DOWNTOWN COMMERCIAL GRANT AGREEMENT - DTC-C-26-09DOWNTOWN COMMERCIAL GRANT AGREEMENT
D'T.C.C-26-09
This Downtown Commercial Grant Agreement (this "Agreement") is Made as of,
&ma/01641%1011y and between the- COMMUNITY *REDEVELOPMENT AGENCY OF THE
CITY OF CLEARWAT-ER, FLORIDA, a public body corporate and politic Of the State of Florida
.created..pursuant to Part III, Chapter 18, Florida Statutes (the, "Agency"); and The Nail Edit
Collective;. a Florida litnited domPallY (the "Applicant") (collectively the Agency. and
Applicant are .the "Parties").
WITNESSETH:
WHEREAS the Agency was :created to implement the community redevelopment activities
in the Florida Community Redevelopment Act of 1969 (the "Act"). codified at Chapter 163, Part III,
Florida Statutes; and
WHEREAS, §. I 63.3S7(6)(c)4; Florida Statutes provides that the budget of a community
redevelopment agency may provide for Clearance and- preparation of any. redevelopment area for
redevelopment and.
WHEREAS; § 163:387(6)(09, Florida Statutes provides -that the budget of a 'community
redevelopment agency may provide forp.ayment undertakings described in a tedevelopmentplan and
.for expenses that areireceSsary to exerciSethe powers:granted to a contnunitytedevelopnient agency
under §•163,370, Florida Statutes; and.
WHEREAS, § 103310(2)(a), Florida Statute,sprovides. that one such 'power is the ability to
make and execute 'contracts -and other instruments PeceSsary or Convenient to the exercise of .a
community redevelopmentagency's exercise of its:power under the Act; and.
WHEREAS,: another -such power is -found in.§ I -63370(2)P, Florida Statutes which provides
that a ccirrioMity:redeveloPment agency may undertake and carry out coMmunityredevelopment and
related activities withimthe community redevelopment area; and
WHEREAS, Objective 1E of the Clearwater CoMmunity Redevelopment Atta: Plan (the
'Plan") provides that Cleveland Street is Downtown Clearwater's (the. "DoNvntown?)main street
and -Valued for it historic character and pedestriartscale; and
WHEREAS, CyOjcctiye ID of the Plan provides that the Agency will _encourage a. variety of
Off -we -intensive businesses, irieluding finance -:and insurance, IF/software,profsSiedal services and
medical to relocate and expand in Downtown to provide a stable employment center; and
WHEREAS, Objective 3G grille Plan provides thatthe Agency will create. and activatespace
to work as a signature destination, including civic plazas, markets :and retail gathering places that
promote economic growth for Downtown; and
WHEREAS. Objective 4A of the Plan provides: that the Agency will encourage
redevelopment that contains a variety of building forms and Style.
Page 1 of 12.
WHEREAS, Objective 4p of* "PlanProvides that the Agency will encOurageTenovation,
testoratian, and reuse of existing historic Structures to maintain the character of the Downtown's
neighborheod; and
WHEREAS, on August 12, 2024, the..-Agency'S Beard afTrustees approved theDawntown
Commercial Grant Program *(the "Program") with -the. goals of reducing blight- and activate,
commercial spaces with uses -that aspire to. generate creative- and innovative -gathering .spaces-,
walkable pedestrian thoroughfares, and increased overall -aetivity:. This Prograin can, also help: a
business or developer "closethegap" in -their fmancialabilityto meet the goal's- ofthe Agency's Area
Plan; and:
WHEREAS, the Agency has approved. Thirty -Three. Thousand Thirty -Five Dollars and
15/100 Cents ihflnancial .assistant under the.Program to provide iniptoVement:aSSiStanceto the
property located at-1155-N..E. Cleveland St.,, Cleanvater, FL .33-7.55.(the "Property"). The grant is
intended to provide internal and external building imprcivement.1.(the"Projectr) as further detailed
in the Applicant's gtantapplication and plan specifications attached hereto as Exhibit "B"; and.
WHEREAS, the Plan also states that the.eity (If Clearwater ("the City") shall encourage -a
vibrant and .active public. realm, recreation .and entertainment opportunities. and support the
community and neighborboodt; and.
. WHEREAS, the.:Applicant intend tonake improvements to the Property in the Downtown
arca for commercial use; and
WHEREAS, the Agency Finds that.providing financial assistance for redevelopment of
blightedproperty is -a pennissibleexpenditureunder the Agency's. approved:budget andthe Act; and
WHEREAS, the.Agency.fmds that theProperty eunently sits in a blighted -state of.mtistence;
and
WHEREAS, the Agency finds that the Project comports with and furthers the goals,
objectives, and policies of the Plan; -and
NOW,. THEREFORE, in consideration - of the -mutual promises and covenants contained
herein, the parties.hereby agree.•as follows:
L GENERAL
1. Recitals.. The foregoing recitals are true and -correct-and are incorporated in and form a
part of thiS'Agreernent.
. 2. Intent; Purpose . of Agreement. The purpose of this .Agreement is- to .further the
implementation of the Plan by providing -grants for -redevelopment,. rehabilitation, and enhance
area commercial structures exhibiting deterioration and decline in substantial compliance with the.
Application, -all to incentivize improvements to. the. atea, -and improve the aesthetic and useful
.page 2 of 12
•enjoyment ofthe Downtown through the eradication oftonditions of blight, all in accordance with
and in furtherance of the. Plan and as authorized by and in accordance with the Act
H. .APPLICANT WARRANTIES AND RESPONSIBILITIES
1.. Development of the Proitet. -The Applicant. Shall complete the Project in accordance with
the grant application and plan SpecificationS, attached as hereto as Exhibit "B". The AppliCant shall
complete all Project 'work within three hundred and sixty-five (365) 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 inadeordance
'with the criteria contained in the Agency's- Commercial Grant Program Policy attached hereto as
Exhibit "A" (the "POlicy"). Per Purposes of this Agreement, 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 required. documentation, for disbursement
stated in the grant program :guidelines under Section 7. The Applicant shall tont ibUte Eleven.
Thousand Eleven Dollars and 72/100 Cents ($11,0.1.1,72) in monetary -contribution toward •the
Project, Evidence of expenditure of Applicant'S contribiniontowards the Project -shall be submitted
'to the Agency's satisfaction before disbursement of -the Agency's grantfunding. Notwithstanding
the foreeoing, the Director may allow initial_ project deposits or other necessary draws, up to fifty
percent (50°40 of the grant aniount, to- be paid -directly to a City/CRA approved licensed
contractor/vendor.
3. Warranties of the Applicant. The Applicant warrants that all the following qualifications have
been met:
a. 'the -Applicant is. the.property owner or commercial/business tenant.
bThe business must be an allowable Use on the subject property in atoordance.with the City's
Community -Development Code among other applicable codes.
C. Must be,etirretit in all property taxes- and 'City business fes
d. Must be in good standing With the city (no.ontstanding code enforcement or building code,.
vielations). This requirement may be waived by the Director if the-W.mk proposed under this
application Will retnediate all code violation's.
e. Property must be free ofcode enforcement hens or other City liens:
f. The business or new proposed business orrthe Property must ban independently.owned and
pperatecl.local bpsines.s.
g If the business is- independently owned and operated franchise, other franchise locations
associated with the.same brand-17111st ONLY be located within the municipal boundary of the
City.
h, • The owner of the property -shall be the Applicant, unless the owner- authorizes .a for-profit
business owner occupying the property by a valid lease to undertake inaproveinents on the
property Owner of property ("Owner") means a holder of -any -legal or equitable estate in
the property, whether alone or jointly with othera and- whether in possession or not shall
include all individuals, associations, partnershipsizorporations, limited liability companies
and ethers -who have interest in a structure and anywho are in possession Or-Controlthereof
Page 3 of 12
as agent of the owner, as executor, administrator, trustee, orguardian of the estate of the -
owner. Owners that are NOT leasing Ccanmerc ialspace to .nor can be -classified as for-profit
businesses shall be ineligible for .grant funding assistance under this program. Mobile
'Vendors are also ineligible for assistance.
11I. AGENCY RESPONSIBILITIES
1. Grant Funding The Ageney.shall reimburse the Applicant for the Project's eligible costs
up to Thousand Thirty -Five D011aisand 15/100 Cents ($33,035,15) ("Grant Funds")
as provided under the Program, -payable -within (30) days after receipt of a fully completed
reimbursement request after verification by the Agency that the -Project has been completed and
evidence that- the Applicant has actually inctuted- these Project costs to the satisfaction of the
Director,
2. -NotwithStanding Paragraph 1 of this section. The Agency's director (the "Director"). may
allow earlier draw requests. of the Grant Funds to the _Applicant or to any approved licensed
contractors or vendors in accordance with the Policy. -However, the Grant Funds disbursed:in this
manner shall not be disbursed more frequently than. once every thirty (30). days. The Parties
understand and agree that nothing this Agreement creates any contractual relationship between
the Agency'and any contractor or vendor and. the Agencyshall 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 convenienceto -the Applicant and. the Applicant remains- exclusively liable for
:any funds owed to the Contractor Or vendor.
3. The. .Director retains sole discretion. to determine whether the Project meets the
requirements .�ft& Agreement .or -the Program and Application. If the Director detennities that
the Project does not meet said requirements,- then the -Parties agree-rthat the -Director's decision is
final, the Agency shall not owe any monies to the Applicant for the requested reimbursement, and
the Applicant shall haveno recourseagainst the Agency.
IV. APPLICANT DEFAULT
1. Failtut to Cornplete.,Project Work. If -the Applicant: fails "to receive a "Certificate of
Occupancy or Certificate of Completion" within three hundred five (365) calendar days faun
the date �f the-exetined- grant agreement in substantial compliance with the Program and the
Application then the Parties agree -that the Applicant shall be in -default underthis.Agre.ement, this
Agreetnent shall itninediately become null and void, and the Agency will .have no further
responsibility to the Applicant, 'including but not limited to • the responsibility to. tender the
reimbursement funds to the Applicant An extension for the grant funds may be granted by the
Directorfor good cause if the Applicantstibmits a written request for suck an extensionbefore the
expiration of the three. hundred .sixty-five 005) day period..
2. Other Events of -Default. In -addition to the foregoingeventS of default, the occurrence of
anyone or more of the following events -after the Effective Date shall also constitute an event of
default by the Applicant
Page 4:of 12
A. The Applicant shalimake a general assignment for the benefit ofits creditors, or shall
admit in 'Writing itsinability to payitg debts as they become due Or shall file a..petition
in bankruptcy, or shall beadjudicateda-bank:rapt or insolvent, or shall -file a petition
seeking- any reorgailizaticin, arrangement, composition, readjustment.liquidation,
dissolution or Similar relief under. any present or future statute, law or regulation or
.shall :file an answer "adrnitting, or shall fail reasonably to .contest, the material
allegations ofa.petition filed against -it in any suchpropeeding, or sh.all seek or consent
to or acquiesce in the appointrhertrof any truStee, receiver or liqUidator.of theAppli cant
or an.ymaterialpart ofsUCh entity's properties;or
B. Within sixty (60) days after the comMeneetnent of any proteeding by or against the
Applicant seeking. any reorganization, arrangement, .composition, readjustment;
dissolution or -similar relief under any present .or future statute, law or
regulation, such proceeding shall.not have been .dismissed or otherwise terminated, or
it withrn sixty (60) days after the appointment without the consent or acquiescence of
the Applicant of any trustee, receiver or liquidator -of any of such entities or -Of any
material part -of any of such entity's properties, such appointment shall not have been
vacated.
C. A breach by the Applicant :of any other:tern'', condition, requirement, or warranty of
this Agreement or the Polley.
3. Asrency'.§1temedy Upon .Certain Applicant Default. In the: event of default and if the
Applicant has failed to cure the defa:ult within the allotted timeprecribed under Section- IV(4),
then the Parties agree that al this Agreement s.hall be =nand void; b) that the. -Agency will:have •
no further responsibility to the Applicant including the responsibility to tender any remaining
reimbursement funds to the Applicant.ande) that if the Agency has tendered reimbursement funds
to the Applicant the Agency shall be entitled to the return of all reimbursement funds plus default.
interest.at a rate often percent 110%) starting front the date ofdefault. The -remedial .provisions
shall survive thetermination of this. Agreement,
4. .Notice of Default and Opportunity .to Cure. The. Agency shall provide written notice of
any default under this Agreement and provide the Applicant thirty(30) days -fibril the 'date the
notice is sent to cure the default if it is an event listed under Sections W(2) This tlotice- will be
deemed sent'when sent by-fira class mail to theApplidant'S neticeaddreSs or When'delivered to
the Applicant if sent by a different means,
V.:MISCELLANEOUS
1. Notices. .AII notices, demands, requests forapprovals or other communication givenby either.
partyto another shall bein writing, and shall be sent to the property for each party indicated below
and.addressed as follows;
To the Applicant; To the Agency:
TheNail Edit Collective LLC . Community RedevelOpmentAgency of
115.5 NE.Cleveland St the City ofClearwater
Clearwater, FL 33755 P.O. -Box 4748
Page.5 Of 12'
Attention: Executive Director
with copies to;
City of Clearwater
P.O. Box 4748
Clearwater, Florida 33758.
Attention: Cie.arwater 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.
"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.timety 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 arid.74, Florida
Statutes, restoration in _connection with any -of the foregoing or any other -cause beyond the
reasonable control ofthepartyperforming the obligationin_question, including, without.limitation,
such causes as may arise from the. act of the other party to this. Agreement; 'or acts -Of. any
govenninental authority (except that acts of the Agency shalt not constitute an Unavoidable Delay
with respect to performance by the -Agency).
An application by any party -hereto for an extension of tittle pursuant -to this Section must
be in writing, must set forth in detail the reasons and causes of delay,. and -must be filed withthe
other party to this Agreement Within thirty (30) days following the occurrence of the event or
condition caging the Unavoidable -Delay -.or thirty(30)).days following the. party becoming aware
(or with the exercise of reasonable diligence- should have become aR'are) of such occurrence:
The party shall be entitled to :ail 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: pausing such
Unavoidable.Delay and only to the extent.that any such occurrence.actually delays that party from
proceeding -with it 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 tittle for an Unavoidable Delay for a period of up to six (6) Months; Any further
requests forextensions of time fromthe Applicant must be agreedto-and.approve 1.by the Agency's
trustees.
3. Indemnification. The Applicant Agrees to- asinine all risks of inherent .irr this Agreement
and all liability therefore; and shall:defend, indemnify, and hold harmless the Agency and the City
of a Clearwater, a :municipal corporation ("the City"), and the Agency's and the City's officers,
agents, and employees frons. 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 tire' use. of any property,except claims arising from the
-Page 6 of 12
negligence of the Agency, the City, or the Agency's Of the City's -.agents or employees. TMs.
includes, but is pot -limited to, matters arising out of.orclaimedlohave been caused byor in any
manner related tothe Applicant'sactivities 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. Cityto be sued by thirdparties, or as a waiver .or modification of the provisions.or limits of
Section 768,28; Florida.Statute.s,.�r the -Doctrine -of Sovereign Immunity,
4.. 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.wriften agreements or representations .of any nature with. reference to
the subject of theagreement are canceled and -superseded by the provisions, of this agreement
5. Applicable- Law -and Construction. The laws of -the State of Rigida 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, any exhibits,
shall not be. deemed to have been.prepared by the Agency or the Applicant, but by all -equally.
6. Severability. Shoulcrany section or part ofany section.of this.Agreemept be rendered void,
orunenforceable by:any court.of law, for anyreason, such a *determination shall not render
void, invalid,or unenforceable any other section.or-any part of any section. in this Agreement,
7. Amendments. This Agreement cannot beehanged or revised except by writtenainendinent
signed by the.Parties hereto.
8. Iitrisdiction andVenue. For purposes of any .suit, action or other proceeding arising out, of.
or relating to- this Agreement, the. parties hereto do acknowledge, tbritent,- and -agree that -venue
thereof is Pinellas County, Florida.
Each party to- this Agreement hereby submits to the: jurisdiction of th-e .State of Florida,
Pinellas County and the courts thereof And to thejuriSdiction of the United States:District Court
for -the Middle District of Florida, for the p.urposes ofany suit, actionor other proceeding arising
out °for relating tothisAgreetelit and hereby agrees not to. assert by way.ofa motion as Adefense
orotherwise that such action -is brOug.ht in an inconvenient forum or.that thevenue of such action
is improper or that the.-Subjeet matter thereof may not be enforced inve by such courts:
If, at any time during. the term of this Agreement,. the Applicant is nota resident of the
State of Florida or has no office, employeeagency, registered agent or general partner thereof
available for servic.e of process as.a resident.of the State of Florida, or if any permitted assignee
thereofshall 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 ofState,.StateOf Florida, its agent for the service of proCess in any
court.action between it and-the-.Agertcy arising.out of orrelating to thisAgreettent and such service
shall be made as provided by the laws. of the State of. Florida for service,upon a nenresident;
provided, however, that -at the tirne:of service On the Florida Secretary:br State., a copy Of -such
service shall be delivered.to thp Applicant at the address for notices as provided in Section V(1).
Page 7 of 12
9. Tennination. If not earlier terminated as provided in this Agreetrient, the temi of
this Agreement shall expire; and this Agreement shall no longer be *of any force anci effect an
two years Of the.anniveisary Effective Date.
.IN WITNESS WHEREOF, the Parties have caused this Agreement TO be executed on thedate and
year first above written.
Approved.as to form:
--
Matthew I. Myty,/ , ,
CRA. Attorney
Date:
(AGENCY SIGNATURE PAGE)
COMMUNITY REDEVELOPMENT AGENCY OF
THE CITY OF .CLEARWATER, FLORIDA, a public
bOdy Corporate 'andpolitio of the State of Florida.
By:
Jesus Nino
6 /6-7( 2-
CRA Director 7
Date:.
Attest:
'CDC Rosetna eql
•City Cleik
•bate: I I - 6 •,9,Co
Page ti
(APPLICANT sraNATuRE. PAGE)
THE. NAIL EDIT COLLECTIVE, LLC,
a Floridaiimitecl. lia "lity company.
Ir
11,41)
le -a -A%.1 A
By:
Print nam
Title:
Date: 10
STATE OF FLORIDA )
COUNTY OF PINELLAS )
The foregoing instruinent was acknowledged bf�reme by-indang presence or C Ontine
, .2026 by: Vaal\ Aiyia&Y\ ,/ -as
notarization, this I .day Of O4.�-
• 0\--1-)r- of A-11...12,11\0., rati-akter... who is/are persbitally-knoWn to tna•Or Vik.ho
has/have produced a driver's license- as identification.
(NOTARIAL SEAL)
Brian J. Ulbtfcbt
A Comm.: HH 853446
E Expires: Oct. 6,2030
Notary PuNc - SIaIof Holtdo
'Notary Publia, State. of Flprida
Name ofNotary: j=
• My Conunissiou ExpirOs: o 11,
*My Commission No.: 140 863 (PIG
Pager Of12
EXHIBIT "A"
COMMERCIAL GRANT PROGRAM POLICY
Page 10 of 12
Downtown Clearwater CRA Boundary
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SECTION 13 - ELIGIBLE CRA AREA MAP
DOWNTOWN CLEARWATER COMMUNITY REDEVELOPMENT AREA
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14
COMMERCIAL GRANT
PROGRAM
APPLICATION FORM
City of Clearwater Community Redevelopment Agency
Downtown Community Redevelopment Area
TABLE OF CONTENTS
SECTION 1 — PROGRAM OVERVIEW 2
SECTION 2 — PURPOSE AND INTENT 2
SECTION 3 — AVAILABLE ASSISTANCE 3
SECTION 4 — ELIGIBLE PROPERTY AND APPLICANT 4
SECTION 5 — ELIGIBLE IMPROVEMENTS 5
SECTION 6 — REQUIREMENTS, REVIEW & APPROVAL PROCESS 7
SECTION 7 — DISBURSEMENT POLICY AND PROCEDURE 8
SECTION 8 — GRANT EXPIRATION 8
SECTION 9 — ALTERATIONS AND MAINTENANCE 9
SECTION 10 — COMPLIANCE WITH THE CITY OF CLEARWATER ETHICS CODE 9
SECTION 11 — APPLICATION 10
SECTION 12 — ATTACHMENT A PROJECT BUDGET 13
SECTION 13 — ELIGIBLE CRA AREA MAP 14
Commercial Grant Program & Application Form
Approved by the CRA Trustees on August 12, 2024
Amended by CRA Trustees on July 13, 2026
1
COMMERCIAL GRANT PROGRAM
SECTION 1 — PROGRAM OVERVIEW
The Downtown Commercial Grant Program (Program) offers varying levels of support and
addresses both short and long-term challenges that commercial stakeholders have experienced
in the Clearwater Downtown Redevelopment Area (DTCRA). This program aims to reduce blight
and activate commercial spaces with uses that aspire to generate creative and innovative
gathering spaces, walkable pedestrian thoroughfares, and increased overall activity.
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 Clearwater Downtown Community Redevelopment
Area in accordance with the Florida Community Redevelopment Act of 1969. Sections 163.330,
et seq., Florida Statutes, by:
1. Downtown shall be a place that attracts residents, visitors, businesses, and their
employees and enable the development of community. The City shall encourage a
vibrant and active public realm, recreation and entertainment opportunities and support
the community and neighborhoods. (People Goals, page 46)
Objective 1E: Maintain Cleveland Street as Downtown's Main Street which is
valued for its historic character and pedestrian scale.
Objective 1D: Encourage a variety of office -intensive businesses, including
finance and insurance, IT/software, professional services and medical to relocate
and expand in Downtown to provide a stable employment center.
2. Downtown will be a memorable place to be enjoyed that is enhanced by Clearwater's
waterfront location, natural resources, built environment and history. (Amenity Goal,
page 47)
Objective 3G: Create and activate space to work as signature destination,
including civic plazas, markets and retail gathering places that promote economic
growth for Downtown. (page 48)
3. Downtown will be a dynamic built environment of dense and livable patterns and active
and attractive streets through quality urban design and architecture. (Urban Design
Goals, page 48)
Objective 4A: Encourage redevelopment that contains a variety of building
forms and style.
Objective 4D: Encourage renovation, restoration, and reuse of existing historic
structures to maintain the character of Downtown's neighborhoods.
4. Creating value for the Downtown Community Redevelopment Area by (themes stressed
throughout the Plan):
2
a. Promoting a business, consumer, family and resident friendly atmosphere;
b. Creating more dining, retail, and entertainment opportunities;
c. Creating additional employment opportunities;
d. Promoting infill and adaptive reuse of properties;
e. Incentivizing property owners to enhance the value of their respective properties;
f. Encouraging private investment in the improvement of commercial properties;
g. Reducing vacancies in commercial buildings; and
h. Increasing the functionality of existing buildings.
It is the intent of this Program to attract or improve the following types of businesses in the
CRA (not limited to the following):
• Retail;
• Restaurants and food services (e.g., full-service sit-down restaurants, fast food
restaurants, buffet or cafeteria restaurants, coffeehouse/shops with food component,
cafes, bistros, delicatessens, bakeries, grocery stores, etc.);
• Micro -brewery;
• Personal services (e.g., barber, salons, beauty shops, tailors, childcare, etc.);
• Art studios and galleries;
• Co -working space; and
• Professional offices (financial services, IT/software, medical, etc.).
This Program is designed to help Downtown Clearwater thrive as the urban core and heart
of the City, as the center of business and government, and as an attractive place to live,
work, shop and play. (Ch. 3, Vision, pg. 44)
In addition, it is the intent of this Program to incentivize improvements to the area that go
beyond what is required by the City's development codes to enhance the form, function,
and design quality of the redevelopment area. It is not the intent of the CRA to engage in
any rehabilitation activity that requires vacating property or displacing any business
establishments or residents from property. Moreover, it is not the intent of this Program to
assist in the development of new construction projects on vacant land. Rather, it is to
rehabilitate and enhance area commercial structures exhibiting deterioration and decline.
SECTION 3 — AVAILABLE ASSISTANCE
Grants shall be awarded on a first -qualified, first -awarded basis while funds are available. The
Program provides matching, as specified below in Levels 1 through 4, grant funding to assist
applicants with improvements to commercial properties. Grants may be awarded to property
owners and for-profit business owners/commercial tenants for exterior and interior improvements
to commercial property within the DTCRA. The grant is generally a reimbursement grant to the
Applicant payable at time of project completion. However, at the request from the Applicant and
upon approval from the CRA Director, up to fifty percent (50%) of the grant amount can be paid
to the Applicant or the Applicant's licensed contractor(s) or vendor(s) ahead of project completion
with no more than one payment every thirty (30) days. Below is the level of funding and
reimbursement percentage for the total eligible grant expenditures.
Level 1 — Up to- $50,000. and under (Requires a 25% match of total project costs by the
applicant)
• Administrative approval.
3
• Award letter and Grant Agreement.
Level 2 — $ More than $50.000 up to $150,000. (Requires a 35% match of total project costs
by the applicant)
• Administrative approval up to $100,000.
• Applicants must supply proof of a lease, or other acceptable documentation, that identifies
at least a minimum of a three-year term for tenant/business occupying or will occupy the
improved space.
• CRA Trustee Approval required for Grants exceeding $100,000..
• Award letter and Grant Agreement.
Level 3 — More than $150,000. up to $500,000. (Requires a 45% match of total project costs
by the applicant)
• Staff recommendation.
• Applicants must supply proof of a lease, or other acceptable documentation, that identifies
at least a minimum of a five-year term for tenant/business occupying or will occupy the
improved space.
• CRA Trustee approval.
• Award letter and Grant Agreement.
Level 4 — More than $500,000is considered a special project and may require submittal
requirements/documentation above and beyond what is described in this Program.
• Staff recommendation.
• CRA Trustee approval.
• Applicants must supply proof of a lease(s), or other acceptable documentation, that
identifies at least a minimum of a five-year term for tenant/business occupying or will
occupy the improved space.
• Award letter, Grant Agreement, Mandatory Reporting.
• Other — Special Terms and Conditions.
SECTION 4 — ELIGIBLE PROPERTY AND APPLICANT
To be eligible for the Program, the Applicant must meet all the following qualifications:
• Must be:
o A property owner that is leasing commercial space to a for-profit business;
o A property owner that occupies or intends to occupy the property as a for-profit
business; or
o A for-profit business leasing space from a property owner.
• The business must be an allowable use on the subject property in accordance with the City's
Community Development Code among other applicable codes.
• Must be current in all property taxes and City of Clearwater business fees.
• 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 all code violations.
• Property must be free of code enforcement liens or other City liens.
• The business or new proposed business on the property must be an independently -owned
and operated local business.
4
• If the business is an independently owned and operated franchise, other franchise locations
associated with the same brand must ONLY be located within the municipal boundary of the
city.
o The owner of the property shall be the applicant, unless the Owner authorizes a for-profit
business owner occupying the property by a valid lease to undertake improvements on
the property. Owner of property ("Owner") means a holder of any legal or equitable estate
in the property, whether alone or jointly with others and 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. Owners that are NOT leasing commercial space to nor can be classified as
for-profit businesses shall be ineligible for grant funding assistance under this program.
Mobile vendors are also ineligible for assistance.
o The total CRA grant value that an Owner has received over such period shall be the
combined value, in the 12 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.
SECTION 5 — ELIGIBLE IMPROVEMENTS
The following improvements or related items may be eligible for Program assistance:
Interior Improvements:
1) Any fixed interior leasehold improvements to commercial space;
2) Electrical/plumbing upgrades and utility connections;
3) Grease traps/interceptors;
4) Venting, HVAC, mechanical systems, and water heaters;
5) Sprinkler/fire suppression systems, firewalls, life safety improvements;
6) Certain fixed solid waste and recycling management systems;
7) American with Disabilities Act (ADA) systems;
8) Internal structural stabilization systems (e.g., repair and replacement of load bearing walls,
columns, beams/girders, joist, etc.);
9) Interior walls (including drywall), ceilings, floors, doors, and molding;
10) Interior paint;
11) Wall insulation;
12) Certain permanent bathroom and kitchen counter tops, cabinets, sinks;
13) Restaurant fixtures or other essential equipment up to a maximum of $7,500.00 (purchase
or repair)
14) Interior historical restoration; or
15) Other permanent improvements may be submitted for consideration but must demonstrate
that the improvement meets the intent of this grant program.
Exterior Improvements:
1) Any fixed exterior leasehold improvements to commercial space;
5
2) The repairof eideriorwalls;
3) Roof repairs or replacement, inclUding facia board, soffits„ . -and gutters;
4) 'Decorative- fencing;*
5) EXtericir-painting; (including murals)
6) Exterior windows and/or doors;
7) Exterior signage;
8) AWnings ortanopies-over windows or walkways, including shutters, seating areas;
9.) Theinetallation, repair, or renovation of porch* patios; plazas;
10) The installaticin, repair, Or renovation.of pathways and sidewalks;"
11)Tbe installation of decorative lighting, and security lighting;
12) Parking area and driveway iMproVementa;.
13) Stormwater drainage improvements for properties vvith-a history of flooding;
14) Bicycle racks, shade areas, benches, or other .pedestrianamenities;
15) Certain Crime Prevention Through Environmental Design Op-rto
16)ADA aocestibility-ii-nprovements;
17)The removal -of deteriOrated or undesirable exterior alterations;
1 ayThe inatallatipn.of landscaping and irrigation systems, not to exceed tweritY percent (20%) -
of the total grant amount; or
19) Other permanent improvements maybe submitted forconsideration but must dernonstrate
that the improvement meets the intent of this -grant program
*Chain link fencing, with or without slats, wobdenstockade, lined on -board, and wooden picket
fencing are not eligible for the Program.
**Not city right-of-way or property
Other Eligible Items!
1) Predeveloprnent- Costs (permit, architectural, and engineering fees among other
comparable fees -es approved bY.CRA Director ) uptO $10,000.00:
2) Past site or building improvements that were completed up to eight months prior to
submittal of en .application.
a. -Only improvements listed in the itemized budget- submitted as part of the
application milli be considered for approval.
The following are ineligible for assistance
1) Past site or:building. improvements that were completed more than eight months prior lb
submittal of an- application.
2) .Properties not occupied or intended -to be. occupied by a for -prat business,
3). Second -floor and.abov.e renovations unless. part of or -tied to.a- ground floor business -and
verifiable:proof is- provided -that secondlloori or above floors, improvements will enhance
a ground floor -business. (excluding roof renovations and repairs)
4) Assistance to businesses Iodated in. residential homes.
5) Repairs to .unsafe or substandard structures that cannot be Made . safe for tenant
occupancy with. Program funds.
6) Repairs covered by insurance.
7) Non -permanent improvements, except for items expressly stated as allOWed in this
Program..
8) Installation windOwor door -security -bars.
9) My fixed exterior:or interior leasehold prohibited improvements to commercial space.
6
10) Refinancing existing debts, business operational cost, payroll, etc.
SECTION 6 — REQUIREMENTS, REVIEW & APPROVAL PROCESS
1) All statements and representations made in the application must be true and correct in all
material respects when made.
2) Applicants must schedule an appointment with the Community Redevelopment Agency
Department staff prior to applying. The Community Redevelopment Agency Department
(Department) is located at 600 Cleveland Street, Suite 600, Clearwater, Florida 33755.
To schedule an appointment, contact staff at 727-562-4039. Applications will be received
on an ongoing basis.
3) A copy of a fully executed lease agreement, and notarized copy of"the Owners' Affidavit
form, including property description and property address. If the forms are prepared and
signed by a representative of the Owner, a legal Power -of -Attorney document must be
submitted with the application.
4) Applicants must submit, as part of the application, concept plans, design plans and
floorplan accurately delineating the square footage of the improvement area within the
commercial structure.
5) Digital photographs of the existing structure, interior and exterior, must be provided with
application.
6) 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.
7) Portions of the project costs not funded by the requested grant must be provided by
Applicant funding. Applicant funding may consist of bank loans, lines of credit, other
grants, and owned assets (Equity), etc.
8) Applicant must demonstrate their source of the Applicant Funding and their ability to meet
the financial obligations of the Program.
9) Proceeds from other City -managed financial assistance programs may be used as
Applicant Equity to satisfy the Applicant 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 Equity to satisfy the Applicant Funding requirements of other
City -managed financial assistance programs.
10) Staff will review the application for completeness, which includes all required attachments
and requested data. A post -application submittal conference will be held with the Applicant
to discuss any issues or deficiencies with the application.
11) Incomplete applications will not be considered submitted until all required documentation
• has been submitted to Community Redevelopment Agency Department staff. Submittal of
an application does not guarantee a grant award.
7
12) The Applicant will be required to obtain quotes/estimates from licensed contractors/design
professionals for eligible improvements and submit said quotes/estimates as part of the
grant application submission.
13) All construction/design contracts will be between the Applicant and the contractor or
design professional.
14) Applicants may combine adjacent parcels, buildings and/or individual storefronts within a
building to create one grant request.
SECTION 7 -- DISBURSEMENT POLICY AND PROCEDURE
Grant funds will, unless otherwise approved to be disbursed earlier in accordance with Section 3,
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) Requests for disbursement of project costs will be viewed as a single, completed package,
unless earlier disbursement of funds arrangements have been made to (no more than one
payment within a 30 -day period). Costs not included in the approved application budget
will not be considered for disbursement.
2) To receive disbursement of project costs, the Applicant must provide:
1. Proof of Payment:
o Copies of cancelled checks, certified checks, money orders, or credit card
statements showing payment of project costs; and
o Detailed invoices and paid receipts that are signed, dated, and marked "paid
in full."
2. Project Information:
o Name, address, and telephone number of design professionals, general
contractors, and other vendors involved.
3. Photographs:
o Before and after photos of the project.
4. Permits and Approvals:
o Copies of all required permits (e.g. zoning, building) and evidence of passing
all required inspections.
o If applicable, a Certificate of Occupancy or Certificate of Completion
demonstrating legal occupancy of the project area.
Note: Any work performed without a required permit will not be eligible for grant funding.
3) The CRA disburses funds to grant recipients within 30 days of fully completed
reimbursement request.
SECTION 8 — GRANT EXPIRATION
Applicants must receive a "Certificate of Occupancy or Certificate of Competition" within 365
calendar days from the date of the executed grant agreement. After the said 365 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 an extension of the grant approval before the
expiration date.
8
SECTION 9 — ALTERATIONS AND MAINTENANCE
The improvements will be maintained in accordance with City policies, codes and any other
applicable requirements identified by the City, CRA, or other agencies for a period not less than
three years, or upon written approval by CRA Director.
SECTION 10 — 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.
9
EXHIBIT "B"
GRANT APPLICATION ANTI PLAN SPECIFICATIONS
Page 11 of 12
Case Number: Pr4 d`J
SECTION 11- APPLICATION
COMMERCIAL GRANT PROGRAM
Please circle if you are the: Property Ownersiu Hess O n
1) Applicant/Name of Business
Entity Name (matches Sunbiz) -c-ii ,e N chi i E — COO pctWQ LLC
Full Legal Name and Title (matches Sunbiz) go6kt--1 AyI ve1•S on
Mailing Address: l qo2 ltrl'Voo S' '•
City/State/Zip: n'cl in - F L
Phone Number:
E-mail Address:
Web Site (if available):
Lease Term (if applicable): N/A
If appli
nt is not the property owner, please fill out section 2
2) uthorized Agent (If applicable)
Entit Name (if any): Tr se Na i I E d- Co, I eCti V,6)
FullLegal Name and Title (if any): Robin AyA eYso+n - ON ‘ner
Mailing Address: 161 02 prairwoaolDlr.
City/State/Zip: PurleCt In L 3
Phone Number: Vii$ 447 Lis(0 o E-mail Address: rol1 nffrellCh ete6
3) Subject Property/Location of Proposed Project
Address commonly known as: 115 Ne-ClgV0a he S-- G l'avv ori -ex F
Parcel Identification Number(s):
Property is designated as a Local Historic Landmark: Yes No / if yes please
_
provide documentation.
4) Project description (including business name, tenant description, type of business,
proposed hours of operation, proposed opening date or proposed project
completion date), scope of work to be performed, project schedule, sketch plans
and specifications detailing the scope of work (provide attachment 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.
gee GAIT Collect' VE (-tcvborin-t•
1'ou-ricve tl So�1 oto. wo,,rr- incluo -Flog r6/0
10
I I •C°Vr)
pA I Vth ng , l ei had, p l u vy,io► n b too
5) Describe existing uses and conditions on the property (include photographs as
attachments):
co timY rC+ a l s cmc e to Q i ill r v) ova ieof
into at nolo saran lmeri o r anal �0,;c4-ev Or a rents
vi re coSt c C(Y)G1 fUierihtil ; v ip ove +.s:
oiYvevl
cprIct i 1iOf P ootoopeci Phs G(litga i fid(
6) Financial Disclosure
Amount of Grant Requested:
$ 3 %) 03S ( S
Project Budget — Sources/Uses ;of Funds.'( complete. Attachment A:. Project Budget)
Applicant's Funding verified by
staff
17
I
t4
Grant Request ,
$ 3
'03 S 1
Total; Project Funding: '
�.
$ . ts��
My Property Is up to date with taxes, fees, and complies with City codes and regulations:
Yes f No
If the Applicant has received loan or grant assistance from a city -managed financial
assistance program for a project at this address, please specify the program(s) and the
loan/grant amount(s).
1. /x /A
$
2.
$
PLEASE NOTE: Grants are awarded on a first come, first qualified basis until funds have
been depleted.
11
I UNDERSTAND THAT IN ORDER FOR MY REQUEST FOR GRANT FUNDING TO BE
APPROVED, I MUST AGREE TO THE FOLLOWING CONDITIONS:
1) To adhere to the application procedures and guidelines as specified.
2) That additional improvements or changes not approved in the original grant application
will not be funded by the CRA.
3) That unless otherwise approved by the CRA Director in accordance with this policy,
disbursement of grant funds will only occur after:
a) All improvements have been completed or as otherwise approved by the CRA Director;
b) Inspections of the improvements are approved by the appropriate City Officials or other
required authorities, if any; and
c) Proof of payment, as described in this document, for project costs approved in the
grant application.
4) As the applicant I am aware that these grant funds are considered taxable income and at
the end of the year I will receive a 1099 for any grant funds disbursed.
I ACKNOWLEDGE THAT AVE RECEIVED AND UNDERSTAND THE GRANT GUIDELINES
HEREIN ABOVE STA . IN ADDITION, BY EXECUTING THIS APPLICATION, I
ACKNO EDGE THAT LAWFULLY AUT ORIZED TO EXECUTE THIS APPLICATION.
Mail or hand deliver completed application form to:
Community Redevelopment Agency
City of Clearwater l 600. Cleveland Street, Suite 6001 Clearwater, FL 33755
For question call the Community Redevelopment Department at 727-562-0039.
12
SECTION 12 — ATTACHMENT A PROJECT BUDGET
Attachment A - Project Budget Form
(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
Grant (%)
1
?Orm t in Y1j
$
uV
$ 2./ 1
2
7arfiti on Yva 11
$
$ ;, 300
3
TO PL , MvOF ,-tCx-111 Yee
$
7
$ i,
4
?Olt- mot Pr( mar
$ki
$?,e_
5Qs19oords
$
ST,
6
1l DO(IY)
$
V
$ 1)X()
7i3a-N11
YDO� y VW it(/ Mitlror
$
(•-•
$ -7C
8
TOit +-
$
$
9
Door Excliiatio '
$
` `�/
S Li O
10
Li1V-ilo
$
,
$i's}
11
FirOot Do Y
$
r
s 2. j
12
LInc1SCa pins.
$
S 7cQ
13
f14eY60r thr.t0iSillar
$
s
S'
14
Pr rQ IN Y 1%na,
$
✓1''o
$ 9c;10
15
Motd ee modOM on
$
l-
SL`,5oj
"—'–"17a'+e
16
Architecture and Engineering fees
$
S .---
17
wriearia I S
$
7
$ ®et/`1®
Total Improvement(s) Cost Amoun
$
ogle `e
Total Cost Amount
Eligible for Grant
Consideration
$ 4' 0g4ccr
Authorized Signature:
Date:4\ )••• T
1
•
13
License Information
Name
DBA Name
Main Address
County
License Location
County
License Information
License Type
Rank
KENNE, ROBERT EDWARD (Primary Name)
BOB KENNE SERVICES INC
1469 JACARANDA CIRCLE CLEARWATER Florida
SOUTH 33755
Pinellas
1469 JACARANDA CLEARWATER Florida
CIRCLE 33755
Pinellas
Certified General Contractor
Cert General
License NumberCGC.1515761
Status
Licensure Date
Expires
Special
Qualifications
Construction
Business
Alternate Names
Current,Active
07/09/2008
x=-08/3,7/2028
Qualification Effective
07/09/2008
5900.00. x
For front walkway and steps
REMEDIATION - Mold
$44,500:00 x 1
$4;500.00
Materials Allocation $14,450.00.
$14,450.00x 1
Includes:
.Flooring and underlayment
Paint and primer
Drywall, framing and. drywall supplies
.Mold remediation materials
Stucco
Door:gasket-
Stone and plants
Toilet
Vanity
Mirror
Baseboards
Plumbing parts
boors .(interior}
Light assembly
Plumbing.
51,600.00 x 1
Minor repairs of existing plumbing under kitchen sink
Disposal Fees
$350.00 x 2
Disposal of building materials.
Calculated. per load.
Change -Order Expanded
Scope
$1,600.00
$700.00
$0:00
$0.00 x 1
All estimates are subject to a change order/expanded scope.
Subtotal $44,046.87
Amount Due (USD) $44,046.87
Terms & Notes:
Bob Kenne Services Inc
Contractor License CGC1515761
This contract is entered into by and between Robin Anderson (Client/Owner & First Party), and the
Contractor, Bob Kenne Services (Second Party). The term of this agreement shall begin on July 28, 2026
and shall continue through to its termination which shall be the date of completion of the project. The site
address is 1155 NE Cleveland St., Clearwater, Florida.
The specific terms of this Contract are as follows:
1) The Contractor shall provide and maintain all legally required Licensing and insurance as required
by both State and Local regulations.
2) The Contractor shall permit any and all work as required by the Florida Building Code for this
project.
3) The Contractor's duties shall include:
a) Provide construction drawings, product information and other documentations as required for
building permits.
b) Provide a Copy of the General Contractor's License, General Liability Insurance Certificate
and other documentation as required by the owner and City of Clearwater.
c) Print one job copy of the drawings for use and job site reference during the project and post
the permit and approved drawings on site, once received.
d) The Contractor shall review and familiarize himself the drawings as needed.
e) Prepare a Notice of Commencement for the project.
f) Provide the NOC to the client, get the notarized copy, record at the county courthouse, get a
(
certified copy, scan and upload ,via tpe city perinit portal.
g).PrOctire.Florida product apFiroval-dOcumentt-es required; scan.to pdf arid upload via the.
perrnit .portal as required for permkapplitation.
h) PrePare.84 subnit the building permit application and. pay the initial plans -review fees,- if any.
PreNre.and forward a list of materials and spedfications t� the Owner regarding material
Selections. Selections of Materiels shall be.approVed by the owner andlcontractOr prior to
purchase and installation.
D Visit *site on a' daily basis, or as requirecito confirm proper work, methods, sequence and
safe-wOrk practices..
k) Oversee and -supervise -any licensed trades involved in all .phases -of the repair work:
I) Approvesubcontractor completed work and invoices..and pay these in accordance with
payments received from the Owner.
rh) Oversee inspections to -include inspection of work performed, correction aS required,..schedule
Inspections, confirm inspector'ischedule, meet inspectors on site, follow.up on correction of
anynon-conforming work, and confirmation of inspections passed an the city's= line permit
inspection records;
n) Provide a lien release and proof of completed. inspections to the Owner at project: completion.
o) Permits shall be applied for on line by the. Contractor. Plans amendments.. revisicinsi -Changes,.
additions shall.be submitted on line by the Contractor.
5) Any changes or additions, if required,. tothe drawings or Responseto Conditions as required by
the City Permit- personnel or plans examiners shallbeaddressed by the Contractor for the:project
.and submitted in electronic form (pdf file):so as to providethe correct format and simplify the
response process forthe Contractor.
6) My and all changes: to this contract shall be handled.by approvecizchange order signed and
approved by. both parties. Note that changes, additions, and/or revisions -W -6e projector during
the project may resultln additional Contractor fees, permit fees or costs:
This Contract may not be modified in any manner unless in writing and signed by both parties. This
document and any _attachments hereto constitute the entire agreement between the Parties. This tontract,
shall be binding upon the Paftles, thefr successors, heirs, assigns, and shall be enforced under the laws of
the -State of Florida.
Ths contract may be canceled at any time by either party prior to the commencement of the Contractor's
work on the project.
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/FotmW9 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.
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 Business name/disr arded entity name. 'f fterent fAri above.
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check
only one of the following seven boxes.
❑ lndividuaVsole proprietor 0 C corporation ❑ S corporation ❑ Partnership 0 Trust/estate
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) for the tax
classification of the LLC, unless it a disregarded entity. A disregarded entity should instead check the appropriate
box for the tax classification of its owner.
❑ Other (see instructions)
3b If on line 3a you checked "Partnership" or "Trustfestate," or checked "LLC" and entered "P as its tax classification,
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
this box if you have any foreign partners, owners, or beneficiaries. See instructions
0
4 Exemptions (codes apply only to
certain entities, not individuals;
see instructions on page 3):
Exempt payee code (if any)
Exemption from Foreign Account Tax
Compliance Act (FATCA) reporting
code (if any)
(Applies to accounts maintained
outside the United States.)
5 Address (number, street, and apt. or suite no.). See instructions.
6 City, state; and ZIP co e
ar -IA 3 601V
Requester's name and address (optional)
7 List account number(s) here (optional)
Part I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line l 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
I Social security number
or
Employer identification number
1
3
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
3.1 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, cv ributions to an individual retirement arrangement (IRA), and, generally, payments
other than interest and dividends, • u are not required to sign the certif ation, but you must provide your correct TINE See tl a instructions for Part II, later.
Sign
Here
Signature of
US. person
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 howa 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.
Date
l6
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 applicablereporting
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
Cat. No. 10231X
Form W-9 (Rev. 3-2024)
EXHIBIT "..C"
NO COERCION FOR LABOR OR, SERVICES ATTESTATION
Pursuant to Section 10.06(1n F.S., this form must be completed.by an officer or representative
of a nongovernmental entity when :a contract is executed, renewed,, or extended between the
nongovernmental entity and a governmental entity.
1C2 ‘(\u1,4 Ctleil&oes not use coercion for labor or services as defined. in. Section t8j..06,
F.S.
Under penalty of pekfury, declare that I have read the foregoing statement arid that the facts stated
in it aretrue and Correct.
Signature:
Printed Nam
Date: lOIJI2.b.
STATE OF FLORIDA
COUNTY OF PINELLAS )
The...foregoing instrument was acknowledged befOre ine.by.means ph sical presence or C online.
hotarizatiou this 27 day of 0 5 tr" .. • .2026 by , as •
of.lhi .061,4 rAteckkr: who is/are personally known to me. or r who
has/have produced a driver's license as identification.
(NOTARIAL SEAL).
Brian J. Ulbricht
Comm.: HH 853446
Expires: Oct 6.2030
Win Palle
Notary Public, State of Florida
Name ofNotaryi 8 ri 3. AIit4
My CormnisSion Expires: 044.ci
My Commission No.: ifft q51* -1.6
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