#09-5266 (Sweeper Man)
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A G R E E MEN T 09-5266 '''"'''
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Lawn Care Maintenance for the Neighborhood Stabilization Program
THIS AGREEMENT, made and entered into on this 15th day of September 2009, by and
between Sweeper Man of SW Florida Inc., authorized to do business in the State of Florida,
whose business address is 8012 Kansas Road, Fort Myers, Florida 33967, hereinafter called
the "Contractor" and Collier County, a political subdivision of the State of Florida, Collier
County, Naples, hereinafter called the "County":
WIT N E SSE T H:
1. COMMENCEMENT. The contract shall be for a one (1) year period, commencing on
September 15, 2009, and terminating on September 14, 2010.
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 two
(2) additional one (1) year periods. 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 Contractor shall provide lawn care maintenance for the
Neighborhood Stabilization Program in accordance with the terms and conditions of
RFP #09-5266 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.
Quotes will be obtained from all five (5) Contractors awarded Agreements for each
project.
3. COMPENSATION: 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).
Page 1 of6
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4. 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.
5. 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:
Richard T. Downare, President
Sweeper Man of SW Florida Inc.
8012 Kansas Road
Fort Myers, Florida 33967
Telephone: 239-466-5158
Facsimile: 239-466-5663
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, Purchasingj 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.
6. 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.
7. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.S., 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.
Page 2 of6
8. 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 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.
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 $500,000
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 $500,000 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.
e. 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 $500,000
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.
Page 3 of6
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. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf
of the County by the Health and Human Services Department.
14. 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.
15. 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: Contractor's Proposal, Insurance Certificate, RFP #09-5266 and Specifi-
cationsjScope of Services.
16. 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.
17. 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, andj or any employee of the firm
Page 4 of6
from contact with County staff for a specified period of time; b. Prohibition by the
individual andj or firm from doing business with the County for a specified period of
time, including but not limited to: submitting bids, RFP, andj or quotes; and, c.
immediate termination of any contract held by the individual andj or firm for cause.
18. 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.e. 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.
19. 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.
20. 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.
21. ADDITIONAL ITEMS/SERVICES. Additional items andj or services may be added to
this contract upon satisfactory negotiation of price by the Contract Manager and
Contactor.
22. 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.
Page 5 of6
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.
BOARD OF COUNTY COMMISSIONERS
ATTEST: ::LLIER 7fl:02~
Dwi t E. Brock, Clerk of Courts
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.... '~l l Donna Fiala, Chairman
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~cond Witness Typed signature and title
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Approved as to form and
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Assistant County Attorney
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Print Name Agenda ~tJ?)
Date
Page60f6
ACORD CERTIFICATE OF LIABILITY INSURANCE OPID PD DATE (O:MiDDiYYYY)
. ..---.. SWEEP-l 08/12/09
PRODUCER THIS CERT!FICATE IS ISSUED AS A MATTER OF INFORMATIO
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlass-Merri tt Island HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Oleander Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Cocoa FL 32922
Phone: 321-459-9905 Fax: 321-459-3699 i INSURERS AFFORDING COVERAGE NAIC #
INSURED .....n' !~'SU"ERA; Lloyd 1 s of Lond~n: I
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Sweeperman of S. w. Florida I\SU~E c. . --..
Tab !;; Karen Downare _.._.:. " :._. _....__.
8012 Kansas Rd. .I\SU"E~D:
Ft. Myers FL 33912 ._.. ....._
:~:SL:RER ;;:
COVERAGES
THE PO~ICIES OF INSU;;(ANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR,,'J NAMED .'\80VE FOR THE POLICY PERIOD INDICA ;ED. NOTWITHSTAND!NG
ANY REQUIREMENT, -:-ERM OR CONDITION OF ".NY CONiRACT OR OTHER DOCUMeNT '....'IITH RES?ECT TO WHICI-' THIS CERTIFICATE MAY BE (SSUED OR
MAY PERTAIN, Tf-'E INS.JRANCE AFFORDED BY THE POLICIES DESCRIBED HERIOIN IS SUBJIOCT TO A.:'L THE T.".RMS, IOXCLUSIONS AND CONDITIONS C:= SUCH
POLICiES. AGGREGATE LIMITS SHO\lVN MAY HAVE BEEN REDUCIOD BY PAID CLAIMS.
I~.r~~~~~ -'-'TYPE OF INSURANCE-'. POLICY "IU~1BER ~9.~~~rj.~fJ~n'&k~c;,Y(~~b~'N~~N .h.. L;~I;TS
i GENERAL LIABILITY I ;oACI-'OCCJR,,-ENCE is 1,000,000
I / / ~MI.Ac,t= IU HeNTED . .. ,
A I x X .CCt'N""RCA'hGENERALLI~.8IL1TY 378413 05 31 09 05/31/10 .~~Et"iSES(E'0="'~1ce~ is 100 ,000 .
~ CLAIr.AS 1..1AC~ ..iJ OCCJR ~"E~EP (f,ny 0118 person) 1 ". ~J. 0. 00. ._...
I ";;RSC~'AL & ,\C'J I.~JL'RV J ~ 1 , 000 , 000
i _ __.. ...._ ~~L~~GR~GAT= I'~ 2,000 r 9.9.9-:
I GEN'. AGGREGATE L1t'.m A"PLIES FE.~, ?RO[)iJCTS _ COMPiOP AGG I " INCLUDED
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AUTOMOBILE LIABILITY I ' cel.! 3L~D SIN{:;L~ _IMIT I s
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~~.AGE LIABlllTY t AUTO ?~L Y _ EA AC~I.~~~T . S ..
I ~--_: ANY ..~..t.. TO OT;-lE;:\ 7H.l.,N ~,.; AGe. $
I ; AUTO ON~Y: AG~ I S
I EXCESSIU:1BRELLA LIABILITY . ~CI', OC~.JR~EN:::E ! .s. . .. .. __
I ~ OCClJ~ _ CL?IMS 1'.'1.:\D~ ! AGGREG{1.T~ I ~
I . ; D"CJCTi8L" I =~- ..==--. 1.;_ h..
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. i ! RETE:'\TION $ j !, ! S
WORKERSCOMPE:-JSATIONAr-:D ; . ;7&{yl'lq-~. I IVER'-:
EMPLOYERS'LfA61UTY I, , ..,'I. I . I __._ ___
ANY '?RCPRI:::'TO~,'PAR:-\IERiEXECLiTIVE ~.~.C:i ACCI:JENT . S
~,O"IC:SR'MEMB"R "XCUD='J? E.L. DI.S~:;:SE .. EA a'I~~()YEE s ....
I. j'es de:5crI:Je u~cc; ... _ ..___
SPECIf'..L PROV SiONS 3c:;10''h' : E.L. D~SS4.SE . PDL:CY LIMIT S
OT~EOR i!
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DESCRIPTION OF OPERATIONS /LOCATIONS I VEH'CLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL FROVISIONS '
Street Sweeper Services 1996 Elgin 1FDXH70C7TVA14183 and 1997 Elgin
1FDXHBICXVVA20080
Collier County Board of Commissioners is named as additional insured for
General Liability Contract #09-5266 "Lawn Care Maintenance for the
Neighborhood Stabilization ProgramTT
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED FOLlCIES 8"- CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL E~OEAVOR TO MAIL 30 DAYS WRITTEN
Collier. COun ty Board of NOTICE TO TH~ CERTlFICATE HOLDER NAMED TO THE LEFT, BUT FAILU;;TO DO SO SHALL
Comrnlss~oners
3301 Tam:i.ami Trail East IrA POSE NO OBLiGATtON OR U"I'lILITY 01' ANY KINO UPOr{ THE INS
Naples FL 34112 REPRES~NTATIVES.
AUTHORIZED REPREOSENTATtVE
Russell Jamieson
ACORD 25 (2001/08)
IMPORT ANT
If the certificate holder is an ADDITIONAL INS URED, the policy(tes) 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 conditrons 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 farm 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)
Jul 20 09 04:14p MARK ACKERMAN STATE FARM p.2
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!li-ur"I'"
~ CERTIFICATE OF INSURANCE
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SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE
CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE
CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM
TZE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY
A Y POLICY DESCRIBED BELOW.
I ~ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois
,hiS certifieS that:
D STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois
I D STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas
I D STATE FARM INDEMNITY COMPANY of Bloomington, rIIinois, or
! D STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois
I
lias coverage in force for the following Named Insured as shown below:
~AMED INSURED: SWEEPER MAN OF SWFL.
ADDRESS OF NAMED INSURED: 8012 KANSAS RD. FORT MYERS ~ 33912
~OLlCY NUMBER 777-9520-D07-59A 541 i589-A12-S9C 689 5961-C30-59A 697-569S-E19-59
E;FFECTIVE DATE
OFPOUCY 04/07/09-:0/07/09 07/12/09-01/12/10 03/30/09-09/30/09 05/19/09-11/19/09
I 96 Ford Tank
QESCRIPTlON OF 1FDXH70COSVA32006 94 E'ORD?700 Truck
IHTSC.~NOYH2S2636 95 For CR7000 1FDXK74C5RVA23842 :FDYR82EITVA07574
\(EHICLE (Including VIN) 2000 IntI Sweeper S..leeper
LIABILITY COVERAGE I8l YES DNO [8J YES DNO I2Sl YES DNO ~YES DNO
LIMITS OF LIABILITY
a. Bodily Injury
I Each Person 1 Mill ion 1 Million
I
i
Each Acddent 1 Million 1 Million
ti Property Damage
,
! Each Accident 1 Million 1 Million
c. Bodily Injury &
! Property Damage
; Single Limit
I Each Accident 1 MILLION 1 MILLION 1 Million
,
PHYSICAL DAMAGE 18.1 YES DNO [gI YES DNO I8l YES DNO 18.1 YES DNO
GOVERAGES
l Comprehensive $ sea Deductible $ 500 Deductible $ 5~C Deductible $ 500 Deductible
: 18.1 YES DNa [gI YES DNO I8l YES DNO ~YES DNO
~. Coliision I $ seD Deductible $ 500 Deductible $ S:C Deductible S 50C Deductible
,.. 1----------....-.... .,..-
I EMPLOYERS NON-OWNED I IXi NO fX1 NO nYES fg] NO DYES 0NO I
I CAR ll.1,SILfTY CQVEPAGE I 0 YES DYc~
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I HIRED CAR LIABiliTY 1 0 YES l8] NO , DYES cg] NO DYES ~NO , DYES 0NO
COVEPo.AG=
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I RLf;ET. CQVEP'P,GE FOR I i J
I/~lL ()INNED .'I.ND UCENSED I 'j YES , I DYES
[gJ NO I DYES l6J NO UYES [8] NO lZ?J NO
MOTOR VEHICLES L
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_ .... u.. \...t'1vt ~\-Yi......e..1 .~k-I/.J ~""'$___ ., .r:.Ui......l'... 1. ..:: , ....J..l.
Signature of Authorized Representativt:) n I. ! ,r 1}Jllle Agent's Code Number Date --
N d Add f -.- HI' I A IN...QfrNh/"" ...';;/ N . A 'd ' t
...am.s an ress 0 L.:ertm9'!~~. 0 del" V~. . - .. - ~ - - I., arne ana ,0 ress OT A~
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! ~=;~~~~i~;"~~~t ;.,~W(;"'-, 1 .h.cke~'rrL2.[)' InS1.ll:3.nce !,qe!\cy Ine.
I J~Z~e~~cn~~mi 3~~~~1 Eas'~ I ;~;,~e 3:~~~el Blvd -
: 1 ! 7nr-( f"-\!eC:>~ FL 33967
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INTERNAL STATE FARM USE ONLY: I:8l Request permanent Ceriificate"of Insurance for liability coverage.
Aug 25 09 10:36a MARK ACKERMAN STATE FARM p.1
ITATl'........
e
@/@) CERTIFICATE OF INSURANCE
INSVII:"N:~
SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE
CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE
CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM
THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY
ANY POlley DESCRIBED BELOW.
This certifies that: [gJ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois
D STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois
D STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas
D STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or
D STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois
has coverage in force far the fallowing Named Insured as shown below:
NAMED INSURED: SWEEPER MAN OF SWFL.
ADDRESS OF NAMED INSURED: 8012 KAKSAS RD. FORT MYERS FL 33912
POLICY NUMBER 302-8404-~31-59J
EFFECTIVE DATE
OF POLICY 05/31/09-11/30/09
DESCRIPTION OF
VEHICLE (Inc:uding VIN) ENOL
LIABILITY COVERAGE [g] YES DNO DYES DNO DYES DNO DYES DNO
LIMITS OF LIABILITY
a. Bodily Injury
Each Person
Each Accident
b. Property Damage
Each Accident I
I
c. Bodily Injury &
Property Damage
Single Limit
Each Accident 1 M:::LLION
PHYSICAL DAMAGE DYES DNO DYES DNa DYES DNa DYES DNO
COVERAGES
a. Comprehensive $ Deductible .$ Deductible S Deductible $ Deductible
DYES DNO DYES DNa DYES DNO DYES DNa
b. Collision $ Deductible $ Deductible S Deductible $ Deductibte
EMPLOYERS NON-OWNED IZI YES DNO DYES DNa DYES DNO DYES DNa
CAR L1AElLlTY COVERAGE
HIRED CAR LIABILITY [g] YES DNO DYES DNa DYES DNa DYES DNa
COVERAGE
FLEET - COVERAGE FOR
ALL OWNED AND LICENSED DYES [gJ NO DYES DNa DYES DNa DYES DNa
MOTOR VEHICLES
AGENT 2701 08/25/2J09
Title Agent's Code Number Date
Name and Address of Af1ent
Collier: CounLY Ac~erman Insura~ce Agency Inc.
Purchasing Department St.2.ce Farm
3301 Tamiami Trail East 7320 Sanibcl Blvd
:-:3.pJ. e.$ (" FL 34112 Fort Hyers, FL 3:5967
INTERNAL STATE FARM USE ONLY: 0 Request permanent Certificate of Insurance for liability coverage.
122429.3 Rev.07-26-20CS o Request Certificate Holder to be added as an Additional Insured.
Aug 25 09 10:22a Sweeper Man 239-466-5663 p.2
. S/25/2009 U9:51 Lion Insunmce LION INSURANCE COMPANY~SWEEPER ~\N OF IIJ
0.:6
CERTIFICATE OF LIABILITY INSURANCE 8125/2009
PrDduc~r= Lion Insurance Company Tltls Certificate Is Issued as a tniltter of Inform~IlDn only ~nd confers no rights
273g U.S. Highway 19 N. upon the Certlflcort:e Holder. This Certlflcootr does not amend, O!X1End or ..Iter
Holiday, FL 34691 tile cover.lge ilffonled I1y lhe pollciE!$ below.
727 -938-5562 Insurers Affording Coverage NArC -#
Insured: South East Personnel Leasing, Inc. Insurer k len Insurance Company U075
2739 U.S. Highway 19 N. Insurer B:
Holiday, FL 34691 Insurer c:
Insurer 0:
Insurer E:
Coverages
The pc:ffC 6Sof in:s.wam:alisled belor"lllave bean issuBd to UllJ inSlloo nam9d atKw9. tor 1he polO! peri-od IRdi:tlLad.. N:lb'.lithstanding 301 reqtriremert. larm or <;.onditioll.of errl"<:Onlrect or ott1e( doaL-nsnt"Mll1 (espect to 'r'fhidJ
this ce~illcele me.vbalssue.d (I{ may pm:a.n. rhe. insuro.llC8 SU<xded '='I rile pdicil)S described hnrein is stbj3:.c1 to ttllh3 te.nns, exclusions~aoo conditions {Jrsucn paicia:s_ A9Qre:98te Smits s~ maw have-been recllcedby
paid darffiS.
~SR AOOl Type of Insurance Policy Number POlicy Effective Policy Expiration Date Limits
Lm I'-lSRD Dale
(MMIDDIYY) (MMmONY)
~ENERAL LIABILITY Each Oc:axrerlce
- Commen::iaJ General Liability Damage to rooted lYamIS.. (EA
tJ Claims Made D OCClI" OCCIr{~1Ce~
-
I- Me~ E>q> j$
I- Pe,s,mal Adv Injury $
lGeneral aggregate limit applies per:
b PolC'{ 0 PrOjEct 0 LOC G"/ll'(~ Ag\lfogalo $
PfodtJ<1S . CompIOp Agg
!AUTOMOBILE LIABILlTV Combi1ed Single Urni:
.... (EA AcddM) ~
MI AUo
I- Boditl rtj"rf
An C>a"ffied Autos
.... (Pel PSlSG")
&-hedul(ld Autos.
.... tired Jt,Lf.OS Boditllriu'Y
.... (Po' Aca"""ll
~kl..0fflled Autos
.... Pro,eltj Darll"lJ9
(pe:Ac:ad'e:ntl ~
EKe ESSIU MBR ELLA LIABILlTV Each Oc0Kr8flce
=J COC"' D Claims Mado Aggrl;;lgflte
Cedw::'ti[j€
A Workers Compensation amI we 71949 01/0112009 ()1/01J2010 X I ~C SI1J!u- I f om
Employers' Llaollity 10 rv limits E R
Any plopriett>r/partnerJexectrtive oFfieer/merri:Jer E.l. Each Accid ent $1,ooo,:x)o
mu:ludod? E.l. Dis.."",.- Ea Employee $1.000,JOO
IrYes, describe under special ptovisit>ns below. E,l. Oiseas..- Policy limls $1,000.:00
Other Lion Insurance Company Is A.M. Best Comp.eny rated A- (Excellent). AM8 # 12616
Oescrlptions of OperatlonsfLocat!onsNehlcleslExcluslons added by Endorsement/Special Provisions: Client 10: 37.66-46'9
Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. t'lat are leased to and working for the following "Client Company":
Sweeper Man ofS.W. Fl.
Coverilge only applies to injJries incurred by South East PersCflnel Leasing,lnc. active employee(s) , 'wI.t1iJe working in florida.
Coverage does not apply to statutory ef1llloyee(s) or independent contractor(s) of the Client Comparlf or 31Y other entity.
A list of the active employee(s) leased to the dient Company can be obtained by 'axing a request to (727) 937-Z13El or by calling (727) 936-5562.
FAX: 239-466--5663 & 239-252-6697 {ISSUE 07-20-09 (TD) I REISSUE 08-25-09 (SO)
Beef" Date Si9/2005
CERTlF,CI'.TE HOLDER CANCELi.A"TlON
COLLIER COUIIITY BOARD OF COUNTY ShookJ:aJrf 01 the a~ d9scrit~ poli:ies be caoceUed balara the expirdion d&1e.lhBfe~ ,lh~ issuing iflsurEfy,,;1I
I3ndSZJCi lomaiJ 30 dayswriUSr\nodcs to the cenHicate holderrr~olo the le.A, bUII,,::ute l,Co G'o:sosha~ im.:msa: no
COMMI55:CNERS, NAPLES, FlORroA cbliQiltion at tiat>iltyof on,' k1nd ;.JpCJOtho If1Sl'Jrer, its agen~ Dr repra'ientOO.IEIs
3301 TAM INA I TRAIL EAST ~ ~---
NAPLES FL 34112
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