#09-5266 (Caribbean Lawn & Garden)
A G R E E MEN T 09-5266
for
Lawn Care Maintenance for the Neighborhood Stabilization Program
THIS AGREEMENT, made and entered into on this 15th day of September 2009, by and
between Caribbean Lawn & Garden of SW Naples FL., Inc., authorized to do business in the
State of Florida, whose business address is 3307 Desoto Boulevard S., Naples, Florida 34117,
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 IS, 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
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:
Maria C. Caraza, Vice President
Caribbean Lawn & Garden of SW Naples FL., Inc.
3307 Desoto Boulevard S.
Naples, Florida 34117
Telephone: 239-455-7278
Facsimile: 239-455-7645
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, PurchasingjGS 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.
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 $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.
Page30f6
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-
cations/Scope 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, and/ 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
COLLIER CO TY, FLORIDA
By: ~ ~~
carib. bea~~awn & Garden of SW Naples, FL, Inc.
~ CO~i
/ \/'~
. ~O~,e0. By:.' ~
FirstWitnes~ ' '/. Sig ~
~AaID CAd<D (YJIIf;/I 'Il~211
Type/Print Witness Name Typed Signature
~,,--rl~ :; -f,te!,ldvJ
' econd itness Title
20nDirlb- &;Qj)
Type/Print Witness Name
Approved as to form and
legal sufficiency:
0bpAA- ~
Assistant County Attorney
'I
~
~
Page -9- .=~.,.
ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY)
8/21/2009
PRODUCER Phone: 239-939-1010 Fax: 239-939-7172 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Tim Shaw Insurance Group Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
email: certificates@timshaw.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4091 Colonial Blvd
Fort Myers FL 33966 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA:North Pointe Insurance Co. b7740
Caribbean Lawn & Garden of SW Naples, Inc INSURER B:
PO Box 990866
Naples FL 34116 INSURER c:
INSURER D:
INSURER E:
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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'~{~ ~~~~ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LI MfTS
A ~NERAL LIABILITY 3093000279 4/4/2009 4/4/2010 EACH OCCURRENCE $1 000 000
lL COMMERCIAL GENERAL L1ABILfTY ~~EMIS'Es Ea occurence\ $lOO 000
- "=J CLAIMS MADE [XJ OCCUR MED EXP (Anyone person) $5 000
PERSONAL & ADV INJURY $1 000 000
GENERAL AGGREGATE $2 000 000
f--
~N'LAGGREnE LIMIT APnS PER: PRODUCTS" COMP/OP AGG $2 000.000
X POLICY fC8i LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea acddent) $
- ANY AUTO
ALL OWNEDAUTOS BODILY INJURY
- $
SCHEDULEDAUTOS (Per person)
-
- HIREDAUTOS BODILY INJURY
$
NONDWNED AUTOS (Per accident)
f--
f-- PROPERTY DAMAGE $
(Per accident)
qRAGE LIABILITY AUTO ONL Y" EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
~ESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~T:i.;Ws I IO'!,!;!"
EMPLOYERS' LIABILITY EL EACH ACCIDENT
ANY PROPRIETOR/PARTNER/EXECUTIVE $
OFFICER/MEMBER EXCLUDED? EL DISEASE" EA EMPLOYEE $
~~'N!LSC~6.y'~~NS below E.L DISEASE" POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
~ERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH REGARDS TO THE GENERAL LIABILITY COVERAGE SHOWN ABOVE; FOR
~NY WORK PERFORMED BY THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE HOLDER CANCELLA TIO N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Collier Country Board of County BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE
Commissioners CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
3301 Tamiami Trail E. SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
Naples FL 34112 THE INSURER, ITS AGENTS OR REP~ESENTATIVES.
AUTHORIZED REP RESENTATlVE ..,' '~~:;{~~~~:;;%~1,~~:.,
ACORD 25 (2001/08) @ACORDCORPORATION 1988
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)
T-200 P.OOI/OOI F-l11
08-14-2009 01 :20pm From-PE4982
If"'''' ,.....
A CERTIFICA TE OF INSURANCE
II"VU.N4!~
SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WIlL NOT BE
CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRlDR WRITTEN NOTICE TO THE
CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CEIlTIFICATE BE VAUD MORE THAN 30 DAYS FROM
THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY
ANY POLICY DESCRIBED BELOW.
This certifies that: l8J STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois
o STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois
o STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas tor
o STATE FARM INDEMNITY COMPANY of Bloomington, Illinois
has coverage in force for the fOl/owing Named Insured as shown below:
NAMED INSURED: CARIBBEAN LAWN & GARDEN
ADORESS OF NAMED INSURED: PO BOX 990866, NAPLES. FL 34116-6046
POLICY NUMBER '162 0632-F25-59A 666 6442-D03-59 640 3292-022-59B
EFFECTIVE DATE
OFPOUCY 06/25/09-12/25/09 04103/09-10/03/09 04/22/09-10/22/09
DESCRIPTION OF FLEET ( 5 05 FORD
VEHICLE (Ineluding V1N) VEHICLES) RANGER
LIABILITY COVERAGE ~YES oNO r23 YES ONO (gJ YES DNO DYES DNO
LIMITS OF LIABILITY
a. Bodily Injury
Each Person
Each Accident 2 MM CSL l MM CSL 2 MM CSL
b. Property Damage
Each Accident
c. Bodily InjUlY &
Property Damage
Single Limit
Each Accident
PHYSICAL DAMAGE t8J YES DNO rgJ YES ONO ~YES ONO DYES DNO
COVERAGES
a. Comorehensive $ 500 DeduQlble $ 500 Deductible $ 500 Deductible $ Deductible
~YES DNO ~YES DNO I2SJ YES DNO DVES DNO
b. COlrision $ 500 Deductible $ 500 Deductible $ 500 D$ductible $ Deductible
EMPLOYERS NON.OWNED DVES ~NO DYES DNO DYES DNO DYES DNO
GAR LIABILITY COVERAGE
HIRED CAR LIABILITY DYES 181 NO DYES DNO DYES oNO DYES DNO
COVERAGE FLEET - COVERAGE FOR
All. ONNED AND UCENSED ~YES DNO I8J YES DNO DYES DNa DYES DNO
MOTOR VEHICLES
//)" .Ie- AGENT 2598 08/14/2009
' !/VW/
Signature of Authorized Representative litle Agent's Code NUmber Date
Name and Address of Certificate Holder Name and Address of AQent
COLLIER COUNTY BOARO OF COUNTY COMMISSIONERS BRIAN A. GLAESER
3301 TAMIAM! TRL E 7385 RAD10 RD SUITE lO4A
NAPL~S, FLORIDA 34112 NAPL~S, FL 3~104
INTERNAL STATE FARM USE ONL Y: ~ Request pei'lTlanent Certificate of Insurance for IIll~ility coverage.
122429.2 Rev. 06-10-2004 181 Requ8&t Certificate Holder 10 be added as an Additional Insured.
Cert ID 1127
ACORDrn CERTIFICATE OF LIABILITY INSURANCE T DATE (MM/DDNYVY)
7/30/2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Intego Insurance Services, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2000 Winton Rd South HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Rochester NY 14618 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(888) 289-2939 (888) 289-2988
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Twin Citv Fire Insurance Comoa 29459
Caribbean Lawn & Garden of SW Naples FL Inc INSURER B:
3307 Desoto Blvd South INSURER C:
Naples FL 34117 INSURER D:
I INSURER E:
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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~f: ~~~'~ POLICY NUMBER PJl.H~~.i~~8g~i" Pgk!fl,t.~~J!9.N LIMITS
~NERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY ~~~~~~J9E~~~~~nce' $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
f-- PERSONAL & ADV INJURY $
f-- GENERAL AGGREGATE $
~'L AGG~EnE LIMIT APFlS PER: PRODUCTS - COM PlOP AGG $
POLICY P'fP,: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
I--- HIRED AUTOS BODILY INJURY
(Per accident) $
~ NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND 02WEGAA3768 6/4/2009 4/9/2010 I T~.Jml~~ I TOJb'"
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000
~~~MtS~'lfc5';:~16~s below EL DISEASE - POLICY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CONTRACT #09-5239 ANNUAL CONTRACT FOR LANDSCAPE MAINTENANCE VENDORS
CERTIFICA TE HOLDER CANCELLA TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Collier County Board of Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
3301 Tamiami Trl. E. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Naples FL 34112 AUTHORIZED REPRESENTATIVE f,rJ;ij&tttwi
I ft.l. -.-
ACORD 25 (2001/08) @ACORDCORPORATION 1988
Page 1 of 1