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Backup Documents 04/14/2020 Item # 6 (Agenda ID 12032) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slipand o'i•.;tginal doeiW nts 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 precedittitti a Board meeting. Complete routing lines#Lthrough#2 as appropriate for additional s'` �rkt nd/ ' i m 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 County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. t 2. Risk Management Risk Management N/A 4.23.20 3. County Attorney Office County Attorney Office SRT/by JH 4.23.20 4. BCC Office Board of County LEOrby JH 4.23.20 Commissioners 5. Minutes and Records Clerk of Court's Office 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 Corinne Trtan 239-252-4233 Contact/ Department Agenda Date Item was 4-14-20 in Absentia Agenda Item Number Accela No. 12032 Approved by the BCC Type of Document Recommendation to approve a$557,000 work Number of Original 1 Attached order to Kyle Construction, Inc.,under Request Documents Attached for Quotation("RFQ") 14-6213-GG WW SYSTEM EXTENSION 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) 1. Does the document require the chairman's original signature N/A 2. Does the document need to be sent to another agency for additional signatures? If yes, CT provide the Contact Information(Name; Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be CT 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 CT 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 CT 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 CT signature and initials are required. _ 7. In most cases(some contracts are an exception),the original document and this routing slip CT 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 April 14,2020 and all changes made CT during 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 liny, ear Chairman's signature. 1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 WORK ORDER/PURCHASE ORDER Contract 14-6213/"Underground Utility Contractors" Contract Expiration Date: July 7, 202y0 This Work Order is for professional underground utility services for work known as: Project Name: Golden Gate Wastewater System Extension/ Project No: 70255.1 The work is specified in the proposal dated February/3, 2020 which is attached hereto and made a part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced above,this Work Order/Purchase Order is assigned to: Kyle Construction,4nc. Scope of Work: As detailed in the attached proposal and the following: * Task I Mobilization/Demobilization * Task II Wastewater System Improvements * Task III Allowance' Schedule of Work: Complete work within 240 days from the date of the Notice to Proceed which is accompanying this Work Order. The Vendor agrees that any Work Order that extends beyond the expiration date of Agreement#14-6213/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(s): ®Negotiated Lump Sum (NLS) ❑Lump Sum Plus Reimbursable Costs (LS+RC) Time & Material (T&M) (established hourly rate — Schedule A) ❑ Cost Plus Fixed Fee (CPFF), (define which method will be used for which tasks) as provided in the attached proposal. Task I $ 23,000.00 LS'/ Task II $484,000.00 LSA Task III $ 50,000.00 T&M' TOTAL FEE $ 557,000.00 / 1)1 /2744 PREPARED BY: (210."6"Le-''r 03/03/2020 Corinne Trtan,Project Manager Date Page 1 of 3 C,� OP. APPROVED BY: ` /4/z �� Craig Pajer, ' ip=�'roject Manager Date APPROVED BY: IIA il • `�� t/l,, To Chmelik PMD Director Date ////1.020 APPROY Beth Johnssen, astewater Director Date APPROVED BY: \ J tec - — Cn 3 — Jos) os Be on ,Operations Support Director • Date APPROVED BY: 1P4�, / t��'` 0? O9 - )-e) /' 1,r.Georgeilmaz, Department Head Date 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: K le C s cf i n inc. // 39/2 zo a s:.. T. of Authorized Offic r Date (Remainder (# .... \\ii o page intentionally left blank) .fP S r))` Page 2 of 3 S 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 COLLIER COUNTY,FLORIDA By: . By, c � (6)-6 Burt L. Saunders Dated: Chairman (SEAL) Kyle Construction,Inc. 1/914,04,1BY F' st Witness ''• a•.e DANIELLE- L ABRAHAM Type/print signature an. titleT TTypee/A/pIint witn ss name If at eco . itnes 1-ANA M R$PA-H IM TType/print witness nameT Approved as to Form and Legality: Scn ;tars, /k.ta 9tooic,i, f ito ' "bMst3tm County Attorney Scold pi. Tem /t 'Jessica t4• Bayes Print Name (IL))\ 1/4*1 Page 3 of 3 88 8 8 8 F8 o 8 0 8 8 8 9 • NxF 1 IA . 4 w y M g rZ ipH N . p , A � Z ? 1 8 8 O W W O 1 °'-. W o oZ w F-r w w W w N 8 88 - Gg 8 8 W Y 8 8 Y 0 g W a ry m ga n M a.: ...: w w Nnn a 8 J 2 Z F 8 $ _ r 8 N m .i LS' pw o 8 •11pp N N O 8 6 0 0 o E <c a g m ww . - N N8 M1 t D 8 N N . a w w 8 N w F • YF 8 8 • z:; - m 8 a N a N N 8 8 8g r 0 8 8 0O 0 W a N m O 0 0 O 8 2':.: ::.': w Y Y p cap8 8 $ oa § 8 J Ch NN m E W Y+`' 0 8 e 8 8 m 2 J :: N i 8 N aD N n h d• Fa z:...t.:. w w `NN f4I z c9 .51 y a = sS 8 0 a W m § Q V C,. N Vl W O cc3 W Old w w w NN J• m H 8 58 8 80 V a� Z gr: 8 " o§g 0 Q § o II o g$ V y a� N M la o o w o $ S g o 0 8 "8g v d e.d F n r� t .n rn n M M w y w''.. F 51 I la 8 8 8 i o § § 0 w ^ 7: y w8 - w N I.R. t J 9 9 J F ~ l7 24 F�- a " 3 a a m n J `o -a F °\ E 4 >m c > e K m n at DH n E " m -E U w Y G E f s m '5 8 5 o o 2 io a /g,:. .- N al Date: January 21, 2020 From: Corinne Trtan, Project Manager COlker COUnt Phone—(239) 252-4233 Corinne.trtan@eolliercountyfl.gov Public Utilities Department Engineering and Project Management Division To: Potential Quoters REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT 14-6213 "Underground Utility Contractors" Selected Vendors: Mitchell & Stark Construction Co., Inc. Kyle Construction, Inc. Douglas N. Higgins Inc. Haskins, Inc. Quality Enterprises USA, Inc. Southwest Utility Systems, Inc. As provided in the referenced contract, the County Division is soliciting quotes for the referenced project. Project RFQ GG WW SYSTEM EXTENSION RFQ Due Date: Wed nesday,February 4th, 2020 at 3:00 PM Q&A Deadline: Friday, January 31st, 2020 at 5:00 PM 240 total days -210 days to substantial, 30 days to final Number of Days to Final Completion: completion Scope Provided Yes Plans and Specs: Yes Liquidated Damages: $1260.00.00 per day Payment& Performance Bonds If over $200,000.00 Your quotation response for this project is due electronically to the Email address listed above no later than the date and time specified above. We will not accept any quotation responses later than the noted time and date. If your firm is unable to respond electronically, your quotation must be received in the office of the Public Utilities Engineer& Project Management at the below referenced address no later than the time and date specified. We look forward to your participation in this request for information/quotation process. 141e_ COfl +rvckiori Tnc. Firms Complete Legal Name (239) 643-'7059 (239) 643- 41399 Telepho - Numb /Fax Number min e rnarkkeer Title " , to Abr or rn z J 312ozo Prin Name D to Public Utilities Engineering&Project Management Division•3339 Tamiami Trail East,Suite 303•Naples,Florida 34112 Email: Corrine.Trtan@colliercountyfl.gov Telephone: (239)252-8941 Addendum 1 Date: 02/04/2020 From: Corinne Titan,Project Manger To: Interested Bidders Subject: Addendum 1 The following clarifications are issued as an addendum identifying the following clarification to the scope of work,changes,deletions,or additions to the original solicitation document for the referenced solicitation: Change 1. Extend Bid Due Date from February 4te',2020 at 3:00PM to February 14th,2020 at 3:00PM Extend Q&A Session to February 12`h,2020 at 5:00PM . If you require additional information,please post a question on our BidSync(www.bidsvnc.com)bidding platform under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenc s icitation. fts3/20 ZO ( . atl`iasi Date �Y .414 avAsk Qn .Trac. (Name of Firm) 0 w ill_ ,01 o o u oLoz o 0 o o 0 0 0 0 a o o ri $ d o 0 o W �• o o 0 0000 w •0 th G. 0 O o O O z �' N co 0W L M d O t` 1- 5 W< '5 ILIw W w . .1 .) v). .1, WO >. O o J J J J I- a $ S2 U o 1.- IQ- f¢- a a o a' 0 4 0 000 t-- ,..,z ice:` N N✓ H La m m m I- z:- z d z D D D I- I- M = M CO V) CO U a 69- t69.o Ve < g W W 'W') 0 w- wOJ J c � 0Qa OI- t-. N m N U W Z 5 0 "M +- ;D; '- m .,- W H O v a a': a v ) (01- i=++ fl) 1-. N W o U. N cn Z E N co to a)O rn O)1- to >- E- r Z a CQt W Q. o a Q W M1� 2 g c - co ni 5 W ti > c a = cD 41) x • V eto 5" m E' W Yo Psa a E N {Z cb al ` m M La G Z E c d " p E .Oc a) .0 a o ++ U ,Rs _ N. 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II ..e a� a Q 0 : al (0 c' , z N ? t- C N) Q 8 0 0 0 0 0 M a W W 0 II W O co 0 Exhibit C-1 E this exhibit is not applicable PUBLIC PAYMENT BOND Bond No. FLC 82654 Contract No. 14-6213 KNOW ALL MEN BY THESE PRESENTS: That Kyle Construction, Inc. as Principal, and Merchants Bonding Company (Mutual) , as Surety, located at 6700 Westown Parkway West DesMoines, Iowa 50266 (Business Address) are held and firmly bound to Collier County as Oblige in the sum of Five Hundred Fifty Seven Thousand and No/100 ($557,000.00 ) for the payment whereof we bind ourselves, our heirs, executors, personal representatives, successors and assigns, jointly and severally. WHEREAS, Principal has entered into a contract dated as of the day of , 20 with Oblige for Golden Gate Wastewater System Extension - Project#70255.1 in accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to 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 255.0592. 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 March , 2020 , the name of under-signed representative, pursuant to authority of its governing body. Signed, sealed and delivered in the • -sence of: PRINCIPAL: 1`, KYLE CONSTRUCTION, INC. IMOBIBMIP By: _ In- -s-: as tt Principal Na e. . Alm callc m Its: ?cc14.4- ril•sA Nc- t,,. STATE OF f�ii/ COUNTY OF ed/460 The foregoing instrument was acknowledged before me this It of greh 2020 , by )4 . Abre3nco , as of w . a Prwi,/a-. corporation, on behalf of the corporatio . 01- e is persona y sown o : OR has produced as identification and did (di. not stake an oa My Commission Expires: 0 / _ A\ 1 I, (Signature of Notary) "7' • '�•= �IYCO COMMISSION 309547 s• ori EXPIRES:July 7,2023 I Name: "kik..*MAI h''� 'Bonded'Mu Notary At*Underwriters (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of Commission No.: ATTEST: SURETY: MERCHANTS BONDING COMPANY (MUTUAL) (Printed Name) �W 6700 Westown Parkway West DesMoines, Iowa 50266 (Business Address) (Authorized Signature) Witness as to Surety (Printed Name) OR ❑ this exhibit is not applicable - EXHIBIT C-2 PUBLIC PERFORMANCE BOND Bond No. FLC 82654 Contract No. 14-6213 KNOW ALL MEN BY THESE PRESENTS: That Kyle Construction, Inc. 3636 Prospect Avenue, Naples. Florida 34104 , as Principal, and Merchants Bonding Company (Mutual) as Surety, located at 6700 Westown Parkway West,..J)esMoines, Iowa 502t=iFi (Business Address) are held and firmly bound to Collier County , as Oblige in the sum of Five Hundred Fifty Seven Thousand and No/100 ------------- ($557.000.00------ )for the payment whereof we bond ourselves, our heirs, executors, personal representatives, successors and assigns, jointly and severally. WHEREAS, Principal has entered into a contract dated as of the day of 20 , with Oblige for Golden Gate Wastewater System Extension - Project#70255.1 in accordance with drawings and specifications, which contractor is incorporated by reference and made a pat hereof, and is referred to 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 Oblige any and all losses, damages, costs and attorneys' fees that Oblige sustains because of any default by Principal under the Contract, including, but not limited to, all delay damages, whether liquidated or actual, incurred by Oblige; 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, alternations 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 Oblige for more than the penal sum of this Performance bond regardless of the number of suits that may be filed by Oblige. IN WITNESS WHEREOF, the above parties have executed this instrument this 4th day of March _, 20 20 , 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 aresence of: / PRINCIPAL: 611KYLE CONST: CTION, INC. i tilliMi Aft Fit - .es as to Principal N.m. a ;,._coni Its: _ .ra;. _ O. • STATE OF FG _ COUNTY OF ed/'r The foregoing instrument was acknowled ed before me this fOof 2024 by K�14lca�r,%1 , as jsc� rYloc� day of. yle_Cacxon Ing. , a Florida.. _ corporation, on behalf of the corporation. RP is a rsonally known torr ;POR has produced _ as identification and did (did not) take an oath. :G My Commission Expires: �.� I '`\ (Signature :'rota j Name: .(ate_ [ _ (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of Commission No, F TOCIAHAMUN-ROSH ,a MY COMMISSION#GG 309547 a - , EXPIRES:.kdy 7.2023 :,IPR,f; '� Bonded This Notary Pubic Underv�e, ATTEST: SURETY: MERCHANTS BONDING COMPANY (MUTUAL) (Printed Name) 6700 Westown Parkway West DesMoines, Iowa 50286 (Business Address) (Authorized Signature) Witness as to Surety _ (Printed Name) 0 • As Attorney in F. (Attach Pow: of Attorney) Witne s- . 6820 Porto Fino Circle, Suite 2 Fort Myers, Florida 33912 (Business Address) Wendy L. Hingson, Attorney-In-Fact and Florida Resident Agent (Printed Name) (239) 275-8226 (Telephone Number) STATE OF Florida COUNTY OF Lee The foregoing instrument was acknowledged before me this 4th day of March , 2020 , by Wendy L. Hingson , as Attorney-In-Fact and Florida Resident Agent of Merchants Bonding Company (Mutual) Surety, on behalf of Surety. /She is personally known to me OR has produced N/A as identification and whoXlk(did not)take an oath, My Commission Exile • ��dg� 121* Florida (Signature of Notary) air iwis Notary Public State of g • Mp lse�fon GG 328505 „d EXpi,.eoer0tno23 Name: Dawn M. Onzo (Legibly Printed) (A OFFICIAL SEAL) Notary Public, State of Florida Commission No.: CzG 38508_-_ ® DATE(MM/DD/YYYYI ACORD CERTIFICATE OF LIABILITY INSURANCE 3/4/2020 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 Wendy Hings on NAME: VTC Insurance Group PHO No.EMI: (239)275-8226 FAX No): 239-275-8837 IA/Ft. Myers Office A DARESS:IL whingson@vtcins.com 6820 Porto Fino Circle Ste 2 INSURER(S)AFFORDING COVERAGE NAIC# Ft. Myers FL 33912 INSURER A:Transportation Insurance Company 20494 INSURED INSURERB:Valley Forge Insurance Company 20508 Kyle Construction, Inc. INSURER C:Continental Insurance Company 20443 3636 Prospect Avenue INSURERD: INSURER E: Naples FL 34104 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1992439492 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 SUBR POLICY EFF POLICY EXP LIMITS LTRTYPE OF INSURANCE O WVD POLICY NUMBER IMM/DD/YYYY) IMM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 A CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ X 402 721 9828 10/1/2019 10/1/2020 MED EXP(Any one person) $ 15,000 PERSONAL &ADV INJURY $ 1,000,000 GENII_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- OTHER: LOC PRODUCTS-COMP/OPAGG $ $ 2,000,000 POLICY X JECT AUTOMOBILE LIABILITY Ea acccidentINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS 202 450 89 42 10/1/2019 10/1/2020 BODILY INJURY (Per accident) $ X X NON-OWNED PROPERTYPPDAMAGE $ HIRED AUTOS AUTOS t) $ IX UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS UAB ~ CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION $ 0 607 903 2968 10/1/2019 10/1/2020 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 NIA OFFICER/MEMBER dryin NH)EXCLUDED? y WC107 367 45 77 10/1/2019 10/1/2020 E.L.DISEASE-EA EMPLOYEE $ 500,000 C (Mandatory in NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Golden Gate Wastewater System Extension Project #70255.1 / Contract #14-6213 Collier County BOCC is added as Additional Insureds with respects to work performed by Insured on above captioned project as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Board of County Commission THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3299 Tamiami Trail East Suite 303 Naples, FL 34112 AUTHORIZED REPRESENTATIVE /� I - Alan Chandler/V232 diAr—r ( .. a__- I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)