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#22-7974 Assumption Agreement (Carolina Filters, Inc.) ASSUMPTION AGREEMENT This Assumption Agreement is made and entered into on this MI\ of ik i G,cTi"\ 2023 by and between Carolina Filters Inc. ("Carolina Filters") and Collier County, a political subdivision of the State of Florida("County"), (collectively the "Parties"). WHEREAS, on July 12, 2022 (Agenda Item 16.C.4) the County awarded an Invitation to Bid No. 22-7974 (Purchase Order Driven), "Cartridge Filters for Water Treatment Plants,"to Tri- Dim Filter Corporation("Tri-Dim"), and attached hereto as Exhibit"A" (hereinafter referred to as "Agreement"); and WHEREAS, on September 07, 2022 Carolina Filters, acquired all of Tri-Dim's assets as memorialized in attached Exhibit"B" and Exhibit "C". WHEREAS, Carolina Filters, hereby represents to Collier County that by virtue of an acquisition of Tri-Dim's assets, it is the successor in interest in relation to the Agreement; and WHEREAS, the Parties wish to formalize Carolina Filters' assumption of rights and obligations under the Agreement effective as of the date first above written. NOW THEREFORE, IN CONSIDERATION of the mutual promises in this Assumption Agreement, and for other good and valuable consideration, the receipt and sufficiency of which are acknowledged by the Parties, it is agreed as follows: 1. Carolina Filters accepts and assumes all rights, duties, benefits, and obligations of Original under the Agreement, including all existing and future obligations to pay and perform under the Agreement. 2. Carolina Filters will promptly deliver to County evidence of insurance consistent with the Agreement. 3. Further supplements to, or modifications of, the Agreement shall be approved in writing by both parties. 4. Notice required under the Agreement to be sent to Carolina Filters shall be directed to: CAROLINA FILTERS: Carolina Filters Inc. 1337 SE Dixie Hwy. Stuart, FL 34994 Phone: (803) 418-9728 Attention: Cody Clepper; Email: Cody@CarolinaFilters.Com 5. The County hereby consents to Carolina Filters' assumption of the Agreement in order to continue the services provided under Agreement No. 22-7974. No waivers of performance [23-PRC-05069/1765283/1] Page 1 of 2 S or extensions of time to perform are granted or authorized. The County will treat Carolina Filters as it would have Original for all purposes under the Agreement. Except as provided herein, all other terms and conditions of the Agreement remain in full force and effect. IN WITNESS WI-IEREOF, the undersigned have executed and delivered this Assumption Agreement effective as of the date first above written. ATTEST: . .,'.. BOARD OF COUNTY COMMISSIONERS Crystal,Ornze1, CIFf1s, COLLIER COUNTY, FLORIDA &Corm tioller "� By: / Attest as to Cfiahr en's• ;, tputy le By: (----2 ;' - 144 signature OAly a it,- Rick LoCastro, Chairman Approved, to o • and Legality: By: ' 1lks.Itt Jeffrey A. t� <lat. •w, ounty Attorney Carolina Filters' ` itnesses: Carolina Filters Inc. lii — By: _ ---j first Witness Sign re Cody Clef e-rkFo 0 an ;e__ 1 �A Q_S- '- jTh TType/print signature and title'" TType/print witness nameT Ck. Rid Second itness -cam f h�c.�—e.�A TType print witness nameT [23-PRC-05069/1765283/1] Page 2 of 2 16.C.4 EXHIBIT A 07/12/2022 EXECUTIVE SUMMARY Recommendation to award Invitation to Bid ("ITB") No. 22-7974 "Cartridge Filters for Water Treatment Plants," to Tri-Dim Filter Corporation,for the purchase of replacement cartridge filters at the North and South County Regional Water Treatment Plants on a primary per line-item basis and authorize the Chair to sign the attached agreement. OBJECTIVE: To obtain a cost-effective supplier for the purchase and delivery of cartridge filters. CONSIDERATIONS: The Water Division utilizes reverse osmosis and membrane softening treatment processes. To complete these processes, raw water must be pre-filtered prior to contact with the membranes. On March 7, 2022, the Procurement Services Division released notices for ITB No. 22-7974, "Cartridge Filters for Water Treatment Plants." The County received four bids by the April 7, 2022, deadline as follows. Respondents: Company Name City County State Bid Amount Responsive/ Responsible Tri-Dim Filter Corporation Louisa Louisa VA See Bid Tabulation Yes/Yes Harn R/O Systems, Inc. Venice Sarasota FL See Bid Tabulation Yes/No I.S.C. Sales,Inc. Plano Collin TX See Bid Tabulation No/No Filter Equipment Co. Inc. Wall Monmouth NJ See Bid Tabulation Withdrew Staff found Tri-Dim Filter Corp. to be responsive and responsible, Ham R/O Systems, Inc. were deemed non-responsible for not meeting the specifications of the bid, I.S.C. Sales, Inc. were deemed non- responsive and non-responsible due to missing documents and not meeting the specification of the bid, and Filter Equipment Co. Inc. withdrew their bid due to not being able to comply with the requirements of the bid. Staff recommends awarding this ITB to Tri-Dim Filter Corporation (Tri-Dim) on a primary per line-item basis in accordance with the attached bid tabulation, and requests authorization to open Purchase Orders to procure goods for this award on an as-needed basis. A Purchase Order, with the County's standards terms and conditions,will be issued for this award. The award is for a one (1) year term with four(4) one (1) year renewal options and prices shall remain firm for the initial term of the award. While longer initial terms of fixed pricing are preferred, this solicitation has allowed for one-year fixed pricing for the last eight years (two previous solicitations) and market volatility had significantly reduced bidder interest in solicitations requiring longer initial term fixed prices. Tri-Dim is a manufacturing company that focuses on ultra-high efficiency filtration products and they are leaders in the industry. Tri-Dim has been in business since 1968, they have over 40-year history in filtration solutions,and Collier County has successfully used Tri-Dim for cartridge filters since 2013. FISCAL IMPACT: The source of funding is the Water-Sewer District operating Fund 408. The exact fiscal impact will be dependent on the amount of water produced during the life of the agreement; however,the Water Division anticipates an impact of approximately$200,000 per fiscal year. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for approval. -RTT GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with i Packet Pg. 1122 07/12/2022 -164,4 this action. RECOMMENDATION: That the Board of County Commissioners, Ex-officio the Governing Board of the Collier County Water-Sewer District, awards ITB No. 22-7974 to Tri-Dim Filter Corporation on a primary per line-item basis in accordance with the attached bid tabulation and authorizes use of Purchase Orders to procure goods for this award on an as-needed basis. Prepared by: Howard Brogdon,Director,Public Utilities Water Division ATTACHMENT(S1 1.22-7974- NORA Executed (PDF) 2.22-7974 -Bid Tabulation (PDF) 3.22-7974 Solicitation (PDF) 4. [Linked] Tri-Dim Filter Corp. Combined Bid Package (PDF) Packet Pg. 1123 DocuSign Envelope ID:572A50CE-6A65-4BFO-BA1E-36C262BEF8FA Collier County Administrative Services Department Procurement Services Division Notice of Recommended Award Solicitation: 22-7974 Title: Cartridge Filters for Water Treatments Plants Due Date and Time: April 7, 2022, at 3:00PM Respondents: Company Name City County State Bid Amount Responsive/ Responsible Tri-Dim Filter Corp. Louisa Louisa VA See Tabulation Yes/Yes Harn R/O Systems, Inc. Venice Sarasota FL See Tabulation Yes/No I.S.C.Sales, Inc. Plano Collin TX See Tabulation No/No Filter Equipment Co. Inc. Wall Monmouth NJ See Tabulation Withdrew Utilized Local Vendor Preference: Yes No - Recommended Vendor(s) For Award: On March 7, 2022,the Procurement Services Division released notices for Invitation to Bid #22-7974 Cartridge Filters for Water Treatment Plants. Six thousand five hundred thirty-four(6,534) notifications were sent, forty- three (43)vendors viewed,and four(4) bids were submitted on April 7, 2022. Staff found Tri-Dim Filter Corp. to be responsive and responsible, Harn R/O Systems, Inc. were deemed non- responsible for not meeting the specifications of the bid, I.S.C. Sales, Inc. were deemed non-responsive and non-responsible due to missing documents and not meeting the specifications of the bid, and Filter Equipment Co. Inc. withdrew their bid due to not being able to comply with the requirements of the bid. Intent of the award was to identify a Primary vendor based on the Lowest Price Per Line Item. Staff recommends Tri-Dim Filter Corp. to be awarded as the primary vendor. Contract Driven Purchase Order Driven MI Required Signatures ,—DocuSigned by: Project Manager warn, bV'(11.bin, 6/8/2022 '—F49DF13BDDE44B4 1-DocuSigned by: Procurement Strategist�� MC 6/8/2022 s•—0321 CC6D8B7F455... Procurement Services Director: ,—DocuSigned by: $444i H 6/8/2022 `-- 5Tfc1FN 61fr'era Date CAO Coder County Procurement Services Division COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS INVITATION TO BID (ITB) FOR CARTRIDGE FILTERS FOR WATER TREATMENT PLANTS SOLICITATION NO.: 22-7974 CYNTHIA MCCANNA, PROCUREMENT S I'RATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8992 Cynthia.McCanna@colliercountyfl.gov (Email) This solicitation document is prepared in a Microsoft Word format. Any alterations to this document made by the Bidder may be grounds for rejection of the bid, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. CAS SOLICITATION PUBLIC NOTICE INVITATION TO BID(ITB)NUMBER: 22-7974 PROJECT TITLE: Cartridge Filters for Public Utilities Water Treatment Plants DUE DATE: Tuesday April 7,2022 at 3:00 PM EST PLACE OF BID OPENING: PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST,BLDG C-2 NAPLES,FL 34112 All bids shall be submitted online via the Collier County Procurement Services Division Online Bidding System: https://www.bidsync.com/bidsync-cas/ INTRODUCTION As requested by the Water Division (hereinafter, the"Division or Department"), the Collier County Board of County Commissioners Procurement Services Division(hereinafter,"County")has issued this Invitation to Bid(hereinafter,"ITB")with the intent of obtaining bid submittals from interested and qualified vendors in accordance with the terms,conditions and specifications stated or attached. The vendor,at a minimum,must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. Historically, County departments have spent approximately $150,000 annually related to this process; however, this may not be indicative of future buying patterns. BACKGROUND The Water Department utilizes reverse osmosis and membrane softening treatment processes.In order to complete these processes,raw water must be pre-filtered prior to contact with the membranes.Efficient cartridge filtration is critical to remove debris and sand,which is found in the raw water supply. TERM OF CONTRACT The contract term, if an award(s) is/are made is intended to be for one(1)year with four(4)one(1)year renewal options. Prices shall remain firm for the initial term of this contract. Surcharges will not be accepted in conjunction with this contract,and such charges should be incorporated into the pricing structure. The County Manager,or designee, may, at his discretion,extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred eighty(180)days. The County Manager,or designee, shall give the Contractor written notice of the County's intention to extend the Agreement term not less than ten(10)days prior to the end of the Agreement term then in effect. All goods are FOB destination and must be suitably packed and prepared to secure the lowest transportation rates and to comply with all carrier regulations. Risk of loss of any goods sold hereunder shall transfer to the COUNTY at the time and place of delivery,provided that risk of loss prior to actual receipt of the goods by the COUNTY nonetheless remain with the VENDOR. AWARD CRITERIA ITB award criteria are as follows: ➢ The County's Procurement Services Division reserves the right to clarify a vendor's submittal prior to the award of the solicitation. ➢ It is the intent of Collier County to award to the lowest,responsive,and responsible vendor that represents the best value to the County. ➢ For the purposes of determining the winning bidder,the County will select the vendor with the lowest price as outlined below: • Lowest Price Per Line Item D. Collier County reserves the right to select one, or more than one supplier's, award on a line-item basis, establish a pool for quoting,or other options that represents the best value to the County;however, it is the intent to: C • Identify Primary and Secondary Awardees ➢ Purchases from the secondary vendor may be made when the primary vendor does not have the desired part in stock or when the primary vendor cannot meet the required delivery time. ➢ The County reserves the right to issue a formal contract or standard County Purchase Order for the award of this solicitation. DETAILED SCOPE OF WORK The following specifications outline the Scope of Services for a prospective vendor to enter into a contract with Collier County. The responsibility to discern the Scope of Services detailed in these specifications shall rest solely with the vendor.A failure of the vendor to accurately assess the Scope shall not relieve any of the responsibilities to perform under the Contract Documents,nor shall it be considered the basis for any claim for additional compensation. 1. Scope of Services for North Collier Regional Water Treatment Plant (NCRWTP) & South Collier Regional Water Treatment Plant(SCRWTP) (a) Delivery of a shipment order of cartridge filters must be completed within two weeks from the date the order is placed. (b) Deliveries shall be Free on Board(FOB)Destination. Unit prices are inclusive of shipping costs. (c) Cartridges must be boxed for easy identification(lot number,quantity,part number and micron rating)and shipped on wooden or plastic pallets with all cardboard cartons of cartridges plastic shrink wrapped. Cartridge filter boxes shall not be stacked higher than seven(7)boxes to avoid crushing the bottom boxes. (d) The successful bidder will ship an estimated 1860 cartridge filters per shipment lot(estimated 7440 annually).—NCRWTP Specific (e) All shipments of cartridge filters must be FOB to North Collier Regional Water Treatment Plant,8005 Vanderbilt Beach Ext. Road Naples,FL 34120—NCRWTP Specific (f) The successful bidder will ship an estimated combined 2010 cartridge filters(1005 each type)per shipment lot(estimated 8040 annually).—SCRWTP Specific (g) All shipments of cartridge filters must be FOB to South Collier Regional Water Treatment Plant,3851 Utilities Drive, Naples,FL 34117—SCRWTP Specific 2. Vendors Specific Requirements (a) All cartridges must be compatible for use in the existing Parker Fulflo cartridge filter housings(NCRWTP 8 and SCRWTP 4) and must be compatible for use in the existing Cuno Fluid Purification cartridge filter housings(SCRWTP 4). (b) All cartridges must be a ridged, melt blown FDA grade CFR 21 polypropylene in a one-piece self-supporting(coreless)depth structure. (c) All cartridges for the Parker housings shall be single open end with Buna N 222 0-rings on the open end and an integral cylindrical spring on the closed end. (d) All cartridges manufactured for the Cuno housings shall be single open end with Buna N 222 0-rings on the open end with a flat cap on the closed end.—SCRWTP Specific (e) Cartridge dimensions shall be 40 inches in length.The outer diameter must be 2.5 inches max,and the inside diameter must be 1 inch(+/-1/8 inch). (f) All cartridges shall have grooved surfaces resulting in a cartridge filter surface area of greater than 600 sq inches(—4.2 sq. ft.)for a 40-inch length cartridge. (g) All cartridges shall have a void volume of greater than 70%.Manufacturer must provide written verification that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (h) All cartridges shall be of rigid construction.For a 40-inch length cartridge,the center point deflection shall be less than 1 inch for a 2000-gram centered load(substantiated by available test data). (i) All cartridges shall provide a minimum of 90%removal efficiency nominally rated at 5 microns over the life of the cartridge. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (j) All cartridges shall be able to operate to a terminal pressure drop of 25 PSI without deformation.Cartridge specific clean pressure drop shall be less than 0.05 pressure per square inch differential/gallons per minute(psid/gpm)(per 10-inch equivalents).Manufacturer must provide written verification that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (k) All cartridge materials shall be NSF Standard 61 certified for use in potable water.No adhesives,binders, lubricants, surfactants shall be used in the manufacturing of the cartridges and/or the raw materials. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (I) Cartridge shall have proven performance on equivalent source water chemistry/quality.Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of CPO Recommended Award. (m) All cartridges shall be embossed with grade information on a minimum of one location. 3. Affidavits of Compliance (a) The cartridges must be manufactured of materials recommended or approved by the Food and Drug Administration,the National Sanitation Foundation,the Florida Department of Environmental Protection,and the Environmental Protection Agency for potable water use. (b) Affidavits of compliance shall be provided to Collier County Public Utilities Division upon request. (c) Prior to Notice of Recommended Award Collier County reserves the right to request a sample of no less than fifteen(15) 40-inch individual cartridge filters of the model number offered. Other pertinent information demonstrating compliance with this specification is also recommended. (d) Acceptable cartridge filters will be manufactured by Global Filter Corporation,3M/Cuno, Pall Corporation,Parker Corporation and/or others meeting the written specifications. (e) Bidder must provide evidence that the cartridge model proposed has operated successfully as pretreatment to membrane treatment facilities in Florida.A list of references is required and will be used to determine if an award of a contract will be made. See Required Form 5 Reference Questionnaire,bidder must meet this requirement upon submittal of bid or prior to Notice of Recommended Award. VENDOR CHECKLIST ***Vendor should check off each of the following items as the necessary action is completed(please see,Vendor Check List)*** The County requires that the vendor submits no fewer than three(3)and no more than ten(10)completed reference forms from clients(during the last 5 years)whose projects are of a similar nature to this solicitation as a part of their proposal.Bidder must meet this requirement upon submittal of bid or prior to Notice of Recommended Award. Provide information on the services completed by the vendor that best represent services of similar size, scope and complexity of this scope using Form 5 provided in BidSync as part of the Required Forms. Vendors may include two (2) additional pages for each reference to illustrate aspects of the completed services that provides the information to assess the experience of the Proposer on relevant work. EXHIBIT B MANN + HUMMEL. Air Filtration Americas 112 S.Respess St. Washington,NC 27889 Date: 12/06/2022 1.877.752.5811 To: Collier County FL Subject: Bid # 22-7974 "Cartridge Filters for Water Treatment Plants" Greetings, MANN+HUMMEL's Air Filtration Americas, a leader in indoor air filtration and home of leading brands of Tri-Dim, Tri-Dim Hardy and Pamlico Air, announced on 3/7/22 they are embracing a new business model. The company is moving from a direct sales approach to a distributor-based model for all three of their North American air filtration brands. On 9/7/22, an announcement was made that Carolina IAQ, a division of Carolina Filters Inc., is the newest distributor of all Pamlico Air, Tri-Dim and Tri-Dim Hardy air filtration products and services in the state of Florida. The partnership between Carolina IAQ and MANN+HUMMEL - Air Filtration Americas allows for an enhanced overall customer experience and increased product offering. Mann + Hummel supports the transition of Bid #22-7974 "Cartridge Filters for Water Treatment plant" directly to Carolina IAQ for fulfilment. Please reach out with any questions or concerns. Best Regards )OOLe)GO / Caroline Corey Southeast Regional Sales Director—Air Filtration Americas MANN+HUMMEL S EXHIBIT C DIVISION OF CORPORA.TICNS _ t# r l,9liorg ;rJ Fri rfc E Department of State / Division of Corporations I Search Records / Search by Entity Name / Detail by Entity Name Foreign Profit Corporation CAROLINA FILTERS, INC. Filing Information Document Number F22000007555 FEI/EIN Number 57-0718480 Date Filed 12/12/2022 State SC Status ACTIVE Principal Address 109 E. NEWBERRY AVE. SUMTER, SC 29150 Mailing Address PO BOX 716 SUMTER, SC 29151 Registered Agent Name&Address C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Officer/Director Detail Name&Address Title VP CLEPPER, CODY 2765 FOXCROFT CIRCLE SUMTER, SC 29154 Title P DWIGHT, COLES 4 CLEMATIS CT SUMTER, SC 29150 Annual Repor s No Annual Reports Filed Client#: 772217 17CAROLFIL ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/01/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT McGriff Insurance Services PHONE SC 0-476Certifi 433cate Team FAX (A/C,No,Ext):800-476-4339 (A/C,No): 309 Columbia Ave aoDReSS: SCcertificates@mcgriff.com P.O. Box 8628,29202 Lexington,SC 29072 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Hartford Casualty Insurance Company 29424 INSURED INSURER B:Utica Mutual Insurance Company 25976 Carolina Filters, Inc. INSURER C:Hartford Ins Co of the Midwest 37478 109 East Newberry Avenue Sumter, SC 29150 INSURER D: 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 22UENNI5554 09/26/2022 09/26/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occur°nce) $1,000,000 X BI/PD Ded:5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JE� LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY 22UENAF1896 09/26/2022 09/26/2023 COMBINEDnt)SI $1�000,NGLE LIMIT 000 (Ea accide X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XHIRED v NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR 22RHUNI4812 09/26/2022 09/26/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10000 $ B WORKERS COMPENSATION 5409449 11/10/2022 11/10/2023 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? 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) RE: 22-7974-Tri-Dim Filter As required by and specified in a written contract or agreement,Collier County Board of County Commissioners,OR, Board of County Commissions in Collier County,OR,Collier County Government,OR Collier County,AND ANY OTHER PARTY SPECIFIED IN THE CONTRACT are included as additional insureds as respects to (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Collier County Board of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 3295 Tamiami Trail E Naples, FL 34112 AUTHORIZED REPRESENTATIVE I Qz.Lw..� G`.� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #531513798/M31029580 VMF DESCRIPTIONS (Continued from Page 1) the general liability and automobile liability but only with respect to liability arising out of the named insured's operations under said written contract or agreement and always subject to the terms, conditions and exclusions of the policy forms. As required by a written contract,the general liability and automobile liability are primary and noncontributory. SAGITTA 25.3(2016/03) 2 of 2 #531513798/M31029580