Backup Documents 05/14/2019 Item #16A 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO , 6 A 1
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the Count Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office SRT 5/17/19
4. BCC Office Board of CountyV-V-i\...`
Commissioners '�f-'‘ •l
5. Minutes and Records Clerk of Court's Office
NJ 511M 5:001pik
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Mark McCleary Contact Information 239-252- 442
Contact/Department
Agenda Date Item was May 14,2019 Agenda Item Number 16A
Approved by the BCC
Type of Document Work Order to Bonness, Inc., for Number of Original 1
Attached construction of the"Airport Road and Davis Documents Attached
Boulevard (Phase 1)- Southbound Right
Turn Lane"project in the amount of
$749,821.61
PO number or account N/A
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
I. Does the document require the chairman's original signa re STAMP OK SRT
2. Does the document need to be sent to another agency fo dditional signat s? If yes, SRT
provide the Contact Information(Name; Agency;Address; otre)-Dif n attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be SRT
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's SRT
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the SRT
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SRT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip SRT
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 05/14/2019 and all changes made during SRT
the meeting have been incorporated in the attached document. The County ,?���
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature.
1 6 A 1
WORK ORDER/PURCHASE ORDER
Contract# 16-6663 "Roadway Contractors"
Contract Expiration Date: March 27, 2021 /
This Work Order is for roadway construction services for work known as:
Project Name: Airport Road and Davis Boulevard(Phasel) - Southbound Right Turn Lane
Project No: 60148
The work is specified in the proposal dated March 29, 2019,which is attached hereto and made a part
of this Work Order. In accordance with the Terms and Conditions of the Agreement referenced above,
this Work Order/Purchase Order is assigned to: Bonness, Inc.
Scope of Work: As detailed in the attached proposal and the following:
Task I: Airport Road and Davis Boulevard - Southbound Right Turn Lane Improvement
Schedule of Work: Complete work within 120 days from the date of the Notice to Proceed which is
accompanying this Work Order. The Con u1tant agrees that any Work Order that extends beyond the
expiration date of Agreement# 16-6663 will survive and remain subject to the terms and conditions of
that Agreement until the completion or termination of this Work Order.
Compensation: In accordance with the Agreement referenced above, the County will compensate the
Firm in accordance with following method: II Negotiated Lump Sum (NLS) as provided in the
attached Bid Schedule.
Task I: $ 749,821.61
TOTAL FEE $ 749,821.61 f
PREPARED BY: /4/11 k 5,/7
Mark McCleary,PE,PSM, Principal roject Manager Date
Transportation Engineerin Division
APPROVED BY: •-jA
ay Ahmad, PE, ' ision Dire or Date
Tran portation Engineering Division
APPROVED BY: Cee •
o) Thaddeus Cohen, Department Head D.te
C,5 Growth Management Department
Page 1 of 3
S
1 6 A 1
DocuSign Envelope ID:DFA72EA7-DF46-43A6-AC72-2D4C06BC0674
By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby
discloses,that,to the best of their knowledge and belief, all relevant facts concerning past,present, or
currently planned interest or activity(financial,contractual,organizational,or otherwise)which relates
to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed.
Additionally,the Firm agrees to notify the Procurement Director,in writing within 48 hours of learning
of any actual or potential conflict of interest that arises during the Work Order and/or project duration. '.
ACCEPTED BY: Bonness, Inc.
WAWA, Ail, 4/2/2019
Kathleen M. Bailie,President Date
(Remainder of page intentionally left blank)
Page 2 of 3
CA
16A 1
DocuSign Envelope ID:DFA72EA7-DF46-43A6-AC72-2D4C06BC0674
IN WITNESS WHEREOF,the parties hereto,have each,respectively,by an authorized person or
agent,have executed this Work Order on the date and year first written below.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K.Kinzel,Clerk of Courts COLLIER CO die - •RIDA
)111, 60,60,Arp
Aar :tee 0,00
By: At xr BY: �..r.
W i/ am L.Mc i antel,Jr.,Chair an G\ty,lc
Dated: &4A
(;SEAL) ,
Att st as to C rman'S Bonness, Inc.
Signature only.
By: O6 , k Mit, 4/2/2019
First Witness Signature
Kathleen M.Bailie,President
Hannely Roque
tType/print witness namel'
&WM V t ow4 o f
Second Witness
}
Brad Thornton
tType/print witness names
A ro ed to Fm d L ality:
ANStffht-County Attorney
Print Name
•
Page 3 of 3
16A I
Page 1 of 3
SUBMITTED BY BONNBSS INC
BID SCHEDULE
Airport Pulling Road at Davis Blvd.INTERSECTION IMPROVEMENTS(PHASE 1)
COLLIER COUNTY PROJECT NUMBER 60016 03/29/19
BID
ITEM FDOT ITEM DESCRIPTION UNIT QUANTITY UNIT PRICE TOTAL PRICE
ROADWAY
1 101-1 Mobilization LS 1 $46,275.20 $46,275.20
2 102-1 Maintenance of Traffic LS 1 $42,163.44 $42,163.44
3 102-3 Commercial Material for Driveway Maintenance CY 50 $99.69 $4,984.50
4 104-10-3 Sediment Barrier LF 755 $1.74 $1,313.70
5 104-18 Inlet Protection System EA 5 $173.53 $867.65
6 110-1-I Clearing&Grubbing(0.25 Ac) LS 1 $9,309.79 $9,309.79
7 110-4-10 Removal of Existing Concrete Pavement SY 764 $25.14 $19,206.96
8 120-1 Regular Excavation CY 893 $32.19 $28,745.67
9 120-6 Embankment CY 1 $145.32 $145.32
10 121-70 Flowable Fill(Contingency)
CY 50 $161.63 $8,081.50
11 285-715 Optional Base,Base Group 15-Type B12.5(9") SY 1,419 550.86 $72,170.34
12 327-70-16 Milling Exist Mph Pavt,1 1/2"Avg Depth SY 6,329 $3.65 $23,100.85
13 334-1-53 Superpave Asphaltic Cone,(Traffic C,PG 76-22)(2") TN 142 $125.06 $17,758.52
14 337-7-83 Asphalt Concrete Friction Course,(Traffic C,FC-12.5,PG 76-22)(1 1/2") TN 621 $141.35 $87,778.35
15 400-0-11 Class NS Concrete(Gravity Wall) CY 107 $579.75 $62,033.25
16 425-1361 Inlets,Curb,Type P-6,<10' EA 1 57,984.67 $7,984.67
17 425-1201 Inlets,Curb,Type P-9,<10' EA 1 $7,379.58 $7,379.58
18 425-2-63 Manhole,P-8,(Partial)(Top Only) EA 1 $2,488.81 $2,488.81
19 430-175-118 Pipe Culvert,Optional Material,Round,18"S/CD LF 10 $854.40 $8,544.00
20 515-2-211 Pedestrian/Bicycle Railing LF 270 $133.04 $35,920.80
21 520-1-10 Concrete Curb&Gutter,Type F LF 1,068 $22.40 $23,923.20
22 522-2 Sidewalk Concrete.6"Thick SY 677 $49.29 $33,369.33
23 527-2 Detectable Warnings SF 130 $31.19 $4,054.70
24 550-10-221 Fencing,Type B,5.1'-6,0',W/Barb Wire ATTMT LF 63 $28.16 $1,774.08
25 550-60-226 Fence Gate,Type B,Double,24.1'-30.0'Opetaing EA 1 $2,928.62 $2,928.62
26 570-1-2 Performance Turf,Sod(Incl.Fert.And Water) SY 458 $12.65 $5,793.70
SUBTOTAL(ROADWAY ONLY) $558,096,53
SIGNING AND MARKING
27 700-1-11 Single Post Sign,F&l,Ground Mount,Up to 12 SF AS 8 $746.70 $5,973.60
28 700-1-60 Single Post Sign,Remove AS 3 $198.75 $596.25
29 700-3601 Single Panel,Remove,Up to 12 SF AS 6 $85.54 $513.24
30 705-11-3 Delineator,Flexible High Visability Median EA 4 $396.80 $1,587.20
31 706-3 Retro-Reflective Pavement Markers EA 144 $4.05 $583.20
64$41
53.47 .
32 710-11-190 Painted Pavement Markings,Standard,White,Island Nose SF 12
33 711-11-102 Thermoplastic,Standard,White,Solid,8"for Urchin Island GM 0.16 $5,205.75 $832.92
34 711-11-123 Thermoplastic,Standard,White,Solid,12"for Crosswalk LF 1096 $3.12 $3,419.52
Si
16A 1
Pape]eta
SUBMITTED BY BONNESS INC
BID SCHEDULE
Airport Pulling Road at Davis Bivd.INTERSECTION IMPROVEMENTS(PHASE I)
COLLIER COUNTY PROJECT NUMBER 60016 03/29119
BID
ITEM FDOT ITEM DESCRIPTION UNIT QUANTITY UNIT PRICE TOTAL PRICE
35 711-11-124 Thermoplastic,Standard,White,Solid,18"for Diagonals and Chevrons LF 91 54.28 $389.48
36 711-11-125 Thermoplastic,Standard,White,Solid,24"for Stop Line LF 225 $5.78 $1,300,50
37 711-11-141 Thermoplastic,Standard,White,2-4 Dotted Guideline/6.10 Gap Extension,6" GM 0.06 $2,892.08 $173.52
38 711-11-160 Thermoplastic,Standard,White,Message EA 6 $63.63 $381.78
39 711-11-170 Thermoplastic,Standard,White,Arrow • EA 12 $57.84 $694.08
40 711-11-290 Painted Pavement Markings,Standard,Yellow,Island Nose SF 30 $3.47 $104.10
41 711-16-101 Thermoplastic,Standard-Other Suti'aces,White,Solid,6" GM 0.23 54,280.29 $984.47
42 711-16-131 Thermoplastic,Other Surfaces,White,Skip,6",10-30 Skip GM 0.24 51,098.99 $263.76
43 711-16-201 Thermoplastic,Standard-Other Surfaces,Yellow,Solid,6" GM 0.14 $4,280.29 $599.24
SUBTOTAL SIGNING AND MARKING ONLY) $18,438.50
¢ _ v--17.1,-- -.-'k -ba. ---_,'--13.--', .=' tz ` = f _ " -7-4--- _-'1:77:- --,' 1 "g - .._-
ROADWAY
ROADWAY LIGHTING
44 630-2-11. Conduit,Furnish&Install,Open Trench LF 130 $16.12 $2,095.60
45 630-2-12 Conduit,Furnish&Install,Directional Bore LF 560 $32.25 $18,060.00
46 635-2-11 Pull&Splice Box,F&I,13"X 24"Cover Size EA 4 $518.29 $2,073.16
47 715-1-12 Lighting Conductors,F&I,Insulated,No.8-6 LF 2,070 52.82 $5,837.40
48 715-1-60 Lighting Conductors,Remove&Dispose,Contractor Owns LF 2,190 $0.86 $1,883.40
49 715-4-14 Light Pole Complete,Furnish&Install Standard Pole Standard Foundation,45'Mounting Height EA 1 $7,601.62 $7,801.62
50 715-4-60 Light Pole Complete,Relocate . EA 3 $4,722.22 $14,166.66
51 715-11-211 Luminaire,F&I-Replace Existing Luminaire On Existing Pole/Ann,Roadway,Cobra Head EA 2 $2,879.40 $5,758.80
52 715-500-1 Pole Cable Distribution System,Conventional EA 1 5719.85 $719.85
SUBTOTAL(ROADWAY LIGHTING ONLY) $58,196.49
- ^a=
SIGNALIZATION
53 110-4-10 Removal Of Existing Concrete SY 3 $76.84 $230.52
54 522-2 Sidewalk Concrete,6"Thick SY 3 $76.84 $230.52
55 630-2-11 Conduit,Furnish&Install,Open Trench LF 70 $23.04 $1,612.80
56 630-2-12 Conduit,Furnish&Install,Directional Bore LF 435 $62.20 $27,057.00
57 632-7-1 Signal Cable-New Or Reconstructed Intersection,Furnish&Install PI 1 $3,800.81 $3,800.81
58 632-7-6 Signal Cable,Remove-Intersection PI I $345.53 $345.53
59 635-2-11 Pull&Splice Box,F&I,17"X 30"Cover Size EA 16 $466.46 $7,463.36
60 641-2-80 Prestressed Concrete Pole,Complete Pole Removal-Pole 30'And Greater EA l $3,685.63 $3,685.63
61 646-1-11 Aluminum Signals Pole,Pedestal EA 6 $950.20 $5,701.20
62 653-1-11 Pedestrian Signal,Finnish&Install Ltd Countdown, I Way AS 6 $679.54 $4,077.24
63 653-1-60 Pedestrian Signal,Remove Ped Signal-Pole/Pedestal To Remain AS 6 5230.35 $1,382.10
64 665-1-11 Pedestrian Detector,Furnish&Install,Standard EA 6 $270.66 $1,623.96
65 665-1-60 Pedestrian Detector,Remove-Pole/Pedestal To Remain EA 6 $115.18 $691.08
66 670-5-400 Traffic Controller Assembly,Modify AS 1 52,188.34 $2,188.34 f
SUBTOTAL(ROADWAY SIGNALIZATION ONLY) $60,090.09 ✓
CO
16A1
Page3e13
SUBMITTED BY BONNESS INC
BID SCHEDULE
Airport Pulling Road at Davis Blvd.INTERSECTION IMPROVEMENTS(PHASE 1)
COLLIER COUNTY PROJECT NUMBER 60016 03/29/19
BID
ITEM FDOT ITEM DESCRIPTION UNIT QUANTITY UNIT PRICE TOTAL PRICE
7:tf
PROJECT ALLOWANCE LS $55,000.00 $55,000.00
GRAND TOTAL $749,821.61
7jI
Fy#
7$
{$I
}
0
1 6 A I
INSTR 5694971 OR 5615 PG 3560
RECORDED 4/8/2019 1:18 PM PAGES 10
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$86.50
PUBLIC PERFORMANCE BOND
Issued in duplicate
Bond No.47-SUR-300003-01-0041
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Bonness,Inc.,1900 Seward Avenue Naples,FL 34109
as Principal, and Berkshire Hathaway Specialty Insurance Company
as Surety, located at
1314 Douglas Street,Suite 1400,Omaha,NE 68102 (Business
Address) are held and firmly bound to Board of County Commissioners for Collier County,FL" , as
Obligee in the sum of
Seven Hundred Forty Nine Thousand Eight Hundred Twenty One and 61/100 Dollars
($749,821.61 ) for the payment whereof we bond ourselves, our heirs, executors, personal
representatives,successors and assigns,jointly and severally.
*3327 Tamiami Trail East Naples FL 341 12
WHEREAS, Principal has entered into a contract dated as of the 1st day of
April , 2019 , with Obligee for
Airport Road and Davis Boulevard(Phasel)-Southbound Right Turn lane;Project No:60148 in accordance
with drawings and specifications,which contract is incorporated by reference and made a part hereof,and
is referred to herein as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
1. Performs the Contract at the times and in the manner prescribed in the Contract;and
2. Pays Obligee any and all losses, damages, costs and attorneys' fees that Obligee sustains because
of any default by Principal under the Contract, including, but not limited to, all delay damages, whether
liquidated or actual,incurred by Obligee; and
3. Performs the guarantee of all work and materials furnished under the Contract for the time specified
in the Contract, then this bond is void; otherwise it remains in full force. Any changes in or under the
Contract and compliance or noncompliance with any formalities connected with the Contract or the changes
do not affect Sureties obligation under this Bond.
The Surety,for value received,hereby stipulates and agrees that no changes,extensions of time,alterations
or additions to the terms of the Contract or other work to be performed hereunder, or the specifications
referred to therein shall in anywise affect its obligations under this bond, and it does hereby waive notice
of any such changes,extensions of time,alterations or additions to the terms of the Contract or to work or
to the specifications.
This instrument shall be construed in all respects as a common law bond. It is expressly understood that
the time provisions and statute of limitations under Section 255.05,Florida Statutes,shall not apply to this
bond.
In no event will the Surety be liable in the aggregate to Obligee for more than the penal sum of this
Performance Bond regardless of the number of suits that may be filed by Obligee.
1 6 A I
IN WITNESS WHEREOF, the above parties have executed this instrument this 41I' day of
April , 20 19 ,the name of each party being affixed and these presents duly signed by its
undersigned representative,pursuant to authority of its governing body.
Signed,sealed and delivered
in the presence of: PRINCIPAL
4. i , i , , l
ty,v,, E Bonness,Inc.
tjacl� t i�ai � :�
/ "_ BY: z je" ,s 1lid,(c,.64,
Witnesses as to ''iftcipal y,,,it, ,1, T.....,tial, . �
NAME: eiliatMtI 'r, 44, Da,lr'`
ITS: ':e4 ec e it}-
STATE OF R-0(6 pP
COUNTY OF ( LL-t iv 2-
The foregoing instrument was acknowledged before me this Lk day of rQc 1 , 20 VA ,by
V le a.ic. (Y\• 60:-A,',9., , as >�,r si k of
'jC„�,, „ eis, .enc• , a w r;cao. corporation, on behalf of the
corporation. He/she is •ersonall known to OR has produced
as identification and did(did not)take an oath.
Ns01111111110//, .0"
My Commission Expires: ��� E' ROQo ", SVA ,_ ` r
0•6'. Z r \' • 4},tSSi a4;:* /1:• (Signature)
9�� ?ods:
i''a� Vee: ''''\ K c
. `*S gio•40 • i (Legibly Printed)
: tIG6 270598
.. •Qw
,'(AFFIX OFI=ICIAL SEAL' fir••o40nded\t`,,,pc.•p�\� Notary Public,State of:at,,
to I n i �p• •• c, ��� Commission No.: C.71"-:, `Z.'' S"'ttQ
c • 41101111100
(4'
1 6 A 1
ATTEST: SURETY:
Berkshire Hathaway Specialty Insurance Company
(Printed Name)
N/A
(Business Address)
N/A
(Authorized Signature)
N/A N/A
Witnesses as to Surety (Printed Name)
OR ')
Witness, Bryan Caneschi ttorney in Fact
(Attach Power of Attorney)
' Joshua Sanford
Witness Marvin Blair (Printed Name)
1314 Douglas Street,Suite 1400
Omaha,NE 68102
(Business Address)
(402)916-3000
(Telephone Number)
STATE OF CONNECTICUT
COUNTY OF HARTFORD
The foregoing instrument was acknowledged before me this 4th day of April ,20 19 ,by
Joshua Sanford ,as Attorney-in-Fact OfBerkshire Hathaway Specialty Insurance Comparg
Surety,on behalf of Surety. He/She is personally known to me OR has
produced N/A as identific. '••-. ,• who d' ( id not)take an oath.
My Commission Expires: September 30,2023 •
C + s
(Signature)
,BETHANY STEVENSON Name: Bethany Stevenson
1YOT ,'f'X'Ut`LIC-CT I7750I (Legibly Printed)
MY gOMMISSION EXPIRES SEPT.30,2023
• (AFFIX OFIICIAL'SEAL) Notary Public,State of CT
, Commission No.: 177501
I. d
1 6 1
47-SUR-300003-01-0041
Berkshire Hathaway
Specialty Insurance
Power Of Attorney �...
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY g
NATIONAL INDEMNITY COMPANY/NATIONAL LIABILITY&FIRE INSURANCE COMPANY
Know all men by these presents,that BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY a corporation existing under i 's
and by virtue of the laws of the State of Nebraska and having an office at One Lincoln Street,23rd Floor, Boston, Massachusetts PA 5
02111,NATIONAL INDEMNITY COMPANY a corporation existing under and by virtue of the laws of the State of Nebraska and having e
an office at 3024 Harney Street,Omaha,Nebraska 68131 and NATIONAL LIABILITY&FIRE INSURANCE COMPANY a corporation
existing under and by virtue of the laws of the State of Connecticut and having an office at 100 First Stamford Place, Stamford, 2
Connecticut 06902(hereinafter collectively the"Companies'), pursuant to and by the authority granted as set forth herein,do 0
hereby name,constitute and appoint:Joshua Sanford,Jyneil Whitehead,Michelle Anne McMahon,Aimee R.Perondine,Bethany g' '0
Stevenson,Savkham Chanthasone,Donna M,Planeta,Adam Martin,Aiza Lopez,Danielle D.Johnson,Mercedes Phothirath,10 B
State House Square Floor 11 of the city of Hartford State of Connecticut,their true and lawful attorney(s)-in-fact to make,execute, a
ii
seal, acknowledge,and deliver, for and on their behalf as surety and as their act and deed,any and all undertakings,bonds,or other g p 5
such writings obligatory in the nature thereof,in pursuance of these presents,the execution of which shall be as binding upon the
Companies as If it has been duly signed and executed by their regularly elected officers in their own proper persons.This authority
for the Attorney-in-Fact shall be limited to the execution of the attached bond(s)or other such writings obligatory in the nature $%
thereof. gQ
N?
In witness whereof,this Power of Attorney has been subscribed by an authorized officer of the Companies,and the corporate seals of
the Companies have been affixed hereto this date of December 20,2018.This Power of Attorney is made and executed pursuant to S 14
and by authority of the Bylaws,Resolutions of the Board of Directors,and other Authorizations of BERKSHIRE HATHAWAY SPECIALTY O. 1
INSURANCE COMPANY,NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, which are in full w 0 E
force and effect,each reading as appears on the back page of this Power of Attorney,respectively. �e
a� O
BERKSHIRE HATHAWAY SPECIALTY NATIONAL INDEMNITY COMPANY, -> 3 v
INSURANCE COMPANY, NATIONAL LIABILITY&FIRE INSURANCE COMPANY, a
011t
By: By: s _ OD
David Fields,Executive Vice President David Fields,Vice President m
—etcu\`a `EMNi\h —yPlntrNsly J
y5 fry II 0 TI 1 J
•1\PtrR'''P 071i,1p, •'"POk'•./- 11 ?"QPOR,jj1L.p 11, ti c
jQ-.....
v 0 9f`.00 I.('
Q ' 1 `
• ++ SUREg 2( SURF7Y° �f %i SURETY n. =
%�1 SEA7'% }°l, SEAL Po, ;0. 51�,,.°SL1L`s��� E
11,"3d,,,,\:;;;;;;4' : 41 sy�k,,, .N�;r f: 1�'yp�:iiEc�`,+yfffs,'%
11,y\o*.ANy _ 111, ...`•. _ 1,I,rP,N•.k.•�a_- 8
NOTARY
State of Massachusetts,County of Suffolk,ss: €
On this 20th day of December,2018,before me appeared David Fields,Executive Vice President of BERKSHIRE HATHAWAY SPECIALTY 'B .$
INSURANCE COMPANY and Vice President of NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, 5 8 8
who being duly sworn,says that his capacity is as designated above for such Companies;that he knows the corporate seals of the
Companies;that the seals affixed to the foregoing instrument are such corporate seals;that they were affixed by order of the board of 1
,, S
directors or other governing body of said Companies pursuant to Its Bylaws,Resolutions and other Authorizations,and that he signed 'B ' m
said instrument in that capacity of said Companies. . ' 8
[Notary Seal] +�=+� d/1#1 �� E
�. GEOFFERY A.DELISIO /\L �
V' Notary Public o
/, Commonwealth of Massachusetts Notary Public t § g
My Comm.Expires November 29,2024
`a
I,Ralph Tortorella,the undersigned,Officer of BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY,NATIONAL INDEMNITY gtz 2
j COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct
1 copy of the Power of Attorney executed by said Companies which Is In full force and effect and has not been revoked,IN TESTIMONY
WHEREOF, see hereunto affixed the seals of said Companies this April 4,2019.
--PC:o, 4 4.\\\, FIRE 4 '1 "±\
ys ti. 1 - OEMM/P�11 `y h,«..,•...h9�41
+:t-1\P�POfi�\�'JG 1 T���RPCYk9j'�C',IM1 % Oe.POR�r P II �.+�t .. 44,„...,,,,40 ,.........,_.
Ir SURETYe i(2SUItETY°���; SURETY m
S SEAL )A?s 71° SEAL t-...1.,0 SEAL ,, Officer
'41-3,11,4e;;;04.1
h'f'�,�F@RAS'1'�+�i 1Ybl.4gl,•t,�'�'r?. ',1,'Lo�NhEct� p ,i
11, 5^a Nya.d 11,x("-.. r: 1h0�lY,..,..,..�-
4titiis'
BHSIC,NICO&NLF POA(2018)
i
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY(BYLAWS) 1 6 A 1
ARTICLE V.
CORPORATE ACTIONS
•
EXECUTION OF DOCUMENTS:
•
Section 6.(b)The President,any Vice President or the Secretary,shall have the power and authority:
(1) To appoint Attorneys-in-fact,and to authorize them to execute on behalf of the Company bonds and other
undertakings,and
(2) To remove at any time any such Attorney-in-fact and revoke the authority given him.
NATIONAL INDEMNITY COMPANY(BY-LAWS)
Section 4.Officers,Agents,and Employees:
A. The officers shall be a President,one or more Vice Presidents,a Secretary,one or more Assistant Secretaries,a Treasurer,
and one or more Assistant Treasurers none of whom shall be required to be shareholders or Directors and each of whom shall
be elected annually by the Board of Directors at each annual meeting to serve a term of office of one year or until a successor
has been elected and qualified,may serve successive terms of office,may be removed from office at any time for or without
cause by a vote of a majority of the Board of Directors, and shall have such powers and rights and be charged with such duties
and obligations as usually are vested in and pertain to such office or as may be directed from time to time by the Board of
Directors;and the Board of Directors or the officers may from time to time appoint, discharge,engage,or remove such agents
and employees as may be appropriate,convenient,or necessary to the affairs and business of the corporation.
NATIONAL INDEMNITY COMPANY(BOARD RESOLUTION ADOPTED AUGUST 6,2014)
RESOLVED, That the President,any Vice President or the Secretary,shall have the power and authority to(1)appoint Attorneys-
in-fact,and to authorize them to execute on behalf of this Company bonds and other undertakings and(2)remove at any time
any such Attorney-in-fact and revoke the authority given.
NATIONAL LIABILITY&FIRE INSURANCE COMPANY(BY-LAWS)
ARTICLE IV
Officers
Section 1.Officers,Agents and Employees:
A. The officers shall be a president,one or more vice presidents,one or more assistant vice presidents,a secretary,one or more
assistant secretaries,a treasurer,and one or more assistant treasurers,none of whom shall be required to be shareholders
or directors,and each of whom shall be elected annually by the board of directors at each annual meeting to serve a term of
office of one year or until a successor has been elected and qualified,may serve successive terms of office,may be removed
from office at any time for or without cause by a vote of a majority of the board of directors. The president and secretary
shall be different individuals. Election or appointment of an officer or agent shall not create contract rights. The officers of
the Corporation shall have such powers and rights and be charged with such duties and obligations as usually are vested in
and pertain to such office or as may be directed from time to time by the board of directors;and the board of directors or
the officers may from time to time appoint, discharge,engage,or remove such agents and employees as may be appropriate,
convenient,or necessary to the affairs and business of the Corporation.
NATIONAL LIABILITY&FIRE INSURANCE COMPANY(BOARD RESOLUTION ADOPTED AUGUST 6,2014)
RESOLVED, That the President,any Vice President or the Secretary,shall have the power and authority to(1)appoint Attorneys-
in-fact,and to authorize them to execute on behalf of this Company bonds and other undertakings and(2)remove at any time
{ any such Attorney-in-fact and revoke the authority given.
i4 BHSIC,NICO&NLF POA(2018)
1 6 A
IN COMPLIANCE WITH F.S.CHAPTER 255.05
THE PROVISIONS AND LIMITATIONS OF SECTION 255.05 FLORIDA STATUTES,INCLUDING
BUT NOT LIMITED TO THE TIME LIMITATIONS IN SECTIONS 255.05(2),255.05(8)AND 255.05(10),
ARE INCORPORATED IN THIS BOND BY REFERENCE.
PUBLIC PAYMENT BOND
Issued in duplicate
Bond No. 47-SUR-300003-01-0041
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Bonness,Inc.,1900 Seward Avenue Naples,
FL 34109(239)597-6221 , as Principal, and
Berkshire Hathaway Specialty Insurance Company , as Surety, located at
1314 Douglas Street,Suite 1400,Omaha,NE 68102 (402)916-3000 (Business Address)are held and firmly
bound to Board of County Commissioners for Collier County,FL' as Obligee in the sum of
Seven Hundred Forty Nine Thousand Eight Hundred Twenty One and 61/100 Dollars($749,821.61 )for the payment whereof
we bind ourselves, our heirs, executors, personal representatives, successors and assigns, jointly and
severally.
*3327 Tatniami Trail East Naples FL 34112(239)252-8924
WHEREAS,Principal has entered.into a contract dated ag of the 1st dayof April 2019 ,
Airport Road and Davis Boulevard(Phase l)-Southbound Itl accordance
with Obligee for aighi Turn l ane'Prnject Nn 60148
with drawings and specifications,which contract is incorporated by reference and made a part hereof,and
is referred to herein as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
Promptly makes payment to all claimants as defined in Section 255.05(1), Florida Statutes, supplying
Principal with labor,materials or supplies,used directly or indirectly by Principal in the prosecution of the
work provided for in the Contract,then this bond is void;otherwise it remains in full force.
Any changes in or under the Contract and compliance or noncompliance with any formalities connected
with the Contract or the changes do not affect Sureties obligation under this Bond.
The provisions of this bond are subject to the time limitations of Section 255.05(2). In no event will the
Surety be liable in the aggregate to claimants for more than the penal sum of this Payment Bond,regardless
of the number of suits that may be filed by claimants.
IN WITNESS WHEREOF, the above parties have executed this instrument this 4th day of
April 2019 , the name of each party being affixed and these presents duly signed by its
under-signed representative,pursuant to authority of its governing body.
1 6 A 1
Signed,sealed and delivered
in the presence of:
PRINCIPAL
I
gbh A46.1s.tais Bonness,Inc.
ft et
Witnesses as t -ncipal y --ns , -, NAME: rida,'r , /11 ear
ITS: C; ,r ir , --
STATE OF Ci-1-714"Ar)4Q%'
COUNTY OF (511.441–A
The foregoing instrument was acknowledged before me this 4 day of ` kcf i 1, 20 r. , by
.4R'tixti. t°n (boy'it. , as i of
,a aailprIcauA corporation,on behalf of the corporation.He/she
®s personallLknown to me OR has produced as identification qnd did did not)take an oath.
My Commission Expires: 1 ... - + �
0 x••YR� /bb (Signature of ,_ ,ry)
.io Jury ,64,-s'i
•A 0023 . AME: +Pcb1 N 0t--'^ o 6
: CP' °�,(�,, (Legibly Printed)
s, .30270596 x
(AFFIX OFFICIAL SE epee the e ;�� Notary Public,State of VI—
A.
Moore.°.•... Commission No.: CC- ?.gC73(-'1
of 0\
ATTEST: ��/6“"1.
•��1/N 11111 IN" \
SURETY:
Berkshire Hathaway Specialty Insurance Company
(Printed Name)
N/A
(Business Address
N/A N/A
(Authorized Signature)
N/A N/A
Witnesses to Surety (Printed Name)
16A
OR
--
Witness, Bryan Caneschi A orney in Fact
(Attach Power of Attorney)
✓�5. 4 Joshua Sanford
WitnessX Marvin Blair (Printed Name)
1314 Doun,las Street,Suite 1400
Omaha,NE 68102
(Business Address)
(402)916-3000
(Telephone Number)
STATE OF CONNECTICUT
COUNTY OF HARTFORD
The foregoing instrument was acknowledged before me this 4th day of April 2019 ,
by Joshua Sanford , as Attorney-in-Fact of
Berkshire Hathaway Specialty Insurance Company Surety, on behalf of Surety. He/She is personally known to
me OR has produced N/A as identification and who did (did
not)take an oath.
My Commission Expires: September 30, 2023 . `:9`1'4
(Signature)
, S THANY STEVENSON Name: Bethany Stevenson
NOTARY PUBLIC-CT 177501 (Legibly Printed)
�.'MY C0M iISS10N EXPIRES SEPT.30,2023
(AFFIX OFFICIAL SEAL) Notary Public,State of: CT
Commission No.: 177501
47-SUR-3r0061-OQ41 i
BSpeciaerkshliretyathawInsurance Hay /(/_1�1
Power Of Attorney
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY
NATIONAL INDEMNITY COMPANY/NATIONAL LIABILITY&FIRE INSURANCE COMPANY
E
Know all men by these presents,that BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY a corporation existing under
and by virtue of the laws of the State of Nebraska and having an office at One Lincoln Street,23rd Floor, Boston, Massachusetts n $
02111,NATIONAL INDEMNITY COMPANY,a corporation existing under and by virtue of the laws of the State of Nebraska and having
an office at 3024 Harney Street,Omaha,Nebraska 68131 and NATIONAL LIABILITY&FIRE INSURANCE COMPANY a corporation 1
existing under and by virtue of the laws of the State of Connecticut and having an office at 100 First Stamford Place, Stamford, E $
Connecticut 06902(hereinafter collectively the"Companies"), pursuant to and by the authority granted as set forth herein,do O F'
hereby name,constitute and appoint:Joshua Sanford,JYnell Whitehead,Michelle Anne McMahon,Aimee R.Perondine,Bethany az R°
Stevenson.Savkham Chanthasone,Donna M.Planeta,Adam Martin,Aiza Lopez,Danielle D.Johnson,Mercedes Phothirath,10
S
State House Square Floor 11 of the city of Hartford State of Connecticut,their true and lawful attorney(s)-in-fact to make,execute, 8
seal, acknowledge,and deliver, for and on their behalf as surety and as their act and deed,any and all undertakings,bonds,or other g •S
such writings obligatory in the nature thereof,In pursuance of these presents,the execution of which shall be as binding upon the '°
Companies as if it has been duly signed and executed by their regularly elected officers in their own proper persons.This authority 1 q
for the Attorney-in-Fact shall be limited to the execution of the attached bond(s)or other such writings obligatory in the nature A^��
thereof. . ?
O
In witness whereof,this Power of Attorney has been subscribed by an authorized officer of the Companies,and the corporate seals of x.
the Companies have been affixed hereto this date of December 20,2018.This Power of Attorney is made and executed pursuant to 8
and by authority of the Bylaws,Resolutions of the Board of Directors,and other Authorizations of BERKSHIRE HATHAWAY SPECIALTY
INSURANCE COMPANY,NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, which are in full o E
force and effect,each reading as appears on the back page of this Power of Attorney,respectively.
u ;n
a O
BERKSHIRE HATHAWAY SPECIALTY NATIONAL INDEMNITY COMPANY, 3 u
INSURANCE COMPANY, NATIONAL LIABILITY&FIRE INSURANCE COMPANY, o 4,
OILWilill"P' IttliVIIIPP'
• q.
_ i
1/1
By: By: m co
David Fields,Executive Vice President David Fields,Vice President
O{tPOq,E Rf p . pPi.....IL:4;
L.p��� 11 C
S 3T V i,', O, 1,--,.".",;..,...f..,,...,".„
4��0�� (:,
�0 9 i 'Eq
SURETY zj SURETY° S SEl 8
SEAL ^R �! SEAI. ,L�'j �'feRAS'F� O"�� I,Y6\�bq .��(,?r2 t �(,t+oN"Ey*Di� Z 3
4 N
NOTARY "m
State of Massachusetts,County of Suffolk,ss: 1
On this 20th day of December,2018,before me appeared David Fields,Executive Vice President of BERKSHIRE HATHAWAY SPECIALTY iZ $
0
INSURANCE COMPANY and Vice President of NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, ZO 8 B
who being duly sworn,says that his capacity is as designated above for such Companies;that he knows the corporate seals of the
Companies;that the seals affixed to the foregoing instrument are such corporate seals;that they were affixed by order of the board of $ 8
directors or other governing body of said Companies pursuant to Its Bylaws,Resolutions and other Authorizations,and that he signed 'S 'a m
said instrument in that capacity of said Companies. i'
[Notary Seal] E
GEOFFERY A.DELISIO v,,`, %', t zs
ii; j" Notary Public ( c 15
m
Commonwealth of Massachusetts t
R
Notary Public
My Comm.Expires November 29,2024 z
I,Ralph Tortorella,the undersigned,Officer of BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY,NATIONAL INDEMNITY r g 0
COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct
copy of the Power of Attorney executed by said Companies which is in full force and effect and has not been revoked.IN TESTIMONY
WHEREOF, see hereunto affixed the seals of said Companies this April 4,2019.
PA Vlic??j).4it, _;pEMN/.44 Jb i1nE/,`h�
0 OµPOr4.. ,v,, ,v`.oFPOR4 TrO 1�r si; :paPOR��sG.p, --
(3 SURETY 4z!?SUIlETY°lz'y % j SURETY o
SEAL' (5o• SEAL T•', , SEAL Officer
1,13,,,ltatot�,4;.�i irrd Oti,/n Or T. ,,,2001•,/Ecl,`'S i,t'/
,
BHSIC,NICO&NLF POA(2018)
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY(BYLAWS) 16 A I
ARTICLE V.
CORPORATE ACTIONS
EXECUTION OF DOCUMENTS:
Section 6.(b)The President,any Vice President or the Secretary,shall have the power and authority:
(1) To appoint Attorneys-in-fact,and to authorize them to execute on behalf of the Company bonds and other
undertakings,and
(2) To remove at any time any such Attorney-in-fact and revoke the authority given him.
NATIONAL INDEMNITY COMPANY(BY-LAWS)
Section 4.Officers,Agents,and Employees:
A. The officers shall be a President,one or more Vice Presidents,a Secretary,one or more Assistant Secretaries,a Treasurer,
and one or more Assistant Treasurers none of whom shall be required to be shareholders or Directors and each of whom shall
be elected annually by the Board of Directors at each annual meeting to serve a term of office of one year or until a successor
has been elected and qualified,may serve successive terms of office,may be removed from office at any time for or without
cause by a vote of a majority of the Board of Directors, and shall have such powers and rights and be charged with such duties
and obligations as usually are vested in and pertain to such office or as may be directed from time to time by the Board of
Directors;and the Board of Directors or the officers may from time to time appoint, discharge,engage,or remove such agents
and employees as may be appropriate,convenient,or necessary to the affairs and business of the corporation.
NATIONAL INDEMNITY COMPANY(BOARD RESOLUTION ADOPTED AUGUST 6,2014)
RESOLVED, That the President,any Vice President or the Secretary,shall have the power and authority to(1)appoint Attorneys-
in-fact,and to authorize them to execute on behalf of this Company bonds and other undertakings and(2)remove at any time
any such Attorney-in-fact and revoke the authority given.
NATIONAL LIABILITY&FIRE INSURANCE COMPANY(BY-LAWS)
ARTICLE IV
Officers
Section 1.Officers,Agents and Employees:
A. The officers shall be a president,one or more vice presidents,one or more assistant vice presidents,a secretary,one or more
assistant secretaries,a treasurer,and one or more assistant treasurers,none of whom shall be required to be shareholders
or directors,and each of whom shall be elected annually by the board of directors at each annual meeting to serve a term of
office of one year or until a successor has been elected and qualified,may serve successive terms of office,may be removed
from office at anytime for or without cause by a vote of a majority of the board of directors. The president and secretary
shall be different individuals. Election or appointment of an officer or agent shall not create contract rights. The officers of
the Corporation shall have such powers and rights and be charged with such duties and obligations as usually are vested in
and pertain to such office or as may be directed from time to time by the board of directors;and the board of directors or
the officers may from time to time appoint, discharge,engage,or remove such agents and employees as may be appropriate,
convenient,or necessary to the affairs and business of the Corporation.
NATIONAL LIABILITY&FIRE INSURANCE COMPANY(BOARD RESOLUTION ADOPTED AUGUST 6,2014)
RESOLVED, That the President,any Vice President or the Secretary,shall have the power and authority to(1)appoint Attorneys-
in-fact,and to authorize them to execute on behalf of this Company bonds and other undertakings and(2)remove at any time
any such Attorney-in-fact and revoke the authority given.
BHSIC,NICO&NLF POA(2018)