#08-5080 (B.Q. Concrete)
A G R E E MEN T 08-5080
for
"Hammerhead Construction - Concrete/Pavinq Contractor"
THIS AGREEMENT is made and entered into this 24th day of June, 2008, by and between the Board
of County Commissioners for Collier County, Florida, a political subdivision of the State of Florida
(hereinafter referred to as the "Owner") and SQ Concrete, LLC, authorized to do business in the
State of Florida, whose business address is 48 Wickliffe Drive, Naples, FL 34110 (hereinafter
referred to as the "Contractor").
WIT N E SSE T H:
1. COMMENCEMENT: The contract shall be for a one (1) year period, commencing on, June 24,
2008 and terminating June 23, 2009, or until such time as all outstanding Work Orders issued
prior to the expiration of the Agreement period have been completed. This contract shall have
four (4) one (1) year renewals, renewable annually under the same terms and conditions. The
County Manager, or his 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 his 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.
2. STATEMENT OF WORK: Contractor shall provide complete services for on-call concrete,
paving, reinforced driveway construction, and repair services on an as-needed basis as may be
required by the Owner in accordance with the terms and conditions of Sid# 08-5080 and the
Contractor's proposal, which is incorporated by reference and made an integral part of this
Agreement. The execution of this Agreement shall not be a commitment to the Contractor that
any work will be awarded to the Contractor. Rather, this Agreement governs the rights and
obligation of the Quotation procedure outlined in the next paragraphs and all Work undertaken by
Contractor for Owner pursuant to this Agreement and that procedure during the terrn and any
extension of the terrn of this Agreernent.
The Owner shall provide a summary of Work to be performed which will afford the Contractor the
opportunity to submit a formal quotation for the Work; the Contractor shall respond with the
information sought within seven (7) working days. For projects with an estimated cost of Fifty
Thousand Dollars ($50,000) or less, the Owner shall obtain a proposal from one or more of the
selected firms, negotiate favorable project terms and conditions, and issue a numbered Work
Order, signed by the Department Director to initiate the projects.
For projects with an estimated cost over Fifty Thousand Dollars ($50,000) and less than Two
Hundred Thousand Dollars ($200,000), competitive quotes shall be solicited from all contracted
firms. The Contractor shall respond with the information sought within ten (10) working days. The
County will negotiate favorable project terms and conditions, and issue a numbered Work Order
to initiate the projects. Division Administrator approval is required at this level.
For projects over Two Hundred Thousand Dollars ($200,000) and less than Three Hundred
Thousand Dollars ($300,000), competitive quotations shall be solicited from all contracted firms.
The Contractor shall respond with the information sought within ten (10) working days. The
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County will negotiate favorable project terms and conditions. Staff recommendations will then be
submitted to the Board of County Commissioners for approval after County Attorney and Division
Administrator approval.
In each Request for Quotation, the Owner reserves the right to specify the period of completion
and the collection of liquidated damages in the event of late completion.
Hammerhead Construction - Concrete/Paving services shall not exceed Three Hundred
Thousand Dollars ($300,000) for anyone (1) project.
Work orders shall not be required for emergency work but will be authorized by Purchase Order
only.
3. THE CONTRACT SUM: The Owner shall pay the Contractor for the performance of the Work as
stated in the Work Order, pursuant to the quoted price offered by the Contractor in his response
to a specific Request for Quotation. Any County agency may utilize the services offered under
this contract, provided sufficient funds are included in its budget(s).
4. NOTICES: All notices required or made pursuant to this Agreement to be given by the County to
the Contractor shall be made in writing and shall be delivered by hand, by fax, e-mail, or by the
United States Postal Service Department, first class mail service, postage prepaid, addressed to
the following Contractor's address of record:
BQ Concrete, LLC
48 Wickliffe Drive
Naples, FL 34110
Mr. Buddy Quarles, Owner
Telephone: 239-262-7320
Facsimile: 239-594-5351
All notices required or made pursuant to this Agreement to be given by the Contractor to the
County shall be in writing and shall be delivered by hand, by fax, e-mail, or by United States
Postal Service Department, first class mail service, postage prepaid, addressed to the following
County's address of record:
Collier County Government Complex
Purchasing Department
3301 East Tamiami Trail
Purchasing Building G
Naples, Florida 34112
Attention: Stephen Y. Carnell
Purchasing/General Services Director
Phone: 239-252-8371
Fax: 239-732-0844
The Contractor and the County may change the above mailing address at any time upon giving
the other party written notification. All notices under this Service Agreement must be in writing.
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5. NO PARTNERSHIP: Nothing herein contained shall create or be construed as creating a
partnership between the County and the Contractor or to constitute the Contractor as an agent of
the County.
6. PERMITS: LICENSES: TAXES: In compliance with Section 218.80, Florida Statutes, all permits
necessary for the prosecution of the Work shall be obtained by the Contractor. Payment for all
such permits issued by the County shall be processed internally by the County. Contractor is not
responsible for paying for permits issued by Collier County, but is responsible for acquiring all
permits. Owner may require the Contractor to deliver internal budget transfer documents to
applicable Collier county agencies when the Contractor is acquiring permits.
All permits, fees and licenses necessary for the prosecution of the Work which are not issued by
Collier County shall be acquired and paid for by the Contractor. Contractor shall pay all sales,
consumer, use and other similar taxes associated with the Work or portions thereof, which are
applicable during the performance of the Work.
7. NO IMPROPER USE: The Contractor will not use, nor suffer or permit any person to use in any
manner whatsoever, County facilities for any improper, immoral or offensive purpose, or for any
purpose in violation of any federal, state, county or municipal ordinance, rule, order or regulation,
or of any governmental rule or regulation now in effect or hereafter enacted or adopted. In the
event of such violation by the Contractor or if the County or its authorized representative shall
deem any conduct on the part of the Contractor to be objectionable or improper, the County shall
have the right to suspend the Contract of the Contractor. Should the Contractor fail to correct any
such violation, conduct, or practice to the satisfaction of the County within twenty-four (24) hours
after receiving notice of such violation, conduct, or practice, such suspension to continue until the
violation is cured. The Contractor further agrees not to commence operation during the
suspension period until the violation has been corrected to the satisfaction of the County.
8. TERMINATION: Should the Contractor be found to have failed to perform his services in a
manner satisfactory to the County and requirements of this Agreement, the County may terminate
said Agreement immediately for cause; further the County may terminate this Agreement for
convenience with a seven (7) day written notice. The County shall be sole judge of non-
performance.
9. NO DISCRIMINATION: The Contractor agrees that there shall be no discrimination as to race,
sex, color, creed or national origin.
10. INSURANCE: The Contractor shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability.
This shall include Premises and Operations; Independent contractors; Products and
Completed Operations and Contractual Liability.
B. Business Auto Liability: Coverage shall have minimum limits of $1,000,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability.
This shall include Owned Vehicles, Hired and Non-Owned Vehicles and Employee Non-
Ownership.
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C. Workers' Compensation: Insurance covering all employees meeting Statutory Limits in
compliance with the applicable state and federal laws. The coverage must include
Employers' Liability with a minimum limit of $1 ,000,000 for each accident.
D. Pollution Liabilitv Insurance: Coverage shall have minimum limits of $1,000,000 per
occurrence, combined single limit for bodily injury and property damage.
Special Requirements: Collier County Board of County Commissioners shall be listed as the
Certificate Holder and included as an Additional Insured on the Comprehensive General
Liability.
Current, valid insurance policies meeting the requirement herein identified shall be
maintained by Contractor during the duration of this Agreement. Renewal certificates shall be
sent to the County thirty (30) days prior to any expiration date. There shall be a thirty (30)
day notification to the County in the event of cancellation or modification of any stipulated
insurance coverage.
Contractor shall insure that all subcontractors comply with the same insurance requirements
that he is required to meet. The same Contractor shall provide County with certificates of
insurance meeting the required insurance provisions.
11. INDEMNIFICATION: To the maximum extent permitted by Florida law, the
ContractorNendor/Consultant shall 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 ContractorNendor/Consultant or anyone
employed or utilized by the ContractorNendor/Consultant in the performance of this Agreement.
This indemnification obligation shall not be construed to negate, abridge or reduce any other
rights or remedies which otherwise may be available to an indemnified party or person
described in this paragraph.
This section does not pertain to any incident arising from the sole negligence of Collier County.
12. BONDS.
A. When a construction project is in excess of $200,000, the Contractor(s) shall be required to
provide Payment and Performance Bonds.
B. When required by Owner, the Contractor shall furnish a Performance and/or Payment Bond
prior to commencing performance, for the full amount of the Work, which shall act as a
security guaranteeing the performance of the Contractor's work and the payment by the
Contractor to any other party (ies) providing labor and/or materials in connection with each
construction or renovation project performed by the Contractor. The bonds shall be furnished
using the forms prescribed in Exhibit "A".
C. If the surety for any bond furnished by Contractor is declared bankrupt, becomes insolvent, its
right to do business in the State of Florida, or it ceases to meet the requirements imposed by
the Contract Documents, the Contractor shall, within five (5) calendar days thereafter,
substitute another bond and surety, both of which shall be subject to the Owner's approval.
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13. PAYMENTS WITHHELD. Owner may decline to approve any Application for Payment, or
portions thereof, because of defective or incomplete work, outstanding punch list items,
subsequently discovered evidence or subsequent inspections. The Owner may nullify the
whole or any part of any approval for payment previously issued and Owner may withhold any
payments otherwise due Contractor under this Agreement or any other agreement between
Owner and Contractor, to such extent as may be necessary in the Owner's opinion to protect it
from loss because of: (a) defective Work not remedied; (b) third party claims failed or
reasonable evidence indicating probable fling of such claims; (c) failure of Contractor to make
payment properly to subcontractors or for labor, materials or equipment; (d) reasonable doubt
that the Work can be completed for the unpaid balance of the Contract Amount; (e)
reasonable indication that the Work will not be completed within the Contract Time; (f)
unsatisfactory prosecution of the Work by the Contractor; or (g) any other material breach of
the Contract Documents.
If any conditions described above are not remedied or removed, Owner may, after three (3)
days written notice, rectify the same at Contractor's expense. Owner also may offset against
any sums due Contractor the amount of any liquidated or unliquidated obligations of
Contractor to Owner, whether relating to or arising out of this Agreement or any other
agreement between Contractor and Owner.
14. SUBMITTALS AND SUBSTITUTIONS. Any substitution of products/materials from
specifications shall be approved in writing by Owner in advance.
15. CONTRACT TIME AND TIME EXTENSIONS.
A. Time is of the essence in the performance of any Work under this Agreement and Contractor
shall diligently pursue the completion of the Work and coordinate the Work being done on the
Project by its subcontractors and material men, as well as coordinating its Work with all work
of others at the Project Site, so that its Work or the work of others shall not be delayed or
impaired by any act or omission by Contractor. Contractor shall be solely responsible for all
construction means, methods, techniques, sequences, and procedures as well as
coordination of all portions of the Work under the Contract Documents, and the coordination
of Owner's supplies and contractors.
B. Should Contractor be obstructed or delayed in the prosecution of or completion of the Work
as a result of unforeseeable causes beyond the control of Contractor, and not due to its fault
or neglect, including but not restricted to acts of Nature or of the public enemy, acts of
Government, fires, floods, epidemics, quarantine regulation, strikes or lockouts, Contractor
shall notify the Owner in writing within forty-eight (48) hours after the commencement of such
delay, stating the cause or causes thereof, or be deemed to have waived any right which
Contractor may have had to request a time extension.
C. No interruption, interference, inefficiency, suspension or delay in the commencement or
progress of the Work from any cause whatever, including those for which Owner may be
responsible, in whole or in part, shall relieve Contractor of his duty to perform or give rise to
any right to damages or additional compensation from Owner. Contractor expressly
acknowledges and agrees that it shall receive no damages for delay. Contractor's sole
remedy, if any, against Owner will be the right to seek an extension to the Contract Time;
provided, however, the granting of any such time extension shall not be a condition precedent
to the aforementioned "No Damage for Delay" provision. This paragraph shall expressly apply
to claims for early completion, as well as to claims based on late completion.
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16. CHANGES IN THE WORK. Owner shall have the right at any time during the progress of the
Work to increase or decrease the Work. Promptly after being notified of a change, Contractor
shall submit an itemized estimate of any cost or time increases or savings it foresees as a
result of the change. Except in an emergency endangering life or property, or as expressly set
forth herein, no addition or changes to the Work shall be made except upon written order of
Owner, and Owner shall not be liable to the Contractor for any increased compensation
without such written order. No officer, employee or agent of Owner is authorized to direct any
extra or changed work orally. Any modifications to this Contract shall be in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
modifications are authorized.
A Change Order in the form attached as Exhibit "D" to this Agreement, shall be issued and
executed promptly after an agreement is reached between Contractor and Owner concerning
the requested changes. Contractor shall promptly perform changes authorized by duly
executed Change Orders. The Contract Amount and Contract Time shall be adjusted in the
Change order in the manner as Owner and Contractor shall mutually agree.
17. COMPLIANCE WITH LAWS. Contractor agrees to comply, at its own expense, with all
federal, state and local laws, codes, statutes, ordinances, rules, regulations and requirements
applicable to the Project, including but not limited to those dealing with taxation, workers'
compensation, equal employment and safety (including, but not limited to, the Trench Safety
Act, Chapter 553, Florida Statutes). If Contractor observes that the Contract Documents are
at variance therewith, it shall promptly notify Owner in writing.
18. CLEAN UP. Contractor agrees to keep the Project site clean at all times of debris, rubbish
and waste materials arising out of the Work. At the completion of the Work, Contractor shall
remove all debris, rubbish and waste materials from and about the Project site, as well as all
tools, appliances, construction equipment and machinery and surplus materials, and shall
leave the Project site clean and ready for occupancy by Owner.
19. ASSIGNMENT. Contractor shall not assign this Agreement or any part thereof, without the
prior consent in writing of Owner. If Contractor does, with approval, assign this Agreement or
any part thereof, it shall require that its assignee be bound to it and to assume toward
Contractor all of the obligations and responsibilities that Contractor has assumed toward
Owner.
20. WARRANTY. Contractor shall obtain and assign to Owner all express warranties given to
Contractor or any subcontractors by any material men supplying materials, equipment or
fixtures to be incorporated into the Project. Contractor warrants to Owner that any materials
and equipment furnished under the Contract Documents shall be new unless otherwise
specified, and that all Work shall be of good quality, free from all defects and in conformance
with the Contract Documents.
Contractor further warrants to Owner that all materials and equipment furnished under the
Contract Documents shall be applied, installed, connected, erected, used, cleaned and
conditioned in accordance with the instructions of the applicable manufacturers, fabricators,
suppliers or processors except as otherwise provided for in the Contract Documents.
If, within one (1) year after final completion, any Work is found to be defective or not in
conformance with the Contract Documents, Contractor shall correct it promptly after receipt of
Page -6-
written notice from Owner. Contractor shall also be responsible for and pay for replacement or
repair of adjacent materials or Work which may be damaged as a result of such replacement
or repair. These warranties are in addition to those implied warranties to which Owner is
entitled as a matter of law.
21. STANDARDS OF CONDUCT: PROJECT MANAGER, SUPERVISOR, EMPLOYEES. The
Contractor shall employ people to work on County projects who are neat, clean, well-groomed
and courteous. Subject to the American with Disabilities Act, Contractor shall supply
competent employees who are physically capable of performing their employment duties. The
County may require the Contractor to remove an employee it deems careless, incompetent,
insubordinate or otherwise objectionable and whose continued employment on Collier County
projects is not in the best interest of the County.
22. TESTS AND INSPECTIONS. If the Contract Documents or any codes, laws, ordinances, rules
or regulations of any public authority having jurisdiction over the Project requires any portion of
the Work to be specifically inspected, tested or approved, Contractor shall assume full
responsibility therefore, pay all costs in connection therewith and furnish to the Owner the
required certificates of inspection, testing or approval. All inspections, tests or approvals shall
be performed in a manner and by organizations acceptable to the Owner.
23. PROTECTION OF WORK.
A. Contractor shall fully protect the Work from loss or damage and shall bear the cost of any
such loss or damage until final payment has been made. If Contractor or anyone for whom
Contractor is legally liable is responsible for any loss or damage to the Work, or other work or
materials of Owner or Owner's separate contractors, Contractor shall be charged with the
same, and any monies necessary to replace such loss or damage shall be deducted from any
amounts due Contractor.
B. Contractor shall not load nor permit any part of any structure to be loaded in any manner that
will endanger the structure, nor shall Contractor subject any part of the Work or adjacent
property to stresses or pressures that will endanger it.
C. Contractor shall not disturb any benchmark established by the Owner with respect to the
Project. If Contractor, or its subcontractors, agents or anyone, for whom Contractor is legally
liable, disturbs the Owner's benchmarks, Contractor shall immediately notify Owner. The
Owner shall re-establish the benchmarks and Contractor shall be liable for all costs incurred
by Owner associated therewith.
24. EMERGENCIES. In the event of any emergency affecting the safety or protection of persons
or the Work or property at the Project site or adjacent thereto, Contractor, without special
instruction or authorization from Owner is obligated to act to prevent threatened damage,
injury or loss. Contractor shall give the Owner written notice within forty-eight (48) hours after
the occurrence of the emergency, if Contractor believes that any significant changes in the
Work or variations from the Contract Documents have been caused thereby.
If the Owner determines that a change in the Contract Documents is required because of the
action taken in response to an emergency, a Change Order shall be issued to document the
consequences of the changes or variations.
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--._---,~,~~-~~_._....- "--'. --.---_.---------..--,~._-.
If Contractor fails to provide the forty-eight (48) hour written notice noted above, the Contractor
shall be deemed to have waived any right it otherwise may have had to seek an adjustment to
the Contract Amount or an extension to the Contract Time.
25. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of the
County by the Utility Billing & Customer Service Department.
26. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached or
referenced component parts, all of which are as fully a part of the Agreement as if herein set
out verbatim, including: Contractor's Proposal, Insurance Certificate, Bid No.08-5080, any
addenda, Exhibit A, and A-2, any Quotation/Work Order made or issued pursuant to this
Agreement, and any related plans or specifications for any such Quotations or Work Orders.
27. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or individual shall
offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value
to any County employee, as set forth in Chapter 112, Part III, Florida Statutes, Collier County
Ethics Ordinance No. 2004-05, and County Administrative Procedure 5311. Violation of this
provision may result in one or more of the following consequences: a. Prohibition by the
individual, firm, and/or any employee of the firm from contact with County staff for a specified
period of time; b. Prohibition by the individual and/or firm from doing business with the County
for a specified period of time, including but not limited to: submitting bids, RFP, and/or quotes;
and, c. immediate termination of any contract held by the individual and/or firm for cause.
28. SUBJECT TO APPROPRIATION. It is further understood and agreed, by and between the
parties herein that this Agreement is subject to appropriation by the Board of County
Commissioners.
29. SALES TAX. Contractor shall pay all sales, consumer, use and other similar taxes associated
with the Work or portions thereof, which are applicable during the performance of the Work.
No markup shall be applied to sales tax.
30. IMMIGRATION LAW COMPLIANCE: By executing and entering into this agreement, the
Contractor is formally acknowledging without exception or stipulation that it is fully responsible
for complying with the provisions of the Immigration Reform and Control Act of 1986 as
located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended.
Failure by the Contractor to comply with the laws referenced herein shall constitute a breach of
this agreement and the County shall have the discretion to unilaterally terminate this
agreement immediately.
31. VENUE: Any suit or action brought by either party to this Agreement against the other party
relating to or arising out of this Agreement must be brought in the appropriate federal or state
courts in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such
matters.
32. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES: Collier County encourages
and agrees to the successful proposer extending the pricing, terms and conditions of this
solicitation or resultant contract to other governmental entities at the discretion of the
successful proposer.
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33.
AGREEMENT TERMS:
otherwise unenforceable,
remain in effect.
If any portion of this Agreement is held to be void, invalid, or
in whole or in part, the remaining portion of this Agreement shall
IN WITNESS WHEREOF, the Contractor and the County, have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on the date and year first above written.
ATTEST: . . f?fr.
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Type/Print Witness Name
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Type/Print Witness Name
Approved as to form and
legal sufficiency:
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RaBert Zac.I,.!lIY CClllem M'6Veen~
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER C07TY, FLO IDA
By: J(jL----
Tom Henning, Chairman
CONTRACTOR
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Authorized Signature
1?0i?DY QUAR/.-eS
Typed Signature
OWNER
Title
Item # \ !Pc.. '-\
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Date ~.....
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Deput'i Clerk
Page -9-
EXHIBIT A
PUBLIC PAYMENT BOND
Bond No.
Contract No.
KNOW ALL MEN BY THESE PRESENTS: That
, as
Principal, and , as Surety, located at_
(Business Address)
are held and firmly bound to as
Oblige in the sum of ($) for
the payment whereof we bind ourselves, our heirs, executors, personal representatives, successors
and assigns, jointly and severally.
WHEREAS, Principal has entered into a contract dated as of the
,200_, with Oblige for
day of
in accordance with
drawings and specifications, which contract is incorporated by reference and made a part hereof, and
is referred to as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
Promptly makes payment to all claimants as defined in Section 255.05(1), Florida Statutes,
supplying Principal with labor, materials or supplies, used directly or indirectly by Principal in the
prosecution of the work provided for in the contract, then this bond is void; otherwise it remains in full
force.
Any changes in or under the Contract and compliance or noncompliance with any formalities
connected with the Contract or the changes do not affect sureties obligation under this Bond.
The provisions of this bond are subject to the time limitations of Section 255.0592. In no event
will the Surety be liable in the aggregate to claimants for more than the penal sum of this Payment
Bond, regardless of the number of suits that may be filed by claimants.
IN WITNESS WHEREOF, the above parties have executed this instrument this day of
200_, the name of under-signed representative, pursuant to authority of its governing
body.
Page -10-
Signed, sealed and delivered
in the presence of:
PRINCIPAL:
Witnesses as to Principal
By:
Name:
Its:
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me this of
,0 ci
corporation, on behalf of the corporation. He/she is personally
as identification and did (did
200_, by _
,a
known to me OR has produced
not) take an oath.
My Commission Expires:
(Signature of Notary)
Name:
(Legibly Printed)
(AFFIX OFFICIAL SEAL)
Notary Public, State of
Commission No.:
ATTEST:
SURETY:
(Printed Name)
(Business Address)
(Authorized Signature)
Witness as to Surety
(Printed Name)
OR
Page -11-
As Attorney in Fact
(Attach Power of Attorney)
Witnesses
(Business Address)
(Printed Name)
(Telephone Number)
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me this _ day of
200__, by , as
of , Surety, on behalf of Surety. He/She is personally known
to me OR has produced as identification and who did (did not) take an
oath.
My Commission Expires:
(Signature of Notary)
Name:
(Legibly Printed)
(AFFIX OFFICIAL SEAL)
Notary Public, State of
Commission No.:
Page -12-
EXHIBIT A-2
PUBLIC PERFORMANCE BOND
Bond No.
Contract No,
KNOW ALL MEN BY THESE PRESENTS: That
, as Principal, and
, as Surety, located at
(Business Address) are held and firmly bound to
, as Oblige in the sum of
($ ) for the payment whereof we bond ourselves, our heirs,
executors, personal representatives, successors and assigns, jointly and severally.
WHEREAS, Principal has entered into a contract dated as of the _ day of
200_, with Oblige for
in accordance with drawings and specifications, which contractor is incorporated by reference and made a pat
hereof, and is referred to as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
1, Performs the Contract at the times and in the manner prescribed in the Contract, and
2. Pays Oblige any and all losses, damages, costs and attorneys' fees that Oblige sustains because
of any default by Principal under the Contract, including, but not limited to, all delay damages,
whether liquidated or actual, incurred by Oblige; and
3. Performs the guarantee of all work and materials furnished under the Contract for the time
specified in the Contract, then this bond is void; otherwise it remains in full force. Any changes in
or under the Contract and compliance or noncompliance with any formalities connected with the
Contract or the changes do not affect Sureties obligation under this bond.
The Surety, for value received, hereby stipulates and agrees that no changes, extensions of time,
alterations or additions to the terms of the Contract or other work to be performed hereunder, or the
specifications referred to therein shall in anywise affect its obligations under this bond, and it does hereby
waive notice of any such changes, extensions of time, alternations or additions to the terms of the Contract or
to work or to the specifications,
This instrument shall be construed in all respects as a common law bond. It is expressly understood
that the time provisions and statute of limitations under Section 255.05, Florida Statutes, shall not apply to this
bond.
In no event will the Surety be liable in the aggregate to Oblige for more than the penal sum of this
Performance bond regardless of the number of suits that may be filed by Oblige.
IN WITNESS WHEREOF, the above parties have executed this instrument this _ day of
200_, the name of each party being affixed and these presents duly signed by its
undersigned representative, pursuant to authority of its governing body.
Signed, sealed and delivered
in the presence of :
PRINCIPAL:
Page -13-
Witnesses as to Principal
By:
Name:
Its:
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me this _ day of
200_, by , as of
, a corporation, on behalf of the corporation.
He/She is personally known to me OR has produced as identification and
did (did not) take an oath.
My Commission Expires:
(Signature of Notary)
Name:
(Legibly Printed)
(AFFIX OFFICIAL SEAL)
Notary Public, State of
ATTEST:
Commission No.:
SURETY:
(Printed Name)
(Business Address)
(Authorized Signature)
Witness as to Surety
(Printed Name)
OR
As Attorney in Fact
(Attach Power of Attorney)
Witnesses
(Business Address)
(Printed Name)
(Telephone Number)
Page-14-
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me this _ day of
200_, by ,as
of , Surety, on behalf of Surety. He/She is personally known
to me OR has produced as identification and who did (did not) take an
oath.
My Commission Expires:
(Signature of Notary)
Name:
(Legibly Printed)
(AFFIX OFFICIAL SEAL)
Notary Public, State of
Commission No.:
Page -15-
EXHIBIT D
CHANGE ORDER
CHANGE ORDER NO.
CONTRACT NO, 08-5080
TO:
DATE:
PROJECT NAME:
PROJECT NO,:
Under our AGREEMENT dated
,200_
You hereby are authorized and directed to make the following change(s) in accordance with terms and conditions
of the Agreement:
FOR THE (Additive) (Deductive)
Sum of: $
($
Original Agreement Amount $
Sum of Previous Changes $
This Change Order (Add) (Deduct) $
Present Agreement Amount $
The time for completion shall be (increased/decreased) by calendar days due to this Change Order, Accordingly,
the Contract Time is now (---.J calendar days. The substantial completion date is and the
final completion date is Your acceptance of this Change Order shall constitute a modification to our
Agreement and will be peliormed subject to all the same terms and conditions as contained in our Agreement indicated
above, as fully as if the same were repeated in this acceptance. The adjustment, if any, to the Agreement shall constitute a
full and final settlement of any and all claims of the Contractor arising out of or related to the change set forth herein,
including claims for impact and delay costs.
Accepted:
.200
CONTRACTOR:
OWNER:
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
By:
By:
DESIGN PROFESSIONAL:
By:
Page -16-
WARRANTY
In consideration of ten dollars, ($10.00), receipt of which is hereby acknowledged, the undersigned
CONTRACTOR does hereby provide, warrant and guarantee all work done and executed under the
contract either directly performed by the CONTRACTOR or at the express request of the
CONTRACTOR by a SUBCONTRACTOR or CONSULTANT.
Project Name:
Date of Final Completion:
Name and Address of CONTRACTOR:
CONTRACTOR warrants and guarantees the work performed pursuant to the contract shall be free
of all defects of materials and workmanship for a period of one year from the DATE OF FINAL
COMPLETION.
The undersigned party further agrees that it will, at its own expense, replace and/or repair all
defective work and materials and all other work damaged by any defective work upon written demand
by the COUNTY. It is further understood that further consideration for this warranty and guaranty is
the consideration given for the requirement pursuant to the general conditions and specifications
under which the contract was let that such warranty and guaranty would be given.
This warranty and guaranty is in addition to any other warranties or guaranties for the work performed
under the contract and does not constitute a waiver of any rights provided pursuant to Florida
Statutes, Chapter 95, et seq.
DATE:
CONTRACTOR
BY:
Attest:
Page -17-
Jul.
2,
2008
3:58PM
PARLIN INS AGENCY 239-263-8696
Policy Number; 8090002256
No.2716 P,
Dale Enterad:
1
5/1/2007
ACORD", CERTIFICATE OF LIABILITY INSURANCE I tlATt;(~l)b/'rYYY)
5/16/2008
PRODuceR Parlin Insuranee Aqoney THIS CERTIFICATE IS ISSUED AS A MATTER DF INFORMATION
2400 T~i~i Tratl No~th, #401 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO Box 9289 HOLDER. THIS CERTIFICA1E DOES NOT AMENO, EXTENO OR
W~ple~, FL 34101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Phone; (239) 263-3141
Fax: (.239) 263-8696 INSURERS AFFORDING COVERAGE NAIC#
JN8URliD BQ CONCRETE INe. lN$URER A:NOR~HPO:rNTE INS. co.
BUDDY QUARL>:S INSURERS:
48 WICKLIFFE DR. INSURGA C;
NAPLES, it. 34110 INSURER 0:
, INSURER E:
COVERAGE8
fHE POLICIES OF INSURANC~ LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AltQVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQurA.EMENT, i~RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE:SPE"CT 1'0 WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCII!:S DESCRIBED HEREIN IS SUBJECT TO ALl THE TERMS, EXClUSIONS ANO CONOITIONS OF SLlet!
POLICIES. AGGREQA"e: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~:!l r.~~ POlleY NI,IM8Eft POllCV i'!FFEC E f'2~f5lJ ~f'lM.T10N LIMITS
~NERAL LlASlllTV i<AOH OCCURRENCE $1,000,000
A X ~DMMERClAL OENEML LlAfllLrrY 8090002256 3/29/2009 3/29/2009 ~~~GI< TO $100,000
p . L-
~ CLAIMS MADE [ZI OCCUR MI<O EXP {/vw "J1e "e~1;lI11 $5/000
~ LIMITS ARE AS PERSONAL & ADV INJURY $1,000/000
_ OF INCJ;;l?TION GENERAl....GGREGATE $2,000,000
~.LAGG~nE LIMIT APn PER~ PRODUCTS. COMPIOPAGG $2,000,000
POLlCY PRO. LOe
~YOMOBllE LlABIl.ITY COMBINEO SINGLE LIMIT ,
- ANY AUTO (EallCCideol)
- ALL OWNED AUTOS BOOIL Y IJ'llJUAY
,
~ SCHI<OULEQ AUrOS (Plilrl)9riun)
I- HIRED AUTOS 80DIL V INJURY
.
"- NON-OWNED AUTOS (Perllco!o.,'ll)
e- PROPERTY DAMAGE .
{P~rll~~enLI
ROE UAOIUTV AUTO ONLY- EAACCIOEflfT ,
ANY AuTO OTHER THAN EA Ace .
AUTO ONLY: AOe .
OIlSSIUMIlIIU!LLA UAIlIUTV EACH OCCUf\AENCE ,
OCCUR 0 CLAIMS MADE AGGREGATE ,
.
R DEDUCTIBLE ,
RETENTION . .
WORI(EA.$ COMf'IiiNeATloN AND I T~~jT~IU~ I IO.J.tf-
EMPLOYERS' UAIIILlfY
ANY PROPRLETOWPARTNER/fXECUlIIJE E.L. EACH ACOID~T .
OF'F1CER,lMEMBER EXC\.UDED7 E.L. DISEASE - EA EMPLOYEE ,
gt~~tit~bt.J.~tNS belDV( E.L. DISEASE. POLlCY LI~IT ,
OTI-II;...
OESCRJPTlON OF' ~E~~~W8ATI0'lU1'8lIC:L&S J iXCLUSlgNS A~M&l!IYjNOQJUII;WNT / $PECIAL. PROV'ISfoN8
CONCRETE C NoS I NaY " FEN E C 10
ADDITIONAL INSURED; COtLIER CO~y BOARD OF COMMISSIONERS Chris Mayr
P071471
CERTIPICATE HOLD~R
COLLIER CO'tJm.l't BOARD OF CoMN:ISSIO~R,S
3301 TAMIAMI TRAIL E.
NAPL~S, ~ 33957 BID NO. 085080
FAX:252-6SQ7 ^T~: O~ANNA
CANC~LLATION
SHOULD ANY OF THIi ABOVE DESCIUBt!D POLlel" Ill!! CANCELLED B~fORJ; THE EXPIRATION
DATI THEftEO.., TH! ISSUING 1},!tiurU,R WILL END~"VOR TO MAlL.~ DAY:! WRITTEN
NOTICE TO THIii: CERTIFleATliii HOI.Cliif\ HAMiD TO THE LEI'T. "AlLURE TO 1:10 so SHAlL
l""..OSE He alLIGATION OR LlAglllTY 0," IND HE '~eUREfi. IrEl AI;JIiNTP3 OR
R&PRESENTATIVe!.
AUTHO~iiO RIiPftESENTATlV1!
DEEDRA WILLIAMS
ACORD 25 (2001/08)
~rodUCEld UlIlnlr FormB Boss PIUI IOttwafe. \r.ww.j:Cll'm;;B<l5~.<;om, ImpfCl;!Oive ?ublishlrijl &00..200.1977
"""'__w..______.__~.__~.",.~,.___.._....___,___._,_
07/08/2008 18:54 FAX
~001/001
ACORD.. CERTIFICATE OF LIABILITY INSURANCE I 0ATE.(~DfV"fYY)
7/8/2008
'ROI:lUCal THIS CERnFICATE IS ISSUED AS 1\ MATTER OF INFORMATION
ENJUIKCED COMMI!:RCJ:AL SZRvJ:CES, mc OfllL Y AND CONFERS NO ~GHTS UPON THE CERTIFICATE
HOLDER. 11118 CERTIFICATE DOEs NOT AMEND, EXTEND OR
P.O. Box 4726 IlL TER 111E COVERAGE AFFORDED BY 1111; POLICIES BELOW.
N. Fort NY-r., FL 33918
239-652-0251 INSURER5 AFFORDING COVERAGE NAlC'
l"lauR~ B Q Concrete LLC INSURER 1i. A.Sa:re1:y Melt Re't..Grp. ,Ino.
""SURER B:
48 Wickliffe'Drive INSURER c; .
N..pl...., FL 34110 lNaURER D:
IICI 239-293-8325 IlNst,IR~E;
C:ovERAGES
THE POLICJES OF INSURANCE USTED BELOW I-lAVE BEEN ISSUED TO TliE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICAlED. N01WlTHSTANOING
ANY ReQUIREMENT, 'TERM OR CONOITlON OF AIIIY CONTRACT OR OTHE;Fl DOCUMeNT WITH RESPECT TO WHICH 1li1S CERTIFICATE MAY BE ISSUEO OR
MAY PEftl'AIN, nt6 INSURANCEAFFOR:OED BYTliE POL~ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXClUSIONS AND CONDrrlONS Of: SUCH
POLICIES. AGGREGATE UNlITS SHOW~ MAY IiAVE aEEN REDUCED BY PAID CLAIMS. f1I.&Im
~:' .-. TV"l=nPlNotllRANCI< POlICYNIJM81ER. I ~~"~~MMIDD N LIMrrs
~N.RAI. L1"'rrv """" OCCU",,"HCE . 1 000 000
COMMERCIAl. GENERAlllABIllTY PRe:NI$E6 Eo vtwmnool $
[CLA.IMSMADE [] occu~ r.u;;DEXPI.MrMtO:~) .
rA. Cont. Pollution CPI.0199900801 07/08/08 07/08/09 'ERSONM.& """'NJtJRY .
r-- Liabili tv GEN......' JIG"""'ATE . 1 000 000
~'L AGGR~Tf ~~; AJi'~:ii PER PRODUCTS. COMPIOPAQG .
I i "",-,cy I I ,iil'j I I LOC . COy 1'::1 nnn. 000 i
~OSIL!;!: LlMlLlTY CQM!lIflIED SI~QLE LIMIT I
ANY AI,JTO (E. ....-Qd.nt)
r-
j--- ALLQWNE.OAI,lTQ6 BQDlLVINJURY
SCHEDULED AtJTOS (F't:Irpcll"Pl)
-
_ 1ollREO AUToe
_ NON-OWNEOAlITQS
-
A
.
aOOLYINJURY
(Pl!ItAiCOit;1l!1tlt)
.
PROPE.RT't' DAllN\.Q~
(PIIr.a:llCIInt)
.
~GE LIABILITY
~I 4.NYAlJTO
I!!XCI!!8SAJM8RI!LLA LIA8ILIT'V
:JOCCUR 0 ClAIM>""'.
Il DEDUCTIBI.E
rl RETENTION S
WORKEASCOMPENSA.TIONJIlPIID
EUPLOVERS' UASILIlY
ANt PROPRETORIPARTNERlEXECUTI\IE
O."ICIMA"'1Il I.'tCLUDIP1
=cf.:~=~:iibelow
OTHER
AlfrO ONLY - EAACCIOENT
.
EAACC I
AM .
OTHER THAN
AUTOONL Y;
EACH OCCURRENCE .
AGGREGATE $
.
.
.
~IIOJil-
E.L EACH ACOIDENT S
E.I.. DISE,\E1E. EA. SVIPLOVE ,
E..L OISEASE-POlIOVlIMrr S
I
DeSCRIPTlONOF OPSAATI(IIl4S IL,OCATlONS IVliiHIClES' EXC LuSIONSADoe:D bY' I!NDMSEMENTISPECw. PROVl6fOHS
l 'Concrete Contruction Contractor
Bid' 085080
C:ERnFlCATE HOLDER
CANCELLATION
SHOUL.D IWf OF ruE ABOVE DESCRIBED POLICIes BE CAf<lCEUEO ~I"ORE: THE: EKPIRATION
DATE THEREOF, THE ISSUING lNSlAI:e~ 'Ml.l !NDEAVOR,.O MAl"'.!!!.... M.VS WRITTEN
NOTlCI: TO THE CERTlFICAll: MOL~R NAMED TO lHE LEFT. 6U1" fAILURE TO DO SO SHAL.L
IMPOSE NO Q8UGA,.T10N OR lIABILITY OF A1fY KINO UPON THE INftlJRER, ITS AGENTS OR
~EPRESE!NTATIVES.
AUTHOI\IZED AEPRESENTATIVE
Collier County Board of
County Cammi....ionerB
3301 E. Tamiami Trai~
N"ple.., F1. 34112
Fax: 239-252-6580
I
ACORD2GC2001/DBj
<J:lACORD CORPORAnoN 191111
Jul. 2, 2008 4:24PM
No, 6174
P, 2/2
ACORD. CERTIFICATE OF LIABILITY INSURANCE olrig AA I DAn: IMMIOONYVYj
B CON-1 07/02/08
PRODUCER THIS CERl1FICATE IS ISSUED AS A MATTER OF INFORMATIOl
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gulf Coast Insurance, Ine HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7795 Davis 81 vd. I Suite 205 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Naples FL 34104
Phone: 239-403-3940 Fax:239-403-3943 INSURERS AFFORDING COVERAGE NAIC#
INSl.RED INSURERA Procrressive
INSURERB
Bq Concrete Inc .-.-.--,-,'.- --.-
BUdllr ~ar1es INSURF.RC
48 c isse Dr INSURERD
Naples E'L 34110 INSURERE
COVERAGES
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 DOCUMFNT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MA Y PERTAIN.! HE INSURANCE AFFORDED BY THE POL lelES DESCRIBED HERE IN IS SUBJECT TO ALL THE 1 ERMS. EXCLUSION S AND CON DITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR NS TYPE OF INSURANCE POLICY WMBER P~i~1ME,Z&rJ~ P~~Y,~~Jg'J,gN LIMITS
GEt>ERAl.. LIABILITY EACH OCCURRENCE ,
--
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurencej ,
- j CLAIMS MADE D OCCUR
- MED EXP (Any olle person) ,
PERSONAL & ADV INJURY ,
GFNERAl. AGGRFGATE I
---
GEN'l AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG I
If ,neRO- nlOC
POLICY JECT
~OMOBILE llABIUTY COMBINED SINGLE LIMIT $ 1000000
A ANY AUTO 02592040-4 04/05/08 04/05/09 (Eadccident)
- e------- -- --- _..~
- ALL OWNED AUTOS BODILY INJURY
I
~ SCHEDULED AUTOS (PNpNson)
HIRED AUTOS
- BODILY INJURY I
NON.OWNLDAU1US (Per accident)
- --".----- .~.__._--_..
--.- PROPERTY DAM AGE ,
(Peracc'dent)
~":GELlABlLITY AUTO ONLY - EA ACCIDENT ,
ANY AUTO OTHER THAN EAACC I
AUTO ONLY AGG $
:37S1lA1BRELLA LIABIL.1TY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AG GREGA TE $
$
~~EDUCTI8LE $
RETENTION $ $
V'oQRKERS COMPENSATlON AND I T~~ SL.T~~~- I IO,[~
EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT $
OFFICERIt.tEMBER EXCLUDED? EL.DISEASE -EAEMPLOYEE $
If yes. des en be under FL f)ISFASF- POLICY liMIT $
SPECIAL PROVISIONS below
OTHER
Conmercial Applica
DeSCRIPTION OF OPERATlONS I L.OCATIONS 'VeHICleS I EXCL.USlONS AODED BY B\lOORSEMeNT I SPECIAL PROVISIONS
2005 Ford F350 Super TK 1FDWF36585EC21297
CERl1FICATE HOLDER
CANCELLA110N
COLLIE2 SHOULD ANY OF Tl-tE ABOVE DeSCRIBED POLICIES BE CANCEL.LED BB'ORE Tl-tE EXPlRA.m
DATE THEREOF, TIE ISSUING INSLRR WLL Et-DEAVOR TO MAIL 30 DAYSVo.RITTEN
NOTICE TO TIE CERTIFICATE HOLDER NAMED TO THE LEFT. BLJT FAILURE TO 00 so SHALL
Collier County IMPOSE NO oeUGATlONORUABlUlY OF ANY KIND UPON THE INSURER, ITS AGeNTS OR
Board of County Comn1ss1.oners
3301 E Tamiami Trail REPRESENTATIVES.
Naples FL 34112 Al.J'notORlZED REPR:ESENTATI\IE
Albert Doria Jr
ACORD 25 (2001/08)
@ACORD CORPORA110N 1
PROGRESSIVE'
GUlf COAST INS INC
7795 DAVIS BLVD #2D5
NAPlES, Fl34104
239-403-3940
Policy number: 02592040-4
Underwritten by:
PROGRESSIVE EXPRESS INS COMPANY
.lJly 2. 200B
Page 1 of 1
Certificate of Insurance
c.-.. H_
COLlIER'COlJNTy'BClCC'
BID # 085080
330 TAMIAMI TRAIL E
NAPLES, fL 34104
....rod
, BQ cONcRttEINC
48 WICKLIffE DR
NAPLES, fL 34110
Agont
GULf COAST INS INC
7795 DAVIS BLVD #205
NAPLES, fL 34104
This document certifies thai insurance polides identified below have been issued by the designated insurer to the
insured named above for the period(s) indicated. This Cert~icate is issued for information purposes only. h confers no
rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies
listed below, The coverages afforded by the policies listed below are subject to all the terms, exclusions, limhations,
endorsements, and condhions of these policies.
Policy Effective Date: ApI' 5,2008
Policy Expilanon Date: ApI' 5,2009
,..Its
$1,000,000 COMBINED SINGLE LIMIT
$500,000 CSL NON-STACKED
'$ i o,ooowiioDED ~ NAMED iNSURED ONLY
~~~~~~.~.)...
BODILY INJURY/PROPERTY DAMAGE
UNINSURED MOTORIST
PERSONAL INJURY PROTECTION
Description of Location/VehideslSpecialltems
Schedul.edautosonly.,. .
2005 fORD f350 SUPER DUTY 1 fDWf35585EC21297
MEDICAL PAYMENTS $2,000
fiRE AND THEfT W/ CAC $500 OED
COLLISION $1,000 OED
Certificate number
18408NET040
Please be advised that the certificate holder will not be notified in the event of a mid-tenn cancellation.
Stilted Amount $30,950
~-~
Form 5241 (10ml
~-----I
l_____~
~-----I
l_____~
~-----I
l_____-'
,__
~-----l
l_____...
- - - 1
- - - - I
-----1
~-----l
l _ _ _ _
CERTIFICATE OF LIABILITY INSURANCE t",r-~~l~"..
Producer: Lion Insurance Company ThiS Certificate is iSsued as a matter of ir1formation only and confers no rights
2739 U.S. Highway 19 N. upon the Certificate Holder. This Certificate does not amend, extend or alter
Holiday, Fl 34691 the coverage afforded by the polldes below.
Phone: 727-938-5562 Fax: 727-937-2138
Insurers Affording Coverage NAIC#
Insured: South East Personnel Leasing, Inc. Insurer A: lion Insurance Company 11075
2739 U.S. Highway 19 N. Insurer B:
Holiday, Fl 34691 InsurerC:
Phone: (727)938-5562 Insurer D:
Insurer E:
Coverages
The policies of insurance listed below have been issued to !he insured named above'Of the policy period indicated. Notwithstanding any requirement. term or condilion 01 any contract or other
document with respectlo whictl 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. Aggregate limils shown may have been reduced by paid claims
INSR ADDL Type of Insurance Policy Number Policy Effective Policy Expiration Limits
LTR INSRD Date Date
(MM/DDIYY) (MM/DDIYY)
ENERAL LIABILITY Each Occurrence I
J~merCial General Liability Damage to rented premises (EA
Claims Made 0 Occur occurrence) I
Med Exp $
Personal Adv Injury I
eneral aggregate limit applies per:
] Policy o Project 0 General Aggregate I
LOC
ProouCl$ - Comp/Op Agg I
!,lTOMOBILE LIABILITY Combined Single Limit
(EA Accident) I
Any Aulo
- Bodilytnjury
All ONnedAulos (Perpe;son) $
- 3ch.,duiedAulos [)()diiylnjury
(Per Accident] I
Hired Aulos
Property Damage I
Non-Owned AulOS {per Accidenl)
GARAGE LIABILITY AutoOnly-EaAccident I
RAnYAulo Other Than f:':AAcc. .
Autos Only' AGG. .
EXCESS/UMBRELLA LIABILITY Each Occurrence
I- Occur o Claims Made Aggregate
I- Deductible
I- Retention
A Workers Compensation and WC 71949 01/01/2008 01/01/2009 x I we Statu- I I OTH-
Employers' Liability tory limits ER
Any proprietor/partner/executive officer/member E.L. Each Accident $1000000
excluded? EL. Disease - Ea Emolovee $1000000
If Yes, describe under special provisions below. E_L. Disease - Policy limits $1000000
pther 4165750 COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED. NOT TO
B.a. Concrete, L.LC. SUBCONTRACTORS.
Descriptions of OperlrtlonsllocationslVehlclesJE:u.luslons added by Endorsement/Special Provisions: ADD ON DATE: 3/29/2007
COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF B.a. Concrete, L.L.C. * FAX:
239-594--5351 & 239-252-08441 ISSUE 05-02-07 (JOY) I REISSUE 08-17.-07 (NM)I REISSUE 09-19-07 (NM)
lion' do> 4 M ...... A. 4MR it ,,,,..:
CERTtACATE HOLDER CANCELLATION
COLLIER COUNTY PURCHASING DEPT. Should any of the above described policies be cancelled beforetheexplr ationdatethereOf,lhe
A TIN: CAROLE is~uing insurer will endeavor to mail 30 days wrillen nolice to the certificate holder named to the ieft.
bul feilure to do so shall impose no obligation or tiabilily of any kin d upon the insurer, its agenls or
3301 TAMIAMI TRAIL EAST ,ah L
NAPLES 34109
...
-,