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#14-6213 WO (Quality Enterprises USA) (2) WORK ORDER/PURCHASE ORDER Contract 14-6213 "Underground Utility Contracting" Contract Expiration Date: 1/3/2021 This Work Order is for professional Underground Utility Contracting services for work known as: Project Name: NCWRF Belt Filter Underdrains Improvements Project No: 70148.1.22 The work is specified in the proposal dated June 9, 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: QUALITY ENTERPRISES USA Scope of Work: As detailed in the attached proposal and the following: Task I: - General Conditions & Requirements Task II: - Mobilization Task III: - Structural Work Task IV: - Site Civil Work Task V: - Mechanical (Process) Work Task VI: - Electrical Work Task VII: - Demobilization Task VIII: - Contingency Allowance for Owner's Use Schedule of Work: Complete work within 180 days from the date of the Notice to Proceed which is accompanying this Work Order. The Consultant 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): X 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 $ 17,500.00 LS Task II $ 13,000.00 LS Task III $ 19,050.00 LS Task IV $ 25,170.00 LS Task V $168,920.00 LS Task VI $ 3,000.00 LS Task VII $ 3,700.00 LS Task VIII $ 15,000.00 LS TOTAL FEE $265,340.00 LS Page 1 of 3 9� i7k• tA. 7/28/2020 PREPARED BY: Peter Schalt, PMP, Senior Project Manager Date By the signature below, the Finn (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 Finn has a potential conflict have been fully disclosed. Additionally, the Finn 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: QUALITY ENTERPRISES USA 7/Z 8 /2 ,N Lou Gaudio, Vice President Date (Remainder of page intentionally left blank) Page 2 of 3 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 COUNTY, FLORIDA QicoeqA,AA.V.& &KAU& By: 4€4,t,-1.€411.0-6— et I at Ota0 Burt L. Saunders, Chairman Dated: MIA ACteSI A to Chairman's Quality Enterprises USA, Inc. signature only. 7)141.1 aii 4-1--__ By: First Witness Signature Marcie Cohen Lou Gaudio, Vice President TType/print witness nameT TType/print signature and titleT Second fitness Fred Wiedner TType/print witness nameT App d as to Fo a Legality: 2.— ounty Attorney cc 2f1t tle____ ---4t..ii - >CPrintame Page 3 of 3 BID SCHEDULE COLLIER COUNTY, FLORIDA NCWRF BFP UNDERDRAINS PIPING IMPROVEMENTS COLLIER COUNTY PUBLIC UTILITIES DEPARTMENT - EPMD PROJECT# 70148.1.22 Bid Item ,� Estimated 'z � 3 Description Unit Unit Price Extended Amount Bid No. z ;;; tt,.:, - Quantity 1 General Conditions and 1 Lump Sum Requirements $ 17,500.00 $ 17,500.00 2 Mobilization 1 Lump Sum $ 13,000.00 $ 13,000.00 3 Structural Work 1 Lump Sum $ 19,050.00 $ 19,050.00 4 Site/Civil Work 1 Lump Sum $ 25,170.00 $ 25,170.00 5 Mechanical (Process) Work 1 Lump Sum $ 168,920.00 $ 168,920.00 6 Electrical Work 1 Lump Sum $ 3,000.00 $ 3,000.00 7 Demobilization 1 Lump Sum $ 3,700.00 $ 3,700.00 8 Contingency Allowance for 1 Lump Sum Owner $ 15,000.00 $ 15,000.00 TOTAL BID PRICE (Total of Bid Items No. 1 Through No. 8) $ 265,340.00 TOTAL BID PRICE (Written in Words): Two Hundred Sixty Five Thousand Three Hundred Forty Dollars and Zero Cents Bidding Company Name: Quality Enterprises USA, Inc. ADDENDUM NO. 1 INVITATION TO BID—COUNTY BID No. 2020-05 NORTH COUNTY WATER RECLAMATION FACILITY(NCWRFI BELT PRESS UNDERDRAINS PIPING IMPROVEMENTS You are directed to make the following changes in the Contract Documents for the NCWRF Belt Press Underdrains Piping Improvements for Collier County, Public Utilities Division. Bidders on this project are hereby notified that Addendum No. 1 shall be attached to and made a part of the above-named Bid Documents, dated February 2020. The following items are issued to add, modify, and clarify the Bid Documents. These items shall have full force and effect as the Bid Documents, and the cost involved shall be included in the various prices bid. Bids,to be submitted on the specified date shall conform to the additions and revisions listed herein. General 1. Question 1 on Overall Bid: There doesn't appear to be a reference to exterior coatings for the above ground DIP in the bid docs or the county standards for DIP.Standard DIP coating is asphaltic. What coatings are required if other than standard? Response: The cement-lined DIP piping shall be provided with a factory-installed asphaltic coating and field painted to match existing lines in conformance with County quality and color requirements. 2. Question 2 on Overall Bid: Sheet C-501 indicates the wet well with County approved protection. 1) Is recoat for repair areas where the new 16"drain is installed only or entire interior, sides, and top? 2) Can flow into wet well be halted or will bypass be required? 3) if bypass is required, what is the flow rate to be accommodated? 4) Is there mechanical equipment in the wetwell that will need to be removed prior to coating? 5) Is there an existing coating in place currently, and if so what is it(IET, Sewpercoat, etc)? 6) What are the dimensions of the wetwell, depth, and diameter? Response: The recoating is intended to repair/replace the coating removed or damaged by the installation of the new 16" line into the wet well. The penetration is on the 05/26/2020 Addendum 1-1 2020-05 cno opposite side of the wet well from the mechanical equipment as so should not require bypass pumping or equipment relocation. Coating material is to be by either Raven or Sewercoat. The 6-foot diameter wet well shown on the drawings is drawn to scale. Contractor is to coordinate with plant operations staff to ensure wet well levels are maintained at a level sufficiently low to enable the work to be completed. 3. Question 3 on Overall Bid: Sheet M-102 indicates "8", 12"& 16"PVC @ .34% SLOPE" All other references are DIP. Please confirm the pipe material desired. Response: The indication for PVC piping is incorrect. The piping should be DIP as indicated elsewhere. 4. Question 4 on Overall Bid: What is the electrical work required on this project? There is a bid line item for electrical work but not indicated on the plans. Please clarify. Response: The only electrical is conduit and signage relocations to accommodate pipe penetration(s). These are noted on the mechanical drawings. There are no electrical drawings. If you require additional information,please post a question on our Bid Sync(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 referenced solicitation. , "'s— 5/27/20 (Signature) Louis J. Gaudio, Vice President Date Quality Enterprises USA. Inc. (Name of Firm) 05/26/2020 Addendum 1-2 2020-05 S QE 3494 Shearwater Street LETTER OF TRANSMITTAL Naples,Florida 34117-8414 Tel: 239-435-7200 Fax: 239-435-7202 DATE 08/06/20 JOB NO. QUALITY ENTERPRISES RE: NCWRF Belt Filter Underdrains Improvement U S A. I N C . #14-6213 TO: Peter Schalt, PMP,Sr.Project Manager North County Water Reclamation Facility 10500 Goodlette Road Naples,FL 34109 (SENT VIA EMAIL) WE ARE SENDING YOU: Attached L Under separate cover via the following items: El Shop drawings Prints 0 Plans Samples 111 Specifications Copy of letter 0 Change order COPIES DATE NO. DESCRIPTION 2 Payment&Performance Bonds 1 Letter from Surety authorizing insertion of Board Approval date 1 Certificate of Insurance THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted Resubmit copies for approval El For your use ❑ Approved as noted ❑ Submit copies for distribution El As requested ❑ Returned for corrections Return corrected prints For review and comment n For BIDS DUE PRINTS RETURNED AFTER LOAN TO US REMARKS Enclosed are two sets of Payment&Performance Bonds for"NCWRF Belt Filter Underdrains Improvements,#14-6213. The contract dates on the back side of the Power of Attorney and both the Payment&Performance Bonds have been left blank for Procurement to fill in upon Board approval. The enclosed letter from the Surety authorizes the County to fill in. Please scan a copy of the Payment&Performance Bonds with the dates filled in by the County as requested above so we can forward to the Surety. Thank you. Copy To: Louis J.Gaudio,Vice President SIGNED: M'rcie Cohen Executive Assistant Hampton Roads Bonding 1080 Laskin Road,Suite 204 Virginia Beach,VA 23451 t 1 757 491 1100 HAMPTON ROADS BONDING Fax+1 757 491 3134 A Marsh&McLennan Agency LLC Company www.hrbonding.com August 5,2020 Board of County Commissioners Collier County, Florida 3295 Tamiami Trail East Naples, FL 34112 Re: Quality Enterprises USA, Inc.—Bond No. 9356216 NCWRF Belt Filter Underdrains Improvements Contract No. 14-6213 To Whom It May Concern: I, Tammy A. Ward, Attorney-in-Fact, for Fidelity and Deposit Company of Maryland, hereby authorize Collier County to input the contract date on the performance and payment bonds once it has been established by the county. Sincerely Tammy A. 000 MARSH&MCLENNAN AGENCY • EXHIBIT A PUBLIC PAYMENT BOND Bond No. 9356216 Contract No. 14-6213 KNOW ALL MEN BY THESE PRESENTS: That Quality Enterprises USA,Inc. , as Principal, and Fidelity and Deposit Company of Maryland , as Surety, located at 1299 Zurich Way,Schaumburg, IL 60196 SBu (neSS Alddre s)are held and firmly bound tO Collier County Board of County Commissioners as Oblige in the sum of un Hundred rxt rive Dusan ree ($ ) for the payment whereof we bind ourselves,our heirs, executors, persona representatives, successors��andd assigns,��// jointly and severally. WHEREAS, Principal has entered into a contract dated as of the day oftie k1 2O vith Oblige for NCWRF Belt Filter Underdrains Improvements-Contract Number: 14-6213 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 5th day of August , 2020 , the name of under-signed representative, pursuant to authority of its governing body. Signed, sealed and delivered in the presence of: PRINCIPAL: ITV Cry Quality Enterprises USA,Inc. Matt Casey By: Witnesses as to Principal Jack Hooper Name: Louis J. Gaudio Its: Vice President STATE OF Florida COUNTY OF Collier The foregoing instrument was acknowledged before me this 5th of August 2020, by Louis J. Gaudio , as Vice President of Quality Enterprises USA, Inc.,a Virginia corporation, on behalf of the corporation. He/she is personally known to me OR has produced N/A-Known as identification and did (did not)take an oath. My Commission Expires: 2/11/22lfLi ,ti ' (Signature of Notary) •� . MARCIE L.COHEN E. : MY COMMISSION#GG 152066 Name: Marcie L. Cohen �'•, �o EXPIRES:February 11,2022 (Legibly Printed) '*F f;;°'' Bonded Thni Notary Public Underwriters (A-FIX OFFICIAL SEAL) Notary Public, State of Florida Commission No.: GG 152066 Page-12- fl ATTEST: SURETY: (Printed Name) (Business Address) (Authorized Signature) Witness as to Surety (Printed Name) OR Fidelity and Deposit Company of Maryland I As Attorney in Fact i '� (Attach Power of Attol'hey) Witnesses Daniel .Grygo 1299 Zurich Way,Schaumburg,IL 60196 (Business Address) Tammy A.Ward (Printed Name) (Telephone Number) STATE OF Virginia COUNTY OF Virginia Beach The foregoing instrument was acknowledged before me this 5th day of August 2Q20 by Tammy A.Ward as Attorney-in-Fact of Fidelity and Deposit Company of Maryland , Surety, on behalf of Surety. He/She is personally known to me OR has produced as identification and who did (did not),ta'ke an oath. My Commission Expires: September 30,2022 \j --flA..I P L-L-�l� L'4J�- (Signature of Nothry) Name: Terri K.Strawhand (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of Virginia TERRI K STRAWHAND Notary Public Commission No.: 247448 Cnmmonwealth of Virginia Ine If247448 My Commmsslo expires 9/30/2022 Page-13- -70 ) EXHIBIT A-2 PUBLIC PERFORMANCE BOND Bond No. 9356216 Contract No. 14-6213 KNOW ALL MEN BY THESE PRESENTS: That Quality Enterprises USA,Inc. , as Principal, and Fidelity and Deposit Company of Maryland , as Surety, located at 1299 Zurich Way,Schaumburg,IL 60196 (Business Address) are held and firmly bound to Collier County Board of County Commissioners , as Oblige in the sum of Two Hundred Sixty Five Thousand Three Hundred Forty Dollars and 00/100 ($ 265,340.00 ) 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 51'nber , 20a) with Oblige for NCWRF Belt Filter Underdains Improvements-Contract Number: 14-6213 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. Page -14- . r� 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 5th .day of August , 20 20 , the name of each party being affixed and these presents duly signed by its uhdersigned representative, pursuant to authority of its governing body. Signed, sealed and delivered in the presence of: PRINCIPAL: Cy C...y( Quality Enterprises USA,Inc. Matt Casey Witnesses as to Principa ack Hooper Name: Louis J. Gaudio Its: Vice President STATE OF Florida COUNTY OF Collier The foregoing instrument was acknowledged before me this 5th day of August 20120 , by Louis J. Gaudio , as Vice President of Quality Enterprises USA, Inc. a Virginia corporation, on behalf of the corporation. He/She is personally known to me OR has produced N/A- Known as identification and did (did not) take an oath. � My Commission Expires: 2/11/22 ;'1 G+ f /� �4fc1 -- (Signature of Notary) MARCIE L.COHEN MY COMMISSION#GG152Ob6 Name: Marcie L. Cohen rj^-7 EXPIRES:February 11,2022 (Legibly Printed) Bonded Thru Notary Public Underwriters_ Notary Public, State of Florida Commission No.: GG 152066 Page-15- � ,,% ATTEST: SURETY: (Printed Name) (Business Address) (Authorized Signature) Witness as to Surety (Printed Name) OR Fidelity and Deposit Company of Maryland ..—Li As Attorney in Fath '� (Attach Power of Attorney) Witnesses Daniel J.Grygo 1299 Zurich Way,Schaumburg,IL 60196 (Business Address) Tammy A.Ward (Printed Name) (Telephone Number) STATE OF Virginia COUNTY OF Virginia Beach The foregoing instrument was acknowledged before me this 5th day of August , 2020 by Tammy A.Ward i as Attorney-in-Fact Of Fidelity and Deposit Company of Maryland , Surety, on behalf of Surety. He/She is personally known to me OR has produced as identification and who did (di not) take an oath. My Commission Expires: September 30,2020 CJ����-� 1 CW L L (Signature of Ndtary) Name: Terri K.Strawhand (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of Virginia TERRI K STRAWHAND Commission No.: 247448 Notary Public Commonwealth of Virginia Req.#247448 NA, ,:n+•Qs9/30/2022 Page-16- �"1rj) Bond Number 9356216 Obligee Cnllcr Coven,Bo,nl olCou„t%Cnnono.00m r. ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute, and appoint Tammy A.Ward , its true and lawful agent and Attorney-in-Fact,to make, execute, seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 19th day of June,A.D.2019. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND (SEAL) SEAL ) BY: Robert D.Murray is4b Vice President "o o u.Ry i 40- LdG —. 'a+ ,ese T By: Dawn E.Brown Secretary "fir*,'�'' State of Maryland County of Baltimore On this 19th day of June, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. :ry? i t: � _„ fjy1-1 Constance A.Dunn.Notary Public ',�%i,•�; ,�`� My Commission Expires:July 9,2023 `��rrrn„��`` EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attomey...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May,1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day ofo Fro etiofr� c1+4+4.% i me . �� / r.n Brian M.Hodges,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.reportsfclaims@zurichna.com 800-626-4577 AC RD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDITYYY) 7/1/2020 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 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 CONTACT: Marsh&McLennan Agency LLC A Marsh&McLennan Agency LLC PHONE FAX 222 Central Park Avenue, Suite 1340 (A/c.No.Exn:757-456-0577 (A/C,No): Virginia Beach VA 23462 ADDRESS: certificates@MarshMMA.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance Company 16535 INSURED INSURER 8:Evanston Insurance Company 35378 Quality Enterprises USA, Inc. & Quality Environment Company, Inc. INSURER C:Phoenix Insurance Company 25623 3494 Shearwater Street INSURER D:Travelers Prop&Casualty Co of America 25674 Naples FL 34117 INSURER E:Marketing 99999 INSURER F: COVERAGES CERTIFICATE NUMBER:1059251025 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 TYPE OF INSURANCE ADDL SUER POLIPOUCY NUMBER IMMIDD/YY F POLICY EXP LTR INSD YY) (MMIDD/YYYY) LIMITS LT , WVD C COMMERCIAL GENERAL LIABILITY Y C07N91352A20 7/1/2020 7/1/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(Ea occuED ence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY I X I JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY 8107N67219020 7/1/2020 7/1/2021 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) X Comp various X Coll various pip $10,000 aggregate D X UMBRELLALIAB X OCCUR CUP8N00458A 7/1/2020 7/1/2021 EACH OCCURRENCE $15,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$in nnn $ A WORKERS COMPENSATION WC01793105 7/1/2020 7/1/2021 X STATUTE OERH- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE IYNN N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? t (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Pollution Liability MMAENV001943 7/1/2020 7/1/2022 52,000,000 each claim $4,000,000 Aggre E Installation Floater UM00030160MA20A 7/1/2020 7/1/2021 $200.000 $2,500 DED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:For Any and All County projects Board of County Commissioners in Collier County are included as additional insureds under the General Liability policy as respects to work performed by the insured as required by written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Board of County Commissioners in Collier County 3925 Tamiami Trail East AUTHORIZED REPRESENTATIVE Naples FL 34112 (3ULm. COAA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD