Loading...
Backup Documents 04/14/2015 Item #16C3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO ' 1 4 C THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATUR Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must he received in the County Attorney Office no later than :Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines 41 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines 41 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office yj y Jq/ , 4. BCC Office Board of County -T'1�G0.,-k / Commissioners \CCNC l5/ 4`15\v� 5. Minutes and Records Clerk of Court's Office LA 16(L t-t:29pl,n PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff j,uiltx., J e el Phone Number Contact/ Department P Nt i. 252.- L.2 k Agenda Date Item was Agenda Item Num er Approved by the BCC 11 /l ll 12 0 t 5 16 C 3 g �11%55 Type of Dotament OPl9ta n . uSeeK Ordgr, azey of Number of Original °''c1 c+al WO t 3>Pers Attached Out GJ WO t a,,net Oricral bo'g Documents Attached �:tenal bonds.%• QS PO number or account t1 number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) I. Does the document require the chairman's original signature? �):. 2. Does the document need to be sent to another agency for additional signatures? If yes, provide the Contact Information(Name; Agency; Address; Phone)on an attached sheet. T✓ 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman, with the exception of most letters,must be reviewed and signed , by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the ,,,...71—" document or the final negotiated contract date whichever is applicable. (`---1- 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. '5.-. 1. 7. In most cases(some contracts are an exception),the original document and this routing slip _ should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on f(ty Isb(enter date)and all changes madeN/A is not during the meeting have been incorporated in the attached document. The County611- an option for Attorney's Office has reviewed the changes, if applicable. is line. 9. Initials of attorney verifying that the attached document is the version approved by the rA is not BCC,all changes directed by the BCC have been made,and the document is ready for th- %�� . option for Chairman's signature. this line. l: Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16C3 MEMORANDUM Date: April 16, 2015 To: Diana Dueri, Project Manager Public Utilities Engineering Department From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Contract #14-6213-28 Work Order w/Douglas N. Higgins for Bay Colony Shores Fire Water Main Conversion Project 71010.30.5 and related Public Payment and Performance Bonds (Bond No. 35BCSAQ4370) Attached for your records is a copy of the document(s) referenced above, (Item #16C3) approved by the Board of County Commissioners on Tuesday, April 14, 2015. The original(s) will be kept in the Board's Minutes & Records Department for the Board's Official Record. If you have any questions, please call me at 252-8406. Thank you. Attachment z 16C3 3 WORK ORDER/PURCHASE ORDER Contract 14-6213 "Annual Contract for Underground Utilities and Gal Contractors" Contract Expiration Date: July 7, 2016 This Work Order is for professional water main replacement construction services for work known as: Project Name: Bay Colony Shores Water main Conversion Project No: 71010.30.5 ✓ i . The work is specified in the proposal dated March 13, 2015 which is attached hereto and made a part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced above, this Work Order/Purchase Order is assigned to: Douglas N. Higgins, Inc. Scope of Work: As detailed in the attached proposal and the following: * Task I Water Main Replacement Construction Services * Task II Water Main Replacement Constriction Allowance Schedule of Work: Complete work within 210 days from the date of the Notice to Proceed which is accompanying this Work Order. The Consultant agrees that any Work Order that extends beyond the expiration date of Agreement # 14-6213 will survive and remain subject to the terms and conditions of that Agreement until the completion or termination of this Work Order. /ompensation: In accordance with the Agreement referenced above, the County will compensate the Firm in accordance with following method(s): Negotiated Lump Sum (NLS) ❑Lump Sum Plus Reimbursable Costs (LS+RC) Time & Material (T&M) (established hourly rate – Schedule A) ❑ Cost Plus Fixed Fee(CPFF), as provided in the attached proposal. Task I $610,720.40 NLS Task II $ 77,000.00 T&M L TOTAL FEE $687,720.40 gi PREPARED BY: 310 /2015 Diana C. Dueri, Project Manager Date 3 ,G APPROVED BY: 3/(Q 1/ v- Oscar P. Martine , terim. ' cipal Project Manager Date APPROVED BY: CAA 1 MS- T hmelik, 'PMD Director Da e Page 1 of 3 0 16C 3 APPROVED BY: 6):91-1-% /i/1 3 /1 9 1� Pamela Libby, Distributio "rnager Date APPROVED BY: J e. 1917 Steve Messner, ater Director Da Cc) APPROVED BY: �.r //9/S SV Joe ellone, Operations Support Director Date APPROVED BY: - - G e o r g e Yilmaz, Department Administrator Date By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby discloses, that,to the best of their knowledge and belief, all relevant facts concerning past,present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed. Additionally, the Firm agrees to notify the Procurement Director, in writing within 48 hours of learning of any actual or potential conflict of interest that arises during the Work Order and/or project duration. ACCEPTED BY: Douglas N. Higgins, Inc. 00Oy1a s- /V, 1-1t ct9,,o-, (.," -X/_:—:---. i4g-? 4-... 3 — i 9 -I s" Name and Title of Authorized Company Officer Date (Remainder of page intentionally left blank) Page 2 of 3 0 1603 IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or agent, have executed this Work Order on the date and year first written below. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight E. Brock, Clerk of Courts COLLIER COUNTY, FLORIDA By: (,( 2.----09-A( - By: eA C.C.... Tim Nance, Chairman z4 114 is Dated. 1/1 6 -(S bas to airman's signature only.: Douglas N. Higgins, Inc. - 3'U/ t. /' /L_ By: /e First Witness Signature Bre- 1.-t e0 rner ovyL,A 5' ri-", Hi qY lit, s' 1�i4..o Print Type/Print Signature and Title Ja/r144,1, _ ,,, z- A. Second Witness U ,..„----,--- I aitiav-G-- Z V(. Print pr v as t and Legality: Scott R. Teach, Deputy County Attorney item# CO C3 Agenda (4.6 tl_is Date DDDe +G IS Rec'd ,epu 1140Vi Page 3 of 3 v 1. b c 3 Cater* ter cry Administrative Services Division Purchasing REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT #14-6213 "Annual Contract for Underground Utilities & General Contractors" Date: February 24, 2015 From: Swainson Hall, Procurement Strategist 239-252-8935, Telephone Number 239-252-6334, Fax Number swainsonhallc collierclov.net To: Potential Proposers Subject: RFQ#14-6213-28 Bay Colony Shores Fire Main Conversion As provided in the referenced contract, the Collier County Purchasing Department is soliciting quotes for the referenced project. RFQ Due Date: 1:00 PM 3/10/2015 Q&A Deadline: 5:00 PM 3/5/2015 Non-Mandatory 10:00 AM 3/3/2015 Pre-Quote Meeting Procurement Services Conference Room A Number of Days to Final Completion: 180 days substantial/210 days final/210 total Scope Provided Yes Plans and Specs: Yes Estimated Value $590,000.00 Liquidated Damages: $1,742.00 per day Payment & Performance Bonds Yes, if project value exceeds $200,000 Direct Material Purchase No Your quotation response for this project is due no later than the date and time specified above. We will not accept any quotation responses later than the noted time and date. If your firm is unable to respond electronically, your quotation must be received in the office of the Purchasing Department at the above referenced address no later than the time and date specified. We look forward to your participation in this request for information/quotation process. Douglas N. Higgins, Inc. Firm's Complete Legal Name 239-774--3130/239-774-4266 Telepne-Number/Fax Number Signature Vice President Title Brandy Bartolone <3 /3 /. Print Name Date C: Diana Dueri/ Project Manager 1 RFQ 14-6213-28 ov.net 16 C 3 SwainsonHall@colliergov.net�oo :Lier County @ 9 Telephone: (239)252-8935 Adninistraive Services Division FAX: (239)252-6334 Purchasing ADDENDUM #1 Memorandum Date: March 3, 2015 From: Swainson Hall, Procurement Strategist To: Potential Proposers Subject: Addendum #1 —RFQ#14-6213-28 Bay Colony Shores Fire Main Conversion The following clarifications are issued as an addendum identifying the following changes for the referenced solicitation: CHANGE 1: There will be a mandatory Site Visit on Friday, March 6, 2015 at 10:30AM. All contractors must have a representative present to provide a quote for this RFQ. Please be on time because we can only enter as group due to security concerns and Bay Colony policy. Meeting Location Vanderbilt Beach Road and US41 - Parking Lot behind Ruby Tuesday in the Southwest Corner CHANGE 2: Last day for Questions and Answers will be Monday, March 9, 2015 at 5:00PM If you require additional information please post a question on the Online Bidding site or contact me using the above contact information. c: Diana Dueri, Project Manager y;)_k 16C3 Email: SwainsonHall @colliergov.net Colter y Telephone: (239)252-8935 Administrative Services Division FAX: (239)252-6334 Purchasing ADDENDUM #2 Memorandum Date: March 6, 2015 From: Swainson Hall, Procurement Strategist To: Potential Proposers Subject: Addendum #2— RFQ #14-6213-28 Bay Colony Shores Fire Main Conversion The following clarifications are issued as an addendum identifying the following changes for the referenced solicitation: CHANGE 1: Updated Due Date - Friday, March 13, 2015 at 1:00PM CHANGE 2: Last day for Questions and Answers will be Wednesday, March 11, 2015 at 5:00PM If you require additional information please post a question on the Online Bidding site or contact me using the above contact information. c: Diana Dueri, Project Manager J � ,-)2` 1 1603 Email: SwainsonHall @colliergov.net carer o>r�>�ty EmI Telephone:ep (239)252-8935 Administrative Services Division FAX: (239)252-6334 Purchasing ADDENDUM #3 Memorandum Date: March 10, 2015 From: Swainson Hall, Procurement Strategist To: Potential Proposers Subject: Addendum #3— RFQ#14-6213-28 Bay Colony Shores Fire Main Conversion The following clarifications are issued as an addendum identifying the following changes for the referenced solicitation: CHANGE 1: Revised Bid Forms CHANGE 2: Questions and Answers • It was requested that the Bid Schedule for the project will be reissued. RESPONSE: See attached Bid Schedule titled "Bay Colony Bid Form Revised 20150309.pdf • It was requested that the Direct Purchase Materials List be provided to all bidders. RESPONSE: See attached Direct Purchase Materials List titled "County Direct Purchase Materials List for Bay Colony 20150309.pdf" • It was requested if the Bid due date will be extended. RESPONSE: The new bid due date will be Friday (3/13/2015). • An internal lay-down site will need to be confirmed/identified with Luann Giovannelli with Bay Colony Community Association (BCCA). The potential addresses for lay-down areas inside the Bay Colony Shores project are: 385 Colony Drive, 7318 Tilden Lane, and 323 Cromwell Court. RESPONSE: At this time after positive discussions with the Bay Colony Community Association representatives, the prospective bidders are directed to complete their bids assuming that an onsite laydown area will be available within the Bay Colony Shores project area. • Clarification of Note 9 of the Supplemental Project Requirements was requested in relation to the required underground utility markings per the Florida Administrative Code. RESPONSE: See modified note 9 language: 9. Contractor shall locate all underground utilities prior to starting construction per F.A.0 556.114. Chalk based or water soluble marking paint may be used on sidewalks, curbs, and all paver brick surfaces in accordance with Low-impact Marking practices. Offsets of underground utilities may be utilized to minimize impact to existing project hard service. • Clarification concerning how water meters that may need to be moved greater than 10 feet i,‘` - 1 ,\o\\� from the existing meter locations will be addressed for payment purposes. 16 C 3 RESPONSE: The following note will be added to the end of the Supplemental Project Requirements section of the Bid documents: 37. All service relocations less than 10 feet from the existing meter locations should be included in the per meter price and should be coordinated with Collier County Water Department. In the event of relocated services more than 10 feet from the existing service, the Contractor will be compensated on a Time and Materials basis, with the rate provided in the bid. • Clarification was requested on whether or not the sections of sidewalks that need to be removed in order to complete the proposed water service connections and water main extensions can be reinstalled at one time near the end of construction. RESPONSE: Sidewalk shall be reinstalled on a street by street basis after the installation of the proposed water service connections and water main extensions on each individual street. After the proposed water service connections have been completed, the affected area between the remaining sidewalk sections will be backfilled with 57 stone and compacted flush with the existing sidewalk on either side on a temporary basis until all other water connections are completed on the associated street. The excavation/removal of the temporary material for the forming and poring of the final sidewalk section will be considered incidental to the project and additional fees will not be considered. • It was requested that a deviation from Collier County Standard utility detail W-12 removing the requirement for the installation of a 4 inch PVC sleeve for all water service installations underneath the existing roads inside the Bay Colony Shores project will be allowed to limit impact to the adjacent property. RESPONSE: The prospective bidders are directed to complete their bids assuming that the 4 inch PVC sleeve will not be required. Collier County will prepare and provide a copy of the approved deviation prior to start of construction. If you require additional information please post a question on the Online Bidding site or contact me using the above contact information. c: Diana Dueri, Project Manager 2 16C3 Co[L er, County Email: SwainsonHall @colliergov.net Telephone: (239)252-8935 Administrative Services Division FAX: (239)252-6334 Purchasing ADDENDUM #4 Memorandum Date: March 11, 2015 From: Swainson Hall, Procurement Strategist To: Potential Proposers Subject: Addendum #4— RFQ#14-6213-28 Bay Colony Shores Fire Main Conversion The following clarifications are issued as an addendum identifying the following changes for the referenced solicitation: CHANGE 1: Revised Quote Forms and Payment Application—Use the Revised Quote Form attached when submitting final total quote. CHANGE 2: Additional Technical Specifications from Project Manager/Engineer If you require additional information please post a question on the Online Bidding site or contact me using the above contact information. c: Diana Dueri, Project Manager c)1 �j`"\' 16C3 Grady Minor Civil Engineers • Land Surveyors • Planners • Landscape Architects March 18, 2015 Ms. Diane Dueri Collier County Public Utilities 3339 E. Tamiami Trial Naples, FL 34112 RE: Bay Colony Shores Fire Main Conversion Evaluation of Quotations Dear Ms. Dueri: We have reviewed the four quotes received by the County for RFQ #14-6213-28 Bay Colony Shores Fire Main Conversion. The bidders and their quoted prices are identified below as provided by the County Purchasing Department. The apparent low quote is from D.N. Higgins, Inc. in the amount of$687,720.40. BIDDER BID 1. D.N. Higgins, Inc. $687,720.40 2. Mitchell & Stark Construction $825,983.00 3. Haskins, Inc. $926,252.00 4. Quality Enterprises USA, Inc. $948,086.95 D.N. Higgins has successfully completed other construction projects for Collier County and is on the County's list of approved utility contractors. The engineer's estimate is $590,312.35. Therefore, we recommend award of this construction contract to D.N. Higgins in the amount of $687,720.40 subject to a final review by the Purchasing Department of the quotation documents. Please contact me if there are any questions about this quote evaluation. Respectfully, Frank J. Feeney, P.E. Sr. Project Manager Q. Grady Minor&Associates, P.A. Ph. 239-947-1144•Fax. 239-947-0375 3800 Via Del Rey EB 0005151 •LB 0005151 •LC 26000266 Bonita Springs,FL 34134 www.gradvminor.com 16 C3 Results for Quote 14-6213-28 Bay Colony Shores Fire Main Conversion $1,200,000 $1,000,000 $800,000 KEY: Dashed Green- AVERAGE BID $600,000 Dashed black- +/-1 std dev of avg bid $400,000 $200,000 $0 Eng Est Douglas N.Higgins Mitchell&Stark Haskins,Inc. Quality Enterprises 1603 EXHIBIT A 1: PUBLIC PAYMENT BOND Bay Colony Shores Fire Main Conversion Bond No. 35BCSAQ4370 Contract No. 14-6213-28 KNOW ALL MEN BY THESE PRESENTS: That Douglas N. Higgins,Inc. , as Principal, and Hartford Accident and Indemnity Company as Surety, located at One Hartford Plaza.T-4.Hartford,CT 06155 (Business Address) are held and firmly bound to Board of County Commissioners,Collier County,FL as Obligee in the sum of Six Hundred Eighty-Seven Thousand Seven Hundred Twenty and 40/100 ($ 687,720.40 ) for the payment whereof we bind ourselves, our heirs, executors, personal representatives, successors and assigns,jointly and severally. WHEREAS, Principal has entered into a contract dated as of the 19th day of March 20 15 with Obligee for Contract 14-6213/Bay Colony Shores Water Main Conversion in Collier County Project No.71010.30,5 accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to herein as the Contract. THE CONDITION OF THIS BOND is that if Principal: Promptly makes payment to all claimants as defined in Section 255.05(1), Florida Statutes, supplying Principal with labor, materials or supplies, used directly or indirectly by Principal in the prosecution of the work provided for in the Contract, then this bond is void; otherwise it remains in full force. Any changes in or under the Contract and compliance or noncompliance with any formalities connected with the Contract or the changes do not affect Sureties obligation under this Bond. The provisions of this bond are subject to the time limitations of Section 255.05(2). In no event will the Surety be liable in the aggregate to claimants for more than the penal sum of this Payment Bond, regardless of the number of suits that may be filed by claimants. IN WITNESS WHEREOF, the above parties have executed this instrument this 26th day of March 20 15 , the name of each party being affixed and these presents duly signed by its under-signed representative, pursuant to authority of its governing body. 36 16C3 Signed, se-, -d and delivered in the pres, ce of: PRINCIPAL Douglas N.Higgins,Inc. BY: ��. U . "' tnes-f as to Principal NAME: ..ANNUM! c ITS: i ; - �rrtSiG��l�lt- STATE OF C�'11C(,l,i�] COUNTY OF W(,(S imam' The foregoing instrument was acknowledged before me thisc ( Thday of Mlii L I ) 20I�', by fI ) A . W: Ikle , as V a - �P�i '1t✓ of 1�G'(�;Gj)C(� Iv t-{► iVU. In( . , a 10)(11M i corporation, on behalf of the corporation. He/she is 3ersonally known to me OR has produced as identification and did (did not) take an oath. My Commission Expires: �—lD'�vaU SANDRA K GARRISON (Signature of Notary) NOTARY FUBL.iL - STATE OF MICHIGAN NAME: <SC " d /C -" Kt)/ COUNTY OF WASHTENAW (Legibly Printed) My Commission Expires January 10, 2020 (AFFIX OFFICIAL SEAL) Notary Public, State of Commission No.: tip' ATTEST: SURETY: Hartford Accident and Indemnity Company (Printed Name) (Business Address (Authorized Signature) Witnesses to Surety (Printed Name) 37 16C3 OR As Attorney in Fact • (Attach Power of Attoiley) Heather M.Johnson Witn es (Printed Name) One Hartford Plaza,T-4 Hartford,CT 06155 (Business Address) 888-266-3488 (Telephone Number) STATE OF MI COUNTY OF Lenawee acting in Washtenaw The foregoing instrument was acknowledged before me this 26th day of March , 20 15 , by Heather M.Johnson as Attorney in Fact Of Hartford Accident and Indemnity Company Surety, on behalf of Surety. He/She is personally known to me OR has produced drivers license as identification and who did (did not) take an oath. My Commission Expires: (Signatu ) Name: Ci ■ \ A . Becivm (Legibly ited) (AFFIX OFFICIAL SEAL) Notary Public, State of: MI Commission No.: N/A anP s � + ,` 38 16C3 EXHIBIT A 2: PUBLIC PERFORMANCE BOND Bay Colony Shores Fire Main Conversion Bond No. 35BCSAQ4370 Contract No. 14-6213-28 KNOW ALL MEN BY THESE PRESENTS: That Douglas N.Higgins,Inc. , as Principal, and Hartford Accident and Indemnity Company as Surety, located at One Hartford Plaza,T-4,Hartford,CT 06155 (Business Address) are held and firmly bound to Board of County Commissioners,Collier County,FL , as Obligee in the sum of Six Hundred Eighty-Seven Thousand Seven Hundred Twenty and 40/100 ($ 6R7.720 40 ) for the payment whereof we bond ourselves, our heirs, executors, personal representatives, successors and assigns,jointly and severally. WHEREAS, Principal has entered into a contract dated as of the 19th day of March , 2015 , with Obligee for Contract 14-6213/Bay Colony Shores Water Main Conversion Project No.71010.30.5 in accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to herein as the Contract. THE CONDITION OF THIS BOND is that if Principal: 1. Performs the Contract at the times and in the manner prescribed in the Contract; and 2. Pays Obligee any and all losses, damages, costs and attorneys' fees that Obligee sustains because of any default by Principal under the Contract, including, but not limited to, all delay damages, whether liquidated or actual, incurred by Obligee; and 3. Performs the guarantee of all work and materials furnished under the Contract for the time specified in the Contract, then this bond is void; otherwise it remains in full force. Any changes in or under the Contract and compliance or noncompliance with any formalities connected with the Contract or the changes do not affect Sureties obligation under this Bond. The Surety, for value received, hereby stipulates and agrees that no changes, extensions of time, alterations or additions to the terms of the Contract or other work to be performed hereunder, or the specifications referred to therein shall in anywise affect its obligations under this bond, and it does hereby waive notice of any such changes, extensions of time, alterations or additions to the terms of the Contract or to work or to the specifications. This instrument shall be construed in all respects as a common law bond. It is expressly understood that the time provisions and statute of limitations under Section 255.05, Florida Statutes, shall not apply to this bond. 39 16C3 In no event will the Surety be liable in the aggregate to Obligee for more than the penal sum of this Performance Bond regardless of the number of suits that may be filed by Obligee. IN WITNESS WHEREOF, the above parties have executed this instrument this 26th day of March , 20 15 , the name of each party being affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. Signed, sealed and delivered in the ore •-nce of: PRINCIPAL I 1 , , L�/_ �f Douglas N. Higgins,Inc. i ness. - as to Principal BY: hettt;\ (i( NAME: A-. 1��., I i ITS: �ri .� F ��' ,i (lei/Ifi STATE OF l I Ii'i I C�� COUNTY OF W CtS 1 The foregoing instrument was acknowledged before me this -71; i day of A, L.l , 201 , by Y,, 1,` Ut as Ii / C, £ 'iuf � ; '" of t '�,,kr �� � .,))1f, r , a corporation, on behalf of the corporatroft. He/she is personally `known to me OR has produced as identification and did (did not) take an ath. My Commission Expires: 1-10 )C nd to b?L �--- (Signature) �+ Name: `,ailt1 Ic U ), n.✓/S4)'L - SANDRA K�-,ARRISON (Legibly Printed) NOTARY PURL‘1. r ATE OF MICHIGAN (AFFIX 00Ot SHTENAW State of All AFFIX C Notary Public, My Commission Expires January 10,2020 Commission No.: 40 1603 ATTEST: SURETY: Hartford Accident and Indemnity Company (Printed Name) (Business Address) (Authorized Signature) Witnes -s as to Surety (Printed Name) OR A ttorney in Fact (Attach Power of Attor rer Heather M. Johnson nesses (Printed Name) One Hartford Plaza,T-4 Hartford,CT 06155 (Business Address) 888-266-3488 (Telephone Number) STATE OF MI COUNTY OF Lenawee acting in Washtenaw The foregoing instrument was acknowledged before me this 26th day of March 20 15 , by Heather M. Johnson , as Attorney in Fact of Hartford Accident and Indemnity Company , a Corporate Surety, on behalf of Surety. He/She is personally known to me OR has produced drivers license as identification and who did (did ot) take an oath. My Commission Expires: Q. Q . xLp (Signatu Name: C)1 A , �•\D (Legibly Prirltt61) (AFFIX OF -- AL) Notary Public, State of: MI -_ WU-A eFy Commission No.: N/A !lOTARYPL •g c0""' n60„„ I 2 41 a MI5 C 3 • Direct In q uiries/Cam o: POWER OF ATTORNEY THE HARTFORD BOND T-4 One Hartford,Connecticut 06155 call:888-266-3488 or fax:860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: 35-350851 X Hartford Fire Insurance Company. a corporation duly organized under the laws of the State of Connecticut X Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana X Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of unlimited: Heather M. Johnson, Joel E. Speckman, Tern Mahakian, David Harlock of Ann Arbor, Ml their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009 the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. 1rryw isww' • ` Y'�f:j,A`.•_;1�� ��W�'�7at{rsN d�s,%,;.•�1 1rIM•.•1�t "!'A \ ► ►O ! 7,4 . _- '••r ► 1p70ft �r , 19"19 , r' J �,J•: v • ��'•r.• t`t�• y: Wesley W.Cowling,Assistant Secretary M. Ross Fisher,Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD ))) On this 12th day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. ra T.'wt 4 • � • Kathleen T.Maynard J Notary Public CERTIFICATE My Commission Expires July 31,2016 I, the undersigned, Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of March 26, 2015 Signed and sealed at the City of Hartford. �yiry f•�� t d ��'')r.,� ��t':t rs'�` �N„` ��a.c'•�i�ty`� r: :',wanes rrr'.' a r►0�it �9 r� +! °°•.�•w 1 aT atA��• @y l:R_14 rasa 5 • M1 1: o-': Cl J • °� l� •ran ;:,1s79/�f ts74 a ..� 791f till '�.:• :•�/ j• {' / 1► • �:�a.'"� ~•A� rA��•� • .,rl ll•v11 / •1.1ja \• .. Gary W.Stumper,Vice President A CERTIFICATE OF LIABILITY INSURANCE M/DO/YYYYI 3/26/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hylant Group Inc-Ann Arbor (A/CC.No.Ea/1734-741-0044 I(ac No):734-741-1850 24 Frank Lloyd Wright Dr J4100 E-MAIL Ann Arbor MI 48105 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC U _ INSURER A Continental Insurance Company 5289 INSURED HIGGI-5 INSURER B Continental Casualty Company 20443 Douglas N. Higgins,Inc. INSURERC:Valley Forge Insurance Co 20508 3390 Travis Pointe,Suite A INSURER D:Greenwich Insurance Company 22322 Ann Arbor MI 48108 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:45519872 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POUCY EXP LTR INSR WVD POLICY NUMBER (MM/DDIYYYY) (MMIDD/YYYY) LIMITS A GENERAL UABIUTY U1061922047 12/10/2014 12/10/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $500,000 CLAIMS-MADE IX OCCUR MED EXP (Arty one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE _ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY X PE 0. LOC $ A AUTOMOBILE LIABILITY U1061922033 12/10/2014 12/10/2015 COMBINI_D SINGLE UM)r (Eeacdderrt) 51,000,000 X ANY AUTO BODILY INJURY(Per person) S ALL AUTOS OVMIED SCHEDULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE —' $ HIRED AUTOS _ AUTOS (Per accident) $ B X UMBRELLA UAB X OCCUR U1061922050 12/10/2014 12/10/2015 EACH OCCURRENCE J$10,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE _ $10,000,000 _ DED X RETENTION1 10,000 $ c WORKERS COMPENSATION VV C161922016 12/10/2014 12/10/2015 X WC STATU- TORY EMPLOYERS'LIABILITY Y/N TORY LIMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 D Professional/ PEC0025095 12/10/2014 12/10/2015 2,000,000 Each Claim Pollution 4,000,000 Aggregate • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Job-Bay Colony Shores Fire Main Conversion-RFQ#14-6213-28 Additional Insured for General Liability,as required by written contract(primary)-Board of County Commissioners,Collier County CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 3327 Tamiami Trail, East Naples FL 34412 AUTHORIZED REPRESENTATIVE Mat li ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD PROJECT: Bay Colony Potable Water 16 C 3 Folio No.: 66674375105 and 66674375053 BILL OF SALE OF UTILITY FACILITIES This Bill of Sale is executed the trz ` day of 201A on behalf of the BAY COLONY COMMUNITY ASSOCIATION, INC., a Florida not-for-profit corporation, its successors and assigns, ("Grantor") to BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA,AS THE GOVERNING BODY OF COLLIER COUNTY AND AS THE EX-OFFICIO GOVERNING BOARD OF THE COLLIER COUNTY WATER-SEWER DISTRICT, ("GRANTEE"). GRANTOR, for and in consideration of Ten Dollars ($10.00) and other good and valuable consideration from GRANTEE to GRANTOR, receipt of which is hereby acknowledged, GRANTOR hereby re-conveys to GRANTEE, its successors and assigns forever, ownership in and to all potable fire suppression line(s), backflow prevention device(s), and all other fire suppression equipment and/or system(s) and all portion(s) thereof lying in, on, over and/or under the easement area as described on Exhibit A. GRANTOR hereby conveys back that potable fire suppression line(s), backflow prevention device(s), etc. which was conveyed under Bill of Sale recorded in Official Records Book 4296, at Page 3794, for GRANTEE'S operation, replacement, repairs, maintenance,and/or relocation of,lying and being in Collier County,Florida. (Exhibit"A"Legal Description attached hereto and incorporated herein) (Exhibit"B"attached hereto is a sketch or other graphic representation that depicts the physical location of all items being conveyed by this Bill of Sale.) IN WITNESS WHEREOF, Grantor has caused this Bill of Sale to be executed the date and year first above written. BAY COLONY COMMUNITY ASSOCIATION,INC., a Florida not-for-profit - -oratio By .,1 Print.. M Title: ' PSiifB.7-i- STATE OF FLORIDA COUNTY OF COLLIER The foregoing Bill of Salk was acknowledged, fore me this /-3 day of i)-)tt(Gh , 204' by inn C.Scr)b 'i , as /I`t' ,'ii ,t-f- on behalf of BAY COLONY COMMUNITY ASSOCIATION, INC., who is personally known\i OR who produced identification Type of identification produced: (Affix Notarial Se.I LWNN GRIFFIN glpyA111N LLt (Si nature' e r� � Nowr vawk•Slits Meg" ,7(alit/ �'r/43 e'/bYA-yt)ar C�/ .. 1•=YyComm.E� WI e I commutbn•fr 101797 (Print Name of Notary Public) '%`R;,,'," offlacraMNrtesowl Assn. NOTARY PUBLIC Serial/Commission# /D/ 74? My Commission Expires: /'ha-,-Gtr & Approved as to form and legality: By: eJ t . 0 Assistant County Attorney F:\Bay Colony Shores Rehab\Bill of Sale 7 PROJECT: Bay Colony Potable Water 16 C 3 Folio No.: 66674375105 and 66674375053 EXHIBIT"A" LEGAL DESCRIPTION PORTION OF TRACT A and ALL OF TRACT B, PELICAN BAY UNIT TEN, ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 15, PAGES 64 THROUGH 67, INCLUSIVE, OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA F:1Bay Colony Shores Rehab\Bill of Sale PROJECT: Bay Colony Potable Water 1 b c -74t Folio No.: 66674375105 and 66674375053 EXHIBIT"B" All of that portion of the dedicated potable fire suppression water lines, backflow prevention device, fire hydrants and any and all other fire equipment and/or systems previously conveyed to GRANTOR and lying within the common areas of Bay Colony Shores commonly referred to as: Colony Drive, Tilden Land, Tory Lane, Cromwell Court and Sedgwick Court, and located within a portion of Pelican Bay Unit 10, Tract B, including connection points through a portion of Tract A, Plat Book 15, Pages 64 through 67, inclusive, Section 33, Township 48, Range 25, and referenced in Folio Numbers 66674375105 and 66674375053, as shown on the graphic below, being in Collier County, Florida. r•,t�Y•., •rf i ! i_, / �� • ;-N �. ^a •. J ::_ . iv. ."; :air„ 4 '•..b.; r; 'I•r F .w•. ' . ' •�7. ;��,{.'} e 'er l-Y ti, ..4..'i� � ..A. -r °e,' 17',• p 1-;.. 9 i• Y�•, ' ' -•'7?4,/-.'-4.1-, . •ly .' /4". 'ire' rk -. :' .'''':'''''- 1.1 �,- M ' ,, ALL FIRE MAINS ARE 8' EXCEPT AS NOTED BAY COLONY SHORES PROJECT: BAY COLONY SHORES CLIENT: WiI nM"ller `�`° *".j=`" CONVEYANCE EXHIBIT SCALIL 5'-300' 1"'SEPT. 2007 »7konAaer.he �, 1', VW.•R.yen•a,.d..in0~•T.R:•Td.R.+.. No102-O8�-005 T,o uaxlr+.Orin ar ai•Fe WO.�.ac•. m..s•ao•la.$41/40V/OZ•�.ea..m.rr� M.••n••id and/2ase ..a i v I F:\Bay Colony Shores Rehab\Bill of Sale 7