Backup Documents 03/08/2016 Item #16K 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6K 5 .;
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT ' E[NED
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 th htf�tdj ffice
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County ttorne }ice no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP Risk Management
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. Risk Management
�i � -1C0
2.
3. County Attorney Office County Attorney Office SRTYA J/�
4. BCC Office Board of County CO1/4-1\
Commissioners v\/s/' V
5. Minutes and Records Clerk of Court's Office ,
AlLi\j'
(112
114(
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 t contact staff for additional or missing information.
Name of Primary Staff zS 7-ko.0
Contact/ Department
Agenda Date Item was March 8,2016 Agenda Item Number 16K5
Approved by the BCC
Type of Document Number of Original One
Attached Documents Attached
PO number or account n/a
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)
1. Does the document require the chairman's original signature SRT
2. Does the document need to be sent to another agency for additional signatures? If yes, SRT
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 SRT
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 SRT
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 SRT
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 SRT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip SRT
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 10/13/15 and all changes made during SRT
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made, and the document is ready for the rr
Chairman's signature.
t \ czL-Svt\ e� c�
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
16K , 5
Martha S. Vergara
From: Martha S.Vergara
Sent: Wednesday, March 09, 2016 4:01 PM
To: Allen, Debbie
Subject: Agenda Item #16K5 -Agreement
Attachments: Debbie Allen.pdf
Hi Debbie,
Attached is a scanned copy of the document you requested.
If you find you need a paper/certified copy let me know.
Thanks,
Martha Vergara, BMR Senior Clerk
Minutes and Records Dept.
Clerk of the Circuit Court
& Value Adjustment Board
Office: (239) 252-7240
Fax: (239) 252-8408
E-mail: martha.vergara@collierclerk.com
1
16K 5
RETENTION AGREEMENT WITH
THE LAW OFFICE OF BRIAN ARMSTRONG,PLLC
This Retention Agreement is made by and between the Board of County Commissioners
of Collier County, Florida (the "County"), and the Law Office of Brian Armstrong, PLLC, of
Tallahassee, Florida("Armstrong") effective as of March 8, 2016.
Whereas, Armstrong has special expertise and resources in public utility law, including
representing counties, municipalities, authorities and special districts in a wide variety of water,
wastewater, natural gas and electric utility matters, and environmental issues; and
Whereas, the County from time to time has a requirement and need for legal services that
is particularly within the expertise of Armstrong.
Now, therefore, in consideration of the premises contained herein, the County hereby
hires and retains the Law Office of Brian Armstrong, PLLC, who hereby agrees to provide legal
services to County.
ARTICLE 1
COMPENSATION; METHOD OF PAYMENT
1.1 Compensation shall be paid to Armstrong in accordance with the terms set forth in
Exhibit "A" attached hereto and made a part hereof. Requirements for reimbursable expenses
are set forth in Exhibit "B," attached hereto and made a part hereof. Expenses other than
automobile expenses must be documented by copies of paid receipts or other evidence of
payment. The Certificate contained in Exhibit "C" must be included with every invoice
submitted for payment.
1.2 The rates set forth in Exhibit "A" shall remain in effect without change for a minimum of
two (2) years from the effective date of this Agreement. In the subsequent years of the
Agreement, upon the request of Armstrong, the County Attorney is authorized to negotiate to
increase the hourly rate up to a maximum of ten (10) percent without approval by the Board of
County Commissioners. In the negotiation process, Armstrong must substantiate the reason the
request is being made(i.e. market conditions, increase in CPI, etc.)
1.3 Multiple Attorney Assignments. The County acknowledges that, from time to time, it
may be advisable for Armstrong to assign more than one attorney to a project or case.
Nevertheless, in order to ensure that such multiple attorney assignments are efficient and cost-
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effective for the County, Armstrong agrees to the following procedures and billing limitations for
multiple attorney assignments.
1.3.1 A primary attorney will be identified for such projects or cases and that attorney will be
the contact attorney for the County except in the case of an emergency or the County's written
pre-approval. In practice, this means that generally only theprimaryattorney will meet or
communicate directly with County personnel or attend meetings, court, arbitrations, mediations
or other proceedings on behalf of the County.
1.3.2 Attorneys assigned to a project or case other than the primary attorney will be less senior
attorneys with lower billing rates unless the additional attorney(s) has/have a demonstrated
expertise that will demonstrably enhance the value and efficiency of the legal services being
provided to the County.
1.3.3 Armstrong, with the consent and supervision of the County Attorney, may coordinate
legal services with another attorney or law firm that has an existing retainer agreement with the
County. Services provided by such other attorney or law firm shall be administered and billed
pursuant to the terms of the County's retainer agreement with such attorney or law firm.
1.3.4 Armstrong agrees that internal or in-house conferences among multiple attorneys
assigned to a project or case shall be kept to the minimum reasonably necessary for the provision
of the legal services in question. To the extent internal or in-house conferences among multiple
attorneys assigned to a project or case are necessary, each such attorney may bill his or her
customary rate for up to thirty (30) minutes for any such conference. To the extent such a
conference exceeds thirty (30) minutes in length, Armstrong agrees that it will discount the total
billings for all attorneys involved in the conference by forty-five(45)percent.
1.4 Armstrong may submit invoices for hourly work assignments pursuant to Exhibit "A"
only after the services for which the invoices are submitted have been completed or expenses
incurred. An original invoice plus one copy is due within fifteen (15) days of the end of the
month, except the final invoice which must be received no later than sixty (60) days after the
work is completed or the expiration of this Agreement.
1.5 To be deemed proper, all invoices must comply with the requirements set forth in this
Agreement and must be submitted on the form and pursuant to the instruction prescribed by
County. Payment may be withheld for failure of Armstrong to comply with a term, condition, or
requirement of this Agreement.
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1.6 Payment shall be made to Armstrong at:
Law Office of Brian Armstrong,PLLC
Attn: Brian P. Armstrong
P.O. Box 5055
Tallahassee, FL 32314-5055
ARTICLE 2
INSURANCE
2.1 In order to insure the indemnification obligation contained above, Armstrong shall as a
minimum, provide,pay for, and maintain in force at all times during the term of this Agreement,
professional liability insurance in an amount not less than Two Million Dollars ($2,000,000.00)
Per Occurrence, Combined Single Limits. If any liability insurance obtained by Armstrong to
comply with the insurance requirements contained herein is issued on a "claims made" form as
opposed to an "occurrence" form, the retroactive date for coverage shall be no later than the
commencement date of the assigned work to which this Agreement applies, and such insurance
shall provide, in the event of cancellation or non-renewal, that the discovery period for insurance
claims (tail coverage) shall not be less than three years following the completion of the assigned
work and acceptance by the County.
2.2 Such policy or policies shall be issued by United States Treasury approved companies
authorized to do business in the State of Florida, and having agents upon whom service of
process may be made in Collier County, Florida.
2.3 Armstrong shall furnish to the Risk Management Director Certificates of Insurance or
endorsements evidencing the insurance coverages specified by this Article prior to execution of
this Agreement.
ARTICLE 3
TERM AND TIME OF PERFORMANCE
3.1 The term of this Agreement shall be for a period of two (2) years to begin February 2,
2016 and to end on February 2, 2018, unless terminated earlier in accordance with the provisions
of this Agreement. Absent notice of intent to terminate, the Agreement may be renewed upon
mutual consent of the parties for three (3) additional terms of one (1) year each. (In the event
the term of this Agreement extends beyond a single fiscal year of County, the continuation of
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this Agreement beyond the end of any fiscal year shall be subject to the availability of funds
from County in accordance with Chapter 129, Florida Statutes.)
3.2 Time shall be deemed to be of the essence in performing the duties, obligations and
responsibilities by this Agreement.
3.3 Any amendments, alterations, variations, modifications or waivers of provisions of this
Agreement shall only be valid when they have been reduced to writing, duly signed by both
parties hereto, and attached to the original of this Agreement.
ARTICLE 4
TERMINATION
4.1 This Agreement may be terminated by either party for cause upon ten(10) days' notice or
by either party for convenience upon no less than thirty (30) days' advance written notice in
accordance with the "NOTICES" section of this Agreement.
4.2 Termination of this Agreement for cause shall include, but not be limited to, failure to
suitably perform the work, failure to continuously perform the work in a manner calculated to
meet or accomplish the objectives of County as set forth in this Agreement, or multiple breach of
the provisions of this Agreement notwithstanding whether any such breach was previously
waived or cured.
4.3 In the event this Agreement is terminated for convenience, Armstrong shall be paid for
any services performed to the date the Agreement is terminated; however, upon notice by either
party to terminate, Armstrong shall refrain from performing further services or incurring
additional expenses under the term of this Agreement. Armstrong acknowledges and agrees that
Ten Dollars ($10) of the compensation to be paid by County, the adequacy of which is hereby
acknowledged by Armstrong, is given as specific consideration to Armstrong for County's right
to terminate this Agreement for convenience. Armstrong's obligations to the County as provided
for hereunder shall cease upon termination, except for participating in an orderly and
professional transfer of such responsibilities and files or copies of files to the County or its
designee.
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ARTICLE 5
RECORD AUDIT AND INSPECTION
5.1 County shall have the right to audit the books and records of Armstrong pertinent to the
funding under this Agreement. Armstrong shall preserve and make available, at reasonable
times for examination and audit by County, all financial records, supporting documents, and
other documents pertinent to this Agreement for a period of three (3) years after termination of
this Agreement or, if any audit has been initiated and audit fmdings have not been resolved at the
end of the three years, the books and records shall be retained until resolution of the audit
findings.
5.2 If the Florida Public Records Act (Chapter 119,Fla. Stat.) is determined by County to be
applicable to Armstrong's records, Armstrong shall comply with all requirements thereof;
however, no confidentiality or non-disclosure requirement of either federal or state law shall be
violated by Armstrong.
ARTICLE 6
CONFLICT OF INTEREST
6.1 Armstrong states that it is familiar with and will comply with the terms and conditions of
Chapter 112, Part III, Florida Statutes (Code of Ethics).
6.2 It is important that Armstrong be independent and impartial in order to properly conduct
its services to the County. Armstrong shall not act as counsel in any lawsuit or other adversary
proceeding in which County is named as an adversary party or in which Armstrong takes an
adverse position to the County.
6.3 Neither Armstrong nor its employees shall have or hold any continuing or frequently
recurring employment or contractual relationship that is substantially antagonistic or
incompatible with Armstrong's loyal and conscientious exercise of judgment related to its
performance under this Agreement.
6.4 In the event Armstrong is permitted to utilize subcontractors, herein, to perform any
services required by this Agreement, Armstrong agrees to prohibit such subcontractors, by
written contract, from having any conflicts as within the meaning of this section.
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6.5 If at any time Armstrong's firm represents a client in matters having to do with the
Collier County government, be it before the Board of County Commissioners or any other
agency or division of Collier County government, Armstrong will contact the County Attorney's
Office before undertaking such representation so that it can be determined whether a conflict of
interest exists.
ARTICLE 7
INDEMNIFICATION
7.1 Armstrong acknowledges and agrees that Ten Dollars ($10.00) of the compensation to be
paid by County, the adequacy of which is hereby acknowledged by Armstrong is given as
specific consideration to Armstrong so that Armstrong shall at all times hereafter indemnify,
hold harmless and, at County's option, defend or pay for an attorney selected by County to
defend County, its officers, agents, servants, and employees against any and all claims, losses,
liabilities, and expenditures of any kind, including attorney fees, court costs, and expenses,
caused by negligent act or omission of Armstrong, its employees, agents, servants, or officers, or
accruing, resulting from, or related to the subject matter of this Agreement including, without
limitation, any and all claims, demands or causes of action of any nature whatsoever resulting
from injuries or damages sustained by any person or property. The provisions of this section
shall survive the expiration or earlier termination of this Agreement. To the extent considered
necessary by County, any sums due Armstrong under this Agreement may be retained by County
until all of County's claims for indemnification pursuant to this Agreement have been settled or
otherwise resolved; and any amount withheld shall not be subject to payment of interest by
County.
ARTICLE 8
OWNERSHIP OF DOCUMENTS
8.1 Any and all reports, photographs, surveys, and other data and documents provided or
created in connection with this Agreement are and shall remain the property of County. In the
event of termination of this Agreement, any reports, photographs, surveys, and other data and
documents prepared by Armstrong, whether finished or unfinished, shall become the property of
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County and shall be delivered by Armstrong to the County within seven (7) days of termination
of this Agreement by either party. Any compensation due to Armstrong shall be withheld until
all documents are received as provided herein.
ARTICLE 9
INDEPENDENT CONTRACTOR
9.1 Armstrong is an independent contractor under this Agreement. Services provided by
Armstrong shall be subject to the supervision of Armstrong, and such services shall not be
provided by Armstrong as officers, employees, or agents of the County. The parties expressly
acknowledge that it is not their intent to create any rights or obligations in any third person or
entity under this Agreement.
ARTICLE 10
NONDISCRIMINATION,EQUAL OPPORTUNITY
AND AMERICANS WITH DISABILITIES ACT
10.1 Armstrong shall not unlawfully discriminate against any person in its operations and
activities in its use or expenditure of the funds or any portion of the funds provided by this
Agreement and shall affirmatively comply with all applicable provisions of the Americans with
Disabilities Act (ADA) in the course of providing any services funded in whole or in part by
County, including Titles I and II of the ADA (regarding nondiscrimination on the basis of
disability), and all applicable regulations, guidelines, and standards.
10.2 Armstrong's decisions regarding the delivery of services under this Agreement shall be
made without regard to or consideration of race, age, religion, color, gender, national origin,
marital status, physical or mental disability, political affiliation, or any other factor which cannot
be lawfully or appropriately used as a basis for service delivery.
10.3 Armstrong shall comply with Title I of the Americans with Disabilities Act regarding
nondiscrimination on the basis of disability in employment and further shall not discriminate
against any employee or applicant for employment because of race, age, religion, color, gender,
national origin, marital status, political affiliation, or physical or mental disability. In addition,
Armstrong shall take affirmative steps to ensure nondiscrimination in employment against
disabled persons. Such actions shall include, but not be limited to, the following: employment,
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upgrading, demotion, transfer, recruitment or recruitment advertising, layoff, termination, rates
of pay, other forms of compensation, terms and conditions of employment, training (including
apprenticeship), and accessibility.
10.4 Armstrong shall take affirmative action to ensure that applicants are employed and
employees are treated without regard to race, age, religion, color, gender, national origin, marital
status, political affiliation, or physical or mental disability during employment. Such actions
shall include, but not be limited to, the following: employment, upgrading, demotion, transfer,
recruitment or recruitment advertising, layoff, termination, rates of pay, other forms of
compensation, terms and conditions of employment, training (including apprenticeship), and
accessibility.
10.5 Armstrong shall not engage in or commit any discriminatory practice in performing the
Scope of Services or any part of Scope of Services of this Agreement.
ARTICLE 11
NOTICES
11.1 Whenever either party desires to give notice to the other, such notice must be in writing,
sent by registered or certified United States Mail, postage prepaid, return receipt requested, or by
hand-delivery, addressed to the party for whom it is intended at the place last specified. The
place for giving notice shall remain the same as set forth herein until changed in writing in the
manner provided in this section. For the present, the parties designate the following:
FOR COLLIER COUNTY:
Jeffrey A. Klatzkow, County Attorney
Government Center
3299 Tamiami Trail East
Suite 800
Naples, Florida 34112
FOR ARMSTRONG:
Law Office of Brian Armstrong, PLLC
Attn: Brian P. Armstrong
P.O. Box 5055
Tallahassee,FL 32314-5055
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ARTICLE 12
MISCELLANEOUS
12.1.1 WAIVER OF BREACH AND MATERIALITY Failure by County to enforce any
provision of this Agreement shall not be deemed a waiver of the provision or modification of this
Agreement. A waiver of any breach of a provision of this Agreement shall not be deemed a
waiver of any subsequent breach and shall not be construed to be a modification of the terms of
this Agreement.
12.1.2 COMPLIANCE WITH LAWS Armstrong shall comply with all federal, state, and local
laws, codes, ordinances, rules, and regulations in performing its duties, responsibilities, and
obligations related to this Agreement.
12.3 SEVERANCE In the event a portion of this Agreement is found by a court of
competent jurisdiction to be invalid, the remaining provisions shall continue to be effective
unless County and Armstrong elect to terminate this Agreement. The election to terminate this
Agreement based upon this provision shall be made within seven(7) days after the finding by the
court becomes final.
12.4 APPLICABLE LAW AND VENUE This Agreement shall be interpreted and
construed in accordance with and governed by the laws of the State of Florida. Venue for
litigation concerning this Agreement shall be in Collier County, Florida.
12.5 PRIOR AGREEMENTS This document supercedes all prior negotiations,
correspondence, conversations, agreements, and understandings applicable to the matters
contained herein and the parties agree that there are no commitments, agreements or
understandings concerning the subject matter of this Agreement that are not contained in this
document. Accordingly, the parties agree that no deviation from the terms hereof shall be
predicated upon any prior representations or agreements, whether oral or written. It is further
agreed that no modification, amendment or alteration in the terms or conditions contained herein
shall be effective unless contained in a written document in accordance with Article 3 above.
12.6 INCORPORATION BY REFERENCE The truth and accuracy of each "Whereas"
clause set forth above is acknowledged by the parties. The attached Exhibits "A," "B" and "C"
are incorporated into and made a part of this Agreement.
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IN WITNESS WHEREOF,the Parties have executed this Agreement on the date and
year first above written.
�, BOARD OF COUNTY COMMISSIONERS
OF CIA LIER COUNTY, FLORIDA
ATTEST. ••
DWIGHT E. BROC ,CLERK
By:
A A / �. 1lik DONNA FIALA, CHAIR
est as to Chairman's IF
signature only:
A. •ved as to form and
l: ali
Scott R. Teach
Deputy County Attorney
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LAW O .F> ARMSTR•+, PLLC
iiii
By: ADP
00
A&
rian P. Armstro►
Its: Oi 4'
STATE OF FLORIDA
COUNTY OF LEON
The foregoing Retention Agreement was acknowledged before me this dgfil day of
Fe)aa (. , 2016, by BriaiA P. Armstrong as owner of Law Office of Brian Armstrong, PLLC,
on behalf' of A)J Seg . He/she is personally known to me or produced
f1.4)L__ Csa-oi s- S 34x d as identification.
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Signature of Not. PP(fy ( Tc
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�ta��� V�fi�r
Name of Notary Public typed,printed or
My Commission Expires:
0.7.11,1,7„ JAMES VICTOR PARRAMORE,JR.
„ au •,t: MY COMMISSION#FF 065449
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;;;F:, yam;;, EXPIRES:October 23,2017
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EXHIBIT A
For professional services rendered, Armstrong's fee shall be based on the hourly rate as follows:
Attorney Billing Rate
Brian P. Armstrong $200.00 per hour
All other Partners $200.00 per hour
Associates $175.00 per hour
Paralegals $70.00 per hour
Armstrong's fee shall not exceed $100,000.00 per new matter assigned without the approval of
the Board of County Commissioners. Any expenditure beyond the initial $100,000.00 approval
by the Board of County Commissioners must have Board approval prior to work being
performed. (Where appropriate a "not to exceed" sum shall be agreed to when each assignment
is made to Armstrong.)
In the event that Armstrong is required or requested to perform any additional or extraordinary
services not herein contemplated, Armstrong shall be entitled to apply for additional
compensation, the amount of which shall be subject to the approval of County and no such
additional compensation in excess of the amount herein stated shall be paid unless specifically
authorized in advance by County in its sole discretion.
Armstrong shall provide, at no cost to County, the annual response to County's auditors
regarding pending or threatened litigation. The auditors typically request information regarding
all litigation, claims and assessments considered to be material. The response should include the
nature of the litigation, the progress of the case to date, an estimate of the amount or range of
potential loss, and any other information considered necessary to explain the case. Armstrong
shall provide said response within 30 days of receipt of the request.
Divisions, or departments within such divisions, shall be responsible and pay for legal counsel
services relating to litigation and outside counsel specifically for cases, matters or issues relating
to such division or depaitiuent, as determined by the County Attorney in coordination with the
County Manager.
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16K 51.4,
EXHIBIT B
1. In addition to the charges for professional fees set forth in Exhibit "A,"and the Schedules
attached hereto, County shall reimburse Armstrong for out-of-pocket expenses reasonably
incurred in the course of rendering such legal services, including costs of long distance calls,
printing, costs of reproduction, and necessary travel expenses incurred in accordance with the
requirements of Chapter 112, F.S. Armstrong shall not charge for travel of attorneys between its
offices so that it can provide the best available and most appropriate lawyer in any of its office
locations for the issues involved.
2. Armstrong shall submit invoices on a monthly basis for the payment of out-of-pocket
expenses. Each invoice shall include a signed certificate listing all costs, expenses, vouchers,
invoices and other documentary evidence that will describe in reasonable detail the basis for
expenditures for which reimbursement is sought as set forth below.
3. REQUIREMENTS
The following represents Collier County's payment requirements for legal costs
> Your federal employee identification number must be on all invoices submitted.
> The applicable Purchase Order number must be on all invoices submitted.
> No service, interest, or other charge of like nature is to be imposed with regard to
any item, invoice, or request. All firms doing business with Collier County must
have a current W-9 "Request for Taxpayer Identification Number and
Certification" on file.
> Services rendered must be specifically and concisely identified.
> Names of persons performing services, hourly rates, and dates must be listed. The
County agrees to reimburse Armstrong for retention and utilization of
sub-consultants.
> Reimbursable expense must be verified by attached receipts or copies thereof.
➢ Claims for mileage and meals cannot exceed statutory allowance as provided for
under Chapter 112, F.S. Meals and mileage cannot be charged unless the
professional has traveled outside the county of the principal business location.
> Claims for lodging at single rate (actual cost) must be substantiated by paid bill or
charge, with a cap of no more than$150.00 per night.
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> Car rentals required for travel should include compact or standard-size vehicles
only.
• Common carrier travel shall be reimbursable at tourist or coach class fares only.
> Accounting Division requires original receipts, or copies of receipts which have
been individually certified to be true copies of the originals. In addition the
Certificate contained in Exhibit C must accompany each invoice. The certifying
person must sign the Certification form and a description provided of the items,
which are certified.
> Faxes shall not be reimbursed
> Legal Research costs (Lexis-Nexis, Westlaw, etc.) shall not be reimbursed
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EXHIBIT C
CERTIFICATE
IT IS HEREBY CERTIFIED that:
1• has been duly designated as special counsel to
render legal services or provider of services for or on behalf of Collier County;
2. Each of the documents hereinafter identified and attached is a true and correct copy of the
original record;
3. Expenditure(s) enumerated represent costs necessarily incurred during the course of
official business for which payment has not been received and for which documentation is
not available or reasonably retrievable;
4. Claims are in compliance with the applicable statutes and administrative orders, and with
the express provision that all other parties are barred from entitlement to any part of these
costs.
RE: Invoice No. , Dated
Period Covered: , Amount
IN-HOUSE CHARGES:
Photocopies: copies @ $0.15/each $
Mileage: miles @ /mile $
OTHER(Copies of invoices required):
Long Distance Calls $
Other: $
TOTAL: $
FOR THE FIRM
Signed:
Print Name:
Title:
Date:
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a -
02/29/2016
` ---- CERTIFICATE OF LIABILITY INSURANCE
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 CONTACTNAME: Scott Wilder
FAX
Mercer Consumer,a service of PHONE(A/C,No,Ext): 800-435-7904 (A/C,No): 515-282-7839
Mercer Health&Benefits Administration LLC E-MAIL
P.O.Box 10302 ADDRESS: Iawyerpl.serviceLmercer.com
Des Moines, IA 50306-0302
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A:Berkley Insurance Company 32603
Law Office of Brian Armstrong,PLLC INSURER B:
P.O.Box 5055 INSURER C:
Tallahassee,FL 32314 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
NSR ADD'L SUER POLICY EFF POLICY EXP LIMITS
JR TYPE OF INSURANCE INSRD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
EACH OCCURRENCE $
GENERAL LIABILITY DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $
MED EXP(Any one person) $
CLAIMS-MADE OCCUR —
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS—COMP/OP AGG $
GEN'L AGGREGATE LIMIT APPLIES PER:
7 POLICY PRO--JECT LOC $
COMBINED SINGLE LIMIT $
AUTOMOBILE LIABILITY (Ea accident) —
BODILY INJURY $
ANY AUTO (Per person) _
SCHEDULED BODILY INJURY $
ALL OWNED AUTOS AUTOS (Per accident) —
— NON-OWNED AUTOS PROPERTY DAMAGER $
HIRED AUTOS (Per accident)
$
EACH OCCURRENCE $
UMBRELLA LIAB OCCUR -
-- AGGREGATE $
EXCESS LIAB CLAIMS-MADE $
DED I `RETENTION$ I WC STAT TSI I EOTTH
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY ACCIDENT E.L EACH $
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A EL EACH DISEASE—EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE—POLICY LIMIT $
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED? $2,000,000
OTHER-PROFESSIONAL LIABILITY INSURANCE 1473553 02/02/2016 02/02/2017 LIMITS: PER CLAIM:
A RETRO DATE:02/02/2016 AGGREGATE: $2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORETHE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
Board of County Commissioners of Collier County, Florida
INACCORDANCE WITH THE POLICY PROVISIONS.
3299 East Tamiami Trail AUTHORIZED REPRESENTATIVE
Naples, FL 34112 Cj^vk-trl./V '
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