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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20243132.tiff
RESOLUTION RE: APPROVE OFFER LETTER FOR SALE AND PURCHASE OF CERTAIN REAL PROPERTY, QUIT CLAIM DEED, AND STATEMENT OF AUTHORITY FORM, FOR CONVEYANCE OF SCOUT ISLAND TO NORTHERN INTEGRATED SUPPLY PROJECT WATER ACTIVITY ENTERPRISE FOR SOUTH PLATTE WATER CONSERVATION PIPELINE PROJECT, AND AUTHORIZE CHAIR AND INTERIM CONTROLLER TO SIGN ANY NECESSARY DOCUMENTS - NORTHERN COLORADO WATER CONSERVANCY DISTRICT WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Offer Letter for Sale and Purchase of Certain Property, a Quit Claim Deed, and a Statement of Authority Form for the Conveyance of Property, also known as Scout Island ("the Property") from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, to the Northern Integrated Supply Project Water Activity Enterprise, owned by the Northern Colorado Water Conservancy District, whose address is 220 Water Avenue, Berthoud, Colorado 80513, for the property being further described as: A parcel of land located in the SW1/4 of Section 6, Township 5 North, Range 64 West of the 6th P.M., Weld County, Colorado; also, being all of the residue tract as shown on the plat of Recorded Exemption, RECX14-0049, recorded at Reception No. 4039780, and WHEREAS, the sale of the Property, for the sum of $20,700.00, is desirable to accommodate construction of a new river diversion structure as part of the Northern Integrated Supply Project, located near the confluence of the Cache la Poudre River and the South Platte River, and WHEREAS, after review, the Board deems it advisable to accept said Offer Letter for Sale and Purchase, and approve the Quit Claim Deed, and Statement of Authority Form, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Offer Letter for Sale and Purchase of Certain Property aforementioned above, Quit Claim Deed, and Statement of Authority Form for the Conveyance of said Property from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, to the Northern Integrated Supply Project Water Activity Enterprise, owned by the Northern Colorado Water Conservancy District, be, and hereby are, accepted and approved. BE IT FURTHER RESOLVED by the Board that the Chair, and Chris D'Ovidio, Interim Controller, be, and hereby are, authorized to sign any necessary documents. CC :CA (88/xM),136(Po/c-) �2/ISC/�H of/09/ 5 2024-3132 PR0038 ACCEPT OFFER LETTER FOR SALE AND PURCHASE OF CERTAIN REAL PROPERTY, AND APPROVE QUIT CLAIM DEED, AND STATEMENT OF AUTHORITY FORM, FOR CONVEYANCE OF SCOUT ISLAND TO NORTHERN INTEGRATED SUPPLY PROJECT WATER ACTIVITY ENTERPRISE FOR SOUTH PLATTE WATER CONSERVATION PIPELINE PROJECT - NORTHERN COLORADO WATER CONSERVANCY DISTRICT PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of December, A.D., 2024. BOARD OF COUNTY COMMISSIONERS WELD COU ► • • += O ATTEST: Gltzs;4 Weld County Clerk to the Board BY: tp-1-114 .Oatrv��I� Deputy Clerk to the Board APP'OVED ASORM: y ey vi JZ,IoJ�U1 Date of signature: 0 I) Kjin 2. Ross, Chair Perry L. B Pro-Tem Mike Freeman cott K. James CUSED ri Saine 2024-3132 PR0038 Northern Water Northern Integrated Supply Project 220 Water Avenue • Berthoud, Colorado 80513 800-369-7246 • www.northernwater.org November 25, 2024 Reference: Northern Integrated Supply Project (NISP) — South Platte Water Conservation Project Weld County, Colorado Attention: Bruce Barker, County Attorney 1150 O Street Greeley, CO 80631 Dear Mr. Barker: Re: Offer to Purchase Property [NISP-SPP-6441 As discussed in our telephone conversation on November 22, 2024, the Northern Integrated Supply Project Water Activity Enterprise, a government -owned business within the meaning of Article X, Section 20(2)(d), of the Colorado Constitution, organized pursuant to C.R.S. §§ 37-45.1-101 et seq., and owned by the Northern Colorado Water Conservancy District ("Enterprise"), seeks to purchase a piece of property owned by Weld County (Parcel No. 096306000013) located near the confluence of the Cache la Poudre River and the South Platte River ("Property"). Enclosed for your review is a quitclaim deed, including the legal description of the property as an exhibit thereto. The Enterprise needs this Property to construct a new river diversion structure as part of the Northern Integrated Supply Project. The Enterprise has contracted with an appraiser to prepare an appraisal of an adjacent property needed for the project. For its offer to the County for its Property, the Enterprise proposes to use the same per -acre value from that appraisal. Using that appraisal, the Enterprise has authorized me to make an offer to you of fair market value for the necessary property interests of $20,699. Land Area $/Sqft or Acres Compensation NISP-SPP-644 FEE 2.957 AC $7,000/AC $20,699 Fair Market Value $ 20,699 Total Compensation (rounded) Page I 1 Northern Integrated Supply Project -Conveyance Pipeline Version 1052021 Previous versions are not to be used $20,700 If this offer is acceptable to Weld County, please notify me of the County's acceptance and return the attached W-9 form in the self-addressed stamped envelope enclosed. We will then schedule a date and time with you to exchange the executed quitclaim deed for a check in the amount indicated. Enclosed you will find: 1. Quit Claim Deed with Legal Description 2. Request for Taxpayer Identification Form (W-9) 3. Statement of Authority Form Should you have any questions concerning this offer letter or the enclosed documents, please call me at (970) 622-2243. Your cooperation with the Enterprise in this project is greatly appreciated. Sincerely, Jim Strubl Real Estate/Security & Emergency Department Manager jstruble@northernwater.org Page 12 Northern Integrated Supply Project -Conveyance Pipeline Version 1052021 Previous versions are not to be used QUIT CLAIM DEED THIS QUIT CLAIM DEED is made on this Z day of Decernbev 2024, between Weld County, whose legal address is 1150 O St Greeley, CO 80631, grantor(s), and Northern Integrated Supply Project Water Activity Enterprise, a govenunent-owned business within the meaning of Article X, Section 20(2)(d), of the Colorado Constitution, organized pursuant to C.RS. §§ 37-45.1-101 et seq., and owned by the Northern Colorado Water Conservancy District, whose address is 220 Water Avenue, Berthoud, Colorado 80513, grantee. WITNESSETH, That the grantor(s), for and in consideration of the sum of Ten Dollars (S10.00) the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUITCLAIMED, and by these presents does remise, release, sell and QUITCLAIM unto the grantee(s), their heirs, successors and assigns, forever, all the right, title, interest, claim and demand which the grantor(s) has in and to the real property, together with improvements, if any, situate, lying and being in the County of WELD and State of COLORADO, described as follows: SW 1/4 SECTION 6, T5N, R64W, 6T'r P.M., ACCORDING TO THE PLAT RECORDED AT RECEPTION NO. 4039780, COUNTY OF WELD, STATE OF COLORADO. TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the grantor(s), either in law or equity, to the only proper use, benefit and behoof of the grantees) their heirs and assigns forever. Wherever used herein, the plural references shall be construed to be singular references and singular references shall be construed to be plural references where the context requires and all references of gender and person shall be construed to refer to the grantor or grantors and grantee and grantees identified herein regardless of the context. IN WITNESS WHEREOF, The grantors) has executed this deed on the date set forth above. GRANTOR By: Kevin D. Ross, Chair Board of Weld County Commissioners STATE OF COLORADO, ss. County of TbyeKegoimg ins eng wledged befor HOUSTAN MARIE ARAGON NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20244035426 MY COMMISSION EXPIRES SEPTEMBER 20, 2028, e me this ,"a day of DeCti YlbC V 202 , My commission expires: K Z01 Witness my hand and ofticia seal. tiOa l Ma. VIN r`l Notary PubliC�t9T7 Person Creating Newly Created Legal Description (38-35-106.5, C.R.S.) 4999676 Pages: 1 of 3 12/12/2024 10:35 AM R Fee:$0.00 D Fee:$0.00 Carly Koppes, Clerk and Recorder, Weld County , CO EXHIBIT " f% N. LINE NE1/4 SW1/4 SECTION 6 BASIS OF BEARING N88'57'29"E 1,264.43' W.C.R. 602 (70R/W BK. 1073 PG. 201) NW COR. NE1/4 SW1/4 SEC. 6 T5N, R64W, 6TH P.M. 3.25" ALUMINUM CAP STAMPED "LS #38213 SW1/4 SECTION 6, T5N, R64W, 6TH P.M. WELD COUNTY LOT A RE EXMPT NO 0963-6-3 RECX14-0049 REC. NO. 4062986 SPP #560 OWNER: WAGISTICS, LLC REC. NO. 4247452 U W _____________j W (/) H � LO - 0963-6-3 RECX14-0049 w� Lij SPP #644 • REC. NO. 4039780 OWNER: WELD COUNTY REC. NO. 712058 !3 L4 I L5 SPP 644 • c' PARCEL J AREA=128,814 S.F.± OR 2.957 ACRES± 6 C1/4 COR. SEC. 6 T5N, R64W, 6TH P.M. 3.25" ALUMINUM CAP (ILLEGIBLE) LINE TABLE NO. BEARING DISTANCE L1 S01'02'02"W 97.66' L2 NO0'19'07"E 190.05' L3 S72'18'00"E 53.85' L4 N86'09'55"E 90.66' L5 N88'33'30"E 191.76' L6 S53'03'11 "E 111.60' L7 S57'25'49"E 103.48' L8 N88'38'54"E 260.55' L9 S88'52'13"E 104.06' L10 675'56'58"E 58.77' L11 N75'56'58"E 53.85' L12 N84'47'55"E 249.49' L8 POINT OF BEGINNING L9 L.Ay S01'51'45"W 2548.07'(TIE) L12 S89'09'14"W 1231.51' CM) OWNER: COLORADO GAME FISH & OWNER: PARKS COMMISSION JAMES DAVID KLEIN & NO SALES DATA BETSY ANN KLEIN SPP #645 NO SALES DATA 200 100 200 1 inch = 200 ft 1.) PARCEL OWNERSHIP IS BASED ON THE RECORDS OF THE COUNTY ASSESSOR. 2.) ACCORDING TO COLORADO LAW, YOU MUST COMMENCE ANY LEGAL ACTION BASED UPON ANY DEFECT IN THIS SURVEY WITHIN THREE YEARS AFTER YOU FIRST DISCOVER SUCH DEFECT. IN NO EVENT MAY ANY ACTION BASED UPON ANY DEFECT IN THIS SURVEY BE COMMENCED MORE THAN TEN YEARS AFTER THE DATE OF THE CERTIFICATION SHOWN HEREON. 3.) THIS DOCUMENT SHALL BE CONSIDERED NULL AND VOID IF IT DOES NOT BEAR THE ORIGINAL SIGNATURE AND SEAL OF THE PROFESSIONAL LAND SURVEYOR OR IF ALTERED IN ANY WAY. PRECISION SURVEY A MAPPING 9025 E. KENYON AVENUE, SUfTE 150 DENVER, COLORADO 80237 TEL: 303-753-9799 DRN. BY: R.U. CHKD. BY: J.N. DAB; 01/03/24 SCALP 1- 200' 4999676 Pages: 2 of 3 12/12/2024 10:35 AM R Fee:$0.00 D Fee:$0.00 Carly ',woes, Clerk and Recorder, Weld County , CO ■III IIrairC ; alffelitrUi R d tfliicthlli1vr III FILE: R12971-644 SHEET: 1 OF 2 0/0 #: SPP 644 PARCEL LEGAL DESCRIPTION A PARCEL OF LAND LOCATED IN THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 5 NORTH, RANGE 64 WEST OF THE SIXTH PRINCIPAL MERIDIAN, COUNTY OF WELD, STATE OF COLORADO, ALSO BEING ALL OF THE RESIDUE TRACT AS SHOWN ON RECORDED EXEMPTION NO. 0963-6-3 RECX14-0049 FILED IN THE WELD COUNTY CLERK AND RECORDER'S OFFICE AT RECEPTION NO. 4039780, SAID PARCEL OF LAND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BASIS OF BEARING OF THIS DESCRIPTION IS ALONG THE NORTH LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 6 AND ASSUMED TO BEAR N88'57'29"E A DISTANCE OF 1,264.43 FEET FROM A 3.25" ALUMINUM CAP STAMPED "LS #38213" FOUND AT THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 6 TO A 3.25" ALUMINUM CAP FOUND AT THE CENTER QUARTER CORNER OF SAID SECTION 6; BEGINNING AT A POINT ON THE NORTH -SOUTH CENTERLINE OF SAID SECTION 6, SAID POINT BEARS SO1'01'45"W A DISTANCE OF 2548.07 FEET FROM SAID CENTER QUARTER CORNER; THENCE S01'02'02"W ALONG SAID NORTH -SOUTH CENTERLINE A DISTANCE OF 97.66 FEET TO THE SOUTH QUARTER CORNER OF SAID SECTION 6; THENCE S89'09'14"W ALONG THE SOUTH LINE OF THE SOUTHWEST QUARTER OF SAID SECTION 6 A DISTANCE OF 1,231.51 FEET TO THE SOUTHWEST CORNER OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 6; THENCE NO0'19'07"E ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 6 A DISTANCE OF 190.05 FEET; THENCE S72'18'00"E A DISTANCE OF 53.85 FEET; THENCE N86'09'55"E A DISTANCE OF 90.66 FEET; THENCE N88'33'30"E A DISTANCE OF 191.76 FEET; THENCE S53'03'11 "E A DISTANCE OF 111.60 FEET; THENCE S57'25'49"E A DISTANCE OF 103.48 FEET; THENCE N88'38'54"E A DISTANCE OF 260.55 FEET; THENCE S88'52'13"E A DISTANCE OF 104.06 FEET; THENCE N75'56'58"E A DISTANCE OF 58.77 FEET; THENCE N75'56'58"E A DISTANCE OF 53.85 FEET; THENCE N84'47'55"E A DISTANCE OF 249.49 FEET TO THE POINT OF BEGINNING; WHENCE SAID NORTHWEST CORNER BEARS N25'45'47"W A DISTANCE OF 2,803.31 FEET. SAID PARCEL CONTAINS 128,814 SQUARE FEET OR 2.957 ACRES, MORE OR LESS. I, THE UNDERSIGNED, A REGISTERED LAND SURVEYOR IN THE STATE OF COLORADO, DO HEREBY STATE THAT THIS EXHIBIT WAS PREPARED BY ME OR UNDER MY SUPERVISION AND IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. CHRIS FOR AN 01101/24 P.L.S. 31158 DATE PRECISION SURVEY & MAPPING, INC. {fy} PRECISION SURVEY & MAPPING DRN. 8Y: R.U. J.N. CHKD. BY: 9025E. KENTON AVENUE, SUIiE 150 0ENVFR. COLORADO 80237 DATE: 01/03/24 TEL 303-753-9799 Grp, F. 1 = 200' 4999676 Pages: 3 of 3 12/12/2024 10:35 AM R Fee:$0.00 D Fee:$0.00 Carly Kcooes, Clerk and Recorder, Weld County , CO FI<F: R12971-644 SHEET: 2 OF 2 W/0 #: SPP 644 PARCEL ■��� krditIONI � �I 'ht�, I�1' N �C�'���l4�IIJ� E4�'1 Kiri ■I III THIS DOCUMENT MAY AFFECT YOUR LEGAL RIGHTS. LEGAL ADVICE SHOULD BE OBTAINED IN THE DRAFTING OF ANY LEGAL DOCUMENT. STATEMENT OF AUTHORITY (838-30-172, C.R.S.) 1. This Statement of Authority relates to an entity' named Weld County 2. The type of entity is a: ❑ corporation ❑ nonprofit corporation ❑ limited liability company ❑ general partnership ❑ limited partnership O ❑ registered limited liability partnership ❑ registered limited liabilityllimited partnership ❑limited partnership association government or governmental subdivision or agency ❑ trust 3. The entity is formed under the laws of State of Colorado 4. The mailing address for the entity is 1150 O Street, Greeley, Colorado 80631 5. The ❑ name E pdrosition of each person authorized to execute instruments conveying, encumberine or otherwise affecting title to real property on behalf of the entity is: Kevin T.? . Ross, Chair, Board of Weld County Commissioners 6. The authority of the foregoing person(s) to bind the entity: L`9 is'not limited ❑ is limited as follows: 7. Other matters concerning the manner in which the entitfdeals with interests in reprope ty 8. This Statement of Authority is executed on behalf of the entity pursuant to the provisions of 838-30-172, C.R.S' 9. The Statement of Authority amends and supercedes in all respects any and all prior dated Statements of Authority executed on behalf of the entity. Executed this 2nd day of j ecember , 2024 1Io � Kevin D. Ross Chair Board of Weld County Commissioners This form should not be used unless the entity is capable of holding title to real property. 2 The absence of any limitation shall be prima facie evidence that no such limitation exists. ' The statement of authority must be recorded to obtain the benefits of the statute. Form 3759 03/2005 soa.dot.odt 4999677 Pages: 1 of 2 12/12/2024 10:35 AM R Fee:$0.00 Carly Koppes, Clerk and Recorder, Weld County , CO o?0J1-3/3.2 Page 1 of 2 1111 kirJEKVrlClrili k NA 11111 State of Colorado ss County of weld The foregoing Statement of Authority was acknowledged before me this Z' '�-+ pteemQe,V ZOZ by k vtn D.12o3S Witness my hand and official seal. My commission expires: S (xfl ei, 201 ZiZ' HOUSTAN MARIE ARAGON NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20244035426 MY COMMISSION EXPIRES SEPTEMBER 20, 2028 WHEN RECORDED RETURN TO: Fnrm 3759 03/2005 snadot.ndt 4999677 Pages: 2 of 2 12/12/2024 10:35 AM R Foe:$0.00 Carly Koppes, Clerk and Recorder, Weld County , CO ■iii ��R� n,+�i�n�4r,�� , w.41s 11nIuiihitkiim 11111 Notary Public day of Page 2 of 2 FIDELITY NATIONAL TITLE INSURANCE COMPANY COMMITMENT NO. 383-F00421-24 SCHEDULE B, PART I - Requirements All of the following Requirements must be met: 1. Pay the agreed amounts for the interest in the land and/or for the mortgage to be insured. 2. Pay us the premiums, fees and charges for the policy. 3. Obtain a certificate of taxes due from the county treasurer or the county treasurer's authorized agent. 4. Evidence that any and all assessments for common expenses, if any, have been paid. 5. The Company will require that an Affidavit and Indemnity Agreement be completed by the party(s) named below before the issuance of any policy of title insurance. Party(s): Weld County, Colorado, a quasi municipal corporation The Company reserves the right to add additional items or make further requirements after review of the requested Affidavit. 6. Deed sufficient to convey the fee simple estate or interest in the Land described or referred to herein, to the Proposed Insured Purchaser. 7. The search did not disclose any open mortgages or deeds of trust of record, therefore the Company reserves the right to require further evidence to confirm that the property is unencumbered, and further reserves the right to make additional requirements or add additional items or exceptions upon receipt of the requested evidence. 8. Recordation of Statement of Authority for Weld County pursuant to Colorado Revised Statutes evidencing the existence of the entity and authority of the person(s) authorized to execute and deliver instruments affecting title to real property on behalf of the entity and containing other information required by Colorado Revised Statutes. 9. Resolution of the governing board of Northern Colorado Water Conservancy District authorizing the subject transaction and stating who is authorized to act on behalf of said entity. 10. For each policy to be issued as identified in Schedule A, Item 2; the Company shall not be liable under this commitment until it receives a designation for a Proposed Insured, acceptable to the Company. As provided in Commitment Condition 4, the Company may amend this commitment to add, among other things, additional exceptions or requirements after the designation of the Proposed Insured. NOTE: Please be aware that due to the conflict between federal and state laws concerning the cultivation, distribution, manufacture or sale of marijuana, the Company is not able to close or insure any transaction involving Land that is associated with these activities. This page is only a part of a 2021 ALTA® Commitment for Title Insurance issued by Fidelity National Title Insurance Company. This Commitment is not valid without the Notice; the Commitment to Issue Policy; the Commitment Conditions; Schedule A; Schedule B, Part I -Requirements; Schedule B, Part II -Exceptions; and a counter -signature by the Company or its issuing agent that may be in electronic form. Copyright American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Commitment for Title Insurance (07/01/2021) Printed: 01.17.24 @ 11:19 AM Page 5 CO-FT-FSTG01620.111383-SPS-1-24-383-F00421-24 FIDELITY NATIONAL TITLE INSURANCE COMPANY COMMITMENT NO. 383-F00421-24 SCHEDULE B, PART I - Requirements (continued) NOTE: Effective May 24th, 2023, the Company and its policy issuing agents are required by Federal law to collect additional information about certain transactions in specified geographic areas in accordance with the Bank Secrecy Act. If this transaction is required to be reported under a Geographic Targeting Order issued by FinCEN, the Company or its policy issuing agent must be supplied with a completed ALTA Information Collection Form ("ICE") prior to closing the transaction contemplated herein. This affects the following counties, Adams, Arapahoe, Clear Creek, Denver, Douglas, Eagle, Elbert, El Paso, Fremont, Jefferson, Mesa, Pitkin, Pueblo, and Summit. 24 MONTH CHAIN OF TITLE, FOR INFORMATIONAL PURPOSES ONLY: The following vesting deeds relating to the subject property have been recorded in the Clerk and Recorder's office of the County in which the property is located: There are no conveyances affecting said land recorded within 24 months of the date of this report END OF SCHEDULE B, PART I This page is only a part of a 2021 ALTA® Commitment for Title Insurance issued by Fidelity National Title Insurance Company. This Commitment is not valid without the Notice; the Commitment to Issue Policy; the Commitment Conditions; Schedule A; Schedule B, Pad I -Requirements; Schedule B, Part II -Exceptions; and a counter -signature by the Company or its issuing agent that may be in electronic form. Copyright American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Commitment for Title Insurance (07/01/2021) Printed: 01.17.24 © 11:19 AM Page 6 C.FT-FSTG01620.111383-SPS-1-24-383-F00421-24 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification ► Go to www.irs.gov/FomtW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. no t•' 1 Name (as shown on your income tax return). Name is required on this line; do rwt leave this line blank. COUNTY OF WELD 2 Business name/disregarded entity name, n different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. ❑ IndividuaVsole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate single -member LLC ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► Note: Check the appropriate box in the Ilne above for Metes ctassf8catbn of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC Is another LLC that is not disregarded from the ovmer for U.S. federal tee purposes. Otherwise, a single -member ILL that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Q Other (see nstructions)► GOVERNMENT 5 Address (number. street, and apt. or suite no.) See Instructions. 1150 "O" STREET 8 Cky, state, and ZIP code GREELEY, CO 80631 7 List account number(s) here (optional) 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) (Applies to accounts maintained Dotards the US., Requester's name and address (optional) WM Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien. sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or j Employer identification number 8 4 6 0 0 0 8 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 fora number to be Issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an inolvidual retirement arrangement (IRA), and geneneity, payments other than interest and dividends. you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Signatun: of � Here U.S. 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. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SON), individual taxpayer identification number (Tf1N), adoption taxpayer identification number (A11N), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) Date ► f i a! -2,,e • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you area U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) Receided Iiecepdon No._ MAY 1 61935-nt o- o oleex _k 977 PAGE4 I/ .."2Oa 8 WALTER. F. I4ORRISOIS Recorder giliegileat, mouthy, 21st day of February in the year of our Lord one thousand nine hundred and thirty—five' , between K. Osak o[ the -- County of LJel , • .and State of olorado, of the first part, and Weld County, Colorado, a quasi municipal corporation of the —.- County of Weld , and State of Colorado, o[Yhe second � part: WITNESSETH, That the said party o[ the first part, for and in consideration of the A,ne ofHUTldl'QQ Fifty Dollars and other valuable consider ations less than/ DOLLARS, to the said part y of the first part is hand paid by the said orc of the second part, i-tS/SU.C'y and assigns forever, all the following described lot S or parcel S of land, situate, lying and being in the County of Weld and State of Colorado, to -wit: That part of the East Half (FA) of the Southwest .(Zuarter (S') of Section Six (6), Township Five (5) North, Range Sixty-four (64) West of the 6th P. ItT., lying south of the south bank of the north branch of the Platte -River, containing approximately Sixteen 'end three tenths (16.3) acres. TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or In anywise appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and all the estate, right, title, interest, claim and demand whatsoever of the said part y of the first part, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and describe with the appurtenances, unto p Weld County, Colorado, a quasi unicipal corpora? on, the said uccess2KdRIorsGK part y • of the second Part, 1. t SP and assigns forever. And the said K. Osaki part y of the first part, for himself , his heirs, executors andsaUdr C iein swlo e a covenant, grant, bargain and agree to and with the said party of the second part, i t S/ Wand assigns, that at the time of the ensealing and delivery of these presents .he is well seized of the premises above conveyed, as of good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and ha S good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments and incum- brances of whatever kind or nature soever: and the above premises, in the quiet and peaceable possession of the said part y of the second part,its succE'S ximix sand assigns, against all and every person or persona lawfully claiming or to claim the whole or any part there- of, the said part of the first part shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF, The said part y of the first part ha S hereunto set his hand and seal the day and year first above written. ST PI Cif C© Itxoo, ."-Cdanty of• *t)d __(SEAL) (SEAL) (SEAL) The foregoing instrument was acknowledged before me thls2 % y of eB. Fahmuary is .5, bp, K. Osaki. . WITNESS my hand and Oft/tai Seal. My Commission Expires__T/�__� s ors WARRANTY DEED This map is a user generated static output from reference only Data layers that appear on this THIS MAP IS NOT an Internet mapping site and is for map may or may not be accurate, current, or otherwise reliable. TO BE USED FOR NAVIGATION Northern Water Northern Colorado Water Conservancy District 220 Water Avenue Berthoud, Colorado 80513 t .1• ;I'M?! 37 AI ^ 1' ,,,.J% I.`' 0 " Bruce Barker PO BOX 758 Greeley CO 80632 quadient FIRST-CLASS MAIL fMl $000.97 ° 01/06/2025 ZIP 80513 043M31255266
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