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MEMORANDUM OF AGREEMENT - FPN 256890-2-56-02 MEMORANDUM OF AGREEMENT THIS AGREEMENT, made and entered into this—__, day of 2010, by and between the State of Florida, Department of Transportation, hereinafter referred to as '"F T"` and the State of Florida, Department of Financial Services, Division of Treasury and (Qry-QLCLQarw&r). hereinafter referred to as the "Participant". WITNESSETH WHEREAS FD T" is currently constructing the following project Financial Project Number: 256890-2-56-02 County., Pinellas hereinafter referred to as the "Project". NOTE: ONLY THE NEX1- TVVO PARAGRAPHS MAY BE MODIFIED AS APPROPRIATE WITHOUT PRIOR APPROVAL OF FDOT'S COMPTROLLER. WHEREAS, FD OT and the Participant entered into a Locally Funded Agreement dated January 7, 2010, wherein DOT agreed to perform certain work on behalf of the Participant in conjunction with the Project. WHEREAS, the parties to this AGREEMENT mutually agreed that it would be in the best interest of the FD OT and the Participant to establish an 'interest bearing escrow account to provide funds for the work performed on the Project on behalf of the Participant by the FDOT. NOW THEREFORE, in consideration of the premises and the covenants contained herein, the parties agree to the following: 1. An initial deposit in the arnount of L$666, Q00.7Z (Six Hundred its Six Thousand Dollars and Seventy Two Cents) will be made by the Participant into an interest bearing escrow account established by the F for the purposes of the project. Said escrow account will be opened with the Department of Financial Services, Division of Treasury, Bureau of Collateral Management on behalf of the FD OT upon receipt of this Memorandum of Agreement. Such account will be an asset of FD T. 2. Other deposits will be made only by the Participant as necessary to cover the cost of additional work prior to the execution of any Supplemental Agreements. r ''.ps>;`1 hall ("Etc payable lam_ ;_ :I"I °' �: t f l f" off Im{! �f I Services,: R,?':v,„]l,ut� Processirig and mailed to he, F-t.Oi Office of Comptr'oller. 1 ar ar)propri to pr"ot essir ig at- the following address: Florida Department of TranspottatCon Office of Comptroller- 605 Suwannee Street Mail 'station T allahasseel, Florida 32399 A copy of this Agreement should accompany any deposits& When the check is mailed t Tallahassee, the District Office should instruct the Participant to mall the is rict Office a copy of the check. 4. The FDOT's Comptroller and/or her doslgnoes shall be the sole signatories oil the escrow account with the Department of Financial Services and shall have solo aut"horit to authorize withdrawals from said account, Unless instr°uct d otherwise by the patties hereto, all Interest accumulated d ire the escrow account shall remain in the account for the purposes of the project as defined in the LFA. 6� The Department of Financial Services agrees to provide written confirmation of receipt of funds to the FDOT. The L opart.rliont of Financial Services further agrees to provide Periodic reports to the FDOT. ;T ATE F FLORIDA STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION DEPARTMENT OF FINANCIAL SERVICES C ,IPTROLLER DIVISION OF TREASURY PA TICIPAI T SIGNATURE William B. Horne II Cl ,t. Kan a q-fir° PARTICIPANT NAME & TITLE t12 S. Osceola Avenue Ct rm ,ter;.,- .. ---- F r a_.___..... .. �3-7-56 PARTICIPANT ADDRESS FEDERAL EMPLOYER I U, NUMBER