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Agenda 05/14/2024 Item #16C 1 (Award Invitation to Bid #24-8204 NCRWTP to Lawrence Lee Construction Inc.)05/14/2024 EXECUTIVE SUMMARY Recommendation that the Board award Invitation to Bid (“ITB”) No. 24-8204, “North County Regional Water Treatment Plant (NCRWTP) Feed Pump Rehabilitation and Motor Replacement,” to Lawrence Lee Construction Services, Inc., in the amount of $1,603,000, approve an Owner’s Allowance of $30,000, authorize the Chairman to sign the attached Agreement, and approve the necessary Budget Amendment. (Project Number 70277) OBJECTIVE: To rehabilitate the existing vertical turbine pumps and replace the existing motors associated with the Nano Filtration treatment process at the North County Regional Water Treatment Plant (“NCRWTP”) to maintain system reliability and sustainability. CONSIDERATIONS: The County constructed the NCRWTP in 1992 with a potable water plant capacity of 12 million gallons per day (“MGD”) utilizing nanofiltration technology as the treatment process. In 1999, the County added an additional 8 MGD of potable water plant capacity utilizing low pressure reverse osmosis technology as the treatment process due to the higher chloride levels of the supplying raw water wells. The County’s NCRWTP has six nanofiltration trains. Each train has a 200-horsepower dedicated vertical turbine pump (“VTP”). In addition to the six installed VTPs, the facility has one uninstalled spare VTP. The scope of this project includes the rehabilitation of the seven existing vertical turbine pumps and replacement of six VTP pump motors associated with the Nano Filtration treatment process. This item is consistent with the Infrastructure and Asset Management element of the Collier County Strategic Plan objectives. On November 17, 2023, the Procurement Services Division issued ITB No. 24-8204, seeking construction services for the NCRWTP Feed Pump Rehabilitation and Motor Replacement project. The County received three bids by the January 3, 2024, deadline as summarized below: Respondents: Company Name City County State Total Bid Responsive/ Responsible Lawrence Lee Construction Services, Inc. Stuart Martin FL $1,603,000.00 Yes/Yes Douglas N. Higgins, Inc. Naples Collier FL $1,662,661.00 Yes/Yes Quality Enterprises USA, Inc. Naples Collier FL $1,932,500.00 Yes/Yes Staff reviewed the three bids and found all three bidders responsive and responsible, with Lawrence Lee Construction Services, Inc. (“LLC”), as the lowest, responsive, and responsible bidder. Staff recommends the contract be awarded to LLC in the low bid amount of $1,603,000.00. In addition to the total bid amount, staff has allocated $30,000 as Owner’s Allowance. The Owner’s Allowance is for unforeseen site conditions that might be encountered during construction and will also be included in the Purchase Order. Use of the allowance will be only as directed by the County, if necessary, with proper supporting documentation to be submitted by the contractor for any additional work that is properly authorized and performed under the allowance. The County’s engineering consultant, Jacobs Engineering Group, Inc., evaluated the bids and determined that LLC met all the qualifications required for this project and submitted the lowest, responsive, and responsible base bid. LLC’s bid is approximately 18% below Jacob’s $1,950,000 opinion of probable cost for the work. Lawrence Lee Construction Services, Inc. has provided services in Florida since 2017 and has performed work for other Florida municipalities. Staff recommends that Lawrence Lee Construction Services, Inc., be awarded the attached Agreement as the lowest 16.C.1 Packet Pg. 988 05/14/2024 responsive and responsible bidder in the amount of 1,603,000. FISCAL IMPACT: The source of funding is Water User Fee Capital Project Fund (4012). A budget amendment is required as follows: • Water User Fee Capital fund 4012: A budget amendment in the amount of $200,000.00 from Project 70104 to 70277 to cover the cost of construction for this project. GROWTH MANAGEMENT IMPACT: This project meets current Growth Management Plan standards to ensure the adequacy and availability of viable public facilities. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -SRT RECOMMENDATION: That the Board award Invitation to Bid (“ITB”) No. 24-8204, “North County Regional Water Treatment Plant (NCRWTP) Feed Pump Rehabilitation and Motor Replacement,” to Lawrence Lee Construction Services, Inc., in the amount of $1,603,000, approve an Owner’s Allowance of $30,000, authorize the Chairman to sign the attached Agreement, and approve the necessary Budget Amendment. Prepared by: Benjamin N. Bullert, P.E., Supervisor - Project Management, Public Utilities Engineering and Project Management Division ATTACHMENT(S) 1. 24-8204 Bid Tabulation (PDF) 2. 24-8204 DELORA (PDF) 3. 24-8204 NORA pdf (PDF) 4. [Linked] 24-8204 Vendor Signed _Lawrence Lee R1 (PDF) 5. 24-8204 COI_Lawrence Lee (PDF) 16.C.1 Packet Pg. 989 05/14/2024 COLLIER COUNTY Board of County Commissioners Item Number: 16.C.1 Doc ID: 28415 Item Summary: Recommendation that the Board award Invitation to Bid (“ITB”) No. 24-8204, “North County Regional Water Treatment Plant (NCRWTP) Feed Pump Rehabilitation and Motor Replacement,” to Lawrence Lee Construction Services, Inc., in the amount of $1,603,000, approve an Owner’s Allowance of $30,000, authorize the Chairman to sign the attached Agreement, and approve the necessary Budget Amendment. (Project Number 70277) Meeting Date: 05/14/2024 Prepared by: Title: – Engineering and Project Management Name: Benjamin Bullert 03/21/2024 6:20 PM Submitted by: Title: Director – Engineering and Project Management Name: Matthew McLean 03/21/2024 6:20 PM Approved By: Review: Water Howard Brogdon PUD Reviewer Completed 03/22/2024 2:04 PM Procurement Services Francheska Correa Level 1 Purchasing Gatekeeper Completed 03/25/2024 10:38 AM Community & Human Services Lisa Oien Other Reviewer Completed 03/25/2024 2:56 PM Water Matthew McLean PUD Reviewer Skipped 03/27/2024 4:33 PM Engineering and Project Management Matthew McLean PUD Reviewer Completed 03/27/2024 4:35 PM Public Utilities Department Mary Linhard Level 1 Department Review Completed 03/28/2024 7:18 AM Public Utilities Operations Support Joseph Bellone PUD Reviewer Completed 03/28/2024 3:13 PM Procurement Services Sandra Srnka Procurement Director Review Completed 04/08/2024 8:03 AM Public Utilities Department George Yilmaz Level 2 Division Administrator Review Completed 04/08/2024 11:38 AM County Attorney's Office Scott Teach Level 2 Attorney Review Completed 04/24/2024 2:36 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 04/24/2024 3:53 PM Corporate Compliance and Continuous Improvement Megan Gaillard Additional Reviewer Completed 04/24/2024 8:57 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 04/25/2024 8:42 AM Community & Human Services Maggie Lopez OMB Reviewer Completed 04/29/2024 9:27 AM County Manager's Office Amy Patterson Level 4 County Manager Review Completed 05/02/2024 1:29 PM Board of County Commissioners Geoffrey Willig Meeting Pending 05/14/2024 9:00 AM 16.C.1 Packet Pg. 990 Solicitation Number and Title: 24-8204 North County Regional Water Treatment Plant (NCRWTP)Notices Issued: 36,395 Feed Pump Rehabilitation and Motor Replacement Packages Viewed:48 Number of Bids Received: 3 ITEM NO Quantity Unit of Measure UNIT PRICE TOTAL UNIT PRICE TOTAL UNIT PRICE TOTAL UNIT PRICE TOTAL 1 1 Lump Sum $70,000.00 $70,000.00 $164,061.00 $164,061.00 $350,000.00 $350,000.00 $38,000.00 $38,000.00 2 6 Each $23,000.00 $138,000.00 $29,400.00 $176,400.00 $50,000.00 $300,000.00 $58,000.00 $348,000.00 3 7 Each $155,000.00 $1,085,000.00 $143,000.00 $1,001,000.00 $28,000.00 $196,000.00 $145,000.00 $1,015,000.00 4 6 Each $37,000.00 $222,000.00 $38,400.00 $230,400.00 $160,000.00 $960,000.00 $82,000.00 $492,000.00 5 1 Lump Sum $46,000.00 $46,000.00 $44,000.00 $44,000.00 $42,500.00 $42,500.00 $27,000.00 $27,000.00 6 6 Each $7,000.00 $42,000.00 $7,800.00 $46,800.00 $14,000.00 $84,000.00 $5,000.00 $30,000.00 TOTAL BID AMOUNT $1,603,000.00 TOTAL BID AMOUNT $1,662,661.00 TOTAL BID AMOUNT $1,932,500.00 TOTAL ESTIMATE AMOUNT $1,950,000.00 *Staff has allocated $30,000 in Owner's 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 of the full amount of the Allowance. Expenditures of Owner's Allowance will be made through Change Order with proper documentation of Time and Materials supporting the change. Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Engineers EstimateDoulgas N. Higgins, Inc Project Manager: Tom Sivert Lawrence Lee Construction Services, Inc Quality Enterprises USA, Inc. BID TABULATION Yes Yes Yes Yes/No Yes/No Yes/No Yes Yes Yes Yes Doulgas N. Higgins, Inc Yes TOTAL BID AMOUNT Quality Enterprises USA, Inc.Lawrence Lee Construction Services, Inc Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesYes Yes Yes Yes W-9 SunBiz Yes Yes Yes Yes Yes Yes Bid Opened By: Lisa Oien Witnessed By: Kris Lopez Date: 1/3/2024 3PM EST Bidders: Vendor Declaration Statement (Form 10) Immigration Affidavit Certification (Form 11) New 200-hp motor for vertical turbine pumps including installation and disposal of demolished motors and associated materials. Replacement of flexible conductor conduits and disposal of associated demolished materials. Replacement of conductors for Vertical Turbine Pump Motor No. 4 and disposal of associated demolished materials. DESCRIPTION Mobilization /Demobilization and General Conditions Removal and installation of vertical turbine pumps Rehabilitation of vertical turbine pumps Procurment Strategist: Lisa Oien Addendums (1) E-Verify Licenses Required Documents and Documents Bid Schedule Bid Response Form (Form 1) Contractors Key Personnel Assigned to Project - (Form 2) Material Manufacturers (Form 3) List of Major Subcontractors (Form 4) Statement of Experience of Bidder (Form 5) Trench Safety Act Acknowledgement (Form 6) Bid Bond (Form 7) Insurance and Bonding Requirements (Form 8) Conflict of Interest Affidavit (Form 9)16.C.1.aPacket Pg. 991Attachment: 24-8204 Bid Tabulation (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Project name: North County Regional Water Treatment Plant Feed Pump Rehabilitation and Motor Replacement Project no: 24-8204/D3514005 Subject: Design Entity Letter of Recommended Award Dear Ms. Oien Bids were received for the above-referenced project by Collier County on January 3, 2024. Jacobs has completed our review of the bid submi!ed by the lowest bidder for this project, and we are pleased to provide the following award recommenda#on. The scope of the North County Regional Water Treatment Plant Feed Pump Rehabilita#on and Motor Replacement project includes rehabilita#on of the seven exis#ng ver#cal turbine pumps and procurement and installa#on of six new motors. Collier County Procurement’s review of the bid tabula#ons determined that the apparent low bidder is Lawerence Lee Construc#on Services Inc. (Lawerence Lee) with a bid of $1,603,000.00. Jacobs was provided with the bid schedule for Lawerence Lee and their bid is approximately 18% lower than the Engineer’s Opinion of Probable Construc#on Cost (OPC) of $1,950,000.00. References were provided, and the completed Vendor Reference Check Logs are a!ached hereto. The project references provided by Lawerence Lee were contacted by Jacobs and all responded posi#vely. Jacobs determined the references contain sufficient relevant experience with similar projects to demonstrate the required successful experience to complete the project. The project references also demonstrate that Lawrence Lee meets the Special Qualifica#ons Requirements including experience with public works projects; water or wastewater treatment plants; ver#cal turbine pumps of 100 horsepower or greater; and variable frequency drives as well as instrumenta#on and controls experience. While the Engineer has not worked with Lawerence Lee in the past, their name has been men#oned when discussing quality small to mid-size contractors in the region with other u#li#es and engineers. January 26, 2024 Attn: Lisa Oien Procurement Strategist Collier County Procurement Services 3295 Tamiami Trail East Naples, FL 34112-5361 [Service identifier] 5801 Pelican Bay Boulevard Suite 505 Naples, FL 34108 United States T +1.239.596.1715 F +1.239.596.2579 www.jacobs.com 16.C.1.b Packet Pg. 992 Attachment: 24-8204 DELORA (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Date: 26 January 2024 Subject: Design Entity Letter of Recommended Award Jacobs Engineering DELORA-NCRWTP NF Feed Pump Rehabilitation and Motor Replacement 2 Based on the favorable performance reviews provided on the a!ached Vendor References Logs, Lawrence Lee is deemed qualified to conduct the requested work. Based on the above informa#on, Jacobs recommends Lawerence Lee be awarded the North County Regional Water Treatment Plant Feed Pump Rehabilita#on and Motor Replacement project in the amount of $1,603,000.00 Yours sincerely, Erik Jorgensen, P.E. Project Manager/EOR Erik.jorgensen@jacobs.com Copies to: Benjamin Bullert; Benjamin.Bullert@colliercountyfl.gov Tom Sivert; Tom.Sivert@colliercountyfl.gov 16.C.1.b Packet Pg. 993 Attachment: 24-8204 DELORA (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Appendix H2 – Template - DELORA Vendor Reference Check Log VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8204 Reference Check by: Robert Landrum Solicitation Title: North County Regional Water Treatment Plant Feed Pump Rehabilitation Motor Replacement Date: 01/18/2024 Bidder’s Name: Lawrence Lee Construction Phone: 904-802-3479 Design Entity: Jacobs Engineering Group REFERENCED PROJECT: Project Name: Demo and In-Line Booster Pump Station Replacement Project Location: Martin County, FL Project Description: Wastewater booster pump station modifications. Completion Date: April 2021 Contract Value: $2,166,672 Project Owner/Title: Martin County Utilities Owner’s Address: 2401 SE Monterey Road, Stuart, FL 34996 Phone: 772-221-2353 Owner’s Contact Person: Jeremy Covey E-Mail: jcovey@martin.fl.us 1. Was project completed timely and within budget? (If not, provide detail) Yes. 2. Was the submittal/review process performed satisfactorily? (If not, provide detail) Yes. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes. 4. Did the process run smoothly? Were there any changes? Describe below. Yes, only change was for unforeseen underground conditions. 5. Was the contract closeout process performed satisfactorily? (If not, provide detail) Yes. 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No warranty issues. 7. Additional comments: This project was for a public works, at a wastewater treatment plant, including vertical turbine pumps both above and below 100 hp, and included instrumentation and controls including VFDs. 16.C.1.b Packet Pg. 994 Attachment: 24-8204 DELORA (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Appendix H2 – Template - DELORA Vendor Reference Check Log VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8204 Reference Check by: Robert Landrum Solicitation Title: North County Regional Water Treatment Plant Feed Pump Rehabilitation Motor Replacement Date: 01/18/2024 Bidder’s Name: Lawrence Lee Construction Phone: 904-802-3479 Design Entity: Jacobs Engineering Group REFERENCED PROJECT: Project Name: WTP Accelator #2 and #3 Rehab and Improvements Project Location: Naples, FL Project Description: Accelator Rehab Completion Date: February 2023 Contract Value: $6,475,798 Project Owner/Title: City of Naples Owner’s Address: 1000 Fleischman Blvd, Naples, FL 34102 Phone: 239-213-3002 Owner’s Contact Person: Terry Savage E-Mail: tbsavage@naplesgov.com 1. Was project completed timely and within budget? (If not, provide detail) Yes. Terry noted that this was not one project but two projects and both were completed on time and within budget. 2. Was the submittal/review process performed satisfactorily? (If not, provide detail) Yes. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes. 4. Did the process run smoothly? Were there any changes? Describe below. Yes, only changes were Owner requested. 5. Was the contract closeout process performed satisfactorily? (If not, provide detail) Yes. 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No warranty issues. 7. Additional comments: This project was for a public works, at a water treatment plant and included instrumentation and controls including VFDs. This project did not include vertical turbine pumps, they were horizontal pumps. 16.C.1.b Packet Pg. 995 Attachment: 24-8204 DELORA (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Appendix H2 – Template - DELORA Vendor Reference Check Log VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8204 Reference Check by: Robert Landrum Solicitation Title: North County Regional Water Treatment Plant Feed Pump Rehabilitation Motor Replacement Date: 01/22/2024 Bidder’s Name: Lawrence Lee Construction Phone: 904-802-3479 Design Entity: Jacobs Engineering Group REFERENCED PROJECT: Project Name: WWTP – Filter and Chlorine Contact Basin Improvements Project Location: Hobe Sound, FL Project Description: Disk Filter and Chlorine contact basin addition Completion Date: January 2022 Contract Value: $1,456,918 Project Owner/Title: South Martin Regional Utility (Town of Jupiter Island) Owner’s Address: PO Box 395, Hobe Sound, FL 33475 Phone: 772-208-0010 Owner’s Contact Person: Mike Gavin E-Mail: mgavin@tji.martin.fl.us 1. Was project completed timely and within budget? (If not, provide detail) Yes. 2. Was the submittal/review process performed satisfactorily? (If not, provide detail) Yes. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes. 4. Did the process run smoothly? Were there any changes? Describe below. Yes, only changes were owner requested. 5. Was the contract closeout process performed satisfactorily? (If not, provide detail) Yes. 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No warranty issues. 7. Additional comments: The project was for a public works, at wastewater treatment plant, and included instrumentation and controls including VFDs. Noted that they have a few more projects starting this year with them. 16.C.1.b Packet Pg. 996 Attachment: 24-8204 DELORA (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Appendix H2 – Template - DELORA Vendor Reference Check Log VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8204 Reference Check by: Robert Landrum Solicitation Title: North County Regional Water Treatment Plant Feed Pump Rehabilitation Motor Replacement Date: 1/25/2024 Bidder’s Name: Lawrence Lee Construction Phone: 904-802-3479 Design Entity: Jacobs Engineering Group REFERENCED PROJECT: Project Name: Reuse Pump Station Modifications Project Location: Lake Wales, FL Project Description: Reuse Booster Pump station and storage tank modifications Completion Date: March, 2020 Contract Value: $955,777 Project Owner/Title: City of Lake Wales Owner’s Address: 201 W Central Ave, Lake Wales, FL 33853 Phone: 863-678-4182 Owner’s Contact Person: Sara Kirkland E-Mail: skirkland@lakewalesfl.gov 1. Was project completed timely and within budget? (If not, provide detail) Yes. 2. Was the submittal/review process performed satisfactorily? (If not, provide detail) Yes. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes. 4. Did the process run smoothly? Were there any changes? Describe below. Yes and there were no changes. 5. Was the contract closeout process performed satisfactorily? (If not, provide detail) Yes. 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No. 7. Additional comments: The project included instrumentation and controls including VFDs and was for a public works. 16.C.1.b Packet Pg. 997 Attachment: 24-8204 DELORA (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Appendix H2 – Template - DELORA Vendor Reference Check Log VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8204 Reference Check by: Robert Landrum Solicitation Title: North County Regional Water Treatment Plant Feed Pump Rehabilitation Motor Replacement Date: 01/18/2024 Bidder’s Name: Lawrence Lee Construction Phone: 904-802-3479 Design Entity: Jacobs Engineering Group REFERENCED PROJECT: Project Name: WTP PFC Treatment (Ion Exchange) Project Location: Stuart, FL Project Description: Ion Exchange Project Completion Date: 07/2019 Contract Value: $2,216,521 Project Owner/Title: City of Stuart Owner’s Address: 121 SW Flagler Ave, Stuart FL 34994 Phone: 772-221-4700 Owner’s Contact Person: Marc Rogolino E-Mail: mrogolino@ci.stuart.fl.us 1. Was project completed timely and within budget? (If not, provide detail) Yes it was completed on budget, and it was completed ahead of schedule. 2. Was the submittal/review process performed satisfactorily? (If not, provide detail) Yes. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes. 4. Did the process run smoothly? Were there any changes? Describe below. Yes. 5. Was the contract closeout process performed satisfactorily? (If not, provide detail) Yes. 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No warranty issues. 7. Additional comments: This project was for a public works, at a water treatment plant, included instrumentation and controls including VFDs, and it included vertical turbine pumps but he could not remember the hp rating. 16.C.1.b Packet Pg. 998 Attachment: 24-8204 DELORA (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Notice of Recommended Award Solicitation: 24-8204 Title: North County Regional Water Treatment Plant (NCRWTP) Feed Pump Rehabilitation and Motor Replacement Due Date and Time: January 3, 2024, at 3:00 PM EST. Respondents: Company Name City County State Bid Amount Responsive/Responsible Lawrence Lee Construction Services, Inc. Stuart Martin FL $1,603,000.00 Y/Y Douglas N. Higgins, Inc. Naples Collier FL $1,662,661.00 Y/Y Quality Enterprises USA, Inc. Naples Collier FL $1,932,500.00 Y/Y Utilized Local Vendor Preference: Yes No N/A Recommended Vendor(s) For Award: On November 17, 2023, The Procurement Services Division issued Construction Invitation to Bid (ITB) No. 24- 8204, North County Regional Water Treatment Plant (NCRWTP) Feed Pump Rehabilitation and Motor Replacement, to thirty-six thousand three hundred ninety-five (36,395) vendors. The bid was advertised for a total of forty-seven (47) days. Forty-eight (48) vendors viewed the bid package and the County received three (3) bids by the January 3, 2024, deadline. Staff reviewed the bids received. All three (3) bidders were deemed responsive and responsible. Staff determined that Lawrence Lee Construction Services, Inc. is the lowest responsive and responsible bidder. Staff recommends the contract to be awarded to Lawrence Lee Construction Services, Inc., the lowest responsive and responsible bidder, for a total bid amount of $1,603,000.00. In addition to the bid amount, staff has allocated $30,000 Contract Driven Purchase Order Driven Required Signatures Project Manager: Procurement Strategist: Procurement Services Director: __________________________________ _________________ Sandra Herrera Date 16.C.1.c Packet Pg. 999 Attachment: 24-8204 NORA pdf (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 3/15/2024 (561) 868-6287 (561) 427-6730 19488 Lawrence Lee Construction Services, Inc. 800 SE Lincoln Ave Stuart, FL 34994 23396 A 1,000,000 X X GL21183410301 8/28/2023 8/28/2024 1,000,000 XCU & Contractual 10,000 1,000,000 2,000,000 2,000,000 1,000,000A X X CA21183400201 8/28/2023 8/28/2024 5,000,000B X X CU21183420202 8/28/2023 8/28/2024 5,000,000 0 B X WC21183430302 8/28/2023 8/28/2024 1,000,000 N 1,000,000 1,000,000 Project: 24-8204 - North County Regional Water Treatment Plant (NCRWTP) Feed Pump Rehabilitation and Motor Replacement Certificate Holder is included as an additional insured including products and completed operations for general liability if required by written contract per form CG7324 0323, and an additional insured on the auto liability and umbrella when required by written contract. General Liability, Auto Liability and Umbrella are primary and non-contributory when required by written contract. Waiver of subrogation applies to general liability, auto liability, umbrella and employers liability when required by written contract. Umbrella extends over General Liability, Auto Liability and Workers Compensation policies. Cancellation 30-days' notice of cancellation applies except 10-days for non-payment of premium per policy terms and conditions. SEE ATTACHED ACORD 101 Collier County Board of Commissioners 3295 Tamiami Trail East Naples, FL 34112 LAWRLEE-01 BKING CAL Risk Management 23 Eganfuskee Street Suite 102 Jupiter, FL 33477 Britney King Bking@calllc.com Amerisure Insurance Co Amerisure Mutual Ins Co X X X X X X X X X X 16.C.1.f Packet Pg. 1000 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. CAL Risk Management LAWRLEE-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance 1 SEE P 1 Lawrence Lee Construction Services, Inc. 800 SE Lincoln Ave Stuart, FL 34994 Martin SEE PAGE 1 BKING 1 Description of Operations/Locations/Vehicles: Certificate holder is expanded to read: Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR, Collier County Government, OR, Collier County. 16.C.1.f Packet Pg. 1001 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 1 of 3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR’S BLANKET FLEX ADDITIONAL INSURED ENDORSEMENT – FORM A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Agency Number Policy Effective Date Policy Expiration Date Date Account Number Named Insured Agency Issuing Company A.SECTION II - WHO IS AN INSURED is amended to add as an additional insured: 1.Any person or organization with whom you have agreed in a “written agreement” that such person or organization be added as an additional insured on this policy, and any other person or organization you are required to add as an additional insured under such “written agreement”. 2.If “your work” began under a written letter of intent or written work order, any person or organization who issued the written letter of intent or written work order, but: a.such coverage will apply only for 30 calendar days following the date the written letter of intent or written work order was issued; and b.the person or organization is an additional insured only for, and to the extent of, liability arising out of “bodily injury”, “property damage”, or “personal and advertising injury” caused, in whole or in part, by your negligent acts or omissions, or the negligent acts or omissions of others working on your behalf, in the performance of your work as specified in the written letter of intent or written work order. This coverage does not apply to liability arising out of the independent acts or omissions of the additional insured. For the purposes of the coverage provided by this endorsement, a “written agreement” means a written contract or written agreement that: 1.requires you to include a person or organization as an additional insured for a period of time during the policy period; and 2.is executed prior to the occurrence of “bodily injury”, “property damage”, or “personal and advertising injury” that forms the basis for a claim under this policy. The insurance provided by this endorsement does not apply to any person or organization that is specifically listed as an additional insured on another endorsement attached to this policy. Policy Number GL21183410301 0825355 08/28/2023 08/28/2024 20077521 LAWRENCE LEE CONSTRUCTION SERVICES, INC CAL RISK MANAGEMENT AMERISURE INSURANCE CO 16.C.1.f Packet Pg. 1002 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 2 of 3 B. The coverage provided to any person or organization added as an additional insured pursuant to Paragraph A.1 is limited as follows: 1. If the “written agreement” specifically and exclusively requires you to name the person or organization as an additional insured using the ISO CG 20 10 endorsement with edition dates of 11 85 or 10 01, or the ISO CG 20 37 10 01 endorsement, that person or organization is an additional insured, but only with respect to liability for “bodily injury”, “property damage”, or “personal and advertising injury” arising out of “your work” for that insured by or for you. 2. If the “written agreement” requires you to name the person or organization as an additional insured using the ISO CG 20 10 and or CG 20 37 endorsements without specifically and exclusively requiring the 11 85 or 10 01 edition dates, that person or organization is an additional insured, but only with respect to liability for “bodily injury”, “property damage”, or “personal and advertising injury” caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf. 3. If the “written agreement” requires you to name the person or organization as an additional insured for operations arising out of your work and does not specify an ISO additional insured endorsement, that person or organization is an additional insured, but only with respect to liability for “bodily injury”, “property damage”, or “personal and advertising injury” arising out of your acts or omissions, or the acts or omissions of others working on your behalf, in the performance of your work as specified in the “written agreement”. This coverage does not apply to liability arising out of the sole negligence of the additional insured unless specifically required in the “written agreement”. 4. If none of the above paragraphs apply, then the person or organization is an additional insured only for, and to the extent of, liability arising out of “bodily injury”, “property damage”, or “personal and advertising injury” caused, in whole or in part, by your negligent acts or omissions, or the negligent acts or omissions of others working on your behalf, in the performance of your work as specified in the “written agreement”. This coverage does not apply to liability arising out of the independent acts or omissions of the additional insured. However, the insurance afforded to such additional insured only applies to the extent permitted by law. C. The insurance provided to an additional insured under this endorsement does not apply to: 1. “Bodily injury” or “property damage” included in the “products-completed operations hazard” unless the “written agreement” specifically requires such coverage (including by specifically requiring the CG 20 10 11 85). To the extent the “written agreement” requires such coverage for a specified amount of time, the coverage provided by this endorsement is limited to the amount of time required for such coverage by the “written agreement”. 2. “Bodily injury”, “property damage”, or “personal and advertising injury” arising out of an architect’s, engineer’s, or surveyor’s rendering of, or failure to render, any professional services, including but not limited to: a. The preparing, approving, or failing to prepare or approve: (1) Maps; (2) Drawings; (3) Opinions; (4) Reports; (5) Surveys; (6) Change orders; 16.C.1.f Packet Pg. 1003 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 3 of 3 (7) Design specifications; and b. Supervisory, inspection, or engineering services. D. The limits of insurance that apply to the additional insured are the least of those specified in the “written agreement” or declarations of this policy. Coverage provided by this endorsement for any additional insured shall not increase the applicable Limits of Insurance shown in the Declarations. The limits of insurance that apply to the additional insured are inclusive of, and not in addition to, the Limits of Insurance shown in the Declarations. E. With respect to the coverage provided by this endorsement, SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance is deleted and replaced with the following: 4. Other Insurance. a. Coverage provided by this endorsement is excess over any other valid and collectible insurance available to the additional insured whether: (1) Primary; (2) Excess; (3) Contingent; or (4) On any other basis. In addition, this insurance is excess over any self-insured retentions, deductibles, or captive retentions payable by the additional insured or payable by any person or organization whose coverage is available to the additional insured. However, if the “written agreement” requires primary and non-contributory coverage, this insurance will be primary and non-contributory relative only to the other insurance available to the additional insured which covers that person or organization as a Named Insured, and we will not share with that other insurance. For any other insurance available to the additional insured where that person or organization is not a Named Insured, this policy will share coverage with that other insurance based on the terms specified in Paragraph b. Method of Sharing below. b. Method of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this method, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer’s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 16.C.1.f Packet Pg. 1004 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA CONTRACTORS GENERAL LIABILITY EXTENSION ENDORSEMENT TABLE OF CONTENTS Page 1.Additional Definitions 9 2.Aggregate Limits Per Location 7 3.Aggregate Limits Per Project 7 4.Blanket Contractual Liability – Railroads 3 5.Broadened Bodily Injury Coverage 11 6.Broadened Knowledge Of Occurrence 8 7.Broadened Legal Liability Coverage For Landlord’s Business Personal Property 8 8.Broadened Liability Coverage For Damage To Your Product And Your Work 10 9.Broadened Who Is An Insured 3 10.Contractual Liability – Personal And Advertising Injury 3 11.Damage To Premises Rented To You – Specific Perils and Increased Limit 7 12.Designated Completed Projects – Amended Limits of Insurance 11 13.Incidental Malpractice Liability 7 14.Increased Medical Payments Limit And Reporting Period 7 15.Mobile Equipment Redefined 9 16.Nonowned Watercraft And Nonowned Aircraft (Hired, Rented Or Loaned With Paid Crew)3 17.Product Recall Expense 2 18.Property Damage Liability – Alienated Premises 2 19.Property Damage Liability – Elevators And Sidetrack Agreements 2 20.Property Damage Liability – Property Loaned To The Insured Or Personal Property In The Care, Custody And Control Of The Insured 2 21.Reasonable Force – Bodily Injury or Property Damage 10 22.Supplementary Payments 3 23.Transfer Of Rights (Blanket Waiver Of Subrogation)9 24.Unintentional Failure To Disclose Hazards 8 Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 1 of 11 32/,&<180%(5*/3 (IIHFWLYH3WR4 16.C.1.f Packet Pg. 1005 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Under SECTION I – COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. EXCLUSIONS, provisions 1. through 6. of this endorsement are excess over any valid and collectible insurance (including any deductible) available to the insured, whether primary, excess or contingent (SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is changed accordingly). Provisions 1.through 6. of this endorsement amend the policy as follows: 1.PROPERTY DAMAGE LIABILITY – ALIENATED PREMISES A.Exclusion j. Damage to Property, paragraph (2)is deleted. B.The following paragraph is also deleted from Exclusion j. Damage to Property: Paragraph (2)of this exclusion does not apply if the premises are “your work” and were never occupied, rented or held for rental by you. 2.PROPERTY DAMAGE LIABILITY – ELEVATORS AND SIDETRACK AGREEMENTS A.Exclusion j. Damage to Property, paragraphs (3), (4), and (6) do not apply to the use of elevators. B.Exclusion k. Damage to Your Product does not apply to: 1.The use of elevators; or 2.Liability assumed under a sidetrack agreement. 3.PROPERTY DAMAGE LIABILITY – PROPERTY LOANED TO THE INSURED OR PERSONAL PROPERTY IN THE CARE, CUSTODY AND CONTROL OF THE INSURED A.Exclusion j. Damage to Property, paragraphs (3)and (4)are deleted. B.Coverage under this provision 3.does not apply to "property damage" that exceeds $25,000 per occurrence or $25,000 annual aggregate. 4.PRODUCT RECALL EXPENSE A.Exclusion n. Recall Of Products, Work Or Impaired Property does not apply to “product recall expenses” that you incur for the “covered recall” of “your product”. This exception to the exclusion does not apply to “product recall expenses” resulting from: 1.Failure of any products to accomplish their intended purpose; 2.Breach of warranties of fitness, quality, durability or performance; 3.Loss of customer approval or any cost incurred to regain customer approval; 4.Redistribution or replacement of “your product”, which has been recalled, by like products or substitutes; 5.Caprice or whim of the insured; 6.A condition likely to cause loss, about which any insured knew or had reason to know at the inception of this insurance; 7.Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing materials; 8.Recall of “your product(s)” that have no known or suspected defect solely because a known or suspected defect in another of “your product(s)” has been found. B.Under SECTION III – LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety as follows and paragraph 8. is added: 3.The Products-Completed Operations Aggregate Limit is the most we will pay for the sum of: Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 11 CG 72 89 04 17 16.C.1.f Packet Pg. 1006 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) a.Damages under COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY because of “bodily injury” and “property damage” included in the “products-completed operations hazard” and b.“Product recall expenses”. 8.Subject to paragraph 5.above [of the CGL Coverage Form], $25,000 is the most we will pay for all “product recall expenses” arising out of the same defect or deficiency. 5.NONOWNED WATERCRAFT AND NONOWNED AIRCRAFT (HIRED, RENTED OR LOANED WITH PAID CREW) Exclusion g. Aircraft, Auto or Watercraft, paragraph (2)is deleted and replaced with the following: [This exclusion does not apply to:] (2)A watercraft you do not own that is: (a)Less than 75 feet long; and (b)Not being used to carry any person or property for a charge; Exclusion g. Aircraft, Auto or Watercraft, paragraph (6) is added as follows: [This exclusion does not apply to:] (6)An aircraft you do not own, provided that: (a)The pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; (b)The aircraft is rented to you with a trained, paid crew; and (c)The aircraft is not being used to carry any person or property for a charge. 6.BLANKET CONTRACTUAL LIABILITY – RAILROADS Under SECTION V – DEFINITIONS, paragraph c.of “Insured Contract” is deleted and replaced by the following: c.Any easement or license agreement; ’Under SECTION V – DEFINITIONS, paragraph f.(1) of “Insured Contract” is deleted. 7.CONTRACTUAL LIABILITY – PERSONAL AND ADVERTISING INJURY Under SECTION I – COVERAGE B., paragraph 2. Exclusions, paragraph e. Contractual Liability is deleted. 8.SUPPLEMENTARY PAYMENTS Under SECTION I – SUPPLEMENTARY PAYMENTS – COVERAGES A AND B, paragraphs 1.b. and 1.d. are deleted and replaced with the following: b.Up to $5,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d.All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or “suit”, including actual loss of earnings up to $1,000 a day because of time off from work. 9.BROADENED WHO IS AN INSURED SECTION II – WHO IS AN INSURED is deleted and replaced with the following: 1.If you are designated in the Declarations as: Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 3 of 11 16.C.1.f Packet Pg. 1007 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) a.An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b.A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c.A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d.An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e.A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. 2.Each of the following is also an insured: a.Your “volunteer workers” only while performing duties related to the conduct of your business, or your "employees," other than either your "executive officers," (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" or “volunteer workers” are insured for: (1)"Bodily injury" or "personal and advertising injury": (a)To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co-"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other “volunteer workers” while performing duties related to the conduct of your business; (b)To the spouse, child, parent, brother or sister of that co-"employee" or “volunteer worker” as a consequence of paragraph (1)(a) above; (c)For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs (1)(a)or (b)above; or (d)Arising out of his or her providing or failing to provide professional health care services except as provided in provision 10.of this endorsement. (2)"Property damage" to property: (a)Owned, occupied or used by; (b)Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees," “volunteer workers”, any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b.Any person (other than your "employee" or “volunteer worker”), or any organization while acting as your real estate manager. c.Any person or organization having proper temporary custody of your property if you die, but only; (1)With respect to liability arising out of the maintenance or use of that property; and (2)Until your legal representative has been appointed. d.Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Form. Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 11 CG 72 89 04 17 16.C.1.f Packet Pg. 1008 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) e.Your subsidiaries if: (1)They are legally incorporated entities; and (2)You own more than 50% of the voting stock in such subsidiaries as of the effective date of this policy. If such subsidiaries are not shown in the Declarations, you must report them to us within 180 days of the inception of your original policy. f.Any person or organization, including any manager, owner, lessor, mortgagee, assignee or receiver of premises, to whom you are obligated under a written contract to provide insurance such as is afforded by this policy, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises or land leased to you, including common or public areas about such premises or land if so required in the contract. However, no such person or organization is an insured with respect to: (1)Any "occurrence" that takes place after you cease to occupy or lease that premises or land; or (2)Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. g.Any state or political subdivision but only as respects legal liability incurred by the state or political subdivision solely because it has issued a permit with respect to operations performed by you or on your behalf. However, no state or political subdivision is an insured with respect to: (1)"Bodily injury", "property damage", and "personal and advertising injury" arising out of operations performed for the state or municipality; or (2)"Bodily injury" or "property damage" included within the "products-completed operations hazard." h.Any person or organization who is the lessor of equipment leased to you to whom you are obligated under a written contact to provide insurance such as is afforded by this policy, but only with respect to their liability arising out of the maintenance, operation or use of such equipment by you or a subcontractor on your behalf with your permission and under your supervision. However, no such person or organization is an insured with respect to any "occurrence" that takes place after the equipment lease expires. i.Any architect, engineer, or surveyor engaged by you under a written contract but only with respect to liability arising out of your premises or "your work." However, no architect, engineer, or surveyor is an insured with respect to "bodily injury," "property damage," or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (1)The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or (2)Supervisory, inspection, or engineering services. This paragraph i. does not apply if a separate Additional Insured endorsement providing liability coverage for architects, engineers, or surveyors engaged by you is attached to the policy. If the written contract, written agreement, or certificate of insurance requires primary and non-contributory coverage, the insurance provided by paragraphs f. through i. above will be primary and non-contributory relative to other insurance available to the additional insured which covers that person or organization as a Named Insured, and we will not share with that other insurance. Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 5 of 11 16.C.1.f Packet Pg. 1009 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) 3.Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a.Coverage under this provision is afforded until the end of the policy period. b.Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. c.Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d.Coverage A does not apply to “product recall expense” arising out of any withdrawal or recall that occurred before you acquired or formed the organization. 4.Any person or organization (referred to below as vendor) with whom you agreed under a written contract to provide insurance is an insured, but only with respect to "bodily injury" or "property damage" arising out of "your products" that are distributed or sold in the regular course of the vendor's business. However, no such person or organization is an insured with respect to: a."Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement. b.Any express warranty unauthorized by you; c.Any physical or chemical change in “your product” made intentionally by the vendor; d.Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e.Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of “your products”; f.Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of “your product”; g.“Your products” which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor. h.“Bodily injury” or “property damage” arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1)The exceptions contained in subparagraphs d. or f.; or (2)Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. This paragraph 4. does not apply to any insured person or organization from which you have acquired “your product”, or any ingredient, part, or container, entering into, accompanying or containing “your product”. This paragraph 4. also does not apply if a separate Additional Insured endorsement, providing liability coverage for “bodily injury” or “property damage” arising out of “your product” that is distributed or sold in the regular course of a vendor’s business, is attached to the policy. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. Includes copyrighted material of Insurance Services Office, Inc. Page 6 of 11 CG 72 89 04 17 16.C.1.f Packet Pg. 1010 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) 10.INCIDENTAL MALPRACTICE LIABILITY As respects provision 9., SECTION II – WHO IS AN INSURED, paragraph 2.a.(1)(d) does not apply to any “employee” who provides incidental medical or paramedical services, provided that you are not engaged in the business or occupation of providing such services. This incidental malpractice coverage is excess over any available medical professional liability coverage. Under SECTION III – LIMITS OF INSURANCE, provisions 11. through 14. of this endorsement amend the policy as follows: 11.AGGREGATE LIMITS PER PROJECT The General Aggregate Limit applies separately to each of your construction projects away from premises owned by or rented to you. 12. AGGREGATE LIMITS PER LOCATION The General Aggregate Limit applies separately to each of your locations, but only when required by written contract, written agreement or certificate of insurance. As respects this provision 12., your locations are premises you own, rent or use involving the same or connecting lots or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. However, your locations do not include any premises where you, or others acting on your behalf, are performing construction operations. 13.INCREASED MEDICAL PAYMENTS LIMIT A.SECTION III – LIMITS OF INSURANCE, paragraph 7., the Medical Expense Limit, is subject to all of the terms of SECTION III – LIMITS OF INSURANCE and is the greater of: 1.$10,000; or 2.The amount shown in the Declarations for Medical Expense Limit. B.This provision 13. does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the provisions of the Coverage Form or by endorsement. 14.DAMAGE TO PREMISES RENTED TO YOU – SPECIFIC PERILS AND INCREASED LIMIT A.The word fire is changed to "specific perils" where it appears in: 1.The last paragraph of SECTION I – COVERAGE A, paragraph 2. Exclusions; 2.SECTION IV, paragraph 4.b. Excess Insurance. B.The Limits of Insurance shown in the Declarations will apply to all damage proximately caused by the same event, whether such damage results from a "specific peril" or any combination of "specific perils." C.The Damage To Premises Rented To You Limit described in SECTION III – LIMITS OF INSURANCE, paragraph 6.,is replaced by a new limit, which is the greater of: 1.$1,000,000; or 2.The amount shown in the Declarations for Damage To Premises Rented To You Limit. D.This provision 14.does not apply if the Damage To Premises Rented To You Limit of SECTIONI – COVERAGE A is excluded either by the provisions of the Coverage Form or by endorsement. E.“Specific Perils” means fire; lightning; explosion; windstorm or hail; smoke; aircraft or vehicles; riot or civil commotion; vandalism; leakage from fire extinguishing equipment; weight of snow, ice or sleet; or “water damage”. “Water damage” means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 7 of 11 16.C.1.f Packet Pg. 1011 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) 15.BROADENED LEGAL LIABILITY COVERAGE FOR LANDLORD’S BUSINESS PERSONAL PROPERTY Under SECTION I – COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,2. Exclusions,j. Damage to Property, the first paragraph following paragraph (6) is deleted and replaced with the following: Paragraphs (1),(3) and (4)of this exclusion do not apply to “property damage” (other than damage by fire) to a landlord’s business personal property that is subject to, or part of, a premises lease or rental agreement with that landlord. The most we will pay for damages under this provision 15. is $10,000. A $250 deductible applies. Under SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 16. through 18. of this endorsement amend the policy as follows: 16.BROADENED KNOWLEDGE OF OCCURRENCE Under 2. Duties In The Event Of Occurrence, Offense, Claim, Or Suit, paragraph a. is deleted and replaced and paragraphs e.and f. are added as follows: a.You must see to it that we are notified as soon as practicable of an "occurrence" or an offense, regardless of the amount, which may result in a claim. Knowledge of an "occurrence" or an offense by your “employee(s)” shall not, in itself, constitute knowledge to you unless one of your partners, members, “executive officers”, directors, or managers has knowledge of the "occurrence" or offense. To the extent possible, notice should include: (1)How, when and where the "occurrence" or offense took place; (2)The names and addresses of any injured persons and witnesses; and (3)The nature and location of any injury or damage arising out of the "occurrence" or offense. e.If you report an “occurrence” to your workers compensation carrier that develops into a liability claim for which coverage is provided by this Coverage Form, failure to report such an “occurrence” to us at the time of the “occurrence” shall not be deemed a violation of paragraphs a., b., and c.above. However, you shall give written notice of this “occurrence” to us as soon you become aware that this “occurrence” may be a liability claim rather than a workers compensation claim. f.You must see to it that the following are done in the event of an actual or anticipated “covered recall” that may result in “product recall expense”: (1)Give us prompt notice of any discovery or notification that “your product” must be withdrawn or recalled. Include a description of “your product” and the reason for the withdrawal or recall; (2)Cease any further release, shipment, consignment or any other method of distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under the insurance. 17.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph 6. Representations is deleted and replaced with the following: 6.Representations By accepting this policy, you agree: a.The statements in the Declarations are accurate and complete; b.Those statements are based upon representations you made to us; c.We have issued this policy in reliance upon your representations; and d.This policy is void in any case of fraud by you as it relates to this policy or any claim under this policy. Includes copyrighted material of Insurance Services Office, Inc. Page 8 of 11 CG 72 89 04 17 16.C.1.f Packet Pg. 1012 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards existing as of the inception date of this policy. You must report to us any knowledge of an error or omission in the description of any premises or operations intended to be covered by this Coverage Form as soon as practicable after its discovery. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or nonrenewal. 18.TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION) Paragraph 8. Transfer of Rights Of Recovery Against Others To Us is deleted and replaced with the following: 8.If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. However, if the insured has waived rights to recover through a written contract, or if "your work" was commenced under a letter of intent or work order, subject to a subsequent reduction to writing with customers whose customary contracts require a waiver, we waive any right of recovery we may have under this Coverage Form. 19.MOBILE EQUIPMENT REDEFINED Under SECTION V – DEFINITIONS, paragraph 12. "Mobile equipment", paragraph f. (1) does not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight. 20.ADDITIONAL DEFINITIONS 1.SECTION V – DEFINITIONS, paragraph 4. “Coverage territory” is replaced by the following definition: “Coverage territory” means anywhere in the world with respect to liability arising out of “bodily injury,” “property damage,” or “personal and advertising injury,” including “personal and advertising injury” offenses that take place through the Internet or similar electronic means of communication provided the insured’s responsibility to pay damages is determined in a settlement to which we agree or in a “suit” on the merits, in the United States of America (including its territories and possessions), Puerto Rico and Canada. 2.SECTION V – DEFINITIONS is amended by the addition of the following definitions: “Covered recall” means a recall made necessary because you or a government body has determined that a known or suspected defect, deficiency, inadequacy, or dangerous condition in “your product” has resulted or will result in “bodily injury” or “property damage”. “Product Recall expenses" mean only reasonable and necessary extra costs, which result from or are related to the recall or withdrawal of “your product” for: a.Telephone and telegraphic communication, radio or television announcements, computer time and newspaper advertising; b.Stationery, envelopes, production of announcements and postage or facsimiles; c.Remuneration paid to regular employees for necessary overtime or authorized travel expense; d.Temporary hiring by you or by agents designated by you of persons, other than your regular employees, to perform necessary tasks; e.Rental of necessary additional warehouse or storage space; f.Packaging of or transportation or shipping of defective products to the location you designate; and g.Disposal of “your products” that cannot be reused. Disposal expenses do not include: (1)Expenses that exceed the original cost of the materials incurred to manufacture or process such product; and (2)Expenses that exceed the cost of normal trash discarding or disposal, except as are necessary to avoid “bodily injury” or “property damage”. Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 9 of 11 16.C.1.f Packet Pg. 1013 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) 21.REASONABLE FORCE – BODILY INJURY OR PROPERTY DAMAGE Under SECTION I – COVERAGE A., paragraph 2. Exclusions, subparagraph a. Expected Or Intended Injury is deleted and replaced with the following: [This insurance does not apply to:] a.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. 22.BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A.Under SECTION I – COVERAGE A., paragraph 2. Exclusions,exclusion k. Damage to Your Product and exclusion l. Damage to Your Work are deleted and replaced with the following: [This insurance does not apply to:] k.Damage to Your Product “Property damage” to “your product” arising out of it or any part of it, except when caused by or resulting from: (1)Fire; (2)Smoke: (3)“Collapse”; or (4)Explosion. For purposes of exclusion k. above, “collapse” means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. l.Damage to Your Work “Property damage” to “your work” arising out of it or any part of it and included in the “products-completed operations hazard”. This exclusion does not apply: (1)If the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor; or (2)If the cause of loss to the damaged work arises as a result of: (a)Fire; (b)Smoke; (c)“Collapse”; or (d)Explosion. For purposes of exclusion l. above, “collapse” means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. B.The following paragraph is added to SECTION III – LIMITS OF INSURANCE: Subject to 5. above [of the CGL Coverage Form], $100,000 is the most we will pay under Coverage A for the sum of damages arising out of any one “occurrence” because of “property damage” to “your product” and “your work” that is caused by fire, smoke, collapse or explosion and is included within the “product-completed operations hazard”. This sublimit does not apply to “property damage” to “your work” if the damaged work, or the work out of which the damage arises, was performed on your behalf by a subcontractor. Includes copyrighted material of Insurance Services Office, Inc. Page 10 of 11 CG 72 89 04 17 16.C.1.f Packet Pg. 1014 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) 23.BROADENED BODILY INJURY COVERAGE Under SECTION V – DEFINITIONS, the definition of “bodily injury” is deleted and replaced with the following: 3. "Bodily injury" a.Means physical: (1) Injury; (2) Disability; (3) Sickness; or (4) Disease; sustained by a person, including death resulting from any of these at any time. b.Includes mental: (5) Anguish; (6) Injury; (7) Humiliation; (8) Fright; or (9) Shock; directly resulting from any "bodily injury" described in paragraph 3.a. c.All "bodily injury" described in paragraph 3.b. shall be deemed to have occurred at the time the "bodily injury" described in paragraph 3.a. occurred. 24.DESIGNATED COMPLETED PROJECTS – AMENDED LIMITS OF INSURANCE When a written contract or written agreement between you and another party requires project-specific limits of insurance exceeding the limits of this policy; A.for “bodily injury” or “property damage” that occurs within any policy period for which we provided coverage; and B.for “your work” performed within the “products-completed operation hazard”; and C.for which we previously issued Amendment Of Limits Of Insurance (Designated Project Or Premises) CG 71 94 either during this policy term or a prior policy term; and D.that designated project is now complete; the limits of insurance shown in the CG 71 94 schedule will replace the limits of insurance of this policy for the designated project and will continue to apply for the amount of time the written contract or written agreement requires, subject to the Florida 10-year statute of repose. These limits are inclusive of and not in addition to the replaced limits. Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 11 of 11 16.C.1.f Packet Pg. 1015 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Includes copyrighted material of Insurance Services Office,Inc. CA 71 71 05 08 Page1of 6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA ADVANTAGE COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. The premium for this endorsement is $ 1.EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS -CANCELLATION,Paragraph A.2.is replaced by the following: 2.We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a.10 days before the effective date of cancellation if we cancel for nonpayment of premium;or b.60 days before the effective date of cancellation if we cancel for any other reason. 2.BROAD FORM INSURED SECTION II -LIABILITY COVERAGE A.1.WHO IS AN INSURED is amended by the addition of the following: d.Any organization you newly acquire or form,other than a partnership,joint venture or limited liability company,and over which you maintain ownership or a majority interest,will qualify as a Named Insured. However, (1)Coverage under this provision is afforded only until the end of the policy period; (2)Coverage does not apply to “accidents”or “loss”that occurred before you acquired or formed the organization;and (3)Coverage does not apply to an organization that is an “insured”under any other policy or would be an “insured”but for its termination or the exhausting of its limit of insurance. e.Any “employee”of yours using: (1)A covered “auto”you do not own,hire or borrow,or a covered “auto”not owned by the “employee”or a member of his or her household,while performing duties related to the conduct of your business or your personal affairs;or (2)An “auto”hired or rented under a contract or agreement in that “employee’s”name,with your permission,while performing duties related to the conduct of your business. However,your “employee”does not qualify as an insured under this paragraph (2)while using a covered “auto” rented from you or from any member of the “employee’s”household. f.Your members,if you are a limited liability company,while using a covered “auto”you do not own,hire,or borrow,while performing duties related to the conduct of your business or your personal affairs. g.Any person or organization with whom you agree in a written contract,written agreement or permit,to provide insurance such as is afforded under this policy,but only with respect to your covered “autos”. This provision does not apply: (1)Unless the written contract or agreement is executed or the permit is issued prior to the “bodily injury” or “property damage”; $350.00 32/,&<180%(5&$2 (IIHFWLYH3WR4 16.C.1.f Packet Pg. 1016 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Includes copyrighted material of Insurance Services Office,Inc. Page 2 of 6 CA 71 71 05 08 (2)To any person or organization included as an insured by an endorsement or in the Declarations;or (3)To any lessor of “autos”unless: (a)The lease agreement requires you to provide direct primary insurance for the lessor; (b)The “auto”is leased without a driver;and (c)The lease had not expired. Leased “autos”covered under this provision will be considered covered “autos”you own and not covered “autos”you hire. h.Any legally incorporated organization or subsidiary in which you own more than 50%of the voting stock on the effective date of this endorsement. This provision does not apply to “bodily injury”or “property damage”for which an “insured”is also an insured under any other automobile policy or would be an insured under such a policy,but for its termination or the exhaustion of its limits of insurance,unless such policy was written to apply specifically in excess of this policy. 3.COVERAGE EXTENSIONS -SUPPLEMENTARY PAYMENTS Under SECTION II -LIABILITY COVERAGE,A.2.a.Supplementary Payments,paragraphs (2)and (4)are deleted and replaced with the following: (2)Up to $2500 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. (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. 4.AMENDED FELLOW EMPLOYEE EXCLUSION SECTION II -LIABILITY COVERAGE,B.EXCLUSIONS,paragraph 5.FELLOW EMPLOYEE is deleted and replaced by the following: “Bodily injury”to any fellow “employee”of the “insured”arising out of and in the course of the fellow “employee’s”employment or while performing duties related to the conduct of your business. However,this exclusion does not apply to your “employees”that are officers or managers if the "bodily injury"results from the use of a covered "auto"you own,hire or borrow.Coverage is excess over any other collectible insurance. 5.HIRED AUTO PHYSICAL DAMAGE COVERAGE AND LOSS OF USE EXPENSE A.Under SECTION III -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,the following is added: If any of your owned covered “autos”are covered for Physical Damage,we will provide Physical Damage coverage to “autos”that you or your “employees”hire or borrow,under your name or the “employee’s” name,for the purpose of doing your work.W e will provide coverage equal to the broadest physical damage coverage applicable to any covered "auto"shown in the Declarations,Item Three,Schedule of Covered Autos You Own,or on any endorsements amending this schedule. B.Under SECTION III -PHYSICAL DAMAGE COVERAGE,A.4.COVERAGE EXTENSIONS,paragraph b. Loss of Use Expenses is deleted and replaced with the following: b.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 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”; (2)Specified Causes of Loss,only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered “auto”;or 16.C.1.f Packet Pg. 1017 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Includes copyrighted material of Insurance Services Office,Inc. CA 71 71 05 08 Page3of 6 (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 $30 per day,to a maximum of $2,000. C.Under SECTION IV –BUSINESS AUTO CONDITIONS,paragraph 5.b.Other Insurance is deleted and replaced by the following: b.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 by your "employee"under a contract in that individual "employee's"name,with your permission,while performing duties related to the conduct of your business. However,any “auto”that is leased,hired,rented or borrowed with a driver is not a covered “auto”,nor is any “auto”you hire from any of your “employees”,partners (if you are a partnership),members (if you are a limited liability company),or members of their households. 6.LOAN OR LEASE GAP COVERAGE Under SECTION III -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,the following is added: If a covered “auto”is owned or leased and if we provide Physical Damage Coverage on it,we will pay,in the event of a covered total “loss”,any unpaid amount due on the lease or loan for a covered “auto”,less: (a)The amount paid under the Physical Damage Coverage Section of the policy;and (b)Any: (1)Overdue lease or loan payments including penalties,interest or other charges resulting from overdue 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)Costs for extended warranties,Credit Life Insurance,Health,Accident or Disability Insurance purchased with the loan or lease; (4)Security deposits not refunded by a lessor;and (5)Carry-over balances from previous loans or leases. 7.RENTAL REIMBURSEMENT SECTION III -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,paragraph 4.Coverage Extensions is deleted and replaced by the following: 4.Coverage Extensions (a)We will pay up to $75 per day to a maximum of $2000 for transportation expense incurred by you because of covered "loss”.We will pay only for those covered "autos"for which you carry Collision Coverage or either Comprehensive Coverage or Specified Causes of Loss Coverage.We will pay for transportation expenses incurred during the period beginning 24 hours after the covered "loss" and ending,regardless of the policy's expiration,when the covered"auto"is returned to use or we pay for its "loss".This coverage is in addition to the otherwise applicable coverage you have on a covered "auto".No deductibles apply to this coverage. (b)This coverage does not apply while there is a spare or reserve "auto"available to you for your operation. 16.C.1.f Packet Pg. 1018 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Includes copyrighted material of Insurance Services Office,Inc. Page 4 of 6 CA 71 71 05 08 8.AIRBAG COVERAGE SECTION III -PHYSICAL DAMAGE,B.EXCLUSIONS,Paragraph 3.is deleted and replaced by the following: We will not pay for “loss”caused by or resulting from any of the following unless caused by other “loss”that is covered by this insurance: a.Wear and tear,freezing,mechanical or electrical breakdown.However,this exclusion does not include the discharge of an airbag. b.Blowouts,punctures or other road damage to tires. 9.GLASS REPAIR -WAIVER OF DEDUCTIBLE SECTION III -PHYSICAL DAMAGE COVERAGE,D.DEDUCTIBLE is amended to add the following: No deductible applies to glass damage. 10.COLLISION COVERAGE –WAIVER OF DEDUCTIBLE SECTION III -PHYSICAL DAMAGE COVERAGE,D.DEDUCTIBLE is amended to add the following: When there is a “loss”to your covered “auto”insured for Collision Coverage,no deductible will apply if the “loss”was caused by a collision with another “auto”insured by us. 11.KNOWLEDGE OF ACCIDENT SECTION IV -BUSINESS AUTO CONDITIONS,A.LOSS CONDITIONS,2.DUTIES IN THE EVENT OF ACCIDENT,CLAIM,SUIT OR LOSS,paragraph a.is deleted and replaced by the following: a.You must see to it that we are notified as soon as practicable of an “accident”,claim,“suit”or “loss". Knowledge of an “accident”,claim,”suit”or “loss”by your “employees”shall not,in itself,constitute knowledge to you unless one of your partners,executive officers,directors,managers,or members (if you are a limited liability company)has knowledge of the “accident”,claim,“suit”or “loss".Notice should include: (1)How,when and where the “accident”or “loss”occurred; (2)The “insured’s”name and address;and (3)To the extent possible,the names and addresses of any injured persons and witnesses. 12.TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION) SECTION IV -BUSINESS AUTO CONDITIONS A.5.TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is deleted and replaced by the following: If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another,those rights are transferred to us.That person or organization must do everything necessary to secure our rights and must do nothing after “accident”or “loss”to impair them.However,if the insured has waived rights to recover through a written contract,or if your work was commenced under a letter of intent or work order,subject to a subsequent reduction in writing with customers whose customary contracts require a waiver,we waive any right of recovery we may have under this Coverage Form. 13.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV -BUSINESS AUTO CONDITIONS,B.GENERAL CONDITIONS,2.CONCEALMENT, MISREPRESENTATION OR FRAUD is amended by the addition of the following: We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards existing as of the inception date of this policy.You must report to us any knowledge of an error or omission in your representations as soon as practicable after its discovery.This provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. 16.C.1.f Packet Pg. 1019 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Includes copyrighted material of Insurance Services Office,Inc. CA 71 71 05 08 Page5of 6 14.AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SCHEDULE Description of Covered “Auto”: Limit of Insurance Deductible $250 A.Coverage 1.We will pay,with respect to a covered “auto”described in the above Schedule,for “loss”to any electronic equipment that receives or transmits audio,visual or data signals and that is not designed solely for the reproduction of sound.This coverage applies only if the equipment is permanently installed in the covered “auto”at the time of the “loss”or the equipment is removable from a housing unit that is permanently installed in the covered “auto”at the time of “loss”,and such equipment is designed to be solely operated by use of the power from the “auto’s”electrical system,in or upon the covered “auto”. 2.We will pay,with respect to a covered “auto”described in the above Schedule,for “loss”to any accessories used with the electronic equipment described in paragraph A.1.above.However,this does not include tapes,records or discs. B.Exclusions For purposes of this provision 14,the exclusions that apply to Physical Damage Coverage,except for the exclusion relating to Audio,Visual and Data Electronic Equipment,also apply to coverage provided by this endorsement.In addition,the following exclusions apply: We will not pay,under this endorsement,for either any electronic equipment or accessories used with such electronic equipment that is: 1.Necessary for the normal operation of the covered “auto”or the monitoring of the covered “auto’s” operating system;or 2.Both: a.An integral part of the same unit housing any sound reproducing equipment designed solely for the reproduction of sound if the sound reproducing equipment is permanently installed in the covered “auto”;and b.Permanently installed in the opening of the dash or console normally used by the manufacturer for the installation of a radio. 3.A device designed or used to detect speed measuring equipment such as radar or laser detectors or a jamming apparatus intended to elude or disrupt speed measurement equipment,whether permanently installed or temporarily mounted in or on the covered “auto”. C.Limit of Insurance With respect to coverage under provision 14.of this endorsement,the Limit of Insurance provision of Physical Damage Coverage is replaced by the following: 1.The most we will pay for all “loss”to audio,visual or data electronic equipment and any accessories used with this equipment,as described in paragraph A.above,as a result of any one “accident”,is the lesser of: a.The actual cash value of the damaged or stolen property as of the time of the “loss”;or b.The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality;or c.The amount shown in the Schedule. $1,000 16.C.1.f Packet Pg. 1020 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Includes copyrighted material of Insurance Services Office,Inc. Page 6 of 6 CA 71 71 05 08 2.An adjustment for depreciation and physical condition will be made in determining actual cash value at the time of the “loss”. 3.If a repair or replacement results in better than like kind or quality,we will not pay for the amount of betterment. D.Deductible 1.If “loss”to the audio,visual or data electronic equipment or accessories used with this equipment,as described in paragraph A.above,is the result of a “loss”to the covered “auto”under this Coverage Form’s Comprehensive or Collision Coverage,then for each covered “auto”our obligation to pay for, repair,return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations.Any Comprehensive Coverage deductible shown in the Declarations does not apply to “loss”to audio,visual or data electronic equipment caused by fire or lightning. 2.If “loss”to the audio,visual or data electronic equipment or accessories used with this equipment,as described in paragraph A.above,is the result of a “loss”to the covered “auto”under this Coverage Form’s Specified Causes of Loss Coverage,then for each covered “auto”our obligation to pay for, repair,return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Schedule of this endorsement. 3.If “loss”occurs solely to the audio,visual or data electronic equipment or accessories used with this equipment,as described in paragraph A.above,then for each covered “auto”our obligation to pay for,repair,return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Schedule of this endorsement. 4.In the event that there is more than one applicable deductible,only the highest deductible will apply. In no event will more than one deductible apply. E.When This Provision Becomes Void This provision,AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE,is void if CA 99 60,Audio,Visual And Data Electronic Equipment Coverage,is attached to the policy. 16.C.1.f Packet Pg. 1021 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) COMMERCIAL AUTO CA 71 65 09 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED -PRIMARY NON-CONTRIBUTORY COVERAGE WHEN REQUIRED BY INSURED CONTRACT OR CERTIFICATE This endorsement modifies insurance provided under the BUSINESS AUTO COVERAGE FORM The provisions of the Coverage Form apply unless changed by this endorsement. This endorsement identifies person(s)or organization(s)who are “insured”under the Who Is An Insured Provision of the Coverage Form. This endorsement changes the policy on the inception date of the policy,unless another date is shown below. Endorsement Effective:Countersigned By: Named Insured: (Authorized Representative) (No entry may appear above.If so,information to complete this endorsement is in the Declarations.) 1.Section II –Liability Coverage,A.Coverage,1.Who Is An Insured is amended to add: Any person or organization with whom you have an “insured contract”which requires: i.that person or organization to be added as an “insured”under this policy or on a certificate of insurance;and ii.this policy to be primary and non-contributory to any like insurance available to the person or organization. Each such person or organization is an “insured”for Liability Coverage.They are an “insured”only if that person or organization is an “insured”under in SECTION II of the Coverage Form. The contract between the Named Insured and the person or organization is an “insured contract”. 2.Section IV –Business Auto Conditions,B.General Conditions,5.Other Insurance,paragraph d.is deleted and replaced by the following for the purpose of this endorsement only: d.When coverage provided under this Coverage Form is also provided under another Coverage Form or policy,we will provide coverage on a primary,non-contributory basis. Includes copyrighted material of Insurance Services Office,Inc.with its permission. LAWRENCE LEE CONSTRUCTION SERVICES, INC POLICY NUMBER:CA21183400201 08/28/2022 (Authorized Represen 16.C.1.f Packet Pg. 1022 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) :$,9(52)75$16)(52)5,*+762)5(&29(5< $*$,16727+(567286 :$,9(52)68%52*$7,21 ± $8720$7,& &200(5&,$//,$%,/,7<80%5(//$ &8 7+,6(1'256(0(17&+$1*(67+(32/,&<3/($6(5($',7&$5()8//< &8‹,QVXUDQFH6HUYLFHV2IILFH,QF3DJHRI 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$//,$%,/,7<80%5(//$&29(5$*(3$57 7KH IROORZLQJ LV DGGHG WR 3DUDJUDSK 7UDQVIHU 2I 5LJKWV 2I 5HFRYHU\$JDLQVW 2WKHUV 7R 8V RI 6HFWLRQ,9±&RQGLWLRQV :H ZDLYH DQ\ULJKW RI UHFRYHU\DJDLQVW DQ\SHUVRQ RU RUJDQL]DWLRQEHFDXVH RI DQ\SD\PHQW ZH PDNH XQGHU WKLV &RYHUDJH 3DUWWR ZKRP WKH LQVXUHG KDV ZDLYHG LWV ULJKW RI UHFRYHU\LQ D ZULWWHQ FRQWUDFW RU DJUHHPHQW6XFK ZDLYHU E\ XV DSSOLHV RQO\WR WKH H[WHQW WKDW WKH LQVXUHG KDV ZDLYHG LWV ULJKW RI UHFRYHU\ DJDLQVWVXFKSHUVRQRURUJDQL]DWLRQSULRUWRORVV 16.C.1.f Packet Pg. 1023 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) &200(5&,$//,$%,/,7<80%5(//$ &8     7+,6 (1'256(0(17 &+$1*(6 7+(32/,&< 3/($6(5($',7 &$5()8//< $'',7,21$/,1685('35,0$5<121&2175,%8725< &29(5$*(:+(1 5(48,5('%<:5,77(1 &2175$&7:5,77(1 $*5((0(1725 &(57,),&$7(2),1685$1&( 7KLV HQGRUVHPHQW PRGLILHV LQVXUDQFH SURYLGHG XQGHU WKH IROORZLQJ &200(5&,$//,$%,/,7<80%5(//$&29(5$*()250 $OO SROLF\WHUPV DSSO\H[FHSW DV VWDWHG EHORZ 8QGHU 6(&7,21 ,,±:+2 ,6 $1 ,1685('WKH IROORZLQJ LV DGGHG WR SDUDJUDSK  ,I FRYHUDJH SURYLGHG WR DQ\DGGLWLRQDO LQVXUHG LV UHTXLUHG E\D ZULWWHQ FRQWUDFWZULWWHQ DJUHHPHQWRU FHUWLILFDWH RI LQVXUDQFHZH ZLOO SURYLGH FRYHUDJH WR WKH DGGLWLRQDO LQVXUHG RQ D SULPDU\EDVLV ZLWKRXW FRQWULEXWLRQ IURP DQ\RWKHU YDOLG DQG FROOHFWLEOH LQVXUDQFH DYDLODEOH WR WKH DGGLWLRQDO LQVXUHG 8QGHU 6(&7,21 ,9 ±&21',7,216SDUDJUDSK 2WKHU ,QVXUDQFH GRHV QRW DSSO\WR FRYHUDJH SURYLGHG E\ WKLV HQGRUVHPHQW ,QFOXGHV FRS\ULJKWHG PDWHULDO RI ,QVXUDQFH 6HUYLFHV 2IILFH,QF &8     16.C.1.f Packet Pg. 1024 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement) Schedule 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. "Any person or organization required by written contract or certificate of insurance." "This endorsement is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas and Utah." The endorsement does not apply to policies or exposure in Missouri where the employer is in the construction group of classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive subrogation rights is against public policy and void where one party to the contract is an employer in the construction group of code classifications. For policies or exposure in Missouri, the following must be included in the Schedule: Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. 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 Hart Forms &Services Reorder No.14-4888 WC 00 03 13 (Ed.4-84)Copyright 1983 National Council on Compensation Insurance. WC21183430302 $ 08/28/2023 16.C.1.f Packet Pg. 1025 Attachment: 24-8204 COI_Lawrence Lee (28415 : NCRWTP Feed Pump Rehabilitation and Motor Replacement)