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Backup Documents 12/08/2020 Item #16C 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP It 6 CV ' TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SICNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to he forwarded to the County Attorney Office at the time the item is placed on the agenda. UI completed routing slips and original documents must he received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines h I through 42 as appropriate for additional signatures,dates,and/or information needed. lithe document is already complete%with the exception of the Chairman's signature.draw a line through routing lines 4I through 42,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (l ist in routing order) Office Initials Date 1. 1 3. County Attorney Office County Attorney Office , ��' tilig' . i g.../.5/21, 4. BCC Office Board of County Ili �� Commissioners 1 Jai '' 2\ \2O 5. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION OS 614405D 3'6S6p^- 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 Alicia Abbott, Public Utilities Phone Number 239-252-5344 Contact/ Department — Agenda Date Item was December 8,2020 Agenda Item Number 16C9 Approved by the BCC Type of Document Work Order and Payment& Performance Number of Original Attached Bods Documents Attached PO number or account 70136.1.5 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(N appropriate. (Initial) Applicab/e) I. Does the document require the chairman's original signature? av-2. Does the document need to be sent to another agency for additional signatures? If yes. NIA 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 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 I3CC 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 12 signature and initials arc required. Q� 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 101 time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on i?.ts ZC�fd all changes made during Age,"*.- t l _ the meeting have been incorporated in the attache document. The Countycii an opted 7• Attorney's Office has reviewed the changes, if applicable. this live. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is,ndt BCC,all changes directed by the BCC have been made,and the document is ready for the II=;4 11i° Chairman's signature. I: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 I6C9 Ann P. Jennejohn From: Ann P.Jennejohn Sent: Thursday, December 17, 2020 8:56 AM To: abbott_a Subject: Work Order w/Douglas N. Higgins (Item #16C9 12/8/20 BCC Meeting) Attachments: Backup Documents 12_08_2020 Item #16C 9.pdf Good Morvtivtg Alicia, Alt executed copy of Agenda Item #16C9, from the Board's December 8, 2020 Meeting is attached for your records. Thank you! Ann Jennejohn BMR Senior Deputy Clerk tert.kr Clerk to the Value Adjustment Board Office: 23 9-252-8406 Fax: 239-252-8408 (if applicable) Ann.Jennejohn@CollierClerk.com ?•,, � Office of the Clerk of the Circuit Court & Comptroller of Collier County 3299 Tamiami Trail, Suite 4*4O1 Naples, FL 34112-5324 www.CollierClerk.com i 6Cgi.., WORK ORDER/PURCHASE ORDER contract#14-(213"UNDERGROUND UTILITY CONTRAf'TINC;" Contract Expiration Date:January 3,2021 This Work Order is for professional services for work known as: Project Name:SCRWTP Chlorine Storage Building Improvements r Project No:70136.1.5.2 , The work is specified in the proposal dated November 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:DOUGLAS N IIIGGINS INC. 7/ Scope of Work:As detailed in the attached proposal and the following: * Task I Perform all Tasks as described in the Request for Quote,Addendum I and 2,and as listed on the attached quote form. * Task 11 Allowance Schedule of Work: Complete work within 180 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 814;0 213 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): El Negotiated Lump Sum (NLS) 0 Lump Sum Plus Reimbursable Costs(LS+RC)El Time&Material(T&M)0 Cost Plus Fixed Fee(CPFF),as provided in the attached proposal. Task 1 / $446,230.00 (NLS) Task II if$40,000.00 (T&M) TOTAL FEE $486,230.00 abbott_a Digea2y signe'.d1 by abb5 -0a5 Off cq,*PREPARED BY: Alicia Abbott,EI.,PMP,Project Manager Date Engineering&Project Management Department a,re,.,. We...nMr• BullertBen amineMh" a�nes a'.ow�.w.`c n..•.yo..oc..n APPROVED BY: — Benjamin N.Bullert,P.E.,Principal Project Manager Date Engineering&Project Management Department Digitally signed by Chmeliklam Chin e l i kT o m Date:e2020.1 1.16 0956:36 APPROVED BY: -- - Tom Chmelik,P.E.,Director Date Engineering&Project Management Department LewisRandy Diq,ta:I wined by Lew shandy Date 2020.11.16 1037:24-0500 APPROVED BY: Randy Lewis,SCRWTP Manager Date Digitaily signed by Steve Steve Messner55�, Date.:2020.1'to 0029:33-05'30' APPROVED BY:__Steve Messner,Water Director Date C t'O 1 fjC9 Digitally signed by Joseph Joseph Bellone Bellone APPROVED BY: Date:2020.11.16 09:47:40-05'00' Joe Bellone,Utilities Operations Support Director Date Digitally signed by Joseph Bellone APPROVED BY: Joseph Bellone pate 2020 7.16 0748 03-0Soo' Dr.George Yilmaz,Public Utilities Administrator 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: DOUGLAS N.HIGCINS,INC cc a egional Manager Dal ckt) 6C9 IN WITNESS WHEREOF,the parties hereto,have each,respectively, by an authorized person or agent,have executed this Work Order on the cute and year first written below, ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal K. Kh17c(, Clerk COLLIER COUNTY, FLORIDA f 4a &JSUA . Burt L.Saunders,Chair Dated: ( , 'to Chairman's only. Name of Firm: Douglas N. Higgins,Inc. r� � A , n•st Witn i e adiva_ L-/N/i-[-p TType/print signature and titlet TType/print witness nameT ;ylGi1?try..` 7,c., ..,K Second Witness/ ,. , TType/print witness na3et pprove a t Fo•• a gality: .ounty Attorney G L Item# 1_ __O e4 Tint ame A..7enda'91.,�' Gaa o Dates c a.,,v_. •:. Reed 0/1"4-- dr..__ Deputy Clerk II . - ______ 4f4 C N" ___ _ 1 6 - Ifs Date: October 15, 2020 Colter County From: Alicia Abbott, Project Manager Alicia.Abbott@collicrcownyfl.gov Public Utilities Department 239-252-5344 Engineering & Project Management Division To: Potential Quoters REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT Contract#14-6213 "Underground Utility Contractors" Selected Vendors: Douglas N. Higgins. Inc. Mitchell & Stark Construction Co. Inc. Quality Enterprises USA, Inc. Haskins, Inc.— _ As provided in the referenced contract, the County Division is soliciting quotes for the referenced project. Project: SCRWTP Chlorine Storage Building Improvements RFQ 14-6213 RFQ Due Date: November-3, 2020- November-6 9, 2020 at 3:00 PM October 26, 2020 at 10:00 AM. Pre-Quote Meeting: SCRWTP 3851 City Gate Drive Q&A Deadline: Qsteber 29 November 3, 2020 at 5:00 PM Number of Days to Final Completion: 150 days to substantial + 30 days final = 180 days total Scope Provided Yes Plans and Specs: Yes Liquidated Damages: $1,170 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. Douglas N. Higgins,Inc. Firm's Complete Legal Name 239-774-3130/239-774-4266 Telephone x• b § atl Regional Manager Title Mike Lobello /! `,/i C Print Name Date Public Utilities r ngineering&Project Management Div'+sion•3339 Tamlami Trail Fast,Suite 303•Naples,Florida 34112 6 0 0 ...I0 O C) C 0 CD C) C) CD 0C) OM Q O CDO O LiO Q c., O c.; cc'. O N 0 0 O CD O NO O GO C p ID CD 0a i- In v, c+ m m Kr- c-, .-.i -‘ �; 0 tt N .O C a, a .-, m in v LA tn.�r tn.v( to. tn. V> to -.A. tn. N R-1 E EEEEEEFEEE 2 In 7 7 7 7 7 7 7 7 - 7 7 h- V) VI V. V) Vt V. V) V) Cr') VI V1 Z 0_ C. 0. 0. O. O- Cl 0. C1 n. Cl dj D E E E E E E F E E E E 0 J J J J J J J J J J J I �r H V) 2 f. W Z .--. ri 1--1 .-1 .-1 .--1 N r-1 •--. .-Y .-1 .-1 1- Q CC Cf 1 0 LL 1 -�- w U I- O K I- o_ Z '' W C C , cz - L C .I 0 , E W a ca rn ,n a s h -x E o c CC 3o o a - v O cO` . 45 o T r -0 1.44 U 2 o. 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ADDENDUM# 1 Date: October 29, 2020 From: Alicia Abbott To: Potential Bidders Subject: Addendum #1 —SCRWTP Chlorine Storage Building Improvements Agreement 14-6213"Underground Utility Contractors" This addendum has been issued for the following item(s) identifying clarifications, changes, deletions, or additions to the original solicitation documents and bid schedule for the above referenced solicitation. • The Request for Quote Due Date of November 3, 2020 at 3:00p.m. is changed to Friday, November 6, 2020, at 3:00 p.m. • THE Q&A deadline date of October 29, 2020 is changed to November 3, 2020. • The quote request was sent to the six contractors on the Underground Utility Contract. However, there are only four contractors listed for the Category: Plant/Facility Utilities, Douglas N. Higgins Inc., Quality Enterprises USA Inc., Mitchell & Stark Construction Co.. and Haskins, Inc. The Request for Quotation form is revised to identify these four vendors. only, on the selected vendor list. • To expedite the permitting process, the Permit application to Collier County Growth Management will be submitted by the consultant in November 2020. Contractor shall assume responsibility for securing building permit upon issuance of NTP. Collier County shall pay the permit application fee. • An agenda was provided to perspective bidders during pre-bid meeting held on October 26'h. (Attached) • The Contractor shall hire a licensed electrical contractor to trace, investigate, and document all electrical and control components associated with the removal/relocation of existing exhaust fan/louver control panel (CSCP-1). Contractor shall submit the sequence of construction as well as an electrical construction plan to Owner/Engineer for approval prior to conducting work associated with CSCP-1. Changes to Drawings • Replace Sheet E-2 with the revised sheet(Attached) Changes to Specifications. • Insert Section 08220'Fiberglass Reinforced Plastic(FRP) Doors and Aluminum Frames' into Division 8 of Project Specifications: (Attached) Please acknowledge receipt of this Addendum and include with your bid. 1,' /3_,ILt (Signature) '1 1 `i Date (Name of'Firm) 1 'j 1 :1DDENDUIN1 NO. Cater Co-Mnry Public Utilities Department Engineering & Project Management Division ADDENDUM #2 Date: November 5, 2020 From: Alicia Abbott To: Potential Bidders Subject: Addendum # 2—SCRWTP Chlorine Storage Building Improvements Agreement 14-6213 "Underground Utility Contractors" This addendum has been issued for the following item(s) identifying clarifications, changes, deletions, or additions to the original solicitation documents and bid schedule for the above referenced solicitation. • The Bid Due Date of November 6, 2020, is changed to November 9, 2020 at 3:00p.m. • THE Q&A deadline date of November 3, 2020 was changed to November 4. 2020. • Question 5 on Overall Bid: What is the specific definition of the Hazardous area for this project? Class, Division and Group? Are all areas to be Nema 4x construction or just the 2 areas marked on the electrical drawings? Question 5 Response: There is no specific hazardous classification for this project under NFPA 70 as Chlorine, gas or liquid is non-explosive and non- flammable;however, chlorine gas is corrosive and as such all project areas shall require NEMA4x construction. • Question 6 on Overall Bid Drawing H2, Note 8 indicates switches and speed controls are provided by HVAC. Drawing E5 indicates these switches are integral to the Control Panel. Please clarify. Question 6 Response: Switches identified by Note 8 on H-2 are located at each of the three entrances of building and interconnected to control panel (CSCP-2) but not integrated into control panel (CSCP-2). • Question 7 on Overall Bid Drawing H3, Note 2 indicates the Electrical Contractor to provide the starter for EF2. Drawing E5 appears to indicate the starter is an integral part of the Control Panel. What is correct? Who is to provide the Control Panel? Question 7 Response: Note 2 on H3 refers to exhaust fan's motor starter. The Starter is integral part to control panel and provided by control panel manufacturer. • Question 8 on Overall Bid 1) Plan page E-4 note 1 describes the new fixture and spec section "16510 2.01 A 1 a" says "See Luminaire Schedules on Drawings." for the manufacture of the ADDr-.NnrPM N(, C9 CoU•Crt er County Public Utilities Department Engineering& Project Management Division Addendum#2 - SCRWTP Chlorine Storage Building Improvements Page 2 new fixture. The plans do not appear to have a luminaire schedule. Please provide. Question 8 Response: Contractor shall provide the following light fixture: Hubbell LXEM 4 35 VW RA EU or approved equal. (See attached cut-sheet.). • Question 10 on Overall Bid Door 105 appears on the Door& Frame Schedule, sheet A-4. but does not appear on the plans. Where is door 105 located? Question 10 Response: Plans are incorrect, Door 105 is not proposed. • Question 11 on Overall Bid What material are the roller trunions to be fabricated with? Thickness and alloy Question 11 Response: Refer to Section 11260-2.02-A. Model 3000ST Storage Trunnion Manufactured by Scaletron Industries, LTD.was used for the basis of design. • Changes to Drawings: Replace Sheet A-4 with the revised sheet(Attached). Please acknowledge receipt of this Addendum and include with your bid, ._.J/{ 1,l.,"j i•..., . `1s 111;C riL (Signature) Date (Name of Firm) ADDF:ND( M NO.2 16C9 EXHIBIT A PUBLIC PAYMENT BOND Bond No. 35BCSAQ4396 Contract No. 14-6213 KNOW ALL MEN BY THESE PRESENTS: That Douglas N.Higgins,Inc. , as Principal, and Hartford Accident and Indemnity Company as Surety, located at One Hartford Plaza Hartford,CT 06115 (Business Address)are held and firmly bound to Collier County,Public IJtilitiec Department as Oblige in the sum of Four Hundred Eighty Six.Two Hundred Thirty($ 486.230.00--- ) 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 'ith Oblige for SCRWTP Chlorine Storage Building Improvements-Contract#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 Suret e 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 13th day of November, 20 2q the name of under-signed representative, pursuant to authority of its governing body. Signed, sealed and delivered in the presepte f: PRINCIPAL: Douglas N.Higgins,Inc. By: he-ULQ Witnesses as to Principal Name: elly( . Wilkie Its: Vice— 'resident STATE OF Michigan COUNTY OF Washtenaw The foregoing instrument was acknowledged before me this 13th of November 20 20 by Kelly A. Wilkie , as Vice—President of Douglas N. Higgins, ]A-ic. 'igaRporation, on behalf of the corporation. He/she is personally known to me pR has produced personally known as identification and did (did not)take an oath. . / , J My Commission Expires: (Signature o Notary) DAVID J.WILKIE "Notary Public,Michigan Name: David J. Wilkie Michigan County of Washtenaw (Legibly Printed) My Comm.Expires 05/20/2024 (AFFIX OFFICIAL SEAL) Notary Public, State of Michigan Commission No.: n/a Page-12- _.1) • 16C9 ATTEST: SURETY: Hartford Accident and Indemnity Company (Printed Name) One Hartford Plaza Hartford,CT 06115 (Business Address) (Authorized Signature) Witness as to Surety (Printed Name) 1 QOR ii • As Attorney in Fact � (Attach Power of Attorney) Witnesses Kristie A.Pudvan,Attorney-in-Fact FL Non-Resident Agent License No. W523460 811 Madison Ave.,Toledo,OH 43604 (Business Address) Kristie A.Pudvan (Printed Name) 419-259-2797 (Telephone Number) STATE OF Michigan COUNTY OF Oakland acting in Washtenaw The foregoing instrument was acknowledged before me this 13th day of November 20 20, by Kristie A.Pudvan , as Attorney-in-Fact of Hartford Accident and Indemnity Company , Surety, on behalf of Surety. He/She is personally known to me OR has produced personally known as id. ntifeaion and who did(did no take an oath. My Commission Expires: May 22,2021 �k cigha of Notary) Name: Lisa M.Wilmot (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of Michigan Commission No.: N/A Ldt W LMOT Rotary PublISAt c - Michigan Oakland County My Commission Expires May 2 2021 Acting in the County of Page-13- ' 16C9 EXHIBIT A-2 PUBLIC PERFORMANCE BOND Bond No. 35BCSAQ4396 Contract No. 14-6213 KNOW ALL MEN BY THESE PRESENTS: That Douglas N.Higgins.Inc. , as Principal, and Hartford Accident and Indemnity Company , as Surety, located at One Hartford Plaza,Hartford,CT 06115 (Business Address) are held and firmly bound to Collier County Pnhlir 1 TtilitiPS DPparimPnt , as Oblige in the sum of Four Hundred Eighty Six Thousand Two Hundred Thirty and 00/100 ($ 486,230.00 ) 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 -6 day of , 202g with Oblige for SCRWTP Chlorine Storage Building Improvements-Contract#14-67 13 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- C9 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 13th day of November , 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 presence of: PRINCIPAL: Douglas N.Higgins,Inc. By: ` a Watt' Name: Kelly �I�I. Wilkie Witnesses as to Principal Its: Vice—President STATE OF Michigan COUNTY OF Washtenaw The foregoing instrument was acknowledged before me this 13th day of November 20420 by Kelly A. Wilkie , as Vice-President of Douglas N. Higgins, Inc. a Michigan corporation, on behalf of the corporation. He/She is personally known to me OR has produced personally known as identification and did (did not) take an oath. , My Commission Expires: (Signatur f Notary) DAVIDJ.WILKIE Name: David J. Wilkie Notary Public,Michigan (Legibly Printed) County of Washtenaw (AFFIX OFFICIAL/t51_ xpires 05/20/2024 Notary Public, State of Michigan Commission No.: n/a Page-15- C9 ATTEST: SURETY: Hartford Accident and Indemnity Company (Printed Name) OnP Hartford Playa Hartford CT (16115 (Business Address) (Authorized Signature) Witness as to Surety (Printed Name) OR p„,x,„ As Attorney in Fact (Attach Power of Attorney) Witnesses Kristie A.Pudvan,Attorney-in-Fact FL Non-Resident Agent License No. W523460 811 Madison Ave.,Toledo,OH 43604 (Business Address) Kristie A.Pudvan (Printed Name) 419-259-2797 (Telephone Number) STATE OF Michigan COUNTY OF Oakland acting in Washtenaw The foregoing instrument was acknowledged before me this 13th day of •November , 20 20 , by Kristie A.Pudvan , as Attorney-in-Fact of Hartford Accident and Indemnity Company , Surety, on behalf of Surety. He/She is personally known to me OR has produced personally known - as identification and who did (did not) take an oath. My Commission Expires: May 22,2021 Yv\-- l J� ✓�^� (Signaturee of Notary) Name: Lisa M.Wilmot (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of Michigan • Commission No.: N/A LISA M WILMOT • Notary Public • Michigan • Oakland County My Commission Expires!lay,22,2021 • Acting in the County of,.�-�C.�� Page-16- ��,j 16C9 Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BOND,T-12 HartfOne ord,Connecticut tcut06155 Bond.Claims@thehartford.com call:888-266-3488 or fax:860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: HYLANT GROUP INC/ANN ARBOR Agency Code: 35-350 851 X Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut 1--1 Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana X Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois FT Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of Unlimited Susan E. Hurd, Vicki S. Duncan, Terri Mahakian, Monica M. Mills, Kristie A. Pudvan, Joel E. Speckman, Lisa M. Wilmot of ANN ARBOR, Michigan their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof,and as authorized by a Resolution of the Board of Directors of the Companies on May 6,2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. aelp J . °,0l .. N••..ute,, , ONt°w.J.2 0 s..•0�Mr ' ng7 • v. * •. :+ �t � � • ' IB.1�' \:. 10d'• /An y37 te.4.11/42—^- John Gray,Assistant Secretary M.Ross Fisher,Senior Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 5th day of January,2018,before me personally came M.Ross Fisher,to me known,who being by me duly sworn,did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. fr"'R *I�ot, ..vim.j ht , t • bliK P Kathleen T.Maynard Notary Public CERTIFICATE My Commission Expires July 31,2021 I,the undersigned,Assistant Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of t,) 1 r 3, 3 O Signed and sealed at the City of Hartford. �r— rasa . _� :11 e ( j; l ,1:\4nrtn.vlo • °ol✓rw► r,:,1970 .� ly7ef. .,-• 19.19 wi _ Kevin Heckman,Assistant Vice President PGA 2018 1 C9 AC R 0 DATE(fdMJDDJYYYY) CERTIFICATE OF LIABILITY INSURANCE 11/13/2020 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 --�_-- --'�---- NAME: Hylant Group Inc-Ann Arbor PHONE FAX 24 Frank Lloyd Wright Dr J4100 INC.No,Ext):734-741-0044 (A/C,No):734-741-1850 Ann Arbor MI 48105 ADDRESS: INSURER(S)AFFORDING COVERAGE _ NAIC INSURER A:Continental Insurance Company 35289 INSURED HIGGI-5 INSURER B:Continental Casualty Company 20443 Doug3390 Travis N Pointe,ns, Inc. INSURER C:Greenwich Insurance Company 22322 3390 Pointe, Suite A — Ann Arbor MI 48108 INSURER D:Zurich American Insurance Co 16535 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2098572500 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI IE POLICY PERIOD INDICATED. NOTWITI ISTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI IIS 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDD/YYYY) (MM/DDIYYVY) A X COMMERCIAL GENERAL LIABILITY Y U1061922047 4/1/2020 4/1/2021 EACH OCCURRENCE 51,000,000 DAMAGE TO RENTED .- 1 CLAIMS-MADE I X J OCCUR PREMISES(Ea occurrence) S 500,000 X Inc/XCU MED EXP(Any one person) S 15,000 X Inc/contractual PERSONAL 8 ADV INJURY 31,000,000 GENT AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE S 2,000,000 POLICY[1'y r LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER' A AUTOMOBILE LIABILITY U1061922033 4/1/2020 4/1/2021 COMBINED SINGLE LIMIT S 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) B X UMBRELLA LIAR X OCCUR U1061922050 4/1/2020 4/1/2021 EACH OCCURRENCE 510,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE S 10,000,000 ...__ __. DED X RETENTIONS D WORKERS COMPENSATION WC1839680 4/1/2020 4/1/2021 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER 4 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT 51,000,000 OFFICERIMEMBEREXCLUDED? N N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 1,000,000 C Professional/ PEC0025095 4/1/2020 4/1/2021 2,000,000 Each Claim Pollution 4,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Job-SCRWTP Chlorine Storage Building Improvements. Additional Insured for General Liability,primary and non-contributory,as required by written contract- Collier County Board of County Commissioners. A 30 day prior written notice of any insurer initiated cancellation,except non-payment of premium,will be given. A 10 day prior written notice will be given for non-payment. 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. Collier County Board of County Commissioners 3295 Tamiami Trail East "— Naples FL 34112 AUTHORIZED REPRESENTATIVE !i(li' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD