AgencyLetterhead (SAMPLE)

[MMMMDD,YYYY]

Mr.FrankSmith,DeputyExecutiveDirector

StatePropertiesCommission

270 Washington Street, Suite 2-129

Atlanta,Georgia30334

Re:CertificationofOwnership,Project Number,Project Description, Campus/Facility,City,Georgia,County NameCounty

Dear Mr. Smith:

TheAgency Name (Agency Abbreviation)approvedthereferenced Projecton Approval Date(Resolution Letterattached). Priortobiddingtheabovereferencedprojectfor construction, AgencyrequestscertificationthatownershipofthesubjectpropertyisvestedintheStateof GeorgiasothatallfundsforthisProjectcanbereleasedbyGeorgiaStateFinancingandInvestment Commission.

ThispropertywasacquiredbyAgencyasinventoried withRealPropertyRecord(RPR)No.#####,State PropertiesCommissionfile###.##. Uponreviewoftheenclosedarethesupportingdocuments,Iwould liketorequestthatSPCcertifythattheAgencyownsthe propertyforthisproject.

  1. List Each Supporting Document;
  2. Deedsshouldbelistedinthefollowingformat“CopyoftheMMMM DD, YYYYType of DeedDeedbyandbetweentheGrantor Name,asGrantor,andtheState of Georgia,asGrantee,whichshowhowtitleto# of Acresacresofthesite fortheprojectisvestedintheState of Georgia;and recorded inDeedBook##,pages###intheOfficeoftheClerkofSuperior CourtofCounty NameCounty,Georgia,andon filein theStatePropertiesCommissionRealPropertyRecordsas RPR######SPCFileNo.###.##;
  3. Surveys should be listed in the following format “Copy of that Survey dated MMMM DD, YYYY prepared by Survey Company Name and more particularly Surveyor Name, Georgia Registered Land Surveyor Number ####, City Survey Company is located in, Georgia; and recorded in Plat Book ##, page in the Office of the Clerk of Superior Court of County Name County, Georgia and on file in the State Properties Commission Real Property Records as RPR# #####SPCFileNo.###.##;
  4. CountyhighwayLocationMapwithsiteindicatedwithreddot;
  5. AerialMap;
  6. Campus Map if applicable;
  7. Engineered Drawing showing limitsof construction scaled over the above referenced Plat/Survey;
  8. Engineered Drawing showinglimitsof constructionscaledover the abovereferenced Plat/Survey;
  9. ConstructionDrawing sheets xx.xx,ExistingConditions;Sheetxx.xx,Site Plan,Sheetxx.xx GradingPlan,andSheetxx.xx ErosionControlPlan,forthisprojectpreparedbyDesign Professional (DP) Name,DP City,[DP State;
  10. (ifapplicable)CopyofEasementwiththeRPR# #####SPCFileNo.###.##datedDate of EasementbyandbetweenGrantor Name,GrantorandGrantee Name, Grantee;
  11. (ifapplicable)CopyofDocument TypefromGrantee NametotheStateofGeorgia,giving permissiontomakeoff-siteimprovements;
  12. (ifapplicable)CopyofEncroachmentAgreementbetweenEasement Holder Name,Grantorand the State of Georgia,Grantee,permitting Construction/Improvements/Disturbancetotheeasementareaasin RPR# #####listedabove;

Pleasecontactmeat(###) ###-####ifyouneedfurtherinformationordocumentation.

Sincerely,

Name of Signing Party

Signing Party Title

Attachments:# of Attachments

cc:cc'd Parties Names