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Backup Documents 08/13/2024 Item #16C 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ` TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO R "�� THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURAUG 13 2024 Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. Risk Management **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Ini a s Date 1. Risk Risk Management 2. County Attorney's Office County Attorney Office /0-11 4. BCC Office Board of County Commissioners CaL7 fit. jsl $I IS/ZN 4. Minutes and Records Clerk of Court's Office014., t ? 4 j OS1 5. Procurement Services Procurement Services PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above may need to contact staff for additional or missing information. Name of Primary Staff Vanessa Diaz/Procurement Contact Information 239-252-8947 Contact/Department Agenda Date Item was August 13, 2024 Agenda Item Number 16.C.3. Approved by the BCC Type of Document Agreement Number of Original 1 Attached Documents Attached PO number or account N/A Third Amendment Crowder Gulf number if document is to 15-6365 Joint Venture, Inc. to be recorded Crowder Gulf Joint Venture, Inc. INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature STAMP OK N/A 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be VD signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-throughs and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the VD document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's VD signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A should be provided to the County Attorney's Office at the time the item is input into SIRE. Some documents are time-sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on August 13,2024 and all changes made N/A is not during the meeting have been incorporated in the attached document. The County (/(I/nh an option for Attorney's Office has reviewed the changes,if applicable. ' this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the 521it« ' an option for Chairman's signature. this line. 7 ® DATE(MM/DD/YYYY) AC D CERTIFICATE OF LIABILITY INSURANCE 1 6 C 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 (A/C.No,Ext): (NC,No): 753 Nichols Avenue E-MAIL nina@pathwayinsgroup.com ADDRESS: 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. INSURER D: Lloyds of London 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 LTR ADDLNSD SUBR WVD POLICY NUMBER POLICY M/p YYYY POLICY EXP LIMITS TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y Y XSGL-100090 07/01/2022 07/01/2025 PERSONAL 6ADVINJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3'000000 POLICY x PRO LOC PRODUCTS-COMP/OPAGG $ 3'000'000 JECT OTHER: -- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ X ANYAUTO BODILY INJURY(Per person) $ A -/ 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 EOTH AND EMPLOYERS'LIABILITY Y/N 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A Y GWC-100173 07/01/2022 07/01/2025 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Each Pollution Condition 5,000,000 Contractors Pollution Liab.Coverage B Includes Transportation Poll Coy.End. G71538825 003 07/01/2023 07/01/2025 General Aggregate Limit 5,000,000 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 34112 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 16 C3 CERTIFICATE OF INSURANCE Page 2 THE GRAY INSURANCE COMPANY The below coverages apply if the corresponding policy number is indicated on the previous page. A. Commercial General Liability General Liability Policy Includes: Blanket Waiver of Subrogation when required by written contract. Blanket Additional Insured when required by written contract. Primary Insurance Wording Included when required by written contract. Broad Form Property Damage Liability including Explosion, Collapse and Underground (XCU). Premises/Operations Products/Completed Operations Contractual Liability Sudden and Accidental Pollution Liability Occurrence Form Personal Injury "In Rem" Endorsement Cross Liability Severability of Interests Provision "Action Over" Claims Independent Contractors coverage for work sublet Vessel Liability -Watercraft exclusion has been modified by the vessels endorsement on scheduled equipment. General Aggregate applies per project or equivalent. B. Automobile Liability Policy Includes: Blanket Waiver of Subrogation when required by written contract. Blanket Additional Insured when required by written contract. C. Workers Compensation Policy Includes: Blanket Waiver of Subrogation when required by written contract. U.S. Longshoremen's and Harbor Workers Compensation Act Coverage Outer Continental Shelf Land Act Jones Act (including Transportation, Wages, Maintenance, and Cure), Death on the High Seas Act & General Maritime Law. Maritime Employers Liability Limit: $1,000,000 Voluntary Compensation Endorsement Other States Insurance Alternate Employer/Borrowed Servant Endorsement "In Rem" Endorsement Gulf of Mexico Territorial Extension D. Excess Liability Policy Includes: Coverage is excess of the Auto Liability, General Liability, Employers Liability, & Maritime Employers Liability policies Blanket Waiver of Subrogation when required by written contract. Blanket Additional Insured when required by written contract. 16C3 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. 16C3 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 (/)`` Office:239-252-8914 Collier Coun 3311 Tamiami Trail E © 0 X a C Naples, FL 34112 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: ❑ •III � ❑ a ..i T. • Art sur.irs. .11114r4ri. 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, 1 8/8/24,8:42 AM Detail by Entity Name 1 6 C 3 Divisi� . 5eff.pv.org P r) f'I 0 I „jfluridu websue. 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=CROWDERGUL... 1/3 8/8/24,8:42 AM Detail by Entity Name RAMSAY-Naile,ASHLEY 1 6 C 3 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 s View image in PDF format search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=CROWDERGUL... 2/3 16C3 THIRD AMENDMENT TO AGREEMENT #15-6365 FOR DISASTER DEBRIS MANAGEMENT REMOVAL AND DISPOSAL SERVICES THIS AMENDMENT made and entered into on this I?j day of A u U4- 2024,by and between Crowder-Gulf Joint Venture,Inc.("Crowder-Gulf'),authorized to dobusiness 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 struek-thr-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 16C3 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 f � . COLLIER TY, RID By: Attest as to APPflitYsClerk Chris all, Chairman signature only Contractor's Witnesses: CONTRACTOR: Crowder-Gulf Joint Venture, Inc. Ottteiv • First itness By: Va±es Signature TType/print witness nameT Ashley Ramsay-Naile,President TType/print signature and titleT • J�h CIA Second Witness 0 ) 2—? [ 2.02q Ktif r t p A- J v l 1 Date TType/print witness nameT Ap oved as to F nd egality: v/ Scott R. Teach, Deputy County Attorney Page 2 of 2