Seat 4: Doug Robertson - C		
Seat 1: James Mecsics - VC		
Seat 3: Bob Zelazny - AS		
Seat 2: Stanley Williams - AS		
Seat 5: Carla Wright - AS		

Lake Ashton II
Community Development District
Continued Meeting Agenda

Friday
November 15, 2019
11:00 a.m.

Lake Ashton II Health & Fitness Center 6052 Pebble Beach Boulevard Winter Haven, FL 33884

Roll Call and Pledge of Allegiance

Approval of Meeting Agenda

Public Comments on Specific Items on the Agenda (speakers will fill out a card and submit it to the District Manager prior to beginning of the meeting. Individuals providing  speaker cards will also have  an opportunity to speak prior to Board action)

Update and Discussion of Golf Course Acquisition
Discussion of Lease Agreement

Discussion and Review of Due Diligence Terms
Status Update and Discussion

Update on Negotiation of Identified in Golf Course Asset Inspection Performed by District Engineer

Review of WOO Inspection Report

Ratification of Agreement with Stillwater Environmental, Inc . for Phase I Environmental Site Assessment Services

Review of Phase 1 Environmental Report (provided under separate cover)

v.	Review of Commercial Building Inspection Report from Michael W. SpringsteadEngineering , LLC
(provided under separate cover)

Discussion of Golf Course Operator

Supervisor Requests and General Public Comments

Adjournment

AGREEMENT BETWEEN LAKE ASHTON Il COMMUNITY DEVELOPMENT DISTRICT AND STILLWATER ENVIRONMENTAL, INC.
FOR PHASE I ENVIRONMENTAL SITE ASSESS MENT SERVICES
nus A GREEMENT (the "Agreement ") is made and entered into this 10th day of November, 2019, by and betw een:

Lake Ashton II Community Development District,  a  local  unit  of  special­ purpose government established pursuant to Chapter 190 , Florida Statutes, and located in Winter Haven, Florid a, whose mailing address is 135 West Central Boulevard, Suite 320, Orlando , Florida 32801 (the "District"); and

Stillwater Environmental, Inc., a Florida corporation, whose mailing address is 971 Smokerise B lvd ., Port Orange, Flori da 32127 (the "Contractor ").

RECITALS

W HEREAS, the District was established  pursuant  to  the  Uniform  Community Development District Act of 1980, Chapter 190, Florida Statutes, as amended, for the purpose  of plan ning, constructing , installing , acquiring, financing , operating and/or maintaining certain public infrastructure improvements including recreational facilities, all of are located with in the Lake Ashton residential golf development (hereina fter, the "Lake Ashton Communi ty"); and

WHEREAS the District has entered into that certain Contract for Sale and Purchase (the "PSA") in order to acquire, own, operate and maintain all or a portion of that  certain  Golf Club (as defined in the PSA) (the "Acquisition ") within the Lake Ashton Community from its current joint owner s, Lake  Ashton  Golf Clu b,  Ltd.,  Lake Ashton  Golf Club II,  Ltd.,  and  Ashton  Golf­ E agle' s Nest, LLC (collecti vely, ('Seller"); and

WHEREAS, accordingly the District has a need to retain independent contractor to provide a Phase I Environmental Site Assessment relative to the Golf Club prope rty described in Exhibit A (the "Property"), as such services are more particularly described in the attached Exhib it B, which is incorporated herein by reference (the "Services "); and

WHEREAS, the Contractor represents that it  is  licensed ,  qualified  and  capable  of providing the Services and has agreed to provide  such  services  for  the  District  in  accordance with the terms of this Agreement; and

WHEREAS, the District and Contractor warrant and agree that they have all right , power and authority to enter into and be bound by this Agreemen t.

Now THEREFORE, in conside ration of the recita ls, agreements , and mutual covenants contained herein , and other good and valuable considerat ion , the receipt and sufficiency of which are hereby acknowledged by the parties, the parties agree as follows:

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

SECTION 2.	SCOPE OF SERVICES; MANNER OF CONTRACTOR'S PERFORMANCE, The
duties, obligations and responsibilities of the Contractor are to  provide  the Services for  the  Dis trict , as set forth in more detail in Exhibit B, which shall be completed by the Contractor within seven (7) calendar days of execution of this Agreement.

Contractor shall be solely responsible for the means, manner and methods by which its duties , obligations and responsibilities are met to the satisfaction of the District and in accordance with this Agreement. While providing the services identified in this Agreement, the Contractor shall assign such staff as may be required, and such staff shall be responsible for coordinating, expediting, and controlling all aspects to ensure the completion of the Services .

This Agreement grants to Contractor the right to enter the lands that are subject to this Agreement for those purposes described in this Agreement, and Contractor  hereby agrees to comply with all applicable laws, rules, ordinances and  regulations  affecting the provision of the Services . Prior to commencement  of  the  Services,  Contractor shall notify the Seller in writing of its intent to access the Property for the purpose of performing the Services.

The Contractor shall only access the Property during normal business hours and shall  use commercially reasonable efforts to ensure that such activities do not interfere with existing operations relative to the Property.

The District hereby designates its District Manager to  act  as  the  District's representative with respect to the  services  to  be  performed  under  this  Agreement. The District's representative shall have complete authority to transmit instructions, receive information, interpret and define the District's policies and  decisions  with respect to the Services .

Contractor shall use all due care to protect the property of the Seller, the District, its residents and Sellers from damage and shall follow and be responsible for the completion of such services . Contractor agrees to repair any damage resulting from Contractor's activities and work within twenty-four (24) hours .

SECTION 3.	COMPENSATION.

As compensation for the completion of the Services , the District agrees to pay the Contractor Two Thousand Two Hundred Fifty Dollars ($2,250.00), which amount includes all items, labor and materials necessary to complete such Services. The Contractor shall invoice the District upon completion of the Services, and the District shall provide payment within thirty (30) days of receipt of such an inv oice .

Should the District desire additional work or services not provided in Exhibit B, the Contractor agrees to negotiate in good faith to  undertake  such  additional  work  or servic es. Upon successful negotiations, the  parties shall  agree  in  writing  to  a work ord er, addendum, addenda, or change  order to this  Agreement.  The Contractor  shall be compensated for such agreed additional work or services based upon a payment amount acceptable to the parties and agreed to in writing. No additional  services shall  be provided by the Contractor unless done at the direction of the District.

SECTION 4.	INSURANCE.

The Contractor shall , at its own expense , maintain insurance during the performance of the Services pursuant to this Agreeme nt, with limits of liability not less than the following :

Workers Compensation

General Liability
Bodily Injury (including contractual) Property Damage (including contractual)

Automobile Liability (if applicable)
Bodily lnjwy and Property Damage

Professional Liability for Errors and Omissions

statutory

$1,000,000 per occurrence;
$2,000,000 aggregate
$1,000,000 per occurrence;
$2,000,000 aggregate

$1,000,000 per occurrence;
$2,000 ,000 aggregate

$1,000,000

The Contractor shall furnish the District with the Certificate of Insurance evidencing compliance with the following requirements prior to accessing the Clubhouse:

Except for the Workers Compensation and Professional Liability for Errors and Omissions, the Districts and the District s' agents, staff, consultants and supervisors, shall be named as additional insured s.

Lake Ashton Golf Club, Ltd., a Florida limited  partnership,  Lake  Ashton  Golf Club II, Ltd., a Florida limited partnership, and Ashton Golf-Eagle's Nest, LLC, a Florida limited liability company (collectively,  "Seller"),  shall  be  additional insured under the commercial general liability insurance only with respect to any commercial inspection activities by the insured and the insured' s agents or contractors during such entry onto the Seller ' s Golf Clu b.

No certificate shall be acceptable to the District unless it provides that any change or termination within the policy periods of  the  insurance  coverages,  as  certified,  shall not be effective within thirty (30) days prior written notice to the District. Insurance coverage shall be from a reputable insurance carrier, licensed to conduct business in

the State of Florida, and such carrier shalt have a Best' s Insurance Reports rating of at least A-, Class VII

If the Contractor fails to have secured and maintained the required insurance, the District has the right (without any obligation to do so, however), to secure such required insurance in which event the Contractor shall pay the cost for that required insurance and shall furnish, upon demand, all information that may be required in connection with the District's obtaining the required in surance.

SECTION 5. INDEPENDENT CONTRACTOR. It is understood and agreed that at all times the relationship of Contractor and its employees, agents, representatives or anyone directly or indirectly employed by Contractor to the District is the relationship of an independent contractor and not that of an employee, agent, joint venturer or partner of the District. Nothing in this Agreement shall be interpreted or construed as creating or establishing the relationship of employer and employee between the District and Contractor or any of its employees, agents, representatives or anyone directly or indirectly employed by Contractor. The parties acknowledge that Contractor is not an employee for state or federal tax purposes. Contractor shall hire and pay all of Cont ractor' s employees, agents, representatives or anyone directly or indirectly employed by Contractor, all of whom shall be employees of Contractor and not employees of the District and at all times entirely under Contractor's supervision, direction and control.

In particular, the District will not: i) Withhold FICA (Social Security) from Cont ractor 's payments ; ii) Make state or federal  unemployment  insurance  contributions  on  Contractor ' s behalf ; iii) Withhold state or federal income tax from payment to Contractor; iv) Make disability insurance contributions on behalf of Contractor;  or  v) Obtain  workers '  compensation  insurance on behalf of Contractor.

SECTION  6.  COMPLIANCE  WITH GOVERNMENTAL  RE GULATIONS.    The Contractor  shall
keep, observe, and perform all requirements of applicable local, state, and federal laws, rules, regulations, or ordinance s. If the Contractor fails to notify the District in writing within  five (5) days of the receipt of any notice , order, required to comply notice, or a report of a violation or an alleged violation, made by any local, state, or  federal  governmental  body  or  agency  or subdivision thereof with respect to the services being  rendered  under  this  Agreement  or  any action of the Contractor or any of its agents, servants, or employees, or with  respect  to terms, wages, hours, conditions of employment , safety appliances , or any other  requirements  applicable to the provision  of services,  or fails to  comply  with  any  requirement  of such  agency  within five
days after receipt of any such notice, order, request to comply notice, or report of a violation or an alleged violation, the District may terminate this Agreement , effective immediately upon the giving of notice of termination .

SECTION 7.	DEFAULT  AND  PROTECTION  AGAINST  THIRD PARTY  INTERFERENCE.  A
default by either party under this Agreement shall entitle the other to all remedies available at law or in equity, which may include, but not be limited to, the right of actual damages and/or specific pe1fo rmance. The District shall be solely responsible for enforcing its rights under this Agreement against any interfering third party.  Nothing contained  in this Agreement shall limit

or impair the District's right to protect its rights from interference by a third party to  this  Agreement.

SECTION 8.   ENFORCEMENT  OF A GREEMENT.  In the event that either  party  is required to enforce this Agreement by court proceedings or otherwise, then the parties agree that the prevailing party shall be entitled to recover from the other all fees and costs incurred, including reasonable attorneys' fees, paralegal fees and expert witness fees, and costs for trial , alternative dispute resolution , or appellate pro ceedings.

SECTION 9.  A MENDMENTS.   Amendments to and  waivers of the  provisions contained in this Agreement may be made only by an instmment in writing which is executed by both the District and the Contractor.

SECTION 10. AUTHORIZATION. The  execution  of  this  Agreement  has  been  duly authorized by the appropriate body  or  official  of  the District  and  the  Contractor,  both  the District and the Contractor have complied with all the requirements of law, and both the District and the Contractor  have  full  power  and  authority  to  comply  with  the  terms  and   provisions   of   this Agree ment .

SECTION 11. N OTICES. All notices, requests, consents and other communications under this Agreement ("Notices") shall be in writing and shall be delivered , mailed by First Class Mail, postage prepaid, or overnight delivery service, to the parties, as follo ws:

If to Contractor:

If to District:

With a Copy to:

Stillwater Environmental, Inc. 971 Smokerise Blvd.
Port Orange, Florida 32127 Attn: Timothy J. Talbot
Email: stillwaterenv@gmail.com

Lake Ashton Il Community Development District
135 West Central Boulevard, Suite 320
O rlando , Florida 32801
Attn: Jil1ian Burns
Email : jbums@gmscfl.com

Hopping Green & Sams, P.A .
119 South Monroe Street, Suite 300
Tallahassee, Florida 32301 Attn: Michael Eckert
Email: michaele@hgslaw.com

c.	If to Seller:	Ashton Golf-Eagle's Nest, LLC
500 South Florida Avenue, Suite 700 Lakeland, Florida 33801
Attention :  Jim D. Lee
Tele phone : (863) 647-1581
Email: jlee@leeandcompany .com

With  a Copy to:	Clark, Campbell, Lancaster & Munson, P.A.
500 Florida Avenue, Suite 800
Lakeland, Florida 33801 Attention : Michael E. Workman Telephone : (863) 647-5337
E-mail: mworkman@cclmlaw.com

Except as otherwise provided in this Agreement, any  Notice  shall  be  deemed  received only upon actual delivery at the address set forth above. Notices delivered after 5:00 p.m. (at the place of delivery) or on a non-business day, shall be deemed  received  on the next  business  day.  If any time for giving Notice contained in this Agreement would otherwise expire on  a  non­ business day, the Notice period shall  be  extended  to  the  next  succeeding  business  day. Saturdays, Sundays, and legal holidays recognized by the United States government shall not be regarded as business days. Counsel for the District and counsel for the Contractor may  deliver Notice on behalf of the District and the Contractor.  Any  party or other  person  to whom  Notices are to be sent or copied may notify the other parties and addressees of any change in name  or address to which Notices shall  be sent  by  providing  the same on  five (5) days written  notice to the parties and addressees set forth herein .

SECTION 12. ARM'S LENGTH TRANSACTION, This Agreement has been negotiated fully between the District and the Contractor as an arm's length transaction. Both parties participated fully in the preparation of this Agreement and received the advice of counsel. In the case of a dispute concerning the interpretation of any provision of this Agreement, both parties are deemed to have drafted, chosen, and selected the language, and the doubtful language will not be interpreted or construed against either the District or the Contractor.

SECTION 13. THIRD PARTY  BENEFlCIARIES.   This  Agreement  is solely  for the benefit of the District and the Contractor and no right or cause of action shall accrue upon or by reason, to or for the benefit of any third party not a formal party to this Agreement. Nothing in this Agreement expressed or implied  is intended or shall be construed to confer upon any person or
corporation other than the District and the Contractor any right, remedy, or claim under or by reason of this Agreement or any of the provisions or conditions of this Agreement; and all of the provisions, representations, covenants, and conditions contained in this Agreement shall inure to the sole benefit of and shall be binding upon the District and the Contractor and their respective
representatives, successors, and assigns.

SECTION 14. ASSIGNMENT. Neither the District nor the Contractor may assign this Agreement or any monies to become due hereunder without the prior written approval of the other.

SECTION 15. APPLICABLE LAW AND VENUE. This Agreement and the prov1s1ons  contained herein shall be construed,  interpreted  and  controlled  according  to the laws of the State of Florida. Venue shall be in Polk County, Florida.

SECTION 16.	INDEMNIFICATION.

Contractor agrees to defend, indemnify, and hold harmless the District and  its officers , agents, employees, successors, assigns, members, affiliates, or representatives from any and all liabili ty, claims, actions, suits, liens, demands, costs, interest, expenses, damages, penalties, fines, judgments against the District, or loss or damage, whether monetary or otherwise, arising out of, wholly or in part by, or in connection with the Services to be perfonned by Contractor, its subcontractors, its employees and agents in connection with this Agreement , including litigation, mediation, arbitration, appellate, or settlement proceedings with respect thereto. Additionally, nothing in this Agreement requires Contractor to indemnify the District for the District's percentage of fault if the District is adjudged to be more than 50% at fault for any claims against the District and Contractor as jointly liable parties; however, Contractor shall indemnify the District for any and all percentage of fault attributable to Contractor for claims against the District, regardless whether the District is adjudged to be more or less than 50% at fault. Contractor further agrees
that nothing herein shall constitute or be construed as a waiver of the District's limitations on liability contained in section 768.28, Flor;da Statutes, or other statute.

Obligations under this section shall include the payment of all settlements, judgments , damages, liquidated damages, penalties, forfeitures, back pay awards, court costs, arbitration and/or mediation costs, litigation expenses, attorneys' fees, paralegal fees (incurred in court , out of court, on appeal, orin bankruptcy proceedings), any interest, expenses,  damages,  penalties,  fines,  or judgments  against  the District,  all  as actually i ncurred.

SECTION17.	LIMITATIONS	ON  GOVERNMENTAL	LIABILITY.	Nothing	in	this
Agreement shall be deemed as a waiver of immunity or limits of liability of the District beyond any statutory limited waiver of immunity or limits of liability which may have been adopted by the Florida Legislature in Section 768.28, Florida Statutes, or other statute, and nothing in this Agreement shall inure to the benefit of any third party for the purpose of allowing any claim which would otherwise be barred under the Doctrine of Sovereign Immunity or by operation of law.

SECTION 18. TERMINATION. The District agrees that the Contractor may terminate this Agreement for cause by providing thirty (30) days written notice of tennination to the District; provided, however, that the District shall be  provided  a  reasonable  opportunity  to  cure  any failure under this Agreement. The Contractor agrees that the District  may  terminate  this  Agreement immediately for cause by providing written  notice  of  termination  to the Contractor. The District shall provide thirty (30) days written notice of termination without cause. Upon any termination of this Agreement, the Contractor shall be entitled to payment for all services

rendered up until the effective termination of this Agreement , subject  to whatever  claims  or off sets the District may have against the Contractor as the sole means of recovery for termination .

S ECTION 19. PuBuc RE CORDS.  Contractor understands  and  agrees  that  all  documents of any kind provided to the District in connection with this  Agreement  may  be  public  records, and, accordingly, Contractor agrees to comply with all applicable provisions of Florida law in handling such records, including but not limited to  Section  119.0701,  Florida  Statutes . Contractor acknowledges that the designated public records custodian for the District is Jillian Burns ("Public Records Custodian").   Among  other requirements  and to the extent applicable by law, the Contractor shall 1) keep and maintain public records  required  by  the  District  to perform the service; 2) upon request by  the Public Records Custodian,  provide  the District  with  the requested public records or allow the records to be inspected or copied  within  a  reasonable  time period at a cost that does not exceed the cost provided in Chapter 119, Florida Statute s; 3) ensure that public records which are exempt or confidential , and exempt from public records disclosure requirements, are not disclosed except as authorized by law for the duration of  the contract term and following the contract term  if the  Contractor  does  not  transfer  the records  to the Public Records Custodian of the District ; and 4) upon completion  of the contract,  transfer  to the District , at no cost, all public records in Contractor's possession  or,  alternatively,  keep, maintain and meet all applicable requirements for retaining  public  records  pursuant  to Florida laws. When such public records are transferred  by  the  Contractor,  the Contractor  shall  destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the District in a  format that is compatible with Microsoft Word or Adobe PDF formats.

IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, AS TO CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF	PUBLIC	RECORDS	AT	(407)	841-5524, JBURNS@GMSCFL.COM , OR AT 135 WEST CENTRAL BOULEYARD, SUITE 320, ORLANDO, FLORIDA 32801.
SECTION 20. SEVERABILITY. The invalidity or unenforceability of any one or more provisions of this Agreement shall not affect the validity or enforceability of the remaining portions of  this  Agreement,  or  any  part  of  this  Agreement  not  held  to  be  invalid  or  unen forceable.

SECTION 21. HEADINGS FOR CONVENIENCE ONLY. The descriptive headings in this Agreement are for convenience only  and  shall  not control  nor affect the meaning or construction of any of the provisions of this Agreement.

SECTION 22. ENTIRE AGREEMENT. This instrument shall constitute the final and complete expression of the Agreement between the parties relating to the subject matter of this Agreement. To the extent any of the provisions of this Agreement are in conflict with the provisions of Exhibit B, this Agreement cont rols.

SECTION 23. SCRUTINIZED COMPANIES STATEMENT. Contractor certifies that it is not in violation of section 287. 135, Florida Statutes, and is not prohibited from doing business with the District under Florida law, including but not limited to Scrutinized Companies with Activities in Sudan List or Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. If Contractor is found to have submitted a false statement, bas been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or has been engaged in business operations in Cuba or Syria, or is now or in the future on the Scrutinized Companies that Boycott Israel List, or engaged in a boycott oflsrael, the District may immediately terminate this Agreement

{Signatures on Next Page]

IN WITNESS WHEREOF, the District and the Contractor have executed this Agreement on the day and year fust written above.

Attest:		LAKE ASHTON IICOMMUNITY DEVELOPMENT DISTRICT

ssistant Secretary	
Witness:	STILLWATER ENVIRONMENTAL, INC.

By :     -	-	-	--	-	-	-	-	-	-	-	-	-
Its:- ------------

Exhibit A: Description of Property to be Inspected
Exhibit B: Scope of Services

10

IN WITNESS WHEREOF, the District and the Contractor have executed this Agreement  on the day and year first written above .

Attest:	LAKE ASHTON IICOMMUNITY
DEVELOPMENT DISTRICT

 	

Secretary/ Assistant Secretary

Witness:

Chairman, Board of Supervisors

STILLWATER ENVffiONMENTAL, INC.,
a Florida Corporation

I

I,

By: Timothy J. Talbot Its: Manager

Exhibit A: Description of Property to be Inspected
Exhibit B: Scope of Services

Exhibit A

Description of Property to be Inspected

[Lake Ashton Golf Club II, Ltd Parcels]

26-29-24-690596-000130
26-29-24-690596-000140
26-29-24-690596-002940
26-29-24-690596-003620
26-29-24-690596-003621
26-29-24-690596-003622
26-29-24-690596-003623
26-29-24-690596-003630
26-29-24-690596-00363l
26-29-24-690 596-003632
26-29-24-690596-003633
26-29-24-690596-003634
26-29-24-690596-003640
26-29-24-690596-00364l
26-29-24-690596-003642
26-29-24-690596-003650
26-29-24-690596-003770
26-29-24-690596-003790
26-29-24-690596-003800
26-29-24-690596-0038 l 0
26-29-24-690596-003830
26-29-24-690599-008780
26-29-24-690600-009770
27-29-l 9-865201-010660
27-29-19-865202-011980

[Ashton Golf-Eagle ' s Nest, LLC Parcels] 26-29-24-690596-000120
26-29-24-690596-003780
26-29-24-690596-003820
27-29-19-865200-005400
27-29-l 9-865200-005940

[Storage and Maintenance Building Parcel] 27-29-19-865201-010630

Exhibit B

Scope of Services

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SCOP[ OF SCRVICTS
Aki: ASHTON It C0'1i MUNITY DEVELOP MENT DIS TRICT
LAKE ASHTON GOlf CLUB II, WINTER HAVEN Fl 33834 ENV IR ONM E NTAL SERVICE!.
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TOT M .	S	2,2 :i0.00

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WDO Report	Ro le: 04
11/6/2019	8:00AM	Prt k:luction Value : $500.00

Acct# 38166

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Started: 11/6/2019	INV# 147013
La: t Service :
Ne  t Service :

e.,,

Service Information	Ins ructions	Billing lnfonnation

Lake Ashton II COD
Maintenance Building, cluhouse, storage shed

c.,...,j

Lake Ashton II COD 5385 N Nob Hill Rd

LAKE WALES, Fl 33859	C, l../<"'5 4.r	-	S UNRISE, Fl 33351

AmoootP,OE::----.:-=:-

Amt due this SVC : $500.00 Prepay : ($0.00)

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Subdiv: --?-	Map:	Total Due : $500.00

Target(s):

Dir,ections

:::: !Typ
Exp

Pest Control	Lawn and Ornam   ntal	./ ,awn Tre11fme11f lnstructions:
I ih C cli -:!rl c	'.J \:o W,1ter for 24 Hours
F, n i l i1t•r	'::J Do Nol Mow or Waler for 3 to 5 Days Following Tre atm nt
l rnn	·,:J \Va1cr i ll Tre a l111e11t
l k:rh h.:i d	WOK to Water
-	Termite lll fon nati rm :
No	Live 'Jenn ices Found
Stk   er: Wcu i n;,	D Livl' Activity - Treatment to be Scheduled
Fun   ici de	0
Termite	Other	Agrccincm Period	to

'  fo rm id.ir	( ll h r
Olhcr	t\<.· rnl   1o n	Pma..;s  um

ua, e: /I _

t:l: a;/;,

Check

;.t:;1. u,e

Make Card   □	L'uswuier,  i rrn1ure,\'I   '1\ t:;:;'-.-../AW'(\,l--
,

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p  EST	C   0   N  T  R  0  L

7e,r--Mite	Rc+tvl y	-
(	2103 K-V ille Ave
Auhurndnle, FL :-nx:n
-

' , /

.;'f =- '\	Florida Depi rtment of Agriculture and Consumer Services

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.,1:	Divisio n of Agricultural Environmental Services

WOOD-DEST ROVING ORGANISMS INSPECTION REPORT

..,.!..._1.'..P.-..•.,..,. :

Rule SE-14. 142, F. A. C.
Nicole "Nikki" Fried	Telephone Number: (850) 617-7996
COMMISSIONER

SECTION 1 · GENERAL INFORMATION
Inspection Company:
""'   lnlrv ll,n     P d     Control I I r	Business License Number:	Jl;l Q
Inspection Company Name
2103 K-ville Ave	Phone Number:	BQ - J-ZJJ:l
Company Address
Auburndale FL 33823	Date of Inspection :	lllJ2l2Q:1
Company City, State and Zip
In spector's Name and Identification Card Number:	Steven Brewster		JE152183 Print Name	ID Card No.
Address of Property Inspected:	Maintenanc1 Building, cluhouse, storage shed, Lake Wales, FL 33859 Structure(s) on Property Inspec ted:	Pro Shop, rv aintenance Building, Storage Shad

Inspection and Report requested by:	Lake Ashlar II CDD

Report Sent to Requestor and to:

Name and Contact Information

Name and Contact lnrormallon If different from above

SECTION 2 • INSPECTION Fl DINGS• CONSUMERS SHOULD READ THIS SECTION CAREFULLY

THiS REPORT IS MADE ON THE BASIS OF WHAi WAS ViSiBLE AND READILY ACCESSIBLE AT THE TIME OF INSPECTION AND DOES NOT CONSTITUTE A GUARANTEE OF THE ABSEt CE OF W00D_DESTR0YING ORGANISMS (WD0s) OR DAMAGE OR OTHER EVIDENCE UNLESS THIS REPORT SPECIFICALLY STATES H REIN THE EXTENT OF SUCH GUARANTEE.
Thla •roport      OOes not  cover-areu&olJch•o:,, b\.11 not   lh>nllcd lo,  those th&t e  o enckleed or- ineiece"eib!Q, o eu i;.onGot1ltrd by W?!lh-coverings. floor coveringo, fumiturc1  equipmen t, stcred .!!rticles. insulation
or any portion of lhe structure in Which lnspeo1Ion would necessitate rerr,bvlng or defacing any par1 of the structure
This property was not Inspected for any fungi olher than wood-<lecaying ung,i and no opinion on health related effects of indoor air Quality is provided or rendered by this report.Individuals licensed to pelform pest control ara not required, authorized or licensed to inspect pr report for any rung! olher than wood-destroying fungi, nor lo report □r comment on health or indoor air quali ty Issues related lo ,my fungi. Persons concerned about these iss ues should consult wi!h cer1i1led Industrial hygienist or other person trained and qualified lo render such opinion s.
A wood-destroying organism (WDOJ means an arthropod lc>r plant life which damages and can relnfest seasoned wood In a structure, namely, termlle,i, powder
post beetles, old house borers, and wood-decaying fungi
NOTE: This is NOT a structural damage report. i should be understood that there  may be  damage,  lr.cludir,g  possible  hidden damage present . FURTHER INVESTIGATION BY QUALIF ED EXPERTS OF THE BUILDING TRADE SHOULD BE MADE TO DETERMINE THE STRUCTURAL SOUNDNESS OF THE PROPERTY.
Based on a visual Inspection of accessible areas, he following findings were observed:
(See Page 2, Section 3 to determine  which areas of the inspected structure(s) may have been inaccessible.)	1 .
NO visible signs of WD0(s) (live, evidenc1 or damage) observed.
B,0	VISIBLE evidence of WDO(s) was observE Id as follows:
0 1. LIVE WDO(s):	-
(Com mo n ;\Ian, of Organism and Lociltlon - uso ilddltlonsl p.age, lf heeded}

0 2, EVIDENCE of WDO(s) (dead wood-destroyinD insects or insect p arts, frass, shelter lubes, exit holes, or other evidence):
.
CommDn Neme. Ou ai ption Md  t1..aU0n • OeS-ttlbe e.vtdenee.- U£e. addilfonal page, II	ud)

O3.DAMAGE caused by WDO(s) was observec and noted as follows:
-
(Common Name, De crlplian Md Lo Uo n o( a 1/lalbl& damage - Oe&ui be damage- uee additional paoe, i1r)fledod)

CONTINUED ON PAGE TWO
FDACS-13645 Rev. 10/15
Page 1 of 2

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SECTION 3 • OBSTRUCTIONS AND INACCESSI BLE AREAS: The foltowlng areas of the structure(s) inspected were obstructed or inaccessible . NO INFORMATION on the status < f wood-destroying organisms or damage from wood-destroying organisms  in  these areas is provided in this report.
In addition to those areas described In consumer Info, ation on Page 1, Section 2; the following specific areas were not visible and/or accessible for
lnspectlo11. The descriptio11s and reasons for inaccessib ty are stated below:
0	Attic	SPECIFIC AREAS·
REASON:

Interior	SPECIFIC AREAS·
	REASON:	
0	
Exterior	
SPEClflC AREAS·	
		REASON :	
0	
Crawlspace	
SPECIFIC AREAS ·

REASON:	
Other	SPECIFIC AREAS·
REASON:

SECTION 4 • NOTJC OF INSPECTION AND TREATMENT INFORMATION
EVIDENCE    of  previous  treatment observed: OYes	No If Yes, the structure exhibits evidence of previous treatment. List what was observed:

NOTE: The inspecting company can give no assuratlc a with regard to work don0 by other companies. The company  that performed  the treatment sl)ould be contacted for information on treatment hlsto y and any warranty or service agreement which may bu In place.

A Notice of Inspection has been affixed to the struct re at: Fuse Box
(State the location) This Company has treated the structure(s) at the tirr e of inspection	OYes	No
If Yes: Common name of organism
(Common name of organism)

Name of Pesticide Used:	Terms and Conditions of Treatment: Method of treatment:	D Whole structure    □Spot treatment:
Specify Treatment Notice Location:

SECTION 5 • COMMENTS AND FINANCIAL DISCLOSURE
..

COMMENTS:

t Jt

Neither the company (licensee) nor the inspector Ihas any financial interest in the property inspected of Is associated in any way in the
-    transaction or with-1:1ny party	transaction other	fo-r inspe etlon purposes .
:to:i  Al	6i	fl I  Iil.ik¾_	11/12/2019
Signature of Licensee or Agent.	,-	-	_,,	Date'

Mdress of Property Inspecte d:   Maintenance Buildina. cluh□U Sf   storeae shed Lake Wales FL	lnspecUon Date :	11/12/2019

FDACS-13645 Rev. 10115

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