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Backup Documents 06/24/2025 Item #16C 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 C3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Risk Risk Management 2. County Attorney Office County Attorney Office 4 l 6�d1-�igS 4. BCC Office Board of County Commissioners 135 v y /Pik/ 6/3a 4. Minutes and Records Clerk of Court's Office 5. 410. 03/94 71S- Procurement Services Procurement Services PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,ma need to contact staff for additional or missing information. Name of Primary Staff Cole Chandler/Procurement Contact Information 239-252-8407 Contact/Department Agenda Date Item was June 24,2025 Agenda Item Number 16.C., 3 Approved by the BCC Type of Document Amendment Number of Original 1 Attached Documents Attached PO number or account N/A 22-8000 Lhoist North America of number if document is Lhoist North America of Alabama,LLC to be recorded Alabama,LLC INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature STAMP OK N/A 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be CC signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the CC document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's CC signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on June 24,2025 and all changes made N/A is not during the meeting have been incorporated in the attached document. The County1��y an option for Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the . f j an option for Chairman's signature. ( this line. 1 6 C3 THIRD AMENDMENT TO AGREEMENT #22-8000 FOR QUICKLIME SUPPLY FOR COLLIER COUNTY THIS THIRD AMENDMENT made and entered into on ^lune, 9d1 , 2025, by and between Lhoist North America of Alabama, LLC (the "Vendor") and Collier County, a political subdivision of the State of Florida, (the "County") (collectively, the "Parties"): WHEREAS, on July 12, 2022, (Agenda Item 16.C.5), the County entered into Agreement # 22-8000"Quicklime Supply for Collier County" (the"Agreement")with the Vendor for the purchase of quicklime required for potable water treatment; and WHEREAS,the Vendor has requested this increase for the purchase of Quicklime under the Agreement wherein prices remained firm during the first year of the Agreement which ended July 11, 2023; and WHEREAS, the Parties approved a First Amendment to the Agreement on July 25, 2023, modifying the Exhibit B —Fee Schedule to allow for an increase in the unit price from $355.20 per ton to $438.71 per ton, as permitted under the Agreement, which increased unit price applied through July 11, 2024; and WHEREAS,the Parties approved a Second Amendment to the Agreement on July 23, 2024, (Agenda Item 16.C.5), further modifying the Exhibit B — Fee Schedule to allow for an increase in the unit price from $438.71 per ton to $489.21 per ton, which increased unit price is in effect through July 11, 2025; and WHEREAS, the Parties desire to further amend the Agreement to modify the Exhibit B — Fee Schedule (as presently amended) to allow for an increase in the unit price from $489.21 per ton to $503.89 per ton,with that increased unit price to be effective as of July 12, 2025,and continuing through July 11, 2026. NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the Parties as follows: 1. The above recitals are hereby incorporated into this Third Amendment as if fully set forth herein. 2. The current Exhibit B 1 — Fee Schedule is to hereby deleted in its entirety and replaced by the attached Exhibit B2 —Fee Schedule, which reflects the increased unit price of$503.89 per ton. 3. All other terms and conditions of the Agreement, unless modified herein, shall remain the same. 4. The effective date for this Amendment shall be July 12, 2025, with the increased unit price running through July 11, 2026. Page 1 of 3 Third Amendment to Agreement#22-8000 CAO 16Ca IN WITNESS WHEREOF,the Parties have executed this Third Amendment by an authorized person or agent on the date and year first written above. ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal K. Kinzel, Clerk of Courts COLLIER COUNTY, FLORIDA By: __ By: /4 ,,.."...4. , ,, ';J e1 ty Clerk Burt L. Saunders, Chairman AtteOir t'1f1 t AT r ,' , "P VENDOR: �. " '"' LHOIST NORTH AMERICA OF ALAI3AMA, LLC By: 1'Ufir /< I V Signature TType/print signature and titleT r-Ot-r., . \-a-\Date pproved a to form ' d guilty: ‘ 7 ---______ Scott R. each,Deputy County Attorney 0 Page 2 of 3 Third Amendment to Agreement#22-8000 ' 16C3 EXHIBIT B2 -FEE SCHEDULE (THIRD AMENDMENT) Lhoist North America of Alabama, LLC Item Product Description Unit of Measure Price* 1 W-6 Lime Ton $503.89 Page 3 of 3 +'r Third Amendment to Agreement#22-8000 1 6 G3 Contract Renewal or Collier County Extension Request Form CONTRACT RENEWAL OR EXTENSION REQUEST FORM Contract#: 22-8000 Solicitation Title: Quicklime Supply for Collier County Name of Requester: Howard Brogdon Division Name: Public Utilities Water Company Name: I hoist North America of Alabama,LLC Name of Company Agent: K. Curtiss, J. Dale James Vendor Email: Dale.James@Lhoist.com Vendor Phone Number: (314)614-4950 Current Term: July 12,2022 to July 12,2025 Requested Term: July 12,2025 to July 12,2026 SECTION la.APPLICABLE TO RENEWAL SECTION lb.APPLICABLE TO EXTENSION Fill out the Renewal section if there are renewals identified Fill out the Extension section if no renewals are identified and available per the contract. in the contract or if all renewals have been exhausted. Ex:1-1 Yr.Renewal of 2 Ex:No Renewals/Ext Available © Request to Exercise 1" 0 Renewal to Exercise an 0 Request to Exercise Administrative Extension(180 days) Renewal Evergreen ❑ Request to Exercise 2nd 0 Renewal Includes Price 0 Request Extension Beyond the Administrative Extension Renewal Increase* (180 days) ❑ Request to Exercise 3rd 0 Increase Accepted by the *If selecting this option,an Executive Summary must be Renewal Division* provided with this form. ❑ Request to Exercise 4th D Other: Renewal *The original solicitation document and/or resultant contract must contain a provision permitting price increases.Submit a new request ticket for"Contract Amendment"with supporting documentation accepted by the Division for any renewals with Price Increases. SECTION 2a. RENEWAL AFFIRMED SECTION 2b. EXTENSION AFFIRMED Project Manager/Contract Agent affirms the Vendor meets Project Manager/Contract Agent affirms the following the following requirements: requirements to extend: 0 That the Contractor has performed in a satisfactory i ❑ The extension period is identified in the original manner. solicitation document and/or resultant contract. El The renewal is subject to the terms and conditions 0 The extension period is for the same terms and outlined in the initial contract.Cost and term conditions. modifications are addressed in the original solicitation ❑ The existing contract will be terminated upon issuance of document and/or resultant contract. the new contract without further notice. Lc] That the renewal is done for a set period of time 0 Any(non-blanket)Purchase Order that extends beyond identified in the solicitation document and/or contract, the expiration date of the original contract will survive commencing at the end of the contract period. and remain subject to the terms and conditions of that contract until the completion or termination of the Applicable only to Price Increases: Purchase Order. ZI The request for a price increase has been evaluated and the supporting documentation justifies the request. 16C3 SECTION 3.APPROVALS THE VENDOR HEREBY AGREES TO THE SAME TERMS AND CONDITIONS AND IS AN AUTHORIZED AGENT OF THE COMPANY WITH THE AUTHORITY TO EXECUTE THIS FORM ON THE COMPANY'S BEHALF. *If the signer is NOT an authorized agent listed on Sunbiz,please also submit a Corporate Resolution,Limited Power of Attorney,Secretary's Certificate,or notarized letter from one of the listed principals giving that person signature authority. Project Manager/Contract Agent Signature' Name and Date: brogdon_h Digitally signed by brogdon_h Date:2025.04.24 07:33:40-04'00' Vendor—Authorized Signatory Signature: Name and Date: Mark Milner, 03.20.2025 Vt v— Procurement Director or Designee's Name: ' Signature: Digitally signed by Viviana Giarimoustas GiarimoustasViviana GiarimoustasViviana Date:2025.04.28 12:45 05-04'00' Procurement Use Only D✓ Approved Renewal Term Approved Term:7/12/2025 - 7/11/2026 O Approved Renewal Term with Price Increase Approved Term: O Renewal Term with Price Increase is subject to Board Date Board Approved: Approval O Approved Administrative Extension Term Approved Extension Term: ❑Extension is subject to Board Approval Date Board Approved Term: Notes: 1 of 2 one year renewals remaining. Pending BCC approval of price increase. 16C3 AFFIDAVIT REGARDING LABOR AND SERVICES Effective July 1, 2024, pursuant to § 787.06(13), Florida Statutes,when a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services. Nongovernmental Entity's Name: Lhoist North America of Alabama,LLC Address: 5600 Clearfork Main Street,Suite 300, Fort Worth,Texas 76109 Phone Number: (800)365-6724 Authorized Representative's Name: Mark Milner Authorized Representative's Title: Vice President of Commercial Operations Email Address: Mark.Milner@lhoisicom AFFIDAVIT Mark Milner (Name of Authorized Representative),as authorized representative attest that Lhoist North America of Alabama.LLC (Name of Nongovernmental Entity) does not use coercion for labor or services as defined in§787.06, Florida Statutes. Under penalty of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true. — z 5 (Signature of authorized representative) Date STATE OF TEXAS COUNTY OF TARRANT Sworn to(or affirmed)and subscribed before me, by means of a physical presence or O online notarization this 31 day of March , 20 , by Mark Milner (Name of Affiant),who producrtt-hisf -- t5 ``A-t5of\A\k1/4.\ tt_'h4.►)t` AO '(WG RACHLpuuireLhenctigital) *, my NotarypGALVB '''.y Was'My 34,2026 Commi sion Expfres 9ersonally Known OR Produced Identification E] Type of Identification Produced: N/A 16 C3 A W DATE IYY) CERTIFICATE OF LIABILITY INSURANCE 01/06/20256/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA,LLC. NAME: PHONE X 4400 Comerica Bank Tower LAIC.No.Extl: (A/C,No): 1717 Main Street E-MAIL Dallas,TX 75201-7357 ADDRESS: Attn:dallas.certs@marsh.com/(866)966-4664 INSURER(S)AFFORDING COVERAGE NAIC# CN102388372-Cas-GAWXP-25-26 No INSURER A: National Union Fire Insurance Co.of Pittsburgh,PA 19445 INSURED INSURER B: Liberty Insurance Corporation 42404 Lhoist North America,Inc. PO Box 985004 INSURER c: AIU Insurance Company 19399 Ft.Worth,TX 76185 INSURER D: AIG Specialty Insurance Company 26883 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: HOU-003030201-66 REVISION NUMBER: 41 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY► A X COMMERCIAL GENERAL LIABILITY X 016113215 01/01/2025 10/01/2025 EACH OCCURRENCE $ 2,000,000 DAMAGE CLAIMS-MADE X OCCUR PREM SESO(EaENTEoccu ence) $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY JE� LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE UABILITY 016113214 01/01/2025 10/01/2025 COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ B X UMBRELLA LIAB X OCCUR TH7-691-468055-075 01/01/2025 01/01/2026 EACH OCCURRENCE $ 9,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 9,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 016113216(AOS) 01/01/2025 10/01/2025 X STATUTE OTH- ER C AND EMPLOYERS'LIABILITY Y I N 016113217(WI) 01/01/2025 10/01/2025 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBEREXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Pollution Legal Liability PLS 25903335 11/01/2023 11/01/2026 Each Incident/Aggregate 5,000,000 Claims Made Deductible 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more apace is required) Re:For any and all work performed on behalf of Collier County Collier County Board of County Commissioners,OR Board of County Commissioners in Collier County,OR Collier County Government are included as additional insured(except workers'compensation) where required by written contract. CERTIFICATE HOLDER CANCELLATION Collier County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3295 Tamiami Trail E. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Naples,FL 34112 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7?W.,W. 7-1S -1 `7e-tc. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD f J AGENCY CUSTOMER ID: CN102388372 LOC#: Dallas ACC)I? ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA,LLC. Lhoist North America,Inc. PO Box 985004 POLICY NUMBER Ft.Worth,TX 76185 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Named Insureds: Lhoist North America,Inc.and all owned subsidiaries. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD