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Backup Documents 11/09/2021 Item #16C 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 C 3 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 Initi is Date 1. Risk Risk Management N A- 2. County Attorney Office County Attorney Office Mat 1�"14. BCC Office Board of County Commissioners 34/5 1 I I 17 4. Minutes and Records Clerk of Court's Office n1Jlk. (u[!-T12o4 5. Procurement Services Procurement Services 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 Ana Reynoso/PURCHASING Contact Information 239-252-8950 Contact/ Depai Brent Agenda Date Item was NOVEMBER 09,2021 Agenda Item Number 16.C.3. Approved by the BCC Type of Document AMENDMENT #1 Number of Original 1 Attached Documents Attached PO number or account N/A 19-7637 Johnson number if document is Johnson Engineering, Inc. to be recorded Engineering, Inc. 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 STAMP OK N/A 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 AR 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 AR 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 AR 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 11/09/2021 and all changes made during N/A is not the meeting have been incorporated in the attached document. The County an option for Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready f the n for Chairman's signature. -t�. NOV 09 2021 Risk Management i 6 C 3 MEMORANDUM Date: November 18, 2021 To: Ana Reynoso, Procurement Services From: Martha Vergara, Sr. Deputy Clerk Minutes & Records Department Re: Contract #21-7859 for "Golden Gate City Transmission Water Main Improvements Design" Contractor: Johnson Engineering, Inc. Attached for your records is an original of the referenced document above, (Item #16C3) adopted by the Board of County Commissioners on Tuesday, November 9, 2021. The Board's Minutes & Records Department has kept an original as part of the Board's Official Records. If you have any questions, please feel free to contact me at 252-7240. Thank you. Attachment i6C 3 FIRST AMENDMENT TO AGREEMENT #19-7637 FOR "Golden Gate City Transmission Water Main Improvements Design" THIS FIRST AMENDMENT made and entered into on this oc @p^ late), by and between Johnson Engineering, Inc. (the "Consultant") and Collier 'eounty, a political subdivision of the State of Florida, (the "County") (collectively the "Parties"): WHEREAS, on September 8, 2020, (Agenda Item 11.F), the County entered into an Agreement with Consultant for professional engineering services for the design of transmission water mains around Golden Gate City for a total amount of$1,393,105.06; and WHEREAS,the Parties desire to amend the Agreement to include surveying services(Task I) and design of stormwater drainage improvements (Task II) as provided for in existing scope of services in the amount of$305,760, and modify key personnel staffing for the services rendered under this Agreement. NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the parties as follows: 1. The additional services shall be provided in accordance with Schedule A2 Scope of Services and the fees for the additional services outlined in Schedule A2 shall be in accordance with Schedule B2 Basis for Compensation, both schedules incorporated and attached to this First Amendment. 2. Project schedule for additional services outlined in Schedule A2 Scope of Services shall be included as part of Task 2 to Schedule C of the Agreement. 3. Schedule F- Key Personnel of the agreement is hereby revised in its entirety through this First Amendment. 4. Schedule B- Attachment 1- Consultant's Hourly Rates Schedule shall remain the same for the added services identified in this First Amendment: 5. Qualified licensed professional named on Section 1.5 of the agreement shall remain the same for the added services in this First Amendment. 6. All other terms and conditions of the agreement shall remain the same. [Signature page to follow this page] **Remainder of this page left blank intentionally** Page 1 of 8 First Amendment to Agreement#19-7637 CAS 16C 3 IN WITNESS WHEREOF, the Parties have executed this First Amendment by an authorized person or agent on the date and year first written above. ATTEST: Crystal K. Kinzel, Clerk of Circuit Court BOARD OF COUNTY COMMISSIONERS and Comptroller COLLIER COUNTY, FLORIDA By; 1' By: l� Penny Tay , Chair Dated: Pl11 -,17, •2I (SEAL) Attest as to Chairman signature only. Consultant's Witnesses: CONSULTANT: Johnson Engineerin c. First Witness By: „ Signa Lire Mark Thomas, P.E. TType/print witness names Michael S. Dickey, P.E./Vice President TType/print signature and titleT coed Witness 1 n-1 1-.2 I Lisa Baughman Date TType/print witness names Approved to Form and Legality: iltik • to it t ounty Attorney Sakti -P-sk\ Print Name ` 1A [21-PRC-04765/1671965/1] Page 2 of 8 First Amendment to Agreement#19-7637 - C 0 i6C 3 SCHEDULE A2 SCOPE OF SERVICES (FIRST AMENDMENT) Collier County desires to have drainage systems crossed by the ongoing potable water transmission main to be reconstructed. This reconstruction will be for the entire sub-system that is being crossed. Twenty-five (25) such crossings have been identified. The County has observed no appreciable flooding in Golden Gate City during previous extreme events; the most recent was Hurricane Irma in 2017. Based on the lack of flooding, the County does not want hydrologic and hydraulic modeling done. The system will be replaced with like size pipes as a maintenance function. This proposal provides the surveying services and design of storm drainage improvements. Johnson Engineering,Inc. ("Consultant")will perform the following services for Collier County ("County"): SCOPE OF SERVICES TASK 1.0 SURVEY SERVICES The Consultant shall collect horizontal and vertical data of existing visible above-ground improvements and existing visible above-ground utilities within an approximate 30-foot-wide strip over top of the drainage conflicts on the image attached as Exhibit EX-01. The Consultant shall measure cross-sections at 25-foot intervals and obtain horizontal and vertical data of the storm structures to include pipe inverts, size, and material. The Consultant shall establish the easement lines for that part of the above referenced corridors, and adjacent lot lines based on original plats, deeds, and Collier County geographic information systems linework. Horizontal data will be in feet and shall be projected on the Florida State Plane Coordinate System, East Zone, NAD83(2011). Vertical data will be in feet and shall be referenced to the North American Vertical Datum of 1988 (NAVD88). Deliverables: Survey mapping including rights of way and above ground appurtenances. TASK 2.0 STORM DRAINAGE SYSTEM IMPROVEMENTS DESIGN Research: The Consultant will review publicly available plans and studies provided by the County to assess the planned extent of each system to be intersected by the transmission main. Sizing: The existing system has a mix of round and arched pipes. The Consultant will review each pipe and establish a round pipe size for those that are arch shaped. A review of the sizes throughout the sub-system will be done. Anomalies will be discussed with the County. The results of the discussion will guide the final sizing for the plans. Construction Plans: Plan and profile sheets will be developed for each sub-system. Plans will be at a scale of 1" = 20' on a 22" x 34" sheet, which will allow half size prints to have a scale of 1" = 40'. The vertical scale will be adequate to show the full range of features in the profile view. The pipes proposed will be smooth wall inside. It is anticipated that those under the road will be reinforced concrete pipe and HDPE or PVC pipe used between homes. Opportunities to make the system shallower will be considered to minimize excavation depths between homes and reduce costs. There Page 3 of 8 First Amendment to Agreement#19-7637 �Q C 16C 3 will not be a minimum longitudinal slope on the pipe system. Inlet and junction structures will have grates or manhole covers as appropriate. The plan set will include: • Cover sheet • Standard notes and abbreviations • Aerial based key sheet • Plan and profile sheets (estimated at 40 sheets) • Detail sheet(s) • Erosion control sheet(s) Deliverables: 100%Plan and profile construction plans showing proposed drainage improvements. TASK 3.0 REIMBURSABLE EXPENSES Expenses incurred for electric truck mounted davit hoist to lift concrete tops for completion of the project. Other reimbursable expenses include reproduction of Contract Plans and/or Specifications, mileage costs, miscellaneous reimbursable expenses including deliveries, mail, telephone, etc. as require for completion of the project. The Consultant will provide the County with details of all reimbursable expenses with billing. [END OF SCHEDULE A2] Page 4 of 8 First Amendment to Agreement#19-7637 CN° i6C 3 SCHEDULE B2 BASIS OF COMPENSATION (First Amendment) 1. MONTHLY STATUS REPORTS B2.1.1 As a condition precedent to payment, CONSULTANT shall submit to COUNTY as part of its monthly invoice a progress report reflecting the Project status, in terms of the total work effort estimated to be required for the completion of the Basic Services and any authorized Additional Services, as of the last day of the subject monthly billing cycle. Among other things, the report shall show all Service items and the percentage complete of each item. 2. COMPENSATION TO CONSULTANT B2.2.1 For the Basic Services provided for in this Agreement,the COUNTY agrees to make the payments to CONSULTANT in accordance with the terms stated below. Payments will be made in accordance with the following Schedule; however, the payment of any particular line item noted below shall not be due until services associated with any such line item have been completed or partially completed to COUNTY'S reasonable satisfaction. Lump Sum payments will be made upon the percentage complete. In no event shall such Time and Materials compensation exceed the amounts set forth in the table below. Task Task Description Lump Sum Time and Material 1 Surveying Services $120,000 2 Storm Drainage System Improvements Design $174,760 Reimbursable Expenses $11,000 LUMP SUM TOTAL $294,760 a3 m TIME AND MATERIAL TOTAL , by $11,000 TOTAL FEE $305,760 B2.2.2. ®* Time and Material Fees: The fees noted in Section B2.2.1. shall constitute the amounts to be paid to CONSULTANT for the performance of the Basic Services. Direct Labor Costs mean the actual salaries and wages (basic, premium and incentive) paid to CONSULTANT's personnel, with respect to this Project, including all indirect payroll related costs and fringe benefits, all in accordance with and not in excess of the rates set forth in the Attachment 1 to this Schedule B of this Agreement. Page 5 of 8 First Amendment to Agreement#19-7637 GQ.� 16C 3 With each monthly Application for Payment, CONSULTANT shall submit detailed time records, and any other documentation reasonably required by the COUNTY, regarding CONSULTANT's Direct Labor Costs incurred at the time of billing,to be reviewed and approved by the COUNTY. There shall be no overtime pay without the COUNTY's prior written approval. B2.2.2.1.Notwithstanding anything herein to the contrary, in no event may CONSULTANT's monthly billings, on a cumulative basis, exceed the sum determined by multiplying the applicable not to exceed task(s) limits by the percentage the COUNTY has determined CONSULTANT has completed such task as of that particular monthly billing. B2.2.3.®* Lump Sum Fees: The fees noted in Section B2.2.1. shall constitute the lump sum amount to be paid to CONSULTANT for the performance of the Basic Services. There shall be no overtime pay without the COUNTY's prior written approval. B2.2.3.1 CONSULTANT shall submit, with each of the monthly status reports provided for under Section B2.1.1 of this Schedule B2, an invoice for fees earned in the performance of Basic Services and Additional Services during the subject billing month. B2.2.4. For Additional Services provided pursuant to Article 2 of the Agreement,if any,the COUNTY agrees to pay CONSULTANT a negotiated total fee and Reimbursable Expenses based on the services to be provided and as set forth in the Amendment authorizing such Additional Services. The negotiated fee shall be based upon the rates specified in Attachment 1 to this Schedule B and all Reimbursable Expenses shall comply with the provision of Section B2.3.4.1 below. There shall be no overtime pay on Additional Services without the COUNTY's prior written approval. B2.2.5.The compensation provided for under Section B2.2.1 of this Schedule B2, shall be the total and complete amount payable to CONSULTANT for the Basic Services to be performed under the provisions of this Agreement, and shall include the cost of all materials, equipment, supplies and out- of-pocket expenses incurred in the performance of all such services. B2.2.6.Notwithstanding anything in the Agreement to the contrary, CONSULTANT acknowledges and agrees that in the event of a dispute concerning payments for Services performed under this Agreement, CONSULTANT shall continue to perform the Services required of it under this Agreement, as directed by the COUNTY, pending resolution of the dispute provided that the COUNTY continues to pay to CONSULTANT all amounts that the COUNTY does not dispute are due and payable. 3. SCHEDULE OF PAYMENTS B2.3.1.Notwithstanding anything herein to the contrary, the CONSULTANT shall submit no more than one invoice per month for all fees earned that month for both Basic Services and Additional Services. Invoices shall be reasonably substantiated, identify the services rendered and must be submitted in triplicate in a form and manner required by the COUNTY. B2.3.1.1 Payments will be made for services furnished, delivered, and accepted, upon receipt and approval of invoices submitted on the date of services or within six (6) months after completion of contract. Any untimely submission of invoices beyond the specified deadline period is subject to non-payment under the legal doctrine of"'aches" as untimely submitted. Time shall be deemed of the essence with respect to the timely submission of invoices under this Agreement. Page 6 of 8 First Amendment to Agreement#19-7637 �C I C 3 B2.3.2.Invoices not properly prepared (mathematical errors, billing not reflecting actual work done, no signature, etc.) shall be returned to CONSULTANT for correction. Invoices shall be submitted on CONSULTANT's letterhead and must include the Purchase Order Number and Project name and shall not be submitted more than one time monthly. B2.3.3. Payments for Additional Services of CONSULTANT as defined in Article 2 hereinabove and for reimbursable expenses will be made monthly upon presentation of a detailed invoice with supporting documentation. B2.3.4.Unless specific rates have been established in Attachment 1, attached to this Schedule B2, CONSULTANT agrees that, with respect to any subconsultant or subcontractor to be utilized by CONSULTANT for this Agreement or Additional Services, CONSULTANT shall be limited to a maximum markup of five percent (5%) on the fees and expenses associated with such subconsultants and subcontractors. B2.3.4.1 Reimbursable Expenses must comply with §112.061, Fla. Stat., or as set forth in the Agreement, be charged without mark-up by the CONSULTANT, and shall consist only of the following items: B2.3.4.1.1.Cost for reproducing documents that exceed the number of documents described in this Agreement and postage and handling of Drawings and Specifications. B2.3.4.1.2.Travel expenses reasonably and necessarily incurred with respect to Project related trips, to the extent such trips are approved by the COUNTY. Such expenses, if approved by the COUNTY,may include coach airfare, standard accommodations and meals, all in accordance with §112.061, Fla. Stat. Further, such expenses, if approved by the COUNTY, may include mileage for trips that are from/to destinations outside of Collier or Lee Counties. Such trips within Collier and Lee Counties are expressly excluded. B2.3.4.1.3.Permit Fees required by the Project. B2.3.4.1.4.Expense of overtime work requiring higher than regular rates approved in advance and in writing by the COUNTY. B2.3.4.1.5.Expense of models for the County's use. B2.3.4.1.6.Other items on request and approved in writing by the COUNTY. B2.3.4.1.7. The CONSULTANT shall bear and pay all overhead and other expenses, except for authorized reimbursable expenses, incurred by CONSULTANT in the performance of the Services. B2.3.4.1.8. Records of Reimbursable Expenses shall be kept on a generally recognized accounting basis. B2.3.5. The CONSULTANT shall obtain the prior written approval of the COUNTY before incurring any reimbursable expenses, and absent such prior approval, no expenses incurred by CONSULTANT will be deemed to be a reimbursable expense. Page 7 of 8 First Amendment to Agreement#19-7637 i6C 3 SCHEDULE F (First Amendment) KEY PERSONNEL Name Personnel Category Percentage of Time Mike Dickey Principal 5% Andy Tilton Principal 5% Erik Howard Senior Project Manager 10% Alfredo Perez Project Manager 15% Jordan Varble Senior Engineer 30% Rick Acosta Senior Engineer 15% Mike Lohr Senior GIS Specialist 3% Paul Lohr Senior GIS Specialist 3% Mark Texter Surveyor and Mapper 5% Kevin RisCassi Surveyor and Mapper 10% Brent Buford Senior Inspector 5% Michael Tiseo Senior Designer 30% Michele Newbury Senior Designer 15% Travis Means Designer 20% Page 8 of 8 First Amendment to Agreement#19-7637 0,0 16C 3 CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. additional insured coverage with "arising out of" language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. Ill. Subject always to the terms and conditions of this policy, including the limits of insurance,the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract;or B. a higher limit of insurance than required by the written contract. s IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of,or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage mmm part: CNA75079XX(10-16) Policy No: 4027219232 Page 1 of 2 Endorsement No: 8 AMERICAN CASUALTY CO OF READING,PA Effective Date: 0 9/15/2 0 21 Insured Name: JOHNSON ENGINEERING, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 16C 3 CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured,this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self-insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory,this paragraph 3.does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX(10-16) Policy No: 4027219232 Page 2 of 2 Endorsement No: 8 AMERICAN CASUALTY CO OF READING,PA Effective Date: 09/15/2021 Insured Name: JOHNSON ENGINEERING, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 1 6 C CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION WHOM THE NAMED INSURED HAS AGREED IN WRITING IN A CONTRACT OR AGREEMENT TO WAIVE SUCH RIGHTS OF RECOVERY, BUT ONLY IF SUCH CONTRACT OR AGREEMENT: 1. IS IN EFFECT OR BECOMES EFFECTIVE DURING THE TERM OF THIS COVERAGE PART; AND 2. WAS EXECUTED PRIOR TO THE BODILY INJURY, PROPERTY DAMAGE OR PERSONAL AND ADVERTISING INJURY GIVING RISE TO THE CLAIM. (Information required to complete this Schedule, if not shown above,will be shown in the Declarations.) Under COMMERCIAL GENERAL LIABILITY CONDITIONS, it is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended by the addition of the following: With respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work included in the products-completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. 0 CNA75008XX(10-16) Policy No: 4027219232 Page 1 of 1 Endorsement No: 10 AMERICAN CASUALTY CO OF READING,PA Effective Date: 09/15/2021 Insured Name: JOHNSON ENGINEERING, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 1 6 C 3 JOHNENG-01 BBROWN "AMMO CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) `—� 10/7/2/7/2021 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: JCJ Insurance Agency,LLC PHONE FAX 2208 Hillcrest Street (A/c,No,Ext):(321)445-1117 (MC,No):(321)445-1076 Orlando,FL 32803 ADDAIL RESS:certs@jcj-insurance.com INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Berkley Insurance Company 32603 INSURED INSURER B: Johnson Engineering,Inc. INSURER C: 2122 Johnson St. INSURER D: Fort Myers,FL 33901 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUBRI POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) _ MED EXP(Any one person) _$ PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNED ONLYY PROPERTY accident DAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE _$ DED RETENTION$ $ WORKERS COMPENSATION PER EH AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? j N/A -- -—- Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab I AEC-9047720-06 9/15/2021 9/15/2022 Per Claim 2,000,000 A AEC-9047720-06 9/15/2021 9/15/2022 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:19-7637-Amendment#1 "Golden Gate City Transmission Water Main Improvements Design" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier CountyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Procurement Services Division 3295 Tamiami Trail East.C-2 Naples,FL 34112 AUTHORIZED REPRESENTATIVE 0,/a/ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 6 C 3 AC�® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/7/2021 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 CONTNAME:ACT Yarltza Soto BKS Partners PHONE FAX P.O. Box 60043 Wc.No.Ext):239-931-3021 (A/c,No):239-931-5604 Fort Myers FL 33906-6043 ADDRESS: yaritza.soto@bks-partners.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:American Casualty Company of R 20427 INSURED JOHNS05 INSURER B:The Continental Insurance Co 35289 Johnson Engineering, Inc. PO Box 2112 INSURER C:Valley Forge Insurance Company 20508 Fort Myers FL 33902-2112 INSURER D:Continental Casualty Company 20443 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:36358477 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 POLICY EFF POLICY EXP/Y LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDYYY) A X COMMERCIAL GENERAL LIABILITY Y Y 4027219232 9/15/2021 9/15/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $15,000 X XCU PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY 5084100207 9/15/2021 9/15/2022 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 pip PIP $10,000 B X UMBRELLA LIAB X OCCUR 4034928401 9/15/2021 9/15/2022 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000• DED X RETENTION$10 o n $ C WORKERS COMPENSATION WC434939852 9/24/2021 9/24/2022 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N N/A --- (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 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PROJECT:Golden Gate City Transmission Water Main Improvements Design Collier County is listed as additional insured with respect to general liability,as per endorsement CNA75079XX.A waiver of subrogation applies to the general liability policy. 30 days notice of cancellation applies except 10 days for nonpayment. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Procurement Services Division ACCORDANCE WITH THE POLICY PROVISIONS. 3295 Tamiami Trail East Bldg C-2 AUTHORIZED REPRESENTATIVE Naples FL 34112 '721/1/r"2 p W`1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD