The URL can be used to link to this page

Agenda 04/11/2023 Item #16C 2 (Waive liquidated damages against Florida Design Drilling Corporation pertaining to the construction of the New Tamiami Well 40 Project)04/11/2023 EXECUTIVE SUMMARY Recommendation to waive liquidated damages against Florida Design Drilling Corporation pertaining to the construction of the New Tamiami Well 40 Project under Agreement No. 20-7808, approve all previous administratively authorized Change Orders, and authorize payment of any pending or final payment applications subject to the contractor providing all required backup documentations prerequisite to processing payment. OBJECTIVE: To waive liquidated damages against Florida Design Drilling Corporation pertaining to the construction of the New Tamiami Well 40 Project under Agreement No. 20-7808, approve all previous administratively authorized Change Orders, and authorize payment of any pending or final payment applications as provided herein. CONSIDERATION: On February 23, 2021 (Agenda Item I LG) the County entered into Agreement No. 20-7808 (the "Agreement") with Florida Design Drilling Corporation. ("FDD"), for the construction of the New Tamiami Well 40 project. The Agreement allowed for 240 calendar days for FDD to substantially complete the work, with final completion to conclude 30 days thereafter. The Agreement also permits the County to assess liquidated damages against FDD in the amount of $1,690.00 for each calendar day after the substantial completion date passes until substantial completion is achieved. The County's Notice to Proceed to FDD identified the Agreement's substantial completion date as November 27, 202 1. Through a series of three administratively approved Change Orders (i.e., Change Orders not requiring Board approval, as authorized by the County's Procurement Ordinance) and several written stop/starts work orders, the parties agreed to extend the substantial and final completion dates numerous times because FDD's ability to meet the original schedule was impacted by the effects of the Covid-19 pandemic as it related to critical material manufacturing and delivery. A summary of the administratively approved Change Order time extensions and the stop/start work contract suspensions/reactivations is provided in an attachment to this item. This request primarily arises because at the time staff administratively processed Change Order No. 1, which approved a fifty-four (54) day time extension, the substantial completion date had already passed twenty-three (23) days earlier; although the final completion date had not yet expired. The abbreviated history of the three Change Orders is as follows: 1. On December 20, 2021, the Procurement Division approved Change Order No. I providing for a 54-day contract time extension. Although not processed before the substantial completion deadline, the intent of this Change Order was to extend the Final Completion date, which would also move the Substantial Completion date to the day thirty days prior thereto. Change Order No. I specifically states at line number (3): "If the time extension is not processed, the contractor will not be able to complete the project on schedule and would be liable for liquidated damages for no fault of their own." The reason provided for this time extension were delays issues concerning the supply of electrical equipment that were caused by Covid- 19 pandemic supply chain issues. 2. On April 5, 2022, the Procurement Division approved Change Order No. 2 providing for a 64- day contract time extension, that further extended the Final Completion date to July 2, 2022, with the Substantial Completion date established as June 2, 2022. This Change Order was also necessitated by delay in the manufacture and delivery of electrical equipment occasioned by Covid- 19 pandemic supply chain issues. Change Order No. 2 included similar language as the first Change Order that the delay was not caused by FDD and that unless the time extension was processed the contractor could be subjected to liquidated damages for a delay it did not cause. 3. Change Order No. 3 was administratively processed by the Procurement Division on September 9, 2022, and it incorporated two Work Directives directing work necessary to finish project, that was within the Agreement's allowance amount and did not increase the Board I Packet Pg. 740 04/11/2023 approved amount of the project, and acknowledged that the work had been suspended and had six days remaining once staff issued a start work order. Throughout the entire time of the project, FDD contended with issues that affected the timely completion of the project, due pandemic -related impacts including material supply issues, Covid impacts to contractor personnel, scheduling of well startup vendor participation, Florida Department of Environmental Protection ("FDEP") clearance requests, equipment and infrastructure issues, and bacteriological testing challenges to name a few. Staff diligently worked with the contractor by issuing numerous stop/start work suspensions and reactivations in an effort to maintain an active contract through final completion. A complete catalogue of those efforts can be found in the attached summary log. Ultimately, FDD achieved substantial completion on June 22, 2022. However, well startup required issuance of FDEP clearance, which did not occur until July 11, 2022. Several attempts at well startup also failed due to infrastructure and equipment issues; and issues in obtaining equipment repair parts, and scheduling the well startup event, continued to impact final completion. The project was finally completed with all punch list items satisfied on December 22, 2022. Given the repeated time extensions via mutually agreed upon written change orders and the contract suspensions and reactivations, staff believes the contractor fulfilled its obligations relative to meeting the various revised project substantial and final completion dates. This item is brought for the Board's approval based upon a request by the Office of the Clerk of the Court. The Clerk's Office correctly notes that staff did not timely administratively process Change Order No. 1 before the Substantial Completion date passed on November 27, 2021. Rather, staff initiated Change Order No. 1 on December 14, 2021 (17 days after the original Substantial Completion date passed). Change Order No. I was administratively approved by the Procurement Division on December 20, 2021. The Clerk's Office contends that because staff did not timely process Change Order No. 1, the Substantial Completion date was never properly (timely) extended on the project and that liquidated damages accrued in the amount of $316,030.00 ($1,690 x 187 days). The Clerk's Office advised that if staff wished to seek a waiver of the imposition of liquidated damages against FDD, it would need to bring an executive summary to the Board for approval. Staff is recommending that the Board waive liquidated damages against FDD because the delays that occurred on this project were not the result of dilatory conduct by the contractor but rather due to supply chain, administrative delay, and personnel related issues resulting from the Covid- 19 pandemic. Notwithstanding staff s late processing of Change Order No. I to extend the original Substantial and Final Completion dates (by 23 days), written Change Orders No. I and 2 clearly acknowledged the cause precipitating the extension of time requested and noted that the delay was not caused by FDD, and that FDD should not suffer the imposition of liquidated damages as a result of not realizing substantial completion by the date originally established in the Agreement. Further, staff notes that FDD is in good standing and although external causes challenged its perfon-nance at times, FDD ultimately successftilly completed the project during a time that presented many challenges and required continuous evaluation and the development and engagement of strategies to complete a quality project as soon as possible. Finally, it is important to note that notwithstanding the delay caused largely by the uncontrollable external market and supply chain issues, neither the public nor Collier County have been financially damaged. In fact, the project was completed within the Agreement's budgeted amount. As part of staff s request for approval of this Executive Summary, it requests that the Board authorize payment on any pending and final payment applications, provided that such payment applications are submitted with all required backup documentation establishing the basis for payment required by the Agreement (and the backup documentation is acceptable to the Clerk's Office), and staff concludes that no actual damages have been incurred since the date of this request. FISCAL IMPACT: There is no new contract fiscal impact associated with this executive summary. The funds to be paid were already budgeted and encumbered for this project. GROWTH MANAGEMENT IMPACT: There is no impact to the Growth Management Plan related to this I Packet Pg. 741 04/11/2023 action. LEGAL CONSIDERATIONS: This item is approved as to fonn and legality and requires majority vote for Board approval. -SRT RECOMMENDATION: To waive liquidated damages against Florida Design Drilling Corporation pertaining to the construction of the New Tamiami Well 40 Project under Agreement No. 20-7808, approve all previous administratively authorized Change Orders, and authorize payment of any pending or final payment applications subject to the contractor providing all required backup documentations prerequisite to processing payment. Prepared by: Tom Sivert, P.E., Project Manager III, Licensed, Engineering and Project Management Division ATTACHMENT(S) 1. [Linked] Agreement 20-7808 (PDF) 2. Change Order #1 (PDF) 3. Change Order #2 (PDF) 4. Change Order #3 (PDF) 5. Summary Change Order Time Extensions Starts and Stops (DOCX) I Packet Pg. 742 04/11/2023 COLLIER COUNTY Board of County Commissioners Item Number: 16.C.2 Doe ID: 25025 Item Summary: Recommendation to waive liquidated damages against Florida Design Drilling Corporation pertaining to the construction of the New Tarmarm Well 40 Project under Agreement No. 20-7808, approve all previous administratively authorized Change Orders, and authorize payment of any pending or final payment applications subject to the contractor providing all required backup documentations prerequisite to processing payment. Meeting Date: 04/11/2023 Prepared by: Title: Project Manager, Senior — Public Utilities Planning and Project Management Name: Tom Sivert 03/21/2023 12:49 PM Submitted by: Title: Director — Public Utilities Planning and Project Management Name: Matthew McLean 03/21/2023 12:49 PM Approved By: Review: Public Utilities Planning and Project Management Public Utilities Planning and Project Management Procurement Services Ana Reynoso Corporate Compliance and Continuous Improvement Benjamin Bullert Matthew McLean Level 1 Purchasing Gatekeeper Megan Gaillard Public Utilities Department Drew Cody Level 1 Division Reviewer Public Utilities Department George Yilmaz Level 2 Division Administrator Review Procurement Services Sandra Herrera Additional Reviewer County Attorney's Office Scott Teach Level 2 Attorney Review Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Corporate Compliance and Continuous Improvement Megan Gaillard Community & Human Services Maggie Lopez Additional Reviewer Office of Management and Budget Geoffrey Willig Additional Reviewer Office of Management and Budget Susan Usher Additional Reviewer County Manager's Office Dan Rodriguez Level 4 County Manager Review Board of County Commissioners Geoffrey Willig Meeting Pending Additional Reviewer Completed 03/21/2023 1:12 PM Additional Reviewer Completed 03/21/2023 1:21 PM Completed 03/21/2023 1:22 PM Additional Reviewer Completed 03/23/2023 8:03 PM Completed 03/27/2023 12:39 PM Completed 03/28/2023 10:38 AM Completed 03/29/2023 8:51 AM Completed 03/29/2023 10:05 AM Completed 03/29/2023 10:13 AM Completed 03/29/2023 4:52 PM Additional Reviewer Completed 03/29/2023 8:58 PM Completed 04/03/2023 8:52 AM Skipped 04/03/2023 9:02 AM Completed 04/03/2023 3:22 PM Completed 04/04/2023 9:59 AM 04/11/2023 9:00 AM I Packet Pg. 743 1 —L&-. Colp%v County 0 Contract Modif Ication U Work Order Modification Procurement Services Change Order Form Contract Ih I Change 0:1 1 1 Purchase order 4:1 d5002110166 I Project 0. 1 ContractoriFirm Name: I Florida Design Drilling Corporation ContracUproject., 1 20-7008 New Tamlarnl Well 40 Project Manager Nan 01 Division Name: I PUEPMD I Original Contract/Work Order Amount $ 1,134,000.00 2/23/2021;IIG Originall BCC Approval Date; Agenda Item # Current BCC Approved Amount $ 1.11��4�,000.0ff Y2312021JIG 1ast 13CC Approval Date: Agenda Item 4 Current Contract/Work Order Arnount $ 1,134,000.00 :,SAP Contract Expiration Date (MasteT) Dollar Amount of this Change $ 0.00 0.00% 7otal Change from OrIgInaI Arnount Re�Jlsed Contract/Work Order Total $ 1,134,00 U.00 0.00% �Ghango frorn Current BCC Approved Amount 'jChange Cumulative Changes 1 $ 0,0011 0.00% frorn Current Amount I I Completion Date, Description of the Task(s) Change, and Rationale for the Change I Notice to Proceed original 112/27/202 Last Approved 12/27J202 Revised Date Date Completion Date Date (Includes this change) #of Days Added Select Tasks [I Add now taek(s) 0 Delete ta6k(s) 0 Chango lask1s) 0 Othor Provide a response to the following: 1.) detailed and specific explanatlontration8le Of the rOqUOStlad cliange(s) to the task(s)and lot the additional clays added (if requested), 2.) why this change was not Included In the original contractand, 3.) describe the Impact If this change Is not processed. Attach additional Information from the Design Professional and/or Contractor If needed. (1) This change order requests a contract time extension of 64 days to accommodate delivery of electrical equipment The contractor's ability to complete the scope of work by the substantial completion date has been Impaoled by the effects of the Covid pandemic on themanufacture and delivery of critical electrical equipment necessM to complete the project. (2) This change was not Included In the original contract as It was not known at that time of an Impending pandemic thatwould negatively Impact the cont(actor's ability to meet the schedule. (3) If the time extension Is not processed, the contractor will not be able to complete the project on schedule and would be liable for liquidated damages for no fault of their own. Prepared by: __Jom Sivert, PE, PUEPM (Project Manager Name and Date: Acceptance of this Change order shall constitute a modification to contract / work order Identified above and will be subject to all the same terms and conditions as contained In the contract / work order Indicated above, as fully as If the some were stated In this acceptance. The adjustment, If any, to the Contract shall constitute a full and final settlement of any and all claims of the Contractor I Vendor I Cons tent Design Professional arising Out of or related to the change set forth herein, including dalksfor Impact end delay sts, /I mel� I .— CO:: Accepted hy: Al) 142"14//4 Dat - 11'—Fe�M^r I %fn�flnr I fnneidianl I nAalein Prn(AQQInnaI nnd MnmA Af Firm If nrnlAf-.1 nnnllr. Accepted by: Approved by: Approved (Design P(difesslonal and Name of Firm, It project appilcat)lo) DiqiUlly sfqn�d by Chmelk7am ChmelikTom Wt�: 2021.12.16 D9,55M -GY00' �Dlvlslon Director or Designee) L, L, Digitally signed by SchneebergerSara 3L. "qfu tflyflicilcl Date� 2021,12.20 09-23-09 -05'00' Date: — Date: Date: Revised: 0111412021 (Olvislonswho may require additlonai signatures mayinclude on separate shesL) 12142021 OCUIZEME14TUSEOIILY Adnslri I "ro I FICCE6 I HPI I Packet Pg. 744 1 Change Order/Aniondinent Summary 00/1 AMDH De-sarlptlon COST TIME Justification Additive Deduolivo Days Added— New Amount Tfine Extension 64 This change order requests a contract Orne extension of 54 days necessary to complete the project. The contractor's ability to complete the scope of work by the SUbstantial completion date has been impacted by the effects of the Covid pandernic on the manufacture and delivery of critical electrical equipnient necessary to complete Ilia proiect. Revised: 0111A1202-1 (DIvIslons who may require additional stgnatures. may Includo on sepirato sheel.) PROCURE N FEki—U—BE ii?-1TY---] Aft;a lice Rpt �Vp�, sco r-10 E F —J CD E 2 E W z LO C14 CD LO E 0 E u M I Packet Pg. 745 Bullertl3enjamin APproved by: -PM) Dalo: (Bonjamlii Buller[, P.F-., P611CIP31 SCott DigitAly,igned by Hamilton HamiltonScott Approved by: _ - Date 2021.12.17 14 11 36 -0 TOO' �Manag�er)�� Date: (Pam Ubby, bisit0bullon Johnssen b Di,itall,,ipel by Jahn ... n-b Approvoctby: _ Date: 2021.12.17 14 53 45 -05'00' -Wastawater) Date: - (Both Johnss;ji, Director, ligitallysigned by.loseph Bellone Joseph BelloneDate: 2021.12,16 10:33:07 Approvedby:. -05'00' Dalo: Uoseph Ballow, Finance 61-rector) I Packet Pg. 746 1 C Contract Modification El Work Order Modification Procurement Services Change Order Form Contract 11: Change #:= Purchase Order fl: 1 4600210166 1 project#:l 70196.4 ContractoriFirm Naine: Florida Design Drilling Corp. Contract/Project: amiami Well 40 F F WET Project Manager Name.1 Tom Sivert Division Name: I PUEPMD Original Contract[Work Order Amount $ 1,134,000.00 2/23/2021;11G Original BCC Approval Date'. Agenda Item Current BCC Approved Amount $ 1,134,000.0(74129/2022; Last IBCC Approval Date; Agenda Item # Current ContractlWork Order Amount $ 1,134,000.00 412912022; 'SAP Contract Expiration Date (Master) Dollar Amount of this Change 0 0 .00/0 Total Change from Original Amount Revised ContractlWork Order Total $ 11,134,09� U.00 0.00% Change from Current BCC Approved Amount. Cumulative Chancies $ 0-001 0.000% ! Chan-qe from Current Amount I Completion Date, Description of the Task(s) Change, and Rationale for the Change I I Notice to Proceed 41112021 Original Last Approved Revised Date Date Completion Date ate (includes this change) of Days Added 6 elect Tasks C3 Acid new tasl((S) Delete task(s) 0 Change task(s) 0 Other Provide a response to tho following: 1.) detailed and specific explanationlration ale of the requested change(s) to the task(s) arid I or the additional days added (if requested); 2.) why this change was not Included In the original contract; arid, 3.) describe the Impact t this change is not princesseci. Attacti aciaitionai intormation from anator convector it neeaea. (1) This change order requests a contract time extension of 96 d&y6TiWssary to complete the project. The contractor's ability to complete the scope of work bythe substantial completion date hafteen Impacted by the effectsof the Covid pandernican the manufacture and delivery of critical electrical equipment necessary to complete the project. (2) This change was not Included in (he original contract as it was not known at that time of an impending pandernic that would negatively impact the contractor's ability to meet the schedule. (3) If the time extension Is not processed, the contractor will not be able to complete the project on schedule and would be liable for liquidated damages for no fault of their own. DigitallysIgned by Siverffoin Prepared by: Siverffom Date: 2022,03.28 06-.49;10 -04'00' Date: (Tom Sivert, P.E., Sr. Project Manager) Acceptance of this Change Order shall constitute a modification to contract I work order Identified above and will be subject to all the same terms and conditions as contained In the contract / work order Indicated above, as fully as If the same were stated in this acceptance. Tile adjustment, If any, to the Contract shall constitute a full and final settlement of any and all claims of the Contractor I Vendor I Consultant I Design Professional arising out of or related to the change set forth herein, including claims for impact and delay costs, Accepted by: 111)2�&41 wa4�&� Date: 03/25/2022 (Nick Martin, Florida Design Drilling) Accepted by: _NA. (Design Professional and Name of Firm, if project applicable) Approved by: McLean!Vlatthew (Malt McLean, P.E. PUEPMD Director or Des! ee) SchneebergerSara 'Pigitally signed by SchneebergerSara Approved by: — Date: 2022.04.05 09:37:44 -04'00' (Sara Schneeberger, Procurement Professional) 03252022 Revised: 01/14/2021 (Divisions who may require additional signatures may9tiudo on separate slieet.) Date: Date: Date: PROCUREMENT USE ONLY AdmIn acc I BCC ES I npt I Packet Pg. 747 1 Change Order/Amendment Surnmary COST TIME C04 AMU# Description Justification Additive Deductive Days Added New Amount This change ordar requests a contract time extension of 54 days necessary to complete the project. The contractor's ability to complete the scope of work by the substantial Time Extension 54 324 completion date has been impacted by [lie effects of the Covid pandernle on the manufacture and delivery of critical electrical equipment necessary to complete the project. This change order requests a contract time extension of 65 days nocessary to complete the project, 3 The contractor's ability to complete the scope of work by the substantial 2 completion date has been Impacted 01 b� the effects of the Covid por pandamic. on the manufacture and delivery of critical electrical equipment necessary to complete the promecl. A?�') 03252022 Revised: 0 1/14/2021 (Divisions who may require Eirlditianal signatures nikly inchide on goparake shaet.) PROCUREMUIr USE ONLY Admin 13co I Rot 130C ES I E Zi CD E .T E W z LO C14 CD LO PA. C14 E 0 E M U 2 I Packet Pg. 748 1 BullertBenjanilli Approved by: Date: (Benjamin Bullert, P.E., Principal PM) libby Digitally s1pned by Ilbby-p Date: 2022.03.29 13:11:30 Approved by: —p .04'00' Date: (Pam Libby, Distribution Manager) brogdon h Digitally signed byhfoGdon-b Approved by: Date 20MIAM4539 -04'W Date: (Howard Brogdon, Director, Water) ligitally signed by BelloneJoseph BelloneJoseph Approved by: Date: 2022,03.30 13:26:15 -04-00- Date: (Joseph Bellone, Finance Director) A?", 03252022 Revised: 01111412021 (DIvIsions who may require add Itional signalurer. may include on separate sheet.) PROCUREMENT USE OULY L Admin I "Cc ace Es I Rpt F—Packet Pg. 749 1 Procurement Services 06fier County Change Order Form (A Contract Modification F1 Work Order Modification Contract 4: Change 0:1= Purchase Order#: 1 4500210166 Project M 1 70196.4 Contractor/Firm Name: [ Florida Design Drilling Corp. ContracVProject: rNew Tamiami Well 40 Project Manager Name] Tom Sivert Division Name: I PUEPMD Original Contract/Work Order Amount $ 1,134,000.00 2f23/21 11 G Original BCC Approval Date: Agenda Item # Current IBCC Approved Amount $ 1,134,000.00 4/26/22 16E3 Last BCG Approval Date; Agenda Item # Current Contract/Work Order Amount $ 1,134,000.00 SAP Contract Expiration Date (Master) Dollar Arnount of this Change 0.00% Total Change from Original Amount Revised Contract/Work Order Total —$1,134, 000. 00 — 0,00% Change from Current BCC Approved Amount Cumulative hanges $ 0.001 0.00% Change from Current Amount I Completion Date, Description of the Task(s) Change, and Rationale for the Change Notice to Proceed Original 12/27/2021 LastApproved 42022 Revised Date TBID I Aht .ncludes I I Date Completion Dal--- — Date this change) #of Days Added Se I ect Tasks [D Add now task(s) 0 Delete task(��Whange task(s) 0 Other Provide a response to the following: 1.) detailed and specific explanation/rationale of the requested change(s) to the task(s) and I or the additional days added (if requested); 2.) why this change was not Included In the original contract; and, 3.) describe the Impact if this change Is not processed. Attach additional information from the Design Professional and/or Contractor if needed. This project is currently suspended with six days remaining. This change order address changes specified in Work Directives 1 and 3. The total cost of the draw against allowance is $13,805.84. Current balance = $50,000.00 less ($13,805.84) = $36,194.16 remaining balance. There is no impact on the project schedule due to these changes, 1. Work Directive 01 added a 12-inch gate valve at the request of the Water Department to assist in isolating the new well from the raw water main if or when the need presents itself. During installation, the Water Department staff recognized the advantage of adding a valve to assist in isolating the well from the system. If Work Directive #1 was not implemented, the Well isolation would be more challenging. The Water Department provided the valve to the contractor. The cost for WD #1 is $1720.93. 2. Work Directive #3 provides a wellhead slab extension for additional space for greater worker mobility and a safer wotspace when servicing electrical and communication equipment at the wellhead. Additionally, grading and rip cap were added to stabilize the fill around the wellhead slab, If Work Directive #3 is not implemented, unsafe conditions for workers will exist, and the effects of erosion will require continuous maintenance. The cost of WD #3 is $12,084.91. Prepared by� 019ilally signed by Sivertforn SivertTom Date: 2022.08.26 09:01,D9 -04'00' (Tom Sivert, P.E., PUEPMD) Date: Acceptance of this Change Order shall constitute a modification to contract / work order identified above and will be subject to all the same terms and conditions as contained in the contract /work order indicated above, as fully as if the same were stated in this acceptance. The adjustment, if any, to the Contract shall constitute a full and final settlement of any and all claims of the Contractor / Vendor / Consultant I Design Professional arising out of or related to the change set forth herein, including claims for impact and delay costs. Accepted by: Date: Z1-k4Av1i0-- Martin. 1p,�a)Des ign Drilling) Accepted by: (Dominick Amico, P.E., Agnoll, Barber & Brundage) Approved by: McLeanMatthew (Matt McLean, P.E., Division Director) Digitally signed by SchneebergerSara Approved by:SchneebergerSara Date:2022.09.01 11:17:11 -04'00' (Procurement Professional) Revised: 0111412021 (Divisions who may require add ilional signatures may include on separate sheet.) Dal& Date: Date: %Z4 0911.941.00 PROCUREMENT USE ONLY Admin I "CC RCC Es Packet Pg. 750 Change Order/Amendment Summary COST TIME COft AMD# Description Justification Additive Deductive Days Added Now Amount This change order requests a contract fime extension of 54 days necessary to complete the project. The contractor's ability to complete the scope of work by the substantial 1 Time Extension 54 324 completion date has been impacted by the effects of the Covid pandemic. on the manufacture and delivery of critical elootdcal equipment necessary to complete the project, This change order requests a contract lime extension of 64 days necessary to complete the project, The contractor's ability to complete the scope of work by the substantial 2 Time Extension 64 388 completion date has been impacted by the effects of the Covid pandemic on the manufacture and delivery of critical electrical equipment necessary to complete the project. This change order addresses changes specified In Work Directives 1 and 3, The total cost of the change is $13,805.84 and will 3 Work Directives 1 & 3 0 388 be funded from the project allowance, Item M5. Current balance = $50.000.00 less ($13,80&84) = $36,194.16 New Balance , There Is no impact to project schedule due to these changes i --7 Revised: 0111412021 (Divisions who may require additional signatures may Include on separate sheet.) FROMEMMY USJ� ONLY_ AdNa EICC I I tICC r 8 Rpt -J CD E 2 E M z LO N CD LO F4� CW) E 0 E U 2 I Packet Pg. 751 Collier County En2ineerin2 & Pro�eet Management Division WORK DIRECTIVE CHANGE CONTRACT # /PROJECT NAME: Tarniami Well #40 PURCHASE ORDER #:4500210166 OWNER: Collier County Board of Conu-nissioners CONTRACTOR: Florida Design Drilling Corporation WORK DIRECTIVE # 1 DATE OF ISSUANCE: 09/14/2021 PROJECT#: 70196.4.1 ENGINEERIDESIGN PROFESSIONAL: ABB/RKS You are directed to proceed promptly with the following change(s): Description: See attached location exhibit of civil plan sheet 4. The plans show one l6in gate valve downstream of the 16x I 2in tee. A 12in gate valve is located at the well head for isolation (not shown). The engineer was directed by the County to add a 12in gate valve at the proposed 16x I 2in tee to isolate the 12in line. All materials to complete this work directive will be provided by the County. Pipe restraints for this work shall follow detail G-10 Pipe Restraint Schedule. Purpose of Work Directive Change: Add a 12in gate valve to isolate the 16in line. Reason/Justification: Bacteriological testing can take a long time to obtain satisfactory results, Furthermore, previous well projects had trouble obtaining passing results that resulted in project delays. Since the 12in line to the wellhead is not constructed at this time, the County would like to add a 12in gate valve at the 16xl2in tee. This allows the option to start bacteriological testing of l6in line and avoid potential project delays. Attachments: Location exhibit and contractor cost proposal. If a claim is made that the above change(s) have affected Contract/Allowance Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the changes(s). Method of determining change in Contract/Allowance Price: F Unit Prices n Lump Sum Time & Material Other Estimated increase (decrease) in Allowance $1,981-76 RECOMMENDED: By: Kellie Fissinger, P.E. Engineer 2 41z" - 91� Method of determining change in ContractTimes F Contractor's records El Engineer's record X Other Estimated change in Contract Time: Increase or decrease by 0 calendar days. Digitally signLd by AUTHORIZE, D: SivertTo Siverjam Date:2021.09.15 M 08:18:03 _04'00' By: Tom Sivert, P.E. Owner's Representative 09/14/21 1:28 P10 I Packet Pg.��277] Cr CD E 20 E Ln CN CD LO CD 'a Em 0 CD Im r_ m CD E m 0 m I Packet Pg.��377] FL6010A DRILLINO FLORIDA DESIGN DRILLING CORP. 7733 Hooper Road West Palin Be.3ch, 11, 33411 T&M Sheet PROJECT NAFAE' Now TamiamiWeff No 40 LOCATION: Napfas, FL DATE: JUIY25,2022 OWNER: Collier County DRAWING NO.: ENGINEER: Agnali, Barber, & Brundage, Inc. PPEG SECTIM R EF ER F N C III TIM E & MATERIAL' x REQUEST FOR PROPOSAL: ')ESCRIPTION: Inslallone(l) 2'MJ oale valve at connection lo r?ev-/ 16'raw i-mlermak?. Varva.resirainIs and a�nssc6es io be Provided by the County, PRICING INFORMATION SKILLITRADE MAN-HOURS RATE 1. MIRECT LABOR We:der MH 104 DO la' "o r LA GENERALLABOR� UnsvIed 4 MH ES43.68 a SII 4 MH $ 5824 Qperator 4 MH $ 62.40 12 FIELD ENGINEERING: Foremen 4 MH $ 72.,50 Superintendent MH S 08.80 S " " Project Engineer MH $ 93.60 Flepci I.Mnaqer MH 5 124.60 E to 4 MH S 156.00 1.0 MILY GENERAL CONDITIONS ITIme [wease WK SURTOTAL.(1.1 i"ALL TOOLS & CONSUMABLES IERHFAD & PROFIT 10% ED TOTAL (1) COST $ S $ $ $ $ $ $ S $ $ $ 174.72 232.96 249.80 291.201 - - 948.48 - 94.85 1,04TR3 2. MATERIALS AND EQUIPMENT 2A EQUIPILAENT'. 2 B MATERLAL 2.0 13TREOTCOSTS, DESCRIPTION WEEKS UNITPRICE COST $ DY $224.00 S 4'ptimp DY $168.00 $ Loader -57 $640,00 Cempaclor DY $84.00 Telehandler DT- $420M Backhw S336.00 S Excavalor 0.50 -M DY $1,232.00 S 616.0D S FUEL (ON 2A ONLY� SUBTOTAL(2.A) $ 616.00 UNITSNOTED $ SALES TAX JON 2.13 ONLY)_ SUBTOTAL (2.B) $ 7% Sales Tax $ - OVERHEAD PROFIT SUBLOTAL(2) 616.00 107� I 1 61.60 TOTAL (2) 1 $ 677.60 3.SUBCONTRACTORS DESCRIPTION Of WORK T- COST OVERHEAD & PROFIT Bonds & ins urance Permits SUBTOTAL (3) 59s, 5 TOTAL (3) $ - TOTAL fil+12)+(3) $ 1.720.93 0.0% S - 0.0% $ GRAND TOTAL $ 11,72D.93 BY: B y., By: Engineer (Authortzed S�gnatura) 0-.Nner (Authorized Signature) Date: DaW Date, Florlda Design Drilling Corp. E -j CD E 2 E Z in C%j CD in C*4 M E 0 0 I Packet Pg. 754 1 F:LDRIDA MRIL.Ur�G Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 TIME & MATERIALS REPORT Collier County Public Utilities New Tarniami Well #40 Collier County GC Signature 3299 Tarniami Trai I East Naples, Fl- 34112 Date 10-20-2021 materials A141L'6&d- -#� Material Description Quantity Cost Per Item Total Notes TOTAL 0 Equipment Totals Material: Labor: Equipment: Cost Code: EQ Description Rent/Own Firs Used Location Notes Excavator Own 4 TOTAL sl Labor Labor Description Title Hrs Worked Location Notes Brian Sellers FORMAN 4 Install 12" MJ gate valve and restraints, Materials provided John Degaglia LABORER 4 by County. Kyle Dutton LABORER 4 Matt Spoon Operator 4 i i i I i ITOTAL I I I W I Packet Pg. 755 1 u u (JOAIUM SOBBWB(3 pe;ep!nbi-1 O-P IIOM!WB'we.L mON : SZOSZ) U J8PJ0 8BUM13 WOMMIN cd 43 0 0 0 t3 14 —,A Or- vo 0a 0 00 u .1:� tm rl z Z to r. 0 13. 'Zi 0 4.- 9,0 cd o 0 0 0 u 7S 0 0" 14-1 > - M 0 4) c 5 e cu i� u = 0 ob 4, a -C- 0 4, Mo = 9 > "o Z 0 o o m > -C Ir :;� 2:� g �2 2 0 0 — 10) — r 0m) 0 CY) 43 �r_ 0 4.) = r:l 0 v5 It: 0 rl �: 9 � 'A u 4. 0 4.) 73 0 o 4) 0 9- 0 u C64 0 u !3 � 'Cri m P 2)0 q rq c� Ln oj I " IN V, �2 rz CD > 43 j 43 0 c-, to Im 0 r- -.ri uwo E]Elx C-) w �i ;3 U 9 Fi P GO Eloo w 411) m (D (L u m (L 'R (JOAIBM SOBBWB(3 pe;ep!nbi-1 O-P IIOM!WB'we.L mON SZOSZ) U JOPJO OBUKIO WOMMIN N c or giln�s' I 6CCC UON MID3M)WOM w 833NIO143 oil# 113M IvrAmi sgamin D119nd ;,INnoD manio:) H, ! - — LLJ z LLI LU (f) w Z w w < U) z w —i < LLI —i z 0 w w I z CL 6 io� 09, � LL m w 0 LU )- 0 Co - i I . > 0. Lu x LLI Lu D- F- 0 ca 0 0 0 4,? z 0 C) w z LU w (1) ui < z z LU -A C) z 0 LU co z Z V) ru z 0 CL zu 0. I- LO r- Cb a. m a. (JOAIUM SOBBWB(3 pe;ep!nbi-j O-P IIOM!WB'we.L mON : SZOSZ) C# JOPJO OBUM13 WOMMIN Z i HIC 13 'SgldVN 31na3w)s v cot aims 3 imi iwviwvi. 6ECE 'SKOWOVId mmid:mm, IMMOVNyw 133(ONd V OMSA�NIOM m S3111111n D119rid AIMOD �1311103 119 1 Mm �301.- K WN >< wgr 1A —W N3 \x 0 all M J 14 q 9 9 1, P RP Eli I Egg! jvi� P ull I 1 112 51 H 1161 mal, I U1 w, txg, all 101 P N vilij I jv 15mb 11 all elli 01 1 1 � N jil'. U16 i 'I 14iN 4 lip; g- a i :N I'M IN 9k. -R -.H;�Jlgi Kq P's 8 M1 Ne N 1 '40 lei, 11,111, '1 11114H.11MM4115 00 (L a) Nd u m (L FLORIDA DESIGN DRILLING CORP. FEEZA-1�6,A 7 733 Hooper Road r3RILL,ING West Palm Beach, FL 33411 ',-,I TSM Sheet PROJECTNAME: New Tamigni W0 No. 40 LOCATIOW Napbs, FL DATE: fuly25,2022 OWNER: cober County DRAWING NO.: ENGINEER: Agnof, Ba&er, & Brundage, Inc. SPEC. SECTION� REFERENCE: TIME & MATERIAL: X REQUEST FOR PROPOSAL: DESCRIPTION: InslaNvvil pad xMnsjoa, modlyaradino, and instal do rep oer Wbik fftective 93. PRICING INFORMATIOR SKILLfTRADE MAN-HOURS RATE COST 1. DIRECTLABOR wewor JMH $ 104.130 $ IA GENERALLABOR: UnsWiled 19.0 Imli s 43.68 3 Skilled 30.6 MIT S 58-24 $ Operator MH $ 62.40 l.B FIELD ENGINEER�NG: Forema 30.5 MH $ 7280 Superintendent MH 3 98.80 $ Project Engineer MH $ 93.60 $ MH 124.80 S MH 156.00 S I.0 DAILY GENERAL CONDITIONS 17irne Increase WK $ SUBTOTAL (1) [.ALL TOOLS &CONSUMABLES OVERHEAD & PROFIT 10% 1 TOTAL (I) $ 629.92 1,776.32 2,22D.40 4.826.64 482ZG 5,309.30 2. MATERIALS AND EQUIPMENT 2A EQUIPMENT 2.B MATERIAL 2.0 DIRECTCOST& DESCRIPTION WEEKS UNITPRICE COST S -- DY S224.00 S 4'ponp Dy $168.00 .5 Lo,gdat DY $840.00 $ - Compactor Dy $84.00 S Tekhandlar Dy S420.00 $ Backhoe Vw $33600 S - Excavator 2.00 Dy $1,232.00 $ 2,464.00 1 $ FUEL (ON 2.A ONLY) 1 SUBTOTALJ2,A) S 2,464.DO 12% $ 295,68 UNITS NOTED I Fa 2 Lo $32&00 $ 650.00 Rio Rap I LID $1,280.00 $ 1.200.00 CGncmte - Whitecap I LS S776.50 $ 776.50 f�onring Mlerfa)s - fh� Depot I LS S541.91 S 541.91 Plywood - HoaK Depol I ts 39aL30 S 90�30 SALES TAX (ON 2�8 ONLY) SUBTOTALJ2,B) 6 3,340.71 7% Sates TaK $ 98.76 OVERHEAD & PROFIT SUBTOTAL(2) $ 6,199.14 10% 576.47 TOTAL (2) 6,776.61 3.SUBCONTRACTORS OESCRIPTfON OF WORK COST OVERHEAD& PROFIT Bonds & Insurance Permits SUBTOTAL (3) 5% - TOTAL (3) $ TOTAL (11-(2)+(3) $ 12,0a431 0.0% $ 0.0% $ GRAND TOTAL $ 12,084.91 Engineer (Authorized Signature) O�ner (Aulhorized Sigratufe) Florkla Design 0611ing Corp. Date: Date: Date: (D (D E E (D z In 04 CD In CD Em 0 CD Im r- m U a CD E m I Packet Pg. 759 FLORIDA or-UL-UfYG Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 TIME & MATERIALS REPORT Collier County Public Utilities New Tamlaml Well H40 Totals Collier County 6C.Signature 7ea4t�- Material: 3299 TamiamiTrail East Labor: Naples, Fl- 34112 Date 05-16-22 Equipment: Costcode; materials Material Description Quantity CostPeritem Total Notes 110-FAL 0 Equipment EQ Description Rent/Own "rs Used Location Notes TOTAL Labor Labor Description Title Hus Worked Locaflon Notes Brian Sellers FORMAN 10.5 Excavate for pad extension John Degaglia LABORER 10.5 [TOTAL Cn 0 CD E U M I Packet Pg. 760 1 I Packet Pg. 760 1 FLORIDA 0F"L-U"i7G Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 IME & MATERIALS REPORT Collier County Public Utilities New Tamlaml Well #40 Totals Collier County GC. Signature Material: 3299 Tarniami Trail East Labor; Naples, FL 34112 Date 05-17-22 Equipment: Cost Code: Materials Material Description Quantity Cost Per Item Total Notes TOTAL 0. Equipment EQ Description Rent/Own Hrs Used Location Notes TOTAL 0 Labor Labor Description Title Hrs Worked Location Notes Brian Sellers rORMAN I Excavate for pad extension lohn Degaglia LABORER I ITOTAL 2 0 CD E U M I Packet Pg. 761 1 1 -1- - I - ' F7LORI A DRILUfYQ Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 TIME & MATERIALS REPORT Collier County Public Utilities Now Taimianni Well 440 Collier County GC Signature 3299 Tamiami Trail East Naples, FL34112 Date 06-14-22 Materials Material Description Quantity Cost Per Item Total- Notes ITOTAL 0 Equipment Totals Material: Labor� Equipment: CostCode; EQ Description Rent/Own Firs Used Location Notes ROTAL 0 Labor Labor Description Title Krs Worked Location Notes Brian Sellers FORMAN 5 Place and finish pad extension John Degagifa LABORER 5 Mike Amato LABORER 5 ITOTAL I I Packet Pg. 762 1 MORIDA DFULY I NG Florida Design Drilling Corporation 1) 7733 Hooper Road West Palm Beach, FL 33411 TIME & MATERIALS REPORT Collier County Public Utilities New Tamiam! Well IMO Totals ColPer County GC Signature 7'4-� Material: 3299 Tamiam! Trail East Labor; Naples, FL 34112 Date 064S-22 Equipment: Cost Code: Materials Material Description Quantity Cost Per Item Total Notes TOTA L 1 01 Equipment fo Description Rent/Own Hrs Used Location Notes Cat 309 Excavator Own 2.5 TOTAL 0 Labor Labor Description Title Hrs Worked Location Notes Brian Sellers FORMAN 2.s Grade, place rip rap John Degaglia LA13ORER 2.5 Mike Amato LABORER 2.s TOTAL 7.5 0 CD E U M I Packet Pg. 763 1 I Packet Pg. 763 1 \ �'. I-- - I \ FrL6RI1DA Dpu"t3 Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 TIME & MATERIALS REPORT Col Iler County Pub lic Utilities New Tamia ml Wei 1 #40 Collier County GC Signature 3299 Tamiami Trail East Naples, Fl- 34112 Date 06-16-22 Materials X111-1614t. w4z� Material Description Quantity Cost Per Item Total Notes TOTAL 0 Equipment Totals Material: Labor: Equipment: Cost Code: FQ Descciption Rent/Own Hrs Used Location Notes Cat 308 Excavator Own 8.5 TOTAL 0 Labor Labor Description Title Hrs Worked Location Notes Brian Sellers FORMAN 8.5 Grade, place rip rap John Degaglia LABORER 8.5 Mike Amato LABORER 8.5 1TOTAL 25.5 1 I Packet Pg. 764 1 FLORIDA DRILU Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 TIME & MATERIALS REPORT Collier County Public Utilities New Tamiami Well #40 Totals Collier County GC Signature 71� Material: 3299 Tam�ami Trail East Labor: Naples, FL 34112 Date 06-17-22 Equipment: Cost Code: Materials Material Description Quantity costperitern Total Notes TOTAL 0. Equipment FQ Description Rent/Own Hrs Used Location Notes Cat 308 Excavator Own 3 ,TOTAt 0. Labor Labor Description Title Hrs Worked Location Notes Brian Sellers FORMAN 3 place rip rap, fine grade and tie in to existing grade John Degaglia LABORER 3 Mike Amato LABORER 3 ITOTAL I I I Cn 0 CD E U M I Packet Pg. 765 1 Jolly Trucking, Inc. 1852-F 40threrrace SW Naples, FL 34116 Bill To Florida Drilling 7733 Hooper Road West Palm Beach Florida 33411 ShIp To Collier We] I Fields Invoice Date Invoice # 6/15/2022 37429 P.O. Number Terms Phase Project Brain Net 10 Quantity Item Code Description Rate Amount 2 Fill Site Work - Fill, per load 325.00 650.00 Invoice as per 10 day agrewnent. Thank you for your prompt paynient. Total $650.00 Payments/Credits $0.00 Balance Due $650.00 I Packet Pg. 766 Jolly Trucking, Inc. 1852-F 40th Terrace SW Naples, FL 34116 Bill TO Florida Drilling 7733 Hooper Road West Palm Beach Florida 33411 Ship To Collier Well Fields Invoice Date Invoice # 5117/2022 37415 P.O. Number Terms Phase . . . . . ............. Project Brain Net 10 Quantity Item Code Description Rate Amount I Rip Rap Rock :20 1 Tons Of Rip Rap Rock 1 1,280.00 I 1,280.00 Invoice as per agreement. Thank you for your prompt payment. - Total $1,280.00 Payments/Credits $0.00 Balance Due $1,280A I Packet Pg. 767 WHITE CAP White Cap, L,P. PO Box 044. Orlando, FIL 32802-4944 I ENROLLMENT TOKEN: I BWPFMH SOLD TO: 10000079472 FLORIDA DESIGN DRILLING CORP 7733 HOOPER RD WEST PALM BEACH FL 33411 BRANCH ADDRESS 260 - NAPLES (6022) (239)430-9711 3400 PROGRESS AVE NAPLES FIL 34104 COLLIER TERRITORY.' SHIP TO: 10003640770 TAMIAMI WELL 40 PHASE 11 9393 VANDERBILT BEACH RD NAPLES FIL 34120 INVOICE 114VOICE NUMBER 50018BB3541 INVOICE DATE 06/13/2022 CUSTOMER PO NUMBER 20373 PLEASE IREMITPAYMIENT TO: White Cap, L.P. P.0, Box 4852 ORLANDO, FIL 328024852 ORDEROATE ORDERNO. ORDERED BY ACCOURTMANAGIER TAKEN BY 0610812022 47580260 BRIAN SELLERS FENIX, BROOKE ROZO, JULIAN D 13RANCH ACGT JOB NO. TERMS SHIP VIA I ROUTIi CUSTOMERJOBNO. 250 10003640770 NET 30 DAYS 2. OUR TRUCK TAMIAMI WELL 40 LINE PART NUMBER DESCRIPTION QTV ORD UNITPRICE CITY BK40 QTYSHP EXTENDED TAX PRICE AMT 0 HORDESC ................................... 1 0 0 1 0.00 DELIVERY TAGM 21034447 SHIPPING NOTES: CALL BRIAN SELLERS WHEN DRIVING OUT THERE 661-719-1529 PLEASE DELIVER THURSDAY 6109 ON MOFFET TRUCK ................ .......................... I 227HSCM805K 80LO BAG 5000 PSI CONCRETE MIX QUIKRETE 70 10.55 BAG 0 70 73EL50 51.70 2 PALLET CHO PALLET CHARGE 2 20�00 FA 0 2 40�00 2.80 The White Cap Family of Brands includesAII-Tex Waterproofing Solutions, Harmac, Kenseal. Marvel Building & Masonry Supply, MASONPRO, and Williams Equipment & Supply. Learn more at About.WhiteCap.com THESE ITEMS ARE CONTROLLED BY THE U.S, GOVERNMENT AND AUTHORIZED FOR EXPORT ONLY TO THE COUNTRY OF ULTIMATE DESTINATION FOR USE BY THE ULTIMATE CONSIGNEE OR END-USER(S) HEREIN IDENTIFIED. THEY MAY NOT BE RESOLD, TRANSFERRED OR OTHERWISE DISPOSED OF TO ANY OTHER COUNTRY ORANY PERSON OTHER THAN THE AUTHORIZED ULTIMATE CONSIGNEE OR END-USER(S), EITHER IN THEIR ORIGINAL FORM OR AFTER BEING INCORPORATED INTO OTHER ITFMS, WITHOUT FIRST OBTAINING APPROVAL FROM THE LLS. GOVERNMENT OR AS OTHERWISE AUTHORIZED BY U.S. LAW AND REGULATIONS. I I I I ---I— For questions regarding this invoice &ase call 11-866-857-0295. TOTAL GROSS 778.50 TOTALTAX 54.50 NO REFUNDS OR EXCHANGES ON NON STOCK MERCHANDJSE Visit https:/hvww.whIIerap.po lerms/lerrns,con(litions-of-sale-torms to view TOTAL SHIPPING 0.00 te terms and rond tons. comDj�W AND HANDLING RECEIVEDBY: N/A SIGNATURE COPY ON FILE TOTAL INVOICE 833.00 Page 1 of 1 I Packet Pg. 768 1 Invoice Details Account Number ...... 1630 Invoice Number 3153� Invoice Amount Due ss�lj 21� Invoice Due Date 022 n7-31 Customer No Ordered By Authorized By PO Number Invoice Date Customer Agreement No 09C43 M I ERS 13 5MERS 8 20,03 2022 6.5 -1 SKU Number SKU Description Quantity Original Unit Price Extended Retail Price cclr�091)372MO(1130�11003 8 'M X1 " CONCRETE Pi 00, -1 �A 5"07 1,1 14 CJOW39340 1 (0035C0,1017 516 x 10 5FA $11.917 559.S5 W09)72623,30101 R(,'001 0 J,V59'4,,LiL (LR PCL�'91EEPNG 1EA $16.76 6 1 f, 7s 00f067773 10 IOZ SiKA SPR s AMS v I LA $26.87 �26.37 0 ( 0L 2 �, 7 7 Z 3 9 L' 0 J X b ? 10 1 OZ Si.::A SPR 5 L RNG 11V CHiM G A 0 HS V I EA �26 S7 52!5.,37 000is9l CLH6100�9090o 9 #5 5/8 I'<.J R�N7 RMAR 1.1"EflFE JIFA 51 r'. 9 7 S186.67 C00577733�'00r79C�0�3 10 1OZ5LKA 5PR,5TRPJG ANCHRW3, AM5V I EA $26.V 001OSS25700000,10.00L)3 2,YI 2 j SYT, ICA $2E. �2 s2a. 72 00C.01 SE6C30��I (10504 SIALJtE'� 25 POt�'VERLLX,.' TAPE,1,1FASURE I FA $ Z 0 _q 7 5i 0. � 7 0000135 6 6 3 Wt'101 UQC 9 � STANLEY 25'POA"M OCK TAPE MEA�URF I Ell 5 10. 97 $Jo.,-7 0,�0,35 � 5 7000C 9 3C.,.,'jQ3 2K12-� StP ].A �23.72 �22. �'2 0000S525 70000020,X'03 2XI 2�S S rP I FA $2.3 72 S23 72' 2;�12-1042 PflINIF OR 8TR PT GC I Ell �42 3� �42 �3 10017541 100002CC0402 M 2-10 ") PFIA IF OR BE Tq PT GC I CA 542 63 S129S Purchase Subtotal 91 Purchase Tax 93 Shipping $0.00 Invoice Total 55 7�9 FJ Invoice Details Account Number Invoice Number 303 N37 Invoice Amount Due 595.52 Invoice Due Date 20220331 Customer No Ordered By Authorized By PO Number Invoice Date Customer Agreement No 06043 SHIM B M L M JR �0373 2022-OF 0 1 SKU Number SKU Description Quantity Original Unit Price Extended Retail Price 000023135500,'��IC')L02 1-5/J2 �IX,9 RfV PLV�VOOD (4-PLY) I tA �45. 15 �4 5.15 �'10�) 02 3 2 2� 5 � cco 2 r0c.02 1,5132 4X,-, R F 0 P L V VVO QD (4 -Ft Y) TEA 15 �,;S.js Purchase Subtotal 59030 Purchase Tax 56 32 Shipping SOO?) .Invoice Total $9b 62 0 CD E M 0 I Packet Pg.��9771 V) 4—j 4-j V) (A QL 0 4--J V) +-j u 0 u 0 V) x LU w E a) W u E E V) O-P IIOM!wB'we-L mON : GZOSZ) sdojS pue s:pelS suoisuelxg ewi_L japio aBueLlo AjewwnS :juewLj3ejjv Ln C: 4� 00 ai Ln -a 11 E bn 0 cq rlj N ru u 0 4� to ro E N N +01 u 0 4-1 N u E rl4 Q) u ID 0 r- 0 c CL u m ai c ro 0 u 0 E u 0 u 4� E co ai 0 C: a) Ln cu > a- > @ +1 _0 0 4� cu >- >- 4-1 Lu u Q) w _0 E 0 E -o -@ E u L.L u Ln _0 0 LU 0 ro V) u ro 0 OL a) OL :3 0 0 4-1 U- 0 c E CL 4� V) cu 2 ai 0 to cu CL cu -a 4- m w V) D CL bo 0 :Ll m -2 u E E =w 0 0 4� _0 E 0 u 7A Ln 0 V) :t ui E V) 0 0 4-1 x 'E 4-1 x 0 4� 0 CL u w m m E E w m 76 m m m m m m E E E u w w E E E E E E E E o a) 0 4� ai a) Q) Q) W a) a) u >- LI) Q) _0 V) >- >- 4� LI) V) V) V) V) V) 4� u m -0 >- D ro _0 m _0 co -0 >- >- >- >- >- ai co -0 0. U (Y) (Y) V) (14 Lr) RZT Ln Ln �o 00 r- r- I'D �o Ln Ln CL -Fo r14 N N N N N N r14 0 N N r1l rsj rlj r14 0 0 .s LL rq 0 0 rq N C N N N r4 r4 C) 0 r4 C) 0 N r1l N N 1� 0 C N r14 C'4 co < rq < rq N < < r-i -- < 00 -- < rlj rlj z ro z r- z r� z 00 z a) z E 0 0 N N r1i a N 0 r4 m r1i 0 co < < < < < < < < < < < z N z m k.0 z z z z z z z z z -1 r-I r-I r1i r1i r1i N r1i r14 r14 r14 N rNj N r4 r1i N N rq N N rsj r1l r�4 N N N N rq N rq rq 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N r14 N r1i r1i C14 N r1i r'4 rl4 r1i r1i r1i r1i r4 r1i 0 cn m r- LO I:t 0) CD m Ict cli m -1 f4 rlj rq r1i C14 0 0 rlj r4 m 0 0 N r1i It rIA N -1 LD k.0 k.0 00 00 m m N r1i 0 r-i 0 0 0 0 0 0 0 0 0 0 0 .0 _0 ai -0 0 0 0 0 0 0 0 0 0 0 0 -a 0 0" "M "0 E a) CL D- Qj 0- +1 CL 4- V) CL 4- CL +1 0 0 m 0 m 0 fu 0 0 m 0 m u +1 Ln 4- Ln +� V) 4- Ln m +� Ln 4-1 Ln +1 Ln +1 Ln 4� Ln +� Ln 4-1 V) u u L.L (L u m IL CONSTRUCTION AGREEMENT THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, Owner') hereby contracts with Florida Design Drilling Corporation ("Contractor") of 7733 Hooper Road, West Palm Beach, FL 33411, a Corporation, authorized to do business in the State of Florida, to perform all work ("Work") in connection with New Tamiami Well 40, Invitation to Bid No. 20-7808 ("Project"), as said Work is set forth in the Plans and Specifications prepared by Agnoli, Barber & Brundage, Inc., the Engineer and/or Architect of Record Design Professional") and other Contract Documents hereafter specified. Owner and Contractor, for the consideration herein set forth, agree as follows: Section 1. Contract Documents. A. The Contract Documents consist of this Agreement, the Exhibits described in Section 6 hereof, the Legal Advertisement, the Bidding Documents and any duly executed and issued addenda, Change Orders, Work Directive Changes, Field Orders and amendments relating thereto. All of the foregoing Contract Documents are incorporated by reference and made a part of this Agreement (all of said documents including the Agreement sometimes being referred to herein as the "Contract Documents" and sometimes as the "Agreement" and sometimes as the Contract"). A copy of the Contract Documents shall be maintained by Contractor at the Project site at all times during the performance of the Work. B. Owner shall furnish to the Contractor one reproducible set of the Contract Documents and the appropriate number of sets of the Construction Documents, signed and sealed by the Design Professional, as are reasonably necessary for permitting. Section 2. Scope of Work. Contractor agrees to furnish and pay for all management, supervision, financing, labor, materials, tools, fuel, supplies, utilities, equipment and services of every kind and type necessary to diligently, timely, and fully perform and complete in a good and workmanlike manner the Work required by the Contract Documents. Section 3. Contract Amount. In consideration of the faithful performance by Contractor of the covenants in this Agreement to the full satisfaction and acceptance of Owner, Owner agrees to pay, or cause to be paid, to Contractor the following amount (herein "Contract Amount"), in accordance with the terms of this Agreement: One Million One Hundred Thirty-Four Thousand Dollars ($1,134,000.00). Section 4. Bonds. A. If applicable, the Contractor shall provide Performance and Payment Bonds, in the form prescribed in Exhibit B-1 and B-2, in the amount of 100% of the Contract Amount, the costs of which are to be paid by Contractor. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall meet the requirements of the Department of the Treasury Fiscal Service, "Companies Holding Certificates of Authority as Acceptable Sureties on Federal Bonds and as Acceptable Reinsurance Companies" circular. This circular may be accessed via the web at www.fms.treas.gov/c570/c570.html#certified. Should the Contract Amount be less than $500,000, the requirements of Section 287.0935, F.S. shall govern the rating and classification of the surety. 1 Construction Services Agreement:Revised 092520(v7) CNC B. If the surety for any bond furnished by Contractor is declared bankrupt, becomes insolvent, its right to do business is terminated in the State of Florida, or it ceases to meet the requirements imposed by the Contract Documents, the Contractor shall,within five (5)calendar days thereafter, substitute at its cost and expense another bond and surety, both of which shall be subject to the Owner's approval. Section 5. Contract Time and Liquidated Damages. A. Time of Performance. Time is of the essence in the performance of the Work under this Agreement. The Commencement Date" shall be established in the written Notice to Proceed to be issued by the Project Manager, as hereinafter defined. Contractor shall commence the Work within five (5) calendar days from the Commencement Date. No Work shall be performed at the Project site prior to the Commencement Date. Any Work performed by Contractor prior to the Commencement Date shall be at the sole risk of Contractor. Contractor shall achieve Substantial Completion within two hundred forty(240)calendar days from the Commencement Date(herein Contract Time"). The date of Substantial Completion of the Work(or designated portions thereof) is the date certified by the Design Professional when construction is sufficiently complete, in accordance with the Contract Documents, so Owner can occupy or utilize the Work(or designated portions thereof) for the use for which it is intended. Contractor shall achieve Final Completion within thirty (30) calendar days after the date of Substantial Completion. Final Completion shall occur when the Agreement is completed in its entirety, is accepted by the Owner as complete and is so stated by the Owner as completed. As used herein and throughout the Contract Documents, the phrase"Project Manager"refers to the Owner's duly authorized representative and shall mean the Division Administrator or Department Director, as applicable, acting directly or through duly authorized representatives. B. Liquidated Damages in General. Owner and Contractor recognize that, since time is of the essence for this Agreement, Owner will suffer financial loss if Contractor fails to achieve Substantial Completion within the time specified above, as said time may be adjusted as provided for herein. In such event, the total amount of Owner's damages, will be difficult, if not impossible, to definitely ascertain and quantify. Should Contractor fail to achieve Substantial Completion within the number of calendar days established herein, Owner shall be entitled to assess, as liquidated damages, but not as a penalty, One Thousand Six Hundred Ninety Dollars ($1,690.00) for each calendar day thereafter until Substantial Completion is achieved. Further, in the event Substantial Completion is reached, but the Contractor fails to reach Final Completion within the required time period, Owner shall also be entitled to assess and Contractor shall be liable for all actual damages incurred by Owner as a result of Contractor failing to timely achieve Final Completion. The Project shall be deemed to be substantially completed on the date the Project Manager (or at his/her direction, the Design Professional) issues a Certificate of Substantial Completion pursuant to the terms hereof. Contractor hereby expressly waives and relinquishes any right which it may have to seek to characterize the above noted liquidated damages as a penalty,which the parties agree represents a fair and reasonable estimate of the Owner's actual damages at the time of contracting if Contractor fails to Substantially or Finally Complete the Work within the required time periods. C. Computation of Time Periods. When any period of time is referenced by days herein, it shall be computed to exclude the first day and include the last day of such period. If the last day of any such period falls on a Saturday or Sunday or on a day made a legal holiday by the law of the applicable jurisdiction, such day shall be omitted from the computation, and the last day shall become the next succeeding day which is not a Saturday, Sunday or legal holiday. 2 Construction Services Agreement:Revised 092520(v7) D. Determination of Number of Days of Default. For all contracts, regardless of whether the Contract Time is stipulated in calendar days or working days, the Owner will count default days in calendar days. E. Right of Collection. The Owner has the right to apply any amounts due Contractor under this Agreement or any other agreement between Owner and Contractor, as payment on such liquidated damages due under this Agreement in Owner's sole discretion. Notwithstanding anything herein to the contrary, Owner retains its right to liquidated damages due under this Agreement even if Contractor, at Owner's election and in its sole discretion, is allowed to continue and to finish the Work, or any part of it, after the expiration of the Contract Time including granted time extensions. F. Completion of Work by Owner. In the event Contractor defaults on any of its obligations under the Agreement and Owner elects to complete the Work, in whole or in part, through another contractor or its own forces, the Contractor and its surety shall continue to be liable for the liquidated damages under the Agreement until Owner achieves Substantial and Final Completion of the Work. Owner will not charge liquidated damages for any delay in achieving Substantial or Final Completion as a result of any unreasonable action or delay on the part of the Owner. G. Final Acceptance by Owner. The Owner shall consider the Agreement complete when the Contractor has completed in its entirety all of the Work and the Owner has accepted all of the Work and notified the Contractor in writing that the Work is complete. Once the Owner has approved and accepted the Work, Contractor shall be entitled to final payment in accordance with the terms of the Contract Documents. H. Recovery of Damages Suffered by Third Parties. Contractor shall be liable to Owner to the extent Owner incurs damages from a third party as a result of Contractor's failure to fulfill all of its obligations under the Contract Documents. Owner's recovery of any delay related damages under this Agreement through the liquidated damages does not preclude Owner from recovering from Contractor any other non-delay related damages that may be owed to it arising out of or relating to this Agreement. Section 6. Exhibits Incorporated. Exhibits Incorporated: The following documents are expressly agreed upon, attached hereto and made a part of this Agreement for Solicitation 20-7808 "New Tamiami Well 40". Exhibit A-1: Contractor's Bid Schedule Exhibit A-2: Contractor's Bid Submittal Forms and Addendums Exhibit A-3: Contractor's List of Key Personnel Exhibit B-1: Payment Bond Forms n Not Applicable Exhibit B-2: Performance Bond Forms n Not Applicable Exhibit B-3: Insurance Requirements Exhibit C: Release and Affidavit Form Exhibit D: Contractor Application for Payment Form Exhibit E: Change Order Form Exhibit F: Certificate of Substantial Completion Form Exhibit G: Final Payment Checklist Exhibit H: General Terms and Conditions Exhibit I:Supplemental Terms and Conditions X Applicable _ Not Applicable s CA® Construction Services Agreement:Revised 092520(v7) The following documents are expressly agreed to be incorporated by reference and made a part of this Agreement for Solicitation 20-7808 "New Tamiami Well 40". The complete contract documents, including Addendum with attachments, are available on the County's on-line bidding system: https://www.bidsvnc.com/bidsvnc-cas/, which the parties agree comprise the final integrated agreement executed by the parties. Sections corresponding to any checked box ( ® ) expressly apply to the terms of this Agreement and are available through the County's on-line bidding. Exhibit J: Technical Specifications nExhibit K: Permits nExhibit L: Standard Details ZExhibit M: Plans and Specifications prepared by Agnoli, Barber & Brundage, Inc. ZExhibit N: Environmental Health and Safety Requirements for Construction Projects Section 7. Notices A. All notices required or made pursuant to this Agreement by the Contractor to the Owner shall be deemed duly served if delivered by U.S. Mail, E-mail or Facsimile, addressed to the following: Collier County Board of County Commissioners, FL c/o Public Utilities Engineering & Project Management Division 2885 Horseshoe Drive S Naples, FL 34104 Attn: Tom Sivert, Senior Project Manager Phone: (239) 252-5376 Email: Tom.Sivert(a colliercountvfl.gov B. All notices required or made pursuant to this Agreement by Owner to Contractor shall be made in writing and shall be deemed duly served if delivered by U.S. Mail, E-mail or Facsimile, addressed to the following: Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 Attn: Jeffrey Hoist, Senior Vice President Phone: (561) 844-2966 Email: Jeff@fldrilling.com C. Either party may change its above noted address by giving written notice to the other party in accordance with the requirements of this Section. Section 8. PUBLIC ENTITY CRIMES. 8.1 By its execution of this Contract, Construction Contractor acknowledges that it has been informed by Owner of the terms of Section 287.133(2)(a) of the Florida Statutes which read as follows: A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on a contract to provide 4 Construction Services Agreement:Revised 092520(v7)60; any goods or services to a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity in excess of the threshold amount provided in s. 287.017 for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." Section 9. Modification. No modification or change to the Agreement shall be valid or binding upon the parties unless in writing and executed by the party or parties intended to be bound by it. Section 10. Successors and Assigns. Subject to other provisions hereof, the Agreement shall be binding upon and shall inure to the benefit of the successors and assigns of the parties to the Agreement. Section 11. Governing Law. The Agreement shall be interpreted under and its performance governed by the laws of the State of Florida. Section 12. No Waiver. The failure of the Owner to enforce at any time or for any period of time any one or more of the provisions of the Agreement shall not be construed to be and shall not be a waiver of any such provision or provisions or of its right thereafter to enforce each and every such provision. Section 13. Entire Agreement. Each of the parties hereto agrees and represents that the Agreement comprises the full and entire agreement between the parties affecting the Work contemplated, and no other agreement or understanding of any nature concerning the same has been entered into or will be recognized, and that all negotiations, acts, work performed, or payments made prior to the execution hereof shall be deemed merged in, integrated and superseded by the Agreement. Section 14. Severability. Should any provision of the Agreement be determined by a court to be unenforceable, such a determination shall not affect the validity or enforceability of any other section or part thereof. Section 15. Change Order Authorization. The Project Manager shall have the authority on behalf of the Owner to execute all Change Orders and Work Directive Changes to the Agreement to the extent provided for under the Owner's procurement ordinance and policies and accompanying administrative procedures. Section 16. Construction. Any doubtful or ambiguous language contained in this Agreement shall not be construed against the party who physically prepared this Agreement. The rule sometimes referred to as "fortius contra proferentum" (pursuant to which ambiguities in a contractual term which appears on its 5 Construction Services Agreement:Revised 092520(v7) face to have been inserted for the benefit of one of the parties shall be construed against the benefited party) shall not be applied to the construction of this Agreement. Section 17. Order of Precedence In the event of any conflict between or among the terms of any of the Contract Documents, the terms of the Construction Agreement and the General Terms and Conditions shall take precedence over the terms of all other Contract Documents, except the terms of any Supplemental Conditions shall take precedence over the Construction Agreement and the General Terms and Conditions. To the extent any conflict in the terms of the Contract Documents including the Owner's Board approved Executive Summary cannot be resolved by application of the Supplemental Conditions, if any, or the Construction Agreement and the General Terms and Conditions, the conflict shall be resolved by imposing the more strict or costly obligation under the Contract Documents upon the Contractor at Owner's discretion. 6 Construction Services Agreement:Revised 092520(v7) CAO IN WITNESS WHEREOF, the parties have executed this Agreement on the date(s) indicated below. CONTRACTOR: TWO WITNESSES: . w7(..... Florida Design Drilling Corporation s/66,..0./. 7( FIRST WITNESS Michael Black By: _ Print Name 4a1, Jeffrey Host. Senice. 4 President 1 Z/2 /,", Print Name and Title Date SECOND WITNESS Miguel Lequerica Print Name Date: ,.-/2'42-"' ATTEST: OWNER: Crystal K. Kinzel, Clerk of Courts BOARD OF COUNTY COMMISSIONERS Comptroller OF COL R UNTY FLORIDA zw tt Y° BY: 044419 7111/1 tir t Penny Taylor,Chairperson Sd i1; 'ttre only/ volt Rpprov=, as to Form and Legality: M ,A TTi ounty Attorney Sak,k4 W Print Na n l v 7 Construction Services Agreement:Revised 092520(v7) EXHIBIT A-1: CONTRACTOR'S BID SCHEDULE FOLLOWING THIS PAGE) 8 Construction Services Agreement:Revised 092520(v7) ITB#20-7808 NEW TAMIAMI WELL#40 FEE SCHEDULE Florida Design Drilling Corporation Well Item No. Description Est.Qty. Unit Cost Per Unit TOTAL W1 Install surface casing 1 LS 3 30,000 $ 30,000 W2 Drill 12-inch diameter pilot hole by mud rotary to 85 feet BLS 85 FT $ 175 $ 14,875 W3 Conduct suite of Geophysical Logging to 85 feet BLS 1 EA $ 5,000 $ 5,000 W4 Ream Pilot Hole with 20-inch diameter bit to 80 feet BLS 80 FT $ 200 $ 16,000 W5 Install 80 feet of 12-inch inside diameter FRP casing.Includes 80 FT $ 200 $ 16,000 conducting Caliper Log prior to casing installation W6 Grout annular space between casing and borehole to land surface 80 LF $ 200 $ 16,000 W7 Drill 11-inch diameter open hole by reverse air method from 80 to 50 FT $ 150 $ 7,500 130 feet BLS W8 Conduct full suite of Geophysical Logging with Video log from surface 1 EA $ 5,000 $ 5,000 to 130 feet BLS W9 Develop well with air for 8 hours. 8 HRS $ 500 $ 4,000 W10 Develop the well with pump for 8 hours.Conduct sand content,silt 8 HRS $ 750 $ 6,000 density,and turbidity testing. W1 1 Conduct step-drawdown tests. 1 LS $ 3,500 $ 3,500 W12 Collect water samples and submit to laboratory for primary and t LS $ 5,000 $ 5,000 secondary drinking water standards. W1 3 Install wellhead flange 1 LS $ 5,000 $ 5,000 W14 Well Disinfection 1 LS $ 5,000 $ 5,000 W15 Standby with rig and drilling crew on-site 40 HRS $ 50 $ 2,000 W16 Standby with rig on-site and drilling crew off-site 40 HRS $ 10 $ 400 SUB-TOTAL $141,275 Wellfield &Well Head Item No. Description Est.Qty. Unit Cost Per Unit TOTAL CI Well Head Assembly 1 LS $ 68,695 $ 68,695 C2 12"DR14 PVC 158 FT $ 210 $ 33,180 C3 16"DR18 PVC 1350 FT $ 120 $ 162,000 C4 16"Gate Valve 2 EA $ 9,000 $ 18,000 C5 12"Gate Valve 1 EA $ 6,000 $ 6,000 C6 8"Gate Valve 2 EA $ 5,000 $ 10,000 C7 Rock Excavation&Suitable Backfill 1 LS $ 10,000 $ 10,000 C8 Concrete Pads 69 SY $ 345 $ 23,805 C9 Fill 60 CY $ 17 $ 1,020 C10 Grundfos Pump 1 1 0057 50-2-A 1 LS $ 25,000 $ 25,000 C1 1 6"Certa-Lok Drop Pipe w/adapters 85 LF $ 25 $ 2,125 C12 Air Release Valve 1 EA $ 5,000 $ 5,000 C1 3 Vertical Deflections 5 EA $ 10,000 $ 50,000 C14 Covered Awning 1 LS $ 25,000 $ 25,000 C15 Perimeter Strip-Crushed Shell,Fabric,Perimeter P.T.Wood 1 LS $ 10,000 $ 10,000 SUB-TOTAL $449,825 Page 1 of 2 l A \,j Electrical &Systems Integration Item No. Description Est.Qty. Unit Cost Per Unit TOTAL E1 Conduit&Wire Installation 1 LS $ 105,000 $ 105,000 E2 Lightning Protection,Bonding&Grounding 1 LS $ 22,000 $ 22,000 E3 Electrical Equipment 1 LS $ 85,000 $ 85,000 E4 Arc Flash Study 1 LS $ 10.000 $ 10,000 E5 Field Instrumentation&Controls Equipment 1 LS $ 25,000 $ 25,000 E6 Integration 1 LS $ 100,000 $ 100.000 SUB-TOTAL $347,000 Miscellaneous Item No. Description Est.Qty. Unit Cost Per Unit TOTAL M1 Mobilization/Demobilization 1 LS $ 110,900 $ 110,900 M2 Erosion Control 1 LS $ 20,000 $ 20,000 M3 360 Pre/Post Site Videos&Still Photos 1 LS $ 5,000 $ 5,000 M4 Restoration Grade,Seed&Mulch Disturbed Areas 1 LS $ 10,000 $ 10,000 SUB-TOTAL $145,900 M5 IOwner's Allowance I 1 1 T/M I$ 50,000 '$ 50,000 TOTAL BID PRICE FOR ITEMS W1 THROUGH M4+OWNERS ALLOWANCE $ 1,134,000 Owners Allowance-for Owners Use as Directed.This Allowance will be used only at the Owner's direction to accomplish work due to unforeseen conditions and/or as directed by the Owner.Inclusion of the Allowance as part of the Contract Price is not a guarantee that the Contractor will be paid any portion or the full amount of the Allowance.Expenditures of Owners Allowance will be made through Change Order with proper documentation of Time and Materials supporting the change." Page 2 of 2 EXHIBIT A-2: CONTRACTOR'S BID SUBMITTAL FORMS AND ADDENDUM FOLLOWING THIS PAGE) 9 Construction Services Agreement:Revised 092520(v7) Appendix F-Template-Addendum Email:(Cynthia.McCanna@colliercountyfl.gov) c o .ice„ County Telephone: (239- 252-8992) Administrative Services Division Purcha sing ADDENDUM #1 Memorandum Date: 10/7/2020 From: Cynthia McCanna, Procurement Strategist To: Interested Parties Subject: Addendum #1 - 20-7808 New Tamiami Well #40 This addendum has been issued for the following items identifying clarifications, changes, deletions, or additions to the original solicitation documents. Pre-Bid Meeting Minutes and Sign-in Sheets 20-7808—Addendum#1 - Pre-Bid Meeting Minutes and Sign in Sheets Please acknowledge receipt of this Addendum and include with your bid. L Mz4 o/1.1/2o ig ature)u Date 4t'., S[6-1 t I) lt-Lt“(2 e4,0-4'c-7--41 Ii,4 Name of Firm) If you require additional Information,please post a question on 8idSync on-line or contact me using the above contact Information. I Appendlh F-Template—Addendum-rev 10. 18-18 Collier County Email: Cynthia.McCanna@colliercountyfl.gov Administrative Services Division Telephone: (239)252- 8992 Procurement Services Addendum 2 Date: October 21,2020 From: Cynthia McCanna,Procurement Strategist-Acquisitions To: Interested Bidders Subject: Addendum#2 Solicitation#20-7808 New Tamiami Well#40 The following clarifications are issued as an addendum identifying the following clarification to the scope of work,changes,deletions,or additions to the original solicitation document for the referenced solicitation: Change 1. Updated Bid Schedule: Item C2 listed in Section 012000-3.3.B of the Supplemental Technical Specifications and listed on the bid schedule is now 12" DR1 4 PVC, Change 2. Updated Exhibit M Civil Plans: The Site Development Plan Insubstantial change No. PL20200001542 was approved by Collier County on 10/20/2020. The approval letter and stamped approved" plans have not been received at this time, the stamped "approved" plans will be forwarded upon receipt. The correct plans are attached but do not have the County "approval" stamp. The scale shown on sheet C-04 is incorrect, the correct scale is 1 in = 15ft. If you require additional information,please post a question on our Bid Sync(www.bidsync.com)bidding platform under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. Y « 10/26/20 Si t Date Florida Design Drilling Corporation Name of Firm) Director,Procurement Services Division FORM 1-BID RESPONSE FORM BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY,FLORIDA New Tamiami Well 40 BID NO.20-7808 Full Name of Bidder Florida Design Drilling Corporation Main Business Address 7733 Hooper Road, West Palm Beach, FL 33411 Place of Business 7733 Hooper Road, West Palm Beach, FL 33411 Telephone No. 561-844-2966 Fax No. State Contractor's License#CGC1522104 State of Florida Certificate of Authority Document Number Federal Tax Identification Number 20-2779560 DUNS# 623882334 CCR# Cage Code To: BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY,FLORIDA hereinafter called the Owner) The undersigned,as Bidder declares that the only person or parties interested in this Bid as principals are those named herein, that this Bid is submitted without collusion with any other person, firm or corporation; that it has carefully examined the location of the proposed Work,the proposed form of Agreement and all other Contract Documents and Bonds,and the Contract Drawings and Specifications. Bidder proposes, and agrees if this Bid is accepted, Bidder will execute the Agreement included in the Bidding Documents, to provide all necessary machinery, tools, apparatus and other means of construction, including utility and transportation services necessary to do all the Work, and furnish all the materials and equipment specified or referred to in the Contract Documents in the manner and time herein prescribed and according to the requirements of the Owner as therein set forth, furnish the Contractor's Bonds and Insurance specified in the General Conditions of the Contract,and to do all other things required of the Contractor by the Contract Documents,and that it will take full payment the sums set forth in the following Bid Schedule: Unit prices shall be provided in no more than two decimal points,and in the case where further decimal points are inadvertently provided,rounding to two decimal points will be conducted by Procurement Services Division staff. Upon notification that its Bid has been awarded,the Successful Bidder will execute the Agreement form attached to the Bidding Documents within ten(10)calendar days and deliver the Surety Bond or Bonds and Insurance Certificates as required by the Contract Documents.The bid security attached is to become the property of the Owner in the event the Agreement,Insurance Certificates and Bonds are not executed and delivered to Owner within the time above set forth, as liquidated damages, for the delay and additional expense to the Owner, it being recognized that,since time is of the essence,Owner will suffer financial loss if the Successful Bidder fails to execute and deliver to Owner the required Agreement, Insurance Certificates and Bonds within the required time period. In the event of such failure, the total amount of Owner's damages,will be difficult, if not impossible, to definitely ascertain and quantify. It is hereby agreed that it is appropriate and fair that Owner receive liquidated damages from the Successful Bidder in the event it fails to execute and deliver the Agreement, Insurance Certificates, and Bonds as required hereunder. The Construction Solicitation Doc rev 02-21-20 Successful Bidder hereby expressly waives and relinquishes any right which it may have to seek to characterize the above noted liquidated damages as a penalty, which the parties agree represents a fair and reasonable estimate of Owner's actual damages at the time of bidding if the Successful Bidder fails to execute and deliver the Agreement, Insurance Certificates,and Bonds in a timely manner. Upon receipt of the signed and approved agreement and Purchase Order,the undersigned proposes to commence work at the site within five(5)calendar days from the commencement date stipulated in the written Notice to Proceed unless the Project Manager, in writing,subsequently notifies the Contractor of a modified(later)commencement date.The undersigned further agrees to substantially complete all work covered by this Bid within(240)consecutive calendar days, computed by excluding the commencement date and including the last day of such period, and to be fully completed to the point of final acceptance by the Owner within (30) consecutive calendar days after Substantial Completion,computed by excluding commencement date and including the last day of such period. Acceptance and acknowledged by an Authorize Agent Signature: WO'edt-' Title:Jeffrey 1st, Senior Vice President Date: 10/21/20 Construction Solicitation Doc rev 02-21-20 F R11 : N1RA+CTOR;g K ....FER5ON1 1E New Tamiami Well 40 Bid No.20-7808 Name Personnel Category Daniel Ringdahl Construction Superintendent Nicholas Martin Project Manager Construction Solicitation Doc rev 02-21-20 V.: FORM 3-MATERIAL MANUFACTURERS THIS FORM MUST BE COMPLETED OR BID SHALL BE DEEMED NON-RESPONSIVE All Bidders shall confirm by signature that they will provide the manufacturers and materials outlined in this Bid specifications,including compliance with Florida Statute 255.20 to provide lumber,timber and other forest products produced and manufactured in the State of Florida as long as the price,fitness and quality are equal. Exceptions(when equals are acceptable) may be requested by completing the Material Manufacturer Exception List below. If an exception for a manufacturer and/or material is proposed and listed below and is not approved by Engineer/Project Manager,Bidder shall furnish the manufacturer named in the specification.Acceptance of this form does not constitute acceptance of material proposed on this list. Complete and sign section A OR B. Section A(Acceptance of all manufactures and materials in Bid specifications) On behalf of my firm, I confirm that we will use all manufacturers and materials as specifically outlined in the Bid specifications. Company: Florida Design Drilling Corporation Signature: 2d(f Date: 10/21/20 Section B(Exception requested to Bid specifications manufacturers and materials) EXCEPTION MATERIAL EXCEPTION MANUFACTURER 1. 2. 3. 4. 5. Please insert additional pages as necessary. Company: Signature:Date Construction Solicitation Doc rev 02-21-20 FORM 4-LIST OF MAJOR SUBCONTRACTORS THIS LIST MUST BE COMPLETED OR BID MAY BE DEEMED NON-RESPONSIVE The undersigned states that the following is a list of the proposed subcontractors for the major categories outlined in the requirements of the Bid specifications. The undersigned acknowledges its responsibility for ensuring that the Subcontractors for the major categories listed herein are"qualified"(as defined in Ordinance 2017-08 and Section 15 of Instructions to Bidders)and meet all legal requirements applicable to and necessitated by the Contract Documents,including,but not limited to proper licenses, certifications, registrations and insurance coverage. The Owner reserves the right to disqualify any Bidder who includes non-compliant or non-qualified Subcontractors in its bid offer.Further,the Owner may direct the Successful Bidder to remove/replace any Subcontractor,at no additional cost to Owner,which is found to be non-compliant with this requirement either before or after the issuance of the Award of Contract by Owner.(Attach additional sheets as needed). Further, the undersigned acknowledges and agrees that promptly after the Award of Contract, and in accordance with the requirements of the Contract Documents,the Successful Bidder shall identify all Subcontractors it intends to use on the Project. The undersigned further agrees that all Subcontractors subsequently identified for any portion of work on this Project must be qualified as noted above. Major Category of Work Subcontractor and Address 1. Driller Florida Design Drilling Corporation 2. Utilities&Site Work Florida Design Drilling Corporation 3. Controls Revere Controls,2240 Rocky Ridge Road,Birmingham,AL 35216 4. Electrical Technical Management Associates,10251 Metro Parkway,Unit 118,Fort Myers,FL 33966 5. Identify other subcontractors None that represent more than 10% of price or that affect the critical path of the schedule Company: Florida Design Drilling Corporation Date: 10/21/20Signature: i(jr b /t Construction Solicitation Doc rev 02-21-20 FORM 5-STATEMENT OF EXPERIENCE OF BIDDER The Bidder is required to state below what work of similar magnitude completed within the last five (5) years is a judge of its experience, skill and business standing and of its ability to conduct the work as completely and as rapidly as required under the terms of the Agreement. 1. See attached. project name) project owner) project location) Owner's address) project description) Owner's contact person)title) project start/completion dates) (contract value) (phone) email) 2. project name) project owner) project location) Owner's address) project description) Owner's contact person)title) project start/completion dates) (contract value) (phone) email) 3. project name) project owner) project location) Owner's address) project description) Owner's contact person)title) project start/completion dates) (contract value) (phone) email) Construction Solicitation Doc rev 02-21-20 FORM 5-STATEMENT OF EXPERIENCE OF BIDDER 4. project name) project owner) project location) Owner's address) project description) Owner's contact person)title) project completion date) (contract value) (phone) email) 5. project name) project owner) project location) Owner's address) project description) Owner's contact person)title) project completion date) (contract value) (phone) email) 6. project name) project owner) project location) Owner's address) project description) Owner's contact person)title) project completion date) (contract value) (phone) email) Company: F ida esign Drill)ng&ration 1Signature: Date: 10/21/20 Construction Solicitation Doc rev 02-21-20 Water Storage Tank Replacement Owner: City of Cooper City Engineer: Hazen&Sawyer Contact: Anthony Niemiec Phone: 954-987-0066 Description: The principal feature of the Work to be performed under this Contract include the construction of a new 0.5 MG water storage stank,including but not limited to:Complete demolition, removal and/or disposal of exiting 0.5 MG steel water storage tank and associated piping and equipment.Construction of a new 0. 5 MG prestressed concrete water storage tank with associated piping,ladders,access hatches and equipment. Restoration and landscaping,including tree trimming,removal,and/or relocation. Preparation and submittal of a detailed schedule of work that clearly demonstrates the Contractor's plan for completing the work within the time provided in the notice to proceed. Equipment Start-up commissioning to be completed by manufacturer's representative and subcontractor. Permitting requirements including as required by local regulations. Prepare and provide a Safety Plan in accordance with applicable OSHA requirements. Provide all testing,including concrete,densities, hydrostatic for storage tank and pipelines. Provide O&M manuals and equipment training. Completed: October-20 On time? Yes Initial Amount $ 947, 000 Change Orders: $ 50,523) Floridan Well Construction Owner: North Springs Improvement District Engineer: Intersol, LLC Contact: Vandin Calitu Phone: 954- 864-2775 Description: Constrcut in place new Floridan aquifer supply well including well construction, 125 HP submersible pump and VFD control panel,stainless steel piping,valves,and instrumentation,electrical service, programming,concrete slab,disinfection,startup&testing. Completed: September-20 On time? Yes Initial Amount $ 1,835,000 Change Orders: $ 13,091 Replacement of Raw Water Supply Wells 10, 11, 12,and 13 Owner: City of Tamarac Engineer: Eckler Engineering Contact: Doug Hammann Phone: 954-345-2188 Description: The project consisted of upgrading four existing raw water supply wells from below grade vaults to above grade installations including:extension of existing 12"well casing;demolition of existing pumps, piping,electrical,controls,and vaults;connection to existing raw water main,new piping to wells,new SS wellheads, new 30hp submersible pumps,new electrical service compound, new electrical, instrumentation,and controls. Completed: February-20 On time? Yes Initial Amount $ 929, 000 Change Orders: $ 157,894 Sawgrass WTP Degasifier Media Replacement Owner: City of Sunrise Engineer: Carollo Contact: Chris Reinbold Phone: 561-868-6407 Description: The work included removal and disposal of degasifier packing media,interior cleaning, providing new packing media,and disinfection of four(4)forced draft product water degasifier systems for the 24 mgd existing nano-filtration membrane system. Completed: April-20 On time? Yes Initial Amount $299, 900 Change Orders: $ 17,042) RL Pratt Spiractors Replacement Owner: Village of Palm Springs Engineer: Eckler Engineering Contact: Doug Hammann Phone: 954-345-2188 Description: Demolish two exisiting lime softening treatment units and construct new lime softening treatment units,replace piping and valves,ladders,and walkways. Completed: December-20 On time? Yes Initial Amount $ 839,000 Change Orders: $ 5,316) Sodium Hypochlorite Tank#1 Replacement Owner: Boynton Beach Engineer: N/A Contact: Juan Cuesta Phone: 561- 742-6437 Description: Remove and replace existing FRP sodium hypochlorite tank,approx. 22,000 gallon capacity. Modify existing piping as needed to suit new tank. Completed: October-19 On time? Yes Initial Amount $239,000 Change Orders: $ 500) North WWTF Gate Replacement Owner: Martin County Engineer: N/A Contact: Daren Brothers Phone: 772- 223-4845 Description: Remove existing gates and install four(4)316 SS gates in Injection Well/Filter Dosing Pump Station wet well. Completed: June-19 On time? Yes Initial Amount $135,000 Change Orders: $ Replacement of Raw Water Supply Wells 18, 19,and 20 and Wellhead 11 Modifications Owner: Coral Springs Engineer: Eckler Engineering Contact: Najla Zerrouki Phone: 954-345-2188 Description: The project consists of furnishing labor,equipment,and materials for construction of the abandonment and replacement of three existing raw water production wells.Generally,the work includes demolition, structural,mechanical,electrical,instrumentation,civil,site improvements,and other incidentals. Work includes approximately 600 LF of 8" and 900 Lf of 12"ductile iron raw water main and associated restoration. Completed: August-19 On time? Yes Initial Amount $ 3,570,000 Change Orders: $ 60,766) Booster Station Disinfection System Improvements Owner: Pembroke Pines Engineer: Calvin,Giordano,&Associates Contact: George Wrves Phone: 954-518-9045 Description: This project includes the construction and installation of one bulk-liquid sodium hypochlorite disinfection system, interconnecting influent and effluent disinfection piping,chemical injection points, and related appurtenances at the Academic Village Booster Station. The construction and installation of one bulk-liquid sodium hypochlorite disinfection system,interconnecting influent and effluent disinfection piping,chemical injection points,related appurtenances,modifications to the interconnecting pipe between Tank No. 1 and Tank No. 2 and installation of new yard piping with its related appurtenances,and replacement of altitude valves with fill valves for Tank No. 1 and Tank No. 2 at the Holly Lakes Booster Station. Completed: August-19 On time? Yes Initial Amount $ 1,568,000 Change Orders: $160,571) Remote Storage and Pumping 1A1 and 1B1 Generator Replacement Owner: Broward County Engineer: CDM Contact: John Morra Phone: 954-831-0902 Description: This project includes the furnishing of all labor, materials,equipment,services and incidentals for the removal of an outdoor emergency power generator and other incidentals at two sites;and installation of a 500 kilowatt generator, pull boxes,control wire,feeders,conduit,diesel fuel pipe,diesel fuel removal,diesel fuel replacement,and bulk diesel fuel secondary containment coating at both sites, motor control center cubical soft start/automatic transfer switch modifications at both sites; and two new 100 HP booster pumps and associated piping and valves. Completed: August-19 On time? Yes Initial Amount $ 1,284,740 Change Orders: $117,718) Reconstruction of Surficial Aquifer Production Well Nos. HR-17, HR-10B,and HR-15 Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brandon Selle Phone: 561-627-2900 Description: Furnish all labor,equipment and materials necessary to replace/construct/reconstruct three(3)Surficial aquifer production wells(HR-10B,HR-15,and HR-17)for the Seacoast Utility Authority(OWNER).The scope of work will include:test well/pilot hole drilling,removal of existing screen and well casing, drilling,setting of casings and/or well screen,grouting,testing,well logging,video logging,pump testing,formation water disposal system (including temporary piping and pumps),well facility disinfection,fencing,clearing and restoration of well sites,new pump and motor including column pipe and appurtenances,well head, piping,electrical and controls,site work and restoration,as described herein and as shown on the drawings. Completed: May-19 On time? Yes Initial Amount $ 1,444,444 Change Orders: $125, 163) Replace and Upgrade Slide Gates at Westport and Glades WWTFs Owner: City of Port Saint Lucie Engineer: City of Port Saint Lucie Contact: Rich Schoenborn Phone: 772-873-6485 Description: The project work consists of the furnishing of all labor,materials,and equipment for the construction of three new replacement slide gates including demolition of the existing gates,grout base and seals and drilling fastener holes,installation of the new slide gates,anchor bolts and grout base as shown including all other items and incidentals necessary for a complete, leak-free and operational slide gate system that matches the existing gates in dimensions and operation. Completed: August-18 On time? Yes Initial Amount $ 84,840 Change Orders:None PGA WWTP Grit Removal System Improvements Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brandon Selle Phone: 561-627-2900 Description: The project will include construction of grit removal system improvements at the PGA Wastewater Treatment Plant(WWTP).The improvements will include the addition of a grit flushing system and modifying the existing control system to the PLC system connected to the plant's SCADA system.This project includes all fittings,valves,supports,appurtenances,conduit,wire and controls to provide a fully functional system. Programming of the PLC and SCADA system is not included in this project and will be completed by others. Completed: December-19 On time? Yes Initial Amount $204,000 Change Orders: $ Turkey Point Recovery Well System Owner: Florida Power& Light Engineer: Tetra Tech Contact: Raul Febre Phone: 786-243-4321 Description: Construction of ten(10) Biscayne recovery wells including 150 HP vertical turbine pumps,electrical l&C, piping,valves,and all other appurtenances required for a fully functional system to tie into raw water main constructed by others. Completed: December-18 On time? Yes Initial Amount $ 7,238,354 Change Orders: $ 9,225 HARMONY WELL NO. 2R AND BAY LAKE ESTATES WELL NO. 2 Owner: Toho Water Authority Engineer: Tetra Tech Contact: Mike Powers Phone: (407)791-5201 Description: Harmony Well No. 2R and Bay Lake Estates Well No. 2,which includes furnishing all labor,equipment and materials necessary for: Installation of vertical turbine well pump and appurtenances at Harmony Well No. 2R and vertical turbine well pump and appurtenances at Bay Lake Estates Well No. 2 including but not limited to demolition,electrical, instrumentation/controls,fencing,site work,and discharge piping. Completed: April-18 On time? Yes Initial Amount $ 494,000 Change Orders: $ 10,268 WATER AND REUSE TREATMENT PLANTS METER REPLACEMENT Owner: City of Pompano Beach Engineer: McCafferty Brinson Contact: Phil Hyer Phone: 954-545-7030 Description: The project consists of furnishing all labor,equipment(except six OWNER-furnished new magnetic flow meters,grounding rings,and associated instrumentation), piping(up to 48"diameter)tools,and materials for the demolition, replacement,and/or installation of five magnetic flow meters and four meter vaults at the City's water treatment plant;and,the replacement of one magnetic flow meter,and one new ultrasonic flow transducer with weir and stilling well at the City's reuse water treatment plant. Completed: July-18 On time? Yes Initial Amount $ 496,010 Change Orders: $ 86,341 Lift Station No. 309 Improvements Owner: City of Boynton Beach Engineer: Mathews Consulting Contact: Jose Huertas Phone: 561- 742-6487 Description: The project consists of furnishing all labor, materials,equipment and all incidentals and appurtenances for the installation of:approximately 410 LF of 16-inch DR-18 C-900 PVC and 2,460 LF of 18-inch DR-11 HDPE(by directional drill)force main piping;replacement of existing jockey pump with a third duty,91 Hp dry-pit submersible pump;conversion of existing Generator Building into new Electrical Building with new MCC with integral VFDs, new Control Panel and electrical appurtenances;installation of new diesel engine driven standby pump;various site/civil improvements;various process yard piping and pump station mechanical improvements;various structural and architectural improvements to the existing buildings;various electrical improvements including new electrical service feed,manual transfer switch,75 KVA transformer, lighting panel and HVAC system.Work also includes clearing and grubbing,dewatering,bypass pumping, MOT plans,complying with permit conditions,testing and all restoration work for a complete and operating system. Completed: October-17 On time? Yes Initial Amount $ 1,832,000 Change Orders: $ 26,173 Reverse Osmosis Water Treatment Plant Acid Dilution System Owner: City of Lake Worth Engineer: AECOM Contact: Julie Parham Phone: 561-586-1798 Description: The proposed work consists of providing all labor,materials,equipment and incidentals required to construct as detailed in the contract documents.The work includes,but not necessarily limited to the following: Removing some 20 inch stainless steel pipe,fabrication of 20 inch stainless steel pipe spool pieces and restoration of a masonry wall Fabrication and installation of a new 20 inch in line stainless steel static mixer Fabrication and installation of a Sulfuric acid dilution system Installation of raw water booster pumps; piping,valves and appurtenances Installation of Halar piping,valves,and appurtenances and Bacteriological testing of raw water main. Completed: May-17 On time? Yes Initial Amount $199,000 Change Orders: $ 2,408) Construction of Glades WWTF Bio Solids Cake System Owner: City of Port Saint Lucie Engineer: City of Port Saint Lucie Contact: Rich Schoenborn Phone: 772-873-6485 Description: The project work consists of the furnishing of all labor,materials,and equipment and the performance of all work included in this Contract including the partial demolition of the existing dewatered bio-solids cake conveyor system,construction of a new dewatered biosolids cake conveyance system complete with positive displacement pump,discharge piping system, meter pump and sludge cake lubrication system,valves,conveyors,concrete slabs,housekeeping pads,awnings,supports, hangers, metal fabrications and connections to existing conveyors,instrumentation,electrical connections,conduit, wiring,starters,control panel,modifications to the Glades SCADA and process/instrumentation control system,testing and all other accessories and appurtenances as required for a complete and operational dewatered bio-solids cake pumping system that is both locally and remotely monitored and controllable by the CITY and works with the existing centrifuge system. Completed: June-17 On time? Yes Initial Amount $519,000 Change Orders:None Floridan Well F-5 Wellhead and Raw Water Main Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brandon Selle Phone: 561-627-2900 Description: The Project entails the construction of a stainless steel wellhead on an existing well with 75 HP pump, motor,controls,piping,valves and fittings,concrete work,fencing,and electrical work and a 16-inch PVC and HDPE raw water main from the new wellhead to the Hood Road Administration Complex through 2 phases of construction. Phase 1 shall consist of the construction,testing and the restoration activities of the raw water main and a 2-inch fiber-optic conduit installed via open-cut and horizontally directional drilling methods through The Isles from the SUA Administration Complex to the EPB-3C Canal. Phase 2 shall consist of the construction,testing,and restoration activities of a raw water main and 2-inch fiberoptic conduit along the EPB 3C Canal to the location of Floridan Well F-5 and the installation of the new wellhead including all piping,electrical,instrumentation,mechanical,structural, civil,and restoration work required for a fully functioning system. Completed: June-17 On time? Yes Initial Amount $ 893,000 Change Orders: $ 14,574 Reconstruction of Surficial Aquifer Wells Nos. HR-7, HR-12 and HR-13 Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brandon Selle Phone: 561-627-2900 Description: Reconstruction of three new surficial production wells, 16" PVC casing, 130-140'depth,well screen, with 40 HP submersible pumps,ductile iron raw water main&wellheads,concrete,instruments& programming, RTU,SCADA, Fiber Optic cable,control panels, new 4160V electrical service,fencing. Completed: October-17 On time? Yes Initial Amount $ 1,486,122 Change Orders: $ 215,509 Sodium Hypochlorite Storage and Feed Systems Replacing the Existing Gas Chlorine Systems Owner: City of West Palm Beach Engineer: Kimley-Horn&Associates Contact: Edna Bonelli Phone: 561-494-1157 Description: 1.A new sodium hypochlorite feed system to replace the existing gas chlorine feed system at the Ibis Water Re-pump Station as shown on the Drawings.A new aqueous ammonia feed system also will be installed at the Ibis site to replace the existing aqueous ammonia feed system.The new aqueous ammonia feed system will be installed in phases as the existing ammonia feed system is removed in order to provide continuous ammonia feed.The work at the Ibis site includes a new chemical injection and flow meter vault constructed over the existing storage tank influent pipe,chemical and sample piping,one sodium hypochlorite storage tank,two duplex metering pump skids for sodium hypochlorite and two duplex metering pump skids for aqueous ammonia,ammonia and sodium hypochlorite injectors,one static mixer,chlorine and ammonia residual analyzers,modifications to the existing pump station building,instrumentation,controls,and electrical construction. 2.The four typical sodium hypochlorite feed systems are designed to be installed inside new precast concrete shelters.The work at each site includes installation of new chemical injectors,chemical containment piping from each shelter to the chlorine injection points,one static mixer(Valley Forge only),water supply piping to each shelter,landscaping around each shelter,piping modifications,instrumentation,controls and electrical construction. Each shelter will provide a climate controlled location for the installation of one duplex metering pump skid,one chemical storage tank,chemical containment,safety shower,hose reel, exhaust fan,air conditioner,electrical,instrumentation and controls.The construction of the new typical sodium hypochlorite feed system at each site requires phasing and coordination with the Owner that allows the existing gas chlorine feed system to remain in operation while new system is constructed and tested,without interruption to the operation of the existing chlorine gas feed system, and followed by demolition of the existing gas chlorine feed systems. Completed: July-19 On time? Yes Initial Amount $ 2,152,000 Change Orders: $ 162,699 Lift Station 23 Rehabilitation Owner: City of West Palm Beach Engineer: Kimley-Horn&Associates Contact: Edna Bonelli Phone: 561-494-1157 Description: 1. Demolition as shown in the plans and technical specifications. 2.All labor, material and equipment necessary for structural improvements, including a 248 SF+/- expansion to the existing 428 SF lift station building with new foundation;stucco; painting; rolling overhead steel door; roofing; interior aluminum stairs&landing;exterior concrete stairs;aluminum handrails; bridge crane I-beams;flood gate; concrete&SS pipe supports; concrete restoration;and other miscellaneous structural improvements. 3.All labor, material and equipment necessary for mechanical improvements,complete,including all pipe,fittings,accessories,valves&actuators;AC system;crane&trolley;fire extinguishers;and other miscellaneous mechanical improvements,85 HP pumps. 4.All labor,material and equipment necessary for electrical and controls system,including FPL fees, primary installation,generator with enclosure,automatic transfer switch,panels,main disconnect switch,VFD drives,pump terminal box, level transmitter,pressure transmitter,float switches and other miscellaneous electrical improvements. 5.All labor, material and equipment necessary to accomplish the site work including the force main connection;generator pad and enclosure;wood fence and gates;dumpster enclosure;flowmeter; and other miscellaneous site improvements. 6.All labor, material and equipment necessary for existing wet well rehabilitation. 7.All labor material and equipment necessary to accomplish landscape improvements including planting materials,irrigation system and other miscellaneous landscape improvements. Completed: June-17 On time? Yes Initial Amount $ 1,595,000 Change Orders: $ 227, 716 Reclaimed Water ASR System Well Construction Owner: City of St.Cloud Engineer: Jones, Edmunds&Associates Contact: Lisa Rhea Phone: 813-258-0703 Description: One 12-inch diameter ASR well,ASR-1(Total Depth [TO]approximately 3,100 feet).The well will be completed with a final carbon steel casing cemented to land surface and is designed fo r reclaimed w a to r storage and recovery. One 6-inch diameter storage zone monitoring well,SZMW-1(TD approximately 2,400 feet).The well will be completed with a final carbon steel casing cemented to land surface and will be located not more than 750 feet from ASR-1.One 6-inch diameter shallow monitoring well,SMW-1(TD approximately 1,400 feet).The well will be located not more than 150 feet from A SR- 1. Modify chlorine contact chamber to install submersible recharge pump and install piping for ASR well. Electrical& l&C for VFD's and MOV. Completed: May-17 On time? Yes Initial Amount $ 2,535,550 Change Orders: $ 164,395 Reconstruction of Surficial Aquifer Wells Nos. HR-5, HR-6 and PBG-9 Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brandon Selle Phone: 561- 627-2900 Description: Reconstruction of three new surficial production wells, 16" PVC casing, 130-140' depth,well screen, with 40 HP submersible pumps,ductile iron raw water main&wellheads,concrete,instruments& programming, RTU,SCADA, Fiber Optic cable,control panels, new 4160V electrical service,fencing. Completed: November-16 On time? Yes Initial Amount $ 1,486,122 Change Orders: $ 10,324 Repump#1 Rehabilitation Owner: Fort Pierce Utility Authority Engineer: Kimley Horn&Associates Contact: Jason Lee Phone: 561- 840-0256 Description: Demolish existing building structure,framing,steel building skin, mechanical equipment, pumps, underground fuel tank,generator,and electrical gear. Construct new concrete block structure(CBS), footings,slabs,beams, including doors,louvers, roof,interior walls, HVAC, lighting,and electrical. Install 2 new 125 hp high service pumps including the piping,fittings,valves and appurtenances necessary to make a complete working system. Furnish and install two variable frequency drives(VFD's)for the new HSP's. Replace the existing influent altitude valve with a control valve,including fittings,valves, piping, and hardware. Furnish and install a new standby generator, bulk fuel storage tank,and fuel day tank to provide auxiliary power for the facility. Replace and install a new motor control center(MCC),new electrical service,a new lighting panel,a new automatic transfer switch,new conduits and conductors from the existing FP&L transformer to the new MCC,including all conduits and conductors and appurtenances to make a complete working system. Upgrade the existing PLC and controls,including instrumentation,control valves,and HMI. Installation of a new RTU to allow real-time communication with the water plant. Install a new HVAC system including ductwork and all necessary appurtenances to make a complete working system. Remove the existing pressure sustaining valve and supports and replace the existing influent and effluent venturi flow meters,including conduit,conductors and pipe supports to make a complete working system. Completed: December-16 On time? Yes Initial Amount $ 1,681,000 Change Orders: $ 67,442) Troutman WTP Piping Replacement Phase 1 Owner: City of Palm Bay Engineer: Wade Trim Contact: Clayton McCormack Phone: 321- 728-3389 Description: Removal and replacement of various segments of large diameter steel process piping and fittings in the WTP.The size and approximate amount of piping to be replaced is as follows:%"to 3"95 LF Miscellaneous piping for injection/sampling ports, 12" 11 LF Schedule 40,Grade B Steel Pipe, 14" 18 LF Schedule 40,Grade B Steel Pipe, 16"325 LF Schedule 40,Grade B Steel Pipe(includes serpentine pipe located downstream of the clearwell and configured in a"serpentine" pattern as shown on the drawings.)24"41 LF Schedule 40,Grade B Steel Pipe, 16"51 LF Schedule 40,Grade B Steel Pipe,24" 15 LF Schedule 40,Grade B Steel Pipe, 16"62 LF Schedule 40,Grade B Steel Pipe, 24" 19 LF Schedule 40, Grade B Steel Pipe. Completed: May-16 On time? Yes Initial Amount $639,494 Change Orders: $ 66,215 ECRWRF Grit Collection Facility Improvements Owner: City of West Palm Beach Engineer: Kimley Horn &Associates Contact: Brett Johnson Phone: 561-840-0820 Description: Concrete repairs and coatings to existing grit collection facility structure,furnish and install new doors, windows,louvers,and roll up doors, install new lift station and force main piping,including all electrical and lighting,asphalt and concrete paving. Completed: May-16 On time? Yes Initial Amount $369,690 Change Orders: $ 30,250 CROSSBAR RANCH WELLFIELD IMPROVEMENTS Owner: Tampa Bay Water Engineer: Atkins Contact: Justin Fox Phone: 813- 929-4565 Description: Furnish all materials,equipment,and incidentals necessary for the removal and replacement of the 125 HP vertical turbine pumps, pump columns,bowl assemblies,and electrical appurtenances at wells CB#1 17 as shown on the construction DRAWINGS and specified herein. Completed: March-16 On time? Yes Initial Amount $ 2,595,959 Change Orders: $ (1,392,659) Owner Direct Purchase PBG Wellfield Raw Water Main Replacement Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brent Weidenhamer Phone: 561-575-2005 Description: Install 600 LF of new 8" DI raw water main.Tie into existing AC raw water main. Grout fill and abandon existing AC raw water main. Cannon flush,disinfect,clear new line. Restoration along canal bank. Completed: October-15 On time? Yes Initial Amount $ 78,870 Change Orders: $ 1,460) Aerobic Digester Nos. 1 through 4 Air Piping Replacement Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brent Weidenhamer Phone: 561-575-2005 Description: Underground demolition,remove and replace up to 24"carbon steel above grade air piping, new concrete&metal supports,ductile iron yard piping for wastewater systems,field welding for new piping, new yard piping tie-ins requiring plant shutdowns, modifications to existing blower building steel piping header. Completed: October-15 On time? Yes Initial Amount $598,989 Change Orders: $ 27,657 Water Treatment Plant No. 11 5 MG Ground Storage Tank Owner: Palm Beach County Engineer: Mathews Consulting Contact: Rene Mathews Phone: 561-655-6175 Description: Construction of new 5 MG potable water ground storage tank,ductile iron piping up to 24",new 480V electrical service,electric motor operated valves,instrumentation &controls,fencing,and modifications to existing 3 MG ground storage tank. Completed: December-15 On time? Yes Initial Amount $ 2,494,949 Change Orders: $ 8,113) Replacement of Surficial Aquifer Wells Nos. BR-24A, BR-26,and NPB-7 Owner: Seacoast Utility Authority Engineer: Holtz Consulting Engineers Contact: Brent Weidenhamer Phone: 561- 575-2005 Description: Construction of three new surficial production wells,24" PVC casing, 130-140'depth,well screen,with 40 HP submersible pumps,ductile iron raw water main&wellheads,concrete,instruments& programming, RTU&SCADA,control panels,new 480V electrical service,fencing. Completed: October-15 On time? Yes Initial Amount $ 949,949 Change Orders: $ 45,052) Water Treatment Plant Eastern Well Field Well Nos. 12-14 Owner: City of West Palm Beach Engineer: Mock Roos&Associates Contact: John Cairnes Phone: 561-683-3313;275 Description: Construction of three new surficial production wells, 24"steel casing,90-100'depth,with 25 HP submersible VFD driven pumps,ductile iron raw water main&wellheads,concrete,flowmeter,control panels&programming, RTU&SCADA, new 480V electrical service, irrigation, landscaping, road construction,fencing. Completed: October-15 On time? Yes Initial Amount $ 1,456,680 Change Orders: $ 57,982) South County Water Treatment Facility Storage Tank Interconnect Owner: Indian River County Engineer: MBV Engineering Contact: Ryan Huff Phone: (772)569-0035 Description: Furnish and install 212' LF of 12"ductile iron water main,24x12 tapping sleeve and valve,flanged piping,flowmeter,V-port ball valve,electric actuators,including all electrical power and control wiring and PLC programming. Completed: January-15 On time? Yes Initial Amount $142,765 Change Orders: $ 6,702) North WWTP Monitor Well Replacement Owner: Martin County Utilities Engineer: Holtz Consulting Engineers Contact: Curtis Robinson Phone: 561-575-2005 Description: Construction of a new 2,220'deep 4-1/2" FRP dual zone monitor well, permanent concrete pad, wellhead piping, instrumentation,purge piping and appurtenances,electrical and control conduit and wiring and appurtenances for sampling pumps. Completed: March-15 On time? Yes Initial Amount $ 949,494 Change Orders: $ 29,550) Potable Well 16 at 2nd Avenue North Owner: City of Lake Worth Engineer: Mock Roos Contact: John Leemon Phone: 561-683-3113 Description: Construction of new 250'surficial production well,steel&PVC casing,interval testing,screen, development,pump testing,disinfection. Relocation of 300'of 6" PVC force main,new 16" raw water main,new electrical service,concrete,asphalt,fencing,flanged DIP,submersible well pump&motor, control panel, l&C, MOT. Completed: January-15 On time? Yes Initial Amount $ 494,949 Change Orders: $ 22,651) ECRWRF Lower-Zone Monitor Well for Injection Well No. 2 Owner: City of West Palm Beach Engineer: Holtz Consulting Engineers Contact: Curtis Robinson Phone: 561-575-2005 Description: Construction of a new 2,290' deep 4-1/2" FRP single zone monitor well, permanent concrete pad, wellhead piping,instrumentation,purge piping and appurtenances,electrical and control conduit and wiring and appurtenances for sampling pump. Completed: January-15 On time? Yes Initial Amount $594,949 Change Orders: $ 18,598) FORM 6-TRENCH SAFETY ACT Bidder acknowledges that included in the various items of the bid and in the Total Bid Price are costs for complying with the Florida Trench Safety Act(90-96,Laws of Florida)effective October 1, 1990.The Bidder further identifies the cost to be summarized below: Trench Safety Units of Unit Unit Extended Cost Measure Measure Quantity) Cost Description)LF,SY) 1. Trench box LS 1 3,200 3,200 2. Sloping LF 1,300 10 13,000 3. 4. 5. TOTAL $ 16,200 Failure to complete the above may result in the Bid being declared non-responsive. Company: Florida Design Drilling Corporation Signature: 64-4,.... 747ealt-Date: 10/21/20 Construction Solicitation Doc rev 02-21-20 FORM 7-BID BOND KNOW ALL MEN BY THESE PRESENTS, that we Florida Design Drilling,Corporation herein after called the Principal) and Philadelphia Indemnity Insurance Company herein called the Surety), a corporation chartered and existing under the laws of the State of Pennsylvania with its principal offices in the city of_Bala Cynwyd, PA and authorized to do business in the State of Florida are held and firmly bound unto the Collier County Board of County Commissioners hereinafter called the Owner),in the full and just sum of Five Percent of Amount Bid dollars($ 5% good and lawful money of the United States of America,to be paid upon demand of the Owner,to which payment well and truly to be made,the Principal and the Surety bind themselves,their heirs,and executors,administrators,and assigns,jointly and severally and firmly by these presents. Whereas, the Principal is about to submit, or has submitted to the Owner, a Bid for furnishing all labor, materials, equipment and incidentals necessary to furnish, install,and fully complete the Work on the Project known as Bid No. 20-7808 New Tam iami Well 40, NOW, TI-IEREFORE, if the Owner shall accept the Bid of the PRINCIPAL and the PRINCIPAL shall enter into the required Agreement with the Owner and within ten days after the date of a written Notice of Award in accordance with the terms of such Bid,and give such bond or bonds in an amount of 100%the total Contract Amount as specified in the Bidding Documents or Contract Documents with good and sufficient surety for the faithful performance of the Agreement and for the prompt payment of labor,materials and supplies furnished in the prosecution thereof or, in the event of the failure of the PRINCIPAL to enter into such Agreement or to give such bond or bonds,and deliver to Owner the required certificates of insurance,if the PRINCIPAL shall pay to the OBLIGEE the fixed sum of VYve Percent otAmount Bianoted above as liquidated damages,and not as a penalty,as provided in the Bidding Documents,then this obligation shall be null and void,otherwise to remain in full force and effect. IN TESTIMONY Thereof, the Principal and Surety have caused these presents to be duly signed and sealed this 27th day of October 2020. Florida Design Drilling Corporation Principal BY e `', --, G).._.._ Seal) J • l C y 'JI+JtI vice. rat 1..s7'.. ilra>de lphia Ind pity Insurance Company Surety t.I/1/1/ 1 Seal) Brett Rosenhaus,Attorney-in-Fact&Florida Licensed Agent Countersigned N/A Appointed Producing Agent for Nielson, Rosenhaus&Associates PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19604-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Brett Rosenhaus,Richard Zimmerman and Dale Allison Belis of Nielson,Rosenhaus&Associates,its true and lawful Attcrney-in-fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory In the nett re thereof,Issued in the course of Its business and to bind the Company thereby,in an amount not to exceed$50,000, 000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 1411'of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company:(l)Appoint Attorney(s)in Fact and authorize the Attomey(s)in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and 2)to remove,at any time,any such Attorney-in-Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the sigratures of such officers and the seal of the Company may be affixed to any such Power cf Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding apon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 2711'DAY OF OCTOBER,2017. Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia indemnity Insurance Company On this 27°i day of October,2017,before me came the individual who executed the preceding instrument,tome personally known,and being by me duly sworn said thatheisthethereindescribedandauthorizedofficerofthePHILADELPHIAINDEMNITYINSURANCECOMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly taffffixe_ d.^_ NOUpp Notes L l l l f I''19///Wow knepp NoUryGWle Notary Public: 1 Leverrnmsponexp.S.pery.2211[om,nllYen Eapi M1 Sep1.7S.7071 residing at: Bala Cvnwyd.PA Notary Seal) My commission expires eptcmber 25,2021 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNffY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board ofDirectorsandthePowerofAttorneyissuedpursuanttheretoonthe27'6 day ofOctober,2017 arc true and correct and are still in full force and effect.I do further certifythatRobertD.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHiLADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 27th day of October 20 20 f.4.i 1927 Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY FORM 8-INSURANCE AND BONDING REQUIREMENTS The Vendor shall at its own expense, carry and maintain insurance coverage from responsible companies duly authorized to do business in the State of Florida as set forth in FORM 8 of this solicitation. The Vendor shall procure and maintain property insurance upon the entire project,if required,to the full insurable value of the scope of work. The County and the Vendor waive against each other and the County's separate Vendors, Contractors, Design Consultant,Subcontractors,agents and employees of each and all of them,all damages covered by property insurance provided herein,except such rights as they may have to the proceeds of such insurance. The Vendor and County shall, where appropriate,require similar waivers of subrogation from the County's separate Vendors, Design Consultants and Subcontractors and shall require each of them to include similar waivers in their contracts. Collier County shall be responsible for purchasing and maintaining its own liability insurance. Certificates issued as a result of the award of this solicitation must identify"For any and all work performed on behalf of Collier County",or,the specific solicitation number and title. The General Liability Policy provided by Vendor to meet the requirements of this solicitation shall name Collier County, Florida, as an additional insured as to the operations of Vendor under this solicitation and shall contain a severability of interests provisions. The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County,OR Collier County Government,OR Collier County.The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. The amounts and types of insurance coverage shall conform to the minimum requirements set forth in FORM 8 with the use of Insurance Services Office (ISO) forms and endorsements or their equivalents. If Vendor has any self- insured retentions or deductibles under any of the below listed minimum required coverage,Vendor must identify on the Certificate of Insurance the nature and amount of such self- insured retentions or deductibles and provide satisfactory evidence of financial responsibility for such obligations. All self-insured retentions or deductibles will be Vendor's sole responsibility. CoverageW shall be maintained without interruption from the date of commencement of the Work until the date of completion and acceptance of the scope of work by the County or as specified in this solicitation,whichever is longer. The Vendor and/or its insurance carrier shall provide thirty (30) days written notice to the County of policy cancellation or non-renewal on the part of the insurance carrier or the Vendor. The Vendor shall also notify the County,in a like manner,within twenty-four(24)hours after receipt,of any notices of expiration,cancellation,non- renewal or material change in coverage or limits received by Vendor from its insurer and nothing contained herein shall relieve Vendor of this requirement to provide notice. In the event of a reduction in the aggregate limit of any policy to be provided by Vendor hereunder,Vendor shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such policy. Should at any time the Vendor not maintain the insurance coverageW required herein,the County may terminate the Agreement or at its sole discretion shall be authorized to purchase such coverage,and charge the Vendor for such coverage(s)purchased. If Vendor fails to reimburse the County for such costs within thirty(30)days after demand, the County has the right to offset these costs from any amount due Vendor under this Agreement or any other agreement between the County and Vendor.The County shall be under no obligation to purchase such insurance,nor shall it be responsible for the coverage purchased or the insurance company or companies used. The decision of the County to purchase such insurance coverages shall in no way be construed to be a waiver of any of its rights under the Contract Documents. If the initial or any subsequently issued Certificate of Insurance expires prior to the completion of the scope of work, the Vendor shall furnish to the County renewal or replacement Certificate(s) of Insurance not later than ten (10) calendar days after the expiration date on the certificate. Failure of the Vendor to provide the County with such renewal certificate(s)shall be considered justification for the County to terminate any and all contracts. Collier County Florida Insurance and Bonding Requirements Insurance/Bond Type Required Limits 1. ® Worker's Compensation Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements Evidence of Workers'Compensation coverage or a Certificate of Exemption issued by the State of Florida is required.Entities that are formed as Sole Proprietorships shall not be required to prosprovide a proof of exemption.An application for exemption can be obtained online at https://apps.fldfs.com/bocexempt/ 2. ®Employer's Liability $_1,000,000_single limit per occurrence 3. / Commercial General Bodily Injury and Property Damage Liability(Occurrence Form)patterned after the $_1,000,000 single limit per occurrence, $2,000, 000 aggregate for Bodily current ISO form Injury Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the ContractorNendor shall defend,indemnify and hold harmless Collier County,its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys'fees and paralegals'fees,to the extent caused by the negligence, recklessness,or intentionally wrongful conduct of the Contractor/Vendor or anyone employed or utilized by the ContractorNendor in the performance of this Agreement. 5. ®Automobile Liability $_1,000,000 Each Occurrence; Bodily Injury & Property Damage. Owned/Non-owned/Hired;Automobile Included 6.Other insurance as Watercraft Per Occurrence noted: United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. Per Occurrence Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. Per Occurrence Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. Per Occurrence Pollution 1,000,000 Per Occurrence Professional Liability $Per claim&in the aggregate Project Professional Liability Per Occurrence Valuable Papers Insurance Per Occurrence Cyber Liability Per Occurrence Technology Errors&Omissions $ Per Occurrence 7. ®Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit,a cash bond posted with the County Clerk,or proposal bond in a sum equal to 5%of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 8. Performance and For projects in excess of $200, 000, bonds shall be submitted with the executed Payment Bonds contract by Proposers receiving award, and written for 100%of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as "A-" or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5%of the reported policy holders' surplus, all as reported in the most current Best Key Rating Guide,published by A.M.Best Company,Inc.of 75 Fulton Street,New York,New York 10038. 9. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Vendor shall provide County with certificates of insurance meeting the required insurance provisions. 10. ® Collier County must be named as"ADDITIONAL INSURED"on the Insurance Certificate for Commercial General Liability where required.This insurance shall be primary and non-contributory with respect to any other insurance maintained by,or available for the benefit of,the Additional Insured and the Vendor's policy shall be endorsed accordingly. 11. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County,OR Collier County Government,OR Collier County. The Certificates of Insurance must state the Contract Number,or Project Number,or specific Project description,or must read: For any and all work performed on behalf of Collier County. 12. ® On all certificates, the Certificate Holder must read: Collier County Board of Commissioners, 3295 Tamiami Trail East,Naples,FL 34112 13. ® Thirty(30) Days Cancellation Notice required. 14. Collier County shall procure and maintain Builders Risk Insurance on all construction projects where it is deemed necessary. Such coverage shall be endorsed to cover the interests of Collier County as well as the Contractor. Premiums shall be billed to the project and the Contractor shall not include Builders Risk premiums in its project proposal or project billings. All questions regarding Builder's Risk Insurance will be addressed by,the,Collier County Risk Management Division. 9/15/20-CC Vendor's Insurance Acceptance By submission of the bid Vendor accepts and understands the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. The insurance submitted must provide coverage for a minimum of six(6)months from the date of award. Collier County Administrative Services Department Frcn irement .,,,Ce:;i-,i;islr., FORM 9-CONFLICT OF INTEREST AFFIDAVIT The Vendor certifies that to the best of its knowledge and belief, the past and current work on any Collier County project affiliated with th-s solicitation does not pose an organizational conflict as described by one of the three categories below: Biased ground rules—The firm has not set the"ground rules"for affiliated past or current Collier County project identified above (e.g., writing a procurement's statement of work, specifications, or performing systems engineering and technical direction for the procurement)which appears to skew the competition in favor of my firm. impaired objectivity—The firm has not performed work on an affiliated past or current Collier County project identified above to evaluate proposals/past performance of itself or a competitor,which calls into question the contractor's ability to render impartial advice to the government. Unequal access to information —The firm has not had access to nonpublic information as part of its performance of a Collier County project identified above which may have provided the contractor (or an affiliate)with an unfair competitive advantage in current or future solicitations and contracts. In addition to this signed affidavit,the contractor i vendor must provide the following: I, All documents produced as a result of the work completed in the past or currently being worked on for the above- mentioned project;and, 2. Indicate if the information produced was obtained as a matter of public record(in the"sunshine")or through non- public(not in the"sunshine")conversation(s),meeting(s),document(s)and/or other means. Failure to disclose all material or having an organizational conflict in one or more of the three categories above be identified,may result in the disqualification for future solicitations affiliated with the above referenced project(s). By the signature below,the firm(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 project identified above has been fully disclosed and does not pose an organizational conflict. Florida Design Drilling Corporation Cot pally Name Signature Jeffrey Hoist,Senior Vice President Print Name and Title State of Florida County of Palm Beach The foregoing instrument was acknowledged before me by means of VI physical presence or 0 online notarization, this 2,j sr day of [ksost*-(month), 2-07-0 (year).by Jeffrey Hoist name of person acknowledging;. Signature of Notary blic-State of Florida) Print,Type,or Stamp Commissioned Name of Notary Public) rsonally Known)OR Produced Identification a oar PZ Jeanine M Alfieri Type of Identification Produced Commission#I-IH 38d72 w` i- Commission Expires 09-01.2024 F; Bonded Through-Cynanotary 4*FF o. Florida-Notary Public toter County Administrative Services Department Procurement Services DMeon FORM 10-VENDOR DECLARATION STATEMENT BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples,Florida 34112 Dear Commissioners: The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith,without collusion or fraud. The Vendor hereby declares the instructions,purchase order terms and conditions,requirements,and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees,if this solicitation submittal is accepted,to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all requirements to which the solicitation pertains. The Vendor states that the submitted is based upon the documents listed by the above referenced Solicitation. Further,the vendor agrees that if awarded a contract for these goods and/or services,the vendor will not be eligible to compete,submit a proposal,be awarded,or perform as a sub- vendor for any future associated with work that is a result of this awarded contract. IN WITNESS WHEREOF,WE have hereunto subscribed our names on this 21 day of October 2020 in the County of Palm Beach in the State of Florida Firm's Legal Florida Design Drilling Corporation Name: Address: 7733 Hooper Road City,State,Zip West Palm Beach, FL 33411 Code: Florida Certificate of Authority Document Number Federal Tax 20-2779560 Identification Number CCR#or CAGE Code Only if Grant Funded Telephone: 561-844-2966 Email: jeff@fldrilling.com Signature by: CI Typed and written) Title: Jeffrey Hoist, Senior Vice President Additional Contact Information Send payments to: Same required if different Company name used as payee from above) Contact name: Title: Address: City,State,ZIP Telephone: Email: Office servicing Collier Same County to place orders required if different from above) Contact name: Title: Address: City,State,ZIP Telephone: Email: Secondary Contact for Nicholas Martin this Solicitation: Email:nick@fldrilling.com Phone: 561-844-2966 Caber f: Mnty Administrative Sari cs Department 1-roct.irr%te nt ti:•,.,;11;i s.'?rl.h;1Y FORM I I-IMMICRATiON AFFIDAVIT CERTIFICATION This Affidavit is required and should be signed,notarized by an authorized principal of the firm and submitted with formal solicitation submittals. Further, Vendors are required to be enrolled in the E-Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Vendor's bid. Acceptable evidence consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company which will be produced at the time of the submission of the Vendor's hid or within five(5)day of the County's Notice of Recommend Award. FAILURE TO EXECUTE THIS AFFIDAVIT CERTIFICATION AND SUBMIT WITH VENDOR'S PROPOSAL/BID MAY DEEM THE VENDOR NON-RESPONSIVE. Collier County will not intentionally award County contracts to any Vendor who knowingly employs unauthorized alien workers,constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e)Section 274A(e)of the immigration and Nationality Act("INA"). Collier County may consider the employment by any Vendor of unauthorized aliens a violation of Section 274A (e) of the iNA. Such Violation by the recipient of the Employment Provisions contained in Section 274A(e)of the INA shall be grounds for unilateral termination of the contract by Collier County. Vendor attests that they are fully compliant with all applicable immigration laws(specifically to the 1986 Immigration Act and subsequent Amendment(s))and agrees to comply with the provisions of the Memorandum of Understanding with E-Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E-Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Vendor's bid. Florida Design Drilling Corporation Company Name 7icitrt Signature Jeffrey Hoist,Senior Vice President Print Name and Title State of Florida County of Palm Beach The foregoing instrument was acknowledged before me by means of® physical presence or 0 online notarization, this 21 Sr day of.cntitsEiz- (month), 20 ZO (year),by Jeffrey Hoist name of person acknowledging). Signature of Notary c-State of Florida) Print,Type,or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification Type of identification Produced o} µY PLd Jeanine M Alfieri o Commission#HI-I 38472 N „ < Commission Expires 09-01-2024 Bonded Through•Cynanotaryorf>oQ Florida-Notary Public Detail by Entity Name Page 1 of 3 org th,ydrn,yit Ste / C.Q1.)(Y:PCI`t• SamQh Records / 5eaf oh by Ertiliname/ Detail by Entity Name Florida Profit Corporation FLORIDA DESIGN DRILLING CORPORATION Filing Information Document Number P05000064488 FEI/EIN Number 20-2779560 Date Filed 04/29/2005 Effective Date 04/29/2005 State FL Status ACTIVE Principal Address 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Changed:02/18/2014 Mailing Address 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Changed:02/18/2014 Registered Agent Name&Address RINGDAHL, DANIEL C 7733 Hooper Road West Palm Beach, FL 33411 Name Changed:01/08/2010 Address Changed: 01/06/2017 Officer/Director Detail Name&Address Title CEO RINGDAHL,DANIEL Carl 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Title President http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 12/16/2020 Detail by Entity Name Page 2 of 3 RINGDAHL, NOAH Daniel 7733 HOOPER ROAD WEST PALM BEACH,FL 33411 Title Senior VP Hoist,Jeffrey Turner 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Title Senior Vice President Black, Michael David 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Title VP Balmer, Bruce Allan 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Title VP,Secretary Martin, Nicholas Keith 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Title Controller Williams, Paula V 7733 HOOPER ROAD WEST PALM BEACH, FL 33411 Annual Reports Report Year Filed Date 2019 02/13/2019 2019 02/28/2019 2020 01/15/2020 Document Images 01/15/2020--ANNUAL REPORT View image in PDF format 11/19,12019--AMENDED ANNUAL REPORT View image in PDF format 06/04/2019--AMENDED ANNUAL.REPORT View image in PDF format 04r)9/201;--AMENDED ANNUAL.REPORT View image in PDF format 04/08/2019--AMENDED ANNUAL REPORT View image in PDF format 02/28/2019--AMENDED ANNUAL REPORT View image in PDF format 02/13/2019--ANNUAL REPORT View image in PDF format 09/15/2018--AMENDED ANNUAL REPORT View image in PDF format 03/26/2018--AMENDED ANNUAL REPORT View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai I?inquirytype=Entit... 12/16/2020 Detail by Entity Name Page 3 of 3 01/12/2010--ANNUAL REPORT View image in PDF format 1 011 6/201 7 •-AMENDED ANNUAL REPORT View image in PDF format 10/13/2017--AMENDED ANNUAL REPORT View image in PDF format 01/06/2017--ANNUAL REPORT View image in PDF format 02/ 25/2016--ANNUAL REPORT View image in PDF format 07/20/2015--AMENDED ANNUAL.REPORT View image in PDF format 02/23/201 --ANNUAL RF..PORT View image in PDF format 16/2014--ANNUAL REPORT View image in PDF format 03/22/2013--ANNUAL REPORT View image in PDF format 01/03/2012--ANNUAL REPORT View image in PDF format 01/04/2011--ANNUAL REPORT View image in PDF format 01/08/2010--ANNUAL REPORT View image in PDF format 01/19/2009--ANNUAL.REPORT View image in PDF formal 01/13/2008--ANNUAL REPORT View image in PDF format 01108/2001--ANNUA4.REPORT View image in PDF format 01,1 0;2006..::::ANNUALREPQRT View image in PDF format 04129/2005—Domestic Profit View image in PDF format ce Department^f leate,C:v s:G:: http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai l?inquirytype=Entit... 12/16/2020 State of Florida Department of State I certify from the records of this office that FLORIDA DESIGN DRILLING CORPORATION is a corporation organized under the laws of the State of Florida, filed on April 29, 2005, effective April 29, 2005. The document number of this corporation is P05000064488. I further certify that said corporation has paid all fees due this office through December 31, 2016, that its most recent annual report/uniform business report was filed on February 25, 2016, and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty-fourth day of October, 2016 0*`C S eAke:r Secretary of State Tracking Number:CU5587902461 To authenticate this certificate,visit the following site,enter this number,and then follow the instructions displayed. https://services.sunbiz.org/Filings/CertificateOfStatus/CertificateAuthentication f Z 0 W^l v V , O w 0 in 0 W Q ce C! 0 w w m I0 I— H:,. L) H co m Z Z o 1 D i— Z Q O fN NIHWF- c ° coZwQr+ Cr N 5 i V) V) Q Z O p u V) Z I- 0 IJ. a M N M u T p W w D co I— _' c F V co ro u Oou v4 c c0JcnJUVo O Z - m ( Ce L7 c 4 J a ce LL, W Za = Q 2 E I LL 0 W O Q W 03 u 0 1 L.L 0 w m w o N w LL o Q c c o, W Q 0 a W Z M D o LE H V) I- Q # ° J 1'; Z Z v as Q U E b' ' Q Q S.. W — 2 w Cn w ' 0 C O Q U w N vHZzoI— Z I"' u v 0 F- U 1 t/? Q LC) w oc 9 Z O it J V CO ~ Ov ` 0 X > o V O wLi- p a O I J 0 C` = (75 LL H w Q w u. 0 W Z (3 u 0 w Cl. L V = E m N Q 0 a t 0 W i. 0 cc 0 1, 7 I 1 ril r O''Ir Y• E tr. g 1 E-Verily Company ID Number:11557 Client Company ID Number:1534825 THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR EMPLOYERS USING AN E-VERIFY EMPLOYER AGENT ARTICLE I PURPOSE AND AUTHORITY The parties to this agreement are the Department of Homeland Security (DHS), the Florida Design Drilling Corporation (Employer), and the E-Verify Employer Agent.The purpose of this agreement is to set forth terms and conditions which the Employer and the E-Verify Employer Agent will follow while participating in E-Verify. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of Form 1-9, Employment Eligibility Verification (Form 1-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the E-Verify Employer Agent, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. Section 1324a note).The Federal Acquisition Regulation (FAR) Subpart 22.18, "Employment Eligibility Verification" and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E- Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF THE EMPLOYER 1. The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: A. Notice of E-Verify Participation B. Notice of Right to Work 2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify.The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives' contact information changes. 3. The Employer shall become familiar with and comply with the most recent version of the E-Verify User Manual.The Employer will obtain the E-Verify User Manual from the E-Verify Employer Agent. 4. The Employer agrees to comply with current Form 1-9 procedures, with two exceptions: A. If an employee presents a "List B" identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8 C.F.R. 274a.2(b)(1)(B)) can be presented during the Form 1-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 1-888-464-4218. B. If an employee presents a DHS Form 1-551 (Permanent Resident Card), Form 1-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete I-Form 1-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee's Form 1-9.The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document(s) to complete the Form 1-9. 5. The Employer agrees to record the case verification number on the employee's Form 1-9 or to print the screen containing the case verification number and attach it to the employee's Form 1-9. Page 1 of 13 1 E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 E d, tllllli 2 Company ID Number:11557 Client Company ID Number:1534825 6. The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms 1-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination requirements of section 274E of the INA with respect to Form 1-9 procedures. A. The following modified requirements are the only exceptions to an Employer's obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 5 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. B. DHS reserves the right to conduct Form 1-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 7. The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form 1-9 was completed.The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form 1-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E- Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. 8. The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 9. The Employer must use E-Verify (through its E-Verify Employer Agent) for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 10. The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees.The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B below) to contact DHS with information necessary to resolve the challenge. 11. The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. Section 274a.1(I)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee's perceived employment eligibility status (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate Page 2 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 Ilii31,., st.,, Company ID Number:11557 Client Company ID Number:1534825 the employee's employment. Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464-4218 (customer service) or 1-888-897-7781 (worker hotline). 12. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices.The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound "foreign" or have received tentative nonconfirmations.The Employer further understands that any violation of the immigration-related unfair employment practices provisions in section 274B of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274E of the INA or Title VII may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800- 237-2515 (TDD). 13. The Employer agrees that it will use the information it receives from E-Verify (through its E-Verify Employer Agent) only to confirm the employment eligibility of employees as authorized by this MOU.The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 14. The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email a E-Verify@dhs.gov. Please use Privacy Incident- Password" in the subject line of your email when sending a breach report to E-Verify. 15. The Employer acknowledges that the information it receives through the E-Verify Employer Agent from SSA is governed by the Privacy Act (5 U.S.C. Section 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 16. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E- Verify (whether directly or through their E-Verify Employer Agent), which includes permitting DHS, SSA, their contractors and other agents, upon reasonable notice, to review Forms 1-9 and other employment records and to interview it and its employees regarding the Employer's use of E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 17. The Employer shall not make any false or unauthorized claims or references about its participation in E- Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 18. The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 19. The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer's services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 20. The Employer understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E- Verify according to this MOU. 21. The Employer agrees that it will notify its E-Verify Employer Agent immediately if it is awarded a federal contract with the FAR clause. Your E-Verify Employer Agent needs this information so that it can update your company's E-Verify profile within 30 days of the contract award date. B. RESPONSIBILITIES OF E-VERIFY EMPLOYER AGENT 1. The E-Verify Employer Agent agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the E-Verify Employer Agent representatives who will be accessing information under E-Verify and shall update them as needed to keep them current. 2. The E-Verify Employer Agent agrees to become familiar with and comply with the E-Verify User Manual and provide a copy of the most current version of the E-Verify User Manual to the Employer so that the Employer Page 3 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/ 01/13 E-Verily Ililll,. Company ID Number:11557 Client Company ID Number:1534825 can become familiar with and comply with E-Verify policy and procedures.The E-Verify Employer Agent agrees to obtain a revised E-Verify User Manual as it becomes available and to provide a copy of the revised version to the Employer no later than 30 days after the manual becomes available. 3. The E-Verify Employer Agent agrees that any person accessing E-Verify on its behalf is trained on the most recent E-Verify policy and procedures. 4. The E-Verify Employer Agent agrees that any E-Verify Employer Agent Representative who will perform employment verification cases will complete the E-Verify Tutorial before that individual initiates any cases. A. The E-Verify Employer Agent agrees that all E-Verify Employer Agent representatives will take the refresher tutorials initiated by the E-Verify program as a condition of continued use of E-Verify, including any tutorials for Federal contractors, if any of the Employers represented by the E-Verify Employer Agent is a Federal contractor. B. Failure to complete a refresher tutorial will prevent the E-Verify Employer Agent and Employer from continued use of E-Verify. 5. The E-Verify Employer Agent agrees to grant E-Verify access only to current employees who need E-Verify access.The E-Verify Employer Agent must promptly terminate an employee's E-Verify access if the employee is separated from the company or no longer needs access to E-Verify. 6. The E-Verify Employer Agent agrees to obtain the necessary equipment to use E-Verify as required by the E-Verify rules and regulations as modified from time to time. 7. The E-Verify Employer Agent agrees to, consistent with applicable laws, regulations, and policies, commit sufficient personnel and resources to meet the requirements of this MOU. 8. The E-Verify Employer Agent agrees to provide its clients with training on E-Verify processes, policies, and procedures. The E-Verify Employer Agent also agrees to provide its clients with ongoing E-Verify training as needed. E-Verify is not responsible for providing training to clients of E-Verify Employer Agents. 9. The E-Verify Employer Agent agrees to provide the Employer with the notices described in Article II.B.1 below. 10. The E-Verify Employer Agent agrees to create E-Verify cases for the Employer it represents in accordance with the E-Verify Manual, the E-Verify Web-Based Tutorial and all other published E-Verify rules and procedures. The E-Verify Employer Agent will create E-Verify cases using information provided by the Employer and will immediately communicate the response back to the Employer. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the E-Verify Employer Agent's attempting, in good faith, to make inquiries on behalf of the Employer during the period of unavailability 11. When the E-Verify Employer Agent receives notice from a client company that it has received a contract with the FAR clause, then the E-Verify Employer Agent must update the company's E-Verify profile within 30 days of the contract award date. 12. If data is transmitted between the E-Verify Employer Agent and its client, then the E-Verify Employer Agent agrees to protect personally identifiable information during transmission to and from the E-Verify Employer Agent. 13. The E-Verify Employer Agent agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E- Verify@dhs.gov. Please use "Privacy Incident- Password" in the subject line of your email when sending a breach report to E-Verify. 14. The E-Verify Employer Agent agrees to fully cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, including permitting DHS, SSA, their contractors and other agents, upon reasonable notice, to review Forms 1-9, employment records, and all records pertaining to the E-Verify Employer Agent's use of E-Verify, and to interview it and its employees regarding the use of E-Verify, and to respond in a timely and accurate manner to DHS requests for information relating to their participation in E- Verify. 15. The E-Verify Employer Agent shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media.The E-Verify Employer Agent shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify Employer Agent services and any claim to that effect is false. 16. The E-Verify Employer Agent shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the Page 4 of 13 i E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 E-Verify t 1 ,try = Company ID Number:11557 Client Company ID Number:1534825 prior written consent of DHS. 17. The E-Verify Employer Agent agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see ) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the E-Verify Employer Agent's services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 18. The E-Verify Employer Agent understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the E-Verify Employer Agent may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. C. RESPONSIBILITIES OF FEDERAL CONTRACTORS The E-Verify Employer Agent shall ensure that the E-Verify Employer Agent and the Employers represented by the E- Verify Employer Agent carry out the following responsibilities if the Employer is a Federal contractor or becomes a federal contractor. The E-Verify Employer Agent should instruct the client to keep the E-Verify Employer Agent informed about any changes or updates related to federal contracts. It is the E-Verify Employer Agent's responsibility to ensure that its clients are in compliance with all E-Verify policies and procedures. 1. If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22. 18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2. In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any "employee assigned to the contract" (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer may not reverify the employee through E-Verify. A. An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E- Verify.The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee's assignment to the contract, whichever date is later. B. Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. C. Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee's assignment to the contract, whichever date is later. D. Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. E. The Employer may use a previously completed Form 1-9 as the basis for creating anE-Verify case for an employee assigned to a contract as long as: i. That Form 1-9 is complete (including the SSN) and complies with Article II.A.6, Page 5 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 vre ill 11 Company ID Number:11557 Client Company ID Number:1534825 ii. The employee's work authorization has not expired, and iii. The Employer has reviewed the information reflected in the Form 1-9 either in person or in communications with the employee to ensure that the employee's Section 1, Form 1-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). F. The Employer shall complete a new Form 1-9 consistent with Article ll.A.6 or update the previous Form 1-9 to provide the necessary information if: i. The Employer cannot determine that Form 1-9 complies with Article II.A.6, ii. The employee's basis for work authorization as attested in Section 1 has expired or changed, or iii. The Form 1-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form 1-9 is otherwise valid and up-to-date and the form otherwise complies with Article II.C.5, but reflects documentation (such as a U.S. passport or Form 1-551) that expired after completing Form 1-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. G. The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer's compliance with Federal contracting requirements. D. RESPONSIBILITIES OF SSA 1. SSA agrees to allow DHS to compare data provided by the Employer (through the E-Verify Employer Agent) against SSA's database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA's database. 2. SSA agrees to safeguard the information the Employer provides (through the E-Verify Employer Agent) through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E- Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. Section 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). 3. SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the E-Verify Employer Agent. 4. SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final nonconfirmation to the E-Verify Employer Agent. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. E. RESPONSIBILITIES OF DHS 1. DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer through the E-Verify Employer Agent)to conduct, to the extent authorized by this MOU: A. Automated verification checks on alien employees by electronic means, and B. Photo verification checks (when available) on employees. 2. OHS agrees to assist the E-Verify Employer Agent with operational problems associated with its participation in E-Verify. DHS agrees to provide the E-Verify Employer Agent names, titles, addresses, and telephone numbers of OHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the E-Verify Employer Agent with access to E-Verify training materials as well as Page 6 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 e ni so 4„,..--, 100 , Company ID Number:11557 Client Company ID Number:1534825 an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4. DHS agrees to train E-Verify Employer Agents on all important changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require E-Verify Employer Agents to take mandatory refresher tutorials. 5. DHS agrees to provide to the Employer(through the E-Verify Employer Agent) a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer anti-discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice. 6. DHS agrees to issue each of the E-Verify Employer Agent's E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7. HS agrees to safeguard the information the Employer provides (through the E-Verify Employer Agent), and to limit access to such information to individuals responsible for the verification process,for evaluation of E- Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements. 8. DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9. DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations.This provides final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA,the Employer must print the notice as directed by E-Verify.The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify case.The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA.The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee's response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify.The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation.The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4. The Employer will instruct the employee to visit an SSA office within eight Federal Government work days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6. The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1. If the Employer receives a tentative nonconfirmation issued by DHS,the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify case.The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees.The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to Page 7 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent 1 Revision Date 06/01/13 t,, ,.., , E-Verily lllliif .. Company ID Number:11557 Client Company ID Number:1534825 contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee's response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5. If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee's Form 1-551, Form 1-766, U.S. Passport, or passport card to DHS for review by: A. Scanning and uploading the document, or B. Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7. The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee's documentation to DHS as described in the preceding paragraph.The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8. DHS will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer for verification services performed under this MOU.The Employer is responsible for providing equipment needed to make inquiries. To access E-Verify, an Employer will need a personal computer with Internet access. ARTICLE V MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. B. TERMINATION 1. The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. In addition, any Employer represented by the E-Verify Employer Agent may voluntarily terminate this MOU upon giving DHS 30 days' written notice. 2. Notwithstanding Article V, part A of this MOU, OHS may terminate this MOU, and thereby the Employer's participation in E-Verify, with or without notice at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or OHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E-Verify procedures and/or legal requirements.The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer's business. 3. An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its Page 8 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 0',4E-VerilyIll111 Company ID Number:11557 Client Company ID Number:1534825 participation in E-Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non- Federal contractor participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all newly hired employees. 4. The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E-Verify. 5. Upon termination of the relationship between an Employer and their E-Verify Employer Agent, E-Verify cannot provide the Employer with its records. The Employer agrees to seek its records from the E-Verify Employer Agent. ARTICLE VI PARTIES A. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the Employer, its agents, officers, or employees. C. The Employer may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D. Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. E. The Employer understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer, the E-Verify Employer Agent, and DHS respectively.The Employer understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G. The foregoing constitutes the full agreement on this subject between DHS, the Employer, and the E-Verify Employer Agent. Florida Design Drilling Corporation (Employer) hereby designates and appoints Loffer Shellie (E-Verify Employer Agent), including its officers and employees, as the E-Verify Employer Agent for the purpose of carrying out (Employer) responsibilities under the MOU between the Employer, the E-Verify Employer Agent, and OHS. Page 9 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 f E_v sof1 4,01„ IIIB?ib Company ID Number:11557 Client Company ID Number:1534825 If you have any questions, contact E-Verify at 1-888-464-4218. Approved by: Employer Florida Design Drilling Corporation Name (Please Type or Print) Title Jeanine Alfieri Signature Date Electronically Signed April 22, 2020 E-Verify Employer Agent HireRight, LLC. (v30) Name (Please Type or Print) Title Loffer Sheltie Signature Date Electronically Signed April 22, 2020 Department of Homeland Security-Verification Division Name Title USCIS Verification Division Signature Date Electronically Signed April 22, 2020 Page 10 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 Ever!!ly Company ID Number:11557 Client Company ID Number:1534825 Information Required for the E-Verify Program Information relating to your Company: Company Name Florida Design Drilling Corporation 7733 Hooper Road Company Facility Address West Palm Beach, FL 33411 7733 Hooper Road Company Alternate Address West Palm Beach, FL 33411 County or Parish Palm Beach Employer Identification Number 20-2779560 North American Industry Classification Heavy And Civil Engineering Construction (237)Systems Code Parent Company Number of Employees 20 to 99 Number of Sites Verified for 1 Page 11 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 E-Verily iPc Company ID Number:11557 Client Company ID Number:1534825 Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: Florida 1 Page 12 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 VE z,-,:. ,-,,,,,,,..,Olt*: Company ID Number:11557 Client Company ID Number:1534825 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name Jeanine Alfieri Phone Number 561) 762-1837 Fax Number Email Address hr@fldrilling.com Page 13 of 13 I E-Verify MOU for Employers Using an E-Verify Employer Agent I Revision Date 06/01/13 EXHIBIT A-3:CONTRACTOR'S KEY PERSONNEL ASSIGNED TO THE PROJECT Name Personnel Category Daniel Ringdahl Construction Superintendent Nicholas Martin Project Manager 10 Construction Services Agreement:Revised 092520(v7) WeNIELSON, ROSENHAUS&ASSOCIATES A NIELSON HOOVER GROUP COMPANY January 4, 2021 Li] U LIJ Florida Design Drilling CorporationcL Ll 7733 Hooper Road W o West Palm Beach, FL 33411 a W a RE: Collier County Board of County Commissioners, as Obligee2 Q New Tamiami Well 40, as Project H Bond No. PB12270900344 Ul 0 Dear Ladies and Gentlemen: N Please supply us with the following information for the above captioned final bond: D Executed Contract with Date: X U z QThis letter is also giving Florida Design Drilling Corporation, as Principal, and/or Collier County Board of f County Commissioners, as Obligee, the authority to complete these bonds by filling in the contract date, o bond execution date and Power of Attorney date. The contract date MAY BE THE SAME date as the CC 025 execution of the bond or PRIOR to the execution date of the bonds. W o We will forward this information onto your surety company upon our receipt. Please return as soon as z possible. 0 UiJ z Thank you for your cooperation. Lu u Sincerely, WL_LLW V W Brett Rosenhaus z Attorney-in-Fact_ O cLc- o U Z D HcC a 2 Ln 220 Congress Park Drive Suite 100 Delray Beach,FL 33445 Main:561.454.8210 Fax:561.455.4787 www.nielsonbonds.com PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Brett Rosenhaus,Richard Zimmerman and Dale Allison Belis of Nielson,Rosenhaus&Associates,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$50,000,000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14th of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company:(1)Appoint Attomey(s)in Fact and authorize the Attorney(s)in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and 2)to remove,at any time,any such Attorney-in-Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27'"DAY OF OCTOBER,2017. r a tE 927 i r Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27`"day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. COMMONWEALTH24OTOFPENN8YLVANUI rl NOTARIAL SEAL r`IMo1. .non Nnepp.Notary, ryC Notary Public: LawsrM,,i.oflE,MOMgomCountyMyCommittbnEmmetSept1.25.2021 MER.PEv5SHM10.06190CN1gn 05 MOT residing at: Bala Cynwyd,PA Notary Seal) My commission expires:September 25,2021 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 27'"day of October,2017 are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 4th day of January 20 21 . it : 1927 Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY FRONT PAGE OF PUBLIC PAYMENT BOND Florida Statute 255.05 BOND NO. PB12270900344 CONTRACTOR: Florida Design Drilling Corporation 7733 Hooper Road West Palm Beach, FL 33411 561-844-2966 SURETY:Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004-1403 610-617-7900 AGENT: Nielson, Rosenhaus & Associates, Inc. 220 Congress Park Drive, Suite 100 Delray Beach, FL 33445 561-454-8210 OBLIGEE: Collier County Board of County Commissioners 2885 Horseshoe Drive S Naples, FL 34104 239-252-5376 PROJECT: New Tamiami Well 40 ITB No.20-7808 LOCATION: Naples,Florida EXHIBIT B-1: PUBLIC PAYMENT BOND ITB#20-7808 Bond No. PB12270900344 Contract No. 20-7808 KNOW ALL MEN BY THESE PRESENTS: That Florida Design Drilling Corporation as Principal, and Philadelphia Indemnity Insurance Company as Surety, located at One Bala Plaza East, Suite 100, Bala Cynwyd, PA 19004-1403 Business Address) are held and firmly bound to Collier County Board of County Commissioners as Obligee in the sum of One Million One Hundred Thirty-Four Thousand &00/100 Dollars ($1,134,000.00 ) for the payment whereof we bind ourselves, our heirs, executors, personal representatives, successors and assigns,jointly and severally. rr WHEREAS, Principal has entered into a contract dated as of thep6,3 day of F-Qtku(w1& 20D\ , with Obligee for New Tamiami Well 40, ITB No. 20-7808 v in accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to herein 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 255.05(2). In no event will the Surety be liable in the aggregate to claimants for more than the penal sum of this Payment Bond, regardless of the number of suits that may be filed by claimants. IN WITNESS WHEREOF, the above parties have executed this instrument this 4th day of January 20 21 , the name of each party being affixed and these presents duly signed by its under-signed representative, pursuant to authority of its governing body. 11 Construction Services Agreement:Revised 092520(v7) Signed, sealed and delivered in the presence of: PRINCIPAL Florida Design Drilling Corporation BY: Witnesses as to Principal NAME: Je rey Hoist( PAs.il.A yJi S ITS: Senior Vice President STATE OF COUNTY OF I412-k- N The foregoing instrument was acknowledged before me by means of M physical presence or online notarization, this 5Tw day of JANuAra-,A 20 21 , by Jeffrey Hoist as Senior Vice President Of Florida Design Drilling Corporation a Florida corporation, on behalf of the corporation. He/she is personally known to me OR has produced as identification and did (did not) take an oath. My Commission Expires: Ign ture of Notary ic) 4IIIba ' ' Jeanine M Alfieri Commission#HH38472 NAME: 1E P NN 6 NA ACommissionExpires09-01-2024BondedThrough-Cynanotary oFfv°Florida-Notary Public Legibly Printed) AFFIX OFFICIAL SEAL) Notary Public, State of F r--o11-1 na Commission No.: µ1.4 42 412- ATTEST: SURETY: Philadelphia Indemnity Insurance Company Printed Name) One Bala Plaza East Suite 100 Bala Cynwyd, PA 19004-1403 Business Address N/A N/A Authorized Signature) N/A N/A Witnesses to Surety Printed Name) 12 Construction Services Agreement:Revised 092520(v7) rr'' OR VirkthyruRita Lazarides As Attorney in Fact Attach Power of Attorney) Brett Rosenhaus,Attorney-in-Fact Florida Licensed Agent Witnesses Stephanie Wall Printed Name) 220 Congress Park Drive Suite 100 Delray Beach, FL 33445 Business Address) 561-454-8210 Telephone Number) STATE OF Florida COUNTY OF Palm Beach The foregoing instrument was acknowledged before me by means of N physical presence or online notarization, this 4th day of January 20 21 , by Brett Rosenhaus as Attorney-in-Fact of Philadelphia Indemnity Insurance Company a Pennsylvania corporation, on behalf of the corporation, He/gt% is personally known to me OR has produced Personally Known as identification and did ( did not) take an oath. My Commission Expires: MARGARITA LAZARIDES Signaturef Notary Public NOTARY COMMISSION#GG119825 STATTEIOF EXPIRES July 01,2021 Name: Margarita Lazarides FLORIDA BONDED THROUGH Legibly Printed) RLI INSURANCE COMPANY AFFIX OFFICIAL SEAL) Notary Public, State of: Florida Commission No.: GG119825 13 Construction Services Agreement:Revised 092520(v7) EXHIBIT B-2: PUBLIC PERFORMANCE BOND ITB#20-7808 Bond No.PB12270900344 Contract No. 20-7808 KNOW ALL MEN BY THESE PRESENTS: That Florida Design Drilling Corporation as Principal, and Philadelphia Indemnity Insurance Company as Surety, located at One Bala Plaza East, Suite 100, Bala Cynwyd, PA 19004-1403 Business Address) are held and firmly bound to Collier County Board of County Commissioners as Obligee in the sum of One Million One Hundred Thirty-Four Thousand &00/100 Dollars 1,134,000.00 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 l, A day of rQ QCU.c 20 Q.i , with Obligee for New Tamiami Well 40, ITB-Pio. 20-7808 in accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to herein 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 Obligee any and all losses, damages, costs and attorneys'fees that Obligee sustains because of any default by Principal under the Contract, including, but not limited to, all delay damages, whether liquidated or actual, incurred by Obligee; 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, alterations or additions to the terms of the Contract or to work or to the specifications. 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 Obligee for more than the penal sum of is this Performance Bond regardless of the number of suits that may be filed by Obligee. IN WITNESS WHEREOF, the above parties have executed this instrument this 4th day of January 2021 , the name of each party being affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. 14 Construction Services Agreement:Revised 092520(v7) 5 Signed, sealed and delivered in the presence of: PRINCIPAL if — Florida Design Drilling Corporationationn 7)1Witnesses ti/ BY: f/7,16-as to PfIncipal P ok witt.--(AIL- ) NAME: Jeffrey Hoist ITS: Senior Vice President STATE OF FLA1 tom. COUNTY OF At±\t( The foregoing instrument was acknowledged before me by means of EA,physical presence or online notarization, this E day of .1A N ua ra-y 20 21 , by Jeffrey Hoist as Senior Vice President of Florida Design Drilling Corporation a Florida corporation, on behalf of the corporation. He/she is personally known to me OR has produced as identification and did (did not) take an oath. My Commission Expires: k3... VA 1_:! Siglhature of Nota' blic) o p Pia Jeanine M Alfieri Name: 1Fo N I N e M A I E Irz...i Commission M H 36472 e iii„ a, Commission Expires 09-01-2024 Bonded Through Cynanotary Legibly Printed)O-C))Florida-Notary Public AFFI C F I IA1 SEAL)Notary Public, State of: F L-o 4-4 oA Commission No.: *+ 38 L 7 2 15 Construction Services Agreement:Revised 092520(v7) ATTEST: SURETY: Philadelphia Indemnity Insurance Company Printed Name) One Bala Plaza East Suite 100 Bala Cynwyd, PA 19004-1403 Business Address) N/A N/A Authorized Signature) N/A N/A Witnesses as to Surety Printed Name) OR ita Lazarides As Attorney in Fact Attach Power of Attorney) Brett Rosenhaus, Attorney-in-Fact Florida Licensed Agent Witnesses Stephanie Wall Printed Name) 220 Congress Park Drive Suite 100 Delray Beach Business Address) 561-454-8210 Telephone Number) STATE OF Florida COUNTY OF Palm Beach The foregoing instrument was acknowledged before me by means of ® physical presence or online notarization, this 4th day of January 20 21 , by Brett Rosenhaus as Attorney-in-Fact of Philadelphia Indemnity Insurance Company , a Pennsylvania corporation, on behalf of the corporation. He/iiile is personally known to me OR has produced Personally Known as identification and dick (did not) take an oath. tM My Commission Expires: f 1 1 kW tatit 1Vi< t( fp Signature)of Notary Publicly MARGARITA LAZARIDES NOTARY COMMISSION#GG119825 Margarita Lazarides PUBLIC EXPIRES July 01,2021 STATE OF Legibly Printed) FLORIDA BONDED THROUGH RLI INSURANCE COMPANY AFFIX OFFICIAL SEAL) Notary Public, State of: Florida Commission No.: GG119825 16 Construction Services Agreement:Revised 092520(v7) PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Brett Rosenhaus,Richard Zimmerman and Dale Allison Bells of Nielson,Rosenhaus&Associates,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$50,000,000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14`"of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company:(1)Appoint Attomey(s)in Fact and authorize the Attorney(s)in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and 2)to remove,at any time,any such Attorney-in-Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27Th DAY OF OCTOBER,2017. E*gip •:Na y Sfi 927 Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27th day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. COMMONWE LTFINOTARIAL VENNBYLVANN i7' y'y Vn/i1p/}JNOTARIALSEAL I tMmpWglonKnappNotaryNotaryPublic: MyCovnlyCLoweMerlonMontgomery.2021MyERINVTLYAENYiSOTIONF2021MEWER.FE rrErtVANNM E0tN1gM 0/ residing at: Bala Cynwyd,PA Notary Seal) My commission expires:September 25,2021 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 27th day of October,2017 are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of 20 927 Edward Sayago,Corporate Secretary r;,;tFr• r PHILADELPHIA INDEMNITY INSURANCE COMPANY 11 Q EXHIBIT B-3: INSURANCE REQUIREMENTS The Contractor shall at its own expense, carry and maintain insurance coverage from responsible companies duly authorized to do business in the State of Florida as set forth in EXHIBIT B of this solicitation. The Contractor shall procure and maintain property insurance upon the entire project, if required, to the full insurable value of the scope of work. The County and the Contractor waive against each other and the County's separate Contractors, Design Consultant, Subcontractors, agents and employees of each and all of them, all damages covered by property insurance provided herein, except such rights as they may have to the proceeds of such insurance. The Contractor and County shall, where appropriate, require similar waivers of subrogation from the County's separate Contractors, Design Consultants and Subcontractors and shall require each of them to include similar waivers in their contracts. Collier County shall be responsible for purchasing and maintaining its own liability insurance. Certificates issued as a result of the award of this solicitation must identify "For any and all work performed on behalf of Collier County", or, the specific solicitation number/contract number and title. The General Liability Policy provided by Contractor to meet the requirements of this solicitation shall name Collier County, Florida, as an additional insured as to the operations of Contractor under this solicitation and shall contain a severability of interests provisions. The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. The amounts and types of insurance coverage shall conform to the minimum requirements set forth in EXHIBIT B with the use of Insurance Services Office (ISO) forms and endorsements or their equivalents. If Contractor has any self-insured retentions or deductibles under any of the below listed minimum required coverage, Contractor must identify on the Certificate of Insurance the nature and amount of such self- insured retentions or deductibles and provide satisfactory evidence of financial responsibility for such obligations. All self-insured retentions or deductibles will be Contractor's sole responsibility. Coverage(s) shall be maintained without interruption from the date of commencement of the Work until the date of completion and acceptance of the scope of work by the County or as specified in this solicitation, whichever is longer. The Contractor and/or its insurance carrier shall provide thirty (30) days written notice to the County of policy cancellation or non-renewal on the part of the insurance carrier or the Contractor. The Contractor shall also notify the County, in a like manner, within twenty-four (24) hours after receipt, of any notices of expiration, cancellation, non-renewal or material change in coverage or limits received by Contractor from its insurer and nothing contained herein shall relieve Contractor of this requirement to provide notice. In the event of a reduction in the aggregate limit of any policy to be provided by Contractor hereunder, Contractor shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such policy. 17 Construction Services Agreement:Revised 092520(v7) Should at any time the Contractor not maintain the insurance coverage(s) required herein, the County may terminate the Agreement or at its sole discretion shall be authorized to purchase such coverage(s) and charge the Contractor for such coverage(s) purchased. If Contractor fails to reimburse the County for such costs within thirty (30) days after demand, the County has the right to offset these costs from any amount due Contractor under this Agreement or any other agreement between the County and Contractor. The County shall be under no obligation to purchase such insurance, nor shall it be responsible for the coverage(s) purchased or the insurance company or companies used. The decision of the County to purchase such insurance coverage(s) shall in no way be construed to be a waiver of any of its rights under the Contract Documents. If the initial or any subsequently issued Certificate of Insurance expires prior to the completion of the scope of work, the Contractor shall furnish to the County renewal or replacement Certificate(s) of Insurance not later than ten (10) calendar days after the expiration date on the certificate. Failure of the Contractor to provide the County with such renewal certificate(s)shall be considered justification for the County to terminate any and all contracts. 18 Construction Services Agreement:Revised 092520(v7) Collier County Florida Insurance and Bonding Requirements Insurance/ Bond Type Required Limits 1. Worker's Compensation Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements Evidence of Workers' Compensation coverage or a Certificate of Exemption issued by the State of Florida is required. Entities that are formed as Sole Proprietorships shall not be required to provide a proof of exemption. An application for exemption can be obtained online at https://apps.fldfs.com/bocexempt/ 2. Employer's Liability single limit per occurrence 3. Commercial General Bodily Injury and Property Damage Liability (Occurrence Form) patterned after the current $ single limit per occurrence, $2,000,000 aggregate for Bodily Injury ISO form Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. Indemnification To the maximum extent permitted by Florida law, the ContractorNendor/Consultant shall defend, indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the ContractorNendor/Consultant or anyone employed or utilized by the ContractorNendor/Consultant in the performance of this Agreement. 5. Automobile Liability Each Occurrence; Bodily Injury& Property Damage, Owned/Non-owned/Hired; Automobile Included 6. Other insurance as Watercraft Per Occurrence noted: United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. Per Occurrence Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. Per Occurrence Aircraft Liability coverage shall be carried in limits of not less than$5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. Per Occurrence Pollution Per Occurrence Professional Liability Per claim &in the aggregate 1,000,000 per claim and in the aggregate 2,000,000 per claim and in the aggregate Project Professional Liability Per Occurrence Valuable Papers Insurance Per Occurrence 19 Construction Services Agreement:Revised 092520(v7) Cyber Liability Per Occurrence Technology Errors & Omissions Per Occurrence 7. Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 8. Performance and For projects in excess of $ 200,000, bonds shall be submitted with the executed Payment Bonds contract by Proposers receiving award, and written for 100% of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as"A-"or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders'surplus,all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 9. Consultant shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Consultant shall provide County with certificates of insurance meeting the required insurance provisions. 10. Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required.This insurance shall be primary and non-contributory with respect to any other insurance maintained by, or available for the benefit of,the Additional Insured and the Contractor's policy shall be endorsed accordingly. 11. The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 12. Thirty(30) Days Cancellation Notice required. Consultant's Insurance Statement We understand the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. Name of Firm Date Consultant Signature Print Name Insurance Agency Agent Name Telephone Number 20 Construction Services Agreement:Revised 092520(v7) EXHIBIT C: RELEASE AND AFFIDAVIT FORM COUNTY OF (COLLIER) STATE OF (FLORIDA) Before me, the undersigned authority, personally appeared who after being duly sworn, deposes and says: 1) In accordance with the Contract Documents and in consideration of $ to be received,Contractor") releases and waives for itself and it' s subcontractors, material-men, successors and assigns, all claims demands, damages, costs and expenses, whether in contract or in tort, against the Board of County Commissioners of Collier County, Florida, relating in any way to the performance of the Agreement between Contractor and Owner, dated 20 for the period from to This partial waiver and release is conditioned upon payment of the consideration described above. It is not effective until said payment is received in paid funds. 2) Contractor certifies for itself and its subcontractors, material-men, successors and assigns, that all charges for labor, materials, supplies, lands, licenses and other expenses for which Owner might be sued or for which a lien or a demand against any payment bond might be filed,shall be fully satisfied and paid upon Owner's payment to Contractor. 3) Contractor agrees to indemnify, defend and save harmless Owner from all demands or suits, actions, claims of liens or other charges filed or asserted against the Owner arising out of the performance by Contractor of the Work covered by this Release and Affidavit. 4) This Release and Affidavit is given in connection with Contractor's [monthly/final] Application for Payment No. CONTRACTOR BY: Witness ITS: President DATE: Witness Corporate Seal] STATE OF COUNTY OF The foregoing instrument was acknowledged before me by means of physical presence or online notarization,this day of 20 by as of a _corporation, on behalf of the corporation. He/she is personally known to me OR has produced as identification and did (did not)take an oath. My Commission Expires: Signature of Notary Public) NAME: Legibly Printed) Notary Public, State of AFFIX OFFICIAL SEAL) Commissioner No.: 21 Construction Services Agreement:Revised 092520(v7) EXHIBIT D FORM OF CONTRACT APPLICATION FOR PAYMENT Collier County Board of County Commissioners(the OWNER) or Collier County Water-Sewer Owner's Project Bid No. Manager's Name: Project No. County's Division Name Purchase Order No. Submitted by Contractor Application Date: Representative: Name Contractor's Name & Payment Application No. Address: Original Contract Time: Original Contract Price: Revised Contract Time: Total Change Orders to Date: Revised Contract Amount: Total Value of Work Completed & $ Stored to Date: Retainage @10% Retainage @ 10%through [Insert $ through [Insert Date] date] Retainage @ Less Retainage after[Insert date] Total Earned Less Retainage Less previous payment(s) Percent Work Completed AMOUNT DUE THIS to Date:APPLICATION: Percent Contract Time Completed to Date: Liquidated Damages to $ Remaining Contract Balance Be Accrued ATTACH SCHEDULE OF VALUES AND ACCOMPANYING DOCUMENTATION TO THIS APPLICATION CONTRACTOR'S CERTIFICATION: The undersigned CONTRACTOR certifies that: (1) all previous progress payments received from OWNER on account of Work done under the Contract referred to above have been applied to discharge in full all obligations of CONTRACTOR incurred in connection with Work covered by prior Applications for Payment numbered 1 through inclusive; (2) title to all materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at time of payment free and clear of all liens, claims, security interests and encumbrances(except such as covered by Bond acceptable to OWNER); (3)all amounts have been paid for work which previous payments were issued and received from the OWNER and that current payment is now due; and (4) CONTRACTOR has only included amounts in this Application for Payment properly due and owing and CONTRACTOR has not included within the above referenced amount any claims for unauthorized or changed Work that has not been properly approved by Owner in writing and in advance of such Work. Contractor's Name Contractor's Signature: Date: Type Title: Shall be signed by an authorized representative of the Contractor. Payment to the CONTRACTOR for the above AMOUNT DUE THIS APPLICATION is recommended by: Design Professional's Name: Signature: Date: Payment to the CONTRACTOR for the above AMOUNT DUE THIS APPLICATION is recommended by: Owner's Project Manager Name: Signature: Date: 22 Construction Services Agreement:Revised 092520(v7) EXHIBIT D(Continued) SCHEDULE OF VALUES Project Name: Project Number: Date: Period To: ITEM DESCRIPTION SCHEDULED WORK COMPLETED STORED TOTAL PERCENT BALANCE 10% _% TOTAL NUMBER VALUE MATERIALS COMPLETED COMPLETE TO FINISH RETAINAGE RETAINAGE RETAINAGE PRE1AOUS APPLICATIONS THIS STORED reduced rate) WTHHELD THRU DATE SINCE DATE PERIOD TO DATE TOTALS Explanation for the two columns under Previous Applications:The Thru Date is where you will place all information until the contract is complete unless a release or reduction of retainage issue col into play. If this happens,all information up to the date of the%change in retainage is placed in the Thru Date column.Information after that date is placed in the Since Date column.This states what has happened since the change in retainage. 23 Construction Services Agreement:Revised 092520(v7) Exhibit D Continued) Stored Materials Record Formula: A+ B-C - D = E A B C D E Invoice Previously Received Previously Installed Balance To Date Description Supplier Number Received This Period Installed This Period Install 24 Construction Services Agreement:Revised 092520(v7) EXHIBIT E: CHANGE ORDER An electronic data entry form may be found at: http://bccsp01/SiteDirectory/ASD/Purchasing/Formsl/Forms/Default.aspx Change Order Point Contract#: Changes: PurchaseCrder#: Projects: Contracts rlFi nn Name: Project Name: Project Manager Name Department: ctiginal Cortirac-LWark Order Amount Original BCC Approval Date;Agenda Item# Current BCC AcorovedAmount Last BCC Approval Date; Aoerria Item# Current Cont adNVark Order Amount SAP Contract Expiration Date(Master) DcIbr Amount of this Change IVO! Total Change fromCr ina1Amount Revised•CcntractW cr.:Or der Total 5 0,00 r lV.01 Change from Current BCC.Approved Amount Cumulative C ha nges S 0.00 CIV'0! Change from C Ler ern Amount Completion Date, Description of the Task(s)Change,and Rationale for the Change Notice to Proceei Original Last Approved Revised Date Date Completion Oat Date intoLYIK.t'nscnaige,'==, of Days Added Select Tasks 0 Add new task(s) Delete task(s) 0 Changetask(s) 0 Other,seerteraNi Provide a response to the fel lowing:t.)detai led and specific exp lanation!ratio nale of the requested changes)to the tasks)and I or the addition al clays added{if requested);2.)why th is change was not included in the origi nal contract;and,3.)describe the impact if this change is not processed. Attach actotit loral information from the Des;"Profess oral ardior Contractor if reeve;. Prepared by: Date: Project Manager Name and Department Acceptance of this Change Order snail consume a rnotrfication to contract s work order identified alcove and will be si,bjectto allure same terms and conditions as contained in the contract i work order indicated above,as fully as if the same were stated m this acceptance.The adtustmert.if any,to the Contract shall consti we a fu ll and final settlement of any and all dims of the Contactor t Vendor;Consottantt Design Professional arising on of or related to t he c han•ge set forth herein,including claims for im past and delay cost Accepted by: Date: Contractor:Vendor,'Consultant r Design F'rofessionalarad Name of Firm.if projectapplicabie) Approved by: Date: Des.gr Profess idnat and Name of Firm.if project applicable; Approved by: Date: Procurement Professional 25 Construction Services Agreement:Revised 092520(v7) EXHIBIT F: CERTIFICATE OF SUBSTANTIAL COMPLETION OWNER'S Project No. Design Professional's Project No. PROJECT: CONTRACTOR Contract For Contract Date This Certificate of Substantial Completion applies to all Work under the Contract Documents or to the following specified parts thereof: To OWNER And To Substantial Completion is the state in the progress of the Work when the Work (or designated portion) is sufficiently complete in accordance with the Contract Documents so that the Owner can occupy or utilize the Work for its intended use. The Work to which this Certificate applies has been inspected by authorized representatives of OWNER,CONTRACTOR AND DESIGN PROFESSIONAL,and that Work is hereby declared to be substantially complete in accordance with the requirements of the Contract Documents on: DATE OF SUBSTANTIAL COMPLETION A tentative list of items to be completed or corrected is attached hereto. This list may not be all-inclusive, and the failure to include an item in it does not alter the responsibility of CONTRACTOR to complete all the Work in accordance with the Contract Documents. The items in the tentative list shall be completed or corrected by CONTRACTOR within days of the above date of Substantial Completion. The responsibilities between OWNER and CONTRACTOR for security, operation, safety, maintenance, heat, utilities, insurance and warranties shall be as follows: 26 Construction Services Agreement:Revised 092520(v7) RESPONSIBILITIES: OWNER: CONTRACTOR The following documents are attached to and made a part of this Certificate: This certificate does not constitute an acceptance of Work not in accordance with the Contract Documents nor is it a release of CONTRACTOR'S obligation to complete the Work in accordance with the Contract Documents. Executed by Design Professional on 20 Design Professional By: Type Name and Title CONTRACTOR accepts this Certificate of Substantial Completion on 20 CONTRACTOR By: Type Name and Title OWNER accepts this Certificate of Substantial Completion on 20 OWNER By: Type Name and Title 27 Construction Services Agreement:Revised 092520(v7) EXHIBIT G: FINAL PAYMENT CHECKLIST Bid No.: Project No.:PO No.: Date: Contractor: The following items have been secured by the for the Project known as and have been reviewed and found to comply with the requirements of the Contract Documents. Original Contract Amount: Final Contract Amount: Commencement Date: Substantial Completion Time as set forth in the Agreement: Calendar Days. Actual Date of Substantial Completion: Final Completion Time as set forth in the Agreement: Calendar Days. Actual Final Completion Date: YES NO 1. All Punch List items completed on 2. Warranties and Guarantees assigned to Owner(attach to this form). 3. Effective date of General one year warranty from Contractor is: 4. 2 copies of Operation and Maintenance manuals for equipment and system submitted (list manuals in attachment to this form). 5. As-Built drawings obtained and dated: 6. Owner personnel trained on system and equipment operation. 7. Certificate of Occupancy No.: issued on attach to this form). 8. Certificate of Substantial Completion issued on 9. Final Payment Application and Affidavits received from Contractor on: 10. Consent of Surety received on 11. Operating Department personnel notified Project is in operating phase. 12. All Spare Parts or Special Tools provided to Owner: 13. Finished Floor Elevation Certificate provided to Owner: 14. Other: If any of the above is not applicable, indicate by N/A. If NO is checked for any of the above, attach explanation. Acknowledgments: By Contractor:Company Name) Signature) Typed Name &Title) By Design Professional: Firm Name) Signature) Typed Name&Title) By Owner: Department Name) Signature) Name&Title) 28 Construction Services Agreement:Revised 092520(v7) EXHIBIT H: GENERAL TERMS AND CONDITIONS 1. INTENT OF CONTRACT DOCUMENTS. 1. 1 It is the intent of the Contract Documents to describe a functionally complete Project (or portion thereof) to be constructed in accordance with the Contract Documents. Any work, materials or equipment that may reasonably be inferred from the Contract Documents as being required to produce the intended result shall be supplied whether or not specifically called for. When words which have a well-known technical or trade meaning are used to describe work, materials or equipment, such words shall be interpreted in accordance with that meaning. Reference to standard specifications, manuals or codes of any technical society, organization or association or to the laws or regulations of any governmental authority having jurisdiction over the Project, whether such reference be specific or by implication, shall mean the latest standard specification, manual, code, law or regulation in effect at the time the Work is performed, except as may be otherwise specifically stated herein. 1.2 If before or during the performance of the Work Contractor discovers a conflict, error or discrepancy in the Contract Documents, Contractor immediately shall report same to the Project Manager in writing and before proceeding with the Work affected thereby shall obtain a written interpretation or clarification from the Project Manager; said interpretation or clarification from the Project Manager may require Contractor to consult directly with Design Professional or some other third party, as directed by Project Manager. Contractor shall take field measurements and verify field conditions and shall carefully compare such field measurements and conditions and other information known to Contractor with the Contract Documents before commencing any portion of the Work. 1.3 Drawings are intended to show general arrangements, design and extent of Work and are not intended to serve as shop drawings. Specifications are separated into divisions for convenience of reference only and shall not be interpreted as establishing divisions for the Work, trades, subcontracts, or extent of any part of the Work. In the event of a discrepancy between or among the drawings, specifications or other Contract Document provisions, Contractor shall be required to comply with the provision which is the more restrictive or stringent requirement upon the Contractor, as determined by the Project Manager. Unless otherwise specifically mentioned, all anchors, bolts, screws, fittings, fillers, hardware, accessories, trim and other parts required in connection with any portion of the Work to make a complete, serviceable, finished and first quality installation shall be furnished and installed as part of the Work, whether or not called for by the Contract Documents. 2. INVESTIGATION AND UTILITIES. 2.1 Subject to Section 2. 3 below, Contractor shall have the sole responsibility of satisfying itself concerning the nature and location of the Work and the general and local conditions, and particularly, but without limitation, with respect to the following: those affecting transportation, access, disposal, handling and storage of materials; availability and quality of labor; water and electric power; availability and condition of roads; work area; living facilities; climatic conditions and seasons; physical conditions at the work-site and the project area as a whole; topography and ground surface conditions; nature and quantity of the surface materials to be encountered; subsurface conditions; equipment and facilities needed preliminary to and during performance of the Work; and all other costs associated with such performance. The failure of Contractor to acquaint itself with any applicable conditions shall not relieve Contractor from any of its responsibilities to perform under the Contract Documents, nor shall it be considered the basis for any claim for additional time or compensation. 29 Construction Services Agreement:Revised 092520(v7) 2.2 Contractor shall locate all existing roadways, railways, drainage facilities and utility services above, upon, or under the Project site, said roadways, railways, drainage facilities and utilities being referred to in this Sub-Section 2.2 as the"Utilities". Contractor shall contact the owners of all Utilities to determine the necessity for relocating or temporarily interrupting any Utilities during the construction of the Project. Contractor shall schedule and coordinate its Work around any such relocation or temporary service interruption. Contractor shall be responsible for properly shoring, supporting and protecting all Utilities at all times during the course of the Work. The Contractor is responsible for coordinating all other utility work so as to not interfere with the prosecution of the Work (except those utilities to be coordinated by the Owner as may be expressly described elsewhere in the Contract Documents). 2.3 Notwithstanding anything in the Contract Documents to the contrary, if conditions are encountered at the Project site which are (i) subsurface or otherwise concealed physical conditions which differ materially from those indicated in the Contract Documents or (ii) unknown physical conditions of an unusual nature, which differ materially from those ordinarily found to exist and generally recognized as inherent in construction activities of the character provided for in the Contract Documents, and which reasonably should not have been discovered by Contractor as part of its scope of site investigative services required pursuant to the terms of the Contract Documents, then Contractor shall provide Owner with prompt written notice thereof before conditions are disturbed and in no event later than three (3)calendar days after first observance of such conditions. Owner and Design Professional shall promptly investigate such conditions and, if they differ materially and cause an increase or decrease in Contractor's cost of, or time required for, performance of any part of the Work, Owner will acknowledge and agree to an equitable adjustment to Contractor's compensation or time for performance, or both, for such Work. If Owner determines that the conditions at the site are not materially different from those indicated in the Contract Documents or not of an unusual nature or should have been discovered by Contractor as part of its investigative services, and that no change in the terms of the Agreement is justified, Owner shall so notify Contractor in writing, stating its reasons. Claims by Contractor in opposition to such determination by Owner must be made within seven (7) calendar days after Contractor's receipt of Owner's written determination notice. If Owner and Contractor cannot agree on an adjustment to Contractor's cost or time of performance, the dispute resolution procedure set forth in the Contract Documents shall be complied with by the parties. 3. SCHEDULE. 3.1 The Contractor, within ten (10) calendar days after receipt of the Notice of Award, shall prepare and submit to Project Manager, for their review and approval, a progress schedule for the Project (herein "Progress Schedule"). The Progress Schedule shall relate to all Work required by the Contract Documents, and shall utilize the Critical Path method of scheduling and shall provide for expeditious and practicable execution of the Work within the Contract Time. The Progress Schedule shall indicate the dates for starting and completing the various stages of the Work. 3.2 The Progress Schedule shall be updated monthly by the Contractor. All monthly updates to the Progress Schedule shall be subject to the Project Manager's review and approval. Contractor shall submit the updates to the Progress Schedule with its monthly Applications for Payment noted below. The Project Manager's review and approval of the submitted Progress Schedule updates shall be a condition precedent to the Owner's obligation to pay Contractor. 3. 3 All work under this Agreement shall be performed in accordance with the requirements of all Collier County Noise Ordinances then in effect. Unless otherwise specified, work will generally be 30 Construction Services Agreement:Revised 092520(v7) limited to the hours of 7 a.m. to 7 p.m., Monday through Saturday. No work shall be performed outside the specified hours without the prior approval of the Project Manager. 4. PROGRESS PAYMENTS. 4.1 Prior to submitting its first monthly Application for Payment, Contractor shall submit to Project Manager, for their review and approval, a schedule of values based upon the Contract Price, listing the major elements of the Work and the dollar value for each element. After its approval by the Project Manager, this schedule of values shall be used as the basis for the Contractor's monthly Applications for Payment. This schedule shall be updated and submitted each month along with a completed copy of the Application for Payment form signed by the Contractor's authorized representative and attached to the Agreement as Exhibit D. 4.2 Prior to submitting its first monthly Application for Payment, Contractor shall provide to the Project Manager the list of its Subcontractors and materialmen submitted with its Bid showing the work and materials involved and the dollar amount of each subcontract and purchase order. Contractor acknowledges and agrees that any modifications to the list of Subcontractors submitted with Contractor's Bid and any subsequently identified Subcontractors are subject to Owner's prior written approval. The first Application for Payment shall be submitted no earlier than thirty (30)days after the Commencement Date. Notwithstanding anything herein to the contrary, if approved by Owner in its sole discretion, Contractor may submit its invoice for any required Payment and Performance Bonds prior to the first Application of Payment provided that Contractor has furnished Owner certified copies of the receipts evidencing the premium paid by Contractor for the bonds. 4.3 Unless expressly approved by Owner in advance and in writing, said approval at Owner's sole discretion, Owner is not required to make any payment for materials or equipment that have not been incorporated into the Project. If payment is requested on the basis of materials and equipment not incorporated into the Project, but delivered and suitably stored at the site or at another location, and such payment and storage have been agreed to by Owner in writing,the Application for Payment also shall be accompanied by a bill of sale, invoice or other documentation warranting that the Owner has received the materials and equipment free and clear of all liens, charges, security interests and encumbrances, together with evidence that the materials and equipment are covered by appropriate property insurance and other arrangements to protect Owner's interest therein, all of which shall be subject to the Owner's satisfaction. Thereafter, with each Application for Payment, Contractor also shall complete and submit to Owner as part of its Application for Payment, the Stored Materials Record attached hereto and made a part hereof as Exhibit D. 4. 4 Contractor shall submit its monthly Application for Payment to the Project Manager or his or her designee, as directed by Owner (which designee may include the Design Professional). After the date of each Application for Payment is stamped as received and within the timeframes set forth in Section 218.735 F.S., the Project Manager, or Design Professional, shall either: (1) Indicate its approval of the requested payment; (2) indicate its approval of only a portion of the requested payment, stating in writing its reasons therefore; or (3) return the Application for Payment to the Contractor indicating, in writing, the reason for refusing to approve payment. Payments of proper invoices in the amounts approved shall be processed and paid in accordance with Section 218.735, F.S. and the administrative procedures established by the County's Procurement Services Division and the Clerk of Court's Finance Department respectively. 4.5 In the event of a total denial by Owner and return of the Application for Payment by the Project Manager, the Contractor may make the necessary corrections and re-submit the Application for Payment. The Owner shall, within ten (10) business days after the Application for Payment is 31 Construction Services Agreement:Revised 092520(v7) stamped and received and after Project Manager approval of an Application for Payment, pay the Contractor the amounts so approved. 4.6 Owner shall retain ten percent (10%) of the gross amount of each monthly payment request or ten percent(10%) of the portion thereof approved by the Project Manager for payment, whichever is less. Such sum shall be accumulated and not released to Contractor until final payment is due unless otherwise agreed to by the Owner in accordance with Florida Statute 255.078. The Project Manager shall have the discretion to establish, in writing, a schedule to periodically reduce the percentage of cumulative retainage held throughout the course of the Project schedule. Owner shall reduce the amount of the retainage withheld on each payment request subsequent to fifty percent 50%) completion subject to the guidelines set forth in Florida Statute 255.078 and as set forth in the Owner's procurement ordinance and policies. 4.7 Monthly payments to Contractor shall in no way imply approval or acceptance of Contractor's Work. 4.8 Each Application for Payment, subsequent to the first pay application, shall be accompanied by a Release and Affidavit, in the form attached as Exhibit C, acknowledging Contractor's receipt of payment in full for all materials, labor, equipment and other bills that are then due and payable by Owner with respect to the current Application for Payment. Further, to the extent directed by Owner and in Owner's sole discretion, Contractor shall also submit a Release and Affidavit from each Subcontractor, sub-subcontractor, or supplier in the form attached as Exhibit C acknowledging that each Subcontractor, sub-subcontractor or supplier has been paid in full through the previous month's Application for Payment. The Owner shall not be required to make payment until and unless these affidavits are furnished by Contractor. 4.9 Contractor agrees and understands that funding limitations exist and that the expenditure of funds must be spread over the duration of the Project at regular intervals based on the Contract Amount and Progress Schedule. Accordingly, prior to submitting its first monthly Application for Payment, Contractor shall prepare and submit for Project Manager's review and approval, a detailed Project Funding Schedule, which shall be updated as necessary and approved by Owner to reflect approved adjustments to the Contract Amount and Contract Time. No voluntary acceleration or early completion of the Work shall modify the time of payments to Contractor as set forth in the approved Project Funding Schedule. 4.10 Notwithstanding anything in the Contract Documents to the contrary, Contractor acknowledges and agrees that in the event of a dispute concerning payments for Work performed under this Agreement, Contractor shall continue to perform the Work required of it under this Agreement pending resolution of the dispute provided that Owner continues to pay Contractor all amounts that Owner does not dispute are due and payable. 4.11 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. 4.12 The County may, at its discretion, use VISA/MASTER card credit network as a payment vehicle for goods and/or services purchased as a part of this contract. The County may not accept any additional surcharges (credit card transaction fees) as a result of using the County's credit card for transactions relating to this solicitation 32 Construction Services Agreement:Revised 092520(v7) 5. PAYMENTS WITHHELD. 5.1 The Project Manager may decline to approve any Application for Payment, or portions thereof, because of subsequently discovered evidence or subsequent inspections that reveal non- compliance with the Contract Documents. The Project Manager may nullify the whole or any part of any approval for payment previously issued and Owner may withhold any payments otherwise due Contractor under this Agreement or any other agreement between Owner and Contractor, to such extent as may be necessary in the Owner's opinion to protect it from loss because of: a) Defective Work not remedied; (b) third party claims filed or reasonable evidence indicating probable filing of such claims; (c) failure of Contractor to make payment properly to subcontractors or for labor, materials or equipment; (d) reasonable doubt that the Work can be completed for the unpaid balance of the Contract Amount; (e) reasonable indication that the Work will not be completed within the Contract Time; (f) unsatisfactory prosecution of the Work by the Contractor; or (g) any other material breach of the Contract Documents by Contractor. 5.2 If any conditions described in 5.1. are not remedied or removed, Owner may, after three (3) days written notice, rectify the same at Contractor's expense. Provided however, in the event of an emergency, Owner shall not be required to provide Contractor any written notice prior to rectifying the situation at Contractor's expense. Owner also may offset against any sums due Contractor the amount of any liquidated or non-liquidated obligations of Contractor to Owner, whether relating to or arising out of this Agreement or any other agreement between Contractor and Owner. 5.3 In instances where the successful contractor may owe debts (including, but not limited to taxes or other fees) to Collier County and the contractor has not satisfied nor made arrangement to satisfy these debts, the County reserves the right to off-set the amount owed to the County by applying the amount owed to the vendor or contractor for services performed of for materials delivered in association with a contract. 6. FINAL PAYMENT. 6.1 Owner shall make final payment to Contractor in accordance with Section 218.735, F.S. and the administrative procedures established by the County's Procurement Services Division and the Clerk of Court's Finance Department after the Work is finally inspected and accepted by Project Manager as set forth with Section 20.1 herein, provided that Contractor first, and as an explicit condition precedent to the accrual of Contractor's right to final payment, shall have furnished Owner with a properly executed and notarized copy of the Release and Affidavit attached as Exhibit C, as well as, a duly executed copy of the Surety's consent to final payment and such other documentation that may be required by the Contract Documents and the Owner. Prior to release of final payment and final retainage, the Contractor's Representative and the Project Manager shall jointly complete the Final Payment Checklist, a representative copy of which is attached to this Agreement as Exhibit G. 6.2 Contractor's acceptance of final payment shall constitute a full waiver of any and all claims by Contractor against Owner arising out of this Agreement or otherwise relating to the Project, except those previously made in writing in accordance with the requirements of the Contract Documents and identified by Contractor as unsettled in its final Application for Payment. Neither the acceptance of the Work nor payment by Owner shall be deemed to be a waiver of Owner's right to enforce any obligations of Contractor hereunder or to the recovery of damages for defective Work not discovered by the Design Professional or Project Manager at the time of final inspection. 33 Construction Services Agreement:Revised 092520(v7) 7. SUBMITTALS AND SUBSTITUTIONS. 7.1 Contractor shall carefully examine the Contract Documents for all requirements for approval of materials to be submitted such as shop drawings, data, test results, schedules and samples. Contractor shall submit all such materials at its own expense and in such form as required by the Contract Documents in sufficient time to prevent any delay in the delivery of such materials and the installation thereof. 7.2 Whenever materials or equipment are specified or described in the Contract Documents by using the name of a proprietary item or the name of a particular supplier, the naming of the item is intended to establish the type, function and quality required. Unless the name is followed by words indicating that no substitution is permitted, materials or equipment of other suppliers may be accepted by Owner if sufficient information is submitted by Contractor to allow the Owner to determine that the material or equipment proposed is equivalent or equal to that named. Requests for review of substitute items of material and equipment will not be accepted by Owner from anyone other than Contractor and all such requests must be submitted by Contractor to Project Manager within thirty (30) calendar days after Notice of Award is received by Contractor, unless otherwise mutually agreed in writing by Owner and Contractor. 7.3 If Contractor wishes to furnish or use a substitute item of material or equipment, Contractor shall make application to the Project Manager for acceptance thereof, certifying that the proposed substitute shall adequately perform the functions and achieve the results called for by the general design, be similar and of equal substance to that specified and be suited to the same use as that specified. The application shall state that the evaluation and acceptance of the proposed substitute will not prejudice Contractor's achievement of substantial completion on time, whether or not acceptance of the substitute for use in the Work will require a change in any of the Contract Documents (or in the provisions of any other direct contract with Owner for the Project) to adapt the design to the proposed substitute and whether or not incorporation or use by the substitute in connection with the Work is subject to payment of any license fee or royalty. All variations of the proposed substitute from that specified will be identified in the application and available maintenance, repair and replacement service shall be indicated. The application also shall contain an itemized estimate of all costs that will result directly or indirectly from acceptance of such substitute, including costs for redesign and claims of other contractors affected by the resulting change, all of which shall be considered by the Project Manager in evaluating the proposed substitute. The Project Manager may require Contractor to furnish at Contractor's expense additional data about the proposed substitute. 7.4 If a specific means, method, technique, sequence or procedure of construction is indicated in or required by the Contract Documents, Contractor may furnish or utilize a substitute means, method, sequence, technique or procedure of construction acceptable to the Project Manager, if Contractor submits sufficient information to allow the Project Manager to determine that the substitute proposed is equivalent to that indicated or required by the Contract Documents. The procedures for submission to and review by the Project Manager shall be the same as those provided herein for substitute materials and equipment. 7.5 The Project Manager shall be allowed a reasonable time within which to evaluate each proposed substitute and, if need be, to consult with the Design Professional. No substitute will be ordered, installed or utilized without the Project Manager's prior written acceptance which shall be evidenced by a Change Order, a Work Directive Change, a Field Order or an approved Shop Drawing. The Owner may require Contractor to furnish at Contractor's expense a special performance guarantee or other surety with respect to any substitute. The Project Manager will 34 Construction Services Agreement:Revised 092520(v7) record time required by the Project Manager and the Project Manager's consultants in evaluating substitutions proposed by Contractor and making changes in the Contract Documents occasioned thereby. Whether or not the Owner accepts a proposed substitute, Contractor shall reimburse Owner for the charges of the Design Professional and the Design Professional's consultants for evaluating each proposed substitute. 8. DAILY REPORTS, SIGNED AND SEALED AS-BUILTS AND MEETINGS. 8.1 Unless waived in writing by Owner, Contractor shall complete and submit to Project Manager on a weekly basis a daily log of the Contractor's work for the preceding week in a format approved by the Project Manager. The daily log shall document all activities of Contractor at the Project site including, but not limited to, the following: 8.1.1 Weather conditions showing the high and low temperatures during work hours, the amount of precipitation received on the Project site, and any other weather conditions which adversely affect the Work; 8.1.2 Soil conditions which adversely affect the Work; 8.1.3 The hours of operation by Contractor's and Sub-Contractor's personnel; 8.1.4 The number of Contractor's and Sub-Contractor's personnel present and working at the Project site, by subcontract and trade; 8.1.5 All equipment present at the Project site, description of equipment use and designation of time equipment was used (specifically indicating any down time); 8.1.6 Description of Work being performed at the Project site; 8.1.7 Any unusual or special occurrences at the Project site; 8.1.8 Materials received at the Project site; 8.1.9 A list of all visitors to the Project 8.1.10 Any problems that might impact either the cost or quality of the Work or the time of performance. The daily log shall not constitute nor take the place of any notice required to be given by Contractor to Owner pursuant to the Contract Documents. 8.2 Contractor shall maintain in a safe place at the Project site one record copy of the Contract Documents, including, but not limited to, all drawings, specifications, addenda, amendments, Change Orders, Work Directive Changes and Field Orders, as well as all written interpretations and clarifications issued by the Design Professional, in good order and annotated to show all changes made during construction. The annotated drawings shall be continuously updated by the Contractor throughout the prosecution of the Work to accurately reflect all field changes that are made to adapt the Work to field conditions, changes resulting from Change Orders, Work Directive Changes and Field Orders, and all concealed and buried installations of piping, conduit and utility services. All buried and concealed items, both inside and outside the Project site, shall be accurately located on the annotated drawings as to depth and in relationship to not less than two (2) permanent features 35 Construction Services Agreement: Revised 092520(v7) e.g. interior or exterior wall faces). The annotated drawings shall be clean and all changes, corrections and dimensions shall be given in a neat and legible manner in a contrasting color. The As-Built" record documents, together with all approved samples and a counterpart of all approved shop drawings shall be available to the Project Manager or Design Professional for reference. Upon completion of the Work and as a condition precedent to Contractor's entitlement to final payment, these "As-Built" record documents, samples and shop drawings shall be delivered to Project Manager by Contractor for Owner. 8.3 Contractor shall keep all records and supporting documentation, which concern or relate to the Work hereunder for a minimum of five (5) years from the date of termination of this Agreement or the date the Project is completed or such longer period as may be required by law, whichever is later, pursuant to Florida Public Records Law Chapter 119 and comply with specifically those contractual requirements in 119.0701(2)(a)-(b) as follows: IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: Communication and Customer Relations Division 3299 Tamiami Trail East, Suite 102 Naples, FL 34112-5746 Telephone: (239) 252-8999 Email: PublicRecordRequest(a_colliercountyfl.gov The Contractor must specifically comply with the Florida Public Records Law to: 1. Keep and maintain public records required by the public agency to perform the service. 2. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 3. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the Contractor does not transfer the records to the public agency. 4. Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the Contractor or keep and maintain public records required by the public agency to perform the service. If the Contractor transfers all public records to the public agency upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the public agency, upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. 9. CONTRACT TIME AND TIME EXTENSIONS. 36 Construction Services Agreement:Revised 092520(v7) 9.1 Contractor shall diligently pursue the completion of the Work and coordinate the Work being done on the Project by its subcontractors and material-men, as well as coordinating its Work with all work of others at the Project Site, so that its Work or the work of others shall not be delayed or impaired by any act or omission by Contractor. Contractor shall be solely responsible for all construction means, methods, techniques, sequences, and procedures, as well as coordination of all portions of the Work under the Contract Documents, and the coordination of Owner's suppliers and contractors as set forth in Paragraph 12.2. herein. 9. 2 Should Contractor be obstructed or delayed in the prosecution of or completion of the Work as a result of unforeseeable causes beyond the control of Contractor, and not due to its fault or neglect, including but not restricted to acts of Nature or of the public enemy, acts of government, fires, floods, epidemics, quarantine regulation, strikes or lockouts, Contractor shall notify the Owner in writing within forty-eight (48) hours after the commencement of such delay, stating the cause or causes thereof, or be deemed to have waived any right which Contractor may have had to request a time extension. 9.3 No interruption, interference, inefficiency, suspension or delay in the commencement or progress of the Work from any cause whatever, including those for which Owner may be responsible, in whole or in part, shall relieve Contractor of its duty to perform or give rise to any right to damages or additional compensation from Owner. Contractor expressly acknowledges and agrees that it shall receive no damages for delay. Contractor's sole remedy, if any, against Owner will be the right to seek an extension to the Contract Time; provided, however, the granting of any such time extension shall not be a condition precedent to the aforementioned "No Damage For Delay" provision. This paragraph shall expressly apply to claims for early completion, as well as to claims based on late completion. 9.4 In no event shall any approval by Owner authorizing Contractor to continue performing Work under this Agreement or any payment issued by Owner to Contractor be deemed a waiver of any right or claim Owner may have against Contractor for delay damages hereunder. 10. CHANGES IN THE WORK. 10.1 Owner shall have the right at any time during the progress of the Work to increase or decrease the Work. Promptly after being notified of a change, Contractor shall submit an itemized estimate of any cost or time increases or savings it foresees as a result of the change. Except in an emergency endangering life or property, or as expressly set forth herein, no addition or changes to the Work shall be made except upon written order of Owner, and Owner shall not be liable to the Contractor for any increased compensation without such written order. No officer, employee or agent of Owner is authorized to direct any extra or changed work orally. Any alleged changes must be approved by Owner in writing prior to starting such items. Owner will not be responsible for the costs of any changes commenced without Owner's express prior written approval. Failure to obtain such prior written approval for any changes will be deemed: (i) a waiver of any claim by Contractor for such items and (ii) an admission by Contractor that such items are in fact not a change but rather are part of the Work required of Contractor hereunder. 10.2 A Change Order, in the form attached as Exhibit E to this Agreement, shall be issued and executed promptly after an agreement is reached between Contractor and Owner concerning the requested changes. Contractor shall promptly perform changes authorized by duly executed Change Orders. The Contract Amount and Contract Time shall be adjusted in the Change Order in the manner as Owner and Contractor shall mutually agree. 37 Construction Services Agreement:Revised 092520(v7) 10.3 If Owner and Contractor are unable to agree on a Change Order for the requested change, Contractor shall, nevertheless, promptly perform the change as directed by Owner in a written Work Directive. In that event, the Contract Amount and Contract Time shall be adjusted as directed by Owner. If Contractor disagrees with the Owner's adjustment determination, Contractor must make a claim pursuant to Section 11 of these General Conditions or else be deemed to have waived any claim on this matter it might otherwise have had. 10.4 In the event a requested change results in an increase to the Contract Amount, the amount of the increase shall be limited to the Contractor's reasonable direct labor and material costs and reasonable actual equipment costs as a result of the change (including allowance for labor burden costs) plus a maximum ten percent (10%) markup for all overhead and profit. In the event such change Work is performed by a Subcontractor, a maximum ten percent (10%) markup for all overhead and profit for all Subcontractors' and sub-subcontractors' direct labor and material costs and actual equipment costs shall be permitted, with a maximum five percent (5%) markup thereon by the Contractor for all of its overhead and profit, for a total maximum markup of fifteen percent 15%). All compensation due Contractor and any Subcontractor or sub-subcontractor for field and home office overhead is included in the markups noted above. No markup shall be placed on sales tax, shipping or subcontractor markup. 10.5 Owner shall have the right to conduct an audit of Contractor's books and records to verify the accuracy of the Contractor's claim with respect to Contractor's costs associated with any Change Order or Work Directive Change. 10.6 The Project Manager shall have authority to order minor changes in the Work not involving an adjustment to the Contract Amount or an extension to the Contract Time and not inconsistent with the intent of the Contract Documents. Such changes may be effected by Field Order or by other written order. Such changes shall be binding on the Contractor. 10.7 Any modifications to this Contract shall be in compliance with the County procurement ordinance and policies and Administrative Procedures in effect at the time such modifications are authorized. 11. CLAIMS AND DISPUTES. 11.1 Claim is a demand or assertion by one of the parties seeking an adjustment or interpretation of the terms of the Contract Documents, payment of money, extension of time or other relief with respect to the terms of the Contract Documents. The term "Claim" also includes other disputes and matters in question between Owner and Contractor arising out of or relating to the Contract Documents. The responsibility to substantiate a Claim shall rest with the party making the Claim. 11.2 Claims by the Contractor shall be made in writing to the Project Manager within forty-eight 48) hours from when the Contractor knew or should have known of the event giving rise to such Claim or else the Contractor shall be deemed to have waived the Claim. Written supporting data shall be submitted to the Project Manager within fifteen (15) calendar days after the occurrence of the event, unless the Owner grants additional time in writing, or else the Contractor shall be deemed to have waived the Claim. All Claims shall be priced in accordance with the provisions of Subsection 10.4. 11.3 The Contractor shall proceed diligently with its performance as directed by the Owner, regardless of any pending Claim, action, suit or administrative proceeding, unless otherwise agreed 38 Construction Services Agreement:Revised 092520(v7) to by the Owner in writing. Owner shall continue to make payments in accordance with the Contract Documents during the pendency of any Claim. 12. OTHER WORK. 12.1 Owner may perform other work related to the Project at the site by Owner's own forces, have other work performed by utility owners or let other direct contracts. If the fact that such other work is to be performed is not noted in the Contract Documents, written notice thereof will be given to Contractor prior to starting any such other work. If Contractor believes that such performance will involve additional expense to Contractor or require additional time, Contractor shall send written notice of that fact to Owner and Design Professional within forty-eight (48) hours of being notified of the other work. If the Contractor fails to send the above required forty-eight (48) hour notice, the Contractor will be deemed to have waived any rights it otherwise may have had to seek an extension to the Contract Time or adjustment to the Contract Amount. 12.2 Contractor shall afford each utility owner and other contractor who is a party to such a direct contract (or Owner, if Owner is performing the additional work with Owner's employees) proper and safe access to the site and a reasonable opportunity for the introduction and storage of materials and equipment and the execution of such work and shall properly connect and coordinate its Work with theirs. Contractor shall do all cutting, fitting and patching of the Work that may be required to make its several parts come together properly and integrate with such other work. Contractor shall not endanger any work of others by cutting, excavating or otherwise altering their work and will only cut or alter their work with the written consent of the Project Manager and the others whose work will be affected. The duties and responsibilities of Contractor under this paragraph are for the benefit of such utility owners and other Contractors to the extent that there are comparable provisions for the benefit of Contractor in said direct contracts between Owner and such utility owners and other contractors. 12.3 If any part of Contractor's Work depends for proper execution or results upon the work of any other contractor or utility owner (or Owner), Contractor shall inspect and promptly report to Project Manager in writing any delays, defects or deficiencies in such work that render it unavailable or unsuitable for such proper execution and results. Contractor's failure to report will constitute an acceptance of the other work as fit and proper for integration with Contractor's Work. 13. INDEMNIFICATION AND INSURANCE. 13.1 To the maximum extent permitted by Florida law, the Contractor shall defend, indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals'fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor or anyone employed or utilized by the Contractor in the performance of this Agreement. 13.2 The duty to defend under this Article 13 is independent and separate from the duty to indemnify, and the duty to defend exists regardless of any ultimate liability of the Contractor, Owner and any indemnified party. The duty to defend arises immediately upon presentation of a claim by any party and written notice of such claim being provided to Contractor. Contractor's obligation to indemnify and defend under this Article 13 will survive the expiration or earlier termination of this Agreement until it is determined by final judgment that an action against the Owner or an indemnified party for the matter indemnified hereunder is fully and finally barred by the applicable statute of limitations. 39 Construction Services Agreement:Revised 092520(v7) 13.3 Contractor shall obtain and carry, at all times during its performance under the Contract Documents, insurance of the types and in the amounts set forth in Exhibit B-3 to the Agreement. Further, the Contractor shall at all times comply with all of the terms, conditions, requirements and obligations set forth under Exhibit B-3. 14. COMPLIANCE WITH LAWS. 14.1 Contractor agrees to comply, at its own expense,with all federal, state and local laws, codes, statutes, ordinances, rules, regulations and requirements applicable to the Project, including but not limited to those dealing with taxation, worker's compensation, equal employment and safety including, but not limited to, the Trench Safety Act, Chapter 553, Florida Statutes). If Contractor observes that the Contract Documents are at variance therewith, it shall promptly notify Project Manager in writing. To the extent any law, rule, regulation, code, statute, or ordinance requires the inclusion of certain terms in this Agreement in order for this Agreement to be enforceable, such terms shall be deemed included in this Agreement. Notwithstanding anything in the Contract Documents to the contrary, it is understood and agreed that in the event of a change in any applicable laws, ordinances, rules or regulations subsequent to the date this Agreement was executed that increases the Contractor's time or cost of performance of the Work, Contractor is entitled to a Change Order for such increases, except to the extent Contractor knew or should have known of such changes prior to the date of this Agreement. 14.2 By executing and entering into this agreement, the Contractor is formally acknowledging without exception or stipulation that it is fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended. Failure by the Contractor to comply with the laws referenced herein shall constitute a breach of this agreement and the County shall have the discretion to unilaterally terminate this agreement immediately. 14.3 Statutes and executive orders require employers to abide by the immigration laws of the United States and to employ only individuals who are eligible to work in the United States. The Employment Eligibility Verification System (E-Verify) operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA), provides an Internet- based means of verifying employment eligibility of workers in the United States; it is not a substitute for any other employment eligibility verification requirements. The program will be used for Collier County formal Invitations to Bid (ITB) and Request for Proposals (RFP) including professional services and construction services. Exceptions to the program: Commodity based procurement where no services are provided. Where the requirement for the affidavit is waived by the Board of County Commissioners Contractors/Bidders are required to enroll in the E-Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Contractor's/bidder's proposal. Acceptable evidence consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company. Contractors are also required to provide the Collier County Procurement Services Division an executed affidavit certifying they shall comply with the E-Verify Program. The affidavit is attached to the solicitation documents. If the Bidder/Contractor does not comply with providing both the acceptable E-Verify evidence and the executed affidavit the bidder's/Contractor's proposal may be deemed non- responsive. 40 Construction Services Agreement:Revised 092520(v7) Additionally, Contractors shall require all subcontracted Contractors to use the E-Verify system for all purchases not covered under the "Exceptions to the program" clause above. For additional information regarding the Employment Eligibility Verification System (E-Verify) program visit the following website: http://www.dhs.gov/E-Verify. It shall be the Contractor's responsibility to familiarize themselves with all rules and regulations governing this program. Contractor acknowledges, and without exception or stipulation, any firm(s) receiving an award shall be fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended and with the provisions contained within this affidavit. Failure by the awarded firm(s) to comply with the laws referenced herein or the provisions of this affidavit shall constitute a breach of the award agreement and the County shall have the discretion to unilaterally terminate said agreement immediately. 15. CLEANUP AND PROTECTIONS. 15.1 Contractor agrees to keep the Project site clean at all times of debris, rubbish and waste materials arising out of the Work. At the completion of the Work, Contractor shall remove all debris, rubbish and waste materials from and about the Project site, as well as all tools, appliances, construction equipment and machinery and surplus materials, and shall leave the Project site clean and ready for occupancy by Owner. 15.2 Any existing surface or subsurface improvements, including, but not limited to, pavements, curbs, sidewalks, pipes, utilities, footings, structures, trees and shrubbery, not indicated in the Contract Documents to be removed or altered, shall be protected by Contractor from damage during the prosecution of the Work. Subject to the Section 2.3 above, any such improvements so damaged shall be restored by Contractor to the condition equal to that existing at the time of Contractor's commencement of the Work. 16. ASSIGNMENT. 16.1 Contractor shall not assign this Agreement or any part thereof, without the prior consent in writing of Owner. Any attempt to assign or otherwise transfer this Agreement, or any part herein, without the Owner's consent, shall be void. If Contractor does, with approval, assign this Agreement or any part thereof, it shall require that its assignee be bound to it and to assume toward Contractor all of the obligations and responsibilities that Contractor has assumed toward Owner. 17. PERMITS, LICENSES AND TAXES. 17.1 Pursuant to Section 218.80, F.S., Owner will pay for all Collier County permits and fees, including license fees, permit fees, impact fees or inspection fees applicable to the Work through an internal budget transfer(s). Contractor is not responsible for paying for permits issued by Collier County, but Contractor is responsible for acquiring all permits. Owner may require the Contractor to deliver internal budget transfer documents to applicable Collier County agencies when the Contractor is acquiring permits. Owner will not be obligated to pay for any permits obtained by Subcontractors. 17.2 All permits, fees and licenses necessary for the prosecution of the Work which are not issued by Collier County shall be acquired and paid for by the Contractor. 41 Construction Services Agreement:Revised 092520(v7) 17.3 Contractor shall pay all sales, consumer, use and other similar taxes associated with the Work or portions thereof, which are applicable during the performance of the Work. 18. TERMINATION FOR DEFAULT. 18.1 Contractor shall be considered in material default of the Agreement and such default shall be considered cause for Owner to terminate the Agreement, in whole or in part, as further set forth in this Section, if Contractor: (1) fails to begin the Work under the Contract Documents within the time specified herein; or (2) fails to properly and timely perform the Work as directed by the Project Manager or as provided for in the approved Progress Schedule; or(3) performs the Work unsuitably or neglects or refuses to remove materials or to correct or replace such Work as may be rejected as unacceptable or unsuitable; or (4) discontinues the prosecution of the Work; or (5) fails to resume Work which has been suspended within a reasonable time after being notified to do so; or (6) becomes insolvent or is declared bankrupt, or commits any act of bankruptcy; or(7) allows any final judgment to stand against it unsatisfied for more than ten (10) days; or(8) makes an assignment for the benefit of creditors; or (9) fails to obey any applicable codes, laws, ordinances, rules or regulations with respect to the Work; or (10) materially breaches any other provision of the Contract Documents. 18.2 Owner shall notify Contractor in writing of Contractor's default(s). If Owner determines that Contractor has not remedied and cured the default(s)within seven (7)calendar days following receipt by Contractor of said written notice or such longer period of time as may be consented to by Owner in writing and in its sole discretion, then Owner, at its option, without releasing or waiving its rights and remedies against the Contractor's sureties and without prejudice to any other right or remedy it may be entitled to hereunder or by law, may terminate Contractor's right to proceed under the Agreement, in whole or in part, and take possession of all or any portion of the Work and any materials, tools, equipment, and appliances of Contractor, take assignments of any of Contractor's subcontracts and purchase orders, and complete all or any portion of Contractor's Work by whatever means, method or agency which Owner, in its sole discretion, may choose. 18.3 If Owner deems any of the foregoing remedies necessary, Contractor agrees that it shall not be entitled to receive any further payments hereunder until after the Project is completed. All moneys expended and all of the costs, losses, damages and extra expenses, including all management, administrative and other overhead and other direct and indirect expenses (including Design Professional and attorneys' fees) or damages incurred by Owner incident to such completion, shall be deducted from the Contract Amount, and if such expenditures exceed the unpaid balance of the Contract Amount, Contractor agrees to pay promptly to Owner on demand the full amount of such excess, including costs of collection, attorneys' fees (including appeals) and interest thereon at the maximum legal rate of interest until paid. If the unpaid balance of the Contract Amount exceeds all such costs, expenditures and damages incurred by the Owner to complete the Work, such excess shall be paid to the Contractor. The amount to be paid to the Contractor or Owner, as the case may be, shall be approved by the Project Manager, upon application, and this obligation for payment shall survive termination of the Agreement. 18.4 The liability of Contractor hereunder shall extend to and include the full amount of any and all sums paid, expenses and losses incurred, damages sustained, and obligations assumed by Owner in good faith under the belief that such payments or assumptions were necessary or required, in completing the Work and providing labor, materials, equipment, supplies, and other items therefore or re-letting the Work, and in settlement, discharge or compromise of any claims, demands, suits, and judgments pertaining to or arising out of the Work hereunder. 42 Construction Services Agreement:Revised 092520(v7) 18.5 If, after notice of termination of Contractor's right to proceed pursuant to this Section, it is determined for any reason that Contractor was not in default, or that its default was excusable, or that Owner is not entitled to the remedies against Contractor provided herein, then the termination will be deemed a termination for convenience and Contractor's remedies against Owner shall be the same as and limited to those afforded Contractor under Section 19 below. 18.6 In the event (i) Owner fails to make any undisputed payment to Contractor within thirty (30) days after such payment is due or Owner otherwise persistently fails to fulfill some material obligation owed by Owner to Contractor under this Agreement, and (ii) Owner has failed to cure such default within fourteen (14) days of receiving written notice of same from Contractor, then Contractor may stop its performance under this Agreement until such default is cured, after giving Owner a second fourteen (14) days written notice of Contractor's intention to stop performance under the Agreement. If the Work is so stopped for a period of one hundred and twenty (120) consecutive days through no act or fault of the Contractor or its Subcontractors or their agents or employees or any other persons performing portions of the Work under contract with the Contractor or any Subcontractor, the Contractor may terminate this Agreement by giving written notice to Owner of Contractor's intent to terminate this Agreement. If Owner does not cure its default within fourteen (14) days after receipt of Contractor's written notice, Contractor may, upon fourteen (14) additional days' written notice to the Owner, terminate the Agreement and recover from the Owner payment for Work performed through the termination date, but in no event shall Contractor be entitled to payment for Work not performed or any other damages from Owner. 19. TERMINATION FOR CONVENIENCE AND RIGHT OF SUSPENSION. 19.1 Owner shall have the right to terminate this Agreement without cause upon seven (7) calendar days written notice to Contractor. In the event of such termination for convenience, Contractor's recovery against Owner shall be limited to that portion of the Contract Amount earned through the date of termination, together with any retainage withheld and reasonable termination expenses incurred, but Contractor shall not be entitled to any other or further recovery against Owner, including, but not limited to, damages or any anticipated profit on portions of the Work not performed. 19.2 Owner shall have the right to suspend all or any portions of the Work upon giving Contractor not less than two (2) calendar days' prior written notice of such suspension. If all or any portion of the Work is so suspended, Contractor's sole and exclusive remedy shall be to seek an extension of time to its schedule in accordance with the procedures set forth in the Contract Documents. In no event shall the Contractor be entitled to any additional compensation or damages. Provided, however, if the ordered suspension exceeds six (6) months, the Contractor shall have the right to terminate the Agreement with respect to that portion of the Work which is subject to the ordered suspension. 20. COMPLETION. 20.1 When the entire Work (or any portion thereof designated in writing by Owner) is ready for its intended use, Contractor shall notify Project Manager in writing that the entire Work (or such designated portion) is substantially complete.Within a reasonable time thereafter, Owner, Contractor and Design Professional shall make an inspection of the Work (or designated portion thereof) to determine the status of completion. If Owner, after conferring with the Design Professional, does not consider the Work (or designated portion) substantially complete, Project Manager shall notify Contractor in writing giving the reasons therefore. If Owner, after conferring with the Design Professional, considers the Work (or designated portion) substantially complete, Project Manager 43 Construction Services Agreement:Revised 092520(v7) shall prepare and deliver to Contractor a Certificate of Substantial Completion which shall fix the date of Substantial Completion for the entire Work (or designated portion thereof) and include a tentative punch-list of items to be completed or corrected by Contractor before final payment. Owner shall have the right to exclude Contractor from the Work and Project site (or designated portion thereof) after the date of Substantial Completion, but Owner shall allow Contractor reasonable access to complete or correct items on the tentative punch-list. The Project Manager, shall coordinate with the Contractor the return of any surplus assets, including materials, supplies, and equipment. 20.2 Upon receipt of written certification by Contractor that the Work is completed in accordance with the Contract Documents and is ready for final inspection and acceptance, Project Manager and Design Professional will make such inspection and, if they find the Work acceptable and fully performed under the Contract Documents shall promptly approve payment, recommending that, on the basis of their observations and inspections, and the Contractor's certification that the Work has been completed in accordance with the terms and conditions of the Contract Documents, that the entire balance found to be due Contractor is due and payable. Neither the final payment nor the retainage shall become due and payable until Contractor submits: 1) Receipt of Contractor's Final Application for Payment. 2) The Release and Affidavit in the form attached as Exhibit C. 3) Consent of surety to final payment. 4) Receipt of the final payment check list. 5) If required by Owner, other data establishing payment or satisfaction of all obligations, such as receipts, releases and waivers of liens, arising out of the Contract Documents, to the extent and in such form as may be designated by Owner. Owner reserves the right to inspect the Work and make an independent determination as to the Work's acceptability, even though the Design Professional may have issued its recommendations. Unless and until the Owner is completely satisfied, neither the final payment nor the retainage shall become due and payable. 21. WARRANTY. 21.1 Contractor shall obtain and assign to Owner all express warranties given to Contractor or any subcontractors by any subcontractor or material men supplying materials, equipment or fixtures to be incorporated into the Project. Contractor warrants to Owner that any materials and equipment furnished under the Contract Documents shall be new unless otherwise specified, and that all Work shall be of good quality, free from all defects and in conformance with the Contract Documents. Contractor further warrants to Owner that all materials and equipment furnished under the Contract Documents shall be applied, installed, connected, erected, used, cleaned and conditioned in accordance with the instructions of the applicable manufacturers, fabricators, suppliers or processors except as otherwise provided for in the Contract Documents. If, within one (1)year after Substantial Completion, any Work is found to be defective or not in conformance with the Contract Documents, Contractor shall correct it promptly after receipt of written notice from Owner. Contractor shall also be responsible for and pay for replacement or repair of adjacent materials or Work which may be damaged as a result of such replacement or repair. Further, in the event of an emergency, Owner may commence to correct any defective Work, without prior notice to Contractor, at Contractor's expense. These warranties are in addition to those implied warranties to which Owner is entitled as a matter of law. 44 Construction Services Agreement:Revised 092520(v7) 21.2 No later than 30 days prior to expiration of the warranty, the Project Manager, or another representative of the Owner, shall conduct an inspection of the warranted work to verify compliance with the requirements of the Agreement. The Contractor's Representative shall be present at the time of inspection and shall take remedial actions to correct any deficiencies noted in the inspection. Failure of the Contractor to correct the cited deficiencies shall be grounds for the Owner to disqualify the Contractor from future bid opportunities with the Owner, in addition to any other rights and remedies available to Owner. 22. TESTS AND INSPECTIONS. 22.1 Owner, Design Professional, their respective representatives, agents and employees, and governmental agencies with jurisdiction over the Project shall have access at all times to the Work, whether the Work is being performed on or off of the Project site, for their observation, inspection and testing. Contractor shall provide proper, safe conditions for such access. Contractor shall provide Project Manager with timely notice of readiness of the Work for all required inspections,tests or approvals. 22.2 If the Contract Documents or any codes, laws, ordinances, rules or regulations of any public authority having jurisdiction over the Project requires any portion of the Work to be specifically inspected, tested or approved, Contractor shall assume full responsibility therefore, pay all costs in connection therewith and furnish Project Manager the required certificates of inspection, testing or approval. All inspections, tests or approvals shall be performed in a manner and by organizations acceptable to the Project Manager. 22.3 Contractor is responsible, without reimbursement from Owner, for re-inspection fees and costs; to the extent such re-inspections are due to the fault or neglect of Contractor. 22.4 If any Work that is to be inspected, tested or approved is covered without written concurrence from the Project Manager, such work must, if requested by Project Manager, be uncovered for observation. Such uncovering shall be at Contractor's expense unless Contractor has given Project Manager timely notice of Contractor's intention to cover the same and Project Manager has not acted with reasonable promptness to respond to such notice. If any Work is covered contrary to written directions from Project Manager, such Work must, if requested by Project Manager, be uncovered for Project Manager's observation and be replaced at Contractor's sole expense. 22.5 The Owner shall charge to Contractor and may deduct from any payments due Contractor all engineering and inspection expenses incurred by Owner in connection with any overtime work. Such overtime work consisting of any work during the construction period beyond the regular eight(8) hour day and for any work performed on Saturday, Sunday or holidays. 22.6 Neither observations nor other actions by the Project Manager or Design Professional nor inspections, tests or approvals by others shall relieve Contractor from Contractor's obligations to perform the Work in accordance with the Contract Documents. 23. DEFECTIVE WORK. 23.1 Work not conforming to the requirements of the Contract Documents or any warranties made or assigned by Contractor to Owner shall be deemed defective Work. If required by Project Manager, Contractor shall as directed, either correct all defective Work, whether or not fabricated, installed or completed, or if the defective Work has been rejected by Project Manager, remove it from the site and replace it with non-defective Work. Contractor shall bear all direct, indirect and consequential 45 Construction Services Agreement:Revised 092520(v7) costs of such correction or removal (including, but not limited to fees and charges of engineers, architects, attorneys and other professionals) made necessary thereby, and shall hold Owner harmless for same. 23.2 If the Project Manager considers it necessary or advisable that covered Work be observed by Design Professional or inspected or tested by others and such Work is not otherwise required to be inspected or tested, Contractor, at Project Manager's request, shall uncover, expose or otherwise make available for observation, inspection or tests as Project Manager may require, that portion of the Work in question, furnishing all necessary labor, material and equipment. If it is found that such Work is defective, Contractor shall bear all direct, indirect and consequential costs of such uncovering, exposure, observation, inspection and testing and of satisfactory reconstruction including, but not limited to, fees and charges of engineers, architects, attorneys and other professionals), and Owner shall be entitled to an appropriate decrease in the Contract Amount. If, however, such Work is not found to be defective, Contractor shall be allowed an increase in the Contract Amount and/or an extension to the Contract Time, directly attributable to such uncovering, exposure, observation, inspection, testing and reconstruction. 23.3 If any portion of the Work is defective, or if Contractor fails to supply sufficient skilled workers, suitable materials or equipment or fails to finish or perform the Work in such a way that the completed Work will conform to the Contract Documents, Project Manager may order Contractor to stop the Work, or any portion thereof, until the cause for such order has been eliminated. The right of Project Manager to stop the Work shall be exercised, if at all, solely for Owner's benefit and nothing herein shall be construed as obligating the Project Manager to exercise this right for the benefit of Design Engineer, Contractor, or any other person. 23.4 Should the Owner determine, at its sole opinion, it is in the Owner's best interest to accept defective Work, the Owner may do so. Contractor shall bear all direct, indirect and consequential costs attributable to the Owner's evaluation of and determination to accept defective Work. If such determination is rendered prior to final payment, a Change Order shall be executed evidencing such acceptance of such defective Work, incorporating the necessary revisions in the Contract Documents and reflecting an appropriate decrease in the Contract Amount. If the Owner accepts such defective Work after final payment, Contractor shall promptly pay Owner an appropriate amount to adequately compensate Owner for its acceptance of the defective Work. 23.5 If Contractor fails, within a reasonable time after the written notice from Project Manager, to correct defective Work or to remove and replace rejected defective Work as required by Project Manager or Owner, or if Contractor fails to perform the Work in accordance with the Contract Documents, or if Contractor fails to comply with any of the provisions of the Contract Documents, Owner may, after seven (7) days written notice to Contractor, correct and remedy any such deficiency. Provided, however, Owner shall not be required to give notice to Contractor in the event of an emergency. To the extent necessary to complete corrective and remedial action, Owner may exclude Contractor from any or all of the Project site, take possession of all or any part of the Work, and suspend Contractor's services related thereto,take possession of Contractor's tools, appliances, construction equipment and machinery at the Project site and incorporate in the Work all materials and equipment stored at the Project site or for which Owner has paid Contractor but which are stored elsewhere. Contractor shall allow Owner, Design Professional and their respective representatives, agents, and employees such access to the Project site as may be necessary to enable Owner to exercise the rights and remedies under this paragraph. All direct, indirect and consequential costs of Owner in exercising such rights and remedies shall be charged against Contractor, and a Change Order shall be issued, incorporating the necessary revisions to the Contract Documents, including an appropriate decrease to the Contract Amount. Such direct, indirect and consequential costs shall 46 Construction Services Agreement:Revised 092520(v7) include, but not be limited to, fees and charges of engineers, architects, attorneys and other professionals, all court costs and all costs of repair and replacement of work of others destroyed or damaged by correction, removal or replacement of Contractor's defective Work. Contractor shall not be allowed an extension of the Contract Time because of any delay in performance of the Work attributable to the exercise by Owner of Owner's rights and remedies hereunder. 24. SUPERVISION AND SUPERINTENDENTS. 24.1 Contractor shall plan, organize, supervise, schedule, monitor, direct and control the Work competently and efficiently, devoting such attention thereto and applying such skills and expertise as may be necessary to perform the Work in accordance with the Contract Documents. Contractor shall be responsible to see that the finished Work complies accurately with the Contract Documents. Contractor shall keep on the Work at all times during its progress a competent resident superintendent, who shall be subject to Owner's approval and not be replaced without prior written notice to Project Manager except under extraordinary circumstances. The superintendent shall be employed by the Contractor and be the Contractor's representative at the Project site and shall have authority to act on behalf of Contractor. All communications given to the superintendent shall be as binding as if given to the Contractor. Owner shall have the right to direct Contractor to remove and replace its Project superintendent, with or without cause. Attached to the Agreement as Exhibit A-1 is a list identifying Contractor's Project Superintendent and all of Contractor's key personnel who are assigned to the Project; such identified personnel shall not be removed without Owner's prior written approval, and if so removed must be immediately replaced with a person acceptable to Owner. 24.2 Contractor shall have a competent superintendent on the project at all times whenever contractor's work crews, or work crews of other parties authorized by the Project Manager are engaged in any activity whatsoever associated with the Project. Should the Contractor fail to comply with the above condition, the Project Manager shall, at his discretion, deduct from the Contractor's monthly pay estimate, sufficient moneys to account for the Owner's loss of adequate project supervision, not as a penalty, but as liquidated damages, separate from the liquidated damages described in Section 5.B, for services not rendered. 25. PROTECTION OF WORK. 25.1 Contractor shall fully protect the Work from loss or damage and shall bear the cost of any such loss or damage until final payment has been made. If Contractor or any one for whom Contractor is legally liable for is responsible for any loss or damage to the Work, or other work or materials of Owner or Owner's separate contractors, Contractor shall be charged with the same, and any moneys necessary to replace such loss or damage shall be deducted from any amounts due Contractor. 25.2 Contractor shall not load nor permit any part of any structure to be loaded in any manner that will endanger the structure, nor shall Contractor subject any part of the Work or adjacent property to stresses or pressures that will endanger it. 25.3 Contractor shall not disturb any benchmark established by the Owner or Design Professional with respect to the Project. If Contractor, or its subcontractors,agents or anyone for whom Contractor is legally liable, disturbs the Owner or Design Professional's benchmarks, Contractor shall immediately notify Project Manager and Design Professional. The Owner or Design Professional shall re-establish the benchmarks and Contractor shall be liable for all costs incurred by Owner associated therewith. 47 Construction Services Agreement:Revised 092520(v7) 26. EMERGENCIES. 26.1 In the event of an emergency affecting the safety or protection of persons or the Work or property at the Project site or adjacent thereto, Contractor,without special instruction or authorization from Owner or Design Professional is obligated to act to prevent threatened damage, injury or loss. Contractor shall give Project Manager written notice within forty-eight (48) hours after Contractor knew or should have known of the occurrence of the emergency, if Contractor believes that any significant changes in the Work or variations from the Contract Documents have been caused thereby. If the Project Manager determines that a change in the Contract Documents is required because of the action taken in response to an emergency, a Change Order shall be issued to document the consequences of the changes or variations. If Contractor fails to provide the forty-eight 48) hour written notice noted above, the Contractor shall be deemed to have waived any right it otherwise may have had to seek an adjustment to the Contract Amount or an extension to the Contract Time. 27. USE OF PREMISES. 27.1 Contractor shall maintain all construction equipment, the storage of materials and equipment and the operations of workers to the Project site and land and areas identified in and permitted by the Contract Documents and other lands and areas permitted by law, rights of way, permits and easements, and shall not unreasonably encumber the Project site with construction equipment or other material or equipment. Contractor shall assume full responsibility for any damage to any such land or area, or to the owner or occupant thereof, or any land or areas contiguous thereto, resulting from the performance of the Work. 28. SAFETY. 28.1 Contractor shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the Work. Contractor shall take all necessary precautions for the safety of, and shall provide the necessary protection to prevent damage, injury or loss to: 28.1.1 All employees on or about the project site and other persons and/or organizations who may be affected thereby; 28.1.2 All the Work and materials and equipment to be incorporated therein, whether in storage on or off the Project site; and 28.1.3 Other property on Project site or adjacent thereto, including trees, shrubs, walks, pavements, roadways, structures, utilities and any underground structures or improvements not designated for removal, relocation or replacement in the Contract Documents. 28.2 Contractor shall comply with all applicable codes, laws, ordinances, rules and regulations of any public body having jurisdiction for the safety of persons or property or to protect them from damage, injury or loss. Contractor shall erect and maintain all necessary safeguards for such safety and protection. Contractor shall notify owners of adjacent property and of underground structures and improvements and utility owners when prosecution of the Work may affect them, and shall cooperate with them in the protection, removal, relocation or replacement of their property. Contractor's duties and responsibilities for the safety and protection of the Work shall continue until such time as the Work is completed and final acceptance of same by Owner has occurred. 48 Construction Services Agreement:Revised 092520(v7) All new electrical installations shall incorporate NFPA 70E Short Circuit Protective Device Coordination and Arc Flash Studies where relevant as determined by the engineer. All electrical installations shall be labeled with appropriate NFPA 70E arch flash boundary and PPE Protective labels. 28.3. Contractor shall designate a responsible representative located on a full time basis at the Project site whose duty shall be the prevention of accidents. This person shall be Contractor's superintendent unless otherwise designated in writing by Contractor to Owner. 28.4 Alcohol, drugs and all illegal substances are strictly prohibited on any Owner property. All employees of Contractor, as well as those of all subcontractors and those of any other person or entity for whom Contractor is legally liable (collectively referred to herein as "Employees"), shall not possess or be under the influence of any such substances while on any Owner property. Further, Employees shall not bring on to any Owner property any gun, rifle or other firearm, or explosives of any kind. 28.5 Contractor acknowledges that the Work may be progressing on a Project site which is located upon or adjacent to an existing Owner facility. In such event, Contractor shall comply with the following: 28.5.1 All Owner facilities are smoke free. Smoking is strictly prohibited; 28.5.2 All Employees shall be provided an identification badge by Contractor. Such identification badge must be prominently displayed on the outside of the Employees' clothing at all times. All Employees working at the Project site must log in and out with the Contractor each day; 28.5. 3 Contractor shall strictly limit its operations to the designated work areas and shall not permit any Employees to enter any other portions of Owner's property without Owner's expressed prior written consent; 28.5.4 All Employees are prohibited from distributing any papers or other materials upon Owner's property, and are strictly prohibited from using any of Owner's telephones or other office equipment; 28.5.5 All Employees shall at all times comply with the OSHA regulations with respect to dress and conduct at the Project site. Further, all Employees shall comply with the dress, conduct and facility regulations issued by Owner's officials onsite, as said regulations may be changed from time to time; 28.5.6 All Employees shall enter and leave Owner's facilities only through the ingress and egress points identified in the site utilization plan approved by Owner or as otherwise designated, from time to time, by Owner in writing; 28.5.7 When requested, Contractor shall cooperate with any ongoing Owner investigation involving personal injury, economic loss or damage to Owner's facilities or personal property therein; 28.5.8 The Employees may not solicit, distribute or sell products while on Owner's property. Friends, family members or other visitors of the Employees are not permitted on Owner's property; and 49 Construction Services Agreement:Revised 092520(v7) 28.5.9 At all times, Contractor shall adhere to Owner's safety and security regulations, and shall comply with all security requirements at Owner's facilities, as said regulations and requirements may be modified or changed by Owner from time to time. 29. PROJECT MEETINGS. Prior to the commencement of Work, the Contractor shall attend a pre-construction conference with the Project Manager, Design Professional and others as appropriate to discuss the Progress Schedule, procedures for handling shop drawings and other submittals, and for processing Applications for Payment, and to establish a working understanding among the parties as to the Work. During the prosecution of the Work,the Contractor shall attend any and all meetings convened by the Project Manager with respect to the Project, when directed to do so by Project Manager or Design Professional. The Contractor shall have its subcontractors and suppliers attend all such meetings (including the pre-construction conference) as may be directed by the Project Manager. 30. VENDOR PERFORMANCE EVALUATION. Owner has implemented a Vendor Performance Evaluation System for all contracts awarded in excess of $25,000. To this end, vendors will be evaluated on their performance upon completion/termination of this Agreement. 31. MAINTENANCE OF TRAFFIC POLICY. For all projects that are conducted within a Collier County Right-of-Way, the Contractor shall provide and erect Traffic Control Devices as prescribed in the current edition of the Manual On Uniform Traffic Control Devices (MUTCD), where applicable on local roadways and as prescribed in the Florida Department of Transportation's Design Standards(DS),where applicable on state roadways. These projects shall also comply with Collier County's Maintenance of Traffic Policy, #5807, incorporated herein by reference. Copies are available through Risk Management and/or Procurement Services Division, and is available on-line at colliergov.net/purchasing. The Contractor will be responsible for obtaining copies of all required manuals, MUTCD, FDOT Roadway & Traffic Design Standards Indexes, or other related documents, so to become familiar with their requirements. Strict adherence to the requirements of the Maintenance of Traffic ("MOT") policy will be enforced under this Contract. All costs associated with the Maintenance of Traffic shall be included on the line item on the bid page. If MOT is required, MOT is to be provided within ten (10) days of receipt of Notice of Award. 32. SALES TAX SAVINGS AND DIRECT PURCHASE. 32.1 Contractor shall pay all sales, consumer, use and other similar taxes associated with the Work or portions thereof, which are applicable during the performance of the Work. No markup shall be applied to sales tax. Additionally, as directed by Owner and at no additional cost to Owner, Contractor shall comply with and fully implement the sales tax savings program with respect to the Work, as set forth in section 32.2 below: 32.2 Notwithstanding anything herein to the contrary, because Owner is exempt from sales tax and may wish to generate sales tax savings for the Project, Owner reserves the right to make direct purchases of various construction materials and equipment included in the Work("Direct Purchase"). 50 Construction Services Agreement:Revised 092520(v7) Contractor shall prepare purchase orders to vendors selected by Contractor, for execution by Owner, on forms provided by Owner. Contractor shall allow two weeks for execution of all such purchase orders by Owner. Contractor represents and warrants that it will use its best efforts to cooperate with Owner in implementing this sales tax savings program in order to maximize cost savings for the Project. Adjustments to the Contract Amount will be made by appropriate Change Orders for the amounts of each Owner Direct Purchase, plus the saved sales taxes. A Change Order shall be processed promptly after each Direct Purchase, or group of similar or related Direct Purchases, unless otherwise mutually agreed upon between Owner and Contractor. With respect to all Direct Purchases by Owner, Contractor shall remain responsible for coordinating, ordering, inspecting, accepting delivery, storing, handling, installing, warranting and quality control for all Direct Purchases. Notwithstanding anything herein to the contrary, Contractor expressly acknowledges and agrees that all Direct Purchases shall be included within and covered by Contractor's warranty to Owner to the same extent as all other warranties provided by Contractor pursuant to the terms of the Contract Documents. In the event Owner makes a demand against Contractor with respect to any Direct Purchase and Contractor wishes to make claim against the manufacturer or supplier of such Direct Purchase, upon request from Contractor Owner shall assign to Contractor any and all warranties and Contract rights Owner may have from any manufacturer or supplier of any such Direct Purchase by Owner. 32.3 Bidder represents and warrants that it is aware of its statutory responsibilities for sale tax under Chapter 212, Florida Statutes, and for its responsibilities for Federal excise taxes. 33. SUBCONTRACTS. 33.1 Contractor shall review the design and shall determine how it desires to divide the sequence of construction activities. Contractor will determine the breakdown and composition of bid packages for award of subcontracts, based on the current Project Milestone Schedule, and shall supply a copy of that breakdown and composition to Owner and Design Professional for their review and approval prior to submitting its first Application for Payment. Contractor shall take into consideration such factors as natural and practical lines of severability, sequencing effectiveness, access and availability constraints, total time for completion, construction market conditions, availability of labor and materials, community relations and any other factors pertinent to saving time and costs. 33.2 A Subcontractor is any person or entity who is performing, furnishing, supplying or providing any portion of the Work pursuant to a contract with Contractor. Contractor shall be solely responsible for and have control over the Subcontractors. Contractor shall negotiate all Change Orders, Work Directive Changes, Field Orders and Requests for Proposal, with all affected Subcontractors and shall review the costs of those proposals and advise Owner and Design Professional of their validity and reasonableness, acting in Owner's best interest, prior to requesting approval of any Change Order from Owner. All Subcontractors performing any portion of the Work on this Project must be qualified" as defined in Collier County Ordinance 2013-69, meaning a person or entity that has the capability in all respects to perform fully the Agreement requirements with respect to its portion of the Work and has the integrity and reliability to assure good faith performance. 33.3 In addition to those Subcontractors identified in Contractor's bid that were approved by Owner, Contractor also shall identify any other Subcontractors, including their addresses, licensing information and phone numbers, it intends to utilize for the Project prior to entering into any subcontract or purchase order and prior to the Subcontractor commencing any work on the Project. The list identifying each Subcontractor cannot be modified, changed, or amended without prior written approval from Owner. Any and all Subcontractor work to be self-performed by Contractor must be approved in writing by Owner in its sole discretion prior to commencement of such work. 51 Construction Services Agreement:Revised 092520(v7) Contractor shall continuously update that Subcontractor list, so that it remains current and accurate throughout the entire performance of the Work. 33.4 Contractor shall not enter into a subcontract or purchase order with any Subcontractor, if Owner reasonably objects to that Subcontractor. Contractor shall not be required to contract with anyone it reasonably objects to. Contractor shall keep on file a copy of the license for every Subcontractor and sub-subcontractor performing any portion of the Work, as well as maintain a log of all such licenses.All subcontracts and purchase orders between Contractor and its Subcontractors shall be in writing and are subject to Owner's approval. Further, unless expressly waived in writing by Owner, all subcontracts and purchase orders shall (1) require each Subcontractor to be bound to Contractor to the same extent Contractor is bound to Owner by the terms of the Contract Documents, as those terms may apply to the portion of the Work to be performed by the Subcontractor, (2)provide for the assignment of the subcontract or purchase order from Contractor to Owner at the election of Owner upon termination of Contractor, (3) provide that Owner will be an additional indemnified party of the subcontract or purchase order, (4) provide that Owner, Collier County Government, will be an additional insured on all liability insurance policies required to be provided by the Subcontractor except workman's compensation and business automobile policies, (5) assign all warranties directly to Owner, and (6) identify Owner as an intended third-party beneficiary of the subcontract or purchase order. Contractor shall make available to each proposed Subcontractor, prior to the execution of the subcontract, copies of the Contract Documents to which the Subcontractor will be bound. Each Subcontractor shall similarly make copies of such documents available to its sub- subcontractors. 33.5 Each Subcontractor performing work at the Project Site must agree to provide field (on-site) supervision through a named superintendent for each trade (e.g., general concrete forming and placement, masonry, mechanical, plumbing, electrical and roofing) included in its subcontract or purchase order. In addition, the Subcontractor shall assign and name a qualified employee for scheduling direction for its portion of the Work. The supervisory employees of the Subcontractor including field superintendent, foreman and schedulers at all levels) must have been employed in a supervisory (leadership) capacity of substantially equivalent level on a similar project for at least two years within the last five years. The Subcontractor shall include a resume of experience for each employee identified by it to supervise and schedule its work. 33.6 Unless otherwise expressly waived by Owner in writing, all subcontracts and purchase orders shall provide: 33.6.1 That the Subcontractor's exclusive remedy for delays in the performance of the subcontract or purchase order caused by events beyond its control, including delays claimed to be caused by Owner or Design Professional or attributable to Owner or Design Professional and including claims based on breach of contract or negligence, shall be an extension of its contract time. 33.6.2 In the event of a change in the work, the Subcontractor's claim for adjustments in the contract sum are limited exclusively to its actual costs for such changes plus no more than 10% for overhead and profit. 33.6.3 The subcontract or purchase order, as applicable, shall require the Subcontractor to expressly agree that the foregoing constitute its sole and exclusive remedies for delays and changes in the Work and thus eliminate any other remedies for claim for increase in the contract price, damages, losses or additional compensation. Further, Contractor shall require all Subcontractors to similarly incorporate the terms of this Section 33.6 into their sub-subcontracts and purchase orders. 52 Construction Services Agreement:Revised 092520(v7) 33.6.4 Each subcontract and purchase order shall require that any claims by Subcontractor for delay or additional cost must be submitted to Contractor within the time and in the manner in which Contractor must submit such claims to Owner, and that failure to comply with such conditions for giving notice and submitting claims shall result in the waiver of such claims. 34. CONSTRUCTION SERVICES. 34.1 Contractor shall maintain at the Project site, originals or copies of, on a current basis, all Project files and records, including, but not limited to, the following administrative records: 34.1. 1 Subcontracts and Purchase Orders 34.1.2 Subcontractor Licenses 34.1.3 Shop Drawing Submittal/Approval Logs 34.1.4 Equipment Purchase/Delivery Logs 34.1.5 Contract Drawings and Specifications with Addenda 34.1.6 Warranties and Guarantees 34.1.7 Cost Accounting Records 34.1.8 Labor Costs 34.1.9 Material Costs 34.1.10 Equipment Costs 34.1.11 Cost Proposal Request 34.1.12 Payment Request Records 34.1.13 Meeting Minutes 34.1.14 Cost-Estimates 34.1.15 Bulletin Quotations 34.1.16 Lab Test Reports 34.1.17 Insurance Certificates and Bonds 34.1.18 Contract Changes 34.1.19 Permits 34.1.20 Material Purchase Delivery Logs 34.1.21 Technical Standards 34.1.22 Design Handbooks 34.1.23 As-Built" Marked Prints 34.1.24 Operating & Maintenance Instruction 34.1.25 Daily Progress Reports 34.1.26 Monthly Progress Reports 34.1.27 Correspondence Files 34.1.28 Transmittal Records 34.1.29 Inspection Reports 34.1.30 Punch Lists 34.1.31 PMIS Schedule and Updates 34.1.32 Suspense (Tickler) Files of Outstanding Requirements The Project files and records shall be available at all times to Owner and Design Professional or their designees for reference, review or copying. 34.2 Contractor Presentations At the discretion of the County, the Contractor may be required to provide a brief update on the Project to the Collier County Board of County Commissioners, "Board", up to two (2) times per contract term. Presentations shall be made in a properly advertised Public Meeting on a schedule 53 Construction Services Agreement:Revised 092520(v7) to be determined by the County Manager or his designee. Prior to the scheduled presentation date, the Contractor shall meet with appropriate County staff to discuss the presentation requirements and format. Presentations may include, but not be limited to, the following information: Original contract amount, project schedule, project completion date and any changes to the aforementioned since Notice to Proceed was issued. 35. SECURITY. The Contractor is required to comply with County Ordinance 2004-52, as amended. Background checks are valid for five (5) years and the Contractor shall be responsible for all associated costs. If required, Contractor shall be responsible for the costs of providing background checks by the Collier County Facilities Management Division for all employees that shall provide services to the County under this Agreement. This may include, but not be limited to, checking federal, state and local law enforcement records, including a state and FBI fingerprint check, credit reports, education, residence and employment verifications and other related records. Contractor shall be required to maintain records on each employee and make them available to the County for at least four (4) years. All of Contractor's employees and subcontractors must wear Collier County Government Identification badges at all times while performing services on County facilities and properties. Contractor ID badges are valid for one (1)year from the date of issuance and can be renewed each year at no cost to the Contractor during the time period in which their background check is valid, as discussed below. All technicians shall have on their shirts the name of the contractor's business. The Contractor shall immediately notify the Collier County Facilities Management Division via e-mail DL-FMOPS(a.colliergov.net)whenever an employee assigned to Collier County separates from their employment. This notification is critical to ensure the continued security of Collier County facilities and systems. Failure to notify within four (4) hours of separation may result in a deduction of$500 per incident. CCSO requires separate fingerprinting prior to work being performed in any of their locations. This will be coordinated upon award of the contract. If there are additional fees for this process, the Contractor is responsible for all costs. 36. VENUE. Any suit or action brought by either party to this Agreement against the other party relating to or arising out of this Agreement must be brought in the appropriate federal or state courts in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters. 37. VALUE ENGINEERING. All projects with an estimated cost of $10 million or more shall be reviewed for consideration of a Value Engineering (VE) study conducted during project development. A"project" shall be defined as the collective contracts, which may include but not be limited to: design, construction, and construction, engineering and inspection (CEI) services. Additionally, any project with an estimated construction value of$2 million or more may be reviewed for VE at the discretion of the County. 38. ABOVEGROUND/UNDERGROUND TANKS. 38.1 The contractor shall ensure compliance with all NFPA regulations: specifically 110 & 30/30A; FDEP chapter 62 regulations: specifically 761, 762, 777, and 780; 376 & 403 Florida Statutes; and 54 Construction Services Agreement:Revised 092520(v7) STI, UL, PEI, ASME, NACE, NLPA, NIST & API referenced standards pertaining to the storage of hazardous materials and petroleum products. 38.2 The contractor shall notify the Solid & Hazardous Waste Management Department (SHWMD) prior to the installation, removal, or maintenance of any storage tank, including day tanks for generators, storing/will be storing petroleum products or hazardous materials. The contractor shall provide a 10 day and 48-hour notice to SHWMD 239-252-2508 prior to commencement. The contractor shall provide the plans pertaining to the storage tank systems containing hazardous materials/ petroleum products to the SHWMD prior to plans submittal to a permitting entity and then SHWMD must approve the plans prior to contractor's submittal for permitting. 39. STANDARDS OF CONDUCT: PROJECT MANAGER, SUPERVISOR, EMPLOYEES. The Contractor shall employ people to work on Owner's projects who are neat, clean, well-groomed and courteous. Subject to the Americans with Disabilities Act, Contractor shall supply competent employees who are physically capable of performing their employment duties. The Owner may require the Contractor to remove an employee it deems careless, incompetent, insubordinate or otherwise objectionable and whose continued employment on Owner's projects is not in the best interest of the County. 40. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between the parties, the parties shall make a good faith effort to resolve any such disputes by negotiation. The negotiation shall be attended by representatives of Contractor with full decision- making authority and by Owner's staff person who would make the presentation of any settlement reached during negotiations to Owner for approval. Failing resolution, and prior to the commencement of depositions in any litigation between the parties arising out of this Agreement, the parties shall attempt to resolve the dispute through Mediation before an agreed-upon Circuit Court Mediator certified by the State of Florida. The mediation shall be attended by representatives of Contractor with full decision-making authority and by Owner's staff person or designee who would make the presentation of any settlement reached at mediation to Owner's Board for approval. Should either party fail to submit to mediation as required hereunder, the other party may obtain a court order requiring mediation under Section 44.102, Fla. Stat. Any suit or action brought by either party to this Agreement against the other party relating to or arising out of this Agreement must be brought in the appropriate federal or state courts in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters. 55 Construction Services Agreement:Revised 092520(v7) EXHIBIT I: SUPPLEMENTAL TERMS AND CONDITIONS 56 Construction Services Agreement:Revised 092520(v7) Collier County Public Utilities — Engineering & Project Management New Tamiami Well No. 40 Exhibit I —Supplemental Conditions Minimum Qualifications & Experience Project No: 20-7808 Successful bidder should comply with the following & should be reflected by the references indicated on contract Form 5 Statement of Experience of Bidder. 1. SUPERINTENDENT SECTION 290000 The Superintendent shall have had a Florida Water Well Contractors License for a minimum of ten (10) years and acted as a superintendent on a minimum of five (5) public utility production well construction projects in the State of Florida. 2. DRILLER SECTION 290000 Drillers shall have had a Florida Water Well Contractors License for a minimum of five (5) years and worked on a minimum of five (5) public utility production well construction projects in the State of Florida. 3. PIPELINE CONSTRUCTION SECTION 011010 All pipeline construction shall be completed by a DBPR certified underground utility and excavation contractor and shall provide five (5) references for similar projects in Southwest Florida during the last three (3) years. r ' 10/21/20 Date Florida Design Drilling Corporation Name of Firm Page 1 of 1 N FLORDES-01 ADYER 4CORL CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/ 28/2020 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 Suzanne Nelson CAL Risk Management 561) I(ac,No):(561)427-6730 23 Eganfuskee Street ENc"Ho,Ext): 868-6291 FAX Suite 102 AU"bAREss:Snelson@callIc.comcaIIIc.com Jupiter,FL 33477 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance 16535 INSURED INSURER B:Landmark American Ins Co 33138 Florida Design Drilling Corporation INSURERc:Navigators Specialty Insurance Co 36056 7733 Hooper Rd.INSURER D:Aspen American Insurance Company 43460 West Palm Beach,FL 33411 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 JNADDL SUBR POLICY NUMBER M/ POLICY EFF POLICY EXP LIMITS LTR SD WVD MDD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE X OCCUR X GL0375970903 1/1/2021 1/1/2022 pREMISESO(Eaoccu ante, $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY LX I PEE° LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER COMBINED SINGLE LIMIT 1,000,000AAUTOMOBILELIABILITYEaaccident) X ANY AUTO X BAP375971003 1/1/2021 1/1/2022 BODILYINJURY(Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOSN BODILY INJURY(Per accident) $ AUTOS ONLY AUUTOSONLY PROPERTY DAMAGE Per ac Fant) PIP 10,000 B UMBRELLA LIAB X OCCUR EACH OCCURRENCE 4,000,000 X EXCESS LIAB CLAIMS-MADE LHA092420 1/1/2021 I 1/1/2022 AGGREGATE 4,000,000 DED X RETENTION$ 0 A WORKERS COMPENSATION y PER X STATUTE OOTH AND EMPLOYERS'LIABILITY WC375970803 1/1/2021 1/ 1/2022 1,000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE ER Y/N E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N N/A 1,000,000MandatoryinNH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000, 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution Liability MP21ECP3075811C 1/1/2021 1/1/2022 Ea Incident$1M/Agg 2,000, 000 D Equipment Floater IMZ211521 1/ 1/2021 1/1/2022 Rented/Leased Equip 1,500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Contract#20-7808-Project:New Tamiami Well 40 The certificate holder is included as additional insured for ongoing and completed operations on the general liability and on the auto liability when required by written contract. General Liability is primary and non-contributory when required by written contract. Waiver of subrogation applies to General Liability, Auto,and Workers'Compensation when required by written contract. The Excess Liability policy extends over the General Liability,Auto,and Employers Liability coverages per policy forms and conditions. Cancellation applies per policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier CountyBoard of CountyCommissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3295 Tamiami Trail East Naples,FL 34112 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 Additional Insured — Automatic — Owners, Lessees Or ZURICH Contractors Policy No. Eff Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer No.Add'l.Prem Return Prem. GLO 3759709-03 01/01/2021 01/01/2022 57072000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II—Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for"bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: Bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or"suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW(04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Waiver Of Subrogation (Blanket) Endorsement Policy No. Eff Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer Add'l Prem. Return Prem. GLO 3759709-03 01/01/2021 01/01/2022 57072000 $ INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement,which is executed before a loss,to waive your rights of recovery from others,we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW(12/01) Page 1 of 1 0 Coverage Extension Endorsement — Florida ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. BAP 3759710-03 Effective Date: 01/01/2020 This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II—Covered Autos Liability Coverage: The following are also"insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law: 1) Any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any"accident", including 2) Those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the"accident" arises out of operations governed by such contract or agreement. This applies only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance— Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any"accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment—Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: 2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an accident"we cover. We do not have to furnish these bonds. U-CA-424-F FL(08-18) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. 4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. C. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II—Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in driver safety program events. This includes events such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in driver safety program events. This includes events such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. D. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss"to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: 1) Overdue lease or loan payments at the time of the "loss"; 2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; 3) Security deposits not returned by the lessor; 4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and 5) Carry-over balances from previous leases or loans. E. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. F. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. G. Hired Auto Physical Damage—Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: 1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered auto"; U-CA-424-F FL(08-18) Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. 2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or 3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is$100 per day, to a maximum of$3000. H. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $ 750 for"loss"to personal effects which are: 1) Personal property owned by an "insured"; and 2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for"loss"to personal effects will be based on the lesser of: 1) The reasonable cost to replace; or 2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: 1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. 2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. 3) Paintings, statuary and other works of art. 4) Contraband or property in the course of illegal transportation or trade. 5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same"loss". I. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: a) Are the property of an "insured"; and b) Are in a covered "auto" at the time of"loss". The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such "loss". J. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III—Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. U-CA-424-F FL(08- 18) Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. K. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller(or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller(or smallest) deductible. L. Physical Damage—Comprehensive Coverage—Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos"damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all"loss"from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. M. Temporary Substitute Autos—Physical Damage 1. The following is added to Section I—Covered Autos: Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos"for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered auto"you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos—Physical Damage We will pay the owner for"loss"to the temporary substitute"auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. N. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. (1) In the event of"accident", claim, "suit" or"loss", you must give us or our authorized representative prompt notice of the"accident", claim, "suit" or"loss". However, these duties only apply when the "accident", claim, suit" or"loss" is known to: a) You (if you are an individual); b) A partner(if you are a partnership); c) A member(if you are a limited liability company); or d) An executive officer or insurance manager(if you are a corporation). The failure of any agent, servant or employee of the"insured"to notify us of any"accident", claim, "suit"or loss" shall not invalidate the insurance afforded by this policy. U-CA-424-F FL(08- 18) Page 4 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 2) Include, as soon as practicable: a) How, when and where the"accident" or"loss"occurred and if a claim is made or"suit" is brought, written notice of the claim or"suit" including, but not limited to, the date and details of such claim or"suit"; b) The"insured's" name and address; and c) To the extent possible, the names and addresses of any injured persons and witnesses. 3) If you report an "accident", claim, "suit" or"loss"to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. O. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or loss", provided that the "accident" or"loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. P. Employee Hired Autos—Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos"you own: 1) Any covered "auto" you lease, hire, rent or borrow; and 2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee"or elected or appointed official with your permission while being operated within the course and scope of that employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any"auto"that is leased, hired, rented or borrowed with a driver is not a covered "auto". Q. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: 1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or 2) Make an error, omission, improper description of"autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. R. Hired Auto—World Wide Coverage Paragraph 7.a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: 5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, S. Bodily Injury Redefined The definition of"bodily injury" in the Definitions Section is replaced by the following: Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. T. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Autos Liability Coverage is replaced by the following: U-CA-424-F FL(08- 18) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Expected Or Intended Injury Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. U. Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section III—Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of$1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its loss". V. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of$2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. W. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos"for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F FL(08-18) Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 00 03 13 Ed. 4-84) 1983 National Council on Compensation Insurance. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 01 06 A Ed. 4-92) LONGSHORE AND HARBOR WORKERS'COMPENSATION ACT COVERAGE ENDORSEMENT This endorsement applies only to work subject to the Longshore and Harbor Workers' Compensation Act in a state shown in the Schedule. The policy applies to that work as though that state were listed in Item 3.A. of the Information Page. General Section C. Workers' Compensation Law is replaced by the following: C. Workers'Compensation Law Workers' Compensation Law means the workers or workmen's compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act (33 USC Sections 901-950). It includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workmen's compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two (Employers Liability Insurance), C. Exclusions., exclusion 8, does not apply to work subject to the Longshore and Harbor Workers' Compensation Act. This endorsement does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act. Schedule Longshore and Harbor Workers' State Compensation Act Coverage Percentage FL 58 The rates for classifications with code numbers not followed by the letter "F"are rates for work not ordinarily subject to the Longshore and Harbor Workers' Compensation Act. If this policy covers work under such classifications, and if the work is subject to the Longshore and Harbor Workers' Compensation Act, those non-F classification rates will be increased by the Longshore and Harbor Worker's Compensation Act Coverage Percentage shown in the Schedule. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned By WC000106A Ed. 4-92) Copyright 1983, 1991 National Council on Compensation Insurance. N FLORDES-01 ADYER ACORO DD/YYYY)MM(DATE CERTIFICATE OF LIABILITY INSURANCE 1MM/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 Suzanne Nelson CAL Risk Management 23 E anfuskee Street iA/ONN,Ext):(561)868-6291 i(A/C,No):(561)427-6730 g uite 102 E-MAILEADDRESS:Snelson@calllc.com Jupiter,FL 33477 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance 16535 INSURED INSURER B:Landmark American Ins Co 33138 Florida Design Drilling Corporation INSURER C:Navigators Specialty Insurance Co 36056 7733 Hooper Rd. INSURER 0:Aspen American Insurance Company 43460 West Palm Beach,FL 33411 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 IADDL,SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD I VVVD i POLICY NUMBER IMM/DDIYYYYI IM M/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X GL0375970903 1/1/2021 1/1/2022 PREMBISOIEa Occurrence) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL R.ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY Ea accdentSINGLE LIMIT $ 1,000, 000 X ANY AUTO X BAP375971003 1/1/2021 1/ 1/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) PIP 10,000 B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE LHA092420 1/1/2021 1/ 1/2022 AGGREGATE J 4,000,000 DED X RETENTION$ 0 A WORKERS COMPENSATION y PER X STATUTE ERH AND EMPLOYERS'LIABILITY YIN WC375970803 1/1/2021 1/ 1/2022 1,000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE I N N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I 1,000,000 Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution Liability MP21ECP307581IC 1/1/2021 1/1/2022 Ea Incident$1M/Agg 2,000,000 D Equipment Floater IMZ211521 1/1/2021 1/ 1/2022 Rented/Leased Equip 1,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Contract#20-7808-Project:New Tamiami Well 40 The certificate holder is included as additional insured for ongoing and completed operations on the general liability and on the auto liability when required by written contract. General Liability is primary and non-contributory when required by written contract. Waiver of subrogation applies to General Liability, Auto,and Workers'Compensation when required by written contract. The Excess Liability policy extends over the General Liability,Auto,and Employers Liability coverages per policy forms and conditions. Cancellation applies per policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier CountyBoard of CountyCommissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3295 Tamiami Trail East Naples,FL 34112 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 Additional Insured — Automatic — Owners, Lessees Or ZURICH Contractors Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff Date of End. Producer No.Add'l.Prem Return Prem. GLO 3759709-03 01/01/2021 01/01/2022 57072000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II—Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for"bodily injury', "property damage" or"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: Bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the bodily injury" or"property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV— Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or"suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW(04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, inc.,with its permission. Waiver Of Subrogation (Blanket) Endorsement Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff Date of End. Producer Add'l Prem. Return Prem. GLO 3759709-03 01/ 01/2021 01/01/2022 57072000 $ INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement,which is executed before a loss,to waive your rights of recovery from others,we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW(12/01) Page 1 of 1 0 Coverage Extension Endorsement — Florida ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. BAP 3759710-03 Effective Date: 01/ 01/2020 This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II—Covered Autos Liability Coverage: The following are also"insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law: 1) Any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any"accident", including 2) Those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the"accident" arises out of operations governed by such contract or agreement. This applies only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations,whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any"accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment—Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: 2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an accident"we cover. We do not have to furnish these bonds. U-CA-424-F FL(08-18) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. 4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. C. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II—Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in driver safety program events. This includes events such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in driver safety program events. This includes events such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. D. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total"loss"to a covered"auto",we will pay any unpaid amount due on the lease or loan for a covered auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: 1) Overdue lease or loan payments at the time of the"loss"; 2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; 3) Security deposits not returned by the lessor; 4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and 5) Carry-over balances from previous leases or loans. E. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. F. Extended Glass Coverage The following is added to Paragraph A.3. a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. G. Hired Auto Physical Damage—Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: 1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered auto"; U-CA-424-F FL(08- 18) Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. 2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or 3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is$100 per day, to a maximum of$3000. H. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to$ 750 for"loss"to personal effects which are: 1) Personal property owned by an "insured"; and 2) In or on a covered"auto". b. Subject to Paragraph a. above, the amount to be paid for"loss"to personal effects will be based on the lesser of: 1) The reasonable cost to replace; or 2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: 1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. 2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. 3) Paintings, statuary and other works of art. 4) Contraband or property in the course of illegal transportation or trade. 5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same"loss". I. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: a) Are the property of an "insured"; and b) Are in a covered "auto" at the time of"loss". The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such "loss". J. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III—Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV— Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. U-CA-424-F FL(08-18) Page 3 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. K. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto"on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller(or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller(or smallest) deductible. L. Physical Damage—Comprehensive Coverage—Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos"damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss"from any one cause is$5,000 or the deductible shown in the Declarations, whichever is greater. M. Temporary Substitute Autos—Physical Damage 1. The following is added to Section I—Covered Autos: Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered"autos"for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered auto"you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos—Physical Damage We will pay the owner for"loss"to the temporary substitute "auto" unless the"loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. N. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. (1) In the event of"accident", claim, "suit" or"loss", you must give us or our authorized representative prompt notice of the"accident", claim, "suit"or"loss". However, these duties only apply when the"accident", claim, suit"or"loss" is known to: a) You (if you are an individual); b) A partner(if you are a partnership); c) A member(if you are a limited liability company); or d) An executive officer or insurance manager(if you are a corporation). The failure of any agent, servant or employee of the"insured"to notify us of any"accident", claim, "suit" or loss" shall not invalidate the insurance afforded by this policy. U-CA-424-F FL(08- 18) Page 4 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 2) Include, as soon as practicable: a) How, when and where the"accident"or"loss"occurred and if a claim is made or"suit" is brought, written notice of the claim or"suit" including, but not limited to, the date and details of such claim or"suit"; b) The"insured's" name and address; and c) To the extent possible, the names and addresses of any injured persons and witnesses. 3) If you report an"accident", claim, "suit"or"loss"to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. O. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or loss", provided that the "accident" or"loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. P. Employee Hired Autos—Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered"autos"you own: 1) Any covered "auto"you lease, hire, rent or borrow; and 2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any"auto"that is leased, hired, rented or borrowed with a driver is not a covered "auto". Q. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: 1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or 2) Make an error, omission, improper description of"autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. R. Hired Auto—World Wide Coverage Paragraph 7. a.(5)of the Policy Period, Coverage Territory Condition is replaced by the following: 5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, S. Bodily Injury Redefined The definition of"bodily injury" in the Definitions Section is replaced by the following: Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. T. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Autos Liability Coverage is replaced by the following: U-CA-424-F FL(08-18) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Expected Or Intended Injury Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. U. Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section Ill—Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of$1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its loss". V. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of$2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. W. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos"for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F FL(08-18) Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 Ed. 4- 84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 00 03 13 Ed. 4-84) 1983 National Council on Compensation Insurance. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 01 06 A Ed. 4-92) LONGSHORE AND HARBOR WORKERS'COMPENSATION ACT COVERAGE ENDORSEMENT This endorsement applies only to work subject to the Longshore and Harbor Workers' Compensation Act in a state shown in the Schedule. The policy applies to that work as though that state were listed in Item 3.A. of the Information Page. General Section C. Workers'Compensation Law is replaced by the following: C. Workers'Compensation Law Workers' Compensation Law means the workers or workmen's compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act (33 USC Sections 901-950). It includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workmen's compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two (Employers Liability Insurance), C. Exclusions., exclusion 8, does not apply to work subject to the Longshore and Harbor Workers' Compensation Act. This endorsement does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act. Schedule Longshore and Harbor Workers' State Compensation Act Coverage Percentage FL 58 The rates for classifications with code numbers not followed by the letter "F"are rates for work not ordinarily subject to the Longshore and Harbor Workers' Compensation Act. If this policy covers work under such classifications, and if the work is subject to the Longshore and Harbor Workers' Compensation Act, those non-F classification rates will be increased by the Longshore and Harbor Worker's Compensation Act Coverage Percentage shown in the Schedule. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information bebw is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned By WC000106A Ed. 4-92) Copyright 1983, 1991 National Council on Compensation Insurance.