Backup Documents 09/22/2020 Item #16A11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 1 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 County Attorney Office.
Route to Addressee(s)(List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office 5/- 1 f d/Z 1, ti
4. BCC Office Board of County
Jo
Commissioners i�'
5. Minutes and Records Clerk of Court's Office k ' 1.9, ,e0 ►• ,
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 Julio Ordonez/Transportation Contact Information 239-252-5722(0)
Contact/ Department 239-227-8327(C)
Agenda Date Item was September 22,2020 Agenda Item Number 16A1 I
Approved by the BCC
Type of Document Work Order under Agreement No. Number of Original 1
Attached 16-6663 for Roadway Contractors. Documents Attached
PO number or account N/A
number
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 Yes
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 Yes
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 N/A
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 Yes
document or the final negotiated contract date whichever is applicable. JO
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's Yes
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 and all changes made during the N/A
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 theAia
BCC,all changes directed by the BCC have been made,and the document is ready for the ` ,,e,
Chairman's signature. ��
16A11
Ann P. Jennejohn
From: Ann P. Jennejohn
Sent: Friday, October 23, 2020 3:24 PM
To: 'Julio.Ordonez@colliercountyfl.gov'
Subject: Item #16A11 (9-22-20 BCC Meeting)
Attachments: #16-6663 WO (Bonness, Inc. Project 60243.3).pdf
Hi again,
Another one For you....
Tlnavtk you, have a vtice
weekend 0
Ann ✓ennejotin
13MR Senior Deputy Clerk
�L.L1�YH.kr Clerk to the Value Adjustment Board
d,.
4$' % Office: 23 q-252-8406
r,
Fax: 23q-252-8408 (if applicable)
Avtvt.Jevtvtejohn@Co((ierClerk.cowt
��� Office of the Clerk of the Circuit Court
& Comptroller of Collier County
32gq Tawtiawi Trail, Suite #4O1
Naples, FL- 34112-5324
www.CollierClerk.com
i
I 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: Livingston Road at Vanderbilt Beach Road Intersection Improvements
Project No: 60243.3
The work is specified in the proposal dated July 28, 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: Bonness, Inc.
Scope of Work: As detailed in the attached proposal and the following:
Task 1: Livingston Road at Vanderbilt Beach Road Intersection Improvements
Task II: I.andscaping Improvements
Schedule of Work: Complete work within 150 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 # 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: ® Negotiated Lump Sum (NLS) as provided in the
attached Bid Schedule.
Task I: Livingston Rd.at Vanderbilt Beach Rd. Intersection Improvements $583.917.37 '/
Task II: Landscaping Improve nts $ 20,520.63 "'
MDM 011 Al. FEE °"` _ e. $604,438.00noaane
07/31/2020
PREPARED BY: I W'
rdonez. P Tenior Project Manager Date
Transportation Engin ring Division
g74/AdA0
APPROVED BY:
Ahmad, PE ivision Di ctor Date
Tra • rtat'o En ineering Divisi
APPROVED BY:
P.) Thaddeus Cohen. Department Head ate
C� Growth Management Department
Page 1 of 3
1 6 A 1 1
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,43c.
-'7 -30
Brad on,VP
Date
Page 2 of 3
1 6 A 1 1
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
OA,vtaA VC tl .Clerk of Courts COLLI R COUNTY,FLORIDA
,ee.e4viw4—
!t� C I UDC_• I • 9/22/2020
4 % Burt L. Saunders,Chairman
Dated: 1 VT I ' • r
tl esia to Chairman'sx.
Bonness, Inc.
signature only: .//
By:— sL_7� —
F' Witness 1 —i:217L(44_ Sipittture
Leff`le \x\-1q Brad Thornton,VP
TType/p ' ess et
--
o d i s
C1\.ki N-Aft_
1Type/print witness namet
A ed t Fo d galiL_
ft- e__,
ounty Attorney
Print Name
Item# 1�' s 1_ •
Agenda CI-I :
Date --
4
to 1tr—r -
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Page 3 of 3
17121
INSTR 5901938 OR 5795 PG 2995 RECORDED 8/3/2020 10:17 AM PAGES 7 1 6 A 1 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER, COLLIER COUNTY FLORIDA
REC S61.00
EXHIBIT B-2
PUBLIC PERFORMANCE BOND
Bond No. 964011379
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Bonness,Inc., 1900 Seward Ave,Naples,FL 34109
, as Principal, and Liberty Mutual Insurance Company
, as Surety, located at 175 Berkeley Street,Boston,MA 02116
(Business Address) are held and firmly bound to Collier County Board of
County Commissioners , as Oblige in the sum of Six hundred four thousand four hundred thirty eight
and 00/100 ($ 604,436.00----- ) 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,a4 day of SIZO Mink( ,
2Q with Oblige for Livingston Road at VBR Intersection Impr.Rev.4
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 19 of 29
#16-6663'ROADWAY CONTRACTORS'
Bonness,Inc.
�'4c.•
oR 5795 PG 2996
16A11
•
Signed, sealed an delivered
in the pre nce o PRINCIPAL:
Bonness,Inc.
Lore,te"-f e—Aol.ra••
By: yr�{'o
Witnesses as to Principal Lk,aYt l'� l 1 r(Ac� Name: ►-.‘
Its: Se-cm- c- OS.A..(
STATE OF C‘Or Lam
COUNTY OF C*' v \
e foregoing instrument was acknowledged before me this of LNku 20 Zo, by
`-bf ovr+koh , as �.CYP_A-d v� of 3anv�aSS 1rG , a'
corporatio , on behalf of the corporation. He/she is ersonall know to OR has produced
as identification and d not)take n oath.
My Commission Expires: -j,31`20 15
(Sig t reI o- otary)
1-.Name: ('1`" k 1.--k01%v10.-
(Legibly Printed)
r
* LORELEYMOLINA
(AFFn! Notary Public, State of 1'(.pY gaa6edTAruT-aryl.n0mmKe8A7385JOS9
Commission No.: Cr\GI �1 50g(9
ATTEST: SURETY:
8 p Liberty Mutual Insurance Company
... t y '• (Printed Name)
0 �D rnOb• " 175 Berkeley Street
_ a : � c5 0
%s‘)p + d • Boston,MA 02116
(Business Address)
(Authorized Signature)
Witness as to Surety
(Printed Name)
OR
Page 17 of 29
#16-6663'ROADWAY CONTRACTORS`
Bonness,Inc.
4e
OR 5795 PG 2997 1 6 A l l
/419
J��l� / As Attorney in 1 ct41
(Attach Power of Attorney) = lf: • • ` s '�l•
Witnesses Cindy L.Mirisola,Attorney-in-Fact&FL Res de t gent0 r N
:� 1Q
1021 Douglas Avenue r '' ' gp`� '►�
Altamonte Springs,FL 32714 r 'u,
(Business Address)
Cindy L.Mirisola/Sihle Insurance Group,Inc.
(Printed Name)
(407)389-3588
(Telephone Number)
STATE OF Florida
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 29th day of July
20 20 , by Cindy L.Mirisola , as Attorney-in-Fact
of Liberty Mutual 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: /1/1/14. j
(Signature oof/No'tarry)�j J 136Name: Q,�(f ►1�-t `-mil re 14u^iC.E
(Legibly Printed)
(AFFIX OFFICIAL SEAL)
``,01111111fy/
Notary Public, State of Florida
� °N c� �� Commission No.:
• �Nt o ff s'•.
* ,921569 e e
iiVq a,SdeU°: •ch i
Page 18 of 29
$16-88831ROADWAY CONTRACTORS'
Bonness,Inc.
cfc
OR 5795 PG 2998 1 6 A 1
EXHIBIT B
PUBLIC PAYMENT BOND
Bond No. 964011379
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Bonness,Inc., 1900 Seward Ave,Naples,FL 34109 , as
Principal, and Liberty Mutual Insurance Company , as Surety, located at
175 Berkeley St.,Boston,MA 02116 (Business Address) are held and firmly bound
to Collier County Board of County Commissioners as Oblige in the sum of Six hundred four thousand four hundred thirty eight dollars
($ 604,438.00--- ) 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 20.20
with Oblige for Livingston Road at VBR Intersection Impr.Rev.4
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 29th day of
July , 20 20, the name of under-signed representative, pursuant to authority of its governing
body.
Page iH of 29 #16-6863"ROADWAY CONTRACTORS"
Bonness,Inc.
LIG
OR 5795 PG 2999 1 6 A 1 1
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 29th day of July
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, s led a delivere
in the pr ence PRINCIPAL:
Bonness,Inc.
11r1a
By:
Witnesses as to Principal OW 0 Name: YA oNi n klzo^
Its: `'DCC,Yt,0YQ
STATE OF C)V' tam
COUNTY OF C.olll e V
The foregoing instrument was acknowledged before me this day of 1 ��
204 U , by 6ra6 k TIre -v*Exav, as SP,..c-re-I-OA4 of S1nhQ%' 1 Inr—
a corporation, on behalf of the corporation.
He/She is personally known to ma(IR has produced % � as identification and
did (did not)take an oath.
Z 4Ned ,
,%�;;•., LORELEI uuSA (Sig i re of N'.tary)
=�''� `'.. Comnue�MnlcC3i8086
•: <s Expires Starch 31,2023 .R.q j Mo t try
`,oil .` &Wadr tau iml sit Inswaatanowes it Name: `-'-)
(Legibly Printed)
(AFFIX OFFICIAL SEAL) 11
Notary Public, State of loY 1.0 O
Commission No.: CVA Cs--1 3t`g oca c
: a �rny
Page 20 of 29
#16-6663'ROADWAY CONTRACTORS*
Bonness,Inc. t�s
C
OR 5795 PG 3000
ATTEST: SURETY: ,gip< p� `'4r�
• r s ' •k
Liberty Mutual Insurance Company f+ c�' +'��� t1�
I,P A .; — r
(Printed Name) ; .� • o) w
72.% ,c
175 Berkeley Street ';?el 10 �
Boston,MA 02116 k'� a ',t
. .
(Business Address)
(Authorized Signature)
6 C.CYla-&.a
Witness as to Surety
(Printed Name)
OR
As Attorney in Fa
6tr Sp1azz (Attach Power of Attorney)
Witnesses
Cindy L.Mirisola,Attorney-in-Fact&FL Resident Agent
1021 Douglas Avenue
Altamonte Springs,FL
(Business Address)
Cindy L.Mirisola/Sihle Insurance Group,Inc.
(Printed Name)
(407)389-3588
(Telephone Number)
STATE OF Florida
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 29th day of July ,20 20 , by_
Cindy L.Mirisola ,as Attorney-in-Fact of Liberty Mutual Insurance
Company , Surety, on behalf of Surety. Me/She is personally known to me OR has produced
N/A as identification and who id (did not)take an o h.
My Commission Expires: 4/46--
(Signature of Notary)Name: U"�t thell l
-1-ev t c
(Legibly Printed)
(AFFIX OFFICIAL SEAL) Florida
Notary Public, State of F to
4,��",��Es�. Fp Commission No.: 66 5�'' 1
0;14it.
* �.• :*_
+Itio 92158e
i "?.�O'Id ``r am
' 1 1 TE.c. Page 21 of 29 100 #16 6663'ROADWAY CONTRACTORS'
Bonnesa Inc. 01,�;
*** OR 5795 PG 3001 ***
I, 6All
s This Power of Attorney limits the acts of those named herein,and they have no authority to
bind the Company except In the manner and to the extent herein stated.
ka..- Liberty Liberty Mutual Insurance Company
!p ' Mutual. The Ohio Casualty Insurance Company Certificate No:B202911-964018
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company Is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana(herein collectively called the'Companies'),pursuant to end by authority herein sat forth,does hereby name,constitute and appoint, Robert H
Bond;Heather Bradley;Shelley Fane;Cindy L.Mirisola;Louis G.Mitchell;Gerald K.Sihie
all of the sty of Altamonte Sprinits state of FL each individually If there be more then one named,lb true and lawful attorney-in-fact to make,
execute,seat,acknowledge end deliver,for and on lb behalf as surety and as Its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance
of these presents and shad be as binding upon the Companies as If they have been duly signed by the president and attested by the secretary of the Companies In their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 15th day of January , 2020 .
Liberty Mutual Insurance Company
P.1NSUq 0•1 INs0 N tNSUp The Ohio Casualty Insurance Company
AJ tpa°0 71'n wJ ov°1r+r4 cY00'4r+n West American Insurance Company
a m w 3 6 m iA
rs1912� n 0 =1919� fl ` 1991 oaE
ui �C o
Gj Yd,D'�'Icxds4"jD ?b°kN�rr�• L°r rs Ma�x�,dD 41/47:4. ,c
c 4''7 • t$ 'ry1 A1� 'vM * 04 By: sa
E David M.Carey,Assistant Secretary T
co State of PENNSYLVANIA c
E rn County of MONTGOMERY as c
ry m On this 15th day of January , 2020 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutuai Insurance o
o co Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing Instrument for the purposes m Cl)~
cliy therein contained by signing on behalf of the corporations by himself as a duly authorized officer. TLU
n
m IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above vvnfiten. E o
c'y O
8 PA T M
O �Qo;°NR,Us�t`�! COMMONWEALTH OF PENNSYLVANIA /I 1L,��� �
IF
ti u 45 7 Notarial Seal %� 4J OF Tuasa Pnlelle,NOWy Puck 'Y/1:�Upper Mara ally MSalary cry Se By:
My Commission Expires March se-aozi faresa Pastelist Notary Public o R
qy Number,PemsylverieAeeodsN,al Naaalea H 0
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws end Authorizations of The Ohio Casually Insurance Company,liberty Mutual �'
o c Insurance Company,and West American Insurance Company which resolutions are now In full force and effect reading as follows: 0 y
E d? ARTICLE IV-OFFICERS:Section 12.Power of Attorney. -O•r-'
.� Any officer or other official of the Corporation authorized for that purpose In writing by the Chairman or the President,and subject to such limitation as the Chairman or the•R-.ci
:.�j+ President may prescribe,shall appoint such attorneys-In-fact,as may be necessary to act In behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o
c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the foliations set forth to their respective powers of attorney,shall.c CV
* have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such CA'
a Instruments that be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the,�
113
provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. E_,
ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairmen or the president may prescribe,I—�4
shall appoint such attorneys-in-fact,as may be necessary to act In behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,
bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth In their respective powers of attorney,shall have full power to bind the
Company by their signature and execution of any such instmmenta and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or medtanlcaly reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Uewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,isin fug force and effect and
has not been revolted. state of FLonrDA
county of Coll ie.•
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the segt9'efrl-CpinfpMi ir t''r49th day of JULY , 202Q-. r thwart'nurc this is a tree
1 .A".
4 - rodre,xepra��aayy ac a.docurent recorded
• in th e.FIl't11L•R[CORDa of Collier County
1NSU _�ctX INy 7', - roil iymy.lrnd and official seal
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