Backup Documents 05/24/2011 Item #16C216C 2
MEMORANDUM
Date: June 8, 2011
To: Brenda Reaves, Contract Technician
Purchasing Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Contract Number #11 -5647
"Annual Contract for Grease Hauling for Collier
County"
Contractor: Rockfill Associates d /b /a Crews
Enviornmental, Inc.
Attached is an original contract, referenced above (Item #16C2)
approved by the Board of County Commissioners on May 24, 2011.
The second original document will be kept in the Minutes and Records
Department for the Board's Official Record.
If you have any questions, please contact me at 252 -7240.
Thank you.
Memorandum
16C 2
Purchasing Department
3327 Tamiami Trail East
Naples, Florida 34112
Telephone: (239) 252-6020
FAX: (239) 252-6592
Email: BrendaReavesCo colliergov.net
www. colliercov. neUpu rchasinc
Subject: Solicitation # 11 -5647 "Annual Contract for Grease Hauling for Collier County
Date: Mayes" 2011 p
From: Brenda Reaves —IContract/Purchasing Technician— For Scott Johnson
To: Ray Carter, Risk Manager
This contract was previously reviewed by County Attorney on April 14, 2011, PRC -01887
This item was approved by the Board on May 24, 2011, Item # 16.C.2
The County is in the process of executing this contract with 11116,CM Associates, d/b /a Crews Environmental, Inc.
The insurance requirements are listed in Section 11.
Please review the Insurance Certificate(s) for the referenced Contract.
• H the insurance is not in order please contact the vendor /insurance company to obtain a proper
certificate. Once you receive the proper certificate(s), please acknowledge your approval and send to the
County Attorney's office via the attached Request for Legal Services.
• if the insurance is in order please acknowledge your approval and send to the County Attorney's office via
the attached Request for Legal Services.
If you have any questions, please contact me at the above referenced information.
Insur n ppr ved By:
Risk 3nage ent ignature Date
(Please route to County Attorney via attached Request for Legal Services)
DATE RECEIVED
MAY 2 5 2011
RISK NOPSEWNT'
G /Acquisitions /AgentFo"sa nd Letters /RiskMgmtReviewofl nsurance4/ 15/2010/16/09
16C 2
A G R E E M E N T 11 -5647
for
Annual Contract for Grease Hauling for Collier County
THIS AGREEMENT, made and entered into on this 24th day of May 2011, by and between
Rockfill Associates, d/b /a Crews Environmental, Inc., authorized to do business in the State
of Florida, whose business address is 2700 Rockfill Road, Fort Myers, Florida 33916,
hereinafter called the "Contractor" and Collier County, a political subdivision of the State of
Florida, Collier County, Naples, hereinafter called the "County ":
TNESSETH:
1. COMMENCEMENT.
The contract shall be for a one (1) year period, commencing on May, 24, 2011, and
terminating on May 23, 2012.
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 periods. 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 services in accordance with the
terms and conditions of Bid #11 -5647 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 project 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. Payment will be on a lump sum basis for each lift station, as per attached
Schedule A. The Contractor will be responsible for measurements, fees, hauling and disposal
costs.
1) The Contractor shall invoice on a monthly basis and the invoice shall have a detailed
description of the:
a. date of the work;
b. station number;
c. total number of gallons removed;
Page I of 8
16C 2
2) Each invoice submitted for payment shall be accompanied by the hauling manifest and
receipt from disposal site for each load of material removed.
Any county agency may purchase products and services under this contract, provided
sufficient funds are included in their budget(s). Payment will be made upon receipt of a
proper invoice and upon approval by the Project 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:
Rockfill Associates,
D /B /A Crews Environmental, Inc
2700 Rockfill Road
Fort Myers, FL 33916
Attn: Richard Millspaugh, Vice President
Telephone: 239/332 -1986
Fax: 239/332 -7654
All Notices from the Contractor to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Government Center
Purchasing Department
3327 Tamiami Trail, East
Naples, Florida 34112
Attention: Steve Carnell, Purchasing /GS Director
Telephone: 239- 252 -8371
Facsimile: 239- 252 -6584
Page 2 of 8
16C 2
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.
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 Countv.
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 Countv 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.
Page 3 of 8
16C z
11. INSURANCE. 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.
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 in compliance with the applicable state and federal laws.
The coverage must include Employers' Liability with a minimum limit of
$1,000,000 for each accident.
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 anvone
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.
Page 4 of 8
16C 2
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf
of the County by the Wastewater 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, Bid #11 - 5647 - Annual Contract
for Grease Hauling Specifications/ Scope of Services and Schedule A.
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 quotes; and, c.
immediate termination of any contract held by the individual and /or firm for cause.
18. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement,
the Contractor is formally acknowledging without exception or stipulation that it is
fully responsible for complying with the provisions of 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. 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.
Page 5 of 8
16C 2
21. ADDITIONAL ITEMS /SERVICES. Additional items and /or services may be added to
this contract upon satisfactory negotiation of price by the Contract Manager and
Contractor.
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.
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.
23 KEY PERSONNEL/PROTECT STAFFING: The Contractor's personnel and management
to be utilized for this project shall be knowledgeable in their areas of expertise. The
County reserves the right to perform investigations as may be deemed necessary to insure
that competent persons will be utilized in the performance of the contract. The Contractor
shall assign as many people as necessary to complete the project on a timely basis, and
each person assigned shall be available for an amount of time adequate to meet the dates
set forth in the Project Schedule. 'The Contractor shall not change Key Personnel unless
the following conditions are met: (1) Proposed replacements have substantially the same
or better qualifications and /or experience. (2) that the County is notified in writing as far
in advance as possible. The Contractor shall make commercially reasonable efforts to
notify Collier County within seven (7) days of the change. The County retains final
approval of proposed replacement personnel.
Page 6 of 8
16C 2
IN WITNESS WHEREOF, the Contractor and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTFS . ........
Dwfght'E:: Br k;,
1
Dated: �•
Awe:
a igneturt � 1 +}s
Courts
First Witness '
TType /print witness nameT
jT'LGLdI C-P%J 0 /G
Second Witness
TType /print witness name
Approved as to form and
legal sufficiency:
#Za �" -
-s ntnt County Attorney
Deputy
SCOTT R. TEACH
Print Name
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Bv: - A W
Fred W. Coyle, Chairman
Rockfill Associates d/b /a Crews Environmental, Inc –/
Page 7 of 8
Contractor
Signa re
Michael D. Himschoot, vice President
Typed signature and title
16C 2
Schedule A
Compensation
Payment will be on a lump sum basis, as per the list below.
Master Station 302
$960.00
Master Station 312
$960.00
Master Station 107
$960.00
Additional Lift Station/ Master Station
$960.00
Page 8 of 8
I L 0 7
'i°R� CERTIFICATE OF LIABILITY INSURANCE
DATE /
04//2626/111 1
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 endomement(s).
PRODUCER
Aon Risk Services, Inc of Florida
CONTACT ADD Risk Services, Inc of Florida
NAME
PHONE 800- 743 -8130
A/C No. EM'
FAX 800- 522 -7514
A/O, No
1001 Brickell Bay Drive, Suite #1100
Miami, FL 33131 -4937
E -MAIL ADP COI Center@�Aon.com
ADDRESS. - -
PRODUCER 10762287
CUSTOMER ID If
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Illinois National Insurance Cc
23817
ADP TotalSource CO XXI, Inc.
10200 Sunset Drive
INSURER B:
INSURER C
Miami, FL 33173
ALTERNATE EMPLOYER
Rockfill Associates Inc
INSURER D.
INSURER E.
2700 Rockfill Road
Fort Myers, FL 33902
INSURER F.
COVERAGES CERTIFICATE NUMBER: 289696 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. LIMI I N SHOWN .ARI Al RI OI,IIS H D.
INSR
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TYPE OF INSURANCE
ADDL
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Wrap
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DD'l
POLICY EXPIRATION
DATE(MMIDID'I
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
❑ COMMERCIAL GENERAL unealTV
❑ CIAIMS MADE D OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
( )
$
MED EYE (Any one person)
$
PERSONAL B ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG
$
❑POUCV ❑PROJECT D Loc
AUTOMOBILE LIABILITY
• ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
❑ALL OWNED AUTOS
• SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
BODILY INJURY
(Par accident)
$
❑HIRED AUTOS
n NON OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
D UMBRELULIAB OCCUR
EACH OCCURRENCE
$
D EXCESS LIAB CLAIMS -MADE
AGGREGATE
$
0 DEDUCTIBLE
❑ RETENTION If
A
EMPLOYERS' LIABILITY ION AND
EMPLOYERS' LIABILITY
WC 058339950 FL
12/27/10
07/01/11
0 W srATU ❑OTHER
ToBV uMITS
ANY PROPRIETORTMRTNERJEXECUTIVE
OFFICERRAEMSER EXCWDEDP
N/A
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$ $2,000,000
EL DISEASE — EA EMPLOYEE
$ $2,000,000
(Mandatory In HIS
If yes, dearnbe ender
EL DISEASE — POLICY LIMIT
$ $2,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
All worksite employees working for the above named Client company, paid under ADP TOTALSOURCE, INC.'S payroll, are covered under the above stated policy. The above
named client is an alternate employer under this policy.
Collier County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
2237 E. Tamiami Trail THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Naples, FL 34112
AUTHORIZED REPRESENTATIVE
�C/7t°� pltY%dLb. 'L/{Q Of V `s^`ea*a
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The ACORD name and logo are registered marks of ACORD
Apr. 26. 2011 12;OOPM Stewart & Sons Insurance, Inc. No. 5062 1 /�
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RO CERTIFICATE OF LIABILITY INSURANCE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
DATE 412612011
00/25/2011
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: It 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 polity, certain policies may require an endorsement. A statemsot on This certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER
Slawart d Sons Ineurance,inc,
P.O.BoX 60028
Fort Myer) FL 33906
CONTACT
N E
N&E.11 E.. 239.938.8814 Fa"'ic NA . 238.2754446
E.MNL ADDRESS: into stevcartandsonslnsurance.com
INSURE Rgtt AFFORDING COVERAGE
NAIL 1
NSURERA: The Clncinnall Insurance Co.
10677
INSURED
Crews Errvlromlenlal
INSURERS:
INSURER C:
Rocklin Aesociates,Ine.DBA
INSURER 0:
s 1000000
2700 Rocknll Road
INSURER E:
COMMERCIAL GENERAL LIABILITY
Fort Myers FL 33916 -
INSURER F.
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
TYPEOFNSURANCE
PER
VNO
POLICY NUMBER
rOU6TEFF
LVANOW11"
(MilwYl
Lyyf3
GENERAL
LIABILITY
EACH OCCURRENCE
s 1000000
COMMERCIAL GENERAL LIABILITY
PRE aeaN
$ 500000
MEO PXP (Any we Pa00,1)
S 10000
CLAIMS -MADE OCCUR
A
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CAP5803052
11101/10
11101/11
PERSONAL B ADV INJURY
S 1000000
GENERAL AGGREGATE
S 2000000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS COMPIOP App
S 2000000
POLICY PRO/ LOC
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AUTOMOBILE
LIBILRY
fEMSINED)SINGLE LIMB
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BOOLLY INJURY(Peesdddenl)
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11/01/10
11/01/11
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EACH OCCURRENCE
S 1000000
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EXCESS LIB
CLAIMS-MADE
CAP5093052
11/01110
11/01/11
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S 1000000
DIED I I RETENTIONS
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DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (/UYch ACORD 101, Addlauoal Remalke Schedule, N seem space Is mquwed)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Collier County GovemmenL
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
3327 E. Tarrdeml Trail
ACCORDANCE WITH THE POLICY PROVISIONS.
Naples, FL 34172
AUTHORIZER REPRESENTA
16C Z
Stewart & Sons
Insurance Inc.
Due to the regulations with the new Acord Certificate, we cannot use
verbiage in the description box that repeats, alters or amends coverage
provided under the policy.
Thank you.
8548 CRYSTAL CT., P. O. BOX 60029, FT. MYERS, FL 33906 -0029 (239) 936 -8844 FAX: (239) 275 -4446
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Apr, 26. 2011 12:01PM Stewart & Sons Insurance, Inc.
TIONS) Is hereby deleted and replaced
by the following:
a. You must see to It that we are noll-
fled as soon as practicable of an
"occurrence' or an offense which
may result In a claim. To the extent
possible, notice should Include:
(1) How, when and where the "oc-
currence" or offense took place;
No.5062 P. 9/9
(2) The names and addresses of
any Injured persons and wit-
nesses; and
(3) The nature and location of any
Injury or damage arising out of
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This requirement applies only when
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GA 233 02 07 Services Office, Inc„ with its permission. Page 15 of 1s
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