#09-5197 (Better Roads, Inc.)
A G R E E MEN T 09-5197
for
Annual Contract for Roadway Contractors
THIS AGREEMENT, made and entered into on this .23r.:~ day of ~ fu Vl ~ , 2009, by
and between Better Roads, Inc., authorized to do business in the State of Florida, whose
business address is 1910 Seward Avenue, Naples, Florida 34109, hereinafter called the
"Contractor" and Collier County, a political subdivision of the State of Florida, Collier
County, Naples, hereinafter called the "Owner" or "County":
WIT N E SSE T H:
1. COMMENCEMENT. The Agreement shall be for a one (1) year period, commencing on
J.llAP 23 z()(.,q, and terminating on JU.VIe 22, 20 to . The County may, at its discretion and
, ,
with the consent of the Contractor, renew the Agreement under all of the terms and
conditions contained in this Agreement for three (3) additional one (1) year periods. In no
event, including renewal options, shall the Agreement exceed four (4) years. 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 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. The Board of County Commissioners deemed four (4) firms to be
pre-qualified and awarded a Contract to each firm. Each awardee will enter into an
Agreement to provide complete services on an as-needed basis as may be required by the
Owner in accordance with the terms and conditions of RFP #09-5197 and the Contractor's
proposal referred to herein and made an integral part of this agreement. This Agreement
contains the entire understanding between the parties and any modifications to this
Agreement shall be mutually agreed upon in writing by the Contractor and the County
project manager or his designee, in compliance with the County Purchasing Policy and
Administrative Procedures in effect at the time such services are authorized.
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 outline in the next paragraphs and all Work undertaken by
Contractor for Owner pursuant to this Agreement and that procedure during the term and
any extension of the term of this Agreement.
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 up to Two Hundred Thousand Dollars ($200,000) or less, the Owner shall
Page I of8
obtain written proposals from at least three (3) 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. These quotes may be obtained electronically via
the On-Line Bidding System. Completion time and the collection of liquidated damages may
be specified in the Quotation and a Performance Bond may be required. A Certification of
Final Completion will be required by the County in order for the Contractor to receive final
payment.
For projects with an estimated cost over Two Hundred Thousand and One Dollars ($200,001)
to Seven Hundred Fifty Thousand Dollars ($750,000), competitive quotes shall be solicited
from at least three (3) of the selected firms. The completion time and the collection of
liquidated damages may be specified in the quotation. The Contractor shall respond with the
information sought within seven (7) working days. The County may negotiate favorable
project terms and conditions, and issue a numbered Work Order to initiate the projects. A
Performance Bond shall be required when projects exceed $200,000. The Contractor shall
provide the Performance Bond within seven (7) working days after notification of award of
the project. A Certificate of Final Completion will be required by the County in order for the
Contractor to receive final payment. Staff recommendations will then be submitted to the
County Attorney and Board of County Commissioners for 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.
Failure by Contractor to quote work after the third request may result in the Contractor being
removed from the Contract.
3. THE CONTRACT SUM: The Owner shall pay the Contractor for the performance of the
Work 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). Payment will be made upon
receipt of a proper invoice and upon approval by the Project Manager or his designee, and in
compliance with Section 218.70, Fla. Stats., otherwise known as the "Local Government
Prompt Payment Act".
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:
5. 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.
6. NOTICES. All notices from the County to the Contractor shall be deemed duly served if
mailed or faxed to the Contractor at the following Address:
Page20f8
Better Roads, Inc.
1910 Seward Avenue, Naples, Florida 34109
Phone: 239/597-2181
Fax: 239/597-1597
Attention: Joseph M. Restino, Vice President
All Notices from the Contractor to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Government Center
Purchasing Department - Purchasing Building
3301 Tamiami Trail, East
Naples, Florida 34112
Attention: Steve Carnell, Purchasing/ GS Director
Telephone: 239-252-8371
Facsimile: 239-252-6584
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 Agreement must
be in writing.
7. 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.
8. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, FS., 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. All
non-County permits necessary for the prosecution of the Work shall be procured and paid for
by the Contractor. The Contractor shall also be solely responsible for payment of any and all
taxes levied on the Contractor. In addition, the Contractor shall comply with all rules,
regulations and laws of Collier County, the State of Florida, or the U. S. Government now in
force or hereafter adopted. The Contractor agrees to comply with all laws governing the
responsibility of an employer with respect to persons employed by the Contractor.
9. 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
Page 3 of8
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.
10. TERMINATION. Should the Contractor be found to have failed to perform his services in a
manner satisfactory to the County as per this Agreement, the County may terminate said
agreement for cause; further the County may terminate this Agreement for convenience with
a thirty (30) day written notice. The County shall be sole judge of non-performance.
11. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as to
race, sex, color, creed or national origin.
12. INSURANCE. The Contractor shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $2,000,000
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 $2,000,000 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 Government shall be listed as the
Certificate Holder and included as an Additional Insured on the Comprehensive
General Liability Policy.
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.
Page 4 of 8
13. 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.
14. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of the
County by the Transportation Engineering and Construction Management Department.
15. CONFLICT OF INTEREST: Contractor represents that it presently has no interest and shall
acquire no interest, either direct or indirect, which would conflict in any manner with the
performance of services required hereunder. Contractor further represents that no persons
having any such interest shall be employed to perform those services.
16. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
component parts, all of which are as fully a part of the contract as if herein set out verbatim:
RFP 09-5197 Annual Contract for Roadway Contractors; Contractor's Proposal, and Insurance
Certificate.
17. 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.
18. 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.
19. 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 USe. 1324, et seq. and regulations relating thereto, as either may be
amended. Failure by the Contractor to comply with the laws referenced herein shall
Page50f8
constitute a breach of this agreement and the County shall have the discretion to unilaterally
terminate this agreement immediately.
20. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES. Collier County
encourages and agrees to the Contractor extending the pricing, terms and conditions of this
Agreement to other governmental entities at the discretion of the Contractor.
21. AGREEMENT TERMS. If any portion of this Agreement is held to be void, invalid, or
otherwise unenforceable, in whole or in part, the remaining portion of this Agreement shall
remain in effect.
22. ADDITIONAL ITEMS/SERVICES. Additional items and/ or services may be added to this
contract upon satisfactory negotiation of price by the Contract Manager and Contractor.
23. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted by
this Agreement to resolve disputes between the parties, the parties shall make a good faith
effort to resolve any such disputes by negotiation. The negotiation shall be attended by
representatives of Contractor with full decision-making authority and by County's staff
person who would make the presentation of any settlement reached during negotiations to
County for approval. Failing resolution, and prior to the commencement of depositions in
any litigation between the parties arising out of this Agreement, the parties shall attempt to
resolve the dispute through Mediation before an agreed-upon Circuit Court Mediator
certified by the State of Florida. The mediation shall be attended by representatives of
Contractor with full decision-making authority and by County's staff person who would
make the presentation of any settlement reached at mediation to County's board for
approval. Should either party fail to submit to mediation as required hereunder, the other
party may obtain a court order requiring mediation under section 44.102, Fla. Stat.
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.
24. KEY PERSONNEI/PROJECT STAFFING: The Contractor's personnel and management to
be utilized for this Agreement shall be knowledgeable in their areas of expertise. The County
reserves the right to perform investigations as may be deemed necessary to insure that
competent persons will be utilized in the performance of the Agreement. Selected Contractor
shall assign as many people as necessary to complete the Work Orders on a timely basis, and
each person assigned shall be available for an amount of time adequate to meet the dates set
forth in the Project Schedule. Firm shall not change Key Personnel unless the following
conditions are met: (1) Proposed replacements have substantially the same or better
qualifications and/ or experience (2) that the County is notified in writing as far in advance as
possible. Firm shall make commercially reasonable efforts to notify Collier County within
seven (7) days of the change. The County retains final approval of proposed replacement
personnel.
Page 6 of8
25. 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.
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Page70f8
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:
D~
. ,
By: i,.'.. ',',
D'at6d: ,. . . '. tJ,:.o.~ _ '.
~(SEA~)/,H .
a&IM'.. /...,......~-
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........ . '''aIIII' , )
, Jim'"
BOARD OF COUNTY COMMISSIONERS
COLLIER C UNTY, FLORIDA
~~
By:
Donna Fiala, Chairman
Better Roads, Inc.
Contractor
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First Witness
Donna DiMare
tTypejprintwitness namet
fl!tf!~
Seco Witness
Joseph M. Restino, Vice President
Typed signature and title
Amy M. Manley
tTypejprint witness namet
Approved as to form and
legal sufficiency:
~If f? j~
A<:><:>i<:>Lcufl County Attorney
O(PIot ""I
54# R. !:-eA.~L
"-
Print Name
Page80f8
PRODUCER
Marsh
3031 N. Rocky Point Drive, Suite 700
Tampa, FL 33607
Attn: Erica Connick (813) 207-5100
CERTIFICATE OF LIABILITY INSURANCE. . u___~~~~~~2~~~IYYYY)!
THIS CERTIFICATE IS ISSUED AS A' MATTER OF INFORMATION I'
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR .
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COVERAGES- --
.--. THE-POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLiCY-PERIOD INDICA~l
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, AGGREGATE LIMITS SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IINSRI ADD'I..i TYPE OF INSURANCE POLICY NUMBER rOLlCY EFFECTIVE I POLICY EXPIRATIONI
: LTR, INSRd , DATE (MMIDDIYY) : DATE (MM/DDIYY)
, 'X' GENERAL LIABILITY EACH OCCURRENCE
A 's VTJ EXGL 5800B671 I 06/01/09 06/01/10 DAMAGE TO RENTED
I, X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence
I =:J CLAIMS MADE 0 OCCUR MED EXP (Anyone person)
i X SIH:..$25D,QQD.....-.____ PERSONAL & ADV INJURY
I GENERAL AGGREGATE
IGENERAL AGGREGATE LIMIT APPLI,ES PER PRODUCTS _ COMP/OP AG
Ixl POLICY jrc?,: I LOC nu_ .m
i A X I AUTOMOBILE LIABILITY VTC2J CAP 5800B683 06/01/09 06/01/10 COMBINED SINGLE LIMIT $
X ANY AUTO I I (Ea accident)
I,'
ALL OWNED AUTOS
ACORDTM
! 10 1266-Bett -Cas-09-1 0
I,INSURED
Better Roads, Inc.
I 1910 Seward Avenue
Naples, FL 34109
INSURERS AFFORDING COVERAGE
INSURER A: Travelers Property Casualty Company Of
~-~_.._------_.-.- -----.--. - --------- -- -- --~-_.
INSURER B' Everest National Insurance CO
INSURER C
I INSURER D
INSURER E:
LIMITS
SCHEDULED AUTOS
HIRED AUTOS
----.----,--- $
BODILY INJURY
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
NON-OW'lED AUTOS
GARAGE LIABILITY
I AUTO ONL Y - EA ACCIDENT $
, OTHER THAN EA ACC $
, AUTO ONLY AGG '$
EACH OCCURRENCE $
AGGREGATE $
$
_ _ ___.___..._.'_____________ n__."___
j---
ANY AUTO
i B I
: EXCESS/UMBRELLA LIABILITY 71 C1 0001117091
[)( OCCUR CLAIMS MADE
,.
06/01/10
06/01/09
DEDUCTI BLE
RETENTION $
WORKERS COMPENSATION AND
I EMPLOYERS' LIABILITY
I ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
~~~~I~tS~~~v~~16~s below
! OTHER Auto Physical Damage
VTC20 UB 5800B66A
06/01/10
I
I
06/01/09
X
L EACH ACCIDENT
_L. DISEASE. EA EMPLOYE $
L DISEASE. POLICY LIMIT $
VT J BAP 5800B695
06/01/10
Comp/Collision DeduCtible:
2004 vehicles or newer: $5,000
20,000 Ibs or heavier: $10,000
06/01/09
i
I
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Contract #09-5197 Annual Contracy for Roadway Contractors
Collier County BOCC is included as Additional Insured where required by written contract and allowed by law with respect to General Liability and Auto
Liability_
CERTIFICATE HOLDER
A TL-001855281-01
CANCELLATION
Collier County BOCC
3301 Tamiami Trail E,
Naples, FL 34112
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~L- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER,
~lAA~~f,"8t,{r~rENTATlVE
Erica Connick
OR
REPRESENTATIVES.
6-....;.,e.J~
~ ~n._______. ___.J
o ACORD CORPORATION 1988
ACORD 25 (2001/08)
:
i
I
I
'--T---'
!
75000
500,00
750,00<:1
2,000,00 ,
~,OO.9~O_O
_ ~,oo~~01
1,000,00d
1,000,00
1,000,00
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
Acord 25 (2001/08)
Reverse of Page 1
MEMORANDUM
TO:
Ray Carter
Risk Management Department
DATE:
()p/
Rhonda Cummings, FCCN, CPPB, Contract Specialist _ y~,~,
Purchasing Department j /
flY
L
June 24, 2009
FROM:
RE:
Review of Insurance for Contract: #09-5197 "Annual Contract for
Roadway Contractors"
Contractor: Better Roads, Inc.
This Contract was approved by the BCC on June 23, 2009; Agenda Item
16.B.2
Please review the Insurance Certificates for the above referenced contract. If
you have any questions, please contact me at extension 8941.
Thank you.
dod/RC
C: Dan Hall, TECM
DATE AlCEI VED
JUN 25 2009
RISK MANAGEMENT
mausen_9
From:
Sent:
To:
Cc:
Subject:
RaymondCarter
Wednesday, July 15, 2009 1 :04 PM
DeLeonDiana; CummingsRhonda
HallDaniel; mausen_g
Contract 09-5197 "Annual Contract for Roadway Contractors"
All, I have approved the Certificate of Insurance as provided by Better Roads, Inc for Contract 09-5197. It will now be
forwarded to the County Attorney's Office for their review.
Thank you,
Ray
~~
Manager Risk Finanace
Office 239-252-8839
Cell 239-821-9370
1
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Florida Profit Corporation
BETTER ROADS INC.
Filing Information
Document Number G58146
FEI/EIN Number 592319514
Date Filed 09/02/1983
State FL
Status ACTIVE
Principal Address
1910 SEWARD AVE
NAPLES FL 34109 US
Changed 04/07/2003
Mailing Address
1910 SEWARD AVE
NAPLES FL 34109 US
Changed 04/07/2003
Registered Agent Name & Address
BONNESS, JOSEPH 0 III
1910 SEWARD AVE
NAPLES FL 34109 US
Name Changed: 02/23/2009
Address Changed: 04/07/2003
Officer/Director Detail
Name & Address
TitleVS
RESTINO, JOSEPH M
1910 SEWARD AVENUE
NAPLES FL 34109
Title CEOD
BONNESS, JOSEPH D III
1910 SEWARD AVENUE
NAPLES FL 34109
Title SO
BAILIE, KATHLEEN M
1910 SEWARD AVENUE
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NAPLES FL 34109
Title TO
KELLY, DANIEL J
1910 SEWARD AVENUE
NAPLES FL 34109
Title P
TURNER, JOE L
1910 SEWARD AVENUE
NAPLES FL 34109
Title V
O'BRIEN, THOMAS W
1910 SEWARD AVENUE
NAPLES FL 34109 US
Annual Reports
Report Year Filed Date
2007 10/16/2007
2008 01/28/2008
2009 02/23/2009
Document Images
02/2~/2009~.ANNUAL REPORT
01/28/2008_=-~ANNUAL REPORT
10/16/2007 -- ANNUAL REPORT
04/113/2007 -- ANNUAL REPORT
04f07/2006~~Af\lNLJAlJ~--'~PORT
03!08f200!5=ANNLJALR!::PQRT
03/10/2004= ANNLJALREPQRI
04!07/2003,=,ANNLJAL"R!::PQ,RT
OS/21/2002 u ANNUAL REPORT
0!5!J5f200t_~::,ANNLJALREPORT
07/14/2000 = ANNUAL REPORT
0!5/1S/2000::::- AN N UAL B!::PORT
05/11)1999 u ANNUAL REPORT
0!5!OG/1998= ANNUALBEPORT
02/12/1997 ~~ ANNUAL R!::PORT
05/1of199!5-=-ANNUAL REPORT
I Note: This is not official record. See documents if question or conflict.
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RLS# bf-IRt'-- !Jt;lI);J.
CHECKLIST FOR REVIEWING CONTRACTS
/3Erroc ~14,/)SJ IIUCl,
Insurance
Insurance Certificate attached?
Insured registered in Florida?
Contract # &/or Project referenced on Certificate?
Certificate Holder name correct (BCC)?
Commercial General Liability
General Aggregate Required $ "Z.. Mol L-
Products/CompI/Op Required $
Personal & Advert Required $
Each Occurrence Required $
Fire/Prop Damage Required $
Automobile Liability
Bodily Inj & Prop Required $ Z M..I L.-
Workers Compensation
Each accident Required $ I M Il-
Disease Aggregate Required $
Disease Each Empl Required $
Umbrella Liability
Each Occurrence Provided $ S- f\It. It
Aggregate Provided $ I '
Does Umbrella sufficiently cover any underinsured portion?
Professional Liability
Each Occurrence Required $
Per Aggregate Required $
Other Insurance
Each Occur Type:
Entity Name:
Entity name correct on contract?
Entity registered with FL Sec. of State?
Required $
County required to be named as additional insured?
County named as additional insured?
Indemnification
Does indemnification meet County standards?
Is County indemnifying other party?
Performance Bond
Bond requirement referenced in contract?
Ifattached, expiration date of bond
Does dollar amount match contract?
Agent registered in Florida?
~Yes
~Yes
~Yes
~Yes
~Yes
~Yes
Provided $ G.. M \\...
Provided $ \ I
Provided $ f).t;'O),' D
Provided $ II
Provided $ 5"~ I ".,
Exp. Date
Exp. Date
Expo Date
Exp. Date
Exp. Date
Provided $ 2. t'J\ l L.
Provided $
Provided $
Provided $
Provided $
Provided $
Exp Date
11M 11
\.
\. '
Exp Date
Exp Date
Exp Date
Exp Date ~
Exp Date I '
~es
Expo Date
Exp. Date
Provided $
v""Yes
~Yes
\,/'" Yes
Yes
Yes
Signature Blocks
Correct executor name in signature block?
Correct title of executor?
Executor authorized to sign for entity?
Proper number of witnesses/notary?
Authorization for executor to sign, if necessary:
Chairman's signature block?
Clerk's attestation signature block?
County Attorney's signature block?
Attachments
Are all required attachments included?
~\~
\
Yes
Yes
/Yes
~Yes
~Yes
~Yes
"/Yes
V Yes
V Yes
~Yes
No
No
No
No
No
No
\t' (If)
""'It;
t I
L f
I f
I I
(p II / tD
I
blt/U)
L'
I'
No
Exp Date_
No
No
No
~No
No
No
No
No
No
No
No
No
No
No
No "'., .
ReViewer Initials: ~
Date: rz I ~ oCr
04-COA-of03 222