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#14-6213-24 (DN Higgins) WORK ORDER/PURCHASE ORDER Contract 14-6213 "Annual Contract for Underground Utilities and General Contractors" Contract Expiration Date: July 7, 2016 ,i This Work Order is for professional water main replacement construction services for work known as: Project Name: Wiggins Pass Road Water Main Replacement Project ✓ Project No: 71010.30.6 ✓ The work is specified in the proposal dated February 23, 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 Construction Allowance Schedule of Work: Complete work within 180 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. Compensation: 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) n Cost Plus Fixed Fee (CPFF), as provided in the attached proposal. Task I $603,897.00 NLS Task II $ 20,000.00 T&M TOTAL FEE $623,897.00 6 PREPARED BY: 3 1 I /201 5 3\°1 Diana C. Dueri, Project Manager Date APPROVED BY: &//P/(ir- Oscar P. Martinez, Interi 4' mcipal Project Manager Date APPROVED BY: 3/0/7-hr- To Chmelik, PPMD Director Date Page 1of3Si APPROVED BY: (` Gfikti. 3 //? /fS - Pamela Libby, Distribution ■. an-ger Date APPROVED BY: J .. �9 �5 Steve Me sner, Water Director Da e (1� .. //9/6'-, .. //9/6'-�3'%0�l APPROVED BY:►h Joe :•llone, Operations Support Director Date APPROVED BY: 3/7 George Yilmaz, Department Administrator Date By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed. Additionally, the Firm agrees to notify the Procurement Director, in writing within 48 hours of learning of any actual or potential conflict of interest that arises during the Work Order and/or project duration. ACCEPTED BY: Douglas N. Higgins, Inc. eft c2 --re _,3 - Name and Title of Authorized Company Officer Date (Remainder of page intentionally left blank) Page 2 of 3 IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or agent, have executed this Work Order on the date and year first written below. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight E. Bro l$ erk of Courts COLLIER COUNTY, FLORIDA / ei,a4rGe___ ,. By. Dated °` b 4f, k Tim Nance, Chairman 09 k x S (sLL)A go tfl'Chairman's signature only. Douglas N. Higgins, Inc. g72tz CAA/YIUL-- By: ` First Witness Signature prey a rn ey-' 60,.9Lf N 1-(t g? ‘,01 el ,e,. Print Type/Print Signature and Title cia'Yi'llxil&. c ) Second Witness I Gl silica(-ice 4 U t .__ Print • :• •ved as to F an Legality: I Al- 044-- Scott R. Teach, Deputy County Attorney Page 3 of 3 e Co ter' County Administrative Services D iVision Purchasing REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT #14-6213 "Annual Contract for Underground Utilities & General Contractors" Date: February 3, 2015 From: Swainson Hall, Procurement Strategist 239-252-8935, Telephone Number 239-252-6334, Fax Number swainsonhallAcol liergov.net To: Potential Proposers Subject: RFQ#14-6213-24 Wiggins Pass Water Main Replacement As provided in the referenced contract, the Collier County Purchasing Department is soliciting quotes for the referenced project. RFQ Due Date: 3:00 PM 2/20/2015 Q&A Deadline: 5:00 PM 2/17/2015 Non-Mandatory 2:00 PM 2/13/2015 Purchasing Conference Room Pre-Quote Meeting 3327 Tamiami Trail East, Naples, FL 34112 Number of Days to Final Completion: 150 days substantial/30 days final/180 total Scope Provided Yes Plans and Specs: Yes Estimated Value Attached Liquidated Damages: $1,002.50 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 239-774-3131 •- - T- - `e Number/Fax Number Vice President Brandy Bartolone ,)-/a3/1, Print Name Date C: Nathan Beals/Project Manager 1 RFQ 14-6213-24 Corir64- County, Email: SwainsonHall @colliergov.net Telephone:(239)252-8935 Administrative Services DM islon -- FAX: (239)252-6334 Puri sfng`. ADDENDUM #1 Memorandum Date: February 18, 2015 From: Swainson Hall, Procurement Strategist To: Potential Proposers Subject: Addendum#1 —RFQ#14-6213-24 Wiggins Pass Water Main Replacement The following clarifications are issued as an addendum identifying the following changes for the referenced solicitation: CHANGE 1: Current Due Date: Friday, February 20, 2015 at 3:00 PM Updated Due Date: Monday, February 23, 2015 at 3:00 PM CHANGE 2: Updated Quote Schedule and Excel format CHANGE 3: Additional documents 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: Nathan Beals, Project Manager )3.4:k—\\< \\`' \ L 1 8 8 8 8 8 8. 8 "' 8. 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 _ 8 ! 8 8 8 `.1 8 8 ^ W W s x IIII - _ _ --s z5N 7. 2 r 8 8 g 8 8 8 8 ? 8 8 8 8 8 8 5558 x 01111111 _ H - ci II 8 8 8 8 8 8 8 8 'i. d a z o _ _ 8 88 8 8 8 5 f z W z s a l W o ) N h H 3 a � 111111 - - II 8 8 8 8 8 8 _ 8 8 8 8 8 r 3 g 3 I s. _ 111 _ 8 8 8 8 8 8 8 8 8 8 8 8 HIH 8 8 8 8 8 8888 w w w w w 1,i M000000! 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L,c?', 9 9182 E ^ F § Z,' LLiR .8 88888 8 8888888 8 888. 8. 8. iih E tet z e 8 :41 t 88888 8888888 8 888 § § § § §I '—‘71 ro L.g. 88888888 8888 BLz, gl 8 1±1 88888 8 8 E .9 § § § § 8 8 p p 8 8 880 6 . 1-.; — - 88888 8 8888888 8 881 81; 8. § § § § § § § § § °3 ' § 4 ' ■■ 8 8 8 a 8 8888888 8 888 2 ‘.1 L15L15L15L15L1L15L15 _ 282222 ] g = f 2 2 I= 0 EA 874 4 2 g 2, < ,F.,§ E = E.1 2 g 4g L' ,13 . . w cr, 0 ciog g ° 1^ rx fi pcocnocow 1: 00 . 0gg , 2 5EEEEEg ,j3 i" .z 81' L2t '14 ft 2 ;Sp JOHNS SINCE 1946 !� ENGINEERING February 26, 2015 Nathan Beals Collier County Public Utilities Planning and Project Management Department 3339 East Tamiami Trail, Suite 303 Naples, Florida 34112 Re: WIGGINS PASS ROAD 12" WATER MAIN REPLACEMENT PROJECT BETWEEN VANDERBILT DRIVE AND US41 Low Bidder: D.N. Higgins, Inc. Dear Nathan: The bid opening for the above-referenced project took place on Monday, February 23, 2015. Collier County provided the results of the bid opening to Johnson Engineering on the same day. Johnson Engineering performed an evaluation of the results and our recommendation is contained herein. Collier County received six bids by the deadline established on the Invitation to Bid. At the bid opening performed by Collier County, the following bids were received and for convenience purposes, we have listed the bids from lowest to highest. BASE BID ALTERNATE BIDDER AMOUNT BID AMOUNT DN Higgins, Inc. $507,850.00 $322,047.00 Southwest Utilities Systems $582,154.00 $501,718.00 Quality Enterprises USA, Inc. $606,118.77 $454,896.68 Haskins, Inc. $590,831.00 $343,853.00 Mitchell & Stark Construction $678,031.80 $523,172.00 Kyle Construction, Inc. $687,554.00 $682,955.00 Item No. 23 — Directional Drill 14" DR11 HDPE was included as an alternate item in the bid schedule to provide the County with an option for contractors use directional drilling in lieu of the open cut technique to replace the existing water mains along Wiggins Pass Road. After reviewing the submitted cost it was determined that this item is not cost effective compared to the open cut prime bid and we recommend that it be omitted from the bid. Alternate Bid Items Nos. 24 through 30 to replace the water mains and services along West and Central Lanes are determined to be cost effective and it is our recommendation that these be included as part of this project. Based upon 2122 Johnson Street.Post Office Box 1550.Fort Myers,Florida 33902-1550 (239)334-0046.Fax(239)334-3661 ,�7 Mr.Nathan Beals Re: Bid Recommendation Wiggins Pass Road 12" Water Main Replacement Project Between Vanderbilt Drive and US41 April 28, 2015 Page 2 these recommendations,below are the revised costs which include the base bid with Alternate Bid Item Nos. 24-30: NEW TOTAL BID AMOUNT BIDDER (BASE+APPROVED ALTERNATE BID ITEMS 24-30) DN Higgins, Inc. $623,897.00 Southwest Utilities Systems $713,872.00 Haskins, Inc. $774,184.00 Quality Enterprises USA, Inc. $795,365.45 Kyle Construction, Inc. $845,509.00 Mitchell & Stark Construction $880,803.80 For comparison purposes, Johnson Engineering provided Collier County with an Opinion of Probable Construction Cost in the amount of $728,039.00 for the base bid and recommended Alternate Bid Items Nos. 24-30 mentioned above. Following the bid opening, Johnson Engineering prepared the enclosed Bid Tabulation Analysis, which included an analysis for mathematical errors. Two(2)mathematical errors were found but did not change the apparent low bidder. These errors are highlighted on the attached tabulation. The results show D.N. Higgins Construction, Inc. as the low bidder. Based upon our review of the analysis,the low bidder, D.N. Higgins Construction, Inc. appears to be a reasonable and responsive bid. Subject to concurrence with Collier County's Purchasing and Contracts Division, and the contractor furnishing the appropriate bonding and other required insurances. We believe the selection of D.N. Higgins Construction,Inc. by Collier County for the intended work contained within the bid documents to be an appropriate choice. Should you have any questions, or require additional information,please let me know. Very truly yours, 7 JOHNSON EN 4t RING,INC. /jecitti( el S. Dickey, P.E. Director of Utility Services MS D/lj b 20149700-026 cc: File EXHIBIT A 1: PUBLIC PAYMENT BOND Wiggins Pass Road Water Main Replacement Bond No. 35BCSAQ4372 Contract No. 14-6213-24 KNOW ALL MEN BY THESE PRESENTS: That Douglas N. Higgins,Inc. 3390 Travis Pointe,Suite A,Ann Arbor,MI 48108 , as Principal, and Hartford Accident and Indemnity Company , as Surety, located at One Hartford Plaza,T-4,Hartford,CT 06155 (Business Address) are held and firmly bound to Board of County Commissioners Collier County,FL as Obligee in the sum of Six Hundred Twenty-Three Thousand Eight Hundred Ninety-Seven and 00/100 ($ 623,897.00 ) 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 day of 20 with Obligee for Wiggins Pass Road Water Main Replacement Project Project No.71010.30,6 in Collier County,FL 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 1st day of April 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 Signed, sealed and delivered the presence of: PRINCIPAL Douglas N. Higgins,Inc. .A BY: Ltq , WALL 'itness-: as to Principal NAME: I ITS: fc r, STATE OF M CHIC Y� CI COUNTY OF V''ttS tinaW,'V The foregoing instrument was acknowledged before me this l`'-" day of Ap(I l 2011, by e I I y A .VV1 l i<i e, , as �l< ---f reSic YW of DoLir (a c A) INN/Hs �f K - , a AA Ici]W (In corporation, on behalf of the corporation. He/slid is personally known to me OP-' has produced as identification and did (did not) take an oath. My Commission Expires: /-/p-,apj ,Sand//Q/C SANDRA K GARRISON (Signature of Notary) NOTARY PUBLIC-STATE OF MICHIGAN NAME: � �j, 61A- )ScyL COUNTY OF WASHTENAW (Legibly Printed) My Commission Expires January 10, 2020 (A FIX OFF IAL AL) Notary Public, State of AAICi1 I Otto Commission No.: 6l6 ATTEST: SURETY: Hartford Accident and Indemnity Company (Printed Name) One Hartford Plaza,T-4 Hartford,CT 06155 (Business Address (Authorized Signature) Witnesses to Surety (Printed Name) 37 OR nGt II I (sir As Attorney in Fact (Attach Power of Atto - ) Q)FAL..illL .1 o /' • — _v� Heather M.Johnson Witnesses , (Printed Name) PO Box 541 Ann Arbor,MI 48106 (Business Address) (734) 741-0044 (Telephone Number) STATE OF MI COUNTY OF Lenawee acting in Washtenaw The foregoing instrument was acknowledged before me this 1st day of April 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 clriverc licence as identification and who did (did not) take an oath. My Commission Expires: a . - (Signatur Name: Cheryl A.Bemis (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of: Commission No.: 1 �� ■ 1 � • A 9F s 38 EXHIBIT A 2: PUBLIC PERFORMANCE BOND Wiggins Pass Road Water Main Replacement Project Bond No. 35BCSAQ4372 Contract No. 14-6213-24 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 Twenty-Three Thousand Eight Hundred Ninety-Seven and 00/100 ($ 623,897.00 ) 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 day of , 20 , with Obligee for Wiggins Pass Road Water Main Replacement Project /Project No. 71010.30.6 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 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 1st day of April , 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 i the presence of: PRINCIPAL arm. . __ Douglas N. Higgins,Inc. ail 4 . BY: a LUAkLC' W esses -s to Principal J NAME: I'QII\I VV ft-w ITS: \t, re ,i G (.f1 t STATE OF M I COUNTY OF tiV t The foregoing instrument was acknowledged before me this /St day of A071 ) 20 ,/9 , by hell A-. dki as ICY P,t �c C01 r of ►D ( C S N. .„g, s �C . , a An I L4'1111-01 corporation, on behalf of the core Pation. He/she is personally ktiown to me OR has produced as identification and did (did not) take an oath. My Commission Expires:/ At, hj / 411A (Signature) SANDRA K GARRISON NOTARY PUBLIC -STATE OF MICHIGAN Name: 5ai'v -- A, CA-015m- (Legibly)F'NASHTENAW (Legibly Printed) (PliffebRisICIAL WiWanuary 10, 2020 Notary Public, State of: Ali C,11 Jrt i Commission No.: /NA _ 40 ATTEST: SURETY: Hartford Accident and Indemnity Company (Printed Name) One Hartford Plaza,T-4 Hartford,CT 06155 (Business Address) (Authorized Signature) Witnesses as to Surety (Printed Name) OR 0 As Attorney in Fact (Attach Power of Atto - ) � w 1' ._____ ______Heather M.Johnson Witnesses 11, (Printed Name) PO Box 541 Ann Arbor,MI 48106 (Business Address) (734) 741-0044 (Telephone Number) STATE OF MI COUNTY OF Lenawee acting in Washtenaw The foregoing instrument was acknowledged before me this 1st day of April 20 15 , by Heather M. Johnson , as Attorney in Fact of Hartford Accident and Indemnity Company , a Cnrpnratinn 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: • a. -a3 " cDt5 (Signs e) Name: Cheryl A. Bemis (Legibly Printed) (AFFIX OFFIC : SEAL) Notary Public, State of: MI G OINfL q Commission No.: 1.fille i,'; •• NoNyF 'N 41 P at and / r- cviV.7 Direct Inquiries/Claims to: POWER OF ATTORNEY THE HARTFORD 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. rr t [/ vettl1•irY •-st ::;iI Ri�ff4,Z;\ 'Jf �0�tr •j 4 .} a♦ , •• . 0 ;t;y rZ•,(4V•�rlM�4 I��Gjk A' 5 •••,:I\c,h a7 ♦"/gAtN% jIA'••t♦'1 • kLtol,� • V 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. far'. i'R__ R Kathleen T Maynard ����/ Votary 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 April 1, 2015 . Signed and sealed at the City of Hartford. �Y a•rr►.r •i ,0.1 r 3 r 0 T` i.1,0urr�.bx 11 4°"'" a �1 4'� r 1917 • t • ��� t � _ Irr � •,�..Sr< �!x°�or�nly� • �yrw► 1�^ 10 7 0 e �"t' f o 7 0 I 1 Gary W. Stumper,Vice President DATE A`°R°® CERTIFICATE OF LIABILITY INSURANCE 4/1!2015/DDmrv) 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 poiicy(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/C.No ,Exn:734-741-0044 FAX No):734-741-1850 24 Frank Lloyd Wright Dr J4100 E-MAIL Ann Arbor MI 48105 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Continental Insurance Company 35289 INSURED HIGGI-5 INSURER B:Continental Casualty Company 20443 Douglas N.Higgins, Inc. INSURER C: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:668638720 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 ADDL SUBS POLICY EFF POLICY EXP — LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD(YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY U1061922047 12/10/2014 12/10/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Es occurrence) $500,000 CLAIMS-MADE X OCCUR MED EXP(Anyone person) $15,000 PERSONAL&ADVINJURY _ $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY JECT LOC $ A AUTOMOBILE LIABILITY U1061922033 12/10/2014 12/10/2015 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 , X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS — AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) _ $ B X UMBRELLA LIAR X OCCUR U1061922050 12/10/2014 12/10/2015 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$10,000 $ C WORKERS COMPENSATION WC161922016 12/10/2014 12/10/2015 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER 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 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 0 Professional/ PEC0025095 12/10/2014 12/10/2015 2,000,000 Each Claim Pollution 4,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Additional Insured for General Liability,as required by written contract(primary)-Board of County Commissioners,Collier County. RE:Wiggins Pass Road Water Main Replacement-Project#71010.30.6?? 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 MLLL J I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD rrr r / ® 14RL'® �° DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE ( 4/1/2015 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 PHONE (lac. o.Ext:734-741-0044 A/c,N0 734141.1$$0__ 24 Frank Lloyd Wright Dr J4100 E-MAIL Ann Arbor MI 48105 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:COn1lnntal_Insurance.company _---- 55289_ INSURED HIGGI-5 INSURER B_GontinentaL CasualtyCompany 0443__ Douglas N. Higgins, Inc. INSURER C:VaiIQ Eggs Insuranee_Co_ (4508 3390 Travis Pointe, Suite A INSURER D_Greenwich Insurance Company '2322 Ann Arbor MI 48108 INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER:668638720 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 POLICY EXP LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYYI LIMITS A GENERAL LIABILITY 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 1X 1 OCCUR MED -- -- EXP(Any one ers_—P )_._._ $15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 ---�POLICY X 1pp-i r-1 LOC --- ---$ --A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT U1061922033 12/10/2014 12/10/2015 (Ea accident) _$1,000,000 X _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS _ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS _(Per accident) $ $ B X UMBRELLA LIAB X OCCUR U1061922050 12/10/2014 12/10/2015 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$10,000 $ C WORKERS COMPENSATION WC161922016 112/10/2014 12/10/2015 X WC STATU- 1OTH- AND EMPLOYERS'LIABILITY Y/N _ IOHY1 IMITS EB___—____.__.___.___— ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N N/A r (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 I Professional/ PEC0025095 112/10/2014 12/10/2015 2,000,000 Each Claim Pollution ;4,000,000 Aggregate l DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured for General Liability, as required by written contract(primary)- Board of County Commissioners, Collier County. RE: Wiggins Pass Road Water Main Replacement- Project#71010.30.6?? 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 ttkkV Il 44 I ©1988-2010 ACORD CORPORATION. All rights reservetC ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1�