#08-5115 (BQ Concrete, LLC)
A G R E E MEN T 08-5115
for
Resurfaciml of ParkinQ Lots for Coastal Zone ManaQement
THIS AGREEMENT is made and entered into this 28th day of October, 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 "County" or "Owner") and B.O. Concrete, L.L.C., authorized to
do business in the State of Florida, whose business address is 48 Wickliffe Drive, Naples, Florida
34110, (hereinafter referred to as the "Contractor").
WIT N E SSE T H:
1. COMMENCEMENT: The contract shall begin upon receipt of a Notice to Proceed from the Project
Manager and shall be completed within seventy-five (75) business days. Any extension of this
Agreement shall be by zero dollar change letter.
2. STATEMENT OF WORK: The Board of County Commissioners deemed B.O. Concrete L.L.C. to
be qualified. Contractor will enter into this Agreement to provide complete services for resurfacing
parking lots for Coastal Zone Management, hereinafter the "Work", in accordance with the terms
and conditions of Bid #08-5115 and the Contractor's proposal, which is incorporated by reference
and made an integral part of this Agreement.
3. THE CONTRACT SUM: The Owner shall pay the Contractor thirty-one thousand one hundred
twenty-five dollars ($31,125.00) for the resurfacing of Tigertail Beach Parking Lot and twenty-four
thousand three hundred twelve dollars and fifty cents ($24,312.50) for the resurfacing of Barefoot
Beach Parking Lot.
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:
B.O. Concrete, L.L.C.
48 Wickliffe Drive
Naples, Florida 34110
Attention: Buddy Ouarles
Fax: 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:
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Collier County Coastal Zone Management
3300 Santa Barbara Boulevard
Naples, Florida 34116
Attention: AI Madsen
Fax: 239-353-4061
The Contractor and the County may change the above mailing addresses at any time upon giving
the other party written notification. All notices under this Service Agreement must be in writing.
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.
9. 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.
10. NO DISCRIMINATION: The Contractor agrees that there shall be no discrimination as to race,
sex, color, creed or national origin.
11. 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.
Page -2-
This shall include Premises and Operations; Independent contractors; Products and
Completed Operations and Contractual Liability.
B. Business Auto Liabilitv: 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.
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.
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.
12. INDEMNIFICATION: To the maximum extent permitted by Florida law, the Contractor 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 Contractor or anyone employed or utilized by the Contractor! 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.
13. PAYMENTS. The Contractor will be paid upon completion and acceptance of the Work by the
County Project Manager or his designee.
14. PAYMENTS WITHHELD. Owner may decline to approve the Application for Payment, or
portions thereof, because of defective or incomplete work, outstanding punchlist items,
subsequently discovered evidence or subsequent inspections. The 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
Page -3-
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.
15.SUBMITTALS AND SUBSTITUTIONS. Any substitution of products/materials from
specifications shall be approved in writing by Owner in advance.
16. 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 materialmen, 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.
17. 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.
Page -4-
A Change Order in the form attached as Exhibit A 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.
18.COMPLlANCE 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.
19.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.
20.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.
21. WARRANTY. Contractor shall obtain and assign to Owner all express warranties given to
Contractor or any subcontractors by any materialmen supplying materials, equipment or
fixtures to be incorporated into the Project. Contractor warrants to Owner that any materials
and equipment furnished under this Agreement 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 this
Agreement 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 this Agreement, Contractor shall correct it promptly after receipt of 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.
22.STANDARDS OF CONDUCT: PROJECT MANAGER, SUPERVISOR, EMPLOYEES. The
Contractor shall employ people to work on Owner's 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
Owner 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.
Page -5-
23. TESTS AND INSPECTIONS. If this Agreement 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.
24. 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.
25. 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 this Agreement 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.
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.
26. COMPLETION. When the entire Work (or any portion thereof designated in writing by Owner)
is ready for its intended use, Contractor shall notify Owner in writing that the entire Work (or
such designated portion) is substantially complete and request that Owner issue a Certificate
of Substantial Completion. Within a reasonable time thereafter, Owner and Contractor shall
make an inspection of the Work (or designated portion thereof) to determine the status of
completion. If Owner does not consider the Work (or designated portion) substantially
complete, the Owner shall notify Contractor in writing giving the reasons therefor.
Page -6-
If Owner considers the Work (or designated portion) substantially complete, Owner shall
advise the Contractor in writing and include a tentative punchlist of items to be completed or
corrected by Contractor before final payment.
Owner shall have the right to exclude Contractor from the Work and Project site (or designated
portions thereof) after the date of Substantial Completion, but Owner shall allow Contractor
reasonable access to complete or correct items on the tentative punchlist.
Upon receipt of written certification by Contractor that the Work is completed in accordance
with this Agreement and is ready for final inspection and acceptance, Owner will make such
inspection and, if Owner finds the Work acceptable and fully performed under the Contract
Documents, he shall promptly issue a Certificate of Final Completion, Exhibit B, recommending
that on the basis of his observations and inspections, and the Contractor's certification that the
Work has been completed in accordance with the terms and conditions of this Agreement, that
the entire balance found to be due Contractor is due and payable. Final payment shall not
become due and payable until Contractor submits:
(1) If required by Owner, data establishing payment or satisfaction of all obligations, such
as receipt, releases and waivers of liens, arising out of the Contract Documents, to the extent
and in such form as may be designated by Owner.
Owner reserves the right to inspect the Work and make an independent determination as to
the acceptability of the Work. Unless and until the Owner is completely satisfied, the final
payment shall not become due and payable.
27.CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of the
County by the Coastal Zone Management Department.
28. 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. 08-5115, and
addendum.
31.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.
32.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.
33. 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.
Page -7-
34. 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.
35. 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.
36.0FFER 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.
37.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
Page -8-
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.
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BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By, ro~~'o
B.O. Concrete L.L.C.
By' ~ COO''''IO'-------
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Page -9-
EXHIBIT A
CHANGE ORDER
CHANGE ORDER NO.
CONTRACT NO. 08-5115
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 (-> 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 performed 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 -10-
EXHIBIT B
CERTIFICATE OF FINAL COMPLETION
OWNER'S Project No.
PROJECT:
CONTRACTOR
Contract For
Contract Date
This Certificate of Final completion applies to all Work under the Contract documents.
To
OWNER
And
To
The Work to which this Certificate applies has been inspected by authorized representatives of
OWNER, CONTRACTOR AND DESIGN PROFESSIONAL, and that Work is hereby declared to be
finally complete in accordance with the contract documents on:
DATE OF FINAL COMPLETION
CONTRACTOR accepts this Certificate of Final Completion on
2004
CONTRACTOR
By:
Type Name and Title
OWNER accepts this Certificate of Final Completion on
2004
OWNER
By:
Type Name and Title
Page -11-
No\',20, 2008 12:32PM
PARLIN INS AGENCY 239-263-8696
Policy Number: 9090002256
No, 4043 p,
ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE {MPNOtJNYYY)
11/20/200B
PRODUCER E'arlin Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PO Eox ~66691 Bon~ta Springs, FL 34136 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
24520 produetiOn cr., #4 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
Bonit~ Springs, FL 34135 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Phone' (239) 263-3141
Fax: (239) 263-B696 INSURERS AFFORDING COVERAGE NAIC#
IN$VR~l;) BQ CONCMTE INC. INSURER ANORTHPOINTE INS. CO.
BUDDY QUARLES lNSUR5R B:
4B WICKLIFFE OR. INSUR:\':AC:
N~LESr FL 34110 INSURER 0:
, INSURER E:
Date Enlered: 5/1/2007
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MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE:IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
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COLLIER COUNTY BOARD O~ COMMISSIONERS
3301 ~AMIAMI ~RAIL E.
NAPLES, FL 33951
FAX: 252-6597
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NAI'lE$, fl 3-4110
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239-4U-1940
<;ULF COASTtNS INC
Contact :,'Our ag2nt for J)eMl'lSlized S@lVice.
800-444-4481
for cUSitQm~r :;.ervice If your ;,gcn1 is.
llMVi'lilablt' or to report a. daim.
Yourcov.rago bO<J3n on Apni >, 2008 at 12'.01 a.m. This poiicy expi",s on April 5. 2009 at 12:01 a.m.
This coverage summai)' replaces your prior one. Your irrs:urance policy and Clny policy endorsements (Ontain a fun 9)Cplanation of
your coverage. The policy limits shown for an auto may not 00 combined with the limits for th€ same coverage Oil anotnE( auto,
""Ie" the policy contract allows the stac,ing of limits. The policy contract is fOfTO 6912 (03/05). The contlact" modified by fonns
l435fl (12/0ti),l228 (07/0>), 165m (08106), 2852fl (1O/04),4157FL (10/04), 4852fl (10/04lond 4881Fl (10/04)
The f'.zme6-~d'~Clllization.ty~-is..Cl (,mpor.;:ti~:1.
Outline of coverage
Oe5Cripflol'l
liablii~ioOth~;;" .
Bodily Injury and Property Damage liability
U~insu;;;(jMoi~rt~ No~~Siacked u .... u..... u......
BaSj'~ 'p~~~i "i~j~~ 'p'rote.dion" .
Wrthout Walk Camp-Named insured Only $10,000 each peeson
M~di~,p~'yme~ts'."'." ...........,,,.. ,.,:::.~~:~.~:~~.~~.~....
~i~ 'A~d' Th~ft With' Combined Ad'ditional C~~~;age
s.e Schedule Of Covered Autos
..........."..,......",.....,..,.'..'....,.
CollISion
see Sd'1~dui~ Of Co",",d Auta,
Subtotal polity p....mium
~lorid~.H.~.rri~n.t C~ta$t;.op'h~ 'F~'~d'A;;~;'smeni
Tl>t.iI,2..;.;..u;poli~~';;;;;i~~uU . .
~!S~~~~!.ifp~~~..i~,f~~I. ... ..,,,,,,.,.,.,"
Total 12 month polic:y p......ium If paid in full
Rated drivers
1. 8UDDY QUARUS
......."..,..
2, MARISA QUARLES
........................."
3. RICKY PATTER50N
limft~
D~~
'.-..m
u'uu "$;;540
... J500"O~~ .camb.,.~, ,.in~.~ .I'm'.t
$500,~OO'(ombined 'in~.~.lirn~t
258
\43
$0
38
12\
lirn~.of liability le~d,~d~ctible .
544
limit of liability I." deductible
HH$2,~~0
26.44
$2:670;44
......,............."
"121.20
$2.549j4
formli~ft.(Q5,'OO1
II
o.1;il\led
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CERTIFICATE OF LIABILITY INSURANCE I Dale
Producer: lion Insurance Company This Certificate is issued as a matter of information only and confers no rights
2739 U.S. Higllway 19 N. upon the Certificate Holder. This Certificate does not amend, extend or alter
Holiday, FL 34691 the coverage afforded by the policies below.
Phone: 727-938-5562 Fax: 727-937-2138
Insurers Affording Coverage NAte #
Insured: South East Personnel Leasing, t nc Insurer A: Uon Insurance Company 11075
2739 U.S. Hi9hway 19 N. InsurerB'
Holiday, FL 34691 InsurerC:
Phone; (727)938-5562 Insurer D:
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
document with respect to which this certificate may be issued or may pertain, the insurance affon:jed by the poticies described herein is subject to all the terms, eJIclusions. and conditions of
such polities. Aggregate limits shOwn may have been reduced by paid claims
INSO ADOL Type of Insurance Policy Number Policy Effective Policy Expiration Limits
LTO INSRD Date Date
(MM/DDNY) (MM/DDIYY)
~ENERAL L1ABILI1Y Each Occurrence I
_ :]mmerCial General Liability Damage 10 [@ntedpremises(EA
_ Claims Made 0 Occur occurrence) $
- MedExp I
- Personal Adv Injury I
General aggregate limit applies per:
b Policy 0 Projecl 0 lOC General Aggregate $
Products - Comp/Op Agg I
~UTOMOBILE LIABILITY Combined Single Umil
(EAAccidenl) $
~ Any AlIlo Bodily Injury $
~ Alt Owned Autos {per Person}
- &h"dL.i:edAlita<> 60uilylnjury
(Per-Accident) I
Hired Aulos
- Property Damage
Non-QwnedAutos (Per Accident) $
GARAGE LIABILITY Auto Only - Ea Accident I
~AAYA"1o OlherThan EAAc<. I
Autos Only: AGG. I
EXCESS/UMBRELLA LIABILITY Each Occurrence
- o Claims Made Aggregate
- Occur
Deductible
- Retention
A Workers Compensation and WC 71949 01/01/2008 01/01/2009 X I WC Statu- I 10TH.
Employers' Liability tory limits ER
Any proprietor/partner/executive officer/member E.L Each Accident $1000000
excluded? El. Disease - Ea Em"'lo'''''e $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
8.0_ Concrete. L.L.C. SUBCONTRACTORS.
Dascrlpllonll of OperlltlonsllocaliOnsNahlclelllElcluslonll added by Endorsement/Spacial Provisions: AOD ON DATE: 3/29/20D7
COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF B.O_ Concrete. L.L.C. * FAX:
239-594--5351 & 239-252-0844 / ISSUE 05-02-07 (JOY) / REISSUE 08-17-1J7 (NM) / REISSUE 09-19-1J7 (NM)
I ;nn' .~, de .II. M .~...." A. AMBit
CERTIFICATE HOLDER CANCELLATION
COLLIER COUNTY PURCHASING DEPT. Should any of the above described policies be cancelled befOfe theexpir ationdatelhereof,lhe
A TIN: CAROLE issuing insurer will endeavor to mail 30 days written notice 10 the certificate Mlder named to the left.
but failure 10 do so shall impose no obligation or liability of any kind upon the insurer, it sagenlsor
3301 TAMlAMI TRAIL EAST .. ti..h LI
NAPLES 34109
P'
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