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HomeMy WebLinkAboutBLOOM FILING THREE - FDP250003 - SUBMITTAL DOCUMENTS - ROUND 1 - Supporting Documentation (4) CITY OF FORT COLLINS INFORMATION FOR DEVELOPMENT AGREEMENTS The following information is needed by the City in order to prepare a Development Agreement. Please fill in the blanks with names and titles exactly as they should appear and return this form. Hard copy or email to your development review engineer is fine. This form is for informational purposes only and is not your development agreement. It requires no signatures. If you should have any questions please call your development review engineer. This information should match that shown on a plat (if applicable). Development Name: Bloom Filing Three Contact Person: Ryan Rodgers Email/phone number: rrodgers@ppdcor.net/317-705-7970 DEVELOPER INFORMATION: Provide complete name(s) of the Entity(s) who is the Developer and include the type of organization: (Examples are as follows: Development Innovations, Inc. a Delaware corporation; or ABC Partners, a Nebraska general partnership;or John Z.Doe,an individual) Pedcor Development Associates. LLC Provide complete name(s) and title(s) of the individual(s) who will sign the Development Agreement for the Developer. The individuals must be officers for the development Entity or the individual(s). Also include the name and title of the person who will sign as an Attest for corporations. Name: Title: Jared Houser Executive Vice President Attest: 2012 Pagel of 3 LENDER INFORMATION: If with the development a lender has either already provided a construction loan or will be providing a construction loan and will want or need an acknowledgement from the City regarding the development this information is needed so the information can be provided within the development agreement. The City will not enter into a separate acknowledgement agreement. Lender Name: Merchants Bank of Indiana (example: Wells Fargo Bank,National Association) Check the appropriate statement or provide additional information o A loan exists. This lending institution has extended a loan to the Developer. This lending institution intends to extend a loan to the Developer. o A lender acknowledgement for this development will not be needed. 0 CONTACT INFORMATION: The Development Agreement specifies addresses for each of the parties (City, Developer, Owner, and Lender) so as to provide any notice regarding the Agreement. Provide the addresses for notice to be sent: (Examples:) Development Innovations,Inc. Moe,Larry,&Curly Attorneys in Law c/o John Z.Doe c/o Mr.Moe 1000 Developer Lane 101 Litigation Lane Denver,CO 80241 Beverly Hills,CA 90210 Developer: With a copy to: Pedcor Investments A Limited Liability Company c/o Jared Houser One Pedcor Square 770 3rd Ave.. S.W. Carmel, IN 46032 Lender(if applicable): With a copy to: Owner: With a copy to: 2012 Page 2 of 3 OWNER INFORMATION: For developments where the current Owner is not the Developer and.the Owner will continue to own the property until after the development plans are signed, completed and filed with the City the Owner also needs to be a party to the development agreement. If this is the case the following information is needed. Relationship: Explain the relationships between the Developer and the Owner for this development. In addition explain any transfers of property ownership that will take place before the development construction begins. This information is needed to clarify responsibilities for the development. The developer is an ajTliate of the Owner and the Owner will be transferring the property to a partnership to which the Owner is affiliated Provide complete name(s) of the Entity(s)who is the Owner. Include type of organization: (Examples are as follows: Development Innovations, Inc. a Delaware corporation; or ABC Partners, a Nebraska general partnership; or John Z. Doe, an individual), if different from the Developer Pedcor Investments A Limited Liability Company Provide complete name(s) and title(s) of the individual(s) who will sign the Development Agreement for the Owner. The individuals must be officers for the development Entity or the individual(s). Also include the name and title of the person who will sign as an Attest for corporations. Name: Title: Jared Houser Executive Vice President Attest: 2012 Page 3 of 3