Backup Documents 06/08/2010 Item #16E116E 1
MEMORANDUM
DATE: June 11, 2010
TO: Kelsey Ward, Contract Administration Manager
Purchasing Department
FROM: Martha Vergara, Deputy Clerk
Minutes and Records Department
RE: Contract: "Arbitrage Rebate Requirements for Collier County"
Contractor: PFM Asset Management LLC
Enclosed please find two original contracts, referenced above (Agenda Item
#16E1), approved by the Board of County Commissioners on June 8, 2010.
The Minutes & Records Department has kept an original for the Board's
permanent record.
If you should have any questions, please contact me at 252 -7240.
Thank you.
Enclosure (1)
16E 1
ITEM NO.: I(� (1 P /�' �aLI DATE EIVED: D
FILE NO.:
ROUTED TO:
n�
DO NOT WRITE ABOVE THIS LINE
REQUEST FOR LEGAL SERVICES
Date: June 8, 2010
To: Office of the County Attorney
V = (VI,
Jeff Klatzkow
From: Kelsey Ward, Contract Administration Manager�w
Purchasing Department, Extension 8949
i
Re: Contract: #10 -5477 "Arbitrage Rebate Requirements for Collier
County"
Contractor: PFM Asset Management LLC
BACKGROUND OF REQUEST:
This Contract was approved by the BCC on June 8, 2010, Agenda
Item 16.E.1
This item has not been previously submitted.
ACTION REQUESTED:
Contract review and approval.
OTHER COMMENTS:
Please forward to BCC for signature after approval. If there are any
questions concerning the document, please contact me. Purchasing would
appreciate notification when the documents exit your office. Thank you.
C: Derek Johnssen, Finance
W6$
�u in
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Detail by Entity Name
Foreign Limited Liability Company
PFM ASSET MANAGEMENT LLC
Filinq Information
Document Number M01000002143
FEI /EIN Number
233087064
Date Filed
09/17/2001
State
DE
Status
ACTIVE
Principal Address
ONE KEYSTONE PLAZA
300
HARRISBURG PA 17101
Changed 04/24/2002
Mailing Address
TWO LOGAN SQUARE, #1600
ATTN COMPLIANCE MANAGER
PHILADELPHIA PA 19103
Changed 01/13/2009
Registered Agent Name & Address
CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE FL 32301 -2525 US
Manager /Member Detail
Name & Address
Title MGR
WHITE, F. JOHN
TWO LOGAN SQUARE, 18TH ARCH ST
PHILADELPHIA PA 19103
Title MGR
MARGOLIS, MARTIN
ONE KEYSTONE PLAZA #300
HARRISBURG PA 17101
Title MGR
GOODNIGHT, DEBORAH
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16E
ONE KEYSTONE PLAZA #300
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HARRISBURG PA 17101
ANNUAL REPORT
Title MGR
03/23/2006 --
BOYLE, STEPHEN
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TWO LOGAN SQUARE, 18TH ARCH ST
ANNUAL REPORT
PHILADELPHIA PA 19103
03/10/2004 --
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ANNUAL REPOR I
2008 01/17/2008
04/2412002 --
2009 01/13/2009
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2010 01/05/2010
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1
16E I
DeLeohDiana
From: RaymondCarter
Sent: Tuesday, May 25, 2010 2:56 PM
To: DeLeonDiana
Cc: TeachScott ; ward kelsey; mausen_g; HerreraSandra
Subject: FW: 10 -5477 Arbitrage Regate Requirements for Collier County
Attachments: 10 -5477 Arbitrage Rebate (PFM).pdf
Diana, I have reviewed the insurance certificates provided by PFM Asset Management LLC relative to the contractual
obligations and determined they meet the insurance requirements.
Ray
From: DeLeonDiana
Sent: Tuesday, May 25, 2010 2:18 PM
To: RaymondCarter
Cc: TeachScott; ward_kelsey
Subject: 10 -5477 Arbitrage Regate Requirements for Collier County
Ray,
The attached contract will go to the BCC on June 8t ". However, please review the insurance certificates for compliance
so that the contract will not be delayed upon approval by the Board.
Thanks,
Diana De Leon
Purchasing Dept
(239)252 -8375
Under Florida Law, e -mail addresses are public records. If you do not want your email address released in response to a public records request, do not send
electronic mail to this entity. Instead, contact this office by telephone or in writing.
16E
MEMORANDUM
TO: Ray Carter
Risk Management Department
FROM: Kelsey Ward, Contract Administration Manager
Purchasing Department, Extension 8949
DATE: June 8, 2010
RE: Review Insurance for Contract: #10 -5477 "Arbitrage Rebate
Requirements for Collier County"
Contractor: PFM Asset Management LLC
This Contract was approved by the BCC on June 8, 2010, Agenda Item
16.E.1
Please review the Insurance Certificates for the above referenced contract. If
everything is acceptable, please forward to the County Attorney for further
review and approval. Also, please advise me when it has been forwarded.
Thank you. If you have any questions, please contact me at extension 8949.
dod /KW
C: Derek Johnssen, Finance
Entity Name: _
Entity name correct on con,.,.,:
Entity registered with FL Sec. of State?
RI,S #_._�V_ �_C)4L akyl
CIIECKLIST FOR REVIENVING CONTRACTS
Insurance
Insurance Certificate attached?
Insured registered in Florida?
Contract# &/or Project referenced on Certificate?
Certificate Holder name correct (BCC)?
Commercial General Liability
General Aggregate Required $_
Products /Compl/Op Required $_V
Personal & Advert Required $_
Each Occurrence Required $ \ \
✓ Yes
No
------No
es
No
Yes
s
No
No
Yes
—No
Provided $ �..rt0.�. Exp. DateV,�
Provided f: Exp. Date I _
Provided $ kM Exp. Date
Provided $ i \ I Exp. Date _
Fire/Prop Damage Required $_ _ Provided $ l wx i �. Exp. Date
Automobile Liability / 1 — "—
Bodily Inj & Prop Required $_ 013 Akl Provided $_1n01 :AA Exp Date C)
Workers Compensation
Each accident Required $_ rovided $yy� -�1 Exp Date j L Q
Disease Aggregate Required $ weowq ovided $ Exp Date
Disease Each Empl Required $ovided $ Exp Date
Umbrella Liability y. 1 n — •tom
Each Occurrence Provided $ `� TN — LU Exp Date % 3� t v
Aggregate Provided $ C ( 2 1 Exp Date t[ • r
Does Umbrella sufficiently cover any underinsured portion? —Yes No
Professional Liability ' 1 _
Each Occurrence Required $_�� Provided $ � t l( Exp. Date t �O
Per Aggregate Required $_ Provided $__ Exp. Date
Other Insurance
Each Occur Type: Pf�xf� equired $ Provided $2po- Exp Date
County required to be named as additional insured? " s No 1t—
County named as additional insured? Yes No
Indemnification
Does indemnification meet County standards?
Is County indemnifying other party?
Performance Band
Bond requirement referenced in contract?
If attached, expiration date of bond
Does dollar amount match contract?
Agent registered in Florida?
Signature Blocks
Correct executor name in signature block?
Correct title of executor?
Executor authorized to sign for entity?
Proper number of witnesses /notary?
Authorization for executor to sign, if necessary:
Chairman's signature block?
Clerk's attestation signature block?
County Attorney's signature block?
Attachments
Are all required attachments included?
Yes \\__No
_Yes No
Yes No
Yes No
Yes No
S No
s No
No
Yeses
16E 1
No
%s No
No
es No
Ycs No
Revinver Initials: ✓ `/ /�
Date: U
04 -004. 3 _- 2
16E
A G R E E M E N T 10-5477
"Arbitrage Rebate Requirements for Collier County"
THIS AGREEMENT, made and entered into on this art' day of lAcit- 2010, by and
between PFM Asset Management LLC, authorized to do business in the State of Florida,
whose business address is 2 Logan Square, Suite 1600, Philadelphia, PA 19103, hereinafter
called the "Contractor" and Collier County, a political subdivision of the State of Florida,
Collier County, Naples, hereinafter called the "County ":
WITNESSETH:
I. COMMENCEMENT. The Contractor shall commence the work upon full execution of
the contract and upon issuance of a Purchase Order
The contract shall be for an initial three (3) year period. 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. 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 Arbitrage Rebate Requirement
services in accordance with the terms and conditions of RFP #10 -5477 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: The County shall pay the Contractor for the performance of this
Agreement upon completion or partial completion of the work tasks as accepted and
approved by the County Project Manager or his designee, together with the Travel and
Reimbursable Expenses as defined in this agreement. The County shall pay the Contractor
for the performance of this Agreement an estimated maximum amount of fifty thousand
dollars ($50,000.00), pursuant to the fees as set forth in Exhibit "A ", subject to Change
Orders as approved in advance by the County. Payments shall be made to the Contractor
when requested as work progresses, but not more frequently than once per month.
Payment will be made upon receipt of a proper invoice and in compliance with Chapter
218 Fla. Stats., otherwise known as the "Local Government Prompt Payment Act ".
Page I of 8
16E_ 1
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.
3.2 TRAVEL AND REIMBURSABLE EXPENSES
Travel and Reimbursable Expenses shall not exceed two thousand five hundred dollars
($2,500.00) unless approved in advance in writing by the County. Travel expenses shall
be reimbursed as per Section 112.061 Fla. Stats.
Reimbursements shall be at the following rates:
Mileage
$0.445 per mile
Breakfast
$6.00
Lunch
$11.00
Dinner
$19.00
Airfare
Actual ticket cost limited to tourist or
coach class fare
Rental car
Actual rental cost limited to compact or
standard -size vehicles
Lodging
Actual cost of lodging at single
occupancy rate with a cap of no more
than $150.00 per night
Parkin
Actual cost of arkin
Taxi or Airport
Limousine
Actual cost of either taxi or airport
limousine
Reimbursable items other than travel expenses shall be limited to the following:
telephone long - distance charges, fax charges, photocopying charges and postage.
Reimbursable items will be paid only after Contractor has provided all receipts.
Contractor shall be responsible for all other costs and expenses associated with activities
and solicitations undertaken pursuant to 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:
Page 2 of 8
16E I
PFM Asset Management LLC
2 Logan Square, Suite 1600
Philadelphia, PA 19103
Attn: Mr. Stephen Boyle
Managing Director
Tel: 215 - 567 -6100
Fax: 215 -567 -4180
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 - Purchasing Building
3301 Tamiami Trail, East
Naples, Florida 34112
Attn: Steve Carnell, Purchasing /GS Director
Tel: 239- 252 -8371
Fax: 239 - 252 -6584
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
Page 3 of 8
16E 1
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. 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 $500,000 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 $500,000
for each accident.
D. Professional Liability: $2,000,000 per occurrence.
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 by Contractor in the
event of cancellation or modification of any stipulated insurance coverage.
Page 4 of 8
16E I
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
rights or remedies which otherwise may be available to an indemnified party or person
described in this paragraph.
This section does not pertain to any incident arising from the sole negligence of
Collier County.
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf
of the County by the Finance 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, RFP #10 -5477- "Arbitrage
Rebate Requirements for Collier County" Specifications/ Scope of Services and
Addendum, Exhibit A.
16. SUBTECT 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 anv 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.
Page 5 of 8
16E I
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.
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/PROJECT STAFFING: The proposer'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. Selected
Page 6 of 8
16E
firm 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. Firm 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. Firm 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.
0
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:
Dwight E: Brock, Cletk_of Courts
By: Y
Dated: 0
(SEAL)
Attest as U 041r um t
i sacq
First Witness
:rex 4N I' , D; q7U rc o
TType / print /witness nameT
Second Witness
TType /print witness nameT
Approved as to form and
le su ficiency:
§tAtt R. Teac
Deputy County Attorney
Page 7 of 8
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
C�
By: w
Fred W. Coyle, Chairman_
PFM Asset Management LLC
Contractor
By:
Signature j
Typed signature and title
16E I
Exhibit A
Fee Schedule
(Applies for all issues, existent or new)
Base fee per issue per report
$2175.00
New issue set -up
600.00
Transferred proceeds, per set
500.00
Variable rate issue add -on
550.00
Preparation of filing forms
(8038 -T, 8038 -R) if needed
350.00
Annual reimbursable expenses are Not to Exceed $2500.00 per year based on actual
expenditures.
Consultation fees are 80% of standard hourly rates as identified below, there is no charge for
questions regarding work performed by PFM
Title Hourly Rate
Managing Director $525.00
Senior Managing Consultant 380.00
Consultant(s) 135.00 - 180.00
(depends on level of professional involved)
Associate 75.00 - 90.00
Note: Future year price adjustments will be based on the Consumer Price Index - Urban All
Products Index - base period November 2010
Page 8 of 8
16E
A� ° CERTIFICATE OF LIABILITY INSURANCE 5D 4'MZaOo )
PRODUCER Phone: 212 - 344 -2444 Fax: 212 - 509 -1292 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Frank Crystal & Co., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Financial Square HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
32 Old Slip ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
New York NY 10005
INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA Indian Harbor Insurance Co. 36940
PFM Asset Management LLC _.
INSURER
Two Logan Square, Suite 1600 suRERe
18th and Arch Streets INSURER
Philadelphia PA 19103 �INSURERo
COVFRAGFS
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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRADD'
- POLICYEFFECTIVE POLICY EXPIRATION'S
TYPE OF INSURANCE POLICY NUMBER
T LIMITS
GENERAL LIABILITY
! EACH OCCURRENCE $
_
DAMAGETO RENTED - -- - --
COMMERCIAL GENERAL LIABILITY I
-1
PREMISES (Ea occurrence) $
CLAIMS MADE _.I OCCUR I
F_
MED EKE (Any one person) $
PERSONAL& ADV INJURY $
GENERAL AGGREGATE s
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP /OPAGG $
POLICY PRO- LOC
ACT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
!.
ANY AUTO
(Ea accitlenp
i $
ALL OWNED AUTOS
1
BODILY INJURY
SCHEDULED AUTOS
'� I (Perpersen)
$
-
HIRED AUTOS
! BODILY INJURY
NON OWNED AUTOS
(Per a,miders
$
- - - -- -
PROPERTY DAMAGE
$
(Per ao,,denq
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN _EA ACC
$
AUTO ONLY AGG
$
I EXCESS I UMBRELLA LI ABILITY
''I
�
EACH OCCURRENCE
$
'I,
OCCUR _ CLAIMS MADE
AGGREGATE _
$
DEDUCTIBLE
$
RETENTION $
$_
WORKERS COMPENSATION
I
WC STATI-1,A OTH-
AND EMPLOYERS' LIABILITY YIN
TORY IMIT ER
ANVPROPRIETOR /PARTNER /EXECUTIVE❑
EL EACH ACCIDENT $
DEFlCER/MEMBE)EXCWDEDi
- - --
(MAntlatoo b NH)
S
EL DISEASE - EA EMPLOYEE $
If yes a
_- -- _- -
AL PR
PROVISIONS
I SPECIAL PROVISIONS below
EL DISEASE - POLICY LIMIT 1 8
A OTHER IFLU11455709
111/30/2009 11/30/2010 Limit of Liability $2,000,000
Professional Liability '..
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY
ENDORSEMENT I SPECIAL PROVISIONS
Evidence of Insurance only.
The Professional Liability Policy is non - cancelable
by the Insurer except for non - payment of premium.
LCR I Ir'II,A I C 11ULUCR UAINLCLLA I IUINN C
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
Collier County Florida CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
Contract Administration, Bldg. G SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
3301 Tamiami Trail East THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Naples FL 34112
AUTHORIZED REPRESENTATIVE /y, s4 ti. y. .I •r .
ACORD 25 1201 1011
The ACORD name and logo are registered marks of ACORD
TIDN All Anhfo .nann•nr1
16E 1
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized
representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2009/01
_ 16E I
�``°RO® CERTIFICATE OF LIABILITY INSURANCE SDzl'zolo I
PRODUCER Phone: 212 -344 -2444 Fax: 212 -509 -1292 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Frank Crystal & Co., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Financial Square HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
32 Old Slip ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
New York NY 10005
INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA'Federal Insurance Company.__ 0281 _
PFM Asset Management LLC wsuRER e'.Great Northern Ins. Co. ,20303
Two Logan Square, Suite 1600 -- - -- --
18th and Arch Streets - wsURERC: _..,
Philadelphia PA 19103 INSURER D:
131 :71W*11
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
DD'
TYPE
T POLICY NUMBER
POLICY EFFECTIVE
DATE IMM1DD1YYYYI
POLICY EXPIRATION
128M IMM/I
LIMITS
$
GENERAL LIABILITY
35363950
11/30/2009
11/30/2010
1 EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
11
_J
DAMA
PREMISES Igo occurence
--
$1,000, OQC
IMED I(Ary. are Person)
_
$10,000
CLAIMS MADE fX OCCUR
'PERSONAL &ADV INJURY
_
$1,000,000__
GENERALAGGREGATE
$2 OGO 000
GEN'LAGGREGATE LIMITAPPLIES PER
(PRODUCTS - COMRADE AGO
-
$Included _
X POLICY PRO- LOD
A
AUTOMOBILE
LIABILITY
ANY AUTO
73248555
11/30/2009'11/30
/2010
COMBINED SINGLE LIMIT
(Ea accitlent)
$1,000,000
$
ALL OAMED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
X
BODILY NJURY
HIRED AUTOS
X
NON OM AUTOS
(Per r arr accitlent)
$
PROPERTY DAMAGE
(Per acciden)
$
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
-
OTHER THAN EA ACC
AUTO ONLY'. AGG
$
ANY AUTO
$
A
X ESS I UMBRELLA LIABILITY
XC OCCUR CLAIMS MADE
79774080
X11/30/2009 11/30/2010 EACH OCCURRENCE
AGGREGATE
$141000,000
$1O 000r_Q,00_
IS
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
71642435
11/30/2009 111 `nC 5TATU- OTH-
/ 3 O/ 2 O l O X _ER
$ 1_0001000
ANY PROPRIETOR /PARTNER/EXECUTIVE
OFFICERRd EMBER EXCLUDED?
(fyes,dorylnNH)
tle cr
EL. EACH ACCIDENT
- -..
DEL. DISEASE - EA EMPLOYE
` - -- -
-
$11000,000
- --
Syes,
SPECIAL PROVISIONS below
PRO ISIO
' E.L. DISEASE - POLICY LIMIT
$1 OOO OOO
B
!OTHER
35363950
'11/30/2009 Value of Property
:Property
including theft
,11/30/2010
$200,000
Subject to
policy exclusion
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
It is hereby understood and agreed that Collier County is included as an Additioanl Insured with respect to General
Liability and Non -Owned & Hired Automobile coverage only.
his insurance shall be primary and non - contributory.
See Attached...
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
Collier County Florida NAMED TO THE LEFT.
Contract Administration, Bldg. G
3301 Tamiami Trail East
Naples FL 34112
AUTHORQED REPRESENTATIVE � iL ♦ r' .
ACORD 25120091011 01988 -2009 ACORD CORPORATION_ All rinhrR rc..I
The ACORD name and logo are registered marks of ACORD
16E 1
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized
representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend or alter the coverage afforded by the policies listed thereon.
AG V KU ZO iZUUeIUI t
16E 1
'idence of coverage c
Workers Compensation
16E 1
Liability Insurance
Endorsement
Policy Period NOVEMBER 30, 2009 TO NOVEMBER 30,20 10
Effective Date MAY 21. 2010
Policy Number 3536 -39 -50 DTO
Insured PFM ASSET MANAGEMENT LLC
Name of Company GREAT NORTHERN INSURANCE COMPANY
This Endorsement applies to the following forms:
GENERAL LIABILITY
Who Is An Insured
Scheduled Person or Organization
Under Who Is An Insured, the following provision is added:
Subject to all of the terms and conditions of this insurance, any person or organization shown in
the Schedule, acting pursuant to a written contract or agreement between you and such person
or organization, is an insured; but they are insureds only with respect to liability arising out of
your operations, or your premises, if you are obligated, pursuant to such contract or agreement,
to provide them with such insurance as is afforded by this policy.
However, no such person or organization is an insured with respect to any:
assumption of liability by them in a contract or agreement. "This limitation does not apply
to the liability for damages for injury or damage, to which this insurance applies, that the
person or organization would have in the absence of such contract or agreement.
damages arising out of their sole negligence.
Scheduled Person or Organization
Collier County Florida
Contract Administration, Bldg. G
3301 Tamiami Trail East
Naples, FL 34112
All other terms and conditions remain unchanged.
Liability Insurance Additional insured- Scheduled Person Or Organization continued
80 -02 -2367 (Rev. 8 -04) Endorsement Page 1