Backup Documents 09/13-14/2011 Item #16A2216 4-e
MEMORANDUM
Date: September 30, 2011
To: Diana De Leon, Contract Technician
Purchasing Department
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Contract #10 -5528: "Bus Shelter Installations"
Contractor: Wm. J. Varian Construction Co.
Attached, is an original of the contract referenced above (Item #16A22),
approved by the Board of County Commissioners on Tuesday,
September 13, 2011.
The second original contract will be held on file with the Minutes and Record's
Department in the Board's Official Records.
If you have any questions, please contact me at 252 -8411.
Thank you.
Attachment
It
Memorandum
Subject: 10 -5528 "Bus Shelter Installations"
Date: September 20, 2011
16A22
Purchasing Department
3327 Tamiami Trail East
Naples, Florida 34112
Telephone: (239) 252-8375
FAX: (239) 252-6597
Email: dianadeleon @colliergov.net
www. colliergov.neUpurchasing
From: Diana De Leon, Contract Technician, Purchasing Dept. for Brenda Brilhart
To: Ray Carter, Risk Management
These contracts were approved by the BCC on September 13, 2011; Agenda Item 16.A.22
The County is in the process of executing this contract with Wm. J. Varian Construction Company. The
insurance requirements are on page 3 of the agreement.
Please review the Insurance Certificate(s).
• If 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.
In cp rove By:
1+
Risk Management Tignature Dat
(Please route to County Attorney via attached Request for Legal Services)
DATE RECEIVED
SEP 21 2011
RISK MANAGEMENT
G/ Acquisitions/ AgentFormsandLetters /RiskMgmtReviewofl nsurance4 /15/2010/16/09
16 A22
A G RE E MEN T 10-5528
for
Bus Shelter Installations
THIS AGREEMENT is made and entered into this 13th day of September, 2011 by and
between the Board of County Commissioners for Collier County, Florida, a political
subdivision of the State of Florida (hereinafter referred to as the "County" or "Owner ") and
Wm. J. Varian Construction Company, Inc., authorized to do business in the State of
Florida, whose business address is 886 1101h Avenue North, Suite 9, Naples Florida 34108
hereinafter referred to as the "Contractor ").
WITNESSETH:
COMMENCEMENT: The contract shall be for a one (1) year period, commencing on
September 13, 2011 and terminating September 12, 2012. This contract shall have three
one (1) year renewals, renewable annually. 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 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 not less than ten (10) days prior to the end of the Agreement term then
in effect.
2. STATEMENT OF WORK: The Board of County Commissioners deemed one (1) firm to
be pre - qualified and awarded a Contract. The awardee will enter into an Agreement to
provide complete services for Bus Shelter Installations on an as- needed basis as may be
required by the Owner in accordance with the terms and conditions of ITB 10 -5528 and
the Contractor's proposal, which is incorporated by reference and made an integral part of
this Agreement. The execution of this Agreement shall not be a commitment to the
Contractor that any work will be awarded to the Contractor. Rather, this Agreement
governs the rights and obligation of the Quotation procedure outlined in the next
paragraphs and all Work undertaken by Contractor for Owner pursuant to this Agreement
and that procedure during the term and any extension of the term of this Agreement.
Prior to the issuance of a Purchase Order, the Owner shall provide a summary of Work to
be performed which will afford the Contractor the opportunity to submit a formal quotation
for the Work; the Contractor shall respond with the information sought within seven (7)
working days. Each shelter site will vary and the submitted line items prices will be used
to negotiate pricing for installation of approximately ten (10) shelters by September 1,
2011.
In each Request for Quotation, the Owner reserves the right to specify the period of
completion and the option of collection of liquidated damages in the event of late
completion.
3. THE CONTRACT SUM: The Owner shall pay the Contractor for the performance of the
Work pursuant to the quoted price offered by the Contractor in his response to a specific
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16A22
Request for Quotation. Any County agency may utilize the services offered under this
contract, provided sufficient funds are included in its budget(s).
4. NOTICES: All notices required or made pursuant to this Agreement to be given by the
County to the Contractor shall be made in writing and shall be delivered by hand, by fax,
e -mail, or by the United States Postal Service Department, first class mail service,
postage prepaid, addressed to the following Contractor's address of record:
William J. Varian, President
Wm. J. Varian Construction Company, Inc.
886 110' Avenue, Suite 9
Naples, Florida 34108
(239) 514 -0103
(239) 51 -0556 (Fax)
All notices required or made pursuant to this Agreement to be given by the Contractor to
the County shall be in writing and shall be delivered by hand, by fax, e-mail, or by United
States Postal Service Department, first class mail service, postage prepaid, addressed to
the following County's address of record:
Collier County Government Complex
Purchasing Department
3327 East Tamiami Trail
Naples, Florida 34112
Attention: Stephen Y. Carnell
Purchasing /General Services Director
(239) 252 -8371
(239) 252 -6584 (Fax)
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 Service Agreement must
be in writing.
5. 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.
6. PERMITS: LICENSES: TAXES: In compliance with Section 218.80, Florida Statutes, 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. Contractor is not responsible for paying for permits issued by Collier County, but
is responsible for acquiring all permits. Owner may require the Contractor to deliver
internal budget transfer documents to applicable Collier county agencies when the
Contractor is acquiring permits.
All permits, fees and licenses necessary for the prosecution of the Work which are not
issued by Collier County shall be acquired and paid for by the Contractor. 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.
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lbQel
7. 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.
8. TERMINATION: Should the Contractor be found to have failed to perform his services in
a manner satisfactory to the County and requirements of this Agreement, the County may
terminate said Agreement for cause; further the County may terminate this Agreement for
convenience with a seven (7) day written notice. The County shall be sole judge of non-
performance.
9. NO DISCRIMINATION: The Contractor agrees that there shall be no discrimination as to
race, sex, color, creed or national origin.
10. 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 Board of County Commissioners shall be listed
as the Certificate Holder and included as an Additional Insured on the
Comprehensive General Liability.
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.
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16Q22
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.
11. INDEMNIFICATION: To the maximum extent permitted by Florida law, the
ContractorNendor 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 ContractorNendor or anyone employed
or utilized by the ContractorNendor 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,
12. PAYMENTS. Generally, the Contractor will be paid upon completion; however, for Work
in excess of thirty (30) days, the Contractor may indicate on his response to the Request for
Quotation his wish to receive Progress Payments. All applications for payment, whether for
full payment or a progress payment shall be in writing.
13. PAYMENTS WITHHELD. Owner may decline to approve any Application for
Payment, or portions thereof, because of defective or incomplete work, outstanding punchlist
items, subsequently discovered evidence or subsequent inspections. The Owner may nullify
the whole or any part of any approval for payment previously issued and Owner may withhold
any payments otherwise due Contractor under this Agreement or any other agreement
between Owner and Contractor, to such extent as may be necessary in the Owner's opinion
to protect it from loss because of: (a) defective Work not remedied; (b) third party claims
failed or reasonable evidence indicating probable fling of such claims; (c) failure of
Contractor to make payment properly to subcontractors or for labor, materials or equipment;
(d) reasonable doubt that the Work can be completed for the unpaid balance of the Contract
Amount; (e) reasonable indication that the Work will not be completed within the Contract
Time; (f) unsatisfactory prosecution of the Work by the Contractor; or (g) any other material
breach of the Contract Documents.
If any conditions described above are not remedied or removed, Owner may, after three (3)
days written notice, rectify the same at Contractor's expense. Owner also may offset against
any sums due Contractor the amount of any liquidated or unliquidated obligations of
Contractor to Owner, whether relating to or arising out of this Agreement or any other
agreement between Contractor and Owner.
14. SUBMITTALS AND SUBSTITUTIONS. Any substitution of products /materials from
specifications must be approved in writing by Owner in advance.
15. CONTRACT TIME AND TIME EXTENSIONS.
A. Time is of the essence in the performance of any Work under this Agreement and
Contractor shall diligently pursue the completion of the Work and coordinate the
Work being done on the Project by its subcontractors and materialmen, as well as
coordinating its Work with all work of others at the Project Site, so that its Work or
Page -4-
16 A22
the work of others shall not be delayed or impaired by any act or omission by
Contractor. Contractor shall be solely responsible for all construction means,
.methods, techniques, sequences, and procedures as well as coordination of all
portions of the Work under the Contract Documents, and the coordination of
Owner's supplies and contractors.
B. Should Contractor be obstructed or delayed in the prosecution of or completion of
the Work as a result of unforeseeable causes beyond the control of Contractor,
and not due to its fault or neglect, including but not restricted to acts of Nature or
of the public enemy, acts of Government, fires, floods, epidemics, quarantine
regulation, strikes or lockouts, Contractor shall notify the Owner in writing within
forty -eight (48) hours after the commencement of such delay, stating the cause or
causes thereof, or be deemed to have waived any right which Contractor may
have had to request a time extension.
C. No interruption, interference, inefficiency, suspension or delay in the
commencement or progress of the Work from any cause whatever, including
those for which Owner may be responsible, in whole or in part, shall relieve
Contractor of his duty to perform or give rise to any right to damages or additional
compensation from Owner. Contractor expressly acknowledges and agrees that it
shall receive no damages for delay. Contractor's sole remedy, if any, against
Owner will be the right to seek an extension to the Contract Time; provided,
however, the granting of any such time extension shall not be a condition
precedent to the aforementioned "No Damage for Delay" provision. This
paragraph shall expressly apply to claims for early completion, as well as to claims
based on late completion.
16. CHANGES IN THE WORK. Owner shall have the right at any time during the
progress of the Work to increase or decrease the Work. Promptly after being notified
of a change, Contractor shall submit an itemized estimate of any cost or time
increases or savings it foresees as a result of the change. Except in an emergency
endangering life or property, or as expressly set forth herein, no addition or changes to
the Work shall be made except upon written order of Owner, and Owner shall not be
liable to the Contractor for any increased compensation without such written order.
No officer, employee or agent of Owner is authorized to direct any extra or changed
work orally. Any modifications to this Contract shall be in compliance with the County
Purchasing Policy and Administrative Procedures in effect at the time such
modifications are authorized.
17. COMPLIANCE WITH LAWS. Contractor agrees to comply, at its own expense, with
all federal, state and local laws, codes, statutes, ordinances, rules, regulations and
requirements applicable to the Project, including but not limited to those dealing with
taxation, workers' compensation, equal employment and safety (including, but not
limited to, the Trench Safety Act, Chapter 553, Florida Statutes). If Contractor
observes that the Contract Documents are at variance therewith, it shall promptly
notify Owner in writing.
18. CLEAN UP. Contractor agrees to keep the Project site clean at all times of debris,
rubbish and waste materials arising out of the Work. At the completion of the Work,
Contractor shall remove all debris, rubbish and waste materials from and about the
Project site, as well as all tools, appliances, construction equipment and machinery
Page -5-
16q[2
and surplus materials, and shall leave the Project site clean and ready for occupancy
by Owner.
19. ASSIGNMENT. Contractor shall not assign this Agreement or any part thereof,
without the prior consent in writing of Owner. 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 Owner.
20. WARRANTY. Contractor shall. obtain and assign to Owner all express warranties
given to Contractor or any subcontractors by any materialmen supplying materials,
equipment or fixtures to be incorporated into the Project. Contractor warrants to
Owner that any materials and equipment furnished under the Contract Documents
shall be new unless otherwise specified, and that all Work shall be of good quality,
free from all defects and in conformance with the Contract Documents.
Contractor further warrants to Owner that all materials and equipment furnished under
the Contract Documents shall be applied, installed, connected, erected, used, cleaned
and conditioned in accordance with the instructions of the applicable manufacturers,
fabricators, suppliers or processors except as otherwise provided for in the Contract
Documents.
If, within one (1) year after final completion, any Work is found to be defective or not in
conformance with the Contract Documents, Contractor shall correct it promptly after
receipt of written notice from Owner. Contractor shall also be responsible for and pay
for replacement or repair of adjacent materials or Work which may be damaged as a
result of such replacement or repair. These warranties are in addition to those implied
warranties to which Owner is entitled as a matter of law.
21. STANDARDS OF CONDUCT: PROJECT MANAGER SUPERVISOR EMPLOYEES.
The Contractor shall employ people to work on County projects who are neat, clean,
well - groomed and courteous. Subject to the American with Disabilities Act, Contractor
shall supply competent employees who are physically capable of performing their
employment duties. The County may require the Contractor to remove an employee it
deems careless, incompetent, insubordinate or otherwise objectionable and whose
continued employment on Collier County projects is not in the best interest of the
County.
22. TESTS AND INSPECTIONS. If the Contract Documents or any codes, laws,
ordinances, rules or regulations of any public authority having jurisdiction over the
Project requires any portion of the Work to be specifically inspected, tested or
approved, Contractor shall assume full responsibility therefore, pay all costs in
connection therewith and furnish to the Owner the required certificates of inspection,
testing or approval. All inspections, tests or approvals shall be performed in a manner
and by organizations acceptable to the Owner.
23. PROTECTION OF WORK.
A. Contractor shall fully protect the Work from loss or damage and shall bear the cost
of any such loss or damage until final payment has been made. If Contractor or
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16A«
anyone for whom Contractor is legally liable is responsible for any loss or damage
to the Work, or other work or materials of Owner or Owner's separate contractors,
Contractor shall be charged with the same, and any monies necessary to replace
such loss or damage shall be deducted from any amounts due Contractor.
B. Contractor shall not load nor permit any part of any structure to be loaded in any
manner that will endanger the structure, nor shall Contractor subject any part of
the Work or adjacent property to stresses or pressures that will endanger it.
C. Contractor shall not disturb any benchmark established by the Owner with respect
to the Project. If Contractor, or its subcontractors, agents or anyone, for whom
Contractor is legally liable, disturbs the Owner's benchmarks, Contractor shall
immediately notify Owner. The Owner shall re- establish the benchmarks and
Contractor shall be liable for all costs incurred by Owner associated therewith.
24. EMERGENCIES. In the event of any emergency affecting the safety or protection of
persons or the Work or property at the Project site or adjacent thereto, Contractor,
without special instruction or authorization from Owner is obligated to act to prevent
threatened damage, injury or loss. Contractor shall give the Owner written notice
within forty -eight (48) hours after the occurrence of the emergency, if Contractor
believes that any significant changes in the Work or variations from the Contract
Documents have been caused thereby.
If the Owner determines that a change in the Contract Documents is required because
of the action taken in response to an emergency, a written order shall be issued to
document the consequences of the changes or variations.
If Contractor fails to provide the forty -eight (48) hour written notice noted above, the
Contractor shall be deemed to have waived any right it otherwise may have had to
seek an adjustment to the Contract Amount or an extension to the Contract Time.
25. COMPLETION. Upon receipt of written certification by Contractor that the Work is
completed in accordance with the Contract Documents and is ready for final
inspection and acceptance, Owner will make such inspection and, if Owner finds the
Work acceptable and fully performed under the Contract Documents, recommending
that on the basis of his observations and inspections, and the Contractor's provides
written certification that the Work has been completed in accordance with the terms
and conditions of the Contract Documents, that the entire balance found to be due
Contractor is due and payable.
Owner reserves the right to inspect the work and make an independent determination
as to the acceptability of the Work. Unless and until the Owner is completely satisfied,
the final payment shall not become due and payable.
26. LIQUIDATED DAMAGES. The "Commencement Date" shall be established in the
Notice to Proceed to be issued by the Owner. Contractor shall commence the work
within five (5) calendar days from the Commencement Date. No Work shall be
performed at the Project site prior to the Commencement Date. Any Work performed
by Contractor prior to the Commencement Date shall be at the sole risk of Contractor.
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16 A<<
The Work shall reach final completion and be ready for final acceptance by Owner
within the time specified in the Request for Quotation. Once a notice to proceed is
issued, the shelter shall be completed within 30 days after permit approval. In order to
complete all the required installations by September 1, 2011, shelter construction at
multiple sites shall be initiated simultaneously.
Owner and Contractor recognize that since time is of the essence for any work under
this Agreement, Owner will suffer financial loss if the Work is not completed within the
time specified in the Request for Quotation. Should Contractor fail to complete the
Work within the specified time period, Owner shall be entitled to assess as liquidated
damages, but not as a penalty, the amount specified in the Request for Quotation for
each calendar day thereafter until substantial completion is achieved.
Contractor hereby expressly waives and relinquishes any right which it may have to
seek characterize the above noted liquidated damages as a penalty, which the parties
agree represents a fair and reasonable estimate of the Owner's actual damages at the
time of contracting if Contractor fails to complete the Work in a timely manner.
When any period of time is referenced by days herein, it shall be computed to exclude
the first day and include the last day of such period. If the last day of any such period
falls on a Saturday or Sunday or on a day made a legal holiday by the law of the
applicable jurisdiction, such day shall be omitted from the computation, and the last
day shall become the next succeeding day which is not a Saturday, Sunday or legal
holiday.
27. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of
the County by the Alternative Transportation Department.
28. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
or referenced component parts, all of which are as fully a part of the Agreement as if
herein set out verbatim, including: Contractor's Proposal, Insurance Certificate, ITB
No. 10 -5528, any addenda, any Quotation made or issued pursuant to this
Agreement, and any related plans or specifications for any such Quotations.
29. 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 (most current), 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.
30. 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.
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16p[?
31. 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. No markup shall be applied to sales tax.
32. 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.
33. 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.
34.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.
35.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.
36. 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. Statute.
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.
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16 A22
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.
ATTEST: 16 .:�..,
Dwight , :Brock, Caerk pf .Courts
Rv• ���;C3I'"'1
•,, « � " >�I" I rum t
Dated:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: W. C"J'� Fred W. Coyle, Chairman
Wm. J. rian Construction Company, Inc.
Contractor
.Lb4 By:_ ( First Witness Signature
Meg E E • V,49.,R.)
Type /Print Witness Name
Second Witness
-L41 LL.l *" S V-M a I,*a
Type /Print Witness Name
A rov d as to fo d
le al sufficie cy;
Sco each
Deputy County Attorney
Typed Signature
�r�a4 —`•
Title
Page -10-
Item # t b-A `'2
Agenda
Date
Date
Recd r-
Deputy Clerk
Client#: 52660 WILVA
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
t
rE /D cy„
9/27/2011
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: 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
Gulfshore Insurance, Inc.
4100 Goodlette Road North
Naples, FL 34103 -3303
NAME: Erin Morgan
A /C, N Ell: 239 261 -3646 A/C, No): 239 435 -0598
ADDRIESS: emorgan @gulfshoreinsurance.com
LIMITS
239 261 -3646
CUSTOMER ID #:
X
CPP0891577
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED William J. Varian Construction, Inc.
INSURERA: Cincinnati Insurance Company
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
880 23rd Street SW
INSURER B:
INSURER C :
PREMISES Ea occurrence
Naples, FL 34117
MED EXP (Any one person)
$10,000
PERSONAL BADVINJURY
INSURER D :
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMRER-
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.
INSIR
T
TYPE OF INSURANCE
Do
N
D
POLICY NUMBER
MM%DD/YYYY
(MM %DD E /YYYY
LIMITS
A
GENERAL LIABILITY
X
CPP0891577
3/11/2011
03/11/2012
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
PREMISES Ea occurrence
$500,000
MED EXP (Any one person)
$10,000
PERSONAL BADVINJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PE RO LOC
PRODUCTS - COMP /OP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
CPP0891577
3/11/2011
03/11/2012
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY (Per person)
$
ALL OWNED AUTOS
BODILY INJURY (Per accident)
$
SCHEDULED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
HIRED AUTOS
X
NON -OWNED AUTOS
$
X
Drive Other Car
$
UMBRELLA LIAR
H
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DEDUCTIBLE
$
RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR /PARTNER/EXECUTIVE
OFFICER /MEMBER EXCLUDED? ❑
N/A
IM MS I OTH-
ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Collier County is named as an Additional Insured on a primary basis as respects to General Liability
only as needed by contract, per form GA233 0207.
Collier County Board of County
Commissioners
3301 Tamiami Trail East
Naples, FL 34112
ACORD 25 (2009/09) 1 of 1
#S508273/M471249
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
a
(91958 -2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
I WA.'
16Qc�
Certificate of 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 after 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 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 endorsements(s).
Named Insured(s):
TriNet HR Corporation
and all its affiliates and subsidiaries"
William J Varian Construction Inc (Endorsed as alternate employer)
9000 Town Center Parkway
Bradenton, FL 34202
Insurer Affording Coverage
Chartis Casualty Company (A)
Commerce 8 Industry Ins Company (B)
Ins Co of the State of Pennsylvania (C)
Nat Union Fire Ins Co of Pittsburgh PA (D)
New Hampshire Insurance Company (E)
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 the 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.
Aggregate limits shown may have been reduced by paid claims.
Type of
Insurance
Insurer
Policy
Number
State
Effective
Date
Expiration
Date
Limits
® WC Statutory Limits
Workers'
Compensation
B
046926592
FL
07/01/2011
07/01/2012
Employers Liability
Bodily Injury By Accident
$ 2,000,000 Each Accident
Bodily Injury By Disease
$ 2,000,000 Each Person
Bodily Injury By Disease
$ 2,000,000 Policy Limit
Other: Client: 7EJ 18738
The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to
the employees of any other employer.
i nnet nit v, inc; I riNet HR corporation
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer
affording coverage or its designee will endeavor to provide 30 days written or electronic mail notice to the certificate
holder named herein, but failure to provide such notice shall impose no obligation or liability of any kind upon the
insurer affording coverage, its agents or representatives.
Certificate Holder:
Board of County Commissioners
3301 E Tamiami Trail
Naples, FL 34112
- AONRisk Services Northeast, Inc.
AON Risk Services Northeast, Inc.
(866) 443 -8489 09/23/2011
Phone Date Issued