ADMINISTRATIVE POLICY

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1 ADMINISTRATIVE POLICY NUMBER: CDD DATE: February 21, 2013 REVISIONS: APPROVED BY/AUTHORITY: SIGNATURE: Lakewood Ranch Community Development District #4 SUBJECT: PURPOSE: Lakewood Ranch CDD4 Memorial Program To establish a District Memorial Program. POLICY: The following is a policy of the Lakewood Ranch Community Development District #4 establishing the guidelines for a District Memorial Program. Any private individual, group or committee wishing to memorialize a special event, loved one or group can choose from three memorial options offered by the District. Anyone that would like to purchase a memorial must complete and submit a "Memorial Request Form" to the Operation's office. The District and or staff are responsible for approving the selection and placement of any and all memorials to be placed in common areas. Neither the District nor staff assumes the responsibility for the replacement, preservation, security or possible damage or theft of any memorial item. 1. Memorial gift options: a. Adopt a Tree with Marker i. Purchase of a granite tree marker (10"x8"x4") to be set into the ground next to an existing District tree b. Memorial Tree with Marker i. Purchase of a new tree with a granite tree marker (10"x8"x4") to be planted on District property ii. Two types of trees to select from 1. Live Oak 2. Southern Magnolia c. Memorial Bench with Plaque i. Purchase of a tan slatted bench made from recycled materials and a bronze plaque (4"x6") set into the concrete footing to be installed on District property 2. Pricing of memorial options: a. Adopt a Tree with Marker - $150 Page 1 of 5

2 b. Memorial Tree with Marker - $500 c. Memorial Bench with Plaque - $1, Timing for the District to fulfill requests: a. Adopt a Tree with Marker i. Requests can be accepted and fulfilled throughout the year ii. Allow 2 months for marker placement from request approval b. Memorial Tree with Marker i. Requests accepted throughout the year ii. Planting of trees limited to growing season only (March-May) c. Memorial Bench with Plaque i. Requests accepted throughout the year ii. Installation of benches limited to three times per year (March, July, & November) 4. Approved areas for memorials: a. Adopt a Tree with Marker i. Adventure Park ii. Greenbrook Boulevard b. Memorial Tree with Marker i. Adventure Park ii. Greenbrook Boulevard c. Memorial Bench with Plaque i. Adventure Park ii. Greenbrook Boulevard 5. Purchase and installation of memorials: a. The purchase and dedication of any and all memorials will be funded by private individuals, groups or committees. b. Staff will notify all accepted applicants of the approved memorial, location and the cost of the memorial. c. All payments for the purchase of memorials will be made payable to Lakewood Ranch Community Development District #4 prior to the installation of the memorial. d. Memorials will not be installed prior to form approval and payment to the District. e. All memorials will be installed by staff or by a qualified contractor selected by the District or staff. f. The District will not be responsible for the purchase, repair or replacement of any memorial. 6. Limitations and Restrictions: a. The District and/or staff have final approval of requested memorial and location of the memorial. b. On both the marker and the plaque, engraving is limited to a maximum of 4 lines and 15 characters per line. c. The District and/or staff have final approval of the wording for the engraving on the memorial. d. Memorials representing or depicting a commercial advertisement will not be permitted. e. The District and/or staff can also limit the total number of memorials permitted in the District. f. The purchaser of the memorial releases the District of all responsibility for repairs and/or replacement of memorial. Page 2 of 5

3 g. The purchaser of the memorial assumes full responsibility for the cost of any and all repairs or replacements, if necessary. h. When determining the approval of memorial locations the following factors will be considered: i. Proximity to homes ii. Lines of sight iii. Distance to other memorials iv. Safety v. Maintenance vi. Existing landscaping Page 3 of 5

4 Memorial Request Form Instructions: This form is to be completed by members of the public seeking to purchase a memorial to be installed on District property. All memorials are governed by the Lakewood Ranch Community Development District #4 - Memorial Program Policy, CDD A copy of this policy is available upon request. Please provide all information requested. Incomplete forms will be rejected. Please submit the completed form to the Operations Department. You will be contacted when the form is approved and notified of the location and amount due. Memorials will not be installed prior to form approval and receipt of payment. Payment must be made payable to Lakewood Ranch Community Development District #4. Please print legibly: Full Name: Address: Home Phone: Cell Phone: Address: Requested Memorial: Adopt a Tree with Marker $ Memorial Tree with Marker $ Live Oak Southern Magnolia Memorial Bench with Plaque $1, Requested Location: Adventure Park Greenbrook Boulevard Description of Location: Note: An on-site meeting with staff may be necessary to determine final approval of location. Page 4 of 5

5 Requested Engraving of Marker or Plaque: Granite Tree Marker (10"x8"x4") Bronze Plaque (4"x6") Engraving (maximum of 4 lines and 15 characters per line): Line 1: Line 2: Line 3: Line 4: Signature: Date:_ For staff use only: Form Received by: Date: Memorial Approved: Location Approved: Approved by: Date: Amount Due: Applicant Notified: Yes No Payment Received: Yes_ No_ Date Received: Date Memorial Ordered: Installation Date: Page 5 of 5

6 Lakewood Ranch Community Development District 4 Assumption of Risk, Release and Waiver of Liability Form ACCEPTANCE The undersigned, in consideration for participation in the Lakewood Ranch Community Development District 4 (the District ) Memorial Program (the Program ), hereby agrees to assume all risk and financial responsibility for maintenance and/or repair of the subject memorial purchased as well any and all loss or injury, to person or property, incurred as a result of the memorial being installed by the District at the undersigned s request. WAIVER By signature below, the undersigned acknowledges that he/she has affixed his/her signature to this document with full knowledge of the effect of such release and waiver and has done so voluntarily. By signature below, the undersigned fully understands and acknowledges that damages to the memorial and/or person or property may result from the participation in the Program and installation of the subject memorial. In consideration for participation in the Program, and with full knowledge of the risks involved with such participation, whether caused by active or passive negligence of District employees, agents or otherwise, the undersigned hereby holds harmless, releases and waives any and all claims against the District and the Lakewood Ranch Inter-District Authority as well as their respective officers, agents and employees, arising from or in connection with participation in the Program including but not limited to any responsibilities for maintenance and/or repair of the subject memorial as well as any potential injury and/or damage to person or property as a result of participation in the Program. By signature below, the undersigned acknowledges that he/she has read this form and fully understands its terms and conditions. The undersigned further agrees and acknowledges that no oral representations, statements or inducements apart from the foregoing written agreement have been made. Participant Signature Authorized Agent of District Date: Date:

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