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Agenda 01/28/2025 Item #16C 1 (Award Bid "Crane Rental Services" to Maxim Crane Works, L.P.)1/28/2025 Item # 16.C.1 ID# 2024-2351 Executive Summary Recommendation that the Board of County Commissioners, as ex-officio the Governing Board of the Collier County Water-Sewer District (CCWSD), award Invitation to Bid (“ITB”) #24-8228, “Crane Rental Services,” to Maxim Crane Works, L.P., and authorize the Chairman to sign the attached Agreement. OBJECTIVE: To provide crane rental services on an “as needed” basis to assist with maintaining the integrity and continuous operation of equipment located throughout the County. CONSIDERATIONS: The County maintains equipment at it’s various buildings, including but not limited to well pumps, lift station pumps, high service pumps, and HVAC units. Oftentimes such equipment may be located on roof tops, or within a wellsite or lift station, and thus require a crane to lift the equipment for repair, removal, delivery, or installation. On May 13, 2024, Procurement staff released ITB No. 24-8228 for “Crane Rental Services.” Staff extended the due date for five weeks, during which time staff conducted additional vendor outreach to promote competition. The County received two bids by the due date of July 18, 2024, as summarized below: Respondents: Company Name City County State Bid Amount Responsive/ Responsible Maxim Crane Works, L.P. Deerfield Beach Broward FL Category 1 - $282.50 Category 2 - $302.50 Category 3 - $322.50 Category 4 - $357.50 Yes/Yes Premium Crane LLC Davenport Polk FL n/a No/Yes Staff reviewed the bids received and found Maxim Crane Works, L.P. to be responsive and responsible. Premium Crane LLC was deemed non-responsive for failing to submit the required bid schedule. Staff is recommending award to Maxim Crane Works, L.P., the lowest, responsive, and responsible bidder. Maxim Crane is the current rental vendor and has performed all work in a satisfactory manner since contracting with the County in 2019. The attached agreement provides for an initial three-year term with two one-year renewal options. FISCAL IMPACT: Funding is available in, and is consistent with, the FY25 Budget approved by the Board of County Commissioners. Sources of funding include the Collier County Water-Sewer District Operating Fund (4008). Other County Manager’s Agency divisions using this contract will provide funding from their respective budgets. The exact fiscal impact will depend on the number of required repairs and installations of new assets during the life of the contract; however, county departments have historically spent approximately $150,000 annually. GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with this action. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. - CJS RECOMMENDATIONS: Recommendation that the Board of County Commissioners, as ex-officio the Governing Board of the Collier County Water-Sewer District (CCWSD), award Invitation to Bid (“ITB”) #24-8228, “Crane Rental Services,” to Maxim Crane Works, L.P., and authorize the Chairman to sign the attached Agreement. PREPARED BY: Pamela Libby – Water Distribution Manager ATTACHMENTS: Page 1071 of 3681 1/28/2025 Item # 16.C.1 ID# 2024-2351 1. 24-8228_Maxim Crane_Bid Submittal 2. 24-8228 NORA 3. 24-8228 VendorSigned_MaximCrane 4. 24-8228 Solicitation 5. 24-8228 Bid Tabulation 6. 24-8228_Insurance Packet_MaximCrane 7. Followers List_24-8228 Page 1072 of 3681 County of Collier, FLProcurement-, -3299 Tamiami Trail, East Naples, FL 34112[[MAXIMM CRANEE WORKS]] RESPONSEE DOCUMENTT REPORTT GEN No. 24-8228Crane Rental ServicesRESPONSE DEADLINE: July 18, 2024 at 3:00 pm Report Generated: Thursday, July 18, 2024Maximm Cranee Workss Responsee CONTACTT INFORMATIONN Company:Maxim Crane WorksEmail:jwardrop@maximcrane.comContact:Jeffrey WardropAddress:300 Dunning StreetCanonsburg, PA 15317Phone:N/AWebsite:www.maximcrane.comSubmissionn Date:Jul 12, 2024 12:49 PMPage 1073 of 3681 [MAXIM CRANE WORKS] RESPONSE DOCUMENT REPORT GEN No. 24-8228 Crane Rental Services [MAXIM CRANE WORKS] RESPONSE DOCUMENT REPORT undefined - Crane Rental Services Page 2 AADDENDA CONFIRMATION Addendum #1 Confirmed Jul 11, 2024 2:56 PM by Kim Carter Addendum #2 Confirmed Jul 11, 2024 2:56 PM by Kim Carter Addendum #3 Confirmed Jul 11, 2024 2:56 PM by Kim Carter QUESTIONNAIRE 1. 1. I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this response on behalf of my company.* Confirmed 2. 2. General Bid Instructions* General Bid Instructions have been acknowledged and accepted. Confirmed 3. 3. Collier County Purchase Order Terms and Conditions* Collier County Purchase Order Terms and Conditions have been acknowledged and Accepted. Confirmed Page 1074 of 3681 [MAXIM CRANE WORKS] RESPONSE DOCUMENT REPORT GEN No. 24-8228 Crane Rental Services [MAXIM CRANE WORKS] RESPONSE DOCUMENT REPORT undefined - Crane Rental Services Page 3 44. 4. Insurance Requirements* Vendor Acknowledges Insurance Requirement and is prepared to produce the required insurance certificate(s) within five (5) days of the County's issuance of a Notice of Recommended Award. Confirmed 5. 5. Collier County Required Forms 5.1. BID SCHEDULE* Please upload using excel format. 24-8228_Bid_Schedule.xlsx 5.2. VENDOR DECLARATION STATEMENT (FORM 1)* Form_1.pdf 5.3. CONFLICT OF INTEREST CERTIFICATION (FORM 2)* Form_2.pdf 5.4. IMMIGRATION AFFIDAVIT CERTIFICATION (FORM 3) * Form_3.pdf 5.5. CERTIFICATION FOR CLAIMING STATUS AS A LOCAL BUSINESS (FORM 4) IF APPLICABLE* Form_4.pdf 5.6. REFERENCE QUESTIONNAIRE (FORM 5)* Form_5_(1).pdf Form_5_(2).pdf FOrm_5_(3).pdf 5.7. W-9 FORM* Page 1075 of 3681 [MAXIM CRANE WORKS] RESPONSE DOCUMENT REPORT GEN No. 24-8228 Crane Rental Services [MAXIM CRANE WORKS] RESPONSE DOCUMENT REPORT undefined - Crane Rental Services Page 4 Maxim_Crane_W9-2024.pdf Current_2024_W9-Lockbox_Address.pdf 5.8. PROOF OF STATUS FROM DIVISION OF CORPORATIONS-FLORIDA DEPARTMENT OF STATE (SUNBIZ)* http://dos.myflorida.com/sunbiz/ should be attached with your submittal. FL_Cert_of_Good_Standing.pdf MAXIM_CRANE_WORKS_L.P_.pdf 5.9. E-VERIFY * Vendor MMUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid. EE-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal E-Verify___Employer_MOU_01.2022.pdf 5.10. BUSINESS TAX RECEIPT Broward_County_Tax_Receipt.pdf Broward_Co,_FL_-_Ft._Lauderdale_business_license_-_expires_9.30.2024.pdf 5.11. SIGNED ADDENDA Addehndum_1.pdf Addendum_2.pdf Addendum_3.pdf 5.12. MISCELLANEOUS DOCUMENTS Maxim_Crane_Works_LP-10M_Property-Rigger_570106882536.pdf Maxim_Crane_Works_LP-General_Liability_570106877625.pdf Page 1076 of 3681 Vendor Check List IMPORTANT: Please review carefully and submit with your Proposal/Bid. All applicable documents shall be submitted electronically through BidSync. Vendor should checkoff each of the following items. Failure to provide the applicable documents may deem you non-responsive/non-responsible. General Bid Instructions has been acknowledged and accepted. Collier County Purchase Order Terms and Conditions have been acknowledged and accepted. Form 1: Vendor Declaration Statement Form 2: Conflict of Interest Certification Proof of status from Division of Corporations - Florida Department of State (If work performed in the State) - http://dos.myflorida.com/sunbiz/should be attached with your submittal. Vendor MUST be enrolled in the E-Verify -https://www.e-verify.gov/at the time of submission of the proposal/bid. Form 3: Immigration Affidavit Certification MUST be signed and attached with your submittal. E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal. Form 4: Certification for Claiming Status as a Local Business, if applicable, has been executed and returned. Collier or Lee County Business Tax Receipt should be attached with your submittal to be considered. Form 5: Reference Questionnaire form must be utilized for each requested reference and included with your submittal, if applicable to the solicitation. Form 6: Grant Provisions and Assurances package in its entirety, if applicable, are executed and should be included with your submittal. Vendor W-9 Form. Vendor acknowledges Insurance Requirements and is prepared to produce the required insurance certificate(s) within five (5) days of the County’s issuance of a Notice of Recommend Award. The Bid Schedule has been completed and attached with your submittal, applicable to bids. Copies of all requested licenses and/or certifications to complete the requirements of the project. All addenda have been signed and attached. County’s IT Technical Architecture Requirements has been acknowledged and accepted, if applicable. Any and all supplemental requirements and terms has been acknowledged and accepted, if applicable. Page 1077 of 3681 Form 1: Vendor Declaration Statement BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 Dear Commissioners: The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud.The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees, if this solicitation submittal is accepted by Collier County, to accept a Purchase Order as a form of a formal contract or to execute a Collier County formal contract for purposes of establishing a contractual relationship between the Vendor and Collier County, for the performance of all requirements to which this solicitation pertains. The Vendor states that the submitted is based upon the documents listed by the above referenced solicitation.The Vendor agrees to comply with the requirements in accordance with the terms, conditions and specifications denoted herein and according to the pricing submitted as a part of the Vendor’s bids. Further, the Vendor agrees that if awarded a contract for these goods and/or services, the Vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub-vendor for any future associated work that is a result of this awarded contract. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this _____ day of _____________, 20__ in the County of _______________, in the State of _____________. Firm’s Legal Name: Address: City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number *CCR # or CAGE Code *Only if Grant Funded __________________________________________________________________________ Telephone: Email: Signature by: (Typed and written) Title: Maxim Crane Works, L.P. 300 Dunning Street Canonsburg, PA 15317 25-1739175 B94000000380 704-509-2629 mglover@maximcrane.com Page 1078 of 3681 Page 1079 of 3681 Page 1080 of 3681 Page 1081 of 3681 11th July 24DouglasGeorgia Page 1082 of 3681 Page 1083 of 3681 Page 1084 of 3681 Page 1085 of 3681 Page 1086 of 3681 Page 1087 of 3681 Page 1088 of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age 1089 of 3681 300 DUNNING STREET CANONSBURG, PA 15317 Current Principal Place of Business: Current Mailing Address: 300 DUNNING STREET CANONSBURG, PA 15317 US Entity Name:MAXIM CRANE WORKS, L.P. DOCUMENT# B94000000380 FEI Number: 25-1739175 Certificate of Status Desired: Name and Address of Current Registered Agent: C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date General Partner Detail : I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am a general partner of the limited partnership or the receiver or trustee empowered to execute this report as required by Chapter 620, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: Electronic Signature of Signing General Partner Detail Date FILED Jan 30, 2024 Secretary of State 6343682025CC KIM CARTER MEMBER 01/30/2024 2024 FOREIGN LIMITED PARTNERSHIP ANNUAL REPORT Yes Document # M05000000444 Name MAXIM CRANE WORKS, LLC Address 1225 WASHINGTON PIKE, SUITE 100 City-State-Zip: BRIDGEVILLE PA 15017 Page 1090 of 3681 Page 1 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR EMPLOYERS ARTICLE I PURPOSE AND AUTHORITY E-Verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of Form I-9, Employment Eligibility Verification (Form I-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, “Employment Eligibility Verification” and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF THE EMPLOYER 1. The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: a. Notice of E-Verify Participation b. Notice of Right to Work 2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives’ contact information changes. 3. The Employer agrees to grant E-Verify access only to current employees who need E-Verify access. Employers must promptly terminate an employee’s E-Verify access if the employer is separated from the company or no longer needs access to E-Verify. 48112 The parties to this agreement are the Department of Homeland Security (DHS) and Maxim Crane Works, L.P. (Employer). The purpose of this agreement is to set forth terms and conditions which the Employer will follow while participating in E-Verify. Page 1091 of 3681 Page 2 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: 4. The Employer agrees to become familiar with and comply with the most recent version of the E-Verify User Manual. 5. The Employer agrees that any Employer Representative who will create E-Verify cases will complete the E-Verify Tutorial before that individual creates any cases. a. The Employer agrees that all Employer representatives will take the refresher tutorials when prompted by E-Verify in order to continue using E-Verify. Failure to complete a refresher tutorial will prevent the Employer Representative from continued use of E-Verify. 6. The Employer agrees to comply with current Form I-9 procedures, with two exceptions: a. If an employee presents a "List B" identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8 C.F.R. § 274a.2(b)(1)(B)) can be presented during the Form I-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 888-464-4218. b. If an employee presents a DHS Form I-551 (Permanent Resident Card), Form I-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form I-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee’s Form I-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document(s) to complete the Form I-9. 7. The Employer agrees to record the case verification number on the employee's Form I-9 or to print the screen containing the case verification number and attach it to the employee's Form I-9. 8. The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms I-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination requirements of section 274B of the INA with respect to Form I-9 procedures. a. The following modified requirements are the only exceptions to an Employer’s obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 6 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly 48112 Page 1092 of 3681 Page 3 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. b. DHS reserves the right to conduct Form I-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 9. The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form I-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form I-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. 10. The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 11. The Employer must use E-Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 12. The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B. below) to contact DHS with information necessary to resolve the challenge. 13. The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1(l)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee’s perceived employment eligibility status 48112 Page 1093 of 3681 Page 4 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee’s employment. Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464- 4218 (customer service) or 1-888-897-7781 (worker hotline). 14. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound “foreign” or have received tentative nonconfirmations. The Employer further understands that any violation of the immigration-related unfair employment practices provisions in section 274B of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title VII may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). 15. The Employer agrees that it will use the information it receives from E-Verify only to confirm the employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 16. The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@dhs.gov. Please use “Privacy Incident – Password” in the subject line of your email when sending a breach report to E-Verify. 17. The Employer acknowledges that the information it receives from SSA is governed by the Privacy Act (5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 18. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, which includes permitting DHS, SSA, their contractors and other agents, upon 48112 Page 1094 of 3681 Page 5 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: reasonable notice, to review Forms I-9 and other employment records and to interview it and its employees regarding the Employer’s use of E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 19. The Employer shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 20. The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 21. The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer’s services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 22. The Employer understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. B. RESPONSIBILITIES OF FEDERAL CONTRACTORS 1. If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2. In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any “employee assigned to the contract” (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer may not create a second case for the employee through E-Verify. a. An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. 48112 Page 1095 of 3681 Page 6 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: b. Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c. Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. d. Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form I-9 as the basis for creating an E-Verify case for an employee assigned to a contract as long as: i. That Form I-9 is complete (including the SSN) and complies with Article II.A.6, ii. The employee’s work authorization has not expired, and iii. The Employer has reviewed the Form I-9 information either in person or in communications with the employee to ensure that the employee’s Section 1, Form I-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). f. The Employer shall complete a new Form I-9 consistent with Article II.A.6 or update the previous Form I-9 to provide the necessary information if: i. The Employer cannot determine that Form I-9 complies with Article II.A.6, ii. The employee’s basis for work authorization as attested in Section 1 has expired or changed, or iii. The Form I-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form I-9 is otherwise valid and up-to-date and the form otherwise complies with 48112 Page 1096 of 3681 Page 7 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Article II.C.5, but reflects documentation (such as a U.S. passport or Form I-551) that expired after completing Form I-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. g. The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer’s compliance with Federal contracting requirements. C. RESPONSIBILITIES OF SSA 1. SSA agrees to allow DHS to compare data provided by the Employer against SSA’s database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA’s database. 2. SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). 3. SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the Employer. 4. SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final nonconfirmation to the employer. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. D. RESPONSIBILITIES OF DHS 1. DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer to conduct, to the extent authorized by this MOU: a. Automated verification checks on alien employees by electronic means, and 48112 Page 1097 of 3681 Page 8 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E-Verify. DHS agrees to provide the Employer names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Employer with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4. DHS agrees to train Employers on all important changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require employers to take mandatory refresher tutorials. 5. DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer anti-discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice. 6. DHS agrees to issue each of the Employer’s E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7. DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements. 8. DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9. DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify 48112 Page 1098 of 3681 Page 9 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4. The Employer will instruct the employee to visit an SSA office within eight Federal Government work days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6. The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1. If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the 48112 Page 1099 of 3681 Page 10 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5. If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee’s Form I-551, Form I-766, U.S. Passport, or passport card to DHS for review by: a. Scanning and uploading the document, or b. Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7. The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee’s documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8. DHS will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer for verification services performed under this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access E-Verify, an Employer will need a personal computer with Internet access. ARTICLE V MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. 48112 Page 1100 of 3681 Page 11 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: B. TERMINATION 1. The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. 2. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer’s participation in E-Verify, with or without notice at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E-Verify procedures and/or legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer’s business. 3. An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E-Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non-Federal contractor participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all newly hired employees. 4. The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E-Verify. ARTICLE VI PARTIES A. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the Employer, its agents, officers, or employees. C. The Employer may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D. Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. E. The Employer understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, 48112 Page 1101 of 3681 Page 12 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G.The foregoing constitutes the full agreement on this subject between DHS and the Employer. To be accepted as an E-Verify participant, you should only sign the Employer’s Section of the signature page. If you have any questions, contact E-Verify at 1-888-464-4218. 48112 Page 1102 of 3681 Page 13 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Approved by: Employer Name (Please Type or Print) Title Signature Date Department of Homeland Security – Verification Division Name (Please Type or Print) Title Signature Date Maxim Crane Works, L.P. Electronically Signed 48112 07/24/2007 Thomas K Liston Electronically Signed USCIS Verification Division 07/24/2007 Page 1103 of 3681 Page 14 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Information Required for the E-Verify Program Information relating to your Company: Company Name Company Facility Address Company Alternate Address County or Parish Employer Identification Number North American Industry Classification Systems Code Parent Company Number of Employees Number of Sites Verified for 53 site(s) Maxim Crane Works Holdings, Inc. 48112 Maxim Crane Works, L.P. 251739175 1,000 to 2,499 ALLEGHENY 1225 Washington Pike Bridgeville, PA 15017 238 Page 1104 of 3681 3DJHRI(9HULI\028IRU(PSOR\HUV_5HYLVLRQ'DWH &RPSDQ\,'1XPEHU $UH\RXYHULI\LQJIRUPRUHWKDQVLWH",I\HVSOHDVHSURYLGHWKHQXPEHURIVLWHVYHULILHGIRULQ HDFK6WDWH 1 1 2 3LA KY MA KS MD IN MO GA MT FL NC CO NJ CA OH AZ OR AL PA SC TN TX WA WV 3 1 5 1 3 3 1 1 2 48112 1 2 7 3 2 4 1 1 1 1 3 Page 1105 of 3681 3DJHRI(9HULI\028IRU(PSOR\HUV_5HYLVLRQ'DWH &RPSDQ\,'1XPEHU ,QIRUPDWLRQUHODWLQJWRWKH3URJUDP$GPLQLVWUDWRU V IRU\RXU&RPSDQ\RQSROLF\TXHVWLRQVRU RSHUDWLRQDOSUREOHPV Email Fax Peggy Barker 48112 pbarker@maximcrane.com 8594417400176Phone Number Name Page 1106 of 3681 3DJHRI(9HULI\028IRU(PSOR\HUV_5HYLVLRQ'DWH &RPSDQ\,'1XPEHU This list represents the first 20 Program Administrators listed for this company. 48112 Page 1107 of 3681 Page 1108 of 3681 Page 1109 of 3681 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 – 954--4 VALID OCTOBER 1, THROUGH SEPTEMBER 30, Receipt #: Business Name: Business Type: Owner Name: Business Opened: Business Location: State/County/Cert/Reg: Exemption Code: Business Phone: Rooms Seats Employees Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. - BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 – 954--4 VALID OCTOBER 1, THROUGH SEPTEMBER 30, Receipt #: Business Name: Business Type: Owner Name: Business Opened: Business Location: State/County/Cert/Reg: Exemption Code: Business Phone: Rooms Seats Employees Machines Professionals Signature For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 81.00 81.00 0.00 01/09/2024 01/09/2024 0.00 0.00 2023 2023 2023 81.00 81.00 0.00 0.00 Receipt # Receipt # 4125040200 4125040200 Paid Paid 81.00 81.00 ALL OTHERS (CRANE RENTAL) ALL OTHERS (CRANE RENTAL) BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT FT LAUDERDALE FT LAUDERDALE 3401 SW 26TH TER 3401 SW 26TH TER 0.00 0.00 MAXIM CRANE WORKS LP MAXIM CRANE WORKS LP MAXIM CRANE WORKS LP MAXIM CRANE WORKS LP 329-340561 329-340561 300 DUNNING ST CANONSBURG, PA 15317-1486 Packing/Processing/Canning Employees 0.00 0.00 WWW-23-00179524 WWW-23-00179524 Receipt Fee 6 6 0.00 0.00 MAXIM CRANE WORKS LP 81.00 2024 2024 2024 01/10/2024 01/10/2024 Page 1110 of 3681 Page 1111 of 3681 Page 1112 of 3681 Page 1113 of 3681 Holder Identifier :                                                               CERTIFICATE NUMBER:CERTIFICATE OF PROPERTY INSURANCE '$7( 00''<<<<   $RQ5LVN6HUYLFHV&HQWUDO,QF PRODUCER 3LWWVEXUJK3$2IILFH (473OD]Da6XLWH /LEHUW\$YHQXH 3LWWVEXUJK3$86$     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. CONTACT NAME: PHONE (A/C. No. Ext): E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: FAX (A/C. No.): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:INSURED (YDQVWRQ,QVXUDQFH&RPSDQ\  INSURER B:  0D[LP&UDQH:RUNV/3 INSURER D: INSURER E: INSURER F: 'XQQLQJ6WUHHW &DQRQVEXUJ3$86$ INSURER C: LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE NUMBER: REVISION NUMBER: COVERAGES 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. POLICY EXPIRATION DATE (MM/DD/YYYY)LIMITS COVERED PROPERTYPOLICY EFFECTIVE DATE (MM/DD/YYYY)POLICY NUMBER TYPE OF INSURANCEINSR LTR PROPERTY CAUSES OF LOSS BASIC BROAD EARTHQUAKE FLOOD BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP X X X X X Included $10,000,000 $10,000,000 $10,000,000 Riggers Liability Contractors Equip.X $$$$ 0./9,0  WIND DEDUCTIBLES BUILDING CONTENTS RENTAL VALUE SPECIAL Blkt B&PP Ded ALL RISK-Subject to Exclusions INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER CRIME TYPE OF POLICY BOILER & MACHINERY / EQUIPMENT BREAKDOWN SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) &RQWUDFWRU V(TXLSPHQW/LPLWDSSOLHVSHULWHP CERTIFICATE HOLDER CANCELLATION AUTHORIZED REPRESENTATIVE 0D[LP&UDQH:RUNV/3 'XQQLQJ6WUHHW &DQRQVEXUJ3$86$ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 24 (2016/03) © 1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 1114 of 3681 ADDITIONAL REMARKS SCHEDULE AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS AGENCY POLICY NUMBER CARRIER 6HH&HUWLILFDWH1XPEHU EFFECTIVE DATE: NAIC CODE NAMED INSURED 6HH&HUWLILFDWH1XPEHU FORM NUMBER:Certificate of Property InsuranceFORM TITLE:ACORD 24 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, $RQ5LVN6HUYLFHV&HQWUDO,QF    INSURER INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. 3DJHBRIB 0D[LP&UDQH:RUNV/3 INSR LTR TYPE OF INSURANCE POLICY NUMBER COVERED PROPERTY 3523(57< $0./9,0  /RVV/LPLW  LIMITSPOLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. Page 1115 of 3681 '('8&7,%/(6 ADDITIONAL REMARKS SCHEDULE AGENCY CUSTOMER ID: LOC #: FORM NUMBER:Certificate of Property InsuranceFORM TITLE:ACORD 24 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,  ADDITIONAL REMARKS AGENCY POLICY NUMBER CARRIER 6HH&HUWLILFDWH1XPEHU EFFECTIVE DATE: NAIC CODE NAMED INSURED 6HH&HUWLILFDWH1XPEHU $RQ5LVN6HUYLFHV&HQWUDO,QF   3DJHBRIB 0D[LP&UDQH:RUNV/3 7KHGHGXFWLEOHOLPLWVSHUFRYHUDJHVDUHDVIROORZV 3URSHUW\ &RQWUDFWRUV(TXLSPHQW5HQWHGDQGRU/HDVHG3URSHUW\ 5LJJHUV/LDELOLW\ 0RWRU7UXFN&DUJR/HJDO/LDELOLW\ ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 1116 of 3681 Holder Identifier :                                                                Certificate No :570106877625CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/27/2024 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). 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. PRODUCER $RQ5LVN6HUYLFHV&HQWUDO,QF 3LWWVEXUJK3$2IILFH (473OD]Da6XLWH /LEHUW\$YHQXH 3LWWVEXUJK3$86$ PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC #   INSURED 6WHDGIDVW,QVXUDQFH&RPSDQ\INSURER A: ;/,QVXUDQFH$PHULFD,QFINSURER B: =XULFK$PHULFDQ,QV&RINSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.):   CONTACT NAME: 0D[LP&UDQH:RUNV/3 'XQQLQJ6WUHHW &DQRQVEXUJ3$86$ COVERAGES CERTIFICATE NUMBER:570106877625 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER:       C  */2 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X X X BODILY INJURY (Per accident) C  COMBINED SINGLE LIMIT (Ea accident) 75. EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED   UMBRELLA LIABA 6;6 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT  X OTH- ER PER STATUTEC   Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below  :& DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (YLGHQFHRI,QVXUDQFH8PEUHOODSROLF\LVIROORZIRUPWRWKH*HQHUDO/LDELOLW\$XWRPRELOH/LDELOLW\DQG(PSOR\HU V/LDELOLW\ SROLFLHV CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE0D[LP&UDQH:RUNV/3 'XQQLQJ6WUHHW &DQRQVEXUJ3$86$ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Page 1117 of 3681 AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY 6HH&HUWLILFDWH1XPEHU 6HH&HUWLILFDWH1XPEHU   $RQ5LVN6HUYLFHV&HQWUDO,QF  ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE 3DJHBRIB NAIC # 0D[LP&UDQH:RUNV/3 TYPE OF INSURANCE POLICY NUMBER LIMITS (;&(66/,$%,/,7< %86/,$$JJUHJDWH  (DFK 2FFXUUHQFH  ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 1118 of 3681 Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Event Effective Date Department of State /Division of Corporations /Search Records /Search by Entity Name / Detail by Entity Name Foreign Limited Partnership MAXIM CRANE WORKS, L.P. Cross Reference Name ANTHONY CRANE RENTAL, L.P. Filing Information B94000000380 25-1739175 09/20/1994 PA ACTIVE CORPORATE MERGER 07/27/2015 08/01/2015 Principal Address 300 Dunning Street Canonsburg, PA 15317 Changed: 01/16/2023 Mailing Address 300 Dunning Street Canonsburg, PA 15317 Changed: 01/16/2023 Registered Agent Name & Address C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Name Changed: 04/22/2002 Address Changed: 04/22/2022 General Partner Detail Name & Address Document Number M05000000444 D එඞඑඛඑ඗ඖ ඗ඎ C ඗ක඘඗කඉගඑ඗ඖඛFlorida Department of State Page 1119 of 3681 MAXIM CRANE WORKS, LLC 1225 WASHINGTON PIKE, SUITE 100 BRIDGEVILLE, PA 15017 Annual Reports Report Year Filed Date 2022 01/28/2022 2023 01/16/2023 2024 01/30/2024 Document Images 01/30/2024 -- ANNUAL REPORT View image in PDF format 01/16/2023 -- ANNUAL REPORT View image in PDF format 01/28/2022 -- ANNUAL REPORT View image in PDF format 03/15/2021 -- ANNUAL REPORT View image in PDF format 01/02/2020 -- ANNUAL REPORT View image in PDF format 01/04/2019 -- ANNUAL REPORT View image in PDF format 03/06/2018 -- ANNUAL REPORT View image in PDF format 05/01/2017 -- ANNUAL REPORT View image in PDF format 05/13/2016 -- ANNUAL REPORT View image in PDF format 07/27/2015 -- Merger View image in PDF format 04/17/2015 -- ANNUAL REPORT View image in PDF format 04/04/2014 -- ANNUAL REPORT View image in PDF format 05/01/2013 -- ANNUAL REPORT View image in PDF format 06/14/2012 -- ANNUAL REPORT View image in PDF format 06/21/2011 -- ANNUAL REPORT View image in PDF format 04/26/2010 -- ANNUAL REPORT View image in PDF format 03/03/2009 -- ANNUAL REPORT View image in PDF format 03/31/2008 -- ANNUAL REPORT View image in PDF format 01/11/2007 -- ANNUAL REPORT View image in PDF format 01/09/2006 -- ANNUAL REPORT View image in PDF format 07/01/2005 -- ANNUAL REPORT View image in PDF format 01/27/2005 -- Amendment and Name Change View image in PDF format 06/10/2004 -- ANNUAL REPORT View image in PDF format 09/18/2003 -- ANNUAL REPORT View image in PDF format 04/22/2002 -- Reg. Agent Change View image in PDF format 10/22/2001 -- ANNUAL REPORT View image in PDF format 07/19/2000 -- ANNUAL REPORT View image in PDF format 12/16/1999 -- Amendment View image in PDF format 12/14/1998 -- ANNUAL REPORT View image in PDF format 01/26/1998 -- ANNUAL REPORT View image in PDF format 01/13/1997 -- ANNUAL REPORT View image in PDF format Page 1120 of 3681 Item No. Hourly Rates 1 187.50$ 2 95.00$ 282.50$ Item No. Hourly Rates 3 207.50$ 4 95.00$ 302.50$ Item No. Hourly Rates 5 227.50$ 6 95.00$ 322.50$ Item No. Hourly Rates 7 262.50$ 8 95.00$ 357.50$ 250.00$ 1.5 X Straight Time Hourly Invitation to Bid No. 24-8228 Crane Rental Services with Operator After hours and Urgent Fees Bid Schedule Category 4: 70 Ton Hydraulic Truck Crane w/Operator Category 1: 40 Ton Crane Total Category 2: 50 Ton Crane Total Description Description Category 1: 40 Ton Hydraulic Truck Crane w/Operator Description Crane Service rate per hour - Straight Time Spotter Service rate per hour - Straight Time Crane Service rate per hour - Straight Time Spotter Service rate per hour - Straight Time Crane Service rate per hour - Straight Time Category 4: 70 Ton Crane Total After hours and Urgent work Urgent Fee - Must be pre-approved in writing by requesting Division. Spotter Service rate per hour - Straight Time Category 2: 50 Ton Hydraulic Truck Crane w/Operator Category 3: 60 Ton Hydraulic Truck Crane w/Operator Category 3: 60 Ton Crane Total Spotter Service rate per hour - Straight Time Crane Service rate per hour - Straight Time Description Page 1121 of 3681 Notice of Recommended Award Solicitation: 24-8228 Title: Crane Rental Services Due Date and Time: July 18, 2024, at 3:00 PM EST Respondents: Company Name City County State Bid Amount Responsive/Responsible Maxim Crane Works, L.P.Deerfield Beach Broward FL Category 1 - $282.50 Category 2 -$302.50 Category 3 -$322.50 Category 4 – $357.50 Yes/Yes Premium Crane LLC Davenport Polk FL N/A No/Yes Utilized Local Vendor Preference: Yes No Recommended Vendor(s) For Award: On May 13, 2024, the Procurement Services Division released Invitation to Bid (“ITB”) No. 24-8228, “Crane Rental Services”, to one thousand eight hundred and seventy-two (1,872) vendors. Staff extended the bid due date three times for a total of five weeks to promote competition, and staff performed additional vendor outreach. Four hundred and eleven (411) bid packages were viewed and two (2) bids were received by the July 18, 2024, submission deadline. Staff reviewed the bids received. Maxim Crane Works, L.P. was found to be responsive and responsible. Premium Crane LLC was deemed non-responsive for failing to submit the required Bid Schedule. Award has been established based on the lowest total bid per Category. Staff recommends award to Maxim Crane Works, L.P., the lowest responsive and responsible bidder for all Categories as shown above. Contract Driven Purchase Order Driven Required Signatures Project Manager: Procurement Strategist: Procurement Services Director: __________________________________ _________________ Sandra Srnka Date               Page 1122 of 3681 Page 1123 of 3681 Page 1124 of 3681 Page 1125 of 3681 Page 1126 of 3681 Page 1127 of 3681 Page 1128 of 3681 Page 1129 of 3681 Page 1130 of 3681 Page 1131 of 3681 Page 1132 of 3681 Page 1133 of 3681 Page 1134 of 3681 Page 1135 of 3681 Page 1136 of 3681 Page 1137 of 3681 Page 1138 of 3681 Page 1139 of 3681 Page 1140 of 3681 Page 1141 of 3681 Page 1142 of 3681 Page 1143 of 3681 Page 1144 of 3681 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS INVITATION TO BID (ITB) FOR Crane Rental Services SOLICITATION NO.: 24-8228 LISA OIEN, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8935 Lisa.Oien@colliercountyfl.gov (Email) This solicitation document is prepared in a Microsoft Word format. Any alterations to this document made by the Bidder may be grounds for rejection of the bid, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. Page 1145 of 3681 SOLICITATION PUBLIC NOTICE INVITATION TO BID (ITB) NUMBER: 24-8228 PROJECT TITLE: Crane Rental Services DUE DATE: June 13, 2024, at 3:00 PM EST PLACE OF BID OPENING: PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FL 34112 All bids shall be submitted online via the Collier County Procurement Services Division Online Bidding System: https://procurement.opengov.com/ INTRODUCTION As requested by the Public Utilities Division (hereinafter, the “Division or Department”), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, “County”) has issued this Invitation to Bid (hereinafter, “ITB”) with the intent of obtaining bid submittals from interested and qualified vendors in accordance with the terms, conditions and specifications stated or attached. The vendor, at a minimum, must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. Historically, County departments have spent approximately $70,000 annually; however, this may not be indicative of future buying patterns. BACKGROUND The County is responsible for maintaining equipment to various County owned and leased buildings throughout Collier County, including, but not limited to, HVAC units, well pumps, etc. This equipment may be located on roof tops or within a wellsite or lift station and requires a crane to lift the equipment for repair, removal, and/or delivery for installation. In order to maintain the integrity and continuous operation of this equipment, the County is seeking proposals for crane rental services, including, but not limited to, machine and operator. TERM OF CONTRAC The contract term, if an award(s) is/are made is intended to be for three (3) years with two (2) one (1) year renewal options. . Prices shall remain firm for the initial term of this contract. Surcharges will not be accepted in conjunction with this contract, and such charges should be incorporated into the pricing structure. The County Manager, or designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred eighty (180) days. The County Manager, or designee, shall give the Contractor written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. All goods are FOB destination and must be suitably packed and prepared to secure the lowest transportation rates and to comply with all carrier regulations. Risk of loss of any goods sold hereunder shall transfer to the COUNTY at the time and place of delivery; provided that risk of loss prior to actual receipt of the goods by the COUNTY nonetheless remain with VENDOR. AWARD CRITERIA ITB award criteria are as follows: ¾ The County’s Procurement Services Division reserves the right to clarify a vendor’s submittal prior to the award of the solicitation. ¾ It is the intent of Collier County to award to the lowest, responsive and responsible vendor(s) that represents the best value to the County. ¾ For the purposes of determining the winning bidder, the County will select the vendor with the lowest price as outlined below: Page 1146 of 3681 x Lowest Total Price Per Crane Tonnage Category ¾ Collier County reserves the right to select one, or more than one suppliers, award on a line item basis, establish a pool for quoting, or other options that represents the best value to the County; however, it is the intent to: x Award Primary, Secondary, and Tertiary ¾ The County reserves the right to issue a formal contract or standard County Purchase Order for the award of this solicitation. DETAILED SCOPE OF WORK Collier County Public Utilities Division intent of these specifications is to establish the minimum requirements for Crane Rental Services on an “as needed” basis. The County may determine the crane size or request the vendor to assist in determining the crane size for the project, capacity, and length of rental on a “project by project” basis. Specifications The contractor shall provide cranes, booms, operator, and all necessary rigging, chokers, and personnel. The crane rental services are on an “as-needed” basis. The contractor shall provide proof of valid Crane Operator certification for each crane operator upon request by the Division Representative, if required, for the work site where crane services are being performed. 1. Service Hours 1.1. The service hours for hydraulic truck cranes with operator for 40-ton, 50-ton, 60-ton, and 70-ton includes all costs associated with this service including, but not limited to: crane, operator, rigging accessories, overhead, fuel, maintenance, insurance, erection / dismantle, and Portal to Portal service (defined as: actual time billed from contractor’s location to the work site and leaving the work site back to the contractor’s location). 1.2. If requested the vendor will provide a spotter to assist with crane lifts that do not have the required line of site. The spotter will be billed separately per hour for time on the jobsite. 2. Work hours Normal Business hours are Monday through Friday from 7:00 AM to 5:00 PM, excluding County observed Holidays. After- hours are considered before 7:00 AM and after 5:00 PM on weekdays and at any time on Saturday, Sunday, or County Observed Holidays. After -hours rate may be calculated at 1.5x the hourly rate in accordance with the fee schedule. If a requested service starts during normal business hours and extends into the after-hours period, the after-hours rate shall only be charged for time worked during the after-hours period. 3. Response time 3.1. Non-Urgent Response Time: The vendor shall respond by email or phone within twenty-four (24) hours from the Division Representative work request. The work shall commence upon the issuance of a purchase order and per the agreed work schedule. 3.2. Urgent Response Time: The vendor shall respond by email or phone within two (2) hours from the Division Representative for urgent response time requests. The work shall commence at the jobsite within six (6) hours from the vendor’s responded phone call or email and the issuance of a purchase order. The vendor must provide a minimum of two (2) 24/7 urgent contact phone numbers to the County departments using this contract; this urgent call-out list is both for routine and after- hours services. Failure to provide coverage may result in termination of the contract. Applicable hourly rates per the fee schedule plus an urgent fee of $250 will be paid for those urgent jobs authorized in writing by the Project Manager or Division making the work request. 4. Work Requests County Divisions shall issue individual work requests for crane services that are needed throughout the contract term. Work Requests for services shall be placed via email. Each request will include the Division name, Division representative with contact information, crane tonnage, service hours, and work site location. No work shall commence unless a purchase order and work request has been issued and provided to the vendor by the Division via email. 5. Certification The vendor shall provide valid Crane Operator certifications annually for all operators or when a new operator is added if it is a requirement for the work site (i.e. working at airports). 6. Federal Aviation Administration (FAA) Notification, Permit and Collier County’s Airport Requirements (if applicable) The Federal Aviation Administration (FAA) requires a permit on construction cranes any time that they exceed a 100:1 sloped surface from the nearest point of the nearest runway out to 20,000 feet or 200 feet AGL (above ground level) beyond. The FAA requires a permit for ANY crane work within a 3-mile radius of any airport. The permit process may take four (4) weeks and up Page 1147 of 3681 to six (6) weeks to process. The vendor is responsible for FAA notifications and permits if required at work sites that is in accordance with FAA, Title 14 of the Code of Federal Regulations (14 CFR Part 77.9). The FAA requires that Form 7460-1 be submitted at least 45 days before the date the proposed construction is to begin, or the date an application for a construction permit is to be filed. Collier County Land Development Code requires an Obstruction Evaluation / Airport Airspace Analysis (OE/AAA) to be completed for any obstruction within the airport overlay. Additionally the Collier County Airport Authority Division should be given at least a 24-hour notice to be able to put a Notice to Airmen (NOTAM) out. 7. General Requirements 7.1. Equipment The vendor shall maintain adequate inventory to provide a prompt response for work requests. 7.1.1. If requested equipment is unavailable, the vendor shall notify the Division Representative immediately. The vendor shall provide an estimated time when the equipment is available. 7.1.2. The County reserves the right to use the secondary vendor (if one exists), if the primary vendor does not have the equipment available. 7.1.3. If the equipment is not available from any of the vendors, then the Division has the authority to request quotes off contract following the County’s Purchasing Ordinance. 7.1.4. The vendor shall ensure proper maintenance of crane service equipment. The vendor shall furnish all necessary labor, materials, equipment, tools, consumables, transportation, skills, and incidentals required for crane equipment maintenance. Crane preventative maintenance, repairs, replacements is the Crane Company’s responsibility. 7.1.5. The Vendor(s) is responsible for maintaining and update records for each type of equipment serviced. The documentation will include, and not be limited to, records of all service calls, preventative maintenance performed, and any system modifications, if applicable. Proof of maintenance records must be available for County review if requested. 7.2. Safety Requirements High-visibility clothing or vests with retro-reflectorized striping must always be worn by all employees working within Collier County Rights-of Way (See exception in # 7.3.3 below). This includes personnel that may visit the “work zone” temporarily, such as management and/or vendors. Class 2 or Class 3 garments are required for daytime use in accordance with the most current edition of the American National Standard for High-Visibility Safety Apparel and headwear (ANSI/ISEA). 7.2.1. NSI/ISEA Class 2 or 3 Vests, T-shirts or similarly labeled garments depending on time of day. 7.2.2. A Class 3 garment is mandatory for use by flagging personnel during any hours of darkness, including during inclement weather situations, where conditions may create hours of darkness during normal daylight conditions. 7.2.3. Exception: When other industry apparel safety standards require workers to wear apparel that is inconsistent with Federal, State or county requirements such as the National Fire Protections Association (NFPA), Occupational Safety and Health Administration (OSHA), American National standards Institute (ANSI), etc., the other standards may prevail. However, apparel must still meet high visibility color requirements of fluorescent lime-green or fluorescent orange only and must be maintained in good condition and replaced as necessary. 7.2.4. Work Zone Safety It is the Vendor’s responsibility for safety in the work zone. Vendor shall provide work zone signage, cones, barricades or barrels, arrow panels, flagging personnel and Stop/Slow Paddles, where necessary, as required by law or the Board of County Commissioner’s approved Collier County right of way handbook. 7.3. OSHA & Manufacturer’s Safety Requirements The vendor shall utilize equipment in accordance with OSHA regulations and the manufacturer’s safety requirements. 7.4. Damages Carelessness by the vendor resulting in damage to turf, curbs, sidewalks, pavement or structures, mailboxes, appurtenances, etc. shall be repaired or replaced by the vendor to the satisfaction of the Division Representative at no additional cost to the County, and damages shall be repaired or replaced within seventy-two (72) hours or as agreed upon by the Project Manager. 7.5. Performance Standards The vendor shall perform to the standards in this solicitation and subsequent contract documents. The vendor agrees to warrant their work and professionally perform services. If the vendor fails to perform in accordance with the Scope of Page 1148 of 3681 Work/Specifications, including subsequent contract documents, the Division has the sole discretion to deem such failure as sufficient cause for default which may result in contract termination. 7.6. Failure to Perform Vendor refuses to begin work, improperly perform work, unnecessarily delays work, neglects or refuses to correct work that was rejected or is defective, the Division Representative may notify the Vendor to repair and replace work immediately, and if the Vendor refuses to correct the work, the Division may request that all work discontinue under this Contract. 7.7. Invoicing Invoice submission for payment approval must be accurate and complete with details of services performed. The Division will approve payment for completed work that is accepted as satisfactory by the Division; invoices will be rejected for incomplete work. 7.7.1. Invoice rejection will occur if invoices are not accurate and/or have missing backup documentation. 7.7.2. At a minimum, invoices shall include the following: Division Name Contract Number Purchase Order Number Work Order Number (if applicable) Serviced Line Items Work Site Location VENDOR CHECKLIST ***Vendor should check off each of the following items as the necessary action is completed (please see, Vendor Check List)*** Page 1149 of 3681 ProjectManager:PamLibby Procurement Strategist:LisaOien ITB No. 24-8228 Crane Rental Services Notifications Sent:1,872 BidPackagesViewed:411 Bids Recevied:2 Maxim Crane Works , L.P. Premium Crane LLC Item No.Hourly Rates Hourly Rates 1 187.50$ -$ 2 95.00$ -$ 282.50$ -$ Maxim Crane Works , L.P. Premium Crane LLC Item No.Hourly Rates Hourly Rates 3 207.50$ -$ 4 95.00$ -$ 302.50$ -$ Maxim Crane Works , L.P. Premium Crane LLC Item No.Hourly Rates Hourly Rates 5 227.50$ -$ 6 95.00$ -$ 322.50$ -$ Maxim Crane Works , L.P. Premium Crane LLC Item No.Hourly Rates Hourly Rates 7 262.50$ -$ 8 95.00$ -$ 357.50$ -$ 250.00$ 1.5 X Straight Time H ourl y Yes/No Yes/No Bid Schedule YES N O Form 1: Vendor Declaration Statement YES YES Form 2: Conflict of Interest Certification Affidavit YES YES Form 3: Immigration Affidavit Certification YES YES Form 4: Vendor Submittal – Local Vendor Preference Affidavit N /A N /A E-Verify YES YES Addenda (3)YES YES Sunbiz YES YES* Vendor W-9 YES YES *Minor Irregularity Opened on: July 18, 2024, at 3:00 PM EST Opened By: Matthew Webster W itnessed by: Rita Iglesias Required Documents After hours* Urgent Fee - Must be pre-approved in writing by requesting Division Spotter Service rate per hour Spotter Service rate per hour Crane Service rate per hour. Description *Bid Clarified to remove urgent work as 1.5x hourly rate, as a clerical error. Category 4: 70 Ton Hydraulic Truck Crane w/Operator After hours rates will apply to urgent and non-urgent in accordance with Scope. After hours and Urgent Fees Category 1: 40 Ton Crane Total Category 2: 50 Ton Crane Total Description Description Description Crane Service rate per hou r Spotter Service rate per hour Crane Service rate per hour. Spotter Service rate per hour Crane Service rate per hour. Category 2: 50 Ton Hydraulic Truck Crane w/Operator Category 3: 60 Ton Hydraulic Truck Crane w/Operator Category 1: 40 Ton Hydraulic Truck Crane w/Operator Non-Responsive Category 3: 60 Ton Crane Total Category 4: 70 Ton Crane Total BID TABULATION Page 1150 of 3681 INSURANCE REQUIREMENTS COVERSHEET Project Name Vendor Name Solicitation/Contract No. Attachments Risk Approved Insurance Requirements Risk Approved Insurance Certificate(s) Comments Attachments Approved by Risk Management Division Approval: "Crane Rental Services" Maxim Crane Rental, L.P. 24-8228 The COI is in compliance. ✔ GonzalezGre ily Digitally signed by GonzalezGreily Date: 2024.12.11 10:38:38 -05'00' Page 1151 of 3681 INSURANCE AND BONDING REQUIREMENTS Insurance / Bond Type Required Limits 1. Worker’s Compensation Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements Evidence of Workers’ Compensation coverage or a Certificate of Exemption issued by the State of Florida is required. Entities that are formed as Sole Proprietorships shall not be required to provide a proof of exemption. An application for exemption can be obtained online at https://apps.fldfs.com/bocexempt/ 2. Employer’s Liability $_1,000,000___ single limit per occurrence 3. Commercial General Liability (Occurrence Form) patterned after the current ISO form Bodily Injury and Property Damage $__2,000,000______single limit per occurrence, $3,000,000 aggregate for Bodily Injury Liability and Property Damage Liability. The General Aggregate Limit shall be endorsed to apply per project. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. Indemnification To the maximum extent permitted by Florida law, the Contractor/Vendor shall defend, indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys’ fees and paralegals’ fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor/ Vendor or anyone employed or utilized by the Contractor/Vendor in the performance of this Agreement. 5. Automobile Liability $_1,000,000___ Each Occurrence; Bodily Injury & Property Damage, Owned/Non-owned/Hired; Automobile Included 6. Other insurance as noted: Riggers Liability/ Inland Marine $ 1,000,000 Per Occurrence United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ __________ Per Occurrence Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. $ __________ Per Occurrence Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. $ __________ Per Occurrence Pollution $ __________ Per Occurrence Professional Liability $ ___________ Per claim & in the aggregate Project Professional Liability $__________ Per Occurrence Valuable Papers Insurance $__________ Per Occurrence Cyber Liability $__________ Per Occurrence Technology Errors & Omissions $__________ Per Occurrence 7. Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers’ check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. Page 1152 of 3681 8. Performance and Payment Bonds For projects in excess of $200,000, bonds shall be submitted with the executed contract by Proposers receiving award, and written for 100% of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as “A-“ or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders’ surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 9. Vendor shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Vendor shall provide County with certificates of insurance meeting the required insurance provisions. 10. Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. This insurance shall be primary and non-contributory with respect to any other insurance maintained by, or available for the benefit of, the Additional Insured and the Vendor’s policy shall be endorsed accordingly. 11. The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 12. On all certificates, the Certificate Holder must read: Collier County Board of County Commissioners, 3295 Tamiami Trail East, Naples, FL 34112 13. Thirty (30) Days Cancellation Notice required. 14. Collier County shall procure and maintain Builders Risk Insurance on all construction projects where it is deemed necessary. Such coverage shall be endorsed to cover the interests of Collier County as well as the Contractor. Premiums shall be billed to the project and the Contractor shall not include Builders Risk premiums in its project proposal or project billings. All questions regarding Builder’s Risk Insurance will be addressed by the Collier County Risk Management Division. GG – 4/25/24 ___________________________________________________________________________________________________________ Vendor’s Insurance Acceptance By submission of the bid Vendor accepts and understands the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. The insurance submitted must provide coverage for a minimum of six (6) months from the date of award. Page 1153 of 3681                            !! !"  # $%  & '(  ) !! ! #)    *   +   ,  -.!" 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Page 1155 of 3681 Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. GLO 9138767-106/30/20206/30/20215939000 INCL Additional Insured – Automatic – Owners, Lessees Or Contractors U-GL-1175-F CW (04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured:MAXIM CRANE WORKS, L.P. Address (including ZIP Code): 1225 WASHINGTON PIKE BRIDGEVILLE, PA 15017 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A.Section II – Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1.Only applies to the extent permitted by law; and 2.Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a.The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b.Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. Page 1156 of 3681 U-GL-1175-F CW (04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C.The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV – Commercial General Liability Conditions: The additional insured must see to it that: 1.We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2.We receive written notice of a claim or "suit" as soon as practicable; and 3.A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D.For the purposes of the coverage provided by this endorsement: 1.The following is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a.The additional insured is a Named Insured under such other insurance; and b.You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2.The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV – Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E.This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F.With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III – Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2.Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. Page 1157 of 3681 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 9138767-1Effective Date: 06/30/202 U-GL-1521-B CW (01/19) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Notification to Others of Cancellation or Non-Renewal This endorsement applies to insurance provided under the: Commercial General Liability Coverage Part A.If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. Such list: 1.Must be provided to us prior to cancellation or non-renewal; 2.Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3.Must be in an electronic format that is acceptable to us. B.Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1.Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2.At least 30 days prior to the effective date of: a.Cancellation, if cancelled for any reason other than nonpayment of premium; or b.Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1. or Paragraph B.2. above. C.Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1.Extend the Coverage Part cancellation or non-renewal date; 2.Negate the cancellation or non-renewal; or 3.Provide any additional insurance that would not have been provided in the absence of this endorsement. Page 1158 of 3681 U-GL-1521-B CW (01/19) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. D.We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. SCHEDULE The total number of days for mailing or delivering with respect to Paragraph B.1. of this endorsement is amended to indicate the following number of days:10* The total number of days for mailing or delivering with respect to Paragraph B.2. of this endorsement is amended to indicate the following number of days:90** *If a number is not shown here, 10 days continues to apply. ** If a number is not shown here, 30 days continues to apply. All other terms and conditions of this policy remain unchanged. Page 1159 of 3681 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. TRK 8979261-2Effective Date: 06/30/202 U-CA-832-B CW (03/23) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Notification to Others of Cancellation or Non-Renewal This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part SCHEDULE The total number of days for mailing or delivering with respect to Paragraph B.1. of this endorsement is amended to indicate the following number of days:* The total number of days for mailing or delivering with respect to Paragraph B.2. of this endorsement is amended to indicate the following number of days: *If a number is not shown here, 10 days continues to apply. ** If a number is not shown here, 30 days continues to apply. A.If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1.Must be provided to us prior to cancellation or non-renewal; 2.Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3.Must be in an electronic format that is acceptable to us. B.Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1.Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2.At least 30 days prior to the effective date of: a.Cancellation, if cancelled for any reason other than nonpayment of premium; or b.Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1. or Paragraph B.2. above. Page 1160 of 3681 U-CA-832-B CW (03/23) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C.Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1.Extend the Coverage Part cancellation or non-renewal date; 2.Negate the cancellation or non-renewal; or 3.Provide any additional insurance that would not have been provided in the absence of this endorsement. D.We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms, conditions, provisions and exclusions of this policy remain the same. Page 1161 of 3681 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. 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.) Policy No.8$Endorsement No. Premium $*/$- Endorsement Effective  Insured ."9*.$3"/&803,4 -1 Insurance Company ;63*$)".&3*$"/ */463"/$&$0.1"/: WC 99 06 43 Page 1162 of 3681                     !  " %&''  # (           *1 (7" -'&-,  1 6      : #6#"+%; <&+.= &-+48    (  +++'        0)3     ';. +-  *  !  ( > "1 (5 -'8' 1 )  2 5  :  6 " +;;     2 5  @  7# " +;;    A 1  #  6 "  +;&.         @  77 "    $         +,,   <9-+= ,&84+  A   )     "  $     C@ 7"-;',. 2 7<&+.= +984-     (/ 2  E * 0 "&898-  <%9,= 8%84,  2  (/ 2 (   2   2   &&.-  1 6  >  Page 1163 of 3681  ( /    (/     ( / *0( 1#/ 2 (   /   1#/   (  Page 1164 of 3681 2  (/ 2 ( /     1#/           Page 1165 of 3681    ( / 3 1  4    1# (/   1#/  Page 1166 of 3681   (  Page 1167 of 3681