Backup Documents 12/10-11/2013 Item #16D19ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1601
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
vaF
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Routed by Purchasing Department to
Office
Initials
Date
the Following Addressees (In routing order)
January 3, 2014
Initial)
A licable
1. Risk Management
Risk
DD
A/q.
2. County Attorney Office
County Attorney Office
Agenda Item Number
16.D.19
Approved by the BCC
provide the Contact Information (Name; Agency; Address; Phone) on an attached sheet.
Type of Document
Contract
Number of Original
2
3. BCC Office
Board of County
Documents Attached
PO number or account
Commissioners
Solicitation / Contract
13-6157 The ILS Group
4. Minutes and Records
Clerk of Court's Office
Number/Vendor Name
d/b/a Classic Caterers
5. Return to Purchasing Department
Purchasing
Contact: Diana DeLeon
The Chairman's signature line date has been entered as the date of BCC approval of the
N/A
�1t''^G SPJnSc��YG
PRIMARY CONTACT INFORMATION
Name of Primary
Diana DeLeon for Millie Kaseeska,
Phone Number
252-8375
Purchasing Staff
January 3, 2014
Initial)
A licable
Contact and Date
Does the document require the chairman's original signature?
DD
Agenda Date Item was
December 10, 2013
Agenda Item Number
16.D.19
Approved by the BCC
provide the Contact Information (Name; Agency; Address; Phone) on an attached sheet.
Type of Document
Contract
Number of Original
2
Attached
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Documents Attached
PO number or account
N/A
Solicitation / Contract
13-6157 The ILS Group
number if document is
All handwritten strike -through and revisions have been initialed by the County Attorney's
Number/Vendor Name
d/b/a Classic Caterers
to be recorded
Office and all other parties except the BCC Chairman and the Clerk to the Board
INSTRUCTIONS & CHECKLIST
wv"eAr-, c' -A
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
Initial)
A licable
1.
Does the document require the chairman's original signature?
DD
2.
Does the document need to be sent to another agency for additional signatures? If yes,
N/A
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
by the Office of the County Attorney.
4.
All handwritten strike -through and revisions have been initialed by the County Attorney's
N/A
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
N/A
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
DD
signature and initials are required.
7.
In most cases (some contracts are an exception), an electronic copy of the document and
DD
this routing slip should be provided to the County Attorney's Office before the item is
input into SIRE.
8.
The document was approved by the BCC on the date above and all changes made
DD
during the meeting have been incorporated in the attached document. The County
Attorney' 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 ha -e been made, and the document is ready for th
Chairman's signature.
wv"eAr-, c' -A
16D19
MEMORANDUM
Date: January 7, 2014
To: Diana De Leon for Millie Kaseeska
Purchasing Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Contract #13-6157 "Senior Food Program"
Contractor: The ILS Group d/b/a Classic Caterers
Attached is an original copy of the contract referenced above, (Item #16D19) approved
by the Board of County Commissioners on December 10, 2013.
The second original will be held on file in the Minutes and Records Department for
the Board's Official Record.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
16D19
A G R E E M E N T 13-6157
for
Senior Food Program
THIS AGREEMENT, made and entered into on this 1d4-4day of w Qr 2013, by and
between ILS Group LLC, d.b.a. Classic Caterers, authorized to do business in the State of
Florida, whose business address is 5201 Blue Lagoon Dr, Suite 270, Miami FL 33126
hereinafter called the "Contractor" and Collier County, a political subdivision of the State of
Florida, Collier County, hereinafter called the "County":
WITNESSETH:
1. COMMENCEMENT. The Contractor shall commence the work upon the issuance of a
Purchase Order. The contract shall be for a one (1) year period, commencing on January
1, 2014, following Board approval.
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 three
(3) additional one (1) year periods in accordance with the grant requirements. The
County shall give the Contractor written notice of the County's intention to extend the
Agreement term not less than ten (10) days prior to the end of the Agreement term then
in effect.
2. STATEMENT OF WORK. The Contractor shall provide Senior Food services in
accordance with the terms and conditions of Bid #13-6157, specifically including
Exhibit I: Scope of Work, Exhibit IA: Additional Grant Requirements, Addenda, and
the Contractor's proposal referred to herein and made an integral part of this
agreement. This Agreement contains the entire understanding between the parties and
any modifications to this Agreement shall be mutually agreed upon in writing by the
Contractor and the County contract manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. COMPENSATION. The County shall pay the Contractor for the performance of this
Agreement the aggregate of the units actually ordered and furnished at the unit price, as
per Exhibit A, Price Schedule, attached herein and incorporated by reference.
Contractor shall be responsible for all other costs and expenses associated with activities
and solicitations undertaken pursuant to this Agreement.
Page 1 of 9 (D
16D19
Payment will be made upon receipt of a proper invoice and upon approval by the
Contract Manager or his designee, and in compliance with Chapter 218, Fla. Stats.,
otherwise known as the "Local Government Prompt Payment Act".
3.1 Payments will be made for services furnished, delivered, and accepted, upon
receipt and approval of invoices submitted on the date of services or within six (6)
months after completion of contract. Any untimely submission of invoices beyond
the specified deadline period is subject to non-payment under the legal doctrine of
"laches" as untimely submitted. Time shall be deemed of the essence with respect to
the timely submission of invoices under this agreement.
4. 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.
5. NOTICES. All notices from the County to the Contractor shall be deemed duly served
if mailed or faxed to the Contractor at the following Address:
ILS Group, LLC, d.b.a. Classic Caterers
Attn: Orlando Monteagudo, VP Food Services
5201 Blue Lagoon Drive Suite 270
Miami, FL 33126
Telephone: (305) 262-1292
Facsimile: (786) 513-8582
omonteagudo@ilshealth.com
All Notices from the Contractor to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Housing, Human, and Veteran Services Department
Attn. Heidi Fahnestock, Supervisor Food Programs
3339 Tamiami Trail, East
Naples, Florida 34112
Telephone: 239-252-2486
Facsimile: 239-252-6517
heidifahnestock@colliergov.net
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.
Page 2 of 9
CA
16019
6. 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.
7. 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. 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.
8. 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 contract 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.
9. 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 sole judge of
non-performance.
10. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as
to race, sex, color, creed or national origin.
11. INSURANCE AND BONDS. The Contractor shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include Premises and Operations; Independent
Contractors; Products and Completed Operations and Contractual Liability.
Page 3 of 9
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B. Business Auto Liability: Coverage shall have minimum limits of $1,000,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage
Liability. This shall include: Owned Vehicles, Hired and Non -Owned Vehicles and
Employee Non -Ownership.
C. Workers' Compensation: Insurance covering all employees meeting Statutory
Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits.
The coverage must include Employers' Liability with a minimum limit of $500,000 for
each accident.
D. Umbrella Liability: $2,000,000 Limit to apply in excess of underlying Employer
Liability, Commercial General Liability and Automobile Liability
E. Bonds. For projects in excess of $200,000 bonds shall be submitted with the executed
contract by Contractor, and written for 100% of the Contract award amount, the cost
borne by the Contractor. The Performance and Payment Bonds shall be underwritten by
a surety authorized to do business in the State of Florida and otherwise acceptable to the
County; provided, however, the surety shall be rated as "A-" or better as to general
policy holders rating and Class V or higher rating as to financial size category and the
amount required shall not exceed 5% of the reported policy holders' surplus, all as
reported in the most current Best Key Rating Guide, published by A.M. Best Company,
Inc. of 75 Fulton Street, New York, New York 10038.
Special Requirements: Collier County Government shall be listed as the Certificate
Holder and included as an Additional Insured on the Comprehensive General Liability
Policy.
Current, valid insurance policies meeting the requirement herein identified shall be
maintained by Contractor during the duration of this Agreement. Renewal certificates
shall be sent to the County ten (10) days prior to any expiration date. There shall be a
thirty (30) day notification to the County in the event of cancellation or modification of
any stipulated insurance coverage.
Contractor shall insure that all subcontractors comply with the same insurance
requirements that he is required to meet. The same Contractor shall provide County
with certificates of insurance meeting the required insurance provisions.
12. INDEMNIFICATION. To the maximum extent permitted by Florida law, the
Contractor shall 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, 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
Page 4 of 9 CA
16p19
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.
12.1 The duty to defend under this Article 12 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 12 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.
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of
the County by the Housing, Human and Veterans' Services (HHVS) Department.
14. 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.
15. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
component parts, all of which are as fully a part of the contract as if herein set out
verbatim: Contractor's Proposal, Insurance Certificate, Performance and Payment
Bonds, ITB #13-6157 Specifications/ Scope of Services specifically including Exhibit I:
Scope of Work, and Exhibit IA: Additional Grant Requirements and any Addenda, and
attached Exhibit A, Price Schedule.
16. SUBJECT TO APPROPRIATION. It is further understood and agreed by and between
the parties herein that this agreement is subject to appropriation by the Board of County
Commissioners.
17. 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, 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
Page 5 of 9
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16D19
quotes; and, c. immediate termination of any contract held by the individual and/or
firm for cause.
18. 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) -(d) and (3)). 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.
19. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES. Collier County
encourages and agrees to the successful proposer extending the pricing, terms and
conditions of this solicitation or resultant contract to other governmental entities at the
discretion of the successful proposer.
20. 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.
21. ADDITIONAL ITEMS/SERVICES. Additional items and/or services may be added to
this contract in accordance with the Purchasing Policy.
22. 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.
Page 6 of 9
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10
'Del 9 VENUE. Any suit or action brought by either party to this Agreement against the
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.
24. KEY PERSONNEL/STAFFING: The Contractor's personnel and management to be
utilized for this contract shall be knowledgeable in their areas of expertise. The County
reserves the right to perform investigations as may be deemed necessary to ensure that
competent persons will be utilized in the performance of the contract. The Contractor
shall assign as many people as necessary to complete the services on a timely basis, and
each person assigned shall be available for an amount of time adequate to meet the
required service dates.
25. ORDER OF PRECEDENCE: In the event of any conflict between or among the terms of
any of the Contract Documents, the terms of the ITB and/or the Contractor's Proposal,
the Contract Documents shall take precedence.
26. 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.
Page 7 of 9 G
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161119
IN WITNESS WHEREOF, the Contractor and the County, have each, respectively, by an
authorized person or agent, have executed this Agreement on the dates and year first written
below.
ATTEST: , , r, '
D i:°ock erk of Court
p� was tom
9A -j1= -:5H l�Aslrj
TType/print witness nameT
Approved as to Form and Legality:
Assist t County Attorney
c"�A • )+O n2
Print Name
Page 8 of 9
BOARD OF COUNTY COMMISSIONERS
COLLTFR COUNTY, Fi ORIDA
Los
Ge rWia A. Hiller, Esq. Date
Chairwoman IZ\%<A%3
ILS Group, LLC, d.b.a. Classic Caterers
Contractor
Nestor Plana, MGRM Date
Z e&"— &AWA
Typed signature and title
lte;r; #I bbl 9
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[date , LTJ 1�
Exhibit A
16019
Price Schedule
13-6157 Senior Food Program
Page 9 of 9
Bulk Food Program
Breakfast
$ 3.05
1
Bulk Food Program
Lunch
$ 3.91
2
Pre-packaged Site Specific Program
Breakfast
$ 3.23
3
Pre-packaged Site Specific Program
Lunch
$ 3.79
4
w/o all side items pre -packed i.e.,
bread/butter, dessert
Pre-packaged Site Specific Program
Lunch
$ 4.10
5
w all side items pre -packed i.e.,
bread/butter, dessert
Pre-packaged Home Delivery Program
Lunch
$ 4.91
6
TWO PACK
Pre-packaged Home Delivery Program
Lunch
$ 4.87
7
FIVE PACK
Pre-packaged Home Delivery Program
Lunch
$ 4.78
8
SEVEN PACK
Pre-packaged Home Delivery Program
Lunch
$ 4.78
9
FOURTEEN PACK
DRI Shelf Stable meal packs TWO
lunch
$ 4.72
10
PACK
DRI Shelf Stable meal packs THREE
lunch
$ 4.72
11
PACK
DRI Shelf Stable meal packs FIVE
lunch
$ 4.79
12
PACK
DRI Shelf Stable meal packs SEVEN
lunch
$ 4.84
13
PACK
C1 frozen meal
lunch
$ 4.56
14
C1 cold meal
lunch
$ 5.30
15
Page 9 of 9
ILSGROU 1 6 A0JE9L
'`;l Rte' CERTIFICATE OF LIABILITY INSURANCE
DATE
INSR
LTR
11/26/2013Y)
11!26/2013
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 -
Legacy Insurance Solutions, LLC
3500 Financial Plaza
4th Floor
Tallahassee, FL 32372-9499
CON
NAME CT Tina O'Donnell
PHONE 85O 894-2333
FAX ( )
A/C No EI: ( ) AIC Nol: 850 894-3129
ADDR ss: todonnell le acyinslic.com
INSURER($) AFFORDING COVERAGE NAIC X
INSURER A: Philadelphia Indemnity Insurance Company 18058
INSURED
INSURER B:
INSURER C :
ILS Group, LLC dba Classic Caterers
INSURER D:
5201 Blue Lagoon Drive Ste 270
Miami, FL 33126
INSURER E
INSURER F:
6/1/2014
1. V CKAU' Ca. "R -K 11FIt:Y I F IVR lsamim - O1=1/IC1f1\I
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MM/DD
POLICY EXP
M/DD
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,00
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FXI OCCUR
X
PHPK1022438
6/1/2013
6/1/2014
PREMISES Ea occurrence $ 100,00
MED EXP (Any one person) $ 5,00
PERSONAL 8 ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 3,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO X LOC
PRODUCTS -COMP/OP AGG $ 3,000,00
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident $
BODILY INJURY (Per person) $
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident $
( )
NON-OWNEDPROPERTY
HIRED AUTOS AUTOS
DAMAGE
Per acciderd $
$
UMBRELLA LIAB
HOCCUR
EACH OCCURRENCE $
EXCESS LIAB
CLAIMS -MADE
AGGREGATE $
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
N / A
WC STATU- OTH-
TRY I IT
EL. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYE $
(Mandatory In NH)
describe under
E.L. DISEASE - POLICY LIMIT $
D S
DESCRIPTION OF OPERATIONS below
A
Crime
PHPK1022438
6/1/2013
W1/2014
500,00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Collier County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
v TJ00-zuIu AGUKU GUKPUKATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE
INDELIVJ 4112al
DATE (MM/DDNYYY)
11 /7a17n'1't
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 endorsemengs).
PRODUCER
nsu a ce S lutions, LLC
yy
35 _y Insurance
Plazac
4th Floor
Tallahassee, FL 32312-9999
CONTACT Tina O'Donnell
NAME:
PHONE C Nor, 850 8943129
(Al No Et): (850) 894-2333 ( )
IE SS: todonnell@legacyinslic.com
GENERAL LIABILITY
INSURE S AFFORDING COVERAGE NAIC 0
INSURER A: Travelers Group
INSURED
INSURER 13: Travelers Casualty and Surety Company of America 31194
INSURER C:
ILS Group LLC dba Classic Caterers
INSURER D:
5201 Blue Lagoon Drive, Ste 270
Miami, FL 33126
INSURERE:
INSURER F:
GUVtKAGt5 GEKFIFIGATE NUMBER: RPVICIr11N Pill l uRFR•
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
LTR
TYPE OF INSURANCEADUL
POLICY NUMBER
POLICY EFF
MM/DDIYYYY)
POLICY EXP
(MMfDDNYYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $
PREMISES Ee occurrence S
COMMERCIAL GENERAL LUU11LfrY
CLAIMS -MADE r_1 OCCUR
MED EXP (Any one person) S
PERSONAL& ADV INJURY $
GENERAL AGGREGATE $
GEN'LAGGREGATELIMITAPPLIES PER:
POLICY PRO- ECTLOC
PRODUCTS-COMP/OPAGG $
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
BA6D40501 A
10/13/2013
10/13/2014
EOMBIBIN��SINGLE LIMIT $ 1,000,00
BODILY INJURY (Per person) $
JX
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident) $
NON -OWNED
HIRED AUTOS Ix AUTOS
PROPERTY DAMAGE
Per accident S
S
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE S
EXCESS LIAB
CLAIMS -MADE
AGGREGATE S
DED I I RETENTION $
S
B
WORKERS COMPENSATION
ANDEMPLOYERS' LIABILITY , / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
NIA
UB6C860311
1/14/2013
1/14/2014
WC STATU- OTH-
T Y
E.L. EACH ACCIDENT S 11000,00
E.L. DISEASE - EA EMPLOYEES 1,000,00
(Mandatory In NH)
If yes, describe trader
EL. DISEASE -POLICY LIMIT S 1,000,00
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K mon space Is required)
ACDT,r A- „A,
I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Collier County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Iago- -w Iv m%'VKu L UKrUKA I IUN. All rights reserved.
ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD