UNITED CIVIC ORGANIZATION, INC. CENTURY VILLAGE, WEST PALM BEACH, FLORIDA

May 6, 2016 Subject: Opting out of Fire Sprinkler Retrofit in five easy forms. 1) Written Consent not to Retrofit. This form must be handed to or mailed to owners of each unit. The unit owner(s) must fill it out and return it to the Association Board of Directors. 2) Certificate of Vote to OPT OUT of FIRE SPRINKLER RETROFIT. This form is to be executed by the Association Board of Directors, if over 50% of the membership executed the Consent not to retrofit. This form must be filed in the Public Record with the Clerk of Court. 3) Notice of the Results of the Opt-Out Vote. To be executed by the Association President, attesting that the unit owners have indeed consented to forego Retrofitting. 4) Proof of Notice Affidavit. Executed by the Association stating that the results of the Opt-Out Consent forms were mailed to all unit owners. 5) Retrofitting report for Condominiums. (Form CO 6000-8) Upon completion of the first four steps, this form must be filed with the Division of Florida Condominiums, Timeshares, and Mobile Homes.

Accompanying this packet, find a list of all CV Association Book and Page numbers for your convenience.

N

13avid B. Israel President United Civic Organization

CV Building CONDOMINIUM ASSOCIATION Written Consent not to Retrofit for Fire Sprinklers

The undersigned, who is (are) owner(s), or a designated voter of Unit No. , hereby gives my(our) written consent under Section 718.112(2) (I) of the Florida Condominium Act for the Association to opt out of any code required retrofit of the Building to install fire sprinklers.

Dated this

day of

Owner Owner

,2016.

This Instrument Prepared y:

CERTIFICATE of VOTE to OPT OUT of FIRE SPRINKLER RETROFIT TO CONDOMINIUM

, Page_ As Recorded in Official Records Book Public Records of Palm Beach County, Florida: We hereby certify that over 50% of the membership in our Condominium executed written consent forms pursuant to Section 718.112(2) (I) FS to opt out of any code required installation of fire sprinklers in our Building. Condominium Association, Inc.

President Attest: Secretary STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me this day of 2016, by , President, and Secretary. Both are personally know to me and [ ] did or [ ] did not take an oath. The President (please check one of the following) [ ] is personally known to me or [ ] has (type of identification) as identification and (please check produced one of the following) []did or [] did not take an oath; the Secretary (please check one of (type the following) []s personally known to me or [] has produced of identification) as identification and (please check one of the following) [1 did gr [1 did not take an oath.

Notary Public

Printed Notary Name My Commission Expires:

(Association)

A Not-for-Profit Corporation

NOTICE OF THE RESULTS OF THE OPT-OUT VOTE TO FOREGO RETROFITTING Attention Unit Owners, The undersigned President of this corporation, in accordance with Section 718.112(2)(1), Florida Statutes, attests by this notice that the unit owners of this Association have voted to forgo retrofitting the common elements, association property, or units with a fire sprinkler system by the written consent of a majority of all voting interests in the condominium. This vote is evidenced by the "Certificate of Vote to Opt Out of Fire Sprinkler Retrofit" which was duly recorded in the Public Records of Palm Beach County, Florida, in Official Records Book ,atPage Note: A copy of this notice must be provided by the current owner to a new owner before closing and by a unit owner to a renter before signing a lease.

Notwithstanding the membership approval to waive the retrofitting requirements, as per Section 718.112(2)(1)(2) Florida Statutes, a vote to rescind this waiver and to require retrofitting may be obtained at a special meeting of the unit owners called by a petition of at least 10 percent of the voting interests. Such a vote may only be called once every 3 years. Notice shall be provided as required for any regularly called meeting of the unit owners, and must state the purpose of the meeting. Dated this ___ day of

)2016. , President

By:

(Corporate Seal)

(Signature

(Association)

PROOF OF NOTICE AFFIDAVIT STATE OF FLORIDA COUNTY OF PALM BEACH: The undersigned President of the Association, being first duly sworn, deposes and says that the notice of the results of the vote to forego retrofitting the common elements, association property, or units with a fire sprinkler system was mailed or hand delivered to each unit owner at the address last furnished to the Association in accordance with the requirements of Section 718.1 12(2)(l), Paragraph 1, F.S., within 30 days after the opt-out vote by the membership. Dated this - day of

, 201_.

President

The foregoing Affidavit was acknowledged before me on this 201, by

Inc.

,the President of (Association)

Notary Public My Commission Expires:

(SEAL)

day of_______

DBPR Form CO 6000-8 Effective: 11/30/04

RETROFITTING REPORT FOR CONDOMINIUMS Name of condominium? Name of the association?______________________________________ The condominium FCTMH file number? Condominium# [ ] [ ] [ ] [ ] [ (Insert one number per block - to be found in the divisions annual billing statement)

Condominium Associations are required to report to the Division of Florida Condominiums, Timeshares, and Mobile Homes (FCTMH) certain information regarding the membership vote to waive retrofitting requirements for fire sprinkler systems and handrails and guardrails. See Chapters 2003-14 and 2004-80, Laws of Florida. Please select the retrofitting information provided in this report (select only one, provide two reports if waiving requirements for both fire sprinkler systems and handrails and guardrails.

[Ill fire sprinkler systems

El handrails and guardrails

(Mark an ""Sn any applicable block and complete all requested information.)

1.

The above-named condominium has voted to waive retrofitting as indicated above (please complete all blanks). The vote to waive retrofitting requirements was conducted:

El E3

at a duly-called meeting of the association on by execution of written consents.

I in date); and/or

The specific results of that voting was... The number of unit owners voting to waive the State of Florida requirements. The number of unit owners voting not to waive the State of Florida requirements. The total number of voting interests in the condominium association. A certificate attesting to this vote is recorded in the County of Book number Page number_________

Florida.

2.

The above-named condominium did not waive retrofitting requirements. Commencement of the (fill in date). retrofitting project took place on The per unit cost of the retrofitting project is: $___________________

3.

The above-named condominium already has fire sprinklers or handrails and guardrails installed pursuant to the requirements and guidelines of Chapter 633, Florida Statutes.

4.

Please provide the last date the Association filed its Annual Report with the Office of the Florida (fill in date). Secretary of State:

, Corporate Officer

Signed and attested to by: (Signature)

(Print Name)

(Title)

(Date)

Return by mail to: Department of Business and Professional Regulation Division of Florida Condominiums, Timeshares, and Mobile Homes 1940 North Monroe Street, Tallahassee, Florida 32399-1033 Attention: RETROFITTING CERTIFICATION or FAX this report to 1.850.921 .5446 This information is subject to Florida's Public Records Law and will be provided to the Florida Division of State Fire Marshal of the Department of Financial Services.

Name

Book

Andover A 1912 Andover B 1912 Andover C 1912 Andover 1910 Andover E 1920 AndoverF 1 1920 Andover G 1920 Andover H 1931 Andoverl 1931 Andoveri 1902 Andover K 1902 Andover 1 1905 Andover M 1905 Bedford A 1861 BedfordB 1861 Bedford C 11861 BedfordD 1861 BedfordE 1865 BedfordF 1865 BedfordG 1865 BedfordH 1881 Bedford l_ 1881 Bedfordi_ 1881 BedfordK 1881 Berkshire A 2002 BerkshireB 2002 BerkshireC 2012 Berkshire D 2012 BerkshireE 2029 Berkshire F 2020 Berkshire 6 2019 Berkshire H 2029 Berkshire I 2032 Berkshire 1 2035 Berkshire K 2035 CambrIdge A 1983 Cambridge 1 1985

Page

-

-

-

-

827 873 919 733 1278 1324 1370 338 385 1464 1510 1846 1901 288 334 380 426 692 738 784 93 139 231 185 736 783 58 105 1712 1 1927 1630 1846 1893 1940 -- 70 1433

Book

Page

DorchesterA 1979 Dorchester B 1975 Dorchester C 1975 Dorchester 1979 Dorchester E 1979 Dorchester F 1979 Dorchester 6 1979 Dorchester 1980 Dorchesterl 1975 ______ Dorchesteri 1975 Dorchester K 1979 Dover 2198 Easthampton A 1718 EasthamptonB 1724 EasthamptonC 1728 Easthampton D 1742 EasthamptonE 1744 EasthamptonF 1734 Easthampton G 1730 EasthamptonH 1728 1741 Easthamptonl GolfsEdge A 1749 GolfsEdge B 1763 Golfs Edge C 1763

Name

1374 1810 1384 1421

]

P

-

Golfs Edge D Golfs Edge E Golfs Edge F GolfsEdge G Greenbrier A Greenbrier B Greenbrler C Hastings A HastingsB Hastings C Hastings D

- -

1468 1515 1562 659 1431 1857 1609 1776 1073 691 56 811

1424 1747 1732 146 1671 243 990 908

1785 1370 1797 798 1797 962 1797 880 2045 1571 2002 830 2029 1759 1948 577 1948 624 1953 875 1963 1528 _____ _____

Name

Book

Plymouth 3 1894 1958 Plymouth 4 Plymouth 5 2023 SalisburyA 1714 Salisbury B 1709 Salisbury C 1703 Salisbury D 1734 Salisbury 1741 Salisbury 1731 SalisburyG 1727 Salisbury H 1724 Salisbury I 1716 Sheffield A 1956 1948 Sheffield 1931 Sheffield C 1948 Sheffield D Sheffield E 1958 SheffieldF 1962 Sheffield G 1958 Sheffield H 1956 Sheffield I 1956 Sheffield 1953 SheffieldK 1937 SheffieldL 1937 SheffieldM 1937 Sheffield N 1931 Sheffield 0 1924 Sheffield P 1931 Sheffield a 1925 Somerset A 2088 Somerset B 2088 Somerset C 2088 2088 Somerset D Somerset 2078 Somerset F 1 2078 -. 2077 Somerset G 2088 Somerset

1

1

-

-

1

Page

1

92 253 407 1323 1662 1085 1702 1626 1 1129 601 413 1486 671

244 765 1404 718 1451 1439 1533 828 952 999 1046 244 1940 291 1 1284 1331 1378 1425 95 48 1826 1472

-

Name

Book

Page

Cambridge 1983 Cambridge D 1983 Cambridge E 1985 Cambridge F 1985 Cambridge G 1983 Cambridge H 1983 Cambridge I 1983 Camden B 2074 Camden C 2074 Camden D 2074 Camden E 2074 Camden F 2074 Camden G 2057 Camden H 2057 Camden I 2057 Camden J 2057 Camden k 2074 Camden 1 2057 Camden M -. 2057

117 164 746 792 211 258 305 290 338 385 432 479 510 563 610 657 193 704 751

Camden N 2057 Camden 0 2057 Camden P 2074 Canterbury A 1996 Canterbury B 1996 Canterbury C 2120 Canterbury D 2129 Canterbury E 2150 Canterbury 2137 Canterbury 2137 Canterbury H 2137 Canterbury 2128 Canterburyj 2137 Canterbury K 2128 Chatham 2179 Chatham 8 2179 Chatham 2191

798 -.463 240 1720 1767 1581 1168 1 1472 1518 1564 428 1610 474 568 614 445

Name

Book

Page

Name

Hastings 1963 Hastings F 1963 Hastings G 1972 Hastings H 1972 Hastings I 1972 Kent A 2144 Kent B 2144 Kent C 2151 Kent 0 2151 Kent E 2151 Kent F 2151 Kent G 2157 Kent H 2172 Kent I 2172 Kenti 2167 Kent K 2167 Kent 1 2167 Kent M 2151 Kent N 2151 Klngswood A 1880 Klngswood 8 1880 Kingswood C 1880 Klngswood D 1881 Klngswood E 1881 Kngswood F 2054 Northampton A 2088 Northampton B• 2088 Northampton C 2088 Northampton 2095 Northampton 2095 Northampton F 2095 Northampton 2095 Northampton H 2108 Northampton I 2096 NorthamptorsJ 2111 Northampton K 2111 Northampton 1 2108

1575 1622 855 901 949 25 71 124 170 216 2622 396 1208 1254 144 98 190 78 32 1859 1903 1951 1 47 997 733 799 845 1777 1823 1869 1915 911 1 781 827 957

Somerset 2088 Somerset 2078 Somerset K 2077 Somerset L 2077 Southampton A 2306 Southampton B 2317 Southampton C 2300 Stratford A 1786 Stratford 8 1802 Stratford C 1804 Stratford D 1822 1822 Stratford E Stratford G 1831 Stratford H 1841 1841 Stratford I 1841 Stratford J Stratford K 1841 Stratford 1 1841 Stratford M 1841 Stratford N 1841 Stratford 0 1841 Sussex A 2261 Sussex B 2273 Sussex C 2251 Sussex D 2283 Sussex E 2283 Sussex F 2283 Sussex 2251 Sussex 2288 Sussex 2283 Sussexi 2314 Sussex 2330 2306 Sussex 1 2306 Sussex M WaithamA 1689 Waltham B 1690 Waltham C 1695

-.

-

Book

-

Page

1

1519 1 1920 1873 1890 1472 737 1204 535 1634 348 389 1848 582 623 664 703 746 787 828 869 1329 424 1533 969 1015 1061 1579 1386 1107 499 356 1798 1844 452 660 171

Name

Book

Chatham D 2191 Chatham E 2191 Chatham F 2179 Chatham G 2179 Chatham H 2179 Chatham $ 2191 Chatham 2199 Chatham K 2199 Chatham L 2191 Chatham M 2212 Chatham N 2199 Chatham 0 2219 Chatham 2199 Chatham Q 2219 Chatham R 2219 Chatham S 2191 Chatham 2199 Chatham U 2219 Coventry A 1755 Coventry B 1755 Coventry C 1759 Coventry D 1764 Coventry E 1764 Coventry F 1759 1764 Coventry G Coventry H 1775 Coventry I 1775 Coventry 1780 Coventry K 1780 Coventry 1 1764

Page

-

537 629 660 706 751 491 973 1019 583 626 1111 723 1157 769 815 675 1065 861 1247 1201 1497 917 963 1543 1009 1247 1201 1493 1539 1055

Name

Book

2111 Northampton M Northampton N 2111 Northampton 0 2231 Northampton P 2111 2111 Northampton a Northampton R 1 2111 Northampton S 2088 Norwich A 1792 Norwich 8 1792 Norwich C 1792 Norwich D 1808 Norwich E 1808 Norwich 1817 Norwich G 1827 Norwich H - 1827 Norwich I 1827 Norwich 1841 Norwich K 1828 1828 Norwich 1. 1792 Norwich M Norwich N 1792 1792 Norwich 0 1838 Oxford 100 1860 Oxford 200 1860 Oxford 300 Oxford 400 1950 Oxford 500 1895 1950 Oxford 600 1994 Oxford 7_

Page 873 919 1821 978 1024 1070 891 952 998 1044 794 840 965 1839 1885 1932 270 1 47 1090 1136 1182 757 1701 1 1232 1580 774 1685 1389

Wellington F 1985 840

Name

Book

Page

1700 1243 Waltham D 1617 Waltham E 1709 1724 646 Waltham G Waltham H 1728 101 1264 Waltham I 1718 1861 Wellington A 189 1881 277 Wellington 8 1910 Wellington C 684 1931 194 Wellington D 1963 1669 Wellington E 2172 1159 Wellington G Wellington H 2151 308 379 Wellington 2128 1003 2108 Wellington K 2097 1394 Wellington I. 1438 2071 Wellington M 154 2012 WindsorA 2012 201 Windsor 1535 2029 Windsor C 2020 48 Windsor D 1582 Windsor E 2029 2054 1044 Windsor F 2036 1 Windsor G 2036 1 48 Windsor H 2036 95 Windsor I 2036 142 WindsorJ 2036 189 Windsor K 1810 Windsor L 2029 248 2012 Windsor M 1306 2012 Windsor N 2029 1 1858 Windsor 0 236 2036 Windsor P 287 2036 Windsor Q 334 Windsor 2036 2036 381 WindsorS

1

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