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Backup Documents 06/09/2015 Item #16C2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 C 2 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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 be received in the County Attorney Office no later than INlonday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 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#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1.. bio '° r•i pe no 06,(0565 2. 3. County Attorney Office County Attorney Office e?f/1 6AP 4. BCC Office Board of County Icout Commissioners IW A/ 42.,kAkS 5. Minutes and Records Clerk of Court's Office VIrrn ,(,((t t5 3-2ff 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 '1fJ1.nGt D JQ f► Phone Number Contact/ Department PP t4 3) 2.141 - 2.5 2, -4 2 tli ar Agenda Date Item was Tone_ 1 ► 20 t g =4dtnn .',C 2 Agenda Item Number T� 15 20 7V/ Approved by the BCC 11...<72./�' Type of Document War Or cr P. goods Number of Original Attached Bay \A t(CAS Documents Attached .41 pexer1. PO number or account end 2 • k.CQwtdP number if document is L�3b►2 to be recorded Pfq e-Lk' 3# f ID VD. INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? 'S.L A % Gfri..... M535 `S 2. Does the document need to be sent to another agency for additional signatur s? If yes, provide the Contact Information (Name; Agency; Address; Phone)on an attached sheet. 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 1).1 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 aaF S`ZT 5. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's 33)signature and initials are required. 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 �J/�`[, time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on cher (enter date)and all changes made N/A is not during the meeting have been incorporated in the attached document. The County an option for Attorney's Office has reviewed the changes, if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the51 N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the an option for Chairman's signature. this line. I: 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 MEMORANDUM Date: June 11, 2015 To: Diana Dueri, Project Manager Public Utilities Engineering Department From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Contract #14-6213: Work Order w/Douglas N. Higgins for Bay Villas Water Main Replacement Project #71010.16 (Water) and #70043.30 (Wastewater) Performance Bonds (Bond No. 35BCSAQ4377) Attached for your records is a copy of the document(s) referenced above, (Item #16C2) approved by the Board of County Commissioners on Tuesday, June 9, 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 252-8411. Thank you. Attachment 16C2 WORK ORDER/PURCHASE ORDER Contract 14-6213 "Annual Contract for Underground Utilities and General 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 Villas Water Main Replacement Project No: 71010.16 (Water)/ Project No: 70043.20 (Wastewater)/ The work is specified in the proposal dated May 8, 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 Cut In Sewer Clean Outs/ * Task III 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 Con ultant agrees that any Work Order that extends beyond the expiration date of Agreement # 14-6213/ ill 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 metho,d(s): ®Negotiated Lump Surh' (NLS) (Lump Sum Plus Reimbursable Costs (LS+RC) Time &Material (T&M) (established hourly rate — Schedule A) fl Cost Plus Fixed Fee (CPFF), as provided in the attached proposal. Task I $390,948.00 NLS'/ Task II $ 55,200.00 NLS' Task III $ 75,000.00 T&M .f TOTAL FEE $521,148.00/ PREPARED BY: 5 ////2 2 015 Diana C. Dueri, Project Manager Date APPROVED BY: • v- Oscar P. Martz; Interim Pri . Project Manager DN"e Page 1of3 CA 16C2 2 APPROVED BY: - _ _____. r'" J /1 Z i,S Craig Paj a incipal Project Manager Date /1/ / l/ .S� APPROVED BY: / S l T m Chmelik, PPMD Director to APPROVED BY: 00.4-riA4-1 / // S Iii 1i5 - Pamela Libby, Distributio ', . -ger Date C ' APPROVED BY: /J,., 5 1) i' Steve essner, Water Director Date APPROVED B / : — --/////.5-- Beth / /jamBeth Jo nssen, Was water Director Date r _. APPROVED BY: r��"-:// 5-1,,/,--- Joe ellone, 0 c-rations Support Director Date APPROVED BY: t-- �� c� c 5-4, r 6.4 org- 0 Yilmaz, Dep ment Admini trator 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. F,, w eS I i IS me and/Title of Authorized Company Officer�/ Date Di\° ftL k. . 14 )((DIA, V ; p, Page 2 of 3 Cp' 1 6 c 2 (Remainder of page intentionally left blank) 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 4 �i p `� �_ ` By: ,Tim Nance, Chairman 6,`c``5 Dated. • J.I TS t ��Lattestt�atto Chairman's ��`1'i_ , Douglas N. Higgins, Inc. signature only. cja/nia, A,Qty-cl, By: ,/ First Witness nature 10niar L �G ,l�/ AJ 1 FL Ni Ia I (� 1 .,5 / V, Print (r Type/Print Signature and Title ��/i./ :ecos� tffis`' —'� ,, , i_ci"' t-e4erf6 Print Approved as t For and Legality: =__9/--- L._- Scott R. Teach, Deputy County Attorney Page 3 of 3 (..9. A� 1 6 0 2 coilter County Administrative Services Department Procurement Services Division REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT #14-6213 "Annual Contract for Underground Utilities & General Contractors" Date: April 29, 2015 From: Swainson Hall, Procurement Strategist 239-252-8935, Telephone Number 239-252-6334, Fax Number swainsonhall@col./iergov.net To: Potential Proposers Subject: RFQ#14-6213-33 Bay Villas 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 5/8/2015 Q&A Deadline: 5:00 PM 5/6/2015 Pre-Quote Meeting No 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 Yes 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 239-7747343G/--239--7-74-4266- ... -:'T 1,•ne Number/ Fax Number Signa re `" = . .. Vice President l Title Brandy Bartolone j I Print Name Date C: Diana Dueri/ Project Manager 1 RFQ 14-6213-33 16C2 2 Co 7e. County Email: swainsonhall@colliergov.net Telephone: (239)252-8935 Administrative Services Division FAX: (239) 252-2810 Purchasing ADDENDUM #1 Memorandum Date: May 4, 2015 From: Swainson Hall, Procurement Strategist To: Potential Proposers Subject: Addendum#1 —RFQ 14-6213-33 Bay Villas Water Main Replacement The following clarifications are issued as an addendum identifying the following changes for the referenced solicitation: Change 1 — Revised Quote Schedule Change 2 —Settlement Agreement Change 3 —M&P All are attached 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 COLLIER COUNTY BAY VILLAS WATER MAIN REPLACEMENT QUOTE TABULATION Douglas N.Higgins,Inc. Quality Enterprises USA,Inc. SECTION 1:GENERAL ITEM DESCRIPTION EST,QTY. UNIT UNIT PRICE EXTENDED PRICE UNIT PRICE EXTENDED PRICE NO. 1 Mobilization/Demobilization 1 LS $38,000.00 $38,000.00 $45,100.80 $45,100.80 2 Maintenance of Traffic 1 LS $9,000.00 $9,000.00 $13,560.00 $13,560.00 3 Project Signs 1 LS $1,000.00 $1,000.00 $2,820.00 $2,820.00 4 Survey Layout&Record Drawings 1 LS $11,000.00 $11,000.00 $10,200.00 $10,200.00 SECTI $59,000.00 $71,680.80 SECTION 2:WATER SYSTEM ITEM DESCRIPTION EST.QTY. UNIT UNIT PRICE EXTENDED PRICE UNIT PRICE EXTENDED PRICE NO. 5 Install Water Main Pipelines(Labor Only) a. 6"PVC DR14 1,380 LF $58.00 $80,040.00 $38.62 $53,295.60 b. 4"PVC DR14 1,100 LF $44.00 $48,400.00 $34.86 $38,346.00 6 Gate Valves(Labor Only) a. 6"Gate Valves 2 EA $400.00 $800.00 $1,200.00 $2,400.00 b. 4"Gate Valves 6 EA $300.00 $1,800.00 $900.00 $5,400.00 7 Install 1"Water Services(Labor Only) 69 EA $800.00 $55,200.00 $900.00 $62,100.00 8 Connect to Existing Water Main(Labor Only) 2 EA $2,800.00 $5,600.00 $1,500.00 $3,000.00 9 Cut In Sewer Clean Out(Labor Only) 69 EA $800.00 $55,200.00 $1,660.60 $114,581.40 10 Abandon and Grout Water Main a. Abandon 4"Water Main(Grout) 1,100 LF $3.00 $3,300.00 $2.34 $2,574.00 b. Abandon 6"Water Main(Grout) 1,380 LF $4.00 $5,520.00 $3.37 $4,650.60 11 Conflict Avoidance a. 8"PVC Water Main Deflection 7 EA $1,400.00 $9,800.00 $1,500.00 $10,500.00 b. 4"PVC Water Main Deflection 5 _ EA $1,100.00 $5,500.00 $1,200.00 $6,000.00 12 Furnish and Install Permanent Below-Ground Blow-Offs 5 EA $700.00 $3,500.00 $1,260.00 $6,300.00 SECTION 2 SUBTOTAL: $274,660.00 $309,147.60 SECTION 3:RESTORATION ITEM DESCRIPTION EST.QTY. UNIT UNIT PRICE EXTENDED PRICE UNIT PRICE EXTENDED PRICE NO. 13 General Restoration(Including Landscaping) 1 LS $12,000.00 $12,000.00 $49,140.00 $49,140.00 14 Paver Trench Repair a. 12"Stabalized Subgrade 1,232 SY $10.00 $12,320.00 $11.98 $14,759.36 b. 10"Limerock Base 1,232 SY $24.00 $29,568.00 $19.10 $23,531.20 15 Asphalt Trench Repair a. 12"Stabalized Subgrade 600 SY $10.00 $6,000.00 $12.00 $7,200.00 b. 10"Limerock Base 600 SY $24.00 $14,400.00 $19.10 $11,460.00 c. 3/4"Asphalt Patch 600 SY $45.00 $27,000.00 $12.58 $7,548.00 Allowance: Allowance to cover unanticipated costs, including but not limited to, un-located utilities and unforeseen site conditions. (No additional payment shall be 16 made for rock excavation, replacement of fill material or 1 T&M TBD $75,000.00 TBD $75,000.00 dewatering). Use of allowance must be approved by Collier County prior to the execution of the work. 17 Maintenance&Cleanup for Limerock Trenches 80 Hours $140.00 $11,200.00 $360 $28,800.00 SECTION 3 SUBTOTAL: $187,488.00 $217,438.56 SUMMARY Section 1:General Subtotal $59,000.00 $71,680.80 Section 2:Water System Subtotal $274,660.00 $309,147.60 Section 3-Restoration Subtotal $187,488.00 $217,438.56 PROJECT TOTAL $521,148.00 $598,266.96 Were there any Contractors that did not submit a quote? 1.Mitchell&Stark Construction Company,Inc. f 2.Haskins Inc.-.' / 3.Kyle Construction InY ditit `\‘%' 4.Southwest Utility Systems,Irt. Opened by:Swainson Hall,Procurement Strategist Witnessed by:Adam Northrup,Procurement Strategist 5/8/2015 Bay Villas Quote Schedule.xls 1 tj'�1 COLLIER COUNTY 1 6 C 2 BAY VILLAS WATER MAIN REPLACEMENT QUOTE SCHEDULE SECTION 1:GENERAL ITEM DESCRIPTION EST.QTY. UNIT UNIT PRICE EXTENDED PRICE NO. 1 Mobilization/Demobilization 1 LS $38,000 $38,000.00 2 Maintenance of Traffic 1 LS $9,000 $9,000.00 3 Project Signs 1 LS $1,000 $1,000.00 4 Survey Layout& Record Drawings 1 LS $11,000 $11,000.00 SECTION 1 SUBTOTAL: $59,000.00 SECTION 2:WATER SYSTEM ITEM DESCRIPTION EST,QTY. UNIT UNIT PRICE EXTENDED PRICE NO, 5 Install Water Main Pipelines (Labor Only) a. 6" PVC DR14 _ 1,380 LF $58 $80,040.00 b. 4" PVC DR14 1,100 LF $44 $48,400.00 6 Gate Valves(Labor Only) a. 6"Gate Valves 2 EA $400 $800.00 b. 4"Gate Valves 6 EA $300 $1,800.00 7 Install 1" Water Services (Labor Only) 69 EA $800 $55,200.00 8 Connect to Existing Water Main (Labor Only) 2 EA $2,800 $5,600.00 9 Cut In Sewer Clean Out(Labor Only) 69 EA $800 $55,200.00 10 Abandon and Grout Water Main a. Abandon 4"Water Main (Grout) 1,100 LF $3 $3,300.00 b. Abandon 6"Water Main (Grout) 1,380 LF $4 $5,520.00 11 Conflict Avoidance a. 8" PVC Water Main Deflection 7 EA $1,400 $9,800.00 b. 4" PVC Water Main Deflection 5 EA $1,100 $5,500.00 12 Furnish and Install Permanent Below-Ground Blow-Offs 5 EA $700 $3,500.00 SECTION 2 SUBTOTAL: $274,660.00 SECTION 3: RESTORATION ITEM DESCRIPTION EST.QTY. UNIT UNIT PRICE EXTENDED PRICE NO. 13 General Restoration (Including Landscaping) 1 LS $12,000 $12,000.00 14 Paver Trench Repair a. 12"Stabalized Subgrade 1,232 SY $10 $12,320.00 b. 10" Limerock Base 1,232 SY $24 $29,568.00 15 Asphalt Trench Repair a. 12"Stabalized Subgrade 600 SY $10 $6,000.00 b. 10" Limerock Base 600 SY $24 $14,400.00 c. 3/4"Asphalt Patch 600 SY $45 $27,000.00 Allowance: Allowance to cover unanticipated costs, including but not limited to, un-located utilities and unforeseen site conditions. (No additional payment shall be made for rock 16 excavation, replacement of fill material or dewatering). Use 1 T&M TBD $75,000.00 of allowance must be approved by Collier County prior to the execution of the work. 5/8/2015 Bay Villas Quote Schedule.xls 1 ) s a COLLIER COUNTY BAY VILLAS WATER MAIN REPLACEMENT QUOTE SCHEDULE 17 Maintenance&Cleanup for Limerock Trenches 80 Hours $140 $11,200.00 SECTION 3 SUBTOTAL: $187,488.00 SUMMARY Section 1: General Subtotal $59,000.00 Section 2: Water System Subtotal $274,660.00 Section 3 - Restoration Subtotal $187,488.00 PROJECT TOTAL: $521,148.00 5/8/2015 Bay Villas Quote Schedule.xls 2 �;) 1 6 p EXHIBIT A 1: PUBLIC PAYMENT BOND Bay Villas Water Main Replacement Bond No. 35BCSAQ4377 Contract No. 14-6213-33 KNOW ALL MEN BY THESE PRESENTS: That Douglas N. Higgins, Inc. 3390 Travi P�inte, Suite A Ann Arbor,ASI 4$]OR _, 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,Florida as Obligee in the sum of Five Hundred Twenty-One Thousand One Hundred Forty-Eight and 00/100 ($ 521,148.00 ) 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 2015 , with Obligee for Contract T4-b2l3 Bay V alas Water Main Replacement Project Nn 71010 16(Water)Prn)e-t We, 70043 10(Wactewater) 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 13th day of May 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 1602 Signed, sealed g and delivered in the presence of: PRINCIPAL )14‘ Douglas N. Higgins,Inc. BY: /tt a ,LUALL nesses as to Principal NAME: � ( WI lk e, ITS: V1C/ -t'rt,Sidcit STATE OF All alto COUNTY OF 1,1/(15HAVtiV The foregoing in trument was acknowledged before me this I E t '{' day of M1141 2015 , by Ile1I y /MI 1kle- , as VI -P✓csAti't1- J of )Ltt (aS IV , 1�1)(goi►1s , 1-11(• , a /v1 11l tti corporation, on behalf of the corporation. He/she i ersonally known to me OR'-as produced as identification and did (did not) take an oath. �',,/ My Commission Expires: -/O-� �_�rU1Id/CLIC &^_-- (Signature of Notary) SANDRA K GARRISON NAME: Sandra K. 6afo"7 NOTARY PUBLIC• STATE OF MICHIGAN (Legibly Printed) COUNTY OF WASHTENAW (4111/oomtwissmE) t anuary 10, 2020 Notary Public, State of Commission No.: 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 d'J 16C �: OR /24.41_, dip hip% I As ttorney in Fact (Attach Power of Attor e /214/-6j)d- 7-\, Heather M.Johnson Witnesses (Printed Name) PO Box 541 Ann Arbor,MI 48106 (Business Address) (734) 741-0044 (Telephone Number) STATE OF Michigan COUNTY OF Lenawee acting in Washtenaw The foregoing instrument was acknowledged before me this 13th day of May , 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: 1 _ -3 , 0 (S (Signature) Name: Chery A.Bemis (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of: MI Commission No.: N/A • Nona,vueuc ooumoEf N,Cormira,BON UM, tP ti P �, 38 1 6 C EXHIBIT A 2: PUBLIC PERFORMANCE BOND Bay Villas Water Main Replacement Bond No. 35BCSAQ4377 Contract No. 14-6213-33 KNOW ALL MEN BY THESE PRESENTS: That Douglas N.Higgins,Inc. ,3390 Travis Pointe,Suite A,Ann Arbor,MI 4810,8 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,Florida , as Obligee in the sum of Five Hundred Twenty-One Thousand One Hundred Forty-Eight and 00/100 ($ 521,148,00 ) 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 , 2015 , with Obligee for Contract 14-6213 Bay Villas Water Main Replacement Project No.71010.16(Water)Project No.70043.20(Wastewater) 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 `d� 16C2 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 13th day of may , 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 presence of: PRINCIPAL c9-1-4( 41 , Douglas N. Higgins,Inc. /z; Le" BY: 01-a ttkt,h, -titnesses as to Princi al Principal NAME: &-I1 /l . vv Lkie ITS: 'l( -e )64,(_- 'l STATE OF IV\l C41j00,11 COUNTY OF \A/Ci5111-(916VLv The foregoing instrument was ack owledged before me this 1ti day of 41, , 201 , by {'�P l� /� �tii( ki as Ce— jar�StG��ti t f' of 1)Uri ta, U?C G l't J7� , a AA-t Cif/IAA-1 corporation, on behalf of the cdn5oration. He/she is personally kown to me OR has produced as identification and did (did not) take an oath. My Commission Expires: 140-40,010 30,444aK. . (Signature) SANDRA K GARRISON Name: 5ailCka, C)0 KY/Sbir7 NOTAR�YnPUNBUUC- STATE OF MICHIGAN (Legibly Printed) (A FISC' F'Ff ��ANAW Notary Public, State of:�( t Ga t.1 mml ion x Tres antra 10 2020 My� � p ry Commission No.: ,1 40 1 6 C 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 t lit As ttorney in Fact tri4Y (Attach Power of Attorn Heather M.Johnson Witnesses (Printed Name) PO Box 541 Ann Arbor,MI 48106 (Business Address) (734)741-0044 (Telephone Number) STATE OF Michigan COUNTY OF Lenawee acting in Washtenaw The foregoing instrument was acknowledged before me this 13th day of May 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 not) take an oath. My Commission Expires: a . e,“-L,A3 - DOk (Signatur Name: Cheryl A.Bemis (Legibly Printed) (AFFIX !,,i•••% SEAL) Notary Public, State of: MI '�, .......,, A. .. 8 Commission No.: N/A ,... .lj�� �� • NOYWYFlBUC • corrfAOFtIcw;1i t 1 ky cam i 41 Ma2015 ; N'9 '• ..�\GP,`''�• � Of MIC 0. Direct Inquiries/C/ s POWER OF ATTORNEY THEOBOND,RNEY THE One Hartford Plaza 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, Terri 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. Trta�ye.„ etc) � ��`ltrs� �.• orarNA ce ,.- _ i`li F' � .! fife?r.� • ;t • �t � • 1°}A .s C} \ =�. •,`+trt,rwr`„ •FNM { 1Y711 Y \�e7e./ Lapaep Wesley W.Cowling,Assistant Secretary M. Ross Fisher,Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 12t5 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. Y ,ISI► g t!a A STT ht�a • � • Kathleen T.Maynard 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 May 13,2015 . Signed and sealed at the City of Hartford. try4k% \, r� :�ca.uaril: a Leer% ,/ •► t rf." i' E. 't,if if •; tee? i; . i€ "�)c•1, • J�.� \yy`. r••rM► t: 1t74 F .� if e 8 �► • 2�,r., ��+ v �:..ti A,. t► ..ir �9• 7t J� 14 .y ( c_261A3f tt w� Gary W.Stumper,Vice President / . , r I 6-C 2-- A Dom) CERTIFICATE OF LIABILITY INSURANCE 5/12/2015 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(les)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. EXt):734-741-0044 ac.No):734-741 1850 24 Frank Lloyd Wright Dr J4100 E-MAIL Ann Arbor MI 48105 ADDRESS: INSURER1J AFFORDING COVERAGE NAIC# INSURERA:Continental Insurance Company 35289 INSURED HIGGI-5 INSURER B:ContinentaLCasualty Company 20443 Douglas N. Higgins, Inc. INSURER C:ValleyForge Insurance Co 20508 3390 Travis Pointe, Suite A INSURER D:Greenwich Insurance Com an Ann Arbor MI 48108 R—Y 22322 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1401011711 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 IMMIDD/YYYY) (MMIDD/YYYY) UMITS 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 X OCCUR MED EXP(Any 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 jrai LOC $ A AUTOMOBILE LIABILITY U1061922033 12/10/2014 12/10/2015 COMBINLD SINGLE LIMIT (Ea accident) 0,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peraccident $ AUTOS AUTOS ) NON-OWNED PROPERTY DAMAGE - HIRED AUTOS 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 yes,IfINunder E.LDISEASE-POLICYLIMIT $1,000,000 DESCRIPTION OF OPERATIONS below D 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) Project: Contract 14-6213 Annual Contract for Underground Utilities and General Contractors Bay Villas Water Main Replacement,projects no. 71010.16 and 70043.20. Additional Insured for General Liability,as required by written contract(primary)-Board of County Commissioners,Collier County. A thirty day prior notice of any insurer initiated cancellation for reasons other than nonpayment of premium is included or a ten day prior notice of any cancellation for nonpayment of premium. 1 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. i 3327 Tamiami Trail, East Naples FL 34412 AU MOWED REPRESENTATIVE �ik2-1 +y�• 1 , 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD - . A� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 5/12/2015 _ 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 IA/ No.ExtI:734-741-0044 FAX No):734 741 1850 24 Frank Lloyd Wright Dr J4100 E-MAIL Ann Arbor MI 48105 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Continental Insurance Company 5289 INSURED HIGGI-5 INSURER B:Continental Casualty Company 0443 Douglas N. Higgins, Inc. INSURERC:Valley Forge Insuran . o 0508 3390 Travis Pointe, Suite A INSURER D:Greenwich Insurance Company 2322 Ann Arbor MI 48108 INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:1401011711 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 SUBR LTR TYPE OF INSURANCE INSR WVD, POLICY NUMBER POLICY EFF POLICY EXP (M M/DD/YYYY) (M M/DD/YYYY) LIMITS A GENERAL LIABILITY U1061922047 12/10/2014 12/10/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENED X COMMERCIAL GENERAL LIABILITY PREMISES jEa occurs nce) $500,000 CLAIMS-MADE X OCCUR MED EXP(Any 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 78- -LOC $ A AUTOMOBILE LIABILITYCOMBINED SINGLE LIMI r U1061922033 12/10/2014 12/10/2015 (Ea accident) $1,000,000 _ X ANY AUTO BODILY INJURY(Per person) $ ALL OVVNED SCHEDULED - AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) $ _ 1$ 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 12/10/2014 12/10/2015 X WC STATU- 0TH- AND EMPLOYERS'LIABILITY Y/N TORY I IMITS FR ANY PROPRIETORJPARTNER/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 O 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) Project: Contract 14-6213 Annual Contract for Underground Utilities and General Contractors Bay Villas Water Main Replacement, projects no. 71010.16 and 70043.20. Additional Insured for General Liability, as required by written contract(primary)-Board of County Commissioners, Collier County. A thirty day prior notice of any insurer Initiated cancellation for reasons other than nonpayment of premium is included or a ten day prior notice of any cancellation for nonpayment of premium. 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 AUTHORIZEDTION DATE THEREMOLL D ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD