Backup Documents 06/23/2020 Item #16C 316C3
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. I he completed routing slip and original documents are to he forwarded to the ('Guilty Attorney Office
at the time the Item is placed on the agenda. All completed routing slips and original documents must he received in the County Attorney Office no later
than Uunday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines 111 through 92 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 H I through N2, complete the checklist, and forward to the County Attorney Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1.
2.
3. County Attorney Office
County Attorney Office
D 2v
4. BCC Office
Board of County
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
Phone Number
Contact / Department
Yvl 1
T
Agenda Date Item was
/ /Z 3 /
Agenda Item Number
Approved b the BCC
w!
Type of Document
/ „ `
/mac—
Number of Original
/
Attached
!�-�4
Documents Attached
PO number or account
number if document is
/
^C
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 lice document require the chainnan's original signature?
2.
Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name; Agency; Address; Phone on an attached sheet.
3.
Original document has been signed/initiated for legal sufficiency. (All documents to be
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 Attomey's
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
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
signature and initials are required,
7.
In most cases (some contracts are an exception), the original document and this routing slip
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 you • deadlines!
8.
The document was approved by the BCC on and all changes made during
N/A is not
the meeting have been incorporated in the attached document, The County
an option for
Attorne 's Office has reviewed the changes, if applicable.
this lint
9.
Initials of attorney verifying that the attached document is the version approved by the
A is not;
BCC, all changes directed by the BCC have been made, and the document is ready for the
option for
Vis
Chairman's signature.
line:
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WINS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
16c3
Ann P. Jennejohn
From: Ann P. Jennejohn
Sent: Tuesday, July 7, 2020 11:11 AM
To: S ive rtTo m
Subject: Item #160 Work Order (6-23-20 BCC Meeting)
Attachments: Item #160 (6-23-20 BCC Meeting).pdf
Good Morning Tom,
An executed copy of Item #16C3, from
tine June 23, 2020 3CC Meeting
is attached for your records.
Thank you.
Ann Jennejohn
13MR Senior Deputy Clerk
Clerk to the Value Adjustment Board
Office: 239-252-8406
Fax: 239-252-8408 (if applicable)
Ann.Jenneiohn@CollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
3299 Tamiami Trail, Suite #401
Naples, FL 3411.2-5324
www.Co(fierC[erk.com
1
1603
WORD ORDERIPURCHASE ORDER
Contract 05.6469 "Wall Driltiug,Testing and Mahttenattee"
Contract Expiration Date: November 13, 2020
This Work Ogler is for professional services for work known as:
Project Name: Aeldifleation of'1'rvelve Welts GG Wellfield Phase 4
Project No: 70085.19.2
The work 1s specified in the proposal dated May 15, 2020 which is attactted hereto and made a part of this
Work Order. In accordance will► 'Perms and Conditions of tits Agreement referenced above, this Work
Order/Porchase Order is assigned to: 3Ui 9 & M%1-Z(R SY9rRMS INC.
Scone oP WaJ6 As detailed in tho attached proposal and the following:
Task I perform all work as described in the RFQ and as listed on the quote form, Bid Item A.I.
A.12, E.1-12
'rusk it Allowance, Bid Item A.13 and H 13
ch dulo of Work: Complete work within 210 days from the date of the Notice to Procced whiolt'is
accompanying this Work Order. Tiie Vendor agrees that any Work Order that extends beyond the oxpiration
date of Agreement #15-6469 will survive and remain subject to the terms and conditions of that Agreement
until the completion or termination of this Work Order.
CoComaeirsation: In accordance with (tie Agreement referc+teed above, the County will compensuto the Firm
In accordance with following melhod(s): 0 Negotiated Lump Sum (NLS) M Lump Stun Plus Reimbursable
Costs (LS+RC) ® Time & Material (T&M) D Cost Pius Fixed Pee (CPFP), as provided in the attached
proposal.
Task 1 $344,619.00 (NLS)
Task 11 $20,000.00 (T&M)
` 917AL FER $364,619.00
PREPARED BY;
11�1 u
ern Sivert, ,E,, Senior Project Manager bate
1�, 06032020
014
16 C 3
APPROV13D BY;
_
Ilcii Ilullorl,l'1'Ino1pn11'IoJcel Manugar Unto
i101gllallyslgnadbyCltolellkTam
ChmeIiI(Tomsoalo:2o2o,os.19,4:15,.g., M
nl'P1tOVDDiiY;�
Tom Climolik,'13111VID Director . Date
110111 Libby, Water DI.Strl utlon.Mnlinger Ditto
Johnssen b - Oltallysignedl,ylnhnssen_1>
AI'1'ltoVl3D $Y;
— Date: 2020.05,2700:30:00.04*00'
Dclh,iohnsscn, III -Ground Sorvic03 Dhcotor Dldc
Olglially signed by Joseph
Joseph Bellone llellone
APPROV[3D OY;
Date: 2020.05.2709.02:34.04•00
Joe Ulmer, ollorpttons Support Dircofor Unix
Mollally signed by Joseph '
Joseph Bellone lielionc
APPROVED 13Y,.
Date: 2020.05.2709:03:33 OM1'00'
Dr. daorgo YIIninx, Publio U111111os Ad1111111$U'alor [into
13y tho eignaturo below, Illo Firm (including unlployccs, oniuQrs nudloi• agan(s) certitlas, and 11croby
'discloses, that, to Iho bolt of their khowledge nlirl belief, nil relovnnl.fhow concarnlug IWI, prpsolit, or
ourroWly pliumod intcrost or nativity (Iinnuoial, conlrno11191, oratiulcnllonnl; or oll►orwisc) W111011 rolnto b
Me prolinscd work; mid batir on wi ether tho Pinu hna it potential cotinlot h11vo horn AillyAluolosod.
Addillonaliy,.tho Mall ngum(0110111j 1110 PrcuUrcmopl Uh'oalot, In wl'ilhig ivllhlnAu hours of Icarnhig of
pity notlinl or potcntlal canfliot or inlorosl Ilint Miles durliiil thu Work Qrdoi' and/or proJoel duriitlo,l,
ACCBM73D AY;-W�066 & WATER SYSTiUMfS ANC•
Rohort J. I<uhhuolar,l'ivsldctit Unto
i , . I� ,yi• i.
16 C 3
IN WITISIRMS WIIXItt1e,01?, the p►a-llus hurclo, 1111Ve carp, respectively, by till tiothorized pc►:son or ti(;cnt,
have uxeeuled this Work Urdu on Ihu date and year 11rst Written below,
GryslaLl��ihzu�,�`'Crb►srk ��I'Coarls
liyr�. s• ..�,
�:. :fir-•,�•'t!":�:.,. `�....
signature only.,
z/
�'I'ypu/prinl w1U►uss nan►u I
Second Wllliess
T'I'ype/print witness nnmeT
Approved ns to Dorm and I.egl►li(y:
&K"uunly Attorney
�S-4.�v -
Print N►aue
BOARI) Ol: COUNTY COMMISSIONERS
C0I,I,11M COUNTY. FLORII)A
ffr�lr,ar""
Millie, Job title
Wells and Witter Systems, lac,
Y
Sittnatarc
T'i'YhelN►'lnt sign►duru and fillet
Item #�
Agenda
Date
Date
Redd
:I: Clerk
16C3
Dato: April 23, 2020
From: Torn Slvert, P.E., Sr. PM
252-5376, Telephone Numbor
0*O licrcolmlYfl x
To: Potential Quoters
Co . e-r Cou�aty
Public utilities Department
Engineering and Project Munugumuni Nvixion
REQUEST FOR QUOTATIONS FOR MUL,TIPI.E PROJECTS UNDER CONTRACT
_-_-- - --_ -- __-- --15-6469 "Wall Drillincl, 'I and Mail tonanco"
Selected Vendors;
Yougcluist Mothers, Inc._— — Naffs Well Drilling —�
- - I.a ne Christensen Company __-- _ - All Wobbs Enterpiises, In(',.----
- -- - Walls and Winter, Inc. - --- As provided in the referenced contract, the County Division is soliciting
quotes for the referenced project.
Project
`f-amiami Well Rehab Phase 4 llcidificaticnt of 12 Production Wells
RFQ Due Date: _
Q&A Deadline:
Pro-Bld Meeting - --- --
Number ofs to S_ub/i=(nal Corlotlon:
_Sco ),Provided — —
-- _ May 8, 2020, 3:00 PM _
_May '1,2020 at 5:00 PM-
_ _ NA _
— _— Substantial: 210 Days Flnal:210
Yes
Plans and Specs: Yes--- -- _--_—___
---- ----------- -- ---- ------
Liquidated Damages: $1241.00 per clay
Payment & Performance Bonds _ If over $200,000.00 _
YOUrr quotation response for this Project -IS -Clue 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 offico of the Public Utilities Engineer & Project Management at the below referonced address no
later than the time and date specified, We look forward to your participation In this request for
informatlon/quotation process.
Wells & Water Systems Inc.
FFr n's Complete Legal Name
239-872-5955 Einail:rjk@_fl_oridla_ciriller.com
--
Telephone Number/ Fax Number
r
Signature
President
R_obert_J Kohlineler 5/141202.0
Prhit Name - --__ - — ---- - Date -- --- .. _.
Addendum 1 Received 4/2/2020 Addendurns 2 & 3 Received 4/29/2020
cc: TAS, Sonior Project Manager
Public UMMUS r.11011100rin0 & Proloct Mnnnslomont Divislon • 3330 Tnmlantl Trnll unst Sulfa 303 • Na plos Florida r I 34112
16 C 3
WELLS & WATER SYSTEMS INC
15761 Country Court Fort Myers Florida 33912
May 1.5, 2020
Collier County
Public Utilities Department
Tom Sivert PC Sr I'M
Project 15-6469 Well Drilling & Testing
Project Name Tamiami Well Rehab Phase 4 (Acidification of 12•-Production Wells)
Dear Mr, Tom Sivert,
Please see attached the Invitation to bid, cover letter, proposal, bid bond,
and certificate of insurance for this project; we have received three addendums.
Addendum 1 dated 4/2/2020 Addendum 2 dated 4/29/2020 & addendum 3 dated
4/29/2020,
If you have any questions please contact me at your convenience;
Sincerely
Robert J Kohlmeier President
Wells & Water Systems Inc
15761. Country Court
Fort Myers, Florida 33912
Cell 239-872-5955
rnail;rjl<@floridadr•Iller•,com
i6 C 3
ACIDIFICATION Of 12 WELLS IN COLLIhIZ COUNTY GOLDEN GATE WELLIFIELD
PART A: TREATMENT Of 2 WELLS WITH HCI
flid llom
At
Con10(I D01CMIV11
(k/a'n---
qusnll
Unll
yI111 NICO
TOM
_
(el p(•rrnls.f/.ob3rol,silo. Prcprrof+aonSIrKtonril(O.
1
IumpSunt
$
I•t,000,W
_ _
SId,000.00
A2 y
CoMu:(a fLOa:i]aKaldnS!c dip 7h11Janloslnl(hln2o)klrr ,Ln�ml0)Imb '0A+mlor. -- -
- ? -
-- -
t Sum
$
d00.00
_
SCA1.00
A 9
11onwo obwa ourd
Or p�p'n)Mul�tr. �)mad!o:l and hsla'I n Da;lfon Novanla l+1tA4'on tho ran
--
-
-
--
`SMOG
_
MAn_;vrl0wwaft
2
LrmpSan
S
1.000.00
_A.d
subnkpaO(yoa)a.
p
LunpSum
1,200.00
i$7,d0000a
tnsta'I rrqu lcd tompl)(31y Q oml (usl tub'rg ra aaf I'Mon. IA, 1xl M g;Ckms of N!" I ICI into lha -
— - -
-
—
- - -
A5
um mof(cMInoofa1a:0oftgwoyn,nloylo000awsof""ANflaurpl"Im'!ctIVArrNoofto
OMIT Al;ana5v y,ml(0 pl;)nsof02%1lei o:3leidI!"gn�ons011vd:lYhOm(wIwo ld9\s
2
Lvn,pSum
$
iI'm co
327,000.0)
to (blA n n IO;S ca+xcnusicrt by ssclhlll(,1 Inl IhK I al n la:n W G5 gpns.
AO
Cord4e1ni1adasiopnrnlbrnperafofi0rarrsus'n)1�'da'rsrup'po(+SVlanirinwuJlxinklof --
-?---Lump
- -
_
2k hoslnslW'fillosir*Jdonls(s. [Ct
Surn-
S
d.C(d00
59,40000
AT __
AO
Ito lnsimpumpanll+vlMalappuflcnm(•as - — - ----_ --y---
slas,ammrhsp0+ Inonlsl9nolhcalosMxRA(oA,y:r''s0'vAa
-
--_-
lmnpOwn_
S
1,90om
-- $7.400.00
AD_C_ordfklluslxadcatonstsndraAdvnnlost
.oror .,IaskIsuPl0$1,000�
2
lunipSum
S_
2,000M
$4.000.00
5?.000.00
- ? Lump Sum S 1,000.00
A.10
Disnfa;lUassUlNY] (ump(4,iehbrinaConrot pCnofmU.xhning'r,VCev;+ro Count/vrArt,Y
san 51s;uslpcdofm!!jj xlNConu foesosshwy..o.
2
LurnpSwn
$
1,700.00
$?,400.00
A.11
GIOMmlr011ov4i(,) nld wthlvo ---_- - �_ --
Stasdtr/lino-CranaMEg'puAl0m;lo
p -
_ lSum
8
S
1A0
AI?
T_ SHOO
AI)_OAneisNOAaxofallnfdosecnE+vnts(
_�Ifo4+s
oralolOAnarsDue:on) — __- -
Ho1pFsKcd
_
10000_
-
_--
_
_-$10.00000
$71,610.00
_-
Sub -Total rot Pail A:Trostmontol2Wollewrits 1101
PART D: TREATMENT OF 10 WELLS WITH CO2
--� - ConlractOil(rl lion --
�. Qusnlll)�
Unit
Un1lPrlco
Total
_tlldllom
ILL
`
OSW'nn'Iprntilt.f!obltolosilo.l'rcpaogc<onlw:ronVAOs•
1
tumnSum
S
80,000m
$00.000.0o
Is_? _
-I13
Consu anrOrvUrcawls;4ndroAdUAn10SI0iN1P00115FrgpungN}107$fd2(IJAnkICr.
10
_
lump Sun
$
400.0)
_
S4.t00.00
_
/tclrownbolaprouMp'p'rR+sv7bcalm.viWUanlln(lalnb�►fnnprov4nlcrtelAv�Cnn»Tarr -
_
--
---
manI (Mxvs.
Rofmnl EudmfsAb pump vA cooNnaW Msth Co rsty stall tar stturo skra)0. _
10
10
lump Suns
I ump Sunl
$
$
1,000.OJ
i,700.00
$IO,000.fA
31?,OCd.LO
_
II__4 _
Inslef fogy PJ i n",%ryAvihaal ml lab'rlg (or O:U ftaron. fntrct COl into 11v1 tan YAlor fccd Im ------
--
_
--
-•
--
0.5
AtnO"k 10fOunJspcfI0M0aVnsofsvale( unit atIOMIdg00103.ofcUWnd'oliln
peorAIAOfAMO,
141s n usoi, TI►) lvd01 wafar faA Palo Is no lip,), aM (to mlklpr,(d dwaron of eonlh "s
10
lsmpSum
3
10,000.OJ
$100,C40,00
--
if tbflIseohours.
11.0
COMM a'f(rldOM01)rnenlto, AP060dol8hrwrsustrvlril4MAOp'poWthvmWmumdamolorol2 -
-
—
___
ImblshsfeWlospalcddepths
10
1urnpSum
$
2,50000
325,000AJ
a?
Itolssla'1 pump NW oft'A appyllawcos.
10
Lump Sum
S
l.wo00
315,000.co
(is
RAOnimrlmprwomonisbxv]hovJasncedN(OAme.ff" wlatrsWstlsuptoP.000)
10
_
Itimpsum
S_
2.00000
_
D0-
_Y
Cooky posla(N,scalonstop JIOAdoanlost
10
lump Sum
$
- fOO.N
_320,(00.00
35,0moo
11.10
UsWallMeutlanlpyrpsiachbinsannMp:r'omt0.vlcrn'n0<dckvvso. Countyss.lpul
-
-
____
s, A)sAMradaml4%1;rd UthConuslasnsslslsno.
10
Lump Sum
S
Lwo00
512.000C4
0_11
ClayslusdloswoSMV4domtb:',ra ----- - -
-1 -_-
Iun,pSol
$
100
S10
0.12
SI•vAgTimo-QOtt 6AdEpsm(III ons;so_--�-� -
Ibuls -
8
S
-_ V 100
--- loco
11,13
OamiE/Vfonan(olaUnkuucnli+cnts rovJetOnnsisl> wVin --
S^
11011,A c(d
10,000.00
_ 510,000.00
_
Sub•Tololfor Part V:Troalmonlof10WollswllhCot
5193009.Ik1
Combinod Totals for
Sactlons
A and II
- - --- _ —Y
— -
$704 r,1 t.00
Total 0aso
Quoto fit Words: THREE I IUNORED SIXTY FOUR 1110USAND SIX HUNDRED R tlR(ETEE11 DOLLARS
Addendum 7 Reeelvedd/29/2020
Addendum 3 Received 1/19/)020
1Vclls P. Water Systems III[
157611:nunUy Cnurt for l fAycr+,llurlda J)912
l C 3
U S Specialty Insurance Company
7950 Legacy Drive Suite 600 Plano Texas 75024
Collier County
364 619 00------
Tamiami Well Rehab Phase 4
Acidification of 12 Production Wells
May 20
1001 136 097
Wells & Water Systems. Inc.
i
Three Hundred Sixty Four Thousand
Six Hundred Nineteen and Nol100
;3%j Junk•
18th
16C3
WELLS & WATER SYSTEMS INC
•'J� CARMEN KONLMEIER
MY COMMISSION # GG 215126 t-
:�<} EXpiRES;Septemberl, 2022
• : r.°: Bonded TTxu Notary Pubk Underwrlem
U S SPECIALTY INSURANCE COMPANY
7950 Legacy Drive Suite 600
Plano Texas 75024
VTC Insurance Group
6820 Porto Fino Circle. Suite 2
Fort Myers Florida 33912
Wendy Hingson. Attorney -In -Fact and
Florida Resident Agent
(239) 275-8226
Florida
Lee
18th May
Attorney -In -Fact and Florida Resident Agent
20 Wendy Hingson
U S Specialty Insurance Company
N/A
Dawn M Onzo
XXX
Florida
GG 328505
Notary Puoac Sun of "O"a
Dawn M Onzo
My Comm sswn GG 7200
"« ^� E apho oetai 102)
!6C 3
16C3
1001 136 097
Wells & Water Systems Inc
U S Specialty Insurance Company
7950 Legacy Drive Suite 600 Plano Texas 75024
Collier County
Three Hundred Sixty Four Thousand
Six Hundred Nineteen and Nol100
364 619 00----------
a30 Ju.�Q-,
Tamiami Well Rehab Phase 4
Acidification of 12 Production Wells
20
WELLS & WATER SYSTEMS. INC
CARMEN KONLMEIER
my COMMISSION C GG 215126
EXPIRES. September 7, 2022
PnI Notary s
Q�ryQ; �� PubYc
16C3
16 C 34"
U S SPECIALTY INSURANCE COMPANY
7950 Legacy Drive. Suite 600
Plano. Texas 75024
VTC Insurance Group
6820 Porto Fino Circle Suite 2
Fort Myers. Florida 33912
Wendy Hingson. Attorney -In -Fact and
Florida Resident Agent
(239) 275-8226
Florida
Lee
18th May 20
Attorney -In -Fact and Florida Resident Agent U S Specialty Insurance Company
Wendy Hingson
XX
N/A
NOWIV
Dawn M On SITU d FbnAa
Dawn M Onzo
My Comnvomm GG 325505
E�tD� se 06/O12023
Dawn M Onzo
Florida
GG 328505
`, TOKIOMARINE
H C C
POWER OF ATTORNEY
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding
Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a M aryland corporation
and U S Specialty Insurance Company, a Texas corporation (collectively, the "Companies"), do by these presents make, constitute
and appoint.
Wendy Hingson of Fort Myers, Florida
its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority
hereby conferred in its narne, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances,
undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety,
providing the bond penalty does not exceed *****Ten Million""' Dollars
( "' 10.000,000.00"' ) This Power of Attorney shall expire without further action on April 23"', 2022. This Power of Attorney is granted
under and by authority of the following resolutions adopted by the Boards of Directors of the Companies
Be it Resolved. that the President any Vice -President any Assistant Vice -President any Secretary or any Assistant Secretary shall be and is hereby
vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the
Company subject to the following provisions
Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any
and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings. including any and all consents
for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents
canceling or terminating the Company's liability thereunder. and any such instruments so executed by any such Attorney -in -Fact shall be binding upon
the Company as if signed by the President and sealed and effected by the Corporate Secretary
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any
certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding
upon the Company with respect to any bond or undertaking to which it is attached
IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this
1 'day of June. 2018
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING OMPANY
UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
State of California—
COUnty of LOs AncieleS ,�,C� �\ By t -
Daniel P. Aguilar, Vice President
A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to
which this certificate is attached and not the truthfulness accuracy, or validity of that document
On this 15' day of June, 2018, before me, Sonia 0. Carrejo, a notary public, personally appeared Daniel P. Aguilar, Vice President of
American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance
Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument
and acknowledged to me that he executed the same in his authorized cacacity, and that by his signature on the instrument
the person, or the entity upon behalf of which the person acted, executed the instrument
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal
Signature --- — (seal)
I, Kio Lo, Assistant Secretary American Contractors Indemnity Company, Texas Bonding Company, United States Surety
Company and U S Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power
of Attorney, executed by said Companies, which is still in full force and effect, furthermore, the resolutions of the Boards of Directors,
set out in the Power of Attorney are in full force and effect
In Witn�ss Whereof, I have hereunto set my hand and affixed the seals of said Companies at Lus Angeles, California this
�i8`! day of J�
Uk r
Corporate Seals ;'; 'v.
.
Bond No Z 34o U�
Agency No. 17050 _ n Kio Lo, Assi Secretary
— - — ►:
i 1CCSMANP0AX!."01 E
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1bC 3
Bond 1001 136097
RIDER
I u he attaihrti to mid term a dart lit Performance/Payment Bond \„ 1001 136097
dated thi 18th ii l\ tit May 2020 lied h\
U S Specialty Insurance Company :is Snret\. on behalf ul
Wells & Water Systems Inc: . a; Principal.
m Ihr I , n,ll .unl ,, Three Hundred Sixty Four Thousand Six Hundred Nineteen and Nol100
I)ull:us I` 364 619 00 1 ,II,d III t,k„i „1 Collier County Public Utilities Department
III cunsi(Ieratiu11 111 file I)renuunl charted 101 the anak bed bend. it 1, hilih\ ;I.L!riiki that the attar tied bulb] hi ;urlendekl .1,
Il�llu���
The Surety has been changed from U S Specialty Insurance Company to United States Surety Company
PrIN Ided. I IM%C\el. ihai the ;lunched hunk] ;hall be suhtecl lu :III 11, ;ist Cement;. III" It"'It ill, and cundi Uuns eAi el)t a,
hirein e\pj-c,;IN muklilieki. and further that the Il;ihiilt\ lit the suick under the anached blind dull the attached hand as
IMICI Icki k this ittici ,hail not he iunnilalnc
18th I t` t May 2020
I hi. ndrl ,h,lll hccuntr e11CiU\k• as lit the .
ti I!!nid, scaled and dated this 21st d,n ul May 2020
WELLS & WATER SYSTEMS INC
U S Specialty Insurance Company
V I I'll 1) r /
C
Wendy 11 son \Iiurnk , i I, I
16C3
", TOKIOMARINE
H C C
POWER OF ATTORNEY
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STA rES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
KNOW ALL MEN BY THESE PRESENTS That American Contractors Indemnity Company a California corporation Texas Bonding
Company, an assumed name of American Contractors Indemnity Company. United States Surety Company, a M aryland corporation
and U S Specialty Insurance Company. a Texas corporation (collectively, the 'Corpanies") do by these presents make. constitute
and appoint
Wendy Hingson of Fort Myers, Florida
its true and lawful Attorneys) -in -fact, each in their separate capacity if more than one is named above with full power and authority
hereby conferred in its name place and stead to execute acknowledge and deliver any and all bonds, recognizances,
undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety,
providing the bond penalty does not exceed _ "'Ten Million""' _ Dollars
( " 10,000 000.00— ) This Power of Attorney shall expire without further action on April 23`d. 2022 This Power of Attorney is granted
under and by authority of the following resolutions adopted by the Boards of Directors of the Companies
Be it Resolved that the President, any Vice -President. any Assistant Vice President. any Secretary or any Assistant Secretary shall be and is hereby
vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the
Company subject to the following provisions
Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company. to execute. acknowledge and deliver, any
and all bonds. recognizances. contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents
for the release of retained percentages and/or final estimates on engineering and construction contracts and any and all notices and documents
canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in Fact shall be binding upon
the Company as if signed by the President and sealed and effected by the Corporate Secretary
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any
certificate relating thereto by facsimile. and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding
upon the Company with respect to any bond or undertaking to which it is attached
IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this
1 'day of June 2018
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING OMPANY
UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
State of California
County of Los Angeles B `>, y —
Daniel P Aguilar, Vice President
A Notary Pubhc or other officer completing this certificate verifies only the identity of the individual who signed the document to
_which this certificate is attached, aiyd not the truthfulness, accuracy or validity of that document ------
On this 151 day of June. 2018. before me, Sonia O Carrejo a notary public, personally appeared Daniel P Aguilar, Vice President of
American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U S Specialty Insurance
Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument
and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument
the person, or the entity upon behalf of which the person acted executed the instrument
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct
WITNESS my hand and official seal
Signature .._ (seal) r,;.,•. • ._.
I. Kio Lo, Assistant Secretary American Contractors Indemnity Company. Texas Bonding Company United States Surety
Company and U S Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power
of Attorney executed by said Companies. which is still in full force and effect furthermore the resolutions of the Boards of Directors.
set out in the Power of Attorney are in full force and effect
In Witness Whereof I havq^ereLinto set my hand and affixed the seals of said Companies at Los Angeles California this
qq/S`+ day of —
Corporate Seals
Bond No �6.;
AgencyNo 17050 ' Kio -o,AssS eretary
HCCs.'AANPU :1612018
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