#09-5273 (Clean Fuel & Tank, Inc.)
A G R E E MEN T 09-5273
for
Generator Maintenance, Repair and Installation
THIS AGREEMENT, made and entered into on this --.1 fA day of
J'V\.-. lrT h 2010, by and between Clean Fuel & Tank, Inc., authorized to do
.
business in the State of Florida, whose business address is 4811 Palmetto Terrace, Estero,
Florida 33928 hereinafter called the "Contractor" and Collier County, a political subdivision
of the State of Florida, Collier County, Naples, hereinafter called the "County":
WITNESSETH:
1. COMMENCEMENT. The contract shall be for a two (2) year period, commencing on
January 12, 2010, and terminating on January 11, 2012.
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 generator maintenance, repair
and installation in accordance with the terms and conditions of Bid #09-5273 and the
Contractor's proposal referred to herein and made an integral part of this agreement.
The Contractor is being awarded fuel polishing up to and over five hundred (500)
gallons. 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.
3. COMPENSATION: The Owner shall pay the Contractor for the performance of fuel
polishing pursuant to the quoted price offered by the Contractor as shown on Exhibit A,
Rate Schedule, incorporated herein by reference.
All routine scheduled fuel polishing will be done during the normal work day, 7:30 a.m.
to 4:00 p.m., Monday through Friday, excluding County holidays.
Emergency work will be performed on a time and material basis, in accordance with
The Contractor shall supply the County with an on-call telephone number.
Page 1 01'8
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 in compliance with Chapter
218 Fla. Stats., otherwise known as the "Local Government Prompt Payment Act".
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:
Clean Fuel & Tank, Inc.
4811 Palmetto Terrace
Estero, Florida 33928
Attention: Randy G. Mote, President
Telephone: 239-209-4869
Facsimile: 239-495-9738
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.5., 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
09-5273
Generator Maintenance, Repair
and Installation
Page 2 01'8
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.
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 Liabilitv: 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 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.
09-5273
Generator Maintenance, Repair
and Installation
Page 3 of8
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 ten (10) 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 Facilities Management 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, Bid #09-5273 Specifi-
cations/Scope of Services, Addendum, and Exhibit A, Rate Schedule.
09-5273
Generator Maintenance, Repair
and Installation
Page 401'8
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
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.
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 and/ or services may be added to
this contract upon satisfactory negotiation of price by the Contract Manager and
Contractor.
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
09-5273
Generator Maintenance, Repair
and Installation
Page 5 01'8
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.
~
09-5273
Generator Maintenance, Repair
and Installation
Page 6 01'8
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.
ATTEST:
Dwight E. Brock, Clerk of Courts
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
BY:~{)'('
Date,d.: '~~/O
~~)...h. .
,...t~ ~
Xrl---vVr l" i7; Jb," /J/,<cc'_
First Witness
By: ~W. ~.
Fred W. Coyle,' halrman
Clean Fuel & Tank, Inc.
Contractor
By:. -
_c- ~--.".4. ,,_
--~!...... ..
......- Signature
fe,: "'Ie/.. /..} db,?/) - /Jlot-e..
~n'=t
Second Witness
t?a-r bulCJuerc--
tType/print witness namet
~"'7.d '/ /10 /-= ~~-~j~'.J.,.....;I-
Typed sigrMure and title '
Approved as to form and
~fiienk1~L
~i"la~ounty Attorney
p..... I
~ t#tt R -U...eh
Print Name
09-5273
Generator Maintenance, Repair
and Installation
Page 7 01'8
EXHIBIT A
Rate Schedule
Fuel Polishing Up To 500 Gallons $1.00/ gallon
Fuel Polishing Over 500 Gallons $ .50/ gallon
09-5273
Generator Maintenance, Repair
and Installation Page 8 of 8
01/26/2010 09:52
2399393813
FIVE COUNTY INS
__TIlOMAS AND CO
01nG/!~1~FAX 2~9.76G 0583
THOMAS &. COMPANY
MIlRINE msulVlNCE
P.o. BOX 2630
FT. ~ BEACH. FL 33932
GNat American Insurance Cotnpanyof New York
certificate of Insurance
PAGE 02/02
~003
Policy Number. OMH49S-63.74
policyTenn Frotn: 01-01-10
To: 01-01,11
~amed In..nred and Addrep
Clean Fuel & Tank, Ino.
4811 Palmetto Terrace
Estero, FL 33928
ShiP Repairet Legal Liability Limit
ProteCtion and lndelnnity Limit
Comprehensive General Liability
products-Completed Operatiollll Limit
personal and Advertising Injury Limit
Fire Damage Limit
Medical. Expenses Limit
General Aggregate Lilnlt (Othertball )'TOducts/CclTIpleted Operatic...)
Limited Pollution Coverage Endorsement
AtJ.y one Qoow:rence Limit
Hired &. NOll.OWned Auto
$1,000,000
51,000,000
$1,000,000....
Ii 1 ,000,000
$1,000,000
$ 100,000
$ 2,500
$2,000,000
Ii 25,000
$2,000,000
$1,000,000'
.Certificalo Mldor is lis1ed" .ddlti"",l il\<Urod with re.p.... only for work perfbrrned by Cl.... Fuel &;
TIIlIk.
CertlfirntB Holder: __'_--"-"~'"-~."-;~;;;;;;:;~;';:;~';;;;;;~~DI'!C;;~ ;';;;;;"1
I THE 1lXl'IIlATTON DATE T\II'!REOl'. 'J"ll1I!lSUlNGC~ANY WlI..l.Iil<OSAVOR
TO MAIL 10 MYS ~'NonCE TO rlIE Cll\l.1lFICATf. lIOIDER No'MEO
Colliet County TO THE LEfT BtiTSAlLIJRE TO \IoIAIT.. SUCIl NOTlCB SIlAL~ MOSE NO
3301 ranUami Trail East OaUGAll0NS ORllABlLrrV 01' ANY KINO IJI'()N TIlE COW'ANY, ITS AGENTS
. 010. Rl!PllESENTl11VES.
Naples, FL 3411Z
AUTHORlZllO IU'J'RESBI;'TATlVE
~
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aJ.1f'" . .~"__~....",,_,.._l'IlWfI-"
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~
GREAlAMllR1C4N
INSURANCE GflOUP
0076407
ADMINISTRATIVE OFFICES
580 Walnut street. CincinnatI, OH 45202
513.369..5000
www.GreatAmericanlnsurance.com
OCEAN MARINE GENERAL ENDORSEMENT
INCREASE GL LIMITS
GAl 2298 (Ed. 01 01)
IT IS IIEREIlY UNDERSTOOD AND AGREED THE THE GENERAL LIAllILITY LIMITS
ARE INCRASED PER OCCORRENCE AND PRODUCTS COMPUTED OPERATION
AGGREGATE.
ALL OTHER TEJlMS AND CONDITIONS REMAIN UNClIANGED.
GAl 2298 (Ed. 01/01)
(Page 1 of 1)
A''''t:NUt:U U11~UJ;<U1U
~
GREAYwERlCAN
IN5URANCEGIKJUP
ADMINISTRATIVE OFFICES
580 WaJnut Street . Cincinnati. OH 45202
513,369.5000
www.GreatAmerlcanlnsurance.co/TI
0076407
GAl 2435 (Ed. 08 04)
Policy: OMH 495637403
OCEAN MARINE COVERAGE LEVEL DECLARATIONS PAGE
Named Insured: CLEAN FUEL & TANK INC
Policy #: OMH 4956374 03
Polilcy Effective Date: 01/01/2010
Polley Expiration Date: 01/01/2011
Coveralle
Marine Craft-Master Coverage-Fonn #GAI 2442
limit of Insurance: Under all Sections of coverage under this policy combined, the most we will pay for any
one occurrence will be: $ 2,000,000
Except, the following sub-limits will apply:
Ship Repairers legal Liability Limit
Protection & Indemnity Limit
Comprehensive General liability
Products/Completed Operations Aggregate Limit
Personal and Advertising Injury Limit
Fire Damage Limit
Medical Expense limit
General Aggregate Limit (Other than
Products/Completed Operations Aggregate)
limited Pollution Coverage Endorsement
Marine Craft-Master Premium
Miscellaneous Property Floater
$
$
$
$
$
$
$
$
Limits of Insurance
1,000,000
1,000,000
1,000,000
2,000,000
1,000,000
100,000
2,500
2,000,000
Premium
$
25,000
AS PER FORM
Total Premium:
$
$
$
2,650.00
645.00
4,295.00
Location of covered operations:
WITHIN THE STATE OF FLORIDA
Except in the event of cencellatlon by this Company, the Minimum Earned Premium hereunder is: $500.
Deductible for Ship Repairers Legal Liability: $ 1,000
GAl 2435 (Ed. 08/04)
(Page 1 of 1)
I)
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
NON-CONSTRUCTION INDUSTRY EXEMPTION
05-23-2007
ALEX SINK
CHIEF FINANCIAL OFFICER
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE:
OS/23/2007
EXPIRATION DATE: N/A
RANDY
PERSON: MOTE
FEIN: 223947143
BUSINESS NAME AND ADDRESS:
CLEAN FUEL & TANK INC
4811 PALMETTO TER
ESTERO FL 33928
SCOPES OF BUSINESS OR TRADE:
1- REPAIR SERVICE
IMPORTANT: PursUlnl 10 Cllapter 440 . 05(14), F.S., an officer 01 I corporal/on wbo elects exemption from Ibis chapter by filing a cerlificale 01 elecllon under this
section may not recover benefits or compensation under this chapter. Pursuant to Chllpter 440,05(12), F.S., CerHlicales 01 election 10 be exempt... apply only within the
seOlle of Ihe business or trade listed on IlIe notice III election 10 be exempt. Pursuant to Chapler 440.05(13), F.S., Notices of election to be exempt Ind tenUltales 01
election 10 be exempl shall be subject to revocation if, al any time alter the filing of the nolice Dr Ihe issuance of the certillcate, the person named on the notice Dr
~ertilicale no longer meets the requirements of this section for issuance of a certifj~ate. The department shall revoke 8 certlffcate II any time lor failure 01 the person
named on Ihe certificate to meet the requirements of this se~lion.
QUESTIONS? (850) 413-16C
OWC,252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09'06
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
NON'CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
.
F IMPORTANT
o PUrsuant to Chapter 440.05(14), F.S., an officer of a corporation who
L elects exemption from this chapter by filing a certificate of election
under this section may not recover benefits or compensation under this
D chapter.
H Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
E exempt.. apply only within the scope of the business or trade listed on
the notice of election to be exempt.
R
E Pursuant to Chapter 440.05(13). F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
EFFECTIVE: OS/23/2007 EXPIRATION DATE: N/A
PERSON: RANOY MOTE
FEIN: 223947143
BUSINESS NAME AND ADDRESS:
CLEAN FUEL & TANK INC
4811 PALMETTO TER
ESTERO, FL 3392a
SCOPE OF BUSINESS OR TRADE:
1. REPAIR SERVICE
QUESTIONS? 18501 413'1609
CUT HERE
* Carry bottom portion on the job, keep upper portion for your records.
OWC,252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
05-23-2007
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
NON-CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE:
OS/23/2007
EXPIRATION DATE: N/A
KAMALA
PERSON: MOTE
FEIN: 223947143
BUSINESS NAME AND ADDRESS:
CLEAN FUEL & TANK INC
4811 PALMETTO TER
ESTERO FL 33928
SCOPES OF BUSINESS OR TRADE:
1- REPAIR SERVICE
IMPORTANT: Pursuant 10 Chllpter 440 . 05(14), F.S., an officer of a tarpaulin" who elects exemption from this chapler by filing a cenificale of election under this
sel:tioo may not recover benefits or compenntion under Ihis chapler. Pursuant to Chapler 440.05(1:U, F.S., Certificates of election to be exempt... apply only wilhin Ihe
stope 01 the business or trade listed on the notice 01 election 10 be exempt. Pursuant 10 Ch.pler 440.05(t3J, F .5., Notices 01 election to be exempt and certificaln 01
eleclion to be exempt shall be subject to rel/oellllon ii, at any lime aller Ihe filing 01 lhe notice or the issllance 01 the certificate, the person named on the notice or
cerllficale no longer meets the requirements of IlIis section for Issuance of a. certificate. The departmenl shall revoke a certificate at any lime for failure 01 the person
named on the certificate to meet the requirements of this settion.
DWC-252 CERTIFICATE DF ELECTION TD BE EXEMPT REVISED 09,06
llUESTlDNS? (8501 413-160
PLEASE CUT OUT THE CARD 8ELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
NON-CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE: OS/23/2007 EXPIRATION DATE: N/ A
PERSON: KAMALA MOTE
FEIN: 223947143
BUSINESS NAME AND ADDRESS:
CLEAN FUEL & T ANI< INC
4811 PALMETTO TER
ESTERO, FL 33928
SCOPE OF BUSINESS OR TRADE:
1- REPAIR SERVICE
F IMPORTANT
o Pursuant to Chapter 440.05(14). F.S., an officer of a corporation who
L elects exemption from this chapter by filing a certificate of election
under this section may not recover benefits or compensation under this
D chapter.
H Pursuant to Chapter 440.05(12). F.S.. Certificates of election to be
E exempt.. apply only within the scope of the business or trade listed on
the notice of election to be exempt.
R
E Pursuant to Chapter 440.051131. F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
llUESTIDNS? 18501 413'1609
CUT HERE
* Carry bottom portion on the job, keep upper portion for your records.
DWC-252 CERTIFICATE DF ELECTION TD BE EXEMPT REVISED 09-06
ITEM NO.:
')irmATI~jf- R~.EIVED:
"OII~'ll\' tJTOl1l\ll:Y
\j.. '., I. I " _,
FILE NO.:
If) ~Pf(~-O!5fj7
REQUEST FOR LEGAL SERVICES
~r\n"I:~22 P~i 2:41 vY
'" J nhll . .11
'.- f) vv-
1lCloV \)il'
4--t t ~
V ~(
QfJ €j"'" })/p
'> 'J~II
) ~YI
ROUTED TO:
DO NOT WRITE ABOVE THIS LINE
Date: March 9, 2010
To:
Office of the County Attorney
Jeff Klatzkow
W'.. '0~ '\ '7J\;u-.
~~
,
i
From:
Lyn M. Wood, C.P.M., Contract Specialist
Purchasing Department, Extension 2667
Re: Contract: #09-5273 "Generator Maintenance, Repair and Installation"
Contractors: Power Pro,Tech Services, Inc.
Metro Power Systems, Inc.
v'Clean Fuel & Tank, Inc.
BACKGROUND OF REQUEST:
This Contract was approved by the BCC on March 9, 2010, Agenda
Item 16.E.1
I
This item has not been previously submitted.
ACTION REQUESTED:
Contract review and approval.
OTHER COMMENTS:
Please forward to BCC for signature after approval. If there are any
questions concerning the document, please contact me. Purchasing would
appreciate notification when the documents exit your office. Thank you.
C: Damon Gonzales, Facilities Management
~~l~
~\ t,(\ lO
wWw.sunbiz.org , Department of State
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CLEAN FUEL & TANK, INC.
Filing Information
Document Number P06000143602
FEI/EIN Number 223947143
Date Filed 11/14/2006
State FL
Status ACTIVE
Effective Date 01/01/2007
Principal Address
4811 PALMETTO TERR
ESTERO FL 33928
Mailing Address
4811 PALMETTO TERR
ESTERO FL 33928
Registered Agent Name & Address
MOTE, RANDY G PRES
4811 PALMETTO TER
ESTERO FL 33928 US
Name Changed: 02/04/2009
Address Changed: 02/04/2009
Officer/Director Detail
Name & Address
Title PD
MOTE, RANDY
4811 PALMETTO TERR
ESTERO FL 33928
TitleVD
MANN-MOTE, KAMALA
4811 PALMETTO TERR
ESTERO FL 33928
Annual Reports
v
Report Year Filed Date
2008 01/07/2008
http://www.sunbiz.org/scripts/cordet.exe?action=D ETFIL&inq_ doc _ num ber= P06000 143... 12/23/2009
wWw.sunbiz.org - Department of State
Page 2 of2
2009 02/04/2009
Document Images
11/14/2006 -- Domestic profit
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02/04/2009 -- ANNI,JAL REPORT
01/07/2008 -- ANNUAL REPORT
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COPYI-ight and Privacy Policies
Copyright (c) 2007 State of Florida, Department of State.
http://www.sunbiz.org/scripts/cordct.exe?action~ D ETFI L&inq_ doc _ number= P06000 143... 12/23/2009
RaymondCarter
From:
Sent:
To:
Subject:
Attachments:
Cindy Rosenkranz [cindyr@fivecountyinsurance.com]
Monday, March 22, 2010 10:04 AM
RaymondCarter
FW: Clean Fuel & Tank
SKMBT _C36010031812370.pdf
Here you gol
Cindy S. Rosenkranz, Account Executive
Five County Insurance Agency, Inc.
14120 Melropolis Avenue, Fort Myers, FL 33912
(239)939-1400 ex! 118
(239)939-3813 Fax
cind vr(cj)fivecou ntvi nsu rance. com
From: Cindy Rosenkranz
Sent: Thursday, March 18, 2010 1:43 PM
To: 'raymondcarter@colliergov.com'
Cc: 'randym@cleanfuelandtank.com'
Subject: Clean Fuel & Tank
Ray,
Per our conversation, attached is the endorsement amending limits to $2M per occurrence. Please advise if you need
anything further.
Thanks
Cindy S. Rosenkranz, Account Executive
Five County Insurance Agency, Inc.
14120 Melropolis Avenue, Fort Myers, FL 33912
(239)939-1400 ex! 118
(239)939-3813 Fax
ci nd vr(cj)fivecou ntvi nsu rance. com
1
MEMORANDUM
TO: Ray Carter
Risk Management Department
r
FROM:
Lyn M. Wood, C.P.M., Contract Specialist
Purchasing Department
,,I
yr~
DATE: March 9, 2010
RE: Review Insurance for Contract #09-5273 "Generator
Maintenance, Repair and Installation"
Contractors: Power Pro-Tech Services, Inc.
Metro Power Systems, Inc.
.IClean Fuel & Tank, Inc.
This Contract was approved by the BCC on March 9, 2010, Agenda Item
16.E.1
Please review the Insurance Certificates for the above referenced contract. If
everything is acceptable, please forward to the County Attorney for further
review and approval. Also, will you advise me when it has been forwarded.
Thank you. If you have any questions, please contact me at extension 2667.
DATE RECEIVED
MAR , 0 2010
RISK ~ _J/ /k
~1(~4
?1z.Jro
dod/LMW
C: Damon Gonzales, Facilities Management
mausen 9
From:
Sent:
To:
Cc:
Subject:
RaymondCarter
Monday, March 22, 2010 10:50 AM
LynWood
mausen_9
Contract 09-5273 "Generator Maintenance, Repair and Installation"
All, I have approved the certificate(s) of insurance provided by Clean Fuel and Tank, Inc. for contract 09-5273. The
contract will now be forwarded to the county attorney's office for their review.
Thank you,
Ray
~~
Manager Risk Finance
Office 239-252,8839
Cell 239,821-9370
Under Florida Law, e-mail addresses are publiC records. If you do not want your e-mail address released in response to a public records request, do not send
electronic mail to this entity. Instead, contact this office by telephone or in writing.
RLS #~W'Q'i"]
CHECKLIST FOR REVIEWING CONTRACTS
C~\e.CL~vd_""LL~'L I I _":'C ~
~YJ;s
.....---Yes
Insurance
Insurance Certificate attached?
Insured registered in Florida?
Contract # &lor Project referenced on Certificate?
Certificate Holder name correct (BCC)?
Commercial General Liability
General Aggregate Reqnired $ _
Products/CornpIlOp Reqnired $ 2",,; \ \
Personal & Advert Required $__
Each Occurrence Reqnired $2.(Y\~\
Fire/Prop Damage Required $ " ')
Automobile Liability
Bodily Inj & Prop Required $ \m;\l~
Workers Compensation &
Each accident Required $ '1
Disease Aggregate Required $ . __
Disease Each Ernpl Required $. \,
Umbrella Liability
Each Occurrence Provided $ __~_
Aggregate Provided $~.__
Does Umbrella sufficiently cover any underinsured portion?
Professional Liability
Each Occurrence Required $
Per Aggregate Required $
Other Insurance
Each Occur Type:
Entity Name:
Entity name COITcct on contract?
Entity registered with FL Sec. of State?
No
No
/Yes No
'~s No
= .............fes :-.__ Nol')tJtre~ ""I<' cI
~~ __No
Provided $ '2-(V\i. \ \ Exp. Date I I \k
Provided $. 2..1"1\.\\ Exp. Date ='" I.
Provided $ \ ~ li. Exp. Date _.,.__'_'
Provided $..._~ Exp. Date ..... .. ..
Provided $_~ Exp. Date__ I. , I
Provided $.....11\'\\ ~~p Date ~
Provided $ .~ Exp Date
Provided $~ Exp Date ___
Provided $ ~__ Exp Date
Exp Date _._,~
Exp Date
Yes
No
Provided $_
Provided $
Exp. Date
Exp. Date
Required $ ___
Exp Date_
County required to be named as additional insured?
County named as additional insured?
Indemnification
Does indenmitication 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?
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?
Provided $
---
~)'e's
Yes
No
No
~s ~
Yes
Yes No
Yes No
Yes No
~
.......:.:tes
~Yes No
~--------
~___No
~ ---~:
,,-
~
No
No
No
No $J
~~;~wer Initials: }J:J)
Dale:,._. IV
04-COA- 0 0 .