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#15-6365 Amendment #3 (Crowder Gulf Joint Venture, Inc.) AccoRD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/08/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nina Glover NAME: Pathway Insurance Group PHONE (251)279-6373 FAX 753 Nichols Avenue (AE-NC,No,Ext): (A/C,No): AIL ADDRESS: nina@pathwayinsgroup.com INSURER(S)AFFORDING COVERAGE NAIC# Fairhope AL 36532 INSURER A: The Gray Insurance Company-Best Rating A-VIII 36307 INSURED INSURER B: Westchester Surplus Lines Insurance CrowderGulf Joint Venture Inc./CrowderGulf LLC INSURER C: Navigators 5629 Commerce Blvd.E. Lloyds of London INSURER D: y INSURER E: Mobile AL 36619 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2461914728 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUB1. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y XSGL-100090 07/01/2022 07/01/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY XPRO LOC 00000PRODUCTS-COMP/OPAGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A X/ OWNED /� SCHEDULED Y Y XSAL-100100 07/01/2022 07/01/2025 BODILY INJURY(Per accident) $ /� AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 11,000,000 C EXCESS LIAB CLAIMS-MADE Y Y H024LIA15303401 07/01/2024 07/01/2025 AGGREGATE $ 11,000,000 DED RETENTION $ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY Y N A ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A Y GWC-100173 07/01/2022 07/01/2025 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Each Pollution Condition 5,000,000 Contractors Pollution Liab.Coverage G71538825 003 07/01/2023 07/01/2025 General Aggregate Limit 5,000,000 B Includes Transportation Poll Cov.End. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) D-Professional Liability-Claims Made-Lloyds of London-LL00226-02 10/15/2023-10/15/2024 2,000,000 Per Occurrence/2,000,000 General Aggregate The certificate holder is an additional insured on all policies except Workers'Compensation and is provided a Waiver of Subrogation,all when required by written contract.The above insurance policies shall primary&noncontributory to any other insurance policies maintained by the certificate holder,when required by written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Collier County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 3295 Tamiami Trail East AUTHORIZED REPRESENTATIVE Naples FL 34112j(. I � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ADDENDUM ATTACHMENT TO CERTIFICATE OF INSURANCE No. 88 INSURED: CrowderGulf Joint Venture, Inc. Collier County Government and Collier County Board of County Commissioners are additional insureds on a primary and noncontributory basis on all policies except Workers' Compensation and are provided a Waiver of Subrogation on all policies, all if required by written contract. Rita Iglesias From: Greily Gonzalez Sent: Monday, July 8, 2024 12:57 PM To: Rita Iglesias Cc: Contracts; Megan Speerschneider Subject: RE: MinuteTraq Upload: 15-6365 "Disaster Debris Management Removal and Disposal Services" (Crowder-Gulf Joint Venture, Inc.) Amendment#3- COI Review Attachments: 15-6365 Insurance_CrowderGulf.pdf; 15-6365 CrowderGulf_InsuranceRegs.pdf Rita, The COI is in compliance. Greily Gonzalez ARM Manager- Risk Risk Management C7)'\ Office:239-252-8914 Collier Coun 3311 Tamiami Trail E (j X 0 C Naples, FL 34112 U Greily.Gonzalez(a�colliercountyfl.gov Take the Risk Management Customer Survey Please use your Mobile Device to access the QR Code below. Aim at it as if you were taking a picture of it; the Survey link will pop up. Click on the link to access the survey! Or....Click the link below to rate our interaction. • yt CI :' `7 TAKE THE SURVEY From: Rita Iglesias<Rita.Iglesias@colliercountyfl.gov> Sent: Monday,July 8, 2024 12:54 PM To: Greily Gonzalez<Greily.Gonzalez@colliercountyfl.gov> Cc: Contracts<Contracts@colliercountyfl.gov>; Megan Speerschneider<Megan.Speerschneider@colliercountyfl.gov> Subject: RE: MinuteTraq Upload: 15-6365 "Disaster Debris Management Removal and Disposal Services" (Crowder-Gulf Joint Venture, Inc.)Amendment#3-COI Review Greily, 8/8/24,8:42 AM Detail by Entity Name DIVISION OF CORPORATIONS Di7.02, 0; .50!//JPj.orgI'jr p ;Jg\rf'(J1 WI I'll..rrd.,t{,/. „f Ih'ri1u II eL:nr Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Profit Corporation CROWDER-GULF JOINT VENTURE, INC. Filing Information Document Number P02000095020 FEI/EIN Number 01-0626019 Date Filed 09/03/2002 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 04/27/2020 Event Effective Date NONE Principal Address 5629 Commerce Blvd E Mobile,AL 36619 Changed: 06/23/2020 Mailing Address 5629 Commerce Blvd E Mobile,AL 36619 Changed: 06/23/2020 Registered Agent Name&Address MADIO, DONALD 938 VALLEY VIEW CIRCLE PALM HARBOR, FL 34684 Name Changed: 04/27/2020 Address Changed: 04/27/2020 Officer/Director Detail Name &Address Title President search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&SearchNameOrder=CROWDERGU L... 1/3 8/8/24,8:42 AM Detail by Entity Name RAMSAY-Naile,ASHLEY 5629 Commerce Blvd E Mobile,AL 36619 Title VP Loper, Edward Reid 5629 Commerce Blvd E Mobile,AL 36619 Title CFO Dees,Anthony 5629 Commerce Blvd E Mobile,AL 36619 Annual Reports Report Year Filed Date 2022 01/13/2022 2023 01/30/2023 2024 01/10/2024 Document Images 01/10/2024--ANNUAL REPORT View image in PDF format 01/30/2023--ANNUAL REPORT View image in PDF format 01/13/2022--ANNUAL REPORT View image in PDF format 04/15/2021--AMENDED ANNUAL REPORT View image in PDF format 02/03/2021--ANNUAL REPORT View image in PDF format 06/23/2020--AMENDED ANNUAL REPORT View image in PDF format 04/27/2020--Amendment View image in PDF format 01/21/2020--ANNUAL REPORT View image in PDF format 02/07/2019--ANNUAL REPORT View image in PDF format 01/15/2018--ANNUAL REPORT View image in PDF format 03/20/2017--ANNUAL REPORT View image in PDF format 02/11/2016--ANNUAL REPORT View image in PDF format 01/09/2015--ANNUAL REPORT View image in PDF format 04/08/2014--ANNUAL REPORT View image in PDF format 01/08/2013--ANNUAL REPORT View image in PDF format 03/12/2012--ANNUAL REPORT View image in PDF format 04/12/2011--ANNUAL REPORT View image in PDF format 03/01/2010--ANNUAL REPORT View image in PDF format 04/15/2009--ANNUAL REPORT View image in PDF format 02/13/2008--ANNUAL REPORT View image in PDF format 03/20/2007--ANNUAL REPORT View image in PDF format 04/17/2006--ANNUAL REPORT View image in PDF format 04/29/2005--ANNUAL REPORT View image in PDF format 04/30/2004--ANNUAL REPORT View image in PDF format search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=CROWDERG UL... 2/3 THIRD AMENDMENT TO AGREEMENT #15-6365 FOR DISASTER DEBRIS MANAGEMENT REMOVAL AND DISPOSAL SERVICES THIS AMENDMENT made and entered into on this I day of A u os - 2024,by and between Crowder-Gulf Joint Venture,Inc.("Crowder-Gulf"),authorized to do business in the State of Florida, whose business address is 5629 Commerce Boulevard East, Mobile, AL 36619 (the "Contractor"), and Collier County, a political subdivision of the State of Florida, (the "County")(collectively the "Parties"). WHEREAS, on January 12, 2016 (Agenda Item 16.C.1), the County entered into an Agreement with the Contractor to provide Disaster Debris Management Removal and Disposal Services (the "Agreement"); and WHEREAS, on June 12, 2018 (Agenda Item 11.D), the Board approved a First Amendment to the Agreement to add marine debris removal line items; and WHEREAS, on September 11, 2018 (Agenda Item 16.F), the Board approved a Second Amendment to Agreement to include attachment Exhibit Al-1,a rate schedule providing additional rates for Marine Operations; and WHEREAS, the Parties desire to further amend the Agreement to amend and include an additional rate in the Exhibit A —Rate Schedule that amending and clarifying the debris haul disposal rates. NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the Parties as follows: 1. The above recitals are hereby incorporated into this Third Amendment as if fully set forth herein. 2. Section 2.4 of Exhibit A —Rate Schedule of the Agreement shall be revised as follows (Words struck eugh deleted; Words underscored added): *** 2.4 Haul out residual debris to final disposal $3.80 per cubic yard for 0-15 miles, one-way haul $4.50 per cubic yard for 15.1-30 miles, one-way haul $5.50 $5.75 per cubic yard for 30.1-60 miles, one-way haul $0.16 per cubic yard per mile over 60 miles, one-way haul *** 3. All other terms and conditions of the Agreement, as previously amended, shall remain the same. Page 1 of 2 GPL IN WITNESS WHEREOF,the Parties hereto,have each,respectively, by an authorized person or agent, have executed this Amendment on the date and year first written above. ATTEST: Crystal K. Kinzel, Clerk& Comptroller BOARD OF O NTY COMMISSIONERS COLLIER TY, RID , By <f - ,L' By: `1` Attest as to G PPIysClerk Chris all, Chairman signature only Contractor's Witnesses: CONTRACTOR: Crowder-Gulf Joint Venture,Inc. Otztev First itness By: Sli� (Oa.`±eS Signature TType/print witness nameT Ashley Ramsay-Naile,President TType/print signature and titleT Second Witness 0 CQ ) Z� I �2tf Kp t_p 1 A. No i f Date t� L TType/print witness nameT Ap oved as to F nd egality: Scott R. Teach, Deputy County Attorney Page 2 of 2