Blackburn Creek Community Development District
12051 Corporate Boulevard, Orlando, FL 32817
Phone 407-723-5900; Fax 407-723-5901
www.blackburncreekcdd.com

The meeting of the Board of Supervisors for the Blackburn Creek Community Development District will be held Wednesday, June 10, 2020 at 12:00 p.m. via conference call due to the COVID-19 Executive Order 20-114. Attached to this Agenda is a copy of the Executive Order 20-114. The following is the proposed agenda for this meeting.

Call in number: 1-844-621-3956 (New) Passcode: 790 562 990 # (New)
 BOARD OF SUPERVISORS’ MEETING AGENDA

Organizational Matters
Call to Order
Roll Call
Public Comment Period[for any members of the public desiring to speak on any proposition before the Board]

Discussion regarding Executive Orders 20-114

General Business Matters

Consideration of the Minutes of the May 13, 2020 Board of Supervisors’ Meeting
Discussion on Allocation of Surplus Funds Fiscal Year- 2019-2020
Discussion of Public Facilities Report
Consideration of the Arbitrage Rebate Calculation Report for Series 2013A
Ratification of Payment Authorizations 115 -- 117
Ratification of Requisitions 2019-87 -- 2019-89
Review of District Financial Statements

Other Business

Staff Reports
District Counsel
District Engineer
District Manager
Audience Comments
Supervisors Requests

Adjournment

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Discussion regarding Executive Orders 20-114

STATE	OF FLORIDA
OFFICE OF THE GOVERNOR EXECUTIVE ORDER NUMBER 20-114
(Emergency Management-Extension ofExecutiveOrder20-52-COVID-19)

WHEREAS, on March 1, 2020, I issued Executive Order 20-51 , directing the Florida Department of Health to issue a Public Health Eme rgency due to COVID-19 ; and
WHEREAS, on March 9, 2020, I issued Executive Order 20-52, declaring a state of emergency for the entire state due to COVID-19; and
WHEREAS, on March 25, 2020, President Donald J. Trump approved my request and declared a Major Disaster due to COVID-19 in Florida; and
WHEREAS, on April 29, 2020, after consulting  with my Task Force to Re-Open Flo rida, J is s ued Executive Order 20-112, my "P hase 1: Safe. Smart. Step-by-Step. Plan for Florida' s Recove ry"; and
WHEREAS, I, as Governor of Florida, am committed to providing all available resources and assisting all Floridians and our local communities with their efforts; and
WHEREAS, no state of emerge ncy declared pursuant to the Florida Emergency Management Act may continue for more than 60 days unless renewed by the Governor; and
WHEREAS, the impact of COVID-19 poses a continuing threat to the health, safety and welfare of the State of Florida and its residents.
NOW, THEREFORE, I, RON DESANTIS , as Governor of Florida , by virtue of the authority vested in me by Article IV, Section 1(a) of the Florida Constitution and by the Florida Emergency Management Act, as amended, and all other applicable laws, promulgate the following Executive Order, to take immediate effect:

Section 1.	The state of emergency declared in Exec utive Order 20-52, will be extended for 60 days following the iss uance of this order for the entire State of Florida.
Section 2. To the extent Executive Order 20-112, Phase l: Safe. Smart. Step-by-Step. Plan for Florida' s Recovery, amended or extended any executive order related to COVID-19, the referenced executive orders shall re main in effect, as modified.
Section 3. All action s taken by the Director of the Division  of  Emergency  Management as the State Coordinating Officer with respect to this emergency before the issuance of this Executive Order are ratified, and he is directed to continue to execute the State's Comprehensive Emergency Management Plan and other response, recovery, and miti ga tio n plans necessary to cope with the emergency.
Section 4.	Except as amended herein, Executive Order 20-52 is ratified and reaffirmed.

IN TESTIMONY WH EREOF, I have hereunto set my hand and caused the Great Seal of the State of Florida to be affixed, at Tallahassee, this 8t	of May, 2020.

ATTEST:

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BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Consideration of the Minutes of the May 13, 2020 Board of Supervisors’ Meeting

MINUTES OF MEETING

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT BOARD OF SUPERVISORS MEETING MINUTES
Wednesday, May 13, 2020 12:00 P.M.
Via conference call due to COVID-19 Executive Order 20-69

Board Members Present:

Dale Weidemiller	Vice Chairperson		
Pete Williams	Chairperson	(via phone)	
John Blakley	Assistant Secretary	(via phone)	
Jerald Dell	Assistant Secretary	(via phone)	
Kevin Johnson	Assistant Secretary	(via phone)	
Also present:			
Vivian Carvalho	District Manager-PFM Group Consulting, LLC	
Venessa Ripoll	Assistant District Manager- PFM Group Consulting, LLC	
(via phone)			
Amanda lane	PFM Group Consulting, LLC	(via phone)	
Pam Curran	Neal Communities	(via phone)	
Jim Schier	Neal Communities		
John Leinaweaver	Neal Communities		
Sandy Foster	Neal Communities		
Priscilla Heim	Neal Communities		
Misty Taylor	Bryant Miller Olive	(via phone)	
Sete Zare	MBS Capital Markets	(via phone)	

FIRST ORDER OF BUSINESS	Organizational Matters Call to Order and Roll Call
Ms. Carvalho called to order at 12:07 p.m. the meeting of the Board of Supervisors of the
Blackburn Creek Community Development District and proceeded with roll call. The persons in attendance are outlined above.

Public Comment Period

There were no public comments at this time.

Discussion regarding Executive Orders 20-112 & 20-114

A discussion took place regarding Executive Orders 20-112 & 20-114.

SECOND ORDER OF BUSINESS	General Business Matters

Consideration of the Minutes of the April 8, 2020 Board of Supervisors Meeting

The Board reviewed the Minutes of the April 8, 2020 Board of Supervisors Meeting.

On MOTION by Mr. Weidemiller, seconded by Mr. Williams, with all in favor, the Board approved the April 8, 2020 Board of Supervisors Meeting.

Consideration of Resolution 2020- 03, Approving a Preliminary Budget for Fiscal Year 2021 and setting a Public Hearing Date

District staff suggested August 12, 2020 as the Public Hearing date. This will give the District enough time to send the Budget to Manatee County. The budget has increased slightly. This District will have to notice all the residents. It is important to make the owners aware of the O & M Assessments.

Ms. Lane reviewed the assessment table. Last year the amount per unit put on the tax roll was $89.37 and with the increased Budget it would be $92.36 per unit on the tax roll for Fiscal Year 2021 for gross assessment amount. Mr. Williams recommended leaving the Budget the way it is and adopt it as proposed but suggested the District put in under Revenue line a carry forward of $5,000,00 from prior year offset increasing the assessments. Therefore, with the change the total revenue assessment would be
$144,755.00. Mr. Weidemiller suggested reducing another line item by $5,000.00. Mr. Williams recommended showing the use of a balance forward and when the District finalizes it at the Public Hearing, they can trim down line items and remove the balance forward if necessary. Ms. Carvalho asked Ms. Lane to include the carry forward in the revenue and reduce the per unit assessment back to $89. 37. Ms. Lane noted the assessment will be reduced by $0.10 more because there are two new lots so the assessment will be $89.27 with a net Revenue of $144,755.00.

On MOTION by Mr. Williams seconded by Mr. Johnson, with all in favor, the Board approved Resolution 2020-03 Approving a Preliminary Budget for Fiscal Year 2021 and Setting a Public Hearing date for August 12, 2020, as amended.

Discussion of Public Facilities Report-Tabled

This will be deferred until the next meeting.

Letter	from	Supervisor	of Elections- Sarasota County

The District currently has 1,677 registered voters. She requested a motion from the Board to accept the letter for the record.

On MOTION by Mr. Weidemiller, seconded by Mr. Williams, with all in favor, the Board accepted the Letter from the Supervisor of Elections.

Consideration of Resolution 2020- 04, Designating Board member Seats for the Upcoming General Election

There will be two additional Board seats that will be up for the General Election along with the preexisting Board seats on the Ballot. Seat 1 held by Mr. Weidemiller and Seat 5 held by Mr. Blakley will be up for the General Election. Ms. Carvalho requested a motion to approve Resolution 2020-04, as presented. District staff will notify residents of the qualifying period if they are interested in joining the Board.

On MOTION by Mr. Weidemiller, seconded by Mr. Williams, with all in favor, the Board approved Resolution 2020-04, Designating Board member Seats for the upcoming General Election, as presented.

Ratification	of	Payment Authorizations 112-114

The Board reviewed Payment Authorizations 112-114.

On MOTION by Mr. Williams seconded by Mr. Johnson, with all in favor, the Board Ratified Payment Authorizations 112-114.

Ratification of Requisitions 2019- 85 – 2019-86

The Board reviewed Requisitions 2019-85 – 2019-86.

On MOTION by Mr. Williams, seconded by Mr. Johnson, with all in favor, the Board Ratified Requisitions 2019-85 – 2019-86.

Review	of	District	Financial Statements

The Board reviewed the District Financials through April 30, 2020.

On MOTION by Mr. Williams, seconded by Mr. Johnson, with all in favor, the Board accepted the District Financials through April 30, 2020.

THIRD ORDER OF BUSINESS	Other Business Staff Reports
District Counsel – No Report

District Engineer – Not Present

District Manager – Ms. Carvalho noted the next Board of Supervisors’ Meeting is scheduled for June 10, 2020 at 12:00 p.m. and it will most likely be done in virtual format.

FOURTH ORDER OF BUSINESS	Audience	Comments	and
Supervisors Requests

There were no Supervisor requests or audience comments.

FIFTH ORDER OF BUSINESS	Adjournment

There was no additional business to discuss. Ms. Carvalho requested a motion to adjourn.

On MOTION by Mr. Williams, seconded by Mr. Johnson with all in favor, the May 13, 2020 Meeting of the Board of Supervisors of the Blackburn Creek Community Development District was adjourned at 12:22 P.M.

__________________________	___________________________
Secretary/Assistant Secretary	Chairperson/Vice Chairperson

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Discussion on Allocation of Surplus Funds Fiscal Year- 2019-2020

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Discussion of Public Facilities Report

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Consideration of the Arbitrage Rebate Calculation Report for Series 2013A

GNP Services, CPA, PA
www.gnpcpas.com
904-278-8980
630 Kingsley Avenue	P.O. Box 1179
Orange Park, FL 32073	Orange Park, FL 32067-1179

May 29, 2020

Ms. Vivian Carvalho Blackburn Creek CDD
c/o PFM Group Consulting LLC 12051 Corporate Boulevard
Orlando, Florida 32817

RE: Blackburn Creek Community Development District $5,455,000 Special Assessment Revenue Bonds, Series 2013A (Grand Palm Project) (the “Bonds”)

Dear Ms. Carvalho:

GNP Services, CPA, PA has been requested to compute the Rebatable Arbitrage Liability with respect to the Bonds. All computations included on the attached synopsis are mathematically accurate and have been performed in accordance with the Code. We have determined the following:

The results of our computations indicate that the Bonds have no Rebatable Arbitrage Liability or Yield Reduction Payment Amount for the period beginning March 28, 2013 (the “Issue Date”), and ending March 28, 2020 (the “Computation Date”).

The next full report will be provided for the period ending on the March 28, 2023 Installment Computation Date.

If you have questions regarding this letter, or any other concerns, please call (904) 278‐ 8980.

Very truly yours,

GNP Services, CPA, PA Enclosure
cc: Mr. Scott Schuhle, U.S. Bank Global Corporate Trust

SYNOPSIS OF COMPUTATION RESULTS
As of the Computation Date 28‐Mar‐20

Blackburn Creek Community Development District
$5,455,000 Special Assessment Revenue Bonds, Series 2013A (Grand Palm Project)

Current Computation Period			
Acquisition and Construction Fund	$	(922.13)	
Reserve Fund		(7,872.35)	
Computation Date Credit		(1,760.00)	

Current Computation Period Total Rebatable Arbitrage Liability	
$	
(10,554.48)	

Cumulative Computation Period			
Current Computation Period Total Rebatable Arbitrage Liability	$	(10,554.48)	
Future Value of Rebatable Arbitrage Liability Reported at 3/28/19		(157,857.76)	

Cumulative Rebatable Arbitrage Liability	
$	
(168,412.24)	

Gross Proceeds Subject to Arbitrage Rebate Remaining As of the Computation Date

Acquisition and Construction Fund	$	21,914.67	
Reserve Fund		176,125.00	
Debt Service Funds		480,236.78	
Total	$	678,276.45	

5.1754 DataBlackburn2013 3‐28‐20

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Ratification of Payment Authorizations 115 -- 117

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorizations 115-117

No.115	Carr Riggs & Ingram
$1,000
US Bank $3,547.50	$4,547.50	
No.116	PFM Group Consulting
$2,208.33
Sarasota Herald $ 250.25
Supervisor Fee $1,000 VGlobal $300.00	$3, 758.58	
No.117	PFM Group Consulting	$7.00	

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorization No. 115
5/8/2020

Item
No

Payee

Invoice	General
No .	Fund

1	Carr Riggs & Ingram		
	FY 2019 Audit	16898990	$	1,000.00	

2	
U.S. Bank			
	Series 2013A Trustee Fees 04/01/2020 - 09/30/2020	5723137	$	1,773.75	
	Series 2013A Trustee Fees 10/01/2020- 03/31/2021	5723137	$	1,773.75	
				
		TOTAL	$	4,547.50	

Secretary I Assistant Secretary	Chairman / Vice Chairman

RECEIVED MAY 1 1 2020

/4I,	CRI g,Go::
.::.	INGRAM
CPAs and Advisors
500 Grand Boulevard, Suite 210 Miramar Beach, FL 32550
850-837-3141
Federal ID 72-1396621

Blackburn Creek Community Development District clo PFM
12051 Corporate Blvd.
Orlando, FL 32817

Invoice No. Date
Client No.

16898990 (include on check) 04/30/2020
20-05507.000

RECEIVED MAY 0 4 2020

Professional services rendered as follows:

Third progress billing on audit of financial statements
as of September 30, 2019.	

0 · 30
1,000 .00

31- 60
0.00

61 • 90
0.00

91 • 120
0.00

Over 120
0.00

Balance
1 000.00

 

We accept most major credit cards. Please complete the following information or contact our office to submit your payment over the phone.

Invoice Date:  04/30/2020	Client No: 20-05507
Invoice Number:   16898990     Total Amount Due:   $	1,000.00	Blackburn Creek Community Development District

Name as it appears onca r  d:    _	_ _

_	_	_

_	_	_	_

_	_	_	_	_

_	_	_

_	_	_	_

_	_	_	_	_

_	_	_

BillingA ddr  ess :      -	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-        -
Card # _   _   _   _   _   _   _   _          _   _   _   _   _   _   _   _   _	ExpDate_:    _	_	_	_	_	Security_#  _   _   _   _   _

Payment Amount: _

_ _ _ _

_ _ _ _

_	S gi  na ture_:    _

_	_	_

_	_	_	_

_	_	_

_ _	_

_	_	_

Carr, Riggs & Ingram, LLC reserves the right to assess finance charges on past due balances up to the maximum amount allowed under State law.

cm3bank.
Corporate Trust Services
EP-MN-WN3L
60 Livingston Ave.

Invoice Number: Account Number: Invoice Date:

04/24/2020
SCOTT SCHUHLE

2/3

St. Paul, MN 55107	Direct Inquiries To:
Phone:	954-938-2476
BLACKBURN CREEK COD
C/0 PFM GROUP CONSULTING LLC 12051 CORPORATE BLVD
ORLANDO FL	32817

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT SPECIAL ASSESSMENT REVENUE BONDS
SERIES 2013A (GRAND PALM PROJECT)
The following is a statement of transactions pertaining to your account. For further Information, please review the attached.	
STATEMENT SUMMARY

PLEASE REMIT BOTTOM COUPON PORTION OF THIS PAGE WITH CHECK PAYMENT OF INVOICE.

TOTAL AMOUNT DUE	$3,547.50
All Invoices are due upon receipt.

RECEIVED MAY 0 6 2020

Please detach at perforation and return bottom portion of the statement with your check, payable to U.S. Bank.

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT
SPECIAL ASSESSMENT REVENUE BONDS SERIES 2013A (GRAND PALM PROJECT)

Wire Instructions:	Please mail payments to:

[!E3bank.

Corporate Trust Services
EP-MN-WN3L	Invoice Number:	SCOTT

St. Paul, MN 55107

60 Livingston Ave.	Invoice Date:	SCHUHLE

3/3

BLACKBURN CREEK COM M UNITY DEVELOPMENT DISTRICT
SPECIAL ASSESSMENT REVENUE BONDS SERIES 2013A (GRAND PALM PROJECT)

Accounts Included
In This Relationship:

Account Number:
Direct Inquiries To:
Phone:	954-938-2476

CURRENT CHARGES SUMMARIZED FOR ENTIRE RELATIONSHIP

Detail of Current Charges	Volume	
04200 Trustee	1.00	
04110	Paying Agent/Regist/Trsfr Agnt	1.00	

Rate	Portion of Year	Total Fees

2,750.00	100.00%	$2,750.00
550.00	100.00%	$550,00

Subtotal Administration Fees - In Advance 04/01/2020 - 03/31/2021

Incidental Expenses	3,300.00
Subtotal Incidental Expenses
TOTAL AMOUNT DUE

$3,300.00

0.075	$247.50
$247.50
$3,547.50

◊
3,547•5	=

*

12•
295•625

=

295•625	X

,773•75

(,'/ U)	G.	6•	*
1,773•75

Q,773•75

3,547•5	+
Pf 2,.,\	G+

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The fees shown on this invoice a re reflective of the most recent fee schedule or notice of fee adjustment provided by U.S. Bank.
Page 2 of 2
�

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorization No. 116
5/15/2020

Item
No.	Payee	Invoice
No .	General
Fund	

1	
PFM Group Consulting			
	OM Fee: May 2020	DM-05-2020-0008	$	2,083.33	
	Website Fee: May 2020	DM-05-2020-0009	$	125.00	
2	Sarasota Herald-Tribune			
	Legal Advertising on 05/06/2020	SC55GOS0DX	$	250.25	
3	Supervisor Fees - 05/13/2020 Meeting			
	Date Weidem1ller		$	200.00	
	Pete Williams		$	200.00	
	John Blakley		$	200.00	
	Kevin Johnson		$	200.00	
	Jerald Dell		$	200.00	
4	VGlobalTech			
	Quarterly ADA & WCAG Audits	1635	$	300.00	
				
		TOTAL	$	3,758.58	

Secretary I Assistant Secretary	

RECEIVED MAY 1 8 2020

pfm
BIii To:

Blackburn Creek COD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Date		Invoice Number May 12, 2020	DM-05-2020-0008
Payment Terms	Due Date
Upon Receipt	May 12, 2020

Company Address:
1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100
RECEIVED MAY 1 3 2020 Federal Tax ID: 81-1642478

Remittance Options:
Via ACHfpreferredl:	Yia...wi.re;	YWM.11;_

RE:	District Management Fee: May 2020

Professional Fees	$2,083.33
Total Amount Due	S2.083.33

of	1

pfm

Date		Invoice Number May 12, 2020	DM-05-2020-0009
Payment Terms	Due Date
Upon Receipt	May 12, 2020

BIii To:

Blackburn Creek COD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817
 United States of America	

RECEIVED MAY 1 3 2020

Company Address:
1735 Market Street 43rd Floor
Philadelphia, PA 19103
+1 (215) 567-6100
Federal Tax ID: 81-1642478

Remittance Options:

�
PFM Group Consulting LLC
PO Box 65126
Baltimore, MD 21264-5126 United States of America	

$125.00 l12.5...00.	

Via ACH lprefea;edl:	�

RE:	Website Fee - May 2020 Professional Fees
Total Amount Due

of

0	Herald-Tribune
CLASSIFIED  ADVERTISING RECEIPT

PFM GROUP CONSULTING LLC Venessa VENESSA RIPOLL 12051 CORPORATE BLVD

Account: 10038491
Phone:	(407)723-5900 P.O.#:

Windward At Lakewood Ranch Community Dev
ORLANDO, FL 32817

Ad Taken By:
Receipt printed:

SC55

05/05/2020

Order Number	Class Number	Start Run	End Run	Run Times	
Lines	
DescriDtion	
SC55G0S0DX	0001	0S-06-20	05-06-20	2	91	BLACKBURN CREEK COMMUNilY DEVELOPMENT DISTRICT PUBLIC MEETING HELD DURING PUBLIC HEALTH EMERGENCY DUE TO COVID-19 Notice is
hereby given that the Board of Supervisors Board of the Blackburn Creek Community Development District
District will hold a rea	

Pavment Detail	I	Pav Date	I	TvDe	I	Card or Check	#	I	Card	I	ExD	Amount	
Current Pavment	I	I	I	I	I		
Order Price	$ 250.25	
Total Pavments	-	$ 0.00	
Balance	=	$ 250.25	
Sarasota Herald-Tribune
(941) 953-5555 Classified   (941) 361-4098 Fax

1777 Main St.

http; //www.HeraldTribune.com
Sarasota, FL 34236	RECEIVED MAY 11 2020

Sarasota Herald-Tribune's Copy

PFM GROUP CONSULTING LLC Venessa VENESSA RIPOLL 12051 CORPORATE BLVD

Account: 10038491
Phone:	(407)723-5900 P.O.#:

Windward At Lakewood Ranch Community Dev ORLANDO, FL 32817

Ad Taken By: Receipt printed:

SC55

05/05/2020

Order Number	Class Number	Start Run	End Run	Run Times	
Lines	
DescriDtion	
SC55G0S0D
X	0001	05-06-20	05-06-20	2	91	BLACKBURN CREEK COMMUNilY DEVELOPMENT DISTRICT PUBLIC MEETING HELD DURING PUBLIC HEALTH EMERGENCY DUE TO COVID-19 Notice is
hereby given that the Board of Supervisors Board of the Blackburn Creek Community Development District
District will hold a reg	

Pavment Detail I Pay Date I	Type	I	Card or Check #		I  Card  I	Exp		Amount	
Current Payment  I	I		I			I	I			
	
Order Price	$ 250.25	
Total Pavments						-	$ 0.00	
Balance				

-		=	$ 250.25	

AFFIDAVIT OF PUBLICATION
SARASOTA HERALD-TRIBUNE PUBLISHED DAILY
SARASOTA, SARASOTA COUNTY, FLORIDA

STATE OF FLORIDA COUNTY OF SARASOTA

BEFORE THE UNDERSIGNED AUTHORITY PERSONALLY APPEARED JM MITCHELL, WHO ON  OATH SAID SHE IS VICE PRESIDENT OF SALES, WEST FL, FOR THE SARASOTA HERALD-TRIBUNE, A DAILY NEWSPAPER PUBLISHED AT SARASOTA, IN SARASOTA COUNTY FLORIDA; AND CIRCULATED IN SARASOTA COUNTY DAILY; THAT THE ATTACHED COPY OF ADVERTISEMENT BEING A NOTICE  IN THE MATTER OF:

Legal description documented below:

IN THE	COURT WAS PUBLISHED IN THE SARASOTA EDITION OF SAID NEWSPAPER IN THE ISSUES OF:

5/6 lx

AFFIANT FURTHER SAYS THAT THE SAID SARASOTA HERALD-TRIBUNE IS A NEWSPAPER PUBLISHED AT SARASOTA, IN SAID SARASOTA COUNTY, FLORIDA, AND THAT THE SAID NEWSPAPER HAS THERETOFORE BEEN CONTINUOUSLY PUBLISHED IN SAID SARASOTA COUNTY, FLORIDA, EACH DAY, AND HAS BEEN ENTERED AS SECOND CLASS MAIL MATTER AT THE POST OFFICE IN SARASOTA, IN SAID SARASOTA COUNTY, FLORIDA, FOR A PERIOD OF ONE YEAR NEXT PRECEDING THE FIRST PUBLICATION OF THE ATTACHED COPY OF ADVERTISEMENT; AND AFFIANT FURTHER SAYS THAT SHE HAS NEITHER PAID NOR PROMISED ANY PERSON, FIRM OR CORPORATION ANY DISCOUNT, REBATE, COMMISSION OR REFUND FOR THE PURPOSE OF SECURING THIS ADVERTISEMENT FOR PUBLICATION IN THE SAID NEWSPAPER.

SIGNED-	-	-	--------"      '----=--------·=---=-::.c:..:....1  J,;	_

SWORN OR AFFIRMED  TO, AND SUBSCRIBED BEFORE ME THIS.ik_DAY OF		A.D., 2olel BY JM MITCHELL WHO IS PERSONALLY KNOWN TO ME.	()

N-OtaryPublic

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SHARON ETURNER

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. :t>\	NotaryPubUc-StateofFlorida
i	Commission t GG 068983

1 '·-· .,	'f!:J{/  MyComm.ExpiresAprlB,2021
••.,    ....--••'	Bonded through National Notary Assn.

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT PUBLIC MEETING HELD DURING
PUBLIC HEALTH EMERGENCY  DUE TO
COVID-19
Notice is hereby given that the Soard of Supervisors ("Board") of the Blackburn Creek Community Development District ("District") will hold a regulw meeting of the Board of Supervisors on May  13, 2020 at 12:00 p.m. to be  conducted by the foll owinR mean s of communlcadoos media technology, suell as telephonic conferencing, pursuant to Executive Orders    20-52    and    20-69    issued by
Governor  Desantis  on March  9, 2020,
and March 20, 2020, respectively, and pursuant to Section  120.54(5)(b)2.. Florida Statutes. The meeting is being held for the necessary public purpose of considering essential public  funding issues related to District  improvements. At such time the Board is so authorized and may consider any business that may properly come before it.

While it is necessary to hold the above referenced meeting of the District's Board of Supervisors utilizing communications media technology due to the current COVID-19 public health emergency, the District fully encourages public participation in a safe and efficient manner. Toward that end, anyone wishing to listen and participate in the meeUnp can do so telephonlcally at 1- 844-621-3956, Participant Code: 790
562 990#. Additionally, participants are encouraged to submit questions and comments to the District Manager in advance at carvalhov@plm.com to facilitate the Board's consideration  of such questions and comments during the meeting.

A copy of the agenda may be obtained at the offices of the District Manager, c/o PFM Group Consulting, LLC, 12051 Corporate Blvd., Orlando, Florida 32817
(407) 723-5900, carvalhov@pfm.com ("District Manager's Office") during normal business hours.

The meeting is open to the public and will be conducted In accordance with the provisions of Florida law for community development districts. The meeting may be continued to a date, time, and place to be specified on the record at such meeting. There may be occasions when Board Supervisors or District Staff may participate by speaker telephone.

Any person requiring special accommodations at the meeting because of a disability or physical impairment should contact the District Manager's Office at least forty-eight (48) hours prior to the meeting. If you are hearing or speech   impaired,   please   contact the
Florida Relay Service by dialing 7-1-1, or 1-800-955-8771  (TTY)  I 1-800-955-8770
(Voice). for aid in contacting the District Manager's Office.

Each person who decides to appeal any decision made by the Board with respect to any matter considered at the meeting is advised that person will need a record of proceedings and that accordingly, the person may need to ensure that a verbatim record of the proceedings is made, including the testimony and evidence upon which such appeal is to be based.

Vivian Carvalho District Manager
Date of pub: May 6, 2020

Blackburn Creek COMMUNITY DEVELOPMENT DISTRICT

Date of Meeting: 5/13/20

($200.00 per Supervisor per Meeting)

Board Members:	Present	Absent	Fee

Dale Weidemiller	 	X			 $200.00 Pete Williams	 	X		$200.00 John Blakley		X			$200.00
Kevin Johnson	X	$200.00

Jerald Dell	 	X	$200.00	

Total:	$1,000.00

Approved For Payment:

veil\,es.s.ll RL-poLL
Secretary / Assistant Secretary

 May 13, 2020	
Date

RECEIVED MAY 1 3 2020

VGlobalTech

636 Fanning Drive
Winter Springs, FL 32708 US contact@vglobaltech.com www.vglobaltech.com

INVOICE

BILL TO
Blackburn Creek COD 1735 Market St FL 43
Philadelphia, PA 191037502 USA

RECEIVED MAY 1 2 2020

INVOICE# 1635
DATE 05/12/2020
DUE DATE 05/12/2020
TERMS Due on receipt

DATE	ACTIVITY	QTY	RATE	AMOUNT	
Audlts:Quarterly ADA & WCAG
Audits		300.00	300.00	
Quarterly ADA & WCAG Audits		
for all new content and document		
conversions for the website.		

Please make check payable to VGlobalTech.

BALANCE DUE	$300.00

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorization No. 117
5/22/2020

Item

Payee

Invoice	General

 	No.		No.	Fund

1	PFM Group Consulting Reimbursables: March 2020 Reimbursables: April 2020

OE-EXP-00771	$	5.00
OE-EXP-00822	$	2.00

TOTAL	$	7.00

Secretary / Assistant Secretary

RECEIVED MAY 2 6 2020

pfm
BIii To:

Blackburn Creek COD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817
United States of America	

Remittance Options:

Date	Invoice Number
 	April 28, 2020	OE-EXP-00771	
Payment Terms	 		Due Date	 Upon Receipt		April 28, 2020

Company Address:

1735 Market Street 43rd  Floor Philadelphia, PA 19103
+1 (215) 567-6100
Federal Tax ID: 81-1642478

Via ACH(preferred):	Y.ia..Wim;	Yk!...Mal!.;..
PFM Group Consulting LLC
PO Box 65126
Baltimore, MD 21264-5126 United States of America	

RE:	
March 2020 Postage			
Expenses
Total Amount Due		$5.00	

of	1

pfm

Date	Invoice Number
May 11, 2020	 	OE-EXP-00822	
Payment Terms	Due Date
Upon Receipt	May 11, 2020

Bill To:

Blackburn Creek COD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

RECEIVED MAY 1 7

2020

Company Address:	
1735 Market Street 43rd Floor
Philadelphia, PA 19103
+1 (215) 567-6100

�
PFM Group Consulting LLC
PO Box 65126
Baltimore, MD 21264-5126 United States of America	

$2.00 ll..!l.!I.	

Federal Tax ID: 81-1642478

Remittance Options:
Via ACH roreferredl:

RE:	April 2020 Postage Expenses
Total Amount Due

Yi.a...Wim;

of

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Ratification of Requisitions 2019-87 -- 2019-89

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Ratifications  of Requisitions  2019-87-- 2019-89

2019-87	Kimley- Horn	$5,599.53	
2019-88	Forsberg Construction	$4,476.40	
2019-89	Forsberg Construction	$118,462.15	

Blackburn Creek Community Development District
FORM OF REQUISITION FOR 2019 CAPITAL IMPROVEMENT PLAN

The undersigned, an Authorized Officer of Blackburn Creek Community Development District (the “District) hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture from the District to U.S. Bank National Association, Fort Lauderdale, Florida, as trustee (the “Trustee”), dated as of March 1, 2013 (the “Master Indenture”), as amended and supplemented by the Fourth Supplemental Trust Indenture from the District to the Trustee, dated as of February 1, 2019 (the Master Indenture as amended and supplemented is hereinafter referred to as the “Indenture”) (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture);
Requisition Number:	2019-87

Name of Payee:	Kimley-Horn and Associates, Inc.
P.O. Box 932520 Atlanta, GA 31193-2520

Amount Payable:	$5,599.53

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable):

Payment of District Engineering Services related to the Bond Financed District Improvements. See attached invoice for detail.

The undersigned hereby certifies that [obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2019 Acquisition and Construction Account, that each disbursement set forth above was incurred in connection with the acquisition and/or construction of the 2019 Capital Improvement Plan and represents a Cost of the 2019 Capital Improvement Plan, and has not previously been paid] OR [the requisition is for Costs of Issuance payable from the Costs of Issuance Account that has not previously been paid].

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Blackburn Creek Community Development District

If this requisition is for a disbursement from other than the Costs oflssuance Account or for payment of capitalized interest, there shall be attached a resolution of the Governing Body of the District approving this requisition or approving the specific contract with respect to which disbursementspursuant to this requisition are due and payable.

Attached hereto are originals of the invoice(s)  from  the vendor of  the property acquired or the services rendered with respect to which disbursement is hereby requested.

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Dy:	
Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs oflssuance, or for payment of capitalized interest, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the 2019 Capital Improvement Plan, which Cost does not exceed the amount specified for the category of improvement as set forth on Exhibit D to the Third Supplemental Indenture, and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the corresponding 2019 Capital Improvement Plan segment and portion of the 2019 Capital Improvement Pian with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the Third Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

BLACKBURN CREEK COMMUNITY DEVELOP. DIST. CONSTRUCTION
ATTN: AMANDA LANE 12051 CORPORATE BLVD
ORLANDO, FL 32817

Please send payments to:
KIMLEY-HORN AND ASSOCIATES, INC.
P.O. BOX 932520 ATLANTA, GA 31193-2520

Federal Tax Id: 56-0885615

HOURLY	
Description	Current Amount Due	
SERVICES RENDERED	5,599.53	
Total HOURLY	5,599.53	

Invoice No:	16333918
Invoice Date:	Mar 31, 2020 Invoice Amount: $5,599.53
Project No:	148167000.2
Project Name:	BLACKBURN CR CDD DIST ENG
Project Manager: CONERLY, BILL
Client Reference: CONSTRUCTION FUND

For Services Rendered through Mar 31, 2020

DESCRIPTION OF SERVICES PERFORMED:
District Engineering Services related to applications for payment for 2019-80 thru 2019-84.
Coordination regarding improvements of the District.

Total Invoice: $5,599.53

If you have questions or concerns regarding this invoice, please call Joseph Marianacci at 561-840-0219.	31JJM

BLACKBURN CREEK COMMUNITY DEVELOP. DIST. CONSTRUCTION
ATTN: AMANDA LANE 12051 CORPORATE BLVD
ORLANDO, FL 32817

HOURLY	

Group	
Description	
Hrs/Qty	
Rate	Current Amount Due	
LABOR	ANALYST	6.5	106.15	689.96	
	PROFESSIONAL	1.0	116.08	116.08	
	SENIOR PROFESSIONAL I	20.0	223.99	4,479.84	
	SUPPORT STAFF	0.5	68.68	34.34	
TOTAL LABOR	28.0		5,320.22	
EXPENSES	OFFICE EXPENSE			279.31	
TOTAL EXPENSES			279.31	
TOTAL LABOR AND EXPENSE DETAIL			5,599.53	

Invoice No:	16333918
Invoice Date:	Mar 31, 2020
Project No:	148167000.2

Project Name:

BLACKBURN CR CDD DIST ENG

Project Manager: CONERLY, BILL

This page is for informational purposes only. Please pay amount shown on cover page.

31JJM

Blackburn Creek Community Development District
FORM OF REQUISITION FOR 2019 CAPITAL IMPROVEMENT PLAN

The undersigned , an Authorized Officer of Blackburn Creek Community Development District (the "District) hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture from the District to U.S. Bank National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of March 1, 2013 (the "Master Indenture"), as amended and supplemented by the Third Supplemental Trust Indenture from the District to the Trustee, dated as of February 1, 2019 (the Master Indenture as amended and supplemented is hereinafter refened to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture);

(A)

(B)

Requisition Number: Name of Payee:

2019-88

Forsberg Construction, Inc. 645 Charlotte Street
Punta Gorda, FL 33950

Amount Payable:	$4,476.40

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs oflssuance, if applicable):

Grand Palm, Phase lB(a) Application No. 9 (See attached Invoice). This Application for Payment is approved based on a site and observation of work.

The undersigned hereby certifies that [obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2019 Acquisition and Construction Account, that each disbursement set forth above was incurred in connection with the acquisition and/or construction of the 2019 Capital Improvement Plan and represents a Cost of the 2019 Capital Improvement Plan, and has not previously been paid] OR [the requisition is for Costs of Issuance payable from the Costs of Issuance Account that has not previously been paid].

The undersi gned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

Blackburn Creek Community Development District
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

If this requisition is for a disbursement from other than the Costs of Issuance Account or for payment of capitalized interest, there shall be attached a resolution of the Governing Body of the District approving this requisition or approving the specific contract with respect to which disbursements pursuant to this requisition are due and payable.

Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

By:

A	/\/	
Authorized Offic-e---r-

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, or for payment of capitalized interest, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the 2019 Capital Improvement Plan, which Cost does not exceed the amount specified for the category of improvement as set forth on Exhibit D to the Third Supplemental Indenture, and is consiste nt with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the corresponding 2019 Capital Improvement Plan segment and portion of the 2019 Capital Improvement Plan with respect to which such disbursement is being  made;  and  (iii)  the  report  of  the  Consulting Engineer attached as an Exhibit to the Third Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

CONTRACTOR'S APPLICATION FOR PAYMENT

PROJECT	Grand Palm Phase lBa (CDD Portion)

ENGINEER	Kimley-Horn and Associates, Inc. OWNER	Blackburn Creek CDD
5800 Lakewood Ranch Boulevard Sarasota, FL 34240	REQUEST N

NTPDATE
Contract Tim SUBSTANTIA FINAL

CONTRACTO	O.

e L

R	9

November 26, 2018
489 Days
March 29, 2020
April 26, 2020

Fors berg Construction, Inc. 645 Charlotte Street
Punta Gorda, FL 33950	
FOR WORK COMPLETED FROM	4/1/2020	TO	4/30/2020	

CONTRACT  PAYMENT SUMMARY

Original Contract Amount (CHANGE ORDER #6)
Change Orders:	755,053.00	
Change Order Summary		
Number	Date Approved	Additive	Deductive		
		-			
		-			
		-			
		-			
Subtotals	-	-		
Net Change Order Subtotal (Additive less Deductive)
Current Contract Amount (Origina l Amount+ CO's)	-
755,053.00	

Value of Work in Place
Value of Material Purchased by Owner Total Earned(% & $)
Retainage (% & $)	Previous Status	Current Status		

78%
5%	747,841.00
157,564.44
590,276.56
29,513.83	100%	752,553.00
157,564.44
79%	594,988.56
5%	29,749.43		
Net Earned (Total earned minus retainage) Total Previous Estimates
AMOUNT DUE THIS PERIOD		560,762.73	565,239.13	565,239.13
560,762.73
4,476.40	

CERTIFICATION  OF CONTRACTOR
The undersigned Contractor hereby swears under penalty of perjury that (1) all previous progress payments received from the Owner on account of Work performed under the Contract referred to above have been applied by the undersigned to discharge in full all obligations of undersigned incurred in connection with Work covered by prior Applications for Payment numbered 1 through 8 inclusive; and (2) all materials and equipment incorporated in said Project or otherwise listed in or covered by this Application for Payment are free and clear of all liens, claims, security in terests and encumbrances; and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and not defective as that term is defined in the Contract Documents.

CONTRACTOR

By

My Commission expires August 23, 2020
Sworn and subscribed to nJ 'l'Y....,._ i"'t-"'Y'....,._...-,,. Vi..A.A...A....-.

4th day of May AD 2020 (STAMP I SEAL )

Forsberg Construction, Inc. 645 Charlotte Street
Punta Gorda, Florida 33950 Phone(941)637-8500
Fax (941) 639-1073

Payment of the above AMOUNT DUE TIDS APPLICATION is recommended.

SIGNATURE	DATE

05/08/2020

05/08/2020

Engineer Owner

Project:	Grand Palm Phase lBa (CDD Portion)	Forsberg Construction, Inc.	Pay Request No.	9
Owner:	Blackburn Creek CDD	645 Charlotte Street	For work from:	4/1/2020
Engineer:	Kimley-Horn and Associates, Inc.	Punta Gorda, FL 33950	To:	4/30/2020	

ITEM
NO.	CODES	
DESCRIPTION OF WORK	

QUAN	

UN1T	
UNIT PRICE	
CONTRACT TOTAL	PREVIOUS WORK

QTY	VALUE	WORK THIS PERIOD

QTY	VALUE	WORK TO DATE

QTY	VALUE	PERCENT
COMPLETE
%	
I.a DRAINAGE (excludes FDOT final pipe inspection)	
1	910	18" RCP	32	LF	55.00	1,760.00	32.0	1,760.00	0.00	-	32.00	1,760.00	100.00%	
2	910	24" RCP	611	LF	65.00	39,715.00	611.0	39,715.00	0.00	-	611.00	39,715.00	100.00%	
3	910	30" RCP	173	LF	84.00	14,532.00	173.0	14,532.00	0.00	-	173.00	14,532.00	100.00%	
4	910	36" RCP	472	LF	116.00	54,752.00	472.0	54,752.00	0.00	-	472.00	54,752.00	100.00%	
5	910	Grated Swale Inlet	1	EA	3,400.00	3,400.00	1.0	3,400.00	0.00	-	1.00	3,400.00	100.00%	
6	910	Type "M" Inlet 36" x 48" (inside size)	5	EA	4,200.00	21,000.00	5.0	21,000.00	0.00	-	5.00	21,000.00	100.00%	
7	910	Type "M" Inlet 42" x 60" (inside size)	2	EA	6,900.00	13,800.00	2.0	13,800.00	0.00	-	2.00	13,800.00	100.00%	
8	910	24" Flared End Section	2	EA	4,100.00	8,200.00	2.0	8,200.00	0.00	-	2.00	8,200.00	100.00%	
9	910	30" Flared End Section	1	EA	4,500.00	4,500.00	1.0	4,500.00	0.00	-	1.00	4,500.00	100.00%	
10	910	36" Flared End Section	3	EA	5,800.00	17,400.00	3.0	17,400.00	0.00	-	3.00	17,400.00	100.00%	
11	910	Small Control Structure	1	EA	5,600.00	5,600.00	1.0	5,600.00	0.00	-	1.00	5,600.00	100.00%	
15	910	Modified Type "F" curb (Islands)	220	LF	16.20	3,564.00	220.0	3,564.00	0.00	-	220.00	3,564.00	100.00%	
16	910	Type "M" curb, includes all transitions	4,420	LF	10.80	47,736.00	4420.0	47,736.00	0.00	-	4420.00	47,736.00	100.00%	
17	910	Curb ramp	4	EA	780.00	3,120.00	4.0	3,120.00	0.00	-	4.00	3,120.00	100.00%	
		I.b SANITARY SEWER						
1	960	Manholes O' - 6'	4	EA	5,600.00	22,400.00	4.0	22,400.00	0.00	-	4.00	22,400.00	100.00%	
2	960	Manholes 6' - 8'	4	EA	6,200.00	24,800.00	4.0	24,800.00	0.00	-	4.00	24,800.00	100.00%	
3	960	Manholes 10' - 12'	2	EA	7,800.00	15,600.00	2.0	15,600.00	0.00	-	2.00	15,600.00	100.00%	
4	960	8" PVC (SDR 26) Gravity Sewer O' - 6'	788	LF	34.00	26,792.00	788.0	26,792.00	0.00	-	788.00	26,792.00	100.00%	
5	960	8" PVC (SDR 26) Gravity Sewer 6' - 8'	553	LF	52.00	28,756.00	553.0	28,756.00	0.00	-	553.00	28,756.00	100.00%	
6	960	8" PVC (SDR 26) Gravity Sewer 8' - 10'	280	LF	70.00	19,600.00	280.0	19,600.00	0.00	-	280.00	19,600.00	100.00%	
7	960	u .I V \.., \_U.LI.J.'\.. ,<.,VJ '-Jl ,..., uvvvc;, .LU-
1'"11	382	LF	87.00	33,234.00	382.0	33,234.00	0.00	-	382.00	33,234.00	100.00%	
8	960	Single Sewer Service	4	LF	1,500.00	6,000.00	4.0	6,000.00	0.00	-	4.00	6,000.00	100.00%	
9	960	Double sewer service	26	EA	1,500.00	39,000.00	26.0	39,000.00	0.00	-	26.00	39,000.00	100.00%	
10	960	Connection to existing gravity sewer	1	EA	6,600.00	6,600.00	1.0	6,600.00	0.00	-	1.00	6,600.00	100.00%	
11	960	Open Cut Restoration and MOT	1	LS	11,300.00	11,300.00	1.00	11,300.00	0.00	-	1.00	11,300.00	100.00%	
12	960	Testing of gravity sewer	2,003	LF	4.00	8,012.00	2003.0	8,012.00	0.00	-	2003.00	8,012.00	100.00%	
		I.c WATERDISTRIBUTION		
1	1010	4" PVC DR-18, C900 Water Main	520	LF	24.00	12,480.00	520.0	12,480.00	0.00	-	520.00	12,480.00	100.00%	
2	1010	8" PVC DR-18, C900 Water Main	1,960	LF	28.00	54,880.00	1960.0	54,880.00	0.00	-	1960.00	54,880.00	100.00%	
3	1010	4" Gate valve and valve box	2	EA	1,500.00	3,000.00	2.0	3,000.00	0.00	-	2.00	3,000.00	100.00%	
4	1010	8" Gate valve and valve box	4	EA	2,000.00	8,000.00	4.0	8,000.00	0.00	-	4.00	8,000.00	100.00%	
5	1010	8"x8" Tapping Sleeve and Valve	2	EA	7,800.00	15,600.00	2.0	15,600.00	0.00	-	2.00	15,600.00	100.00%	
6	1010	Blowoff Assembly	1	EA	1,200.00	1,200.00	1.0	1,200.00	0.00	-	1.00	1,200.00	100.00%	
7	1010	HG-2 Automatic Flushing Device	1	EA	7,400.00	7,400.00	1.0	7,400.00	0.00	-	1.00	7,400.00	100.00%	
8	1010	Fire Hydrant Assembly	2	EA	6,000.00	12,000.00	2.0	12,000.00	0.00	-	2.00	12,000.00	100.00%	
9	1010	Single water service (Short)	34	EA	1,000.00	34,000.00	34.0	34,000.00	0.00	-	34.00	34,000.00	100.00%	
10	1010	Single water service (Long)	22	EA	1,200.00	26,400.00	22.0	26,400.00	0.00	-	22.00	26,400.00	100.00%	
11	1010	Tie-in to existing Water Main	2	EA	2,500.00	5,000.00	1.0	2,500.00	0.00	-	1.00	2,500.00	50.00%	
12	1010	Pressure testing of main	2,480	LF	2.10	5,208.00	2480.0	5,208.00	0.00	-	2480.00	5,208.00	100.00%	
13	1010	Chlorination and bacteriological	2,480	LF	1.90	4,712.00	0.0	-	2480.00	4,712.00	2480.00	4,712.00	100.00%	

Project:	Grand Palm Phase lBa  (CDD Portion)	Forsberg Construction, Inc.	Pay Request No.	9
Owner:	Blackburn Creek CDD	645 Charlotte Street	For work from:	4/1/2020
Engineer:	Kimley-Horn and Associates, Inc.	Punta Gorda, FL 33950	To:	4/30/2020	

ITEM
NO.	CODES	
DESCIUPTION OF WORK	

QUAN	

UNIT	
UNIT PIUCE	
CONTRACT TOTAL	PREVIOUS WORK

QTY	VALUE	WORK THIS PEIUOD

QTY	VALUE	WORK TO DATE

QTY	VALUE	PERCENT COMPLETE
%	
TI. MISCELLANEOUS		
1	1260	Florida Trench Safety Act	1 LS	100.00	100.00	1.0	100.00	0.00	-	1.00	100.00	100.00%	
3	260	Construction stakeout	1 LS	25,600.00	25,600.00	1.0	25,600.00	0.00	-	1.00	25,600.00	100.00%	
4	260	Record drawings/ As-Built Survey	1 LS	8,300.00	8,300.00	1.0	8,300.00	0.00	-	1.00	8,300.00	100.00%	
5	510	Mobilization	1 LS	50,000.00	50,000.00	1.0	50,000.00	0.00	-	1.00	50,000.00	100.00%	
TOTAL	755,053.00	747,841.00	4,712.00	752,553.00	99.67%	
Summary of Work Classifications
PHASE3C
DRAINAGE	$	239,079.00	$	239,079.00	$	-	$	239,079.00	100.00%
SANITARY SEWER	$	242,094.00	$	242,094.00	$	-	$	242,094.00	100.00%
WATER DISTIUBUTION	$	189,880.00	$	182,668.00	$	4,712.00	$	187,380.00	98.68%
MISCELLANEOUS	$	84,000.00	$	84,000.00	$	-	$	84,000.00	100.00%

TOTAL	$	755,053.00	$	747,841.00	$	4,712.00	$	752,553.00	99.67%	

Project:    Grand Palm Phase  lBa (CDD Portion)	Forsberg Construction, Inc.	Pay Request No.	9
Owner:    Blackburn Creek CDD	645 Charlotte Street	For work from:	4/1/2020
Engineer: Kimley-Horn and Associates, Inc.	Punta Gorda, FL 33950	To:	4/30/2020	

ITEM NO.	
DESCRIPTION OF WORK	

QUAN	

UNIT	MATERIAL
UNIT PRICE	PURCHASE
ORDER TOTAL	PREVIOUS WORK

QTY	VALUE	WORK THIS PERIOD

QTY	VALUE	WORK TO DATE

QTY	VALUE	PERCENT COMPLETE
%	
	I.a DRAINAGE (excludes FDOT final pipe inspection)										
1	18" RCP	32	LF	16.05	513.60	32.00	513.60	0.00	-	32.00	513.60	100.00%	
2	24" RCP	611	LF	24.65	15,061.15	611.00	15,061.15	0.00	-	611.00	15,061.15	100.00%	
3	30" RCP	173	LF	35.33	6,112.09	173.00	6,l12.09	0.00	-	173.00	6,112.09	100.00%	
4	36" RCP	472	LF	48.53	22,906.16	472.00	22,906.16	0.00	-	472.00	22,906.16	100.00%	
5	Grated Swale Inlet	1	EA	650.54	650.54	1.00	650.54	0.00	-	1.00	650.54	100.00%	
6	Type "M" Inlet 36" x 48" (inside size)	5	EA	1,526.64	7,633.20	5.00	7,633.20	0.00	-	5.00	7,633.20	100.00%	
7	Type "M" Inlet 42" x 60" (inside size)	2	EA	1,526.64	3,053.28	2.00	3,053.28	0.00	-	2.00	3,053.28	100.00%	
8	24" Flared End Section	2	EA	1,012.00	2,024.00	2.00	2,024.00	0.00	-	2.00	2,024.00	100.00%	
9	30" Flared End Section	1	EA	1,315.40	1,315.40	1.00	1,315.40	0.00	-	1.00	1,315.40	100.00%	
10	36" Flared End Section	3	EA	1,562.00	4,686.00	3.00	4,686.00	0.00	-	3.00	4,686.00	100.00%	
11	Small Control Structure	1	EA	1,847.74	1,847.74	1.00	1,847.74	0.00	-	1.00	1,847.74	100.00%	
	Lb SANITARY SEWER												
1	Manholes O' - 6'	4	EA	1,537.21	6,148.84	4.00	6,148.84	0.00	-	4.00	6,148.84	100.00%	
2	Manholes 6' - 8'	4	EA	1,754.51	7,018.04	4.00	7,018.04	0.00	-	4.00	7,018.04	100.00%	
3	Manholes 10' - 12'	2	EA	2,249.77	4,499.54	2.00	4,499.54	0.00	-	2.00	4,499.54	100.00%	
4	8" PVC (SDR 26) Gravity Sewer O' - 6'	788	LF	4.06	3,199.28	788.00	3,199.28	0.00	-	788.00	3,199.28	100.00%	
5	8" PVC (SDR 26) Gravity Sewer 6' - 8'	553	LF	4.06	2,245.18	553.00	2,245.18	0.00	-	553.00	2,245.18	100.00%	
6	8" PVC (SDR 26) Gravity Sewer 8' - 10'	280	LF	4.06	1,136.80	280.00	1,136.80	0.00	-	280.00	1,136.80	100.00%	
7	8" PVC (SDR 26) Gravity Sewer 10' - 12'	382	LF	4.06	1,550.92	382.00	1,550.92	0.00	-	382.00	1,550.92	100.00%	
8	Single Sewer Service	4	LF	273.52	1,094.08	4.00	1,094.08	0.00	-	4.00	1,094.08	100.00%	
9	Double sewer service	26	EA	314.29	8,171.54	26.00	8,171.54	0.00	-	26.00	8,171.54	100.00%	
	Le WATER DISTRIBUTION												
1	4" PVC DR-18, C900 Water Main	520	LF	3.19	1,658.80	520.00	1,658.80	0.00	-	520.00	1,658.80	100.00%	
2	8" PVC DR-18, C900 Water Main	1,960	LF	9.30	18,228.00	1960.00	18,228.00	0.00	-	1960.00	18,228.00	100.00%	
3	4" Gate valve and valve box	2	EA	484.41	968.82	2.00	968.82	0.00	-	2.00	968.82	100.00%	
4	8" Gate valve and valve box	4	EA	847.30	3,389.20	4.00	3,389.20	0.00	-	4.00	3,389.20	100.00%	
5	8"x8" Tapping Sleeve and Valve	2	EA	1,770.06	3,540.12	2.00	3,540.12	0.00	-	2.00	3,540.12	100.00%	
8	Fire Hydrant Assembly	2	EA	2,274.03	4,548.06	2.00	4,548.06	0.00	-	2.00	4,548.06	100.00%	
9	Single water service (Short)	34	EA	319.96	10,878.64	34.00	10,878.64	0.00	-	34.00	10,878.64	100.00%	
10	Single water service (Long)	22	EA	365.73	8,046.06	22.00	8,046.06	0.00	-	22.00	8,046.06	100.00%	
11	Tie-in to existing Water Main	2	EA	107.80	215.60	1.00	107.80	0.00	-	1.00	107.80	50.00%	
Adj	Cast Systems	-	LS	-	-	0.00	-	0.00	-	0.00	-	0.00%	
Adj	Ferguson Waterworks	-	LS	1,283.50	-	1.00	1,283.50	0.00	-	1.00	1,283.50	0.00%	
Adj	County Materials	-	LS	(4,870.68)	-	1.00 -	4,870.68	0.00	-	1.00 -	4,870.68	0.00%	
TOTAL	$	152,340.68	$	148,645.70	$	-	$	148,645.70	97.57%	

Ferguson Waterworks Cast Systems				Summary

$	68,871.10
$	30,851.18		

$	70,046.80
$	30,851.18		

$	-
$	-		

$	70,046.80
$	30,851.18	

101.71%
100.00%	

Project: Grand Palm Phase lBa (COD Portion) Owner: Blackburn Creek COD
Engineer: Kimley-Horn and Associates, Inc.				I Forsberg Construction, Inc.
645 Charlotte Street Punta Gorda, FL 33950		Pay Request No.
For work from: To:	9
4/1/2020
4/30/2020	

ITEM NO.	
DESCRIPTION OF WORK	

QUAN	

UNIT	MATERIAL
UNIT PRICE	PURCHASE ORDER
TOTAL	PREVIOUS WORK

QTY	VALUE	WORK THIS PERIOD

QTY	VALUE	WORK TO DATE

QTY	VALUE	PERCENT COMPLETE
%	
	County Materials 6% State Sales Tax				$	52,618.40
$	9,140.44	$	47,747.72
$	8,918.74	$	-
$	-	$	47,747.72
$	8,918.74	90.74%
97.57%	
	TOTAL				$	161,481.12	$	157,564.44	$	-	$	157,564.44	97.57%	

Blackburn Creek Community Development District
FORM OF REQUISITION FOR 2019 CAPITAL IMPROVEMENT PLAN

The undersigned, an Authorized Officer of Blackburn Creek Community Development District (the "District) hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture from the District to U.S. Bank National Association, Fort Lauderdale, Florida, as trustee (the "Trustee"), dated as of March 1, 2013 (the "Master Indenture"), as amended and supplemented by the Third Supplemental Trust Indenture from the District to the Trustee, dated as of February 1, 2019 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture);

(A)

(B)

Requisition Number: Name of Payee:

2019-89

Forsberg Construction, Inc. 645 Charlotte Street
Punta Gorda, FL 33950

Amount Payable:	$118,462.15

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs oflssuance, if applicable):

Grand Pahn, Phase 2A(d) Application No. 7 (See attached Invoice). This Application for Payment is approved based on a site and observation of work.

The undersigned hereby certifies that [obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2019 Acquisition and Construction Account, that each disbursement set forth above was incurred in connection with the acquisition and/or construction of the 2019 Capital Improvement Plan and represents a Cost of the 2019 Capital Improvement Plan, and has not previously been paid] OR [the requisition is for Costs of Issuance payable from the Costs of Issuance Account that has not previously been paid].

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

Blackburn Creek Community Development District
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

If this requisition is for a disbursement from other than the Costs of Issuance Account or for payment of capitalized interest, there shall be attached a resolution of the Governing Body of the District approving this requisition or approving the specific contract with respect to which disbursements pursuant to this requisition are due and payable.

Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

By.Ca2..d/, L/	=	.
Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, or for payment of capitalized interest, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the 2019 Capital Improvement Plan, which Cost does not exceed the amount specified for the category of improvement as set forth on Exhibit D to the Third Supplemental Indenture, and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the corresponding 2019 Capital Improvement Plan segment and portion of the 2019 Capital Improvement Plan with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the Third Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

CONTRACTOR'S  APPLICATION  FOR PAYMENT

PROJECT	Grand Palm Phase 2Ad (CDD Portion)

ENGINEER Kimley-Horn and Associates, Inc. OWNER	Blackburn Creek CDD
5800 Lakewood Ranch Boulevard Sarasota, FL 34240	REQUEST NO.

NTP DATE
Contract Time SUBSTANTIAL FINAL

CONTRACTOR	7

March 21, 2019
360 Days
March 15, 2020
April 12, 2020

Forsberg Construction, Inc. 645 Charlotte Street
Punta Gorda, FL 33950	
FOR WORK COMPLETED FROM	4/1/2020	TO	5/14/2020	

CONTRACT PAYMENT SUMMARY

Original Contract Amount
Change Orders:	1,317,081.00	
Change Order Summary		
Number	Date Approved	Additive	Deductive		
		-			
		-			
		-			
		-			
Subtotals	-	-		
Net Change Order Subtotal (Additive less Deductive)
Current Contract Amount (Original Amount + CO's)	-
1,317,081.00	

Value of Work in Place
Value of Material Purchased by Owner Total Earned (% & $)
Retainage (% & $)	Previous Status	Current Status		

71%
5%	1,176,633.00
238,319.72
938,313.28
46,915.66	99%

81%
5%	1,301,330.00
238,319.72
1,063,010.28
53,150.51		
Net Earned (Total earned minus retainage) Total Previous Estimates
AMOUNT DUE THIS PERIOD		891,397.62	1,009,859.77	1,009,859.77
891,397.62
118,462.15	

CERTIFICATION OF CONTRACTOR

ATTEST / NOTARY

Signature

Ashly Wester

The undersigned Contractor hereby swears under penalty of perjury that (1) all previous progress payments received from the Owner on account of Work performed under the Contract referred to above have been applied by the undersigned to discharge in full all obligations of undersigned incurred in connection with Work covered by prior Applications for Payment numbered 1 through 6 inclusive; and (2) all materials and equipment incorporated in said Project or otherwise listed in or covered by this Application for Payment are free and clear of all liens, claims, security interests and encumbrances; and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and not defective as that term is defined in the Contract Documents.

CONTRACTOR

By
Gregg V. Marsh, Vice President

Forsberg Construction, Inc.
Notary Public, State of Florida	645 Charlotte Street	
My Commission expires August 23, 2020	Punta Gorda, Florida 33950	
Sworn and subscribed to me this	Phone (941) 637-8500	
14th day of May AD 2020	Fax (941) 639-1073	

(STAMP / SEAL )

SIGNATURE

Payment of the above AMOUNT DUE THIS APPLICATION is recommended.

Engineer Owner

DATE

05/19/2020

05/19/2020

Project:
Owner: Engineer	

:	Grand Palm Phase 2Ad (CDD Portion)
Blackburn Creek CDD
Kimley-Horn and Associates, Inc.				Forsberg Construction, Inc.
645 Charlotte Street Punta Gorda, FL 33950			Pay Request No.
For work from: To:	7
4/1/2020
5/14/2020	

ITEM
NO.	CODES	
DESCRIPTION OF WORK	

QUAN	

UNIT	
UNIT PRICE	
CONTRACT TOTAL	PREVIOUS WORK

QTY	VALUE	WORK THIS PERIOD

QTY	VALUE	WORK TO DATE

QTY	VALUE	PERCENT
COMPLETE
%	
I.a DRAINAGE (excludes FDOT final pipe inspection)	
1	910	18" RCP	217	LF	55.00	11,935.00	217.0	11,935.00	0.00	-	217.00	11,935.00	100.00%	
2	910	24" RCP	769	LF	65.00	49,985.00	769.0	49,985.00	0.00	-	769.00	49,985.00	100.00%	
3	910	30" RCP	741	LF	84.00	62,244.00	741.0	62,244.00	0.00	-	741.00	62,244.00	100.00%	
4	910	36" RCP	192	LF	116.00	22,272.00	192.0	22,272.00	0.00	-	192.00	22,272.00	100.00%	
5	910	54" RCP	400	LF	262.00	104,800.00	400.0	104,800.00	0.00	-	400.00	104,800.00	100.00%	
6	910	Grated Swale Inlet	2	EA	3,400.00	6,800.00	2.0	6,800.00	0.00	-	2.00	6,800.00	100.00%	
7	910	Type "F" Inlet 36" x 48" (inside size)	2	EA	4,200.00	8,400.00	2.0	8,400.00	0.00	-	2.00	8,400.00	100.00%	
8	910	Type "M" Inlet 36" x 48" (inside size)	11	EA	4,200.00	46,200.00	11.0	46,200.00	0.00	-	11.00	46,200.00	100.00%	
9	910	Type "M" Inlet 42" x 60" (inside size)	1	EA	6,900.00	6,900.00	1.0	6,900.00	0.00	-	1.00	6,900.00	100.00%	
10	910	24" Flared End Section	3	EA	4,100.00	12,300.00	3.0	12,300.00	0.00	-	3.00	12,300.00	100.00%	
11	910	30" Flared End Section	2	EA	4,500.00	9,000.00	2.0	9,000.00	0.00	-	2.00	9,000.00	100.00%	
12	910	36" Flared End Section	1	EA	5,800.00	5,800.00	1.0	5,800.00	0.00	-	1.00	5,800.00	100.00%	
13	910	54" Flared End Section	1	EA	9,200.00	9,200.00	1.0	9,200.00	0.00	-	1.00	9,200.00	100.00%	
14	910	Storm Junction Box	4	EA	7,200.00	28,800.00	4.0	28,800.00	0.00	-	4.00	28,800.00	100.00%	
15	910	Medium Control Structure	1	EA	10,000.00	10,000.00	1.0	10,000.00	0.00	-	1.00	10,000.00	100.00%	
16	910	Rip-Rap for Bubbler Structures	93	SY	100.00	9,300.00	93.0	9,300.00	0.00	-	93.00	9,300.00	100.00%	
17	910	Connect to Existing Storm Structure	3	EA	5,000.00	15,000.00	3.0	15,000.00	0.00	-	3.00	15,000.00	100.00%	
18	910	Remove Ex Storm Pipe & Structures	1	EA	3,500.00	3,500.00	1.0	3,500.00	0.00	-	1.00	3,500.00	100.00%	
22	910	Modified Type "F" curb	1,180	LF	10.80	12,744.00	0.0	-	1180.00	12,744.00	1180.00	12,744.00	100.00%	
23	910	Type "M" curb	6,410	LF	10.80	69,228.00	0.0	-	6410.00	69,228.00	6410.00	69,228.00	100.00%	
24	910	Modified Type "F" curb (Islands)	240	LF	16.20	3,888.00	0.0	-	240.00	3,888.00	240.00	3,888.00	100.00%	
25	910	Valley Crossing curb	190	LF	43.20	8,208.00	0.0	-	190.00	8,208.00	190.00	8,208.00	100.00%	
26	910	Curb ramp	6	EA	780.00	4,680.00	0.0	-	6.00	4,680.00	6.00	4,680.00	100.00%	
		I.b SANITARY SEWER						
1	960	Manholes 0' - 6'	5	EA	5,600.00	28,000.00	5.0	28,000.00	0.00	-	5.00	28,000.00	100.00%	
2	960	Manholes 6' - 8'	3	EA	6,200.00	18,600.00	3.0	18,600.00	0.00	-	3.00	18,600.00	100.00%	
3	960	Manholes 8' - 10'	4	EA	7,000.00	28,000.00	4.0	28,000.00	0.00	-	4.00	28,000.00	100.00%	
4	960	Manholes 10' - 12'	1	EA	7,800.00	7,800.00	1.0	7,800.00	0.00	-	1.00	7,800.00	100.00%	
5	960	8" PVC (SDR 26) Gravity Sewer 0' - 6'	568	LF	34.00	19,312.00	568.0	19,312.00	0.00	-	568.00	19,312.00	100.00%	
6	960	8" PVC (SDR 26) Gravity Sewer 6' - 8'	1,117	LF	52.00	58,084.00	1117.0	58,084.00	0.00	-	1117.00	58,084.00	100.00%	
7	960	8" PVC (SDR 26) Gravity Sewer 8' - 10'	377	LF	70.00	26,390.00	377.0	26,390.00	0.00	-	377.00	26,390.00	100.00%	
8	960	8" PVC (SDR 26) Gravity Sewer 10' -	873	LF	87.00	75,951.00	873.0	75,951.00	0.00	-	873.00	75,951.00	100.00%	
9	960	Single sewer service	16	EA	1,500.00	24,000.00	16.0	24,000.00	0.00	-	16.00	24,000.00	100.00%	
10	960	Double sewer service	27	EA	1,500.00	40,500.00	27.0	40,500.00	0.00	-	27.00	40,500.00	100.00%	
11	960	Connection to existing gravity sewer	2	EA	6,600.00	13,200.00	2.0	13,200.00	0.00	-	2.00	13,200.00	100.00%	
12	960	Testing of gravity sewer	2,935	LF	4.00	11,740.00	0.0	-	2935.00	11,740.00	2935.00	11,740.00	100.00%	
		I.c WATER DISTRIBUTION		
1	1010	6" PVC DR-18, C900 Water Main	480	LF	26.00	12,480.00	480.0	12,480.00	0.00	-	480.00	12,480.00	100.00%	
2	1010	8" PVC DR-18, C900 Water Main	4,310	LF	28.00	120,680.00	4310.0	120,680.00	0.00	-	4310.00	120,680.00	100.00%	

Project:	Grand Palm Phase 2Ad (CDD Portion)
Owner:	Blackburn Creek CDD Engineer:	Kimley-Horn and Associates, Inc.				Forsberg Construction, Inc.
645 Charlotte Street Punta Gorda, FL 33950			Pay Request No.
For work from: To:	7
4/1/2020
5/14/2020	

ITEM
NO.	CODES	
DESCRIPTION OF WORK	

QUAN	

UNIT	
UNIT PRICE	
CONTRACT TOTAL	PREVIOUS WORK

QTY	VALUE	WORK THIS PERIOD

QTY	VALUE	WORK TO DATE

QTY	VALUE	PERCENT
COMPLETE
%	
3	1010	6" Gate valve and valve box	2	EA	1,800.00	3,600.00	2.0	3,600.00	0.00	-	2.00	3,600.00	100.00%	
4	1010	8" Gate valve and valve box	16	EA	2,000.00	32,000.00	16.0	32,000.00	0.00	-	16.00	32,000.00	100.00%	
5	1010	Fire Hydrant Assembly	4	EA	6,000.00	24,000.00	4.0	24,000.00	0.00	-	4.00	24,000.00	100.00%	
6	1010	Single water service (Short)	42	EA	1,000.00	42,000.00	42.0	42,000.00	0.00	-	42.00	42,000.00	100.00%	
7	1010	Single water service (Long)	28	EA	1,200.00	33,600.00	28.0	33,600.00	0.00	-	28.00	33,600.00	100.00%	
8	1010	Temporary Blow-off Assembly	1	EA	1,200.00	1,200.00	1.0	1,200.00	0.00	-	1.00	1,200.00	100.00%	
9	1010	Tie-in to existing Water Main	3	EA	2,500.00	7,500.00	2.0	5,000.00	0.00	-	2.00	5,000.00	66.67%	
10	1010	Ditch Crossing	1	EA	6,600.00	6,600.00	1.0	6,600.00	0.00	-	1.00	6,600.00	100.00%	
11	1010	Pressure testing of main	4,790	LF	2.10	10,059.00	0.0	-	4790.00	10,059.00	4790.00	10,059.00	100.00%	
12	1010	Chlorination and bacteriological	4,790	LF	1.90	9,101.00	0.0	-	0.00	-	0.00	-	0.00%	
II. MISCELLANEOUS		
1	1260	Florida Trench Safety Act	1	LS	100.00	100.00	1.0	100.00	0.00	-	1.00	100.00	100.00%	
2	510	Material Price Increases for 2019	1	LS	57,500.00	57,500.00	1.0	57,500.00	0.00	-	1.00	57,500.00	100.00%	
4	260	Construction stakeout	1	LS	25,600.00	25,600.00	1.0	25,600.00	0.00	-	1.00	25,600.00	100.00%	
5	260	Record drawings / As-Built Survey	1	LS	8,300.00	8,300.00	0.0	-	0.50	4,150.00	0.50	4,150.00	50.00%	
6	510	Mobilization / General Conditions	1	LS	50,000.00	50,000.00	1.0	50,000.00	0.00	-	1.00	50,000.00	100.00%	
		TOTAL				1,317,081.00	1,176,633.00		124,697.00		1,301,330.00	98.80%	
		
PHASE 3C DRAINAGE SANITARY SEWER
WATER DISTRIBUTION MISCELLANEOUS

TOTAL			Summary of Work Classifications

$	521,184.00	$	422,436.00
$	351,577.00	$	339,837.00
$	302,820.00	$	281,160.00
$	141,500.00	$	133,200.00

$  1,317,081.00	$  1,176,633.00		

$	98,748.00
$	11,740.00
$	10,059.00
$	4,150.00

$	124,697.00		

$	521,184.00
$	351,577.00
$	291,219.00
$	137,350.00

$  1,301,330.00	

100.00%
100.00%
96.17%
97.07%

98.80%	

260
510
910
960
1010
1260

TOTAL			Summary of Accounting Codes

$	33,900.00	$	25,600.00
$	107,500.00	$	107,500.00
$	521,184.00	$	422,436.00
$	351,577.00	$	339,837.00
$	302,820.00	$	281,160.00
$	100.00	$	100.00

$  1,317,081.00	$  1,176,633.00		

$	4,150.00
$	-
$	98,748.00
$	11,740.00
$	10,059.00
$	-

$	124,697.00		

$	29,750.00
$	107,500.00
$	521,184.00
$	351,577.00
$	291,219.00
$	100.00

$  1,301,330.00	

87.76%
100.00%
100.00%
100.00%
96.17%
100.00%

98.80%	

Project: Grand Palm Phase 2Ad (CDD Portion)
Owner: Blackburn Creek CDD
Engineer Kimley-Horn and Associates, Inc.				Forsberg Construction, Inc.
645 Charlotte Street Punta Gorda, FL 33950			Pay Request No.
For work from: To:	7
4/1/2020
5/14/2020	

ITEM NO.	
DESCRIPTION OF WORK	

QUAN	

UNIT	MATERIAL
UNIT PRICE	PURCHASE
ORDER TOTAL	PREVIOUS WORK

QTY	VALUE	WORK THIS PERIOD

QTY	VALUE	WORK TO DATE

QTY	VALUE	PERCENT
COMPLETE
%	
	I.a DRAINAGE (excludes FDOT final pipe inspection)										
1	18" RCP	217	LF	13.62	2,955.54	217.00	2,955.54	0.00	-	217.00	2,955.54	100.00%	
2	24" RCP	769	LF	24.67	18,971.23	769.00	18,971.23	0.00	-	769.00	18,971.23	100.00%	
3	30" RCP	741	LF	34.87	25,838.67	741.00	25,838.67	0.00	-	741.00	25,838.67	100.00%	
4	36" RCP	192	LF	48.53	9,317.76	192.00	9,317.76	0.00	-	192.00	9,317.76	100.00%	
5	54" RCP	400	LF	98.03	39,212.00	400.00	39,212.00	0.00	-	400.00	39,212.00	100.00%	
6	Grated Swale Inlet	2	EA	1,044.30	2,088.60	2.00	2,088.60	0.00	-	2.00	2,088.60	100.00%	
7	Type "F" Inlet 36" x 48" (inside size)	2	EA	1,350.11	2,700.22	2.00	2,700.22	0.00	-	2.00	2,700.22	100.00%	
8	Type "M" Inlet 36" x 48" (inside size)	11	EA	1,407.64	15,484.04	11.00	15,484.04	0.00	-	11.00	15,484.04	100.00%	
9	Type "M" Inlet 42" x 60" (inside size)	1	EA	1,407.64	1,407.64	1.00	1,407.64	0.00	-	1.00	1,407.64	100.00%	
10	24" Flared End Section	3	EA	1,012.00	3,036.00	3.00	3,036.00	0.00	-	3.00	3,036.00	100.00%	
11	30" Flared End Section	2	EA	1,315.40	2,630.80	2.00	2,630.80	0.00	-	2.00	2,630.80	100.00%	
12	36" Flared End Section	1	EA	1,562.00	1,562.00	1.00	1,562.00	0.00	-	1.00	1,562.00	100.00%	
13	54" Flared End Section	1	EA	4,086.70	4,086.70	1.00	4,086.70	0.00	-	1.00	4,086.70	100.00%	
14	Storm Junction Box	4	EA	1,470.54	5,882.16	4.00	5,882.16	0.00	-	4.00	5,882.16	100.00%	
15	Medium Control Structure	1	EA	2,881.57	2,881.57	1.00	2,881.57	0.00	-	1.00	2,881.57	100.00%	
	I.b SANITARY SEWER												
1	Manholes 0' - 6'	5	EA	1,584.28	7,921.40	5.00	7,921.40	0.00	-	5.00	7,921.40	100.00%	
2	Manholes 6' - 8'	3	EA	1,834.15	5,502.45	3.00	5,502.45	0.00	-	3.00	5,502.45	100.00%	
3	Manholes 8' - 10'	4	EA	2,177.11	8,708.44	4.00	8,708.44	0.00	-	4.00	8,708.44	100.00%	
4	Manholes 10' - 12'	1	EA	2,550.72	2,550.72	1.00	2,550.72	0.00	-	1.00	2,550.72	100.00%	
5	8" PVC (SDR 26) Gravity Sewer 0' - 6'	568	LF	4.05	2,300.40	568.00	2,300.40	0.00	-	568.00	2,300.40	100.00%	
6	8" PVC (SDR 26) Gravity Sewer 6' - 8'	1,117	LF	4.05	4,523.85	1117.00	4,523.85	0.00	-	1117.00	4,523.85	100.00%	
7	8" PVC (SDR 26) Gravity Sewer 8' - 10'	377	LF	4.05	1,526.85	377.00	1,526.85	0.00	-	377.00	1,526.85	100.00%	
8	8" PVC (SDR 26) Gravity Sewer 10' - 12'	873	LF	4.05	3,535.65	873.00	3,535.65	0.00	-	873.00	3,535.65	100.00%	
9	Single sewer service	16	EA	273.52	4,376.32	16.00	4,376.32	0.00	-	16.00	4,376.32	100.00%	
10	Double sewer service	27	EA	314.21	8,483.67	27.00	8,483.67	0.00	-	27.00	8,483.67	100.00%	
	I.c WATER DISTRIBUTION												
1	6" PVC DR-18, C900 Water Main	480	LF	2.16	1,036.80	480.00	1,036.80	0.00	-	480.00	1,036.80	100.00%	
2	8" PVC DR-18, C900 Water Main	4,310	LF	7.09	30,557.90	4310.00	30,557.90	0.00	-	4310.00	30,557.90	100.00%	
3	6" Gate valve and valve box	2	EA	280.65	561.30	2.00	561.30	0.00	-	2.00	561.30	100.00%	
4	8" Gate valve and valve box	16	EA	370.70	5,931.20	16.00	5,931.20	0.00	-	16.00	5,931.20	100.00%	
5	Fire Hydrant Assembly	4	EA	2,312.63	9,250.52	4.00	9,250.52	0.00	-	4.00	9,250.52	100.00%	
6	Single water service (Short)	42	EA	331.88	13,938.96	42.00	13,938.96	0.00	-	42.00	13,938.96	100.00%	
7	Single water service (Long)	28	EA	368.67	10,322.76	28.00	10,322.76	0.00	-	28.00	10,322.76	100.00%	
9	Tie-in to existing Water Main	3	EA	133.80	401.40	3.00	401.40	0.00	-	3.00	401.40	100.00%	
	Ferguson Adjustment	(1)	LS	27,182.99	(27,182.99)	-1.00	-	27,182.99	0.00	-	-1.00	-	27,182.99	100.00%	
	Cast Systems Adjustment	(1)	LS	3,479.57	(3,479.57)	-1.00	-	3,479.57	0.00	-	-1.00	-	3,479.57	100.00%	
	County Materials Adjustment	(1)	LS	3,993.04	(3,993.04)	-1.00	-	3,993.04	0.00	-	-1.00	-	3,993.04	100.00%	
TOTAL	$	224,829.92	$	224,829.92	$	-	$	224,829.92	100.00%	

Project:	Grand Palm Phase 2Ad (CDD Portion)				Forsberg Construction, Inc.		Pay Request No.	7	
Owner:	Blackburn Creek CDD				645 Charlotte Street		For work from:	4/1/2020	
Engineer Kimley-Horn and Associates, Inc.				Punta Gorda, FL 33950		To:	5/14/2020	

QUAN	

UNIT	MATERIAL	PURCHASE	PREVIOUS WORK	WORK THIS PERIOD	WORK TO DATE	PERCENT	
ITEM	DESCRIPTION			UNIT	ORDER				COMPLETE	
NO.	OF WORK			PRICE	TOTAL	QTY	VALUE	QTY	VALUE	QTY	VALUE	%	
Summary	
	Ferguson Waterworks				$	69,564.59		$	69,564.59	$	-	$	69,564.59	100.00%	
	Cast Systems				$	51,647.67		$	51,647.67	$	-	$	51,647.67	100.00%	
	County Materials				$	103,617.66		$	103,617.66	$	-	$	103,617.66	100.00%	
	6% State Sales Tax				$	13,489.80		$	13,489.80	$	-	$	13,489.80	100.00%	
	TOTAL				$	238,319.72		$	238,319.72	$	-	$	238,319.72	100.00%	

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Review of District Financial Statements

Blackburn Creek CDD Statement of Financial Position As of 5/31/2020

General Fund		Debt Service Fund	

Current Assets
General Checking Account Assessments Receivable Prepaid Expenses Assessments Receivable Due From Other Funds
Debt Service Reserve 2013A Bond Debt Service Reserve 2019A Bond Revenue 2013A Bond
Revenue 2019A Bond Interest 2019A2 Bond Prepayment 2013A Bond Sinking Fund 2013A Bond Assessments Receivable Due From Other Funds
Debt Service Reserve 2015A1 Bond Debt Service Reserve 2015A2 Bond Revenue 2015A Bond
Prepayment 2015A1 Bond Prepayment 2015A2 Bond Sinking Fund 2015A1 Bond Revenue 2018A Bond Prepayment 2018A1 Bond
Debt Service Reserve 2018A1 Bond Prepayment 2018A2 Bond
Capitalized Interest Account 2018A2 Bond Due from Other Funds
Assessments Receivable Acquisition/Construction 2013A Bond Acquisition/Construction 2019A Bond Acquisition/Construction 2015A Bond Acquisition/Construction 2018A Bond Restricted Acq/Construction 2018A Bond
Total Current Assets	

$133,122.55 57,650.44
5,233.59

$196,006.58		

$347,526.57 5,009.38
176,125.00
91,809.05
254,764.68
1.24
4.36
8.49
2.56

$875,251.33	

Investments
Amount Available in Debt Service Funds Amount To Be Provided
Total Investments	

$0.00		

$0.00	
Total Assets	$196,006.58		$875,251.33	

Debt Service Fund - 2015A1&A2

$42,971.24 4,311.19
231,125.00
92,343.75
140,021.88
8,579.24
36,490.96
0.21

$555,843.47	Debt Service Fund - 2018

Assets

$191,636.55 2,562.00
172,620.37
114,734.72
45,518.50
3,076.98
615,765.15

$1,145,914.27	Capital Proiects Fund -
2013A

$22,013.25 499,157.91

$521,171.16	Capital Proiects Fund - 2015A

$190,478.57

$190,478.57	Capital Proiects Fund - 2018

$149,338.40 70,084.77
$219,423.17	Long Term Debt Group

$0.00	
Total

$133,122.55 57,650.44
5,233.59
347,526.57
5,009.38
176,125.00
91,809.05
254,764.68
1.24
4.36
8.49
2.56
42,971.24
4,311.19
231,125.00
92,343.75
140,021.88
8,579.24
36,490.96
0.21
191,636.55
2,562.00
172,620.37
114,734.72
45,518.50
3,076.98
615,765.15
22,013.25
499,157.91
190,478.57
149,338.40
70,084.77
$3,704,088.55	

$0.00

$555,843.47	

$0.00

$1,145,914.27	

$0.00

$521,171.16	

$0.00

$190,478.57	

$0.00

$219,423.17	

$1,558,348.56 22,787,651.44
$24,346,000.00

$24,346,000.00	

$1,558,348.56 22,787,651.44
$24,346,000.00

$28,050,088.55	

Blackburn Creek CDD Statement of Financial Position As of 5/31/2020

General Fund

Debt Service Fund

Debt Service Fund -

Debt Service Fund - 2018

Capital Proiects Fund -

Capital Proiects Fund - 2015A

Capital Proiects Fund -

Long Term Debt Group

Total

2015A1&A2	2013A	2018

Current Liabilities Accounts Payable Deferred Revenue Deferred Revenue Deferred Revenue Deferred Revenue Retainage Payable Developer Advance Retainage Payable
Total Current Liabilities	

$12,917.92 57,650.44

$70,568.36		

$347,526.57

$347,526.57	Liabilities and Net Assets

$42,971.24
$615,765.15

 	
$42,971.24	$615,765.15		

$82,899.94 13,827.00

$96,726.94		

$16,006.15

$16,006.15		

$0.00		

$0.00		

$12,917.92 57,650.44
347,526.57
42,971.24
615,765.15
82,899.94
13,827.00
16,006.15
$1,189,564.41	

Long Term Liabilities
Revenue Bonds Payable - Long-Term Total Long Term Liabilities	

$0.00		

$0.00		

$0.00		

$0.00		

$0.00		

$0.00		

$0.00		

$24,346,000.00
$24,346,000.00		

$24,346,000.00
$24,346,000.00	
Total Liabilities	$70,568.36		$347,526.57		$42,971.24		$615,765.15		$96,726.94		$16,006.15		$0.00		$24,346,000.00		$25,535,564.41	

Net Assets
Net Assets, Unrestricted
Net Assets - General Government
Current Year Net Assets - General Government

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted
Total Net Assets	

($3,421.82) 70,944.72
57,915.32

$125,438.22		

$707,719.95 (179,995.19)

$527,724.76		

$595,275.08 (82,402.85)

$512,872.23		

$803,405.05 (273,255.93)

$530,149.12		

$2,109,192.56 (1,684,748.34)

$424,444.22		

$174,345.63
126.79

$174,472.42		

$379,490.73 (160,067.56)

$219,423.17		

$0.00		

($3,421.82) 70,944.72
57,915.32

707,719.95
(179,995.19)

595,275.08
(82,402.85)

803,405.05
(273,255.93)

2,109,192.56
(1,684,748.34)

174,345.63
126.79

379,490.73
(160,067.56)
$2,514,524.14	
																		
Total Liabilities and Net Assets	$196,006.58		$875,251.33		$555,843.47		$1,145,914.27		$521,171.16		$190,478.57		$219,423.17		$24,346,000.00		$28,050,088.55	

Blackburn Creek CDD
Statement of Activities	
As of 5/31/2020	
	
Debt Service	
Debt Service	
Debt Service	
Capital Proiects	
Capital Proiects	
Capital Project	
Long Term		
General Fund		Fund -						Total	
	Fund		Fund - 2018	Fund - 2013A	Fund - 2015A	Fund - 2018	Debt Group		
		2015A1&A2							

Revenues										
On-Roll Assessments	$85,192.53								$85,192.53	
Off-Roll Assessments	57,126.80								57,126.80	
On-Roll Assessments		$330,280.93							330,280.93	
Off-Roll Assessments		197,856.05							197,856.05	
Other Assessments		11,522.52							11,522.52	
Inter-Fund Group Transfers In		(1,261.72)							(1,261.72)	
On-Roll Assessments			$284,247.51						284,247.51	
Off-Roll Assessments			28,893.42						28,893.42	
Other Assessments			204,225.56						204,225.56	
On-Roll Assessments				$202,872.85					202,872.85	
Off-Roll Assessments				402,553.33					402,553.33	
Other Assessments				329,204.72					329,204.72	
Inter-Fund Transfers				(70,192.42)					(70,192.42)	
Inter-Fund Transfers In					$1,261.72				1,261.72	
Other Income & Other Financing Sources							$15,023.36		15,023.36	
Inter-Fund Transfers							70,192.42		70,192.42	
Total Revenues	

$142,319.33	

$538,397.78	

$517,366.49	$864,438.48	$1,261.72	$0.00	$85,215.78	$0.00	

$2,148,999.58	
Expenses										
Supervisor Fees	$7,800.00								$7,800.00	
Public Officials' Insurance	2,423.00								2,423.00	
Trustee Services	14,388.13								14,388.13	
Management	16,666.64								16,666.64	
Dissemination Agent	13,750.00								13,750.00	
District Counsel	3,016.50								3,016.50	
Assessment Administration	15,000.00								15,000.00	
Audit	4,500.00								4,500.00	
Arbitrage Calculation	500.00								500.00	
Postage & Shipping	307.74								307.74	
Legal Advertising	1,078.00								1,078.00	
Web Site Maintenance	1,300.00								1,300.00	
Dues, Licenses, and Fees	175.00								175.00	
General Insurance	3,499.00								3,499.00	
Principal Payment - 2013A1, 2019A1		$175,000.00							175,000.00	
Principal Payment - 2019A2		20,000.00							20,000.00	
Interest Payments - 2013A1, 2019A1		445,435.00							445,435.00	
Interest Payments - 2019A2		80,920.00							80,920.00	

Blackburn Creek CDD Statement of Activities As of 5/31/2020

General Fund

Debt Service Fund

Debt Service Fund - 2015A1&A2

Debt Service Fund - 2018

Capital Proiects Fund - 2013A

Capital Proiects Fund - 2015A

Capital Project Fund - 2018

Long Term	Total Debt Group

Principal Payments - 2015A1 bond					$135,000.00												135,000.00	
Principal Payments - 2015A2 bond					200,000.00												200,000.00	
Interest Payments - 2015A1 bond					185,956.26												185,956.26	
Interest Payments - 2015A2 bond					79,218.77												79,218.77	
Principal Payment - 2018A1 Bond							$136,000.00										136,000.00	
Principal Payment - 2018A2 Bond							320,000.00										320,000.00	
Interest Payment - 2018A1 Bond							549,800.00										549,800.00	
Interest Payment - 2018A2 Bond							132,278.00										132,278.00	
Engineering									$24,032.64								24,032.64	
Capital Expenditures									1,663,107.58								1,663,107.58	
Engineering Services													$11,784.55				11,784.55	
Capital Expenditure													233,737.66				233,737.66	
Total Expenses	$84,404.01		$721,355.00		$600,175.03		$1,138,078.00		$1,687,140.22		$0.00		$245,522.21		$0.00		$4,476,674.47	

Other Revenues (Expenses) & Gains (Losses)

Interest Income			$2,962.03														$2,962.03	
Interest Income					$405.69												405.69	
Interest Income							$383.59										383.59	
Interest Income									$1,130.16								1,130.16	
Interest Income											$126.79						126.79	
Interest Income													$238.87				238.87	
Total Other Revenues (Expenses) & Gains (Losses)	$0.00		$2,962.03		$405.69		$383.59		$1,130.16		$126.79		$238.87		$0.00		$5,247.13	

Change In Net Assets	
$57,915.32		
($179,995.19)		
($82,402.85)		
($273,255.93)		
($1,684,748.34)		
$126.79		
($160,067.56)		
$0.00		
($2,322,427.76)	

Net Assets At Beginning Of Year	
$67,522.90		
$707,719.95		
$595,275.08		
$803,405.05		
$2,109,192.56		
$174,345.63		
$379,490.73		
$0.00		
$4,836,951.90	

Net Assets At End Of Year	

$125,438.22		

$527,724.76		

$512,872.23		

$530,149.12		

$424,444.22		

$174,472.42		

$219,423.17		

$0.00		

$2,514,524.14	

Blackburn Creek CDD
Budget to Actual
For the Month Ending 5/31/2020	
Year To Date	
	
Actual			
Budget			
Variance	FY 2020
Adopted Budget	

Revenues											
On-Roll Assessments Off-Roll Assessments	$	85,192.53
57,126.80		$	96,503.36
-		$	(11,310.83)
57,126.80	$	144,755.00
-	
Net Revenues	$	142,319.33	$	96,503.36		$	45,815.97	$	144,755.00	
General & Administrative Expenses
Supervisor Fees
Public Officials' Insurance Trustee Services Management  Engineering Dissemination Agent District Counsel
Assessment Administration Reamortization Schedules Audit
Arbitrage Calculation Telephone
Postage & Shipping Copies
Legal Advertising Office Supplies
Web Site Maintenance Dues, Licenses, and Fees Stormwater Management General Insurance
General Repair & Maintenance	

$	7,800.00
2,423.00
14,388.13
16,666.64
- 13,750.00
3,016.50
15,000.00
- 4,500.00
500.00
-     307.74
- 1,078.00
- 1,300.00
175.00
- 3,499.00
-		

$	

8,000.00
1,733.36
10,666.64
16,666.64
6,666.64
6,666.64
13,333.36
10,000.00
666.64
3,000.00
666.64
133.36
300.00
100.00
3,333.36
133.36
1,800.00
133.36
6,666.64
2,503.36
3,333.36		

$	

(200.00)
689.64
3,721.49
- (6,666.64)
7,083.36
(10,316.86)
5,000.00
(666.64)
1,500.00
(166.64)
(133.36)
7.74
(100.00)
(2,255.36)
(133.36)
(500.00)
41.64
(6,666.64)
995.64
(3,333.36)	

$	12,000.00
2,600.00
16,000.00
25,000.00
10,000.00
10,000.00
20,000.00
15,000.00
1,000.00
4,500.00
1,000.00
200.00
450.00
150.00
5,000.00
200.00
2,700.00
200.00
10,000.00
3,755.00
5,000.00	
Total General & Administrative Expenses	$	84,404.01		$	96,503.36		$	(12,099.35)	$	144,755.00	

Total Expenses	
  $	84,404.01 		
   $		
96,503.36 		
   $		
(12,099.35)	
  $	144,755.00 	
Net Income (Loss)	$	57,915.32	$	-		$	57,915.32		$	-	

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