Item F17 F.17
Coty f � ,�� ,' BOARD OF COUNTY COMMISSIONERS
�� Mayor David Rice,District 4
The Florida Keys � Mayor Pro Tem Craig Cates,District I
y Michelle Coldiron,District 2
James K.Scholl,District 3
Ij Holly Merrill Raschein,District 5
County Commission Meeting
November 15, 2022
Agenda Item Number: F.17
Agenda Item Summary #11287
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342
NA
AGENDA ITEM WORDING: Approval by the BOCC to accept donation of a vehicle from a
private resident and subsequently dispose of the vehicle by cutting it up for vehicle extrication
training purposes at the Training Academy.
ITEM BACKGROUND: Monroe County Fire Rescue (MCFR) is seeking BOCC approval to
accept the donation of a 2002 Acura from a private resident and subsequent approval to dispose of
the vehicle by cutting it up in support of extrication training at the Training Academy as per the
attached Monroe County Inventory Deletion Request Form —Disposal.
The Purchasing Policy states that the Board of County Commissioners shall approve the disposal of
items that have been deemed to be surplus. The item on the list has no salvage value.
PREVIOUS RELEVANT BOCC ACTION: N/A
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Monroe County Inventory Deletion Request- Donated Vehicle 10.24.2022
Donated Vehicle - 2002 Acura Title and Registration
FINANCIAL IMPACT:
Effective Date: N/A
Expiration Date: N/A
Packet Pg. 1177
F.17
Total Dollar Value of Contract: N/A
Total Cost to County: N/A
Current Year Portion: N/A
Budgeted: N/A
Source of Funds: N/A
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: N/A If yes, amount: N/A
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details: N/A
REVIEWED BY:
James Molenaar Completed 10/28/2022 10:10 AM
Steven Hudson Completed 10/28/2022 10:21 AM
Purchasing Completed 10/28/2022 3:06 PM
Budget and Finance Completed 10/30/2022 11:30 AM
Brian Bradley Completed 10/31/2022 10:34 AM
Lindsey Ballard Completed 10/31/2022 11:54 AM
Board of County Commissioners Pending 11/15/2022 9:00 AM
Packet Pg. 1178
MONROE COUNTY
INVENTORY DELETION REQUEST
o® John Beyers,Clerk's Office From: Cheri Tamborski 6
Property Manager-STOP 8 Department- Monroe(.ounjL!'jf(- 1��scue ....................... >
.....
Monroe County Serial Asset Date Present Value
ID Number Number Desert t:ion Purchased Ori final Estimate 0
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N/A J114DC 55 53862C0406 2002 Red Acura 11.082019 $0.00 $0.(X) 0
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CHECK APPROPRIATE BOX FOR PURPOSE OF ASSET DELETION REQUEST. .2
REQUESTBOCC APPROVAL TO Af..)VERTISE FOR BIDS
REQUESTBOCC APPROVALTO REMOVE FROM fNVENTORY AND DISPOSF OF IT
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REQUEST BOCC APPROVAL TO RF"MOVE FROM IN VENTOR Y AND DONA'FE,1,0:
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Reason for request:
Vehicle was donated to the Fire Acadeni)(by a private resident to be cut up for Iraining purposes.
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PREPARED BY: DATT-�: 10.19.2022 0
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CheriTarnborski
Pfim Name
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BOCC DEPT Dq,tblly s,g=by St—Hb—b L)
DIRECTOR or Steven -—Sl- Hb—b—.b— 0)
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CONSTITUTIONA S—b-—,1=Hbd-b- LM
Hudson St—b@—b,.-.bn1y41g-—S 9=
ORFICER D-2022 10 2409 16 46-040 DATF: M192022
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Steven fludson,Fin!Chief
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RETURN COMPLETED & SIGNED FORM TO:
CLERK PROPERTY MANAGER-STOP 8
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Mall Lien 8atlafactlen lo:Dept of highway 34"end Motor Whicles,Net KirMman Building,Tansheaese,FL 323994=0 T# 170305
B# 1384608
~ - IdentnkMn Number ..._. Year I Mate Body - Wr{.BHP ; Vessel Regis.No. Title Number
JH4DC53862C040655 2002 ACUR 3D 2619 _ 86692637
e Registered Owner; Date of Ieaus 11/22/2019 Lien Release
Intarest in the described vehicle is hereby released
MICHAEL JAHAL SEALEY By.—------------------_._______--
519 PALM DR Tine® I
IMY WEST, �L 33040-6314 Doe t
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IMPORTANT INFORMATION C5
1. When ownership of the vehicle described herein is i
transferred,the aster MUST complete in full the
Transfer of Title by Seller aection of the bottom of I
the certificate of title. r
\Meil To: 2. Upon sale of this vehicle,the seller must Complete
a MICHAEL JAt91L SEALEY the notice of sale on the reverse side of this form, 1
519 PALM DR 3 ^'i'Remove your license plate from the vehicle. r
KEY WEST, FL 33040-6314 4. See the web address below for more Information and O
the appropriate forms required for the purchaser to m- r
We and register the vehicle„mobile home or vessel, O r
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Registered Owner
1SICRARL JAMAL SEALEY
529 PALM DR
PMY WEST, FL 33040-6314
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ELECTRONIC TITLE PRIOR TO 09 01 2022
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UNDER PENALTIES OF PERJURY,I DECLARE THAT 1 HAVE READ THE FOREGDINfl DOCUMENT AND TNAT THE FACTS STATED IN R ARE TRUE,
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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
2M Apalachee Parkway a Nall Kirkman Building-Tallahassee, FL 32399-0620
Notice of Sale of Motor Vehicle,Mobile Home or Vessel
Section 319,22(2),Florida Statutes,requires that the seller rile a Notice of Sale with the departmvrit within 30 days after the sale or transfer of the motor vehicle,vessel 01
mobile home.Filing this form removes any civil liability for the operation of the sold motor vehicle,vessel or mobile home.[a addition to filing this form,we suggest yot
keep a copy of your bill of sale(we suggest it be notanzed),certificate of title or other type of transaction document showing the vehicle was sold,Complete the informalioin
below,tear the top portion of this document at the perforation and mail to the address above or submit to your local tax collector's office or license plate agency.
I have this—day of.. .....................—,,transferred by assignment of and delivered Florida Certificate of Title to:'
to
Name: Purchaser(s) Purchaser's DUID .....................................................................................................................................................
First Mi Last
Address Selling Price$ — >
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UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE.T"RUE.
Seller's Signature Co-Seller's Signature.................
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NOTE:THE SUBMISSION OF THIS FORM,ACCURATELY COMPLETED,TO A TAX COLLECTOR'S OFFICE,LICENSE PLATE AGENCY OR TO THE a
ADDRESS ABOVE WILL ALLOW THE TITLE CLERK TO UPDATE THE DMV DATABASE TO REFLECT THE TITLE RECORD AS"SOLD".HOWEVER. '0
THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE. 0
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9.168 06ke. Tax Tax
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Purchaser's Nannels):................................................................................................. Address:
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CERTIJ--y rHATTOnilly BFSrr OF:MV KNOWLEDGF THR ODOMETER PIRIAID040.
CAUTION: READ CAREFULLY 11 ]REFLECTS ACTUAL MILEAGE 2. IS IN FXCII sS OF ITS MECHANICAIL LIMITS 3. IS NOT THE At III MH.FWG,,P-, >
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Selling Dealer's Sellinp Denier's Tax Tax
License No.,, Name- No.: callcvlcd,
Selling Deater's Address: Datc�W&
Q Purchaser's Name(s): Address:
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am Purchaser's Nanee(s): Address:
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>- CAUTION: READ CAREFULLY I RI-FLECTS ACTUAL MILL AGE 2 IS IN FXCFSS OF ITS MFCII,-VI(7A1; LIN111 is IS NOT THE AC1r0ALM1l.EAGr
BEFORE YOU JEXCL5S OIL ITS MECHANICAL I I[Mn'S WARNING'-ODOMMI'ER INSCRIHIPANCY
CHECK A BOX APPIA-5 TO 5 nIGrT ODONIFTFRS
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Sign Hem .......... Sign Here
Trim Ilene: Prim Hem
Seflor/Allent Most Auction Name 1w1wo Applicahlek .. ...................................................
Sign Hew
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CN8 Al SUBS 5901 1 IN
N L/ 21694338 l CS 5901 �'+ T+ 1703059411
AUDITN 159044505 a STATE OF FLORIDA BN 1384608
meµ, APPLICATION FOR VEHICLEIVESSEL SN 93817696
CERTIFICATE OF TITLE
TITLE NUMBi R VEHiICL.EAIESSEL dDENTNFICATION N YR.MAKE MAKE or BODY
MANUFACTURER TYPE VEHICLE COLOR WTILENGTH GVWILOC
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86692637 JH4DC53862C040655 2002 ACUR 3D RED 2619
DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL pUT}I O
MO DAY YEAR CODE MATERIAL DEL WATER FL NUMBER
DESTRUCTION >
09 01 22 PET PRIVATE
BIRTHDATE RESIDENT CNTY
SEX MO DAY YEAR Y N ALIEN RES4 O
Appilcantlpymers Name&Address
MICHAEL JAMAL SEALEY M 02 04 DO X 38 O
519 PALM DR
KEY WEST,FL 33040-6314 tat OWNER FLIDLN OR 2nd OWNER FUDLN OR O
F,E.I,D.N UNIT N CL
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`S400550000440
VOLUNTARY CONTRIBUTIONS �
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FAEGE NCY TITLE FEE SALES TAX GRAND TOTAL (j
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3.50 6.50 0.00 10.00 O
Action Requested: PR1N'l ELECTRONIC°I71"I LE ]Brands;FL-REBUILT
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PREY STATE DATEACOUIRED NEW USED ODOMETER I VESSEL MANUFACTURER ODOMETER CL
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DECLARATION
FL 11/08/2019 XX EXEMPI° CERTIFICATION
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LIEN INFORMATION DATE OF LIEN RECEIVED DATE FE+eD N OR FL I DLAND SEX AND DATE OF BIRTH DMVACCOkJ-NT N
NAME OF FIRST LIENHGLDER: A
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ADDRESS SALVAGE TYPE
SELLER INFORMATION
NAME OF SELLER,FLORiDADEALER,OR OTHER PREVIOUS OWNER
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ADDRESS
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DEALER LICENSENO C®1,
CONSUMER OR SALES TAX EXEMPTION N
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SALES TAX AND USE REPORT INDICATE TOTAL PURCHASE PRICE,INCLUDING ANY 3 0.00
TRANSFER OF TITLE . PURCHASER HOLDS VALID UNPAID BALANCE DUE SELLER,BANK OR OTHERS >
IS EXEMPT FROM EXEMPTION CERTIFICATE INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER i 0.,00
FLORIDA SALES OR [.......� VEHICLE / VESSEL WELL BE 212,FLORIDA STATUTES
USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL
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REASON(S) CHECKED OTHER GIFT ....I SELLING PRICE VERIFIED
APPLICANT CERTIFICATION
IfYYE HEREBY CERTIFY THAT THE VEHICLEIVESSEL TO BE TITLED IMLL NOT BE OPERATED UPON THE PUBLIC WGnMySN%ATERWAYB OF THIS STATE..
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I CERTIFY THAT THE CERTIFICATE OF TITLE 18 L03T OR DESTROYED. (0
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I CERTIFY THAT THIS MOTOR VERICLEIVESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIVEN INSTRUMENT AND 13 NOW IN MYP03SE3810N. a�a
"HEREBY CERTIFY THAT UWE LAWFULLY OWN THE ABOVE DE8CRAED VEHICLEIVESSEL,AND MAKE APPLICATION FOR TITLE..IF LIEN 18 BEING RECORDED NOTICE M HEREBY GIVEN THAT THERE 13 AN
E10STING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLEIVE88EL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE,IIWE FURTHER AGREE TO DEFEND THE TITLE AGAINSTALL CLAIMS.
UNDER PENALTIES OF PERJURY I DECLARE THAT II HAVE READ THE FOREGOINO DOCUMENT AND THAT THE FACTS STATED IN 17 ARE TRUE..
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Signature DfApplucant/0wner Signature oTApplitanNCo-Owner
HSMV 82611 REVISE
D 02106 SCAT.CODE [ vl'
I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES Packet Pg. 1183
THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION.
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