/10 POS Card purchase Withdrawal GG III SAVE A LOT #437 950 PATRICIA AVE DUNEDIN FL 08/11 POS Card purchase Withdrawal PUBLIX 619 SOUTH FT HARRISON A CLEARWATER FL 08/11 Card purchase Withdrawal DD DOORDASH CHIPOTLEM (2024-08-09) 8559731040 CA 08/11 Card purchase Withdrawal DD DOORDASH MCDONALDS (2024-08-10) 8559731040 CA 08/13 Card purchase Withdrawal DD DOORDASH POPEYESLO (2024-08-12) 8559731040 CA 08/15 ACH Deposit HILL DIANN PAYROLL PINELLAS COUNTY /PPD 08/15 Card purchase Withdrawal DD DOORDASH MCDONALDS (2024-08-14) 8559731040 CA 08/18 Bill payment Card purchase Withdrawal HULU 877-8244858 CA SANTA MONICA CA 08/18 POS Card purchase Withdrawal DOLLAR -GENERAL #9256 DG 092561600 N MYRTLE A CLEARWATER FL 08/18 ATM Withdrawal DODGESDUNEDIN 466 PATRICIA AVE US DUNEDIN FL 08/18 Fee Withdrawal Non-Achieva ATM Fee 08/18 POS Card purchase Withdrawal DOLLAR TREE 928 PATRICIA AVE DUNEDIN FL 08/19 POS Card purchase Withdrawal 7 -ELEVEN 1725 DREW ST US CLEARWATER FL 08/19 ACH Withdrawal DIANN HILL INS PREM WASH NATL INS983 /PPD 08/19 Card purchase Withdrawal AMK PINELLAS CNTY JAIL (2024-08-18) CLEARWATER FL 08/20 ACH Withdrawal DIANN HILL PREM DEBIT WASHINGTON NAT 240818/PPD 08/20 ACH Withdrawal DIANN HILL PREM DEBIT WASHINGTON NAT 240818/PPD 08/21 ACH Withdrawal DIANN HILL LIFE INSUR TruStage 825875206/PPD 08/21 Deposit Share ID 0001 Overdraft Transfer 08/21 POS Card purchase Withdrawal METRO BY T MOBILE 1750 DREW STREET CLEARWATER FL -49.98 -26.02 -11.11 234.50 208.48 197.37 7.64 205.01 42.19 247.20 -13.66 233.54 -15.04 218.50 -26.73 191.77 -10.78 180.99 -11.75 169.24 425.06 594.30 -13.41 580.89 -14.71 566.18 -24.08 542.10 -43.50 498.60 -3.00 495.60 -34.34 461.26 -20.00 441.26 -35.30 405.96 -69.98 335.98 -18.90 317.08 -16.62 300.46 -39.20 261.26 43.10 304.36 -269.40 34.96 Change of Address - If you change your mailing address, telephone number, and/or e-mail address, we are asking you to promptly notify us of the change by telephone or in writing at the number or address indicated on your statement. Account Agreement - When you opened your account, you received an Account Agreement, a Schedule of Fees and Rates in effect at time of account opening. You agreed that your account(s) would be governed by the terms and conditions of these documents as amended from time to time. The most current versions of these documents may be obtained from Achieva Credit Union at any time and can be viewed on our website at www.AchievaCU.com. In Case of Errors or Questions About Your Electronic Transfers - Telephone us at the number listed on the front of your statement or Write us at the address on the front of your statement as soon as you can, if you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. 1. Tell us your name and account number (if any). 2. Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error or why you need more information. 3. Tell us the dollar amount of the suspected error. W oestigate your complaint and will correct any error promptly. If we to than 10 business days to do this, we will credit your account for the alrount you think is in error, so that you will have the use of the money during the time it takes us to complete our investigation. For Consumer Accounts used primarily for personal, family or household purposes, we will investigate your complaint and will correct any error promptly within 10 business days (20 business days for new accounts). If we need more time, we may take up to 45 days (90 days for new accounts, point-of-sale or foreign -initiated transactions). We will credit your account for the amount of the suspected error within 10 business days of your notification so that you have use of the money while we investigate. We will contact you with the result within three business days after we complete the investigation.You have the right to ask for copies of the documents used . in the investigation. For Other Accounts: we will investigate, and if we find we have made an error, we will credit your account at the conclusion of our investigation. Reporting Other Problems -You must examine your statement carefully and promptly. If you do not notify us in writing within the time period specified in the account agreement (either 60 days or in some cases 30 days after we make the statement available to you, based on type of account), we are not liable to you, and you agree not to make a claim against us for the problems or unauthorized transactions. Direct Deposit - If you have arranged to have direct deposits made to your account at least every 60 days from the same person or company, you may call us at thenumber listed on the front of this statement, visit the Achieva website at wivw.AchievaCU.com and sign -in to Home Banking, or use our Audio response system (MoneyLine) to determine if the deposit was made as scheduled. , Negative Information Notice - We may report information about your loan, share or deposit accounts to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report. Billing Rights Summary for Open -End Credit - In Case of Errors or Questions About Your Bill If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet at the mailing address listed on the front of your statement as soon as possible. We must hear from you no later than 60 days after we sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: • Your name and account number. • The dollar amount of the suspected error. • Describe the error and explain, if you can, why you believe there is an error. If you need more information, describe the item you are unsure about. You do not have to pay any amount in question while we are investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate your question, we cannot report you as delinquent or take any action to collect the amount you question. How to Compute Your Finance Charge for Open -End Loans - The Finance Charge begins to accrue on the date of each advance and accrues for each day the balance remains unpaid.The unpaid balance for each day is multiplied by the applicable daily periodic rate to determine the Finance Charge for that day. The sum of these daily charges is the Finance Charge. The unpaid balance is the outstanding balance at the close of business after all transactions have been entered. NCUA Equal Housing Lender. Federally Insured by NCUA. 504D30 9/15/24, 1:13 I'M G Job Info Employee Self Service Log Out ou are>loggeddn•as:_ . Primary Job: BUS ASSISTANT Sch/Dept Transportation (5590) Home About ESS Pay Info Salary 12 Month Pay Opt Summer Bridge Application Leave 1095C W2 W4 Job: BUS ASSISTANT: Annual Salary: Annual Supplements: Total: Base Hourly Rate: Bi Weekly Salary: Months/Year. Days/Year: Hours/Day: Employee ID: 41881 SSN: xxx-xx-6541 SchlDept: Transportation: (5590) $186&2240 s c IriI„� $275.00 $18 $16.20 $86.02-- 9.0 j Original Hire Date: 9/28/1987 Bargaining Unit: SEIU Union Personal/Emergency ContactInfi Benefit & Comp. Guide Certification Employee Contracts Leave of Absence Request Hurricane Shelter Commitment Contracted Services A Beneflex Confirmation https://ess.pcsb.org/EmpSS/JobDetails.aspx 6.00 Continuing Hire Date: 8/21/2023 1/1 BANKING FOR GOOD - Member Service Center.__,..,__.._.p27.431.7660, 500593.2274 Member Number: ***3338 MoneyUna. ., .. _. ,..___.7 :586.6669, 866.667.96S1 Statement Period: 08/01/2024 to 08/31/2024 Websrte .achievacu.con, Page Number: 1 of 7 Mailing address .P.O. Box 1500 I Dunedin FL, 34697 UNCEILSV H1L 712 NICHOLSON ST CLEARWATER FL 33755-3836 • N7117 Deposit Account Balances as of 08/31/2024 Total Shares: Total Certificates: $4,880.53 $0.00 SCAN'THE,QR :CODE TO GETrSTARTED`;;;' CONSUMER SAVINGS 0001 Posted Eff Date Date Transaction Description 08/01 Beginning Balance 08/31 Ending Balance Deposit Accounts ,•,TERMS& CONDrr10NS APPLY Withdrawals/ Deposits/ New Debits Credits Balance $14.70 $14.70 Overdraft Fee Summary for this Suffix Overdraft Fees Total Returned Item Fees Total Total for this period $0.00 $0.00 Total year-to-date $0.00 $0.00 ACHIEVA CHECKING PLUS 0600 Posted Eff Withdrawals! Deposits! New Date Date Transaction Description Debits Credits Balance 08/01 Beginning Balance $4,682.51 08/01 ATM Withdrawal MUNCHIES EXPRESS 614 UNION ST -103.95 4,578.56 US DUNEDIN FL 08/01 Fee Withdrawal Non-Achieva ATM Fee -3.00 4,575.56 08/01 POS Card purchase Withdrawal DOLLAR -GENERAL -17.66 4,557.90 #9256 DG 092561600 N MYRTLE A CLEARWATER FL 08/01 Card purchase Withdrawal BURGER KING #2816 Q07 -10.68 4,547.22 (2024-07-31) CLEARWATER FL 08/02 ACH Withdrawal HILL, POUNCEIL ADTPAPACH ADT -82.94 4,464.28 SECURITY SER /PPD 08/02 POS Card purchase Withdrawal WAL-MART #1712 -22.19 4,442.09 Wal-Mart Super Center LARGO FL 08/02 ATM Withdrawal 7ELEVEN-FC 800 MISSOURI AVE -100.00 4,342.09 CLEARWATER FL 08/02 Card purchase Withdrawal BURGER KING #2816 Q07 -6.41 4,335.68 (2024-08-01) CLEARWATER FL 502892 BANKING FOR GOOD Member veru a Center.... -727.4313681;1300E93.2274 MoneyLiagvm .. �mm�._om... ___J27 586.6669, 8664679651 'sebalte...achievaeu.com Mailing address ...m,.a_. .PA. Box 150O I Dunedin FL, 34697 Member Number: ***3338 Statement Period: 08/01/2024 to 08/31/2024 Page Number: 3 of 7 Posted Eff Withdrawals/ Deposits/ New Date Date Transaction Description Debits Credits Balance 08/11 Card purchase Withdrawal KFC G135050 (2024-08-10) -12.40 3,128.23 CLEARWATER FL 08/12 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -62.75 3,065.48 CLEARWATER FL 08/12 Fee Withdrawal Non-Achieva ATM Fee -3.00 3,062.48 08/12 ATM Withdrawal ATM AMSCOT 1-K487442 1874 N. -502.00 2,560.48 HIGHLAND AVE. CLEARWATER FL 08/12 Fee Withdrawal Non-Achieva ATM Fee -3.00 2,557.48 08/12 POS Card purchase Withdrawal WAL-MART #4667 -30.33 2,527.15 1803 N HIGHLAND AVE CLEARWATER FL 08/13 ACH Withdrawal POUNCEIL HILL PHONE PYMT -520.00 2,007.15 COMENITY PAY JT 800-395-5714/TEL 08/13 ACH Withdrawal POUNCIEL V HILL PAYMENT NFCU -620.00 1,387.15 ACH CREDIT CARD -ONE TIME/TEL 08/13 ATM Withdrawal 7ELEVEN-FC 1898 N HIGHLAND AVE -60.00 1,327.15 CLEARWATER FL 08/13 Card purchase Withdrawal POPEYES 12619 -11.22 1,315.93 (2024-08-12) CLEARWATER FL 08/13 Card purchase Withdrawal RACK ROOM SHOES #0236 -163.97 1,151.96 (2024-08-11) ST PETERSBUR FL 08/14 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD CLEARWATER FL 08/14 Fee Withdrawal Non-Achieva ATM Fee -3.00 1,106.21 08/15 POS Card purchase Withdrawal FAMILY DOLLAR 1215 -19.30 1,086.91 CLEVELAND ST CLEARWATER FL 08/15 POS Card purchase Withdrawal WM SUPERCENTER -9.04 1,077.87 #4667 Wal-Mart Super Center CLEARWATER EL____, 08/15 ACH_Deposit-POUNCIE-LHILLXXVA-BE-NEFVAC-4.' 2,077.38 TREAS 310 /PPD 08/16 ACH Withdrawal HILLDIANE PER INSURTRAVELERS -461.25 1,616.13 /PPD 08/16 POS Card purchase Withdrawal FAMILY DOLLAR 1215 -45.80 41,570.33 CLEVELAND ST CLEARWATER FL 08/16 ATM Withdrawal FAMILY DOLLAR 4086 CLE 1215 -122.99 1,447.34 CLEVELAND ST CLEARWATER FL 08/16 Fee Withdrawal Non-Achieva ATM Fee -3.00 1,444.34 08/16 ATM Withdrawal 7ELEVEN-FC 800 MISSOURI AVE -100.00 1,344.34 CLEARWATER FL 08/16 POS Card purchase Withdrawal WAL-MART #1712 -29.87 1,314.47 Wal-Mart Super Center LARGO FL 08/18 POS Card purchase Withdrawal FAMILY DOLLAR 1442 -17.74 1,296.73 MISSOURI AVE N LARGO FL 08/18 Card purchase Withdrawal ATT* BILL PAYMENT -128.30 1,168.43 (2024-08-16) DALLAS TX 08/18Card purchase Withdrawal WAWA 5176 (2024-08-16) -32.69 1,135.74 LARGO FL 08/19 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -62.75 1,072.99 CLEARWATER FL 08/19 Fee Withdrawal Non-Achieva ATM Fee -3.00 1,069.99 -42.75 1,109.21 BANKING FOR G0OD- Member Service Center. .727.431.7680 800.593.2274 Maneyline. .727.566.5669, 868.667.9651 Welasiie............... ...-_-ee-.achievacu corn Mailing address . .RC. Box 1500 1 Dunedin FL, 34697 Posted Eff Date Date Transaction Description 08/28 Card purchase Withdrawal WAWA 5176 (2024-08-27) LARGO FL 08/29 ACH Withdrawal HILL POUNCIEL MORT PYMNT SELENE FINANCE /WEB 08/29 ATM Withdrawal ACHIEVA CU 2201 DREW STREET US CLEARWATER FL 08/29 ACH Deposit POUNCIEL HILL XXVA BENEF VACP TREAS 310 /PPD . 08/29 Card purchase Withdrawal BURGER KING #2816 Q07 (2024-08-28) CLEARWATER FL 08/29 Card purchase Withdrawal WAWA 5176 (2024-08-28) LARGO FL 08/29 Card purchase Withdrawal BURGER KING #95 Q07 (2024-08-28) SEMINOLE FL 08/30 ATM Withdrawal MUNCHIES EXPRESS 614 UNION ST US DUNEDIN FL 08/30 Fee Withdrawal Non-Achieva ATM Fee 08/30 POS Card purchase Withdrawal WAL WAL-MART SUPER 611933 4667 WAL-SAMS CLEARWATER FL 08/30 POS Card purchase Withdrawal ABC FINE WINE/SPIRITS 077 1603 MISSOURI AVE N LARGO FL 08/30 Card purchase Withdrawal BURGER KING #2816 Q07 (2024-08-29) CLEARWATER FL 08/31 Card purchase Withdrawal DUNKIN #356630 (2024-08-30) CLEARWATER FL 08/31 Fee Withdrawal Consumer Achieva Checking Plus Fee 08/31 Annual Percentage Yield Earned 1.000% on average balance of 2,537.48 from 2024-08-01 through 2024-08-31 08/31 Ending Balance Member Number: ***3338 Statement Period: 08/01/2024 to 08/31/2024 Page Number: 5 of 7 Withdrawals/ Deposits/ New Debits Credits Balance -13.36 2,339.97 -924.09 1,415.88 -260.00 1,155.88 3,946.25 5,102.13 -7.47 5,094.66 -30.00 5,064.66 -10.80 5,053.86 -63.95 4,989.91 -3.00 4,986.91 -48.29 4,938.62 -40.65 4,897.97 -14.97 4,883.00 -12.36 4,870.64 -6.95 4,863.69 2.14 4,865.83 Overdraft Fee Summary for this Suffix Overdraft Fees Total Returned Item Fees Total Total for this period $0.00 $0.00 Total year-to-date $0.00 $0.00 $4,865.83 DEPOSIT & LOAN ACCOUNTS YEAR-TO-DATE SUMMARY Account 0001 -Consumer Savings 0600-Achieva Checking Plus Total Dividend Federal /Interest /Withholding CD Penalties Finance Charge Charges $16.57 $16.57 $0.00 $0.00 $33.95 $0.00 $33.95 IF YOU ARE IN BANKRUPTCY, OR HAVE BEEN GRANTED A BANKRUPTCY DISCHARGE, THIS NOTICE, LETTER OR STATEMENT IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT INTENDED AS AN ATTEMPT TO COLLECT, ASSESS OR RECOVER ANY PORTION OF A DEBT FROM YOU PERSONALLY. 7 of 7 To Balance Your Checkbook 1. Make sure all withdrawals and deposits reported on your share draft account statement are recorded in your checkbook (such as automatic transfers, fees, and charges). 2. Enter the closing balance from the front of your share draft List Outstanding Checks and Withdrawals Ck. No. Amount Ck. No. Amount account statement. 3. List the amount of any deposits have made that are not you reported on your statement. 4. Add together the amounts from steps 2 and 3. 5. Enter the total from the section at right, listing the amount of all checks and withdrawals you have made that are not reported on your statement. 6 Subtract the total on line 5 from the total on line 4 to calculate your adjusted balance. This amount should match the balance in your checkbook register. Total BANKING FOR GO O D -- Member Service Center. ---.727.431.7684 B00.593.2274 Member Number: ***3338 Moneylane.m .We.,. -,,..---o-,.-.7,27566.6569,866.66796,51 Statement Period: 07/01/2024 to 07/31/2024 Website achievacv.aom Page Number: 1 of 7 Mailing address .P.O. Box 1500 I Dunedin FL, 34697 POUNCEIL V HILL .1-, 7i2-NtCHOLS NO S4----- CCEARWATER FL 33755=3836 —7) Deposit Account Balances as of 07/31/2024 Total Shares: Total Certificates: $4,697.21 $0.00 SCAN T.HE':QRCODE ,TO"'GET:STARTED CONSUMER SAVINGS 0001 Posted Eff Date Date Transaction Description 07/01 Beginning Balance 07/31 Ending Balance Deposit Accounts c'TERMS& ONDRIONS APPLY'" Withdrawals/ Deposits/ New Debits Credits Balance $14.70 $14.70 Overdraft Fee Summary for this Suffix Overdraft Fees Total Returned Item Fees Total Total for this period $0.00 $0.00 Total year-to-date $0.00 $0.00 ACHIEVA CHECKING PLUS 0600 Posted Eff Date Date Transaction Description Withdrawals/ Deposits/ New Debits Credits Balance 07/01 Beginning Balance $4,987.54 07/01 ATM Withdrawal 7ELEVEN-FC 800 MISSOURI AVE -100.00 4,887.54 CLEARWATER FL 07/01 POS Card purchase Withdrawal WAL-MART #1712 -76.70 4,810.84 LARGO LARGO FL 07/01 POS Card purchase Withdrawal FAMILY DOLLAR 1215 -21.91 4,788.93 CLEVELAND ST CLEARWATER FL 07/01 Card purchase Withdrawal SHELL OIL12994557010 -20.00 4,768.93 (2024-06-29) CLEARWATER FL 07/02 ACH Withdrawal HILL, POUNCEIL ADTPAPACH ADT -82.94 4,685.99 SECURITY SER /PPD 07/02 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -62.75 4,623.24 CLEARWATER FL 07/02 Fee Withdrawal Non-Achieva ATM Fee -3.00 4,620.24 07/02 Card purchase Withdrawal SXM*SIRIUSXM.COM/ACCT -32.94 4,587.30 (2024-07-01) 888-635-5144 NY 502892 BANKING FOR GOOD - Member Service Center .,._,...o..,....727.,d31368O, BGO 932274 MoneyLine, .SW 86.6469,866.667.9651 Website .s®hievacu.ccm Mailing address a«n o Wm.PaD Box 1SO0lDunedin FL. $4697 Member Number: ***3338 Statement Period: 07/01/2024 to 07/31/2024 Page Number: 3 of 7 Posted Eff Withdrawals/ Deposits/ New Date Date Transaction Description Debits Credits Balance 07/11 Card purchase Withdrawal MINUTEKEY (2024-07-10) -4.28 2,618.10 BOULDER CO 07/11 Card purchase Withdrawal MINUTEKEY (2024-07-10) -4.28 2,613.82 BOULDER CO 07/11 Card purchase Withdrawal BURGER KING #2816 Q07 -8.54 2,605.28 (2024-07-10) CLEARWATER FL 07/12 ACH Withdrawal POUNCIEL V HILL PAYMENT NFCU -600.00 2,005.28 ACH CREDIT CARD -ONE TIME/TEL 07/12 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -62.75 1,942.53 CLEARWATER FL 07/12 Fee Withdrawal Non-Achieva ATM Fee -3.00 1,939.53 07/14 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -62.75 1,876.78 CLEARWATER FL 07/14 Fee Withdrawal Non-Achieva ATM Fee -3.00 1,873.78 07/14 Card purchase Withdrawal DUNKIN #356630 -5.32 1,868.46 (2024-07-12) CLEARWATER FL 07/14 Card purchase Withdrawal DOLLAR -GENERAL #9256 -8.29 1,860.17 (2024-07-12) CLEARWATER FL 07/14 Card purchase Withdrawal ATT*BUS PHONE PMT -151.75 1,708.42 (2024-07-12) DALLAS TX 07/15 ACH Withdrawal POUNCEIL HILL PHONE PYMT -459.00 1,249.42 COMENITY PAY JT 800-395-5714/TEL 07/16 ACH Withdrawal HILLDIANE PER INSUR TRAVELERS -400.36 849.06 /PPD 07/16 ATM Withdrawal 7ELEVEN-FC 800 MISSOURI AVE -60.00 789.06 CLEARWATER FL 07/16 Card purchase Withdrawal DOLLAR -GENERAL #9256 -8.43 780.63 (2024-07-15) CLEARWATER FL 07/18 ATM Withdrawal 7ELEVEN-FC 800 MISSOURI AVE -100.00 680.63 CLEARWATER FL 07/20 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -62.75 617.88 CLEARWATER FL 07/20 Fee Withdrawal Non-Achieva ATM Fee -3.00 614.88 07/22 Bill payment Card purchase Withdrawal HULU -9.07 605.81 877-8244858 CA SANTA MONICA CA 07/22 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -62.75 543.06 CLEARWATER FL 07/22 Fee Withdrawal Non-Achieva ATM Fee -3.00 540.06 07/22 Card purchase Withdrawal ROKU FOR PEACOCK TV -5.99 534.07 LL 8162728107 DE 07/23 POS Card purchase Withdrawal DOLLAR -GENERAL -16.67 517.40 #9256..DG_092561.600-N_MYRTL-E-A-GL-EARWATERF L 07/23H-Deposit-POUNCE1L.-V-H1LL XXSOC-SEC-SSA " ""---2;043.00,/ 2,560.40 TREAS 310 /PPD 07/23 ATM Withdrawal PAI ISO 1201 SUNSET POINT RD -102.75 2,457.65 CLEARWATER FL 07/23 Fee Withdrawal Non-Achieva ATM Fee -3.00 2,454.65 07/23 POS Card purchase Withdrawal Wal-Mart Super Center -74.76 2,379.89 CLEARWATER FL BANKING FOR GOOD - Member Service Center. 327.4313690, 840,593,2274 MoneyLine727586.6669, 966.6679651 Website .achievacu.eom Mailing address .------ ..PO Boa 1500 1 Dunedin FL, 34697 Member Number: ***3338 Statement Period: 07/01/2024 to 07/31/2024 Page Number: 5 of 7 DEPOSIT & LOAN ACCOUNTS YEAR-TO-DATE SUMMARY Account 0001 -Consumer Savings 0600-Achieva Checking Plus Total Dividend Federal /Interest /Withholding CD Penalties Finance Charge Charges $14.43 $14.43 $0.00 $0.00 $33.95 $0.00 $33.95 IF YOU ARE IN BANKRUPTCY, OR HAVE BEEN GRANTED A BANKRUPTCY DISCHARGE, THIS NOTICE, LETTER OR STATEMENT IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT INTENDED AS AN ATTEMPT TO COLLECT, ASSESS OR RECOVER ANY PORTION OF A DEBT FROM YOU PERSONALLY. 901FL-595 ® Google Street View BOLITROS CONSTRUCTION W NDOW*TEAM ----TAMPA ---- 108 Pinckney St( Oldsmar, FL 346/7 PH: 813-358-6056 INVOICE INFORMATION {Rebecca Crisp} O�iE3601 DE - QUOTE ORDER: 1702768 ORDER DATE: 10/2/2025 ORDER CONTACT: SHIPPING INFORMATION {Rebecca Crisp} SHIP VIA: 1702768 10/2/2025 SES Gti"�il�'T!'0 Ittatoo Hill - City of Clw 8800 DOUBLE HUNG WHITE REPLACEMENT TIP TO TIP LOWE/ARGON/CLEAR LAMINATED IMPACT HALF SCREEN FIBERGLASS 2 VENT LATCH ESTAR CLIMATE ZONES=[S,] SOLAR HEAT GAIN=[0.2] U-FACTOR=[0.32] VISIBLE TRANSMISSION=[0.45] CLEAR OPENING HEIGHT=[18.928] CLEAR OPENING SQUARE FEET=[6.119] CLEAR OPENING WIDTH=[46.553] 2 8800 PICTURE WINDOW WHITE REPLACEMENT TIP TO TIP LOWE/ARGON/OBSCURE OBSCURE LAMINATED IMPACT ESTAR CLIMATE ZONES=[SC, S,] SOLAR HEAT GAIN=[0.22] U-FACTOR=[0.26] VISIBLE TRANSMISSION=[0.51] �lZr 1 513/4WX61 1/2H RO: 52 W X 61.75 H TTT: 51.75 W X 61.5 H $1,843.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,843.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: 1 51 1/2 W X 15 1/2 H RO: 51.75 W X 15.75 H TTT: 51.5 W X 15.5 H $1,855.20 $1,034.61 $0.00 $0.00 $0.00 $0.00 $98.89 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: $1,133.50 $1,855.20 $1,034.61 $0.00 $0.00 $0.00 $0.00 $98.89 $0.00 $0.00 $0.00 $0.00 $0.00 $1,133.50 10/2/2025 2:22:34 PM 1 of 5 1702768 10/2/2025 Hill - City of k --;w 3 8800 DOUBLE HUNG WHITE REPLACEMENT TIP TO TIP LOWE/ARGON/CLEAR LAMINATED IMPACT HALF SCREEN FIBERGLASS 2 VENT LATCH ESTAR CLIMATE ZONES=[S,] SOLAR HEAT GAIN=[0.2] U -FACTO R=[0.32] VISIBLE TRANSMISSION=[0.45] CLEAR OPENING HEIGHT=[18.928] CLEAR OPENING SQUARE FEET={6.119] CLEAR OPENING WIDTH=[46.553] 4 8800 DOUBLE HUNG 51 3/4WX61 1/2H RO: 52 W X 61.75 H TTT: 51.75 W X 61.5 H $1,843.31 $1,843.31 !- $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: 1 18WX36 3/4H RO: 18.25 W X 37 H TTT: 18 W X 36.75 H $1,855.20 $939.47 WHITE $0.00 REPLACEMENT $0.00 TIP TO TIP $0.00 LOWE/ARGON/OBSCURE $0.00 OBSCURE $81.94 LAMINATED IMPACT $0.00 HALF SCREEN FIBERGLASS $0.00 2 VENT LATCH $11.89 ESTAR CLIMATE ZONES=[S,] $0.00 SOLAR HEAT GAIN=[0.2] $0.00 U-FACTOR=[0.32] $0.00 VISIBLE TRANSMISSION=[0.45] $0.00 CLEAR OPENING HEIGHT=[9.553] $0.00 CLEAR OPENING SQUARE FEET=[0.849] $0.00 CLEAR OPENING WIDTH=[12.803] $0.00 5 8800 DOUBLE HUNG WHITE REPLACEMENT TIP TO TIP LOWE/ARGON/CLEAR LAMINATED IMPACT HALF SCREEN FIBERGLASS 2 VENT LATCH ESTAR CLIMATE ZONES=[S,] SOLAR HEAT GAIN=[0.2] U-FACTOR=[0.32] VISIBLE TRANSMISSION=[0.45] CLEAR OPENING HEIGHT=[20.428] CLEAR OPENING SQUARE FEET=[2.809] CLEAR OPENING WIDTH=[19.803] 1 $1,855.20 $939.47 $0.00 $0.00 $0.00 $0.00 $81.94 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: 25WX611/2H RO: 25.25 W X 61.75 H TTT: 25 W X 61.5 H $1,033.30 $1,382.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,033.30 $1,382.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: $1,394.36 $1,394.36 10/2/2025 2:22:34 PM 2 of 5 6 8800 DOUBLE HUNG 1 25WX61 1/2H RO: 25.25 W X 61.75 H TTT: 25 W X 61.5 H $1,382.47 $1,382.47 WHITE $0.00 $0.00 REPLACEMENT $0.00 $0.00 TIP TO TIP $0.00 $0.00 LOWE/ARGON/CLEAR $0.00 $0.00 LAMINATED IMPACT $0.00 $0.00 HALF SCREEN FIBERGLASS $0.00 $0.00 2 VENT LATCH $11.89 $11.89 ESTAR CLIMATE ZONES=[S,] $0.00 $0.00 SOLAR HEAT GAIN=[0.2] $0.00 $0.00 U-FACTOR=[0.32] $0.00 $0.00 VISIBLE TRANSMISSION=[0.45] $0.00 $0.00 CLEAR OPENING HEIGHT=[20.428] $0.00 $0.00 CLEAR OPENING SQUARE FEET=[2.809] $0.00 $0.00 CLEAR OPENING WIDTH=[19.803] $0.00 $0.00 7 8800 PICTURE WINDOW WHITE REPLACEMENT TIP TO TIP LOWE/ARGON/CLEAR LAMINATED IMPACT ESTAR CLIMATE ZONES=[SC, S,] SOLAR HEAT GAIN=[0.22] U-FACTOR=[0.26] VISIBLE TRANSMISSION=[0.51] 8 8800 DOUBLE HUNG WHITE REPLACEMENT TIP TO TIP LOWE/ARGON/CLEAR LAMINATED IMPACT HALF SCREEN FIBERGLASS 2 VENT LATCH ESTAR CLIMATE ZONES=[S,] SOLAR HEAT GAIN=[0.2] U-FACTOR=[0.32] VISIBLE TRANSMISSION=[0.45] CLEAR OPENING HEIGHT=[9.553] CLEAR OPENING SQUARE FEET=[2.027] CLEAR OPENING WIDTH=[30.553] ITEM SUBTOTAL: 1 513/4WX16H RO: 52 W X 16.25 H TTT: 51.75 W X 16 H $1,394.36 $1,034.61 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,394.36 $1,034.61 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: 1 35 3/4 W X 36 3/4 H RO: 36 W X 37 H TTT: 35.75 W X 36.75 H $1,034.61 $1,150.58 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,034.61 $1,150.58' $0.00 _: $0.00 $0.00 $0.00 $0.00 $0.00 $11.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: $1,162.47 $1,162.47 10/2/2025 2:22:34 PM 3 of 5 1702768 10/2/2025 8800 DOUBLE SLIDER Hill - City of 70 1/2 W X 55H RO: 70.75 W X 55.25 H TTT: 70.5 W X 55 H WHITE REPLACEMENT TIP TO TIP LOWE/ARGON/CLEAR LAMINATED IMPACT HALF SCREEN FIBERGLASS ESTAR CLIMATE ZONES=[S,] SOLAR HEAT GAIN=[0.19] U-FACTOR=[0.32] VISIBLE TRANSMISSION=[0.44] CLEAR OPENING HEIGHT=[49.803] CLEAR OPENING SQUARE FEET=[10.118] CLEAR OPENING WIDTH=[29.256] $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ITEM SUBTOTAL: $2,057.36 $2,057.36 TOTALS: SUBTOTAL: $12,920.36 10/2/2025 2:22:34 PM 4 of 5 TOTAL: $12,920.36 8800 DOUBLE HUNG 51 3/4 WX 61 1/2 H QTY: 1 8800 PICTURE WINDOW 51 1/2 W X 15 1/2 H QTY: 1 8800 DOUBLE HUNG 51 3/4 W X 61 1/2 H QTY: 1 IDff88 8800 DOUBLE HUNG 18WX36 3/4H QTY: 1 8800 DOUBLE HUNG 25WX611/2H QTY: 1 8800 DOUBLE HUNG 25WX611/2H QTY: 1 8800 PICTURE WINDOW 513/4WX16H QTY: 1 10/2/2025 2:22:34 PM 8800 DOUBLE HUNG 35 3/4 W X 36 3/4 H QTY: 1 5 of 5 8800 DOUBLE SLIDER 701/2WX55H QTY: 1 I' €a '' 8800 DOUBLE HUNG 51 3/4 WX 61 1/2 H QTY: 1 8800 PICTURE WINDOW 51 1/2 W X 15 1/2 H QTY: 1 8800 DOUBLE HUNG 51 3/4 W X 61 1/2 H QTY: 1 IDff88 8800 DOUBLE HUNG 18WX36 3/4H QTY: 1 8800 DOUBLE HUNG 25WX611/2H QTY: 1 8800 DOUBLE HUNG 25WX611/2H QTY: 1 8800 PICTURE WINDOW 513/4WX16H QTY: 1 10/2/2025 2:22:34 PM 8800 DOUBLE HUNG 35 3/4 W X 36 3/4 H QTY: 1 5 of 5 8800 DOUBLE SLIDER 701/2WX55H QTY: 1