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#18-7365 (Gulf Coast Adult Soccer League, Inc.) REVENUE GENERATING AGREEMENT #18-7365-WV for Amateur Soccer League for Adults ll THIS AGREEMENT, made and entered into on this 2�' day of •SUL1142_ 20( , by and between Gulf Coast Adult Soccer League, Inc. authorized to do business in the State of Florida, whose business address is 4706 Pembrook Lane, Bonita Springs, Florida 34134 , (the "Contractor") and Collier County, a political subdivision of the State of Florida, (the "County"): WITNESSETH: 1. AGREEMENT TERM. The Agreement shall be for a three ( 3 ) year period, commencing U upon the date of Board approval or❑ on and terminating three (3 ) year(s) from that date. The County may, at its discretion and with the consent of the Contractor, renew the Agreement under all of the terms and conditions contained in this Agreement for two (2 ) additional one ( 1 ) year(s) periods. The County shall give the Contractor written notice of the County's intention to renew the Agreement term prior to the end of the Agreement term then in effect. The County Manager, or his designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred and eighty (180) days. The County Manager, or his designee, shall give the Contractor written notice of the County's intention to extend the Agreement term prior to the end of the Agreement term then in effect. 2. COMMENCEMENT OF SERVICES. The Contractor shall commence the work upon Board Approval of Agreement. 3. STATEMENT OF WORK. The Contractor shall provide services in accordance with the terms and conditions of ❑ Request for Proposal ❑ to (ITB) U Other Single Source Waiver Exemption ( )# 18-7365 , including all Attachment(s), Exhibit(s) and Addenda and the Contractor's proposal referred to herein and made an integral part of this Agreement. 0 The Contractor shall also provide services in accordance with Exhibit A—Scope of Services attached hereto. It is not permissible for other County divisions or governmental entities to utilize the Agreement. Page 1 of 12 Revenue Generating Agreement#2017.004(v 3.1 This Agreement contains the entire understanding between the parties and any modifications to this Agreement shall be mutually agreed upon in writing by the Parties, in compliance with the County's Procurement Ordinance, as amended, and Procurement Procedures in effect at the time such services are authorized. 4. THE AGREEMENT SUM. The Contractor shall pay the County for the performance of this Agreement based on Exhibit B- Fee Schedule, attached hereto. 5. FINANCIAL REVIEW, RECORDS, AUDIT. The Contractor shall provide, at its expense, an annual independent review of the Contractor's financial records. The purpose of this review is to substantiate that the County has been compensated in accordance with this Agreement. The Contractor shall establish and maintain such records as now exist and may hereafter be prescribed by the County in the future to provide evidence that all terms of this Agreement have been and are being observed. The Contractor grants to the County the right and authority to audit all records, documents, and books pertaining to the concession operations. Such audit will be conducted at locations and at a frequency determined by the County and communicated to the Contractor. The Contractor agrees to provide materials for the audit at the place designated by the County within three (3) business days after the County's notice to do so is received by Contractor, all at no cost to the County. 6. SALES TAX. Contractor shall pay all sales, consumer, use and other similar taxes associated with the Work or portions thereof, which are applicable during the performance of the Work. Collier County, Florida as a political subdivision of the State of Florida, is exempt from the payment of Florida sales tax to its vendors under Chapter 212, Florida Statutes, Certificate of Exemption # 85-8015966531C. 7. NOTICES. All notices from the County to the Contractor shall be deemed duly served if mailed or emailed to the Contractor at the following: Company Name: Gulf Coast Adult Soccer League, Inc. Address: 4706 Pembrook Lane Bonita Springs, Florida 34134 Authorized Agent: Guy Harris, President Attention Name & Title: Guy Harris, President Telephone: 239-565-1598 E-Mail(s): Bredaguv@yahoo.com Page 2 of 12 Revenue Generating Agreement#2017.004(Ver.1) All Notices from the Contractor to the County shall be deemed duly served if mailed or emailed to the County to: Board of County Commissioners for Collier County, Florida Division Director: Barry Williams Division Name: Parks and Recreation Address: 15000 Livingston Road Naples, Florida 34109 Administrative Agent/PM: Matt Catoe, Operations Analyst Telephone: 239-252-4059 E-Mail(s): Matthew.Catoe@colliercountyfl.gov The Contractor and the County may change the above mailing address at any time upon giving the other party written notification. All notices under this Agreement must be in writing. 8. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating a partnership between the County and the Contractor or to constitute the Contractor as an agent of the County. 9. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.S., all permits necessary for the prosecution of the Work shall be obtained by the Contractor. The County will not be obligated to pay for any permits obtained by Subcontractors. Payment for all such permits issued by the County shall be processed internally by the County. All non-County permits necessary for the prosecution of the Work shall be procured and paid for by the Contractor. The Contractor shall also be solely responsible for payment of any and all taxes levied on the Contractor. In addition, the Contractor shall comply with all rules, regulations and laws of Collier County, the State of Florida, or the U. S. Government now in force or hereafter adopted. The Contractor agrees to comply with all laws governing the responsibility of an employer with respect to persons employed by the Contractor. 10. NO IMPROPER USE. The Contractor will not use, nor suffer or permit any person to use in any manner whatsoever, County facilities for any improper, immoral or offensive purpose, or for any purpose in violation of any federal, state, county or municipal ordinance, rule, order or regulation, or of any governmental rule or regulation now in effect or hereafter enacted or adopted. In the event of such violation by the Contractor or if the County or its authorized representative shall deem any conduct on the part of the Contractor to be objectionable or improper, the County shall have the right to suspend the Agreement of the Contractor. Should the Contractor fail to correct any such violation, conduct, or practice to the satisfaction of the County within twenty-four (24) hours after receiving notice of such violation, conduct, or practice, such suspension to continue until the violation is cured. The Contractor further agrees not to commence operation during the suspension period until the violation has been corrected to the satisfaction of the County. Page 3 of 12 Revenue Generating Agreement#2017.004(Ver.1) 11. TERMINATION. Should the Contractor be found to have failed to perform his services in a manner satisfactory to the County as per this Agreement, the County may terminate said Agreement for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be the sole judge of non-performance. In the event that the County terminates this Agreement, Contractor's recovery against the County shall be limited to that portion of the Agreement Amount earned through the date of termination. The Contractor shall not be entitled to any other or further recovery against the County, including, but not limited to, any damages or any anticipated profit on portions of the services not performed. 12. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as to race, sex, color, creed or national origin. 13. INSURANCE. The Contractor shall provide insurance as follows: A. 1I Commercial General Liability: Coverage shall have minimum limits of$ 1,000,000 Per Occurrence, $2,000,000 aggregate for Bodily Injury Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 13- Business Auto Liabilityj Coverage shall have minimum limits of $ Per --: a --- , . i - - .. _ •- a . . O- ❑ _' - - _ _ . , _ ae elen4 shall havc limits of not lets than $ each claim and aggregate. J yber Liability Coverage shall have minimum limits of$ per claim. ❑ : Coverage shall have minimum limits of$ per claim. Special Requirements: Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR, Collier County Government shall be listed as the Certificate Holder and included as an "Additional Insured" on the Insurance Certificate for Commercial General Liability where required. This insurance shall be primary and non-contributory with respect to any other insurance maintained by, or available for the benefit of, the Additional Insured and the Contractor's policy shall be endorsed accordingly. Current, valid insurance policies meeting the requirement herein identified shall be maintained by Contractor during the duration of this Agreement. The Contractor shall provide County with certificates of insurance meeting the required insurance provisions. Renewal certificates shall be sent to the County thirty (30) days prior to any expiration date. Coverage afforded under the Page 4of12 Revenue Generating Agreement#2017.004(V policies will not be canceled or allowed to expire until the greater of: thirty (30) days prior written notice, or in accordance with policy provisions. Contractor shall also notify County, in a like manner, within twenty-four (24) hours after receipt, of any notices of expiration, cancellation, non- renewal or material change in coverage or limits received by Contractor from its insurer, and nothing contained herein shall relieve Contractor of this requirement to provide notice. Contractor shall ensure that all subcontractors comply with the same insurance requirements that the Contractor is required to meet. 14. INDEMNIFICATION. To the maximum extent permitted by Florida law, the Contractor shall defend, indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, whether resulting from any claimed breach of this Agreement by Contractor, any statutory or regulatory violations, or from personal injury, property damage, direct or consequential damages, or economic loss, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor or anyone employed or utilized by the Contractor in the performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an indemnified party or person described in this paragraph. This section does not pertain to any incident arising from the sole negligence of Collier County. 13.1 The duty to defend under this Article 13 is independent and separate from the duty to indemnify, and the duty to defend exists regardless of any ultimate liability of the Contractor, County and any indemnified party. The duty to defend arises immediately upon presentation of a claim by any party and written notice of such claim being provided to Contractor. Contractor's obligation to indemnify and defend under this Article 13 will survive the expiration or earlier termination of this Agreement until it is determined by final judgment that an action against the County or an indemnified party for the matter indemnified hereunder is fully and finally barred by the applicable statute of limitations. 15. AGREEMENT ADMINISTRATION. This Agreement shall be administered on behalf of the County by the Parks and Recreation Division 16. CONFLICT OF INTEREST. Contractor represents that it presently has no interest and shall acquire no interest, either direct or indirect, which would conflict in any manner with the performance of services required hereunder. Contractor further represents that no persons having any such interest shall be employed to perform those services. 17. APPLICABILITY. Only the sections corresponding to any checked box (IN ) will apply to this Agreement. 18. COMPONENT PARTS OF THIS AGREEMENT. This Agreement consists of the following component parts, all of which are as fully a part of the Agreement as if herein set out verbatim: Contractor's Proposal, Insurance Certificate(s), Exhibit A Scope of Services, Exhibit B Fee Schedule, I I RFP/ I I ITB/■ Other Single Source Waiver Exemption #18-4365-WV, including Exhibits, Attachments and Addenda/Addendum and — Other C (hihi4"Attc ohmont: Page 5 of 12 Revenue Generating Agreement#2017.004(Ver.1) 19. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value to any County employee, as set forth in Chapter 112, Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004-05, as amended, and County Administrative Procedure 5311. Violation of this provision may result in one or more of the following consequences: a. Prohibition by the individual, firm, and/or any employee of the firm from contact with County staff for a specified period of time; b. Prohibition by the individual and/or firm from doing business with the County for a specified period of time, including but not limited to: submitting bids, RFP, and/or quotes; and, c. immediate termination of any Agreement held by the individual and/or firm for cause. 20. COMPLIANCE WITH LAWS. By executing and entering into this Agreement, the Contractor is formally acknowledging without exception or stipulation that it agrees to comply, at its own expense, with all federal, state and local laws, codes, statutes, ordinances, rules, regulations and requirements applicable to this Agreement, including but not limited to those dealing with the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended; taxation, workers' compensation, equal employment and safety including, but not limited to, the Trench Safety Act, Chapter 553, Florida Statutes, and the Florida Public Records Law Chapter 119, including specifically those contractual requirements at F.S. § 119.0701(2)(a)-(b) as stated as follows: IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: Communication and Customer Relations Division 3299 Tamiami Trail East, Suite 102 Naples, FL 34112-5746 Telephone: (239) 252-8383 The Contractor must specifically comply with the Florida Public Records Law to: 1. Keep and maintain public records required by the public agency to perform the service. 2. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 3. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the Contractor does not transfer the records to the public agency. 4. Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the Contractor or keep and maintain public records required by the public agency to perform the service. If the Contractor transfers all public records to the public agency upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon Page 6 of 12 Revenue Generating Agreement#2017.004(Ver.1) completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the public agency, upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. If Contractor observes that the Contract Documents are at variance therewith, it shall promptly notify the County in writing. Failure by the Contractor to comply with the laws referenced herein shall constitute a breach of this Agreement and the County shall have the discretion to unilaterally terminate this Agreement immediately. 21. AGREEMENT TERMS. If any portion of this Agreement is held to be void, invalid, or otherwise unenforceable, in whole or in part, the remaining portion of this Agreement shall remain in effect. 22. ADDITIONAL ITEMS/SERVICES. Additional items and/or services may be added to this Agreement in compliance with the Procurement Ordinance, as amended, and Procurement Procedures, 23. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between the parties, the parties shall make a good faith effort to resolve any such disputes by negotiation. The negotiation shall be attended by representatives of Contractor with full decision-making authority and by County's staff person who would make the presentation of any settlement reached during negotiations to County for approval. Failing resolution, and prior to the commencement of depositions in any litigation between the parties arising out of this Agreement, the parties shall attempt to resolve the dispute through Mediation before an agreed-upon Circuit Court Mediator certified by the State of Florida. The mediation shall be attended by representatives of Contractor with full decision-making authority and by County's staff person who would make the presentation of any settlement reached at mediation to County's board for approval. Should either party fail to submit to mediation as required hereunder, the other party may obtain a court order requiring mediation under section 44.102, Fla. Stat. 24. VENUE. Any suit or action brought by either party to this Agreement against the other party relating to or arising out of this Agreement must be brought in the appropriate federal or state courts in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters. 25. I 1 • •_ . . e• • •w . •e ••. w„ew••r• } e • *..e •r w�r•.r• w� r w w...r. r........• w....=r �, -.... • - r r r •w:_ r . w.r ♦...w r w•.r• ♦ •• w. . . _.w r _s-w e r• - . w.� r . w.w •. - ww .w r r. .. _.w.r• „ . .. . - . • • 'w,r •� •• ��...,•,.. • rw. r mow..w•.�.„ �. rr _ r . r . Collier County within seven (7) days of the change.-The County retains final approval of proposed 11 AGREEMENT STAFFING. The Contractor's personnel and management to be utilized for this Agreement shall be knowledgeable in their areas of expertise. The County reserves the right to Page 7 of 12 Revenue Generating Agreement#2017.004(Ver 1),.. perform investigations as may be deemed necessary to ensure that competent persons will be utilized in the performance of the Agreement. The Contractor shall assign as many people as necessary to complete required services on a timely basis, and each person assigned shall be available for an amount of time adequate to meet required services. 26. ORDER OF PRECEDENCE. In the event of any conflict between or among the terms of any of the Contract Documents, - ' -• = '- e= - , and/or the County's Board approved Executive Summary, the Contract Documents shall take precedence. 27. ASSIGNMENT. Contractor shall not assign this Agreement or any part thereof, without the prior consent in writing of the County. Any attempt to assign or otherwise transfer this Agreement, or any part herein, without the County's consent, shall be void. If Contractor does, with approval, assign this Agreement or any part thereof, it shall require that its assignee be bound to it and to assume toward Contractor all of the obligations and responsibilities that Contractor has assumed toward the County. 28. SECURITY. The Contractor is required to comply with County Ordinance 2004-52, as amended. Background checks are valid for five (5) years and the Contractor shall be responsible for all associated costs. If required, Contractor shall be responsible for the costs of providing background checks by the Collier County Facilities Management Division for all employees that shall provide services to the County under this Agreement. This may include, but not be limited to, checking federal, state and local law enforcement records, including a state and FBI fingerprint check, credit reports, education, residence and employment verifications and other related records. Contractor shall be required to maintain records on each employee and make them available to the County for at least four (4) years. All of Contractor's employees and subcontractors must wear Collier County Government Identification badges at all times while performing services on County facilities and properties. Contractor ID badges are valid for one (1) year from the date of issuance and can be renewed each year at no cost to the Contractor during the time period in which their background check is valid, as discussed below. All technicians shall have on their shirts the name of the contractor's business. The Contractor shall immediately notify the Collier County Facilities Management Division via e- mail (DL-FMOPScolliergov.net) whenever an employee assigned to Collier County separates from their employment. This notification is critical to ensure the continued security of Collier County facilities and systems. Failure to notify within four (4) hours of separation may result in a deduction of$500 per incident. (Intentionally left blank-signature page to follow) Page 8 of 12 Revenue Generating Agreement#2017.004(Ver vely, IN WITNESS,WHEREOF, the Contractor ant e Co dateaand year first bocci above n authorized person or agent, have executed this Agree BOARD OF OU COME0 ERS ATTEST: COLLIE- OU . FLO:,F / CRYSTAL K.K /tp INTERIM CL Y a 411 i, : ._ ii By: `1 ..— _ lir Andy Solis, Esq. , Chairman Dated: i' a t (Se I) 1' Attest as to airman's signature only._ Contra -•is Witnesses: Contractor.# By. -... Gulf Coast Adult Soccer League, In, \ 1 ice► Liu,/ First -. t=to y Acx f,s -- Tr�I01e4,4t Print ame and Title Print Name and Title ,/ / .4/." --''"- Seco•, itness rC.(lc ' Coo+'‘...) Print Name and Title Ap• oved - to o /24:1L2aiity: r e... County Attorney Page 9 of 12 #2017.004(Ver.1) 0 Revenue Generating Agreement Exhibit A Scope of Services [■J following this page (pages 1 through 2 ) n this exhibit is not applicable Page 10 of 12 Revenue Generating Agreement#2017.004(Ver.1) Scope of Service: I. Purpose To memorialize the basic understanding of terms of use of the North Collier Regional Park-Soccer Complex for an amateur adult soccer league. Gulf Coast and the County will work together to facilitate the provision and operation of an amateur adult soccer league under the rules and regulations of the Florida State Soccer Association and Collier County Government. Both parties agree to provide flexibility, communication, and collaboration toward this purpose. Gulf Coast Adult Soccer League (GCASL) is affiliated with the Florida State Soccer Association ("FSSA"), which is one of the largest of the 50 state associations comprising the Amateur Division of the United States Amateur Soccer Association. The FSSA's purpose is to promote and administer the game of soccer in all its United States Soccer Federation approved forms—be it outdoor or indoor, among men and women eighteen (18)years of age and over within the State of Florida—and to manage all intra-state games leading to National Cups. There are currently over 22 affiliated leagues throughout the state that represent over 550 teams and 12,000 players. The various leagues have divisions of competition which include:men's open,women's open,men's over 30,women's over 30, men's over 40, over 50, over 60,over 65, over 70, coed, 7 v 7 and others. Membership in FSSA includes: • Player and team insurance • Network of leagues and teams throughout the state • Regular communication about programs and opportunities within the state and around the nation • Opportunity to participate in state and national cup competitions • Access to certified referee assignors and certified referees • Assistance from FSSA board of directors and member leagues in reaching your league's goals II. GCASL agrees to: 1. Provide proof that the GCASL is affiliated with the Florida State Soccer Association; 2. Establish the necessary fees required to maintain league status and eligibility; 3. Provide state player database registration; 4. Collect all seasonal team registration fees; 5. Establish a League Disciplinary Board; 6. Develop assignor and referee agreements in conjunction with County personnel; 7. Pay administrative and league fee per participant for each league season due to the County on a seasonal league basis; 8. Submit an annual financial report, including revenues and expenditures to the Collier County Parks and Recreation Division("CCPRD")by January 15th of the prior year following the most recent facility request by the League; 9. Provide a list of Board of Directors and/or Organizational Officers with contact information (annually); 10. Provide proof of liability insurance/certificate of insurance coverage: General liability coverage of not less than$1,000,000 per occurrence (annually); 11. Include the Collier County Board of County Commissioners as a named additional insured; 12. Prominently display the CCPRD logo on all brochures, flyers, registration forms, and other advertising materials, including advertisements in the news media. III. Collier County agrees to: 1. Provide required field and lighting for League and State Tournaments; 2. Develop schedules and statistics in conjunction with league requirements; 3. Provide league meeting rooms; 4. Provide field and game hotline; 5. Provide access to Park personnel for security and league play activities; 6. Provide administrative support for seasonal team registration; 7. Make available the following forms: a. Team Individual Information sheet b. Official GCASL&CCPRD Team Roster c. FSSA and GCASL release and disclaimer d. Team payment and fee worksheet 8. Observe a"League Season"as follows: a. 2 seasons- Fall (Sept through Dec) & Spring(February—May)both 14 weeks b. Summer- 9 weeks-pending field availability. IV. General Conditions League Exhibits and Publications: • Exhibit A-CAUTIONABLE (YELLOW CARD) AND SEND OFF (RED CARD) OFFENCES • FIFA-RULES AND REGULATIONS & SODE OF CONDUCT • 7V7 RULES OF PLAY • League Structure-Divisions • League Registration Periods League Meetings: Monthly meetings will be held with members of the GCASL Board of Directors and Collier County Parks and Recreation personnel. Together, this team will ensure that wholesome, healthy and enjoyable recreation activities are available to Amateur Adults in the County. While the County Administration does not get closely involved with the structure, organization or administration of Organization operations, the County Parks and Recreation Division must remain accountable and responsible to citizens for any actions taken on its behalf by any affiliate organization, including Amateur Adult Sports Organizations. Since the County provides valuable assets that are funded by taxpaying citizens and the County allows use of these assets to the Organizations, Organizations must be prepared to provide their services in consonance with existing County policies, ordinances and good business practices. In addition,there may be times when the County is asked to become involved in issues related to Organization operations. VI. Geographic Scope of Memorandum of Understanding This will apply to all approved park sites, as well as CCPRD approved school sites. Exhibit B Fee Schedule I� following this page (pages 1 through 1 ) Ps; Page 11 of 12 Revenue Generating Agreement#2017.004(Ver.1) EXHIBIT B Fee Structure: REVENUE TO COUNTY GCASL agrees to pay the below administrative and league fee per participant for each league season due to the County on a seasonal league basis. Fall& Spring $45.00 per player per season Summer $35.00 per player per season Other Exhibit/Attachment Description: following this page (pages through ) n this exhibit is not applicable Page 12 of 12 Revenue Generating Agreement#2017.004(Vers C? AC CERTIFICATE OF LIABILITY INSURANCE DATE MM/DD/YYYY) 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 have ADDITIONAL INSURED provisions or 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 Des Champs & Gregory, Inc. NAMEACT 1812 Manatee Ave., W. PHONE FAX Bradenton, FL 34205 (A/C.No.Ext): E-MAIL 941-748-1812 (A/C,No): ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# www.deschampsgregory.com INSURERA: Scottsdale Insurance Co. 41297 INSURED INSURER B: Nationwide Life Insurance Company 66869 Florida State Soccer Association US Adult Soccer Association, Inc. INSURERC: Its Member National Affiliates, Leagues &Teams INSURERD: 7000 S. Harlem Ave INSURER E: Bridgeview IL 60455 INSURER F: COVERAGES CERTIFICATE NUMBER: 37507754 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 LIMITS LTR INSD MD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A `/ COMMERCIAL GENERAL LIABILITY KRS0000007061700 9/1/2017 9/1/2018 EACH OCCURRENCE $ 2,000,000 DAMAGE RETE CLAIMS-MADE / OCCUR PREM SESO(Ea occur ence) $ 300,000 ✓ Participant Legal MED EXP(Any one person)_ $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ None PRO LOC PRODUCTS-COMP/OPAGG $ 3,000,000 POLICY JECT OTHER: $ A AUTOMOBILE LIABILITY KRS0000007061700 9/1/2017 9/1/2018 EOaBINEDtSINGLELIMIT $ 2,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Participant Accident SPX0000028370100 9/1/2017 9/1/2018 Participant$25,000 max Accident $400 ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Gulf Coast Adult Soccer League,4706 Pembroke Lane, Bonita Springs,FL 34134 All Affiliated Teams Certificate Holder is Additional Insured as pertains to sanctioned games/practices of the named insured its Member National Affiliates,Leagues or Member Teams. The effective date of coverage for the Affiliates,Leagues&Teams shown is the date they were accepted as a member of USASA. CERTIFICATE HOLDER CANCELLATION All Affiliated Teams SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Parks& Recreation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Collier Regional Park ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Board of County Commissioners 15000 Livingston Road Naples FL 34109 AUTHORIZED REPRESENTATIVE / -�i ` _ /.mac ri/-w-s ,z. I Scott Lunsford ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 37507754 I GL, Auto, $25,000 Medical 1 Nick Schmitt 18/30/2017 12:51:55 PM (CDT) 1 Page 1 of 1