Loading...
#12-5839 Extension(Angie Brewer & Associates, LC) EXTENSION AGREEMENT #12-5839 FOR LOAN GRANT ACQUISITION AND COMPLIANCE SERVICES THIS EXTENSION AGREEMENT is made and entered into on this, 'day of c‘\0• 2019, by and between Angie Bre,,,e. & ociates, L.C.� auth rizen toy.o business in the State o orida, whose business address is ' : Drive East/,'4'radenttn, 'rida 34202 (the "Consultant") and Collier County, a political subdivision of the State of Florida(the "County"). WHEREAS, on June 12, 2012, Item 16.C.3, the County entered into an Agreement with Consultant to procure loan/grant acquisition and compliance services in an efficient and cost effective manner to the benefit of rate payers; and WHEREAS, the Agreement is set to expire June 21, 2019, and there are no further renewal or extension periods available; and WHEREAS,the parties desire to extend the Agreement for an additional year. NOW,THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the parties that the Agreement is hereby extended through June 21,2020. Except as stated herein, all other terms and conditions of Agreement#12-5839 shall remain in full force and effect. Remainder of Page Left Blank Signature Page to Follow Pagc 1 of 2 FIRST AMENDMENT TO AGREEMENT #I2-5839 IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or agent. have executed this Extension Agreement on the date and year first written above. ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal lc Krnzel,.Comptroller and Clerk COLLIER COUNTY, FLORIDA of Courts Al _ .-;,, . - Ce) . -,.. ' ' ..or_ ..... ..40 S , @l ti's W'• iam L. Mc Daniels, Jr., Cl'.irman Dated: . — 'I$~1 01 4. (SEAL) Consultant's Witnesses: CONSULTANT: Angie Brewer& Associates, L.C. , fia. 7_6i_ First fitness By: W / ' 1 "/ Signature ()«(-6Ksl a ►it'� _ TTy e/print witness nameT Wl '4' (5 -uu I T1 TType/print signature and title I fir.'Al.-- Second fr ess Z —/3/20/5 e, � 5�H Date / TType/print witness nameT I I Approv:f a ,„ • and legality: Jeffrey A latz w, County Attorney Page 2 of 2 FIRST AMENDMENT TO AGREEMENT #I2-5839 0 DocuSign Envelope ID:7A6A448F-F0D6-46CB-92A7-9707F138E251 Acc•RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ‘........----' 01/08/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT The Small Business Team NAME: Stratum Insurance Agency LLC HOONo,Ext): 949-270-0609 (A/C Na) 949-270-0608 C.10620 Southern Highlands Pkwy#110-276 E-MAILss: helpdesk@stratuminsurance.com INSURER(S)AFFORDING COVERAGE NAIC I/ Las Vegas NV 89141INSURER A: RL Insurance Company 13058 INSURED INSURER B: Angie Brewer&Associates,LLC INSURER C: 9080 58th Drive East,Suite 200 • INSURER D: INSURER E: Bradenton FL 34202 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DDNYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 A PMB0001254 12/20/2018 12/20/2019 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY JET LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000 (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED PMB0001254 12/20/2018 12/20/2019 BODILY INJURY(Per accident) $ X HIRED AUTOS AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE $ (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ _ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Per Claim :$1,000,000 A RTP0011523 02/17/2018 02/17/2020 Per Aggregate :$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Blanket Additional Insured for business owner liability applies per form PPB3046 04 13 and RTP 335(09/11). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Agreement#12-5839 Loan/Grant Acquisition&Compliance 3301 E Tamiami Tri Naples FL 34112 AUTHORIZED REPRESENTATIVE Stratum Insurance Agency LLC I ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD T3-83S A DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/27/2018 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 policy(ies) 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 CONTNAME: Risk Risk Management Department Commercial Lines-(305)443-4886 PHONE FAX (A/C,No,Ext): (866)443-8489 (AIC,No); (800)889-0021 USI Insurance Services National, Inc. E-MAIL ADDRESS: Work.Comp@Trinet.com 2601 South Bayshore Drive,Suite 1600 INSURER(S)AFFORDING COVERAGE NAIC# Coconut Grove,FL 33133 INSURER A: Indemnity Insurance Company of North America 43575 INSURED INSURER B: TriNet HR III, Inc. INSURER C: RE:Angie Brewer And Associates LC INSURER D: 9000 Town Center Parkway INSURER E: Bradenton, FL 34202 INSURER F: COVERAGES CERTIFICATE NUMBER: 13227035 REVISION NUMBER: See below 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S __ f DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) S PERSONAL 8,ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECTPRO LOC PRODUCTS-COMP/OP AGG $ S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO . RETENTIONPER S $ WORKERS COMPENSATION WLR C65440738 7/1/2018 7/1/2019 X STATUTE EERH A AND EMPLOYERS'LIABILITY Y/N — 2,000,000 ANYPR PRIET R/PART ER/E N NIA ECUTIVE E.L.EACH ACCIDENTOFFICE $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) RE:Re:06-3901 (Loan/Grant Acquistion and Compliance Services)//Workers Compensation is limited to worksite employees of Angie Brewer And Associates LC through a co-employment contract with TriNet HR III, Inc. CERTIFICATE HOLDER CANCELLATION Collier County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners Collier County Purchasing Dept ACCORDANCE WITH THE POLICY PROVISIONS. 3299 Tamiami Trail East Ste 303 Naples FL 34112 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03)