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Agenda 12/11/2018 Item #16E 2
12/11/2018 EXECUTIVE SUMMARY Recommendation to award Request for Qualification (RFQ) No. 18-7443 “Motor Oils, Lubricants, and Fluids” to Palmdale Oil Company and Flamingo Oil Corporation. OBJECTIVE: To provide reliable and efficient vehicles and equipment that enhance the County’s capabilities to deliver effective public services. CONSIDERATIONS: The Collier County Fleet Management Division maintains over 2,900 County vehicles and motorized equipment items that require oil and lubrication for continuing operation and extended life cycles. The oils and lubricants must meet or exceed Original Equipment Manufacturer (OEM) specifications for modern engines, transmissions, hydraulic systems, rear ends, particulate filters and any other fluid requirements to maintain the County’s equipment in good operating condition. The supplier(s) must guarantee these specifications and deliver needed quantities as stated in the solicitation. On September 20, 2018, the Procurement Services Division released Request for Qualific ation No. 18- 7443 to 1,653 vendors for Motor Oils, Lubricants and Fluids. Interested vendors downloaded thirty-five (35) bid packages and the County received two (2) proposals by the October 19, 2018 deadline. A Selection Committee met on October 30, 2018 to review the proposals. The Selection Committee recommends that both Palmdale Oil Company and Flamingo Oil Corporation be awarded the RFQ to supply motor oils, lubrications, and fluids to the County. Due to the current volatility of petroleum products, quarterly line item quotes will be requested from these vendors with award each quarter to the low bidder per line item. Purchase Orders with the County’s standard terms and conditions will be issued for this award. FISCAL IMPACT: Funds for Fleet Management service requirements are budgeted annually in the Fleet Management Fund 521 operating budget. Total expenditures under this contract are estimated at $85,000 annually. GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this action. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -SRT RECOMMENDATION: To award Request for Qualification (RFQ) 18-7443 “Motor Oils, Lubricants, and Fluids” to Palmdale Oil Company and Flamingo Oil Corporation and authorize the issuance of Purchase Orders as provided above. Prepared by: Dan Croft, Director, Fleet Management ATTACHMENT(S) 1. 18-7443 Solicitation (PDF) 2. 18-7443 NORA (PDF) 3. 18-7443 Final Rank (PDF) 4. 18-7443 Flamingo Proposal (PDF) 5. 18-7443 Palmdale_Insurance (PDF) 6. 18-7443 Palmdale Oil Proposal (PDF) 7. 18-7443 Flamingo_Insurance (PDF) 16.E.2 Packet Pg. 2296 12/11/2018 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.2 Doc ID: 7267 Item Summary: Recommendation to award Request for Qualification (RFQ) No. 18-7443 “Motor Oils, Lubricants, and Fluids” to Palmdale Oil Company and Flamingo Oil Corporation. Meeting Date: 12/11/2018 Prepared by: Title: Operations Analyst, Senior – Fleet Management Name: Mario Menendez 11/14/2018 3:27 PM Submitted by: Title: Division Director - Fleet Management – Fleet Management Name: Dan Croft 11/14/2018 3:27 PM Approved By: Review: Procurement Services Opal Vann Level 1 Purchasing Gatekeeper Completed 11/14/2018 3:32 PM Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 11/14/2018 4:08 PM Procurement Services Swainson Hall Additional Reviewer Completed 11/15/2018 9:51 AM Procurement Services Viviana Giarimoustas Additional Reviewer Completed 11/16/2018 12:01 PM Procurement Services Sandra Herrera Additional Reviewer Completed 11/19/2018 4:20 PM Procurement Services Ted Coyman Additional Reviewer Completed 11/20/2018 12:18 PM Grants Erica Robinson Level 2 Grants Review Completed 11/20/2018 12:22 PM Administrative Services Department Len Price Level 2 Division Administrator Review Completed 11/20/2018 12:29 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 11/20/2018 2:36 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 11/20/2018 3:09 PM County Attorney's Office Emily Pepin CAO Preview Completed 11/20/2018 4:06 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 11/20/2018 5:46 PM Grants Therese Stanley Additional Reviewer Completed 11/21/2018 12:08 PM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 12/03/2018 8:02 AM Board of County Commissioners MaryJo Brock Meeting Pending 12/11/2018 9:00 AM 16.E.2 Packet Pg. 2297 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS REQUEST FOR QUALIFICATION (RFQ) FOR MOTOR OILS, LUBRICANTS, AND FLUIDS SOLICITATION NO.: 18-7443 VIVIANA GIARIMOUSTAS, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8375 Viviana.Giarimoustas@colliercountyfl.gov (Email) This solicitation document is prepared in a Microsoft Word format (Rev 8/7/2017). Any alterations to this document made by the Vendor may be grounds for rejection of proposal, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. 16.E.2.a Packet Pg. 2298 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) SOLICITATION PUBLIC NOTICE REQUEST FOR QUALIFICATION (RFQ) NUMBER: MOTOR OILS, LUBRICANTS, AND FLUIDS PROJECT TITLE: 18-7443 DUE DATE: Friday, October 19, 2018 10:00 AM EST PLACE OF RFP OPENING: PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FL 34112 All proposals shall be submitted online via the Collier County Procurement Services Division Online Bidding System: https://www.bidsync.com/bidsync-cas/ INTRODUCTION As requested by the Fleet Management Division (hereinafter, the “Division or Department”), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, “County”) has issued this Request for Qualification (hereinafter, “RFQ”) with the intent of obtaining proposals from interested and qualified vendors in accordance with the terms, conditions and specifications stated or attached. The vendor, at a minimum, must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. BACKGROUND The County is seeking to establish a pool of qualified vendors to purchase motor oils, lubricants and fluids for over 900 on-road vehicles and 2000 equipment items maintained by the County’s Fleet Management Division. Purchases will include both bulk and packaged products. Historically, County departments have spent approximately $85,000.00 annually; however, this may not be indicative of future buying patterns. TERM OF CONTRACT The term for this service, if an award(s) is/are made is intended to be for three (3) year with two (2) one (1) one-year renewals. Prices shall remain firm for the quarterly period quoted. Surcharges will not be accepted in conjunction with this contract, and such charges should be incorporated into the pricing structure. The County Manager, or 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 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. All goods are FOB destination and must be suitably packed and prepared to secure the lowest transportation rates and to comply with all carrier regulations. Risk of loss of any goods sold hereunder shall transfer to the COUNTY at the time and place of delivery; provided that risk of loss prior to actual receipt of the goods by the COUNTY nonetheless remain with VENDOR. DETAILED SCOPE OF WORK Collier County requires original equipment manufacturer (OEM) quality lubricants and fluids to maintain its vehicles and equipment. Engine oils, lubricants, and fluids provided under this contract shall comply with API Engine Service Classification and SAE Crankcase Oil Viscosity Classification System and other specified requirements called for under these bid specifications. By signing the bid proposal, the vendor certifies that the engine oils, greases, fluids, and lubricants meet or exceed vehicle or equipment warranty requirements. When owner’s manual recommendations for API classification, SAE viscosity, and oil change and lubrication intervals are followed, the vendor will assume all responsibility for engine or component damage resulting from faulty oil, greases, fluids, or lubricants supplied in accordance with this award. The vendor shall notify the County in writing of any changes to API or SAE product specifications for changes of brands during the contract period. This solicitation is to establish a pool of vendors to be able to quote pricing on a quarterly basis. Pricing obtained in this solicitation will be used for the Oct-Dec 2018 quarter purchases. 16.E.2.a Packet Pg. 2299 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) The pool of vendors will receive an invitation for quote, for the subsequent quarter purchases of; January to March, April to June, July to September, prior to the beginning of each quarter. Vendors will be awarded for the subsequent quarter purchases based on the lowest line item price. In the event the awarded vendor for the period quoted, cannot meet delivery requirements, the County may use the next lowest quoted vendor for line item product(s). Collier County Fleet Management reserves the right to purchase proprietary or OEM lubricants and fluids from a vendor outside this solicitation when applicable. Product Specifications/Estimated Annual Requirements The products listed below are those principally used by Fleet Management but are not inclusive of all products that will be purchased under this contract. Fleet Management may add to the list below as needs arise through request for quotes. The annual quantities are good faith estimates based on previous purchases. Actual purchase quantities may vary. The County makes no guarantee of any minimum or maximum purchase quantities under this award. Product Specification Est. Annual Requirements Motor Oil SAE 15W40 (Bulk) 19,000 quarts SAE 15W40 (Quarts) 1,500 quarts SAE 5W30 (Bulk) 5,000 quarts SAE 5W30 (Quarts) 500 quarts Hydraulic Oil AW, ISO 68 (Bulk) 1,500 quarts Hydraulic Oil Shell Tellus T-22 or equivalent 250 quarts Automatic MERCON V (Bulk) 1300 quarts Transmission Fluid Automatic Transmission Fluid Valvoline Max Life Dex/Merc or equivalent 2,500 quarts Automatic Transmission Fluid Allison-Transynd (or equivalent) 1,600 quarts Gear Oil Synthetic 80W140 – 5 gallon 1,500 quarts Tractor Hydraulic Fluid Chevron 1000 THF 2,000 quarts Grease, Automotive EP NLGI-2 GC-LB 150 - # Gear Oil API-GL5 or MT-1 (85W140) 100 gallons Delivery Requirements Products ordered from this contract shall be delivered by the vendor within one business day to one of the locations listed below as designated by the County. If the delivery time cannot be met, the vendor shall notify the County immediately. Fleet Management County Barn Maintenance Facilities 2901 County Barn Road Naples, FL 34112 Fleet Management Immokalee Maintenance Facilities 402 Sgt. Joe Jones Road Immokalee, FL 34142 Fleet Management Davis Blvd. Maintenance Facilities 4800 Davis Boulevard Naples, FL 34104 Fleet Management Radio Road Maintenance Facilities 8300 Radio Road Naples, FL 34104 Minimum Delivery Order The minimum delivery order on this contract shall be a combination of at least two (2) cases of oils, greases, or fluids when the products are shipped in cases. Any product in a 120-pound container or a drum shall have a minimum order of one (1) each. The 16.E.2.a Packet Pg. 2300 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) minimum order of bulk deliveries shall be 50 gallons. REQUEST FOR QUALIFICATION (RFQ) PROCESS 1.1 The Proposers will submit a qualifications proposal which will be scored based on the criteria in Grading Criteria for Development of Shortlist, which will be the basis for short-listing firms if the County elects to do so. The Proposers will need to meet the minimum requirements outlined herein in order for their proposal to be evaluated and scored by the COUNTY. The COUNTY will then grade and rank the firms and recommend multiple firms to establish a library for services needed. The COUNTY reserves the right to issue an invitation for oral presentations to obtain additional information after grading and before the final ranking. A contract will be developed with the selected firms, based on their qualifications and scope of services and submitted for approval by the Board of County Commissioners. 1.2 The COUNTY will use a Selection Committee in the Request for Qualification selection process. 1.3 The intent of the scoring of the proposal is for respondents to indicate their interest, relevant experience, financial capability, staffing and organizational structure. 1.4 The intent of the oral presentations, if deemed necessary, is to provide the vendors with a venue where they can conduct discussions with the Selection Committee to clarify questions and concerns before providing a final rank. 1.5 Based upon a review of these proposals, the COUNTY will rank the Proposers based on the qualifications, discussion, and clarifying questions, and then seeks to recommend multiple firms for quarterly quoting of prices to provide products. The pricing provided in this solicitation will be used for the Oct-Dec 2018 quarter. GRADING CRITERIA FOR DEVELOPMENT OF SHORTLIST: 1.6 For the development of a shortlist, this evaluation criterion will be utilized by the COUNTY’S Selection Committee to score each proposal. Proposers are encouraged to keep their submittals concise and to include a minimum of marketing materials. Proposals must address the following criteria: Evaluation Criteria Maximum Points 1. Cover Letter / Management Summary 5 Points 2. Certified Minority Business Enterprise 5 Points 3. Experience and Capacity of the Firm 15 Points 4. Compliance with Grant Requirements 25 Points 5. Product Availability 25 Points 6. Costs of Services to the County 25 Points TOTAL POSSIBLE POINTS 100 Points Tie Breaker: In the event of a tie at final ranking, award shall be made to the proposer with the lower volume of work previously awarded. Volume of work shall be calculated based upon total dollars paid to the proposer in the twenty-four (24) months prior to the RFP submittal deadline. Payment information will be retrieved from the County’s financial system of record. The tie breaking procedure is only applied in the final ranking step of the selection process and is invoked by the Procurement Services Division Director or designee. In the event a tie still exists, selection will be determined based on random selection by the Procurement Services Director before at least three (3) witnesses. ---------------------------------------------------------------------------------------------------------------------------------------------------------- Each criterion and methodology for scoring is further described below. EVALUATION CRITERIA NO. 1: COVER LETTER/MANAGEMENT SUMMARY (5 Total Points Available) Provide a cover letter, signed by an authorized officer of the firm, indicating the underlying philosophy of the firm in providing the services stated herein. Include the name(s), telephone number(s) and email(s) of the authorized contact person(s) concerning proposal. Submission of a signed Proposal is Vendor's certification that the Vendor will accept any awards as a result of this RFP. EVALUATION CRITERIA NO. 2: CERTIFIED MINORITY BUSINESS ENTERPRISE (5 Total Points Available) Submit certification with the Florida Department of Management Service, Office of Supplier Diversity as a Certified Minority Business Enterprise. EVALUATION CRITERIA NO. 3: EXPERIENCE AND CAPACITY OF THE FIRM (15 Total Points Available) 16.E.2.a Packet Pg. 2301 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) In this tab, include but not limited to: • Provide the firm’s qualifications in providing the stated deliverables including experience, capacity, facility locations, delivery capabilities, business licenses The County requests that the vendor submits three (3) completed reference forms from clients whose projects are of a similar nature to this solicitation as a part of their proposal. Provide information on the projects completed by the vendor that best represent projects of similar size, scope and complexity of this project using form provided Reference Form. Vendors may include two (2) additional pages for each project to illustrate aspects of the completed project that provides the information to assess the experience of the Proposer on relevant project work. EVALUATION CRITERIA NO. 4: COMPLIANCE TO GRANT REQUIREMENTS (25 Total Points Available) In this tab, include but not limited to: • Review and submit all required forms against the Grant provisions included in this solicitation. EVALUATION CRITERIA NO. 5: PRODUCT AVAILABILITY (25 Total Points Available) In this tab, include but not limited to: • Detailed plan of approach to supplying the County with oils, lubricants, and fluids • Detailed list of products that are kept readily available that would be used for this scope of work 16.E.2.a Packet Pg. 2302 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EVALUATION CRITERIA NO. 6: COST OF SERVICES TO THE COUNTY (25 Total Points Available) Provide all-inclusive pricing for the items below. Prices provided below shall be valid from October to December 2018. Purchases made during the Oct-Dec 2018 quarter, from the selected and qualified firms, using the pricing obtained below, will awarded by line item based on the lowest unit price provided below. Line Collier County's Part Number Description Packaging Unit Per Unit Price Your Part Number 1 FS15W40 Motor Oil: Heavy Duty, API CK-4 multi-grade SAE 15W40 (Bulk) in gallons (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 2 D15W40 Motor Oil: Heavy Duty, API CK-4 multi-grade SAE 15W40 55 gallons (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 3 15W40 Motor Oil: Heavy Duty, API CK‐4 multi‐grade, SAE 15W40 (Virgin - No Recycled) Case (expressed as a case equals 12 each at 32 oz) 32 oz 4 FS10W30 Motor Oil: Heavy Duty,10W‐30 Synthetic Blend meets the API CK‐4 (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 5 D10W30 Motor Oil: Heavy Duty,10W‐30 Synthetic Blend meets the API CK‐4 (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 6 10W30 Motor Oil: Heavy Duty,10W‐30 Synthetic Blend meets the API CK‐4 (Virgin - No Recycled) Case (expressed as a case equals 12 each at 32 oz) 32 oz 7 SYN5W30 Motor Oil Synthetic Blend, API, ILSAC GF5, SM, SL, meeting Ford WSS‐M2C929‐A specification, SAE 5W‐30 (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 8 D5W30 Motor Oil Synthetic Blend, API, ILSAC GF5, SM, SL, meeting Ford WSS‐M2C929‐A specification, SAE 5W‐30 (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 9 5W30 Motor Oil Synthetic Blend, API, ILSAC GF5, SM, SL, meeting Ford WSS‐M2C929‐A specification, SAE 5W‐30 (Virgin - No Recycled) Case (expressed as a case equals 12 each at 32 oz) 32 oz 10 SYN5W20 Motor Oil Synthetic Blend, API, ILSAC GF5, SM, SL, meeting Ford WSS‐M2C929‐A specification, SAE 5W‐20 (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 11 D5W20 Motor Oil Synthetic Blend, API, ILSAC GF5, SM, SL, meeting Ford WSS‐M2C929‐A specification, SAE 5W‐20 (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 12 5W20 Motor Oil Synthetic Blend, API, ILSAC GF5, SM, SL, meeting Ford WSS‐M2C929‐A specification, SAE 5W‐20 (Virgin - No Recycled) Case (expressed as a case equals 12 each at 32 oz) 32 oz 16.E.2.a Packet Pg. 2303 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 13 HYD68 Hydraulic Oil: AW, ISO 68 (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 14 HYD68D Hydraulic Oil: AW, ISO 68 (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 15 HYD68BUCKET Hydraulic Oil: AW, ISO 68 (Virgin - No Recycled) 5 Gallon Container (expressed Container) 1 Gallon 16 HYD68BIO Hydraulic Oil: AW, ISO 68 Bio- Degradable. Equivalent to Panolin 68W HLP biodegradable. 5 Gallon Container (expressed Container) 1 Gallon 17 HYD46 Hydraulic Oil: AW, ISO 46 (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 18 HYD46D Hydraulic Oil: AW, ISO 46 (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 19 HYD46BUCKET Hydraulic Oil: AW, ISO 46 (Virgin - No Recycled) 5 Gallon Container 1 Gallon 20 HYD32 Hydraulic Oil: AW, ISO 32 (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 21 HYD32D Hydraulic Oil: AW, ISO 32 (Virgin - No Recycled) 56 Gallon Drum (expressed in Gallons) 1 Gallon 22 HYD32BUCKET Hydraulic Oil: AW, ISO 32 (Virgin - No Recycled) 5 Gallon Container 1 Gallon 23 HYD32BIO Hydraulic Oil: AW, ISO 32 Bio- Degradable.Equivalent to Panolin 32W HLP biodegradable. 5 Gallon Container (expressed Container) 1 Gallon 24 HYD220BUCKET Hydraulic Oil: AW, ISO 220 (Virgin - No Recycled) 5 Gallon Container 1 Gallon 25 HYDNONCOND Hydraulic Oil: AW‐22 non‐conductive (or equivalent) ASTM D-877, 35KV Minimum 5 Gallon Container 1 Gallon 26 TRACD Tractor: Hydraulic Fluid MEETS API SERVICE GL-4 55 Gallon Drum (expressed in Gallons) 1 Gallon 27 TRAC5 Tractor: Hydraulic Fluid MEETS API SERVICE GL-4 5 Gallon Container (expressed Container) 1 Gallon 16.E.2.a Packet Pg. 2304 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 28 MERCDEXB Automatic Transmission Fluid: Valvoline MaxLife multi-vehicle (or equivalent) (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 29 MERCDEXD Automatic Transmission Fluid: Valvoline MaxLife multi-vehicle (or equivalent) (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 30 MERCDEX Automatic Transmission Fluid: Valvoline MaxLife multi-vehicle (or equivalent) (Virgin - No Recycled) Case (expressed as a case equals 12 each at 32 oz) 32 oz 31 TRANSYND Automatic Transmission Fluid: Allison Transynd (or equivalent) TES 295 (Virgin - No Recycled) Bulk Delivery (expressed in Gallons) 1 Gallon 32 TRANSYNDD Automatic Transmission Fluid: Allison Transynd (or equivalent) TES 295 (Virgin - No Recycled) 55 Gallon Drum (expressed in Gallons) 1 Gallon 33 TRANSYND1 Automatic Transmission Fluid: Allison Transynd (or equivalent) TES 295 (Virgin - No Recycled) 1 Gallon Container 1 Gallon 34 85W140KEG Gear Oil: Multi‐purpose, 85W140 API‐GL5 or MT‐1 120 lb container (expressed in pounds) 1 Pound 35 85W140BUCKET Gear Oil: Multi‐purpose, 85W140 API‐GL5 or MT‐2 35 lb container (expressed in pounds) 1 Pound 36 80W140D Synthetic Gear Oil: GL‐5, MTI 80 W 140 55 Gallon Drum (expressed in Gallons) 1 Gallon 37 80W140KEG Synthetic Gear Oil: GL‐5, MTI 80 W 140 16 Gallon Drum (expressed in gallons) 1 Gallon 38 80W140BUCKET Synthetic Gear Oil: GL‐5, MTI 80 W 140 5 Gallon Container (expressed in gallons) 1 Gallon 39 80W140 Synthetic Gear Oil: GL‐5, MTI 80 W 140 Quart Container 1 Quart 40 75W140D Full Synthetic Gear Oil; GL-5 MTI 75W140; 55 Gallon Drum 55 Gallon Drum (expressed in Gallons) 1 Gallon 41 EP120 Grease: Automotive, EP, General Purpose Hi Temp NLGI‐2 (Extreme Pressure) 120 lb container (expressed in pounds) 1 Pound 42 EP35 Grease: Automotive, EP, General Purpose Hi Temp NLGI‐2 (Extreme Pressure) 35 lb container (expressed in pounds) 1 Pound 16.E.2.a Packet Pg. 2305 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 43 EP Grease: Automotive, EP, General Purpose Hi Temp NLGI‐2 (Extreme Pressure) Case (expressed as a case equals 10 each grease Cartridges) Each 44 REDTAC Multiplex Hi Temp Red No. 2 Wheel Bearing Grease (or equivalent) NLGI GC-LB Synthetic Grease 400 lb container (expressed in pounds) 1 Pound 45 RED120 Multiplex Hi Temp Red No. 2 Wheel Bearing Grease (or equivalent) NLGI GC-LB Synthetic Grease 120 lb container (expressed in pounds) 1 Pound 46 RED35 Multiplex Hi Temp Red No. 2 Wheel Bearing Grease (or equivalent) NLGI GC-LB Synthetic Grease 35 lb container (expressed in pounds) 1 Pound 47 SYNGREASE Multiplex Hi Temp Red No. 2 Wheel Bearing Grease (or equivalent) NLGI GC-LB Synthetic Grease Case (expressed as a case equals 10 each grease Cartridges) Each 48 DEF001 Diesel Exhaust Fluid: meets ISO22241 Bulk Delivery (expressed in Gallons) 1 Gallon 49 DEF55 Diesel Exhaust Fluid: meets ISO22241 55 Gallon Drum (expressed in Gallons) 1 Gallon 50 DEF25 Diesel Exhaust Fluid: meets ISO22241 Per 2.5 Gallon container 2.5 Gallon 51 00119 Killem Biocide (or equivalent) Case of 16oz containers 16 oz Note: To obtain pricing for subsequent quarters (January to March, April to June, July to September) the qualified vendors will receive an Invitation to Quote containing quote sheets prior to the beginning of the quarter. Each vendor will enter pricing on the forms for each line item. Vendors will be awarded per lowest price on each line item for the subsequent quarterly purchases. 16.E.2.a Packet Pg. 2306 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I‐02 GRANT CONTRACT ASSURANCES GCA ‐ 1 GRANT CERTIFICATIONS AND ASSURANCES 1. Acknowledgement of Grant Terms and Conditions 2. Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions 3. Anticipated DBE, M/WBE or VETERAN Participation Statement 4. Certification regarding Lobbying 16.E.2.a Packet Pg. 2307 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I‐02 GRANT CONTRACT ASSURANCES GCA ‐ 2 Acknowledgement of Terms, Conditions, and Grant Clauses Certification If the vendor subcontracts any of the work required under this Agreement, a copy of the signed subcontract must be available to the Department for review and approval. The vendor agrees to include in the subcontract that (1) the subcontractor is bound by the terms of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and regulations, and (iii) the subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arising out of the subcontractor’s performance of work under this Agreement, to the extent allowed and required by law. The recipient shall document in the quarterly report the subcontractor’s progress in performing its work under this agreement. For each subcontract, the Recipient shall provide a written statement to the Department as to whether the subcontractor is a minority vendor as defined in Section 288.703, Fla. Stat. On behalf of my firm, I acknowledge, the grant requirements identified in this document. Vendor/Contractor Name _____________________________________ Date __________________ Authorized Signature ___________________________________________________________ 16.E.2.a Packet Pg. 2308 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I‐02 GRANT CONTRACT ASSURANCES GCA ‐ 3 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY and VOLUNTARY EXCLUSION (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three‐year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (l)(b) of this certification; and (d) Have not within a three‐year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. ________________________________ _____________________________________ Name DUNS Number ________________________________ _____________________________________ Title Tax ID Number ________________________________ Firm _________________________________________________________________________ Street Address, City, State, Zip __________________________________ Signature 16.E.2.a Packet Pg. 2309 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I‐02 GRANT CONTRACT ASSURANCES GCA ‐ 4 16.E.2.a Packet Pg. 2310 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT B GRANT CERTIFICATIONS AND ASSURANCES GCA ‐ 5 LOBBYING CERTIFICATION (To be submitted with each bid or offer exceeding $100,000) The undersigned [Contractor] certifies, to the best of his or her knowledge, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form- LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The Contractor certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 11.062, Florida Statutes., apply to this certification and disclosure, if any. ____________________________________________________ Contractor (Firm Name) ____________________________________________________ Signature of Contractor’s Authorized Official ____________________________________________________ Name and Title of Contractor’s Authorized Official ____________________________________________________ Date 16.E.2.a Packet Pg. 2311 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-1 FEDERAL TRANSIT ADMINISTRATION The supplemental conditions contained in this section are intended to cooperate with, to supplement, and to modify the general conditions and other specifications. In cases of disagreement with any other section of this contract, the Supplemental Conditions shall govern. The services performed by the awarded Contractor shall be in compliance with all applicable grantor regulations/requirements, and additional requirements specified in this document. It shall be the awarded Contractor’s responsibility to acquire and utilize the necessary manuals and guidelines that apply to the work required to complete this project. In general, 1) The contractor (including all subcontractors) must insert these contract provisions in each lower tier contracts ( e.g. subcontract or sub-agreement); 2) The contractor (or subcontractor) must incorporate the applicable requirements of these contract provisions by reference for work done under any purchase orders, rental agreements and other agreements for supplies or services; 3) The prime contractor is responsible for compliance with these contract provisions by any subcontractor, lower-tier subcontractor or service provider. 16.E.2.a Packet Pg. 2312 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-2 FEDERAL CONTRACT PROVISIONS FLY AMERICA REQUIREMENTS (Applies to subcontracts) The Contractor agrees to comply with the following: a) Definitions. As used in this clause-- “International air transportation” means transportation by air between a place in the United States and a place outside the United States or between two places both of which are outside the United States. “United States” means the 50 States, the District of Columbia, and outlying areas. “U.S.-flag air carrier” means an air carrier holding a certificate under 49 U.S.C. Chapter 411. b) When Federal funds are used to fund travel, Section 5 of the International Air Transportation Fair Competitive Practices Act of 1974 (49 U.S.C. 40118) (Fly America Act) requires contractors, recipients, and others use U.S.-flag air carriers for U.S. Government-financed international air transportation of personnel (and their personal effects) or property, to the extent that service by those carriers is available. It requires the Comptroller General of the United States, in the absence of satisfactory proof of the necessity for foreign-flag air transportation, to disallow expenditures from funds, appropriated or otherwise established for the account of the United States, for international air transportation secured aboard a foreign-flag air carrier if a U.S.-flag air carrier is available to provide such services. c) If available, the Contractor, in performing work under this contract, shall use U.S.-flag carriers for international air transportation of personnel (and their personal effects) or property. d) In the event that the Contractor selects a carrier other than a U.S.-flag air carrier for international air transportation, the Contractor shall include a statement on vouchers involving such transportation essentially as follows: Statement of Unavailability of U.S.-Flag Air Carriers International air transportation of persons (and their personal effects) or property by U.S.- flag air carrier was not available or it was necessary to use foreign-flag air carrier service for the following reasons. See FAR § 47.403. [State reasons]: _____________________________________________ e) The Contractor shall include the substance of this clause, including this paragraph (e), in each subcontract or purchase under this contract that may involve international air transportation. CARGO PREFERENCE REQUIREMENTS (Applies to subcontracts) Use of United States-Flag Vessels - The contractor agrees: a. to use privately owned United States-Flag commercial vessels to ship at least 50 percent of the gross tonnage (computed separately for dry bulk carriers, dry cargo liners, and tankers) involved, whenever shipping any equipment, material, or commodities pursuant to the underlying contract to the extent such vessels are available at fair and reasonable rates for United States-Flag commercial vessels; b. to furnish within 20 working days following the date of loading for shipments originating within the United States or within 30 working days following the date of leading for shipments originating outside the United States, a legible copy of a rated, "on-board" commercial ocean bill-of -lading in English for each shipment of cargo described in the preceding paragraph to the Division of National Cargo, Office of Market Development, Maritime Administration, Washington, DC 20590 and to the FTA recipient (through the contractor in the case of a subcontractor's bill-of-lading.); and c. to include these requirements in all subcontracts issued pursuant to this contract when the subcontract may involve the transport of equipment, material, or commodities by ocean vessel. ENERGY CONSERVATION REQUIREMENTS (Applies to subcontracts at every tier) (Applies to subcontracts at every tier) 16.E.2.a Packet Pg. 2313 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-3 The contractor agrees to comply with mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act. CLEAN AIR AND FEDERAL WATER POLLUTION CONTROL ACTS (Applies to subcontracts OVER $150,000 at every tier) The Contractor agrees: 1) It will not use any violating facilities; 2) It will report the use of facilities placed on or likely to be placed on the U.S. EPA “List of Violating Facilities;” 3) It will report violations of use of prohibited facilities to FTA; and 4) It will comply with the inspection and other requirements of the Clean Air Act, as amended, (42 U.S.C. §§ 7401 – 7671q); and the Federal Water Pollution Control Act as amended, (33 U.S.C. §§ 1251-1387). 5) The Contractor also agrees to include these requirements in each subcontract exceeding $150,000 financed in whole or in part with Federal assistance provided by FTA. LOBBYING Contractors who apply or bid for an award of $100,000 or more shall file the certification required by 49 CFR part 20, "New Restrictions on Lobbying." Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier shall also disclose the name of any registrant under the Lobbying Disclosure Act of 1995 who has made lobbying contacts on its behalf with non-Federal funds with respect to that Federal contract, grant or award covered by 31 U.S.C. 1352. Such disclosures are forwarded from tier to tier up to the recipient. ACCESS TO RECORDS AND REPORTS (Applies to Subcontracts at every tier) a. Record Retention. The Contractor will retain, and will require its subcontractors of all tiers to retain, complete and readily accessible records related in whole or in part to the contract, including, but not limited to, data, documents, reports, statistics, sub-agreements, leases, subcontracts, arrangements, other third party agreements of any type, and supporting materials related to those records. b. Retention Period. The Contractor agrees to comply with the record retention requirements in accordance with 2 C.F.R. § 200.333. The Contractor shall maintain all books, records, accounts and reports required under this Contract for a period of at not less than three (3) years after the date of termination or expiration of this Contract, except in the event of litigation or settlement of claims arising from the performance of this Contract, in which case records shall be maintained until the disposition of all such litigation, appeals, claims or exceptions related thereto. c. Access to Records. The Contractor agrees to provide sufficient access to FTA and its contractors to inspect and audit records and information related to performance of this contract as reasonably may be required. d. Access to the Sites of Performance. The Contractor agrees to permit FTA and its contractors access to the sites of performance under this contract as reasonably may be required. FEDERAL CHANGES Contractor shall at all times comply with all applicable FTA regulations, policies, procedures and directives, including without limitation those listed directly or by reference in the Master Agreement between Purchaser and FTA, as they may be amended or promulgated from time to time during the term of this contract. Contractor's failure to so comply shall constitute a material breach of this contract. RECYCLED PRODUCTS 16.E.2.a Packet Pg. 2314 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-4 Recovered Materials The Contractor agrees to provide a preference for those products and services that conserve natural resources, protect the environment, and are energy efficient by complying with and facilitating compliance with Section 6002 of the Resource Conservation and Recovery Act, as amended, 42 U.S.C. § 6962, and U.S. Environmental Protection Agency (U.S. EPA), “Comprehensive Procurement Guideline for Products Containing Recovered Materials,” 40 C.F.R. part 247. The list of EPA-designated items is available at: www.epa.gov/epawaste/conserve/tools/cpg/products/ Section 6002(c) establishes exceptions to the preference for recovery of EPA-designated products if the contractor can demonstrate the item is: a) Not reasonably available within a timeframe providing for compliance with the contract performance schedule; b) Fails to meet reasonable contract performance requirements; or c) Is only available at an unreasonable price. NO GOVERNMENT OBLIGATION TO THIRD PARTIES (Applies to subcontracts at every tier) (1) The Purchaser and Contractor acknowledge and agree that, notwithstanding any concurrence by the Federal Government in or approval of the solicitation or award of the underlying contract, absent the express written consent by the Federal Government, the Federal Government is not a party to this contract and shall not be subject to any obligations or liabilities to the Recipient, Contractor, or any other party (whether or not a party to that contract) pertaining to any matter resulting from the underlying contract. (2) The Contractor agrees to include the above clause in each subcontract financed in whole or in part with Federal assistance provided by FTA. It is further agreed that the clause shall not be modified, except to identify the subcontractor who will be subject to its provisions. PROGRAM FRAUD OR FALSE OR FRAUDULENT STATEMENTS OR RELATED ACTS (Applies to subcontracts at every tier) (1) The Contractor acknowledges that the provisions of the Program Fraud Civil Remedies Act of 1986, as amended, 31 U.S.C. § 3801 et seq. and U.S. DOT regulations, "Program Fraud Civil Remedies," 49 C.F.R. Part 31, apply to its actions pertaining to this Project. Upon execution of the underlying contract, the Contractor certifies or affirms the truthfulness and accuracy of any statement it has made, it makes, it may make, or causes to be made, pertaining to the underlying contract or the FTA assisted project for which this contract work is being performed. In addition to other penalties that may be applicable, the Contractor further acknowledges that if it makes, or causes to be made, a false, fictitious, or fraudulent claim, statement, submission, or certification, the Federal Government reserves the right to impose the penalties of the Program Fraud Civil Remedies Act of 1986 on the Contractor to the extent the Federal Government deems appropriate. (2) The Contractor also acknowledges that if it makes, or causes to be made, a false, fictitious, or fraudulent claim, statement, submission, or certification to the Federal Government under a contract connected with a project that is financed in whole or in part with Federal assistance originally awarded by FTA under the authority of 49 U.S.C. chapter 53, the Government reserves the right to impose the penalties of 18 U.S.C. § 1001 and 49 U.S.C. § 5323(l) on the Contractor, to the extent the Federal Government deems appropriate. (3) The Contractor agrees to include the above two clauses in each subcontract financed in whole or in part with Federal assistance provided by FTA. It is further agreed that the clauses shall not be modified, except to identify the subcontractor who will be subject to the provisions. TERMINATION Unless otherwise provided in this contract, 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. In the event that the County terminates this Agreement, Contractor’s recovery against the County shall be limited to that portion of the Agreement Amount earned through the date of termination. The Contractor shall not be entitled to any other or further recovery against the County, including, but not limited to, any damages or any anticipated profit on portions of the services not performed. 16.E.2.a Packet Pg. 2315 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-5 DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION (Applies to subcontracts) The Contractor shall comply and facilitate compliance with U.S. DOT regulations, “Nonprocurement Suspension and Debarment,” 2 C.F.R. part 1200, which adopts and supplements the U.S. Office of Management and Budget (U.S. OMB) “Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement),” 2 C.F.R. part 180. These provisions apply to each contract at any tier of $25,000 or more, and to each contract at any tier for a federally required audit (irrespective of the contract amount), and to each contract at any tier that must be approved by an FTA official irrespective of the contract amount. As such, the Contractor shall verify that its principals, affiliates, and subcontractors are eligible to participate in this federally funded contract and are not presently declared by any Federal department or agency to be: a) Debarred from participation in any federally assisted Award; b) Suspended from participation in any federally assisted Award; c) Proposed for debarment from participation in any federally assisted Award; d) Declared ineligible to participate in any federally assisted Award; e) Voluntarily excluded from participation in any federally assisted Award; or f) Disqualified from participation in ay federally assisted Award. By signing and submitting its bid or proposal, the bidder or proposer certifies as follows: The certification in this clause is a material representation of fact relied upon by the COUNTY. If it is later determined by the COUNTY that the bidder or proposer knowingly rendered an erroneous certification, in addition to remedies available to the COUNTY, the Federal Government may pursue available remedies, including but not limited to suspension and/or debarment. The bidder or proposer agrees to comply with the requirements of 2 C.F.R. part 180, subpart C, as supplemented by 2 C.F.R. part 1200, while this offer is valid and throughout the period of any contract that may arise from this offer. The bidder or proposer further agrees to include a provision requiring such compliance in its lower tier covered transactions. PRIVACY ACT The following requirements apply to the Contractor and its employees that administer any system of records on behalf of the Federal Government under any contract: (1) The Contractor agrees to comply with, and assures the compliance of its employees with, the information restrictions and other applicable requirements of the Privacy Act of 1974, 5 U.S.C. § 552a. Among other things, the Contractor agrees to obtain the express consent of the Federal Government before the Contractor or its employees operate a system of records on behalf of the Federal Government. The Contractor understands that the requirements of the Privacy Act, including the civil and criminal penalties for violation of that Act, apply to those individuals involved, and that failure to comply with the terms of the Privacy Act may result in termination of the underlying contract. (2) The Contractor also agrees to include these requirements in each subcontract to administer any system of records on behalf of the Federal Government financed in whole or in part with Federal assistance provided by FTA. CIVIL RIGHTS AND EQUAL OPPORTUNITY(Applies to subcontracts at every tier) The following requirements apply to the underlying contract: The COUNTY is an Equal Opportunity Employer. As such, the COUNTY agrees to comply with all applicable Federal civil rights laws and implementing regulations. Apart from inconsistent requirements imposed by Federal laws or regulations, the COUNTY agrees to comply with the requirements of 49 U.S.C. § 5323(h) (3) by not using any Federal assistance awarded by FTA to support procurements using exclusionary or discriminatory specifications. Under this Agreement, the Contractor shall at all times comply with the following requirements and shall include these requirements in each subcontract entered into as part thereof. 16.E.2.a Packet Pg. 2316 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-6 1. Nondiscrimination. In accordance with Federal transit law at 49 U.S.C. § 5332, the Contractor agrees that it will not discriminate against any employee or applicant for employment because of race, color, religion, national origin, sex, disability, gender identity or age. In addition, the Contractor agrees to comply with applicable Federal implementing regulations and other implementing requirements FTA may issue. 2. Race, Color, Religion, National Origin, Sex. In accordance with Title VII of the Civil Rights Act, as amended, 42 U.S.C. § 2000e et seq., and Federal transit laws at 49 U.S.C. § 5332, the Contractor agrees to comply with all applicable equal employment opportunity requirements of U.S. Department of Labor (U.S. DOL) regulations, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor," 41 C.F.R. chapter 60, and Executive Order No. 11246, "Equal Employment Opportunity in Federal Employment," September 24, 1965, 42 U.S.C. § 2000e note, as amended by any later Executive Order that amends or supersedes it, referenced in 42 U.S.C. § 2000e note. The Contractor agrees to take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, national origin, or sex (including sexual orientation and gender identity). Such action shall include, but not be limited to, the following: employment, promotion, demotion or transfer, recruitment or recruitment advertising, layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. In addition, the Contractor agrees to comply with any implementing requirements FTA may issue. 3. Age. In accordance with the Age Discrimination in Employment Act, 29 U.S.C. §§ 621-634, U.S. Equal Employment Opportunity Commission (U.S. EEOC) regulations, “Age Discrimination in Employment Act,” 29 C.F.R. part 1625, the Age Discrimination Act of 1975, as amended, 42 U.S.C. § 6101 et seq., U.S. Health and Human Services regulations, “Nondiscrimination on the Basis of Age in Programs or Activities Receiving Federal Financial Assistance,” 45 C.F.R. part 90, and Federal transit law at 49 U.S.C. § 5332, the Contractor agrees to refrain from discrimination against present and prospective employees for reason of age. In addition, the Contractor agrees to comply with any implementing requirements FTA may issue. 4. Disabilities. In accordance with section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. § 794, the Americans with Disabilities Act of 1990, as amended, 42 U.S.C. § 12101 et seq., the Architectural Barriers Act of 1968, as amended, 42 U.S.C. § 4151 et seq., and Federal transit law at 49 U.S.C. § 5332, the Contractor agrees that it will not discriminate against individuals on the basis of disability. In addition, the Contractor agrees to comply with any implementing requirements FTA may issue. BREACHES AND DISPUTE RESOLUTION (Applies to subcontracts at every tier over $150,000) Disputes - Unless otherwise provided in this contract, 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 the vendor with full decision-making authority and by OWNER’S staff person who would make the presentation of any settlement reached during negotiations to OWNER 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 the vendor with full decision-making authority and by OWNER’S staff person who would make the presentation of any settlement reached at mediation to OWNER’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. Stats. 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. DISADVANTAGED BUSINESS ENTERPRISE (Applies to Subcontracts at every tier) 16.E.2.a Packet Pg. 2317 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-7 It is the policy of the Collier County Board of County Commissioners (BCC) to ensure that Disadvantaged Business Enterprises (DBE)s are defined in part 26, have an equal opportunity to receive and participate in Department of Transportation (DOT)–assisted contracts. It is also our policy: 1. To ensure nondiscrimination in the award and administration of DOT – assisted contracts; 2. To create a level playing field on which DBEs can compete fairly for DOT-assisted contracts; 3. To ensure that the DBE Program is narrowly tailored in accordance with applicable law; 4. To ensure that only firms that fully meet 49 CFR Part 26 eligibility standards are permitted to participate as DBEs; 5. To help remove barriers to the participation of DBEs in DOT assisted contracts; 6. To assist the development of firms that can compete successfully in the market place outside the DBE Program. This Contract is subject to 49 C.F.R. part 26. Therefore, the Contractor must satisfy the requirements for DBE participation as set forth herein. These requirements are in addition to all other equal opportunity employment requirements of this Contract. Contract Assurance The Contractor, subrecipient or subcontractor shall not discriminate on the basis of race, color, national origin, gender identity or sex in the performance of this Contract. The Contractor shall carry out applicable requirements of 49 C.F.R. part 26 in the award and administration of DOT-assisted contracts. Failure by the Contractor to carry out these requirements is a material breach of this Contract, which may result in the termination of this Contract or such other remedy as the COUNTY deems appropriate. DBE Participation For the purpose of this Contract, the COUNTY will accept only DBE’s who are: 1. Certified by the Florida Unified Certification Program; or 2. An out-of-state firm who has been certified by either a local government, state government or Federal government entity authorized to certify DBE status or an agency whose DBE certification process has received FTA approval; or 3. Certified by another agency approved by the COUNTY. DBE Participation Goal Collier Area Transit’s goal for DBE participation is 1.6%. A separate contract goal has not been established for this procurement. Proposed Submission Each Bidder/Offeror, as part of its submission, shall complete an Anticipated DBE Statement that indicates the percentage and dollar value of the total bid/contract amount to be supplied by Disadvantaged Business Enterprises with whom the Bidder/Offeror intends to contract with for the performance of portions of the work under the Contract. Each Bidder/Offer shall also submit a Bid Opportunity List Prompt Payment The prime contractor agrees to pay each subcontractor under this prime contract for satisfactory performance of its contract no later than 30 days from the receipt of each payment the prime contract receives from the BCC. Retainage If retainage from DBE subcontractors is allowed per the contract, the prime contractor agrees further to return retainage payments to each subcontractor within 30 days after the subcontractors work is satisfactorily completed. Any delay or postponement of payment from the above referenced time frame may occur only for good cause following written approval of the COUNTY. Monitoring and Enforcement The COUNTY shall monitor the Contractor’s DBE compliance during the life of the Contract. It will be the responsibility of the Contractor to submit Subcontractor Payment Reports to the COUNTY with each 16.E.2.a Packet Pg. 2318 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT I-01 FEDERAL CONTRACT PROVISIONS FCP-8 pay application that summarize the total DBE value of the Contract if DBE participation occurs. These reports shall provide the following details: • DBE utilization established for the Contract; • Total value of expenditures with DBE firms for the period; • The value of expenditures with each DBE firm for the period by race and gender; • Total value of expenditures with DBE firms from inception of the Contract; and • The value of expenditures with each DBE firm from the inception of the Contract by race and gender. The Contractor shall not terminate DBE subcontractor(s) without the COUNTY’s prior written consent. The COUNTY may provide such written consent only if the Contractor has good cause to terminate the DBE firm. Before transmitting a request to terminate, the Contractor shall give notice in writing to the DBE subcontractor of its intent to terminate and the reason for the request. The Contractor shall give the DBE five days to respond to the notice and advise of the reasons why it objects to the proposed termination. When a DBE subcontractor is terminated or fails to complete its work on the Contract for any reason, the Contractor shall make good faith efforts to find another DBE subcontractor to substitute for the original DBE and immediately notify the COUNTY in writing of its efforts to replace the original DBE. These good faith efforts shall be directed at finding another DBE to perform at least the same amount of work under the Contract as the DBE that was terminated, to the extent needed to meet the Contract goal established for this procurement. Failure to comply with these requirements will be in accordance with the Sanctions for Violations section below. Recordkeeping The prime contractor must maintain records and documents of payments to DBEs for three years following the performance of the contract. The records will be made available for inspection upon request by any authorized representative of the COUNTY or DOT. This reporting requirement also extends to any certified DBE subcontractor. DBE Program and Directory Information State DOT and DBE Program Websites may be found here: https://www.transportation.gov/osdbu/disadvantaged-business-enterprise/state-dot-and-dbe-program- websites Additional information on Collier Area Transit’s DBE Program can be found at CAT’s website http://www.colliergov.net/your-government/divisions-f-r/public-transit-neighborhood-enhancement/our- services-/collier-area-transit-cat/dbe INCORPORATION OF FEDERAL TRANSIT ADMINISTRATION (FTA) TERMS (Applies to subcontracts) The preceding provisions include, in part, certain Standard Terms and Conditions required by DOT, whether or not expressly set forth in the preceding contract provisions. All contractual provisions required by DOT, as set forth in FTA Circular 4220.1F, are hereby incorporated by reference. Anything to the contrary herein notwithstanding, all FTA mandated terms shall be deemed to control in the event of a conflict with other provisions contained in this Agreement. The Contractor shall not perform any act, fail to perform any act, or refuse to comply with any COUNTY requests which would cause the COUNTY to be in violation of the FTA terms and conditions. 16.E.2.a Packet Pg. 2319 Attachment: 18-7443 Solicitation (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.b Packet Pg. 2320 Attachment: 18-7443 NORA (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) Selection Committee Final Ranking Sheet RFP #: 18-7443 Title: Motor Oils Lubricants and Fluids Name of Firm James Mario Michael Dan Karla Total Selection Committee Final Rank Palmdale Oil Company 1 1 1 2 1 6 1.0000 Flamingo Oil Company 2 2 1 1 1 7 2.0000 Procurement Professional Viviana Giarimoustas Step 1: Upon direction by the Procurement professional, the individual selection committee member should provide their ranking of the proposals (from highest being number one (1) to lowest. Step 2: The procurement professional will review the mathematically calculated final rank and discuss the rank order and determine if consensus is reached. Page 1 of 1 16.E.2.c Packet Pg. 2321 Attachment: 18-7443 Final Rank (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2322Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2323Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2324Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2325Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2326Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2327Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2328Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2329Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2330Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2331Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2332Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2333Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2334Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2335Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2336Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2337Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2338Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2339Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2340Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2341Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.d Packet Pg. 2342 Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2343Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2344Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2345Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2346Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.dPacket Pg. 2347Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) ©2016 RelaDyne® www.RelaDyne.comPowered By To register and view additional information on eligibility, terms and conditions, visit www.allfleetHDwarranty.com When you use premium ALLFLEET Heavy Duty Engine Oils in your on-road equipment and have your oil changed as recommended by the Original Equipment Manufacturer, you are eligible to receive a FREE 10-Year Engine Protection Plan that is completely transferrable. 10 YEARS 600,000 MILES Covers 16 Vehicle Engine Parts | FREE for ALLFLEET Users ELIGIBLE VEHICLE CLASSES Class 2 - 6 Class 7 - 8 ODOMETER: Miles (Hours) < 75,000 Miles (< 1,500 Hours) < 300,000 Miles (< 6,000 Hours) COVERAGE: Full Synthetic 10 Years 600,000 Miles / 12,000 Hours COVERAGE: Synthetic Blend 10 Years 400,000 Miles / 8,000 Hours WARRANTY Powered By 16.E.2.d Packet Pg. 2348 Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) ©2016 RelaDyne® www.RelaDyne.comPowered By Complete Line of Heavy Duty Products Transmission Fluids HD Engine Oils Hydraulic Oils Tractor Fluids Gear Oils Coolants Greases Diesel Exhaust Fluid Trusted Performance and Technology for Heavy Duty Engines Reduce operating cost per mile and enhance profitability with RelaDyne’s ALLFLEET Products and Services ■High Quality Synthetics ■API-Certified Engine Oils and Diesel Exhaust Fluid ■10-Year Heavy Duty Engine Warranty ■Comprehensive Online Preventative Maintenance Fluid Analysis Program Powered By 16.E.2.d Packet Pg. 2349 Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.d Packet Pg. 2350 Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT 1-02 GRANT CONTRACT ASSURANCES Acknowledgement of Terms, Conditions, and Grant Clauses Certification If the vendor subcontracts any of the work required under this Agreement, a copy of the signed subcontract must be available to the Department for review and approval. The vendor agrees to include in the subcontract that (1) the subcontractor is bound by the terms of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and regulations, and (iiij the subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arising out of the subcontractor's performance of work under this Agreement, to the extent allowed and required by law. The recipient shall document in the quarterly report the subcontractor's progress in performing its work under this agreement. For each subcontract, the Recipient shall provide a written statement to the Department as to whether the subcontractor is a minority vendor as defined in Section 288.703, Fla. Stat. On behalf of my firm, I acknowledge, the grant requirements identified in this document. Vendor/Contractor Name Authorized Signature Date /'^y/y?/ GCA- 2 16.E.2.d Packet Pg. 2351 Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) EXHIBIT 1-02 GRANT CONTRACT ASSURANCES COLLIER COUNTY ANTtClPATEB OlSADVANTAGEO, MINORITY, WOMEN OR VETERAN PARTICIPATION STATEMENT 5a!iK Kiii be "«*if!««. U?iv*ftfiW* sUtuses wfj requsr* tH« PSsMEto sithef prwvd* i revrs*^sUtemeol Of (Hoipide soorc« t»ocumensst«n dta i'aSkiaes a COMTaiCT OOtWR AMOUNT STMT MM a FJ3«.:o»-vSITl«fSff!SiO'.'it.'TA«S. ittStSiWt'-A'Bri ORHiWASM(LU0134arV*OT*GIO CBf? Y ^ M6E? V vvse? t 50*3*.? V (gfii^ smt icnvm OFTKS ca»rrj?acT... COHSTRyCDON ? .S' OOftSUt-TATiOK? y N OTHER? W . A, • if VtS fiUMBES S If PRlMi HAS •iUKONTRACTOR OR W BU-siN£^S *.0\f.l«N OH SERVICf J DlVVW-tOVLTER 0tSAOV'AN7A6t0 WHMORSTY, WOMf N-OWNCO, SJWAU fPtNfE K TOCOMPlf n THIS ){T S8CTU3M Dee MAW8£ SOBCOMTHACTOm 0« SUPWtK TYPE Of WORK OR fTHNCtTT CODE 5UB/5Um«R MRCf KT COHTRftCT (. SEC nOM TO BE tOMPU TED BY PRIME VEN0OR/< ONfRAf TOR KAMf Of SU»<«mtR OATS TEUPHOfK r*JM^ FAX NOMKS Thss mforsTvKKW js "jsass to Sfick Sfvd repon sjiSsopatsd C*e of MSaE j!».-TicipMK.r, m f»-def»iSv-?vrvdMl cont-ao:, Tna 3!rtiop*t«i r*E or M6£ sflwont « «ai«ot»rv sr»d w?iJ feiKOPW oan Ihe COTtractua* '^frr^. This f<Km most be 5ubCTVtt4<j tmift of nesponset« » SA hi Sisbcixn. Asian-Araescsn »ltllltlMilU.JMI)iil|.iii ACA utoef <wc oJ cth«f ifouo liswd 0 SEfJJON TO 8U OMPlf TED BY COLUER COUNTY 4C«rTTOBY: DATf GCA-4 16.E.2.d Packet Pg. 2352 Attachment: 18-7443 Flamingo Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTEDCOMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence) CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG $ $PRO-POLICY LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $AUTOS (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ WC STATU-OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2010/05) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Houston Specialty Insurance Company Amerisure Mutual Insurance Company Certain Underwriters at Lloyds Imperium Insurance Company 11/06/2018 Gulfshore Insurance, Inc - SFL 4100 Goodlette Rd N Naples, FL 34103 239 261-3646 Karla Castro 239 263-4527 239 213-2803 kcastro@gulfshoreinsurance.com Palmdale Oil Company, Inc. 911 N 2nd St Fort Pierce, FL 34950 12936 23396 23396 35408 A X X X X X ECAP1HSGL00000400 09/30/2018 09/30/2019 1,000,000 100,000 0 1,000,000 2,000,000 2,000,000 D X X MCS-90 X X X Pollution Lia X X ECAP1IICCA00000400 09/30/2018 09/30/2019 1,000,000 A X X X 0 ECAP1HSCX00000400 09/30/2018 09/30/2019 4,000,000 4,000,000 B N X WC207405308 06/30/2018 06/30/2019 X 1,000,000 1,000,000 1,000,000 C Excess Liability 18RENMA18000557042 09/30/2018 09/30/2019 $5,000,000 Occ & Aggreg RE: #18-7443 Motor Oils, Lubricants and Fluids Collier County Board of County Commissioners is included as Additional Insured on a primary and noncontributory basis with respects to General Liability per form CG HIIG2019 0614; completed operations per form CG2037 0413 and ongoing operations per form CG2010 0413 only as required by written contract, Waiver of Subrogation per form CG2404 0509. Additional Insured in regards to the Auto Liability on a (See Attached Descriptions) Collier County Board of County Commissioners 3295 Tamiami Trail East Naples, FL 34112 1 of 2 #S1342881/M1328266 PALOIClient#: 67371 KPA 1 of 2 #S1342881/M1328266 16.E.2.e Packet Pg. 2353 Attachment: 18-7443 Palmdale_Insurance (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) SAGITTA 25.3 (2010/05) DESCRIPTIONS (Continued from Page 1) primary and noncontributory basis per form IICCA3301 0413 and Waiver of Subrogation per FLCA0444 0312 only as required by written contract. Waiver of subrogation in regards to the Workers Compensation only as required by written contract per form WC000313 0484. Auto Liability includes MCS90 and Pollution Liability Broadened Coverage for Covered Autos CA9948 0306. 2 of 2 #S1342881/M1328266 16.E.2.e Packet Pg. 2354 Attachment: 18-7443 Palmdale_Insurance (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2355 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2356 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2357 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2358 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2359 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2360 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2361 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2362 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2363 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2364 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2365 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2366 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2367 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2368 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2369 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2370 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2371 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2372 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2373 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2374 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2375 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2376 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2377 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2378 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2379 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2380 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2381 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2382 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2383 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2384 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2385 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2386 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2387 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2388 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2389 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2390 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2391 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) 16.E.2.f Packet Pg. 2392 Attachment: 18-7443 Palmdale Oil Proposal (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) ACORD CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE (MM/DD(YYYY) 11/19/2018 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 pollcy(ies) must have ADDITIONAL INSURED provisions or tie 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 Willis of Pennsylvania, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA ^JJJI*'^'''Willis Towers Watson Certificate Center PRODUCER Willis of Pennsylvania, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA (A/C.'lto.Ext): 1-877-945-7378 ^iNC.m: 1-888-4 67-2378 PRODUCER Willis of Pennsylvania, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA E-MAIL ADDRESS: certificates8willis.com PRODUCER Willis of Pennsylvania, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSURER(S) AFFORDING COVERAGE NAIC# PRODUCER Willis of Pennsylvania, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSURER A Nationwide Agribusiness Insurance Con^any 28223 INSURED Flamingo Shop Serv Corp. , FlamLngo Oil Corporation 205 KE 179th Street Miami, FL 33162 USA INSURER B American Guarantee and Liability Insurance 26247 INSURED Flamingo Shop Serv Corp. , FlamLngo Oil Corporation 205 KE 179th Street Miami, FL 33162 USA INSURER C Illinois Union Insurance Company 27960 INSURED Flamingo Shop Serv Corp. , FlamLngo Oil Corporation 205 KE 179th Street Miami, FL 33162 USA INSURER D INSURED Flamingo Shop Serv Corp. , FlamLngo Oil Corporation 205 KE 179th Street Miami, FL 33162 USA INSURER E INSURED Flamingo Shop Serv Corp. , FlamLngo Oil Corporation 205 KE 179th Street Miami, FL 33162 USA INSURER F COVERAGES CERTIFICATE NUMBER: w8908793 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POUCY OTHER: GEN-L AGGREGATE LIMIT APPLIES PER: Xl LOC CPP143237A POLICY EFF (MM/DKYYYY) POLICY EXP (MWDD/YYYYl 11/01/2018 11/01/2019 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) 1,000,000 100,000 1,000,000 2,000,000 2,000,000 AUTOMOBILE LIABIUTY ANY AUTO 1,000,000 BODILY INJURY (Per person) OVUNED AUTOS ONLY HIRED ONLY SCHEDULED AUTOS NON-OWNED ^•gJSONLY CPP143237A 11/01/2018 11/01/2019 BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accideni) UMBRELLA LIAB EXCESS UAB DED OCCUR CLAIMS ^UIADE EACH OCCURRENCE 4,000,000 CU143237A 11/01/2018 11/01/2019 AGGREGATE 4,000,000 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MFMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y;N PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POUCY LIMIT Excess Liability AEC01065047-01 11/01/2018 11/01/2019 Each Occurrence General Aggregate 10,000,000 $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS (VEHICLES (ACORD101, Additional Remarks Schedule, may be attached If more space is required) This Voids and Replaces Previously Issued Certificate Dated 11/19/2018 WITH ID: W8906629. SEE ATTACHED CERTIFICATE HOLDER CANCELLATION Collier Countiy Board of Commissioners 3295 Tamiami Trail East Naples, FL 34112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. Collier Countiy Board of Commissioners 3295 Tamiami Trail East Naples, FL 34112 AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 17077203 BUTCH: 959583 16.E.2.g Packet Pg. 2393 Attachment: 18-7443 Flamingo_Insurance (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) AGENCY CUSTOMER ID: LOC#: A.CORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Willis of Pennsylvania, Inc. NAMED INSURED Flamingo Shop Serv Corp. , Flamingo Oil Corporation 205 NE 179th Street Miami, FL 33162 C/SA POLICY NUMBER See Page 1 NAMED INSURED Flamingo Shop Serv Corp. , Flamingo Oil Corporation 205 NE 179th Street Miami, FL 33162 C/SA CARRIER See Page 1 NAIC CODE See Page 1 NAMED INSURED Flamingo Shop Serv Corp. , Flamingo Oil Corporation 205 NE 179th Street Miami, FL 33162 C/SA CARRIER See Page 1 NAIC CODE See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER-. ^5 FORM TITLE: certificate of Liability Insurance Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County included as an Additional Insured under the captioned Commercial General Liability and Automobile Liability policies on a Primary and Non-Contributory basis if and to the extent required by written contract. "For any and all work performed on behalf of Collier County." INSURER AFFORDING COVERAGE: Illinois Union Insurance Company NAIC#: 27960 POLICY NUMBER; PPL G28167945 001 EFF DATE: 09/28/2016 EXP DATE: 09/28/2021 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Pollution Legal Liability Per Incident $10,000,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 17077203 BATCH: 959583 CERT: W8908793 16.E.2.g Packet Pg. 2394 Attachment: 18-7443 Flamingo_Insurance (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation) CERTIFICATE OF LIABILITY INSURANCE DATE (IIM/DO/YYYY) 11/19/2018 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 POUCIES BELOW. THIS CERT1RCATE 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 pollcylies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Jack Rice Insurance 13080 S Belcher Rd Ste, H Largo FL 33773 NAME*''^ Commercial Lines Division PRODUCER Jack Rice Insurance 13080 S Belcher Rd Ste, H Largo FL 33773 r/D?,''4,Ex..: (727)530-0684 |=«,,„, (727)532-9602 PRODUCER Jack Rice Insurance 13080 S Belcher Rd Ste, H Largo FL 33773 E-MAIL ADDRESS: PRODUCER Jack Rice Insurance 13080 S Belcher Rd Ste, H Largo FL 33773 INSURER(S) AFFORDING COVERAGE NAIC« PRODUCER Jack Rice Insurance 13080 S Belcher Rd Ste, H Largo FL 33773 INSURER A BrIdgefield Casualty Ins. Co. 10335 INSURED Modern Business Associates, Inc. ETAL UC/F Reladyne Florida, LLC 9455 Koger Blvd., Suite 200 St. Petersburg FL 33702 INSURER B INSURED Modern Business Associates, Inc. ETAL UC/F Reladyne Florida, LLC 9455 Koger Blvd., Suite 200 St. Petersburg FL 33702 INSURER C INSURED Modern Business Associates, Inc. ETAL UC/F Reladyne Florida, LLC 9455 Koger Blvd., Suite 200 St. Petersburg FL 33702 INSURER D INSURED Modern Business Associates, Inc. ETAL UC/F Reladyne Florida, LLC 9455 Koger Blvd., Suite 200 St. Petersburg FL 33702 INSURER E INSURED Modern Business Associates, Inc. ETAL UC/F Reladyne Florida, LLC 9455 Koger Blvd., Suite 200 St. Petersburg FL 33702 INSURER F COVEFIAGES CERTIFICATE NUMBER: Reladyne Florida, LLC 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. NOTWflTHSTANDING 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 POUCIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POUCY EFF (MM/DO/YYYY) POUCY EXP (MM/DD/YYYY) UMH^ COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE S CLAIMS-MADE OCCUR DAMAGETOKtNlfcD PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL S ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY JECT LOC PRODUCTS - COMP/OP AGG I OTHER: s AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) s OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY BODILY INJURY (Per accident) s OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) s OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY s UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE s UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE s DED RETENTION S $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILriY y; ^ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ' ' If yes, descnbe under DESCRIPTION OF OPERATIONS below N/A 0196-06932 01/01/2018 01/01/2019 ^ PER 1 OTH- STATUTE 1 ER A WORKERS COMPENSATION AND EMPLOYERS' LIABILriY y; ^ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ' ' If yes, descnbe under DESCRIPTION OF OPERATIONS below N/A 0196-06932 01/01/2018 01/01/2019 EL. EACH ACCIDENT J 1,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILriY y; ^ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ' ' If yes, descnbe under DESCRIPTION OF OPERATIONS below N/A 0196-06932 01/01/2018 01/01/2019 E.L. DISEASE - EA EMPLOYEE S 1,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILriY y; ^ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ' ' If yes, descnbe under DESCRIPTION OF OPERATIONS below N/A 0196-06932 01/01/2018 01/01/2019 EL. DISEASE - POLICY LIMIT 5 1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Retrarlis Scheduls, may be attached if more space is required) Workers' Compensation coverage is provided by contract to all employees of Modern Business Associates, Inc. and its whoHy owned subsidiaries assigned to Reladyne Florida, LLC. Coverage does not apply to any employees not approved & assigned by Modem Business /Associates, Inc. and its wholly owned subsidiaries, Reladyne Florida, LLC, Effective 04/19/2018. Flamingo Oil Corporatkin covered under Reladyne Florida LLC, CERTIFICATE HOLDER CANCELLATION Collier County Board of Commissioners 3295 Tamiami Trail East SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE V«LL BE DEUVERED !N ACCORDANCE V«TH THE POLICY PROVISIONS. Collier County Board of Commissioners 3295 Tamiami Trail East AUTHORIZeO REPRESENTATIVE Naples 1 FL 34112 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 16.E.2.g Packet Pg. 2395 Attachment: 18-7443 Flamingo_Insurance (7267 : 18-7443 Motor Oils, Lubricants, And Fluids Solicitation)