#10-5478 (Witt Group Hldgs)
A G R E E MEN T 10-5478
for
Bureau of Emergency Services - Accreditation Services
THIS AGREEMENT, made and entered into on this 22nd day of Tune, 2010, by and
between Witt Group Holdings, LLc, authorized to do business in the State of Florida, whose
business address is 1501 M Street, N.W., 5th Floor, Washington, DC 20005, hereinafter called
the "Consultant" 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
June 22, 2010, and terminating on June 21, 2011.
The County may, at its discretion and with the consent of the Consultant, renew the
Agreement under all of the terms and conditions contained in this Agreement for three
(3) additional one (1) year periods. The County shall give the Consultant 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 Consultant shall provide Bureau of Emergency Services
Accreditation Services in accordance with the terms and conditions of RFP #10-5478
and the Consultant'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
Consultant 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. THE CONTRACT SUM. The County shall pay the Consultant for the performance of
this Agreement an estimated maximum amount of seventy-eight thousand six
hundred thirty-seven dollars ($78,637.00), based on the prices set forth in Exhibit A,
Payment Schedule, incorporated herein by reference and subject to Change Orders as
approved in advance by the County. Ten percent (10%) retainage will be withheld from
payment for each Task until all tasks have been completed and accepted by the County
Project Manager. Payment will be made upon receipt of a proper invoice and upon
approval by the Project Manager or his designee, and in compliance with Chapter 218,
Fla. Stats., otherwise known as the "Local Government Prompt Payment Act".
Page I of8
3.1 Payments will be made for services furnished, delivered, and accepted, upon receipt and
approval of invoices submitted on the date of services or within six (6) months after
completion of contract. Any untimely submission of invoices beyond the specified
deadline period is subject to non-payment under the legal doctrine of "laches" as
untimely submitted. Time shall be deemed of the essence with respect to the timely
submission of invoices under this agreement.
TRAVEL AND REIMBURSABLE EXPENSES
Travel and Reimbursable Expenses shall not exceed ten thousand two hundred fifty-
seven dollars ($10,257.00) in accordance with Exhibit A, Task 9, unless approved in
advance in writing by the County. Travel expenses shall be reimbursed as per Section
112.061 Fla. Stats.
Reimbursements shall be at the following rates:
Mileage $0.445 per mile
Breakfast $6.00
--.
Lunch $11.00
...
Dinner $19.00
Airfare Actual ticket cost limited to tourist or
coach class fare
Rental car Actual rental cost limited to compact or
standard-size vehicles
Lodging Actual cost of lodging at single
occupancy rate with a cap of no more
than $150.00 per night
Parking Actual cost of parking
Taxi or Airport Actual cost of either taxi or airport
Limousine limousine
Reimbursable items other than travel expenses shall be limited to the following:
telephone long-distance charges, fax charges, photocopying charges and postage.
Reimbursable items will be paid only after Consultant has provided all receipts.
Consultant shall be responsible for all other costs and expenses associated with
activities and solicitations undertaken pursuant to this Agreement.
4. SALES TAX. Consultant 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 Consultant shall be deemed duly served
if mailed or faxed to the Consultant at the following Address:
Agreement #10-5478 Page 2 of8
Bureau of Emergency Services Accreditation Services
Barry W. Scanlon, President
Witt Group Holdings, LLC
1501 M Street, N.W., 5th Floor
Washington, D.C. 2005
Telephone: 202-585-0792
Facsimile: 202-585-0792
All Notices from the Consultant to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Government Center
Barry W. Scanlon, President
Witt Group Holdings, LLC
1501 M Street, N.W., 5th Floor
Washington, D.C. 2005
Telephone: 202-585-0792
Facsimile: 202-585-0792
All Notices from the Consultant 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 Consultant 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 Consultant or to constitute the Consultant 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 Consultant. 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 Consultant. The Consultant shall also be solely responsible for
payment of any and all taxes levied on the Consultant. In addition, the Consultant 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 Consultant agrees to comply
with all laws governing the responsibility of an employer with respect to persons
employed by the Consultant.
8. NO IMPROPER USE. The Consultant 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
Agreement # I 0.5478 Page 3 of 8
Bureau of Emergency Services Accreditation Services
effect or hereafter enacted or adopted. In the event of such violation by the Consultant
or if the County or its authorized representative shall deem any conduct on the part of
the Consultant to be objectionable or improper, the County shall have the right to
suspend the contract of the Consultant. Should the Consultant 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 Consultant 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 Consultant 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 Consultant agrees that there shall be no discrimination
as to race, sex, color, creed or national origin.
11. INSURANCE. The Consultant shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include Premises and Operations; Independent
Consultants; 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.
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 Consultant 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.
Agreement #]0-5478 Page 4 of8
Bureau of Emergency Services Accreditation Services
Consultant shall insure that all subConsultants comply with the same insurance
requirements that he is required to meet. The same Consultant shall provide
County with certificates of insurance meeting the required insurance provisions.
12. INDEMNIFICATION. To the maximum extent permitted by Florida law, the
Consultant 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 Consultant or anyone
employed or utilized by the Consultant 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 Bureau of Emergency Services Department.
14. CONFLICT OF INTEREST: Consultant 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. Consultant 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: Consultant's Proposal, Exhibit A Payment Schedule, Insurance Certificate,
and RFP #10-5478 Specifications/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
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.
Agreement #10-5478 Page 5 of8
Bureau of Emergency Services Accreditation Services
18. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement,
the Consultant is formally acknowledging without exception or stipulation that it is
fully responsible for complying with the provisions of the Immigration Reform and
Control Act of 1986 as located at 8 U.s.c. 1324, et seq. and regulations relating thereto,
as either may be amended. Failure by the Consultant 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 Project Manager and
Consultant.
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 Consultant 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 Consultant 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 Abrreement 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.
23. KEY PERSONNEI/PROTECT STAFFING: The proposer's personnel and management
to be utilized for this project 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 contract. Selected firm
Agreement #10-5478 Page 6 of8
Bureau of Emergency Services Accreditation Services
shall assign as many people as necessary to complete the project 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.
IN WITNESS WHEREOF, the Consultant 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.
"",tl;'~~j . ('17
;>\,t'rusr:':;~q
~i E. B{?,~~Clerk of Courts
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Date: ,
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BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: '-:JuL w. c+
Fred W. Coyle, Chairman
witt Group Holdings, LLC
First Witness
Consultant
B~~
Signature
~
A/&j, -fA ~"- W_i ~ev.tr.
tType/ print witness name t
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Second Witness
P~II A, f-f!.. r-'f:--/Is
c7 tType / print witness name t
&r,-yu/' ~G4I1~/)J J1.~v;.J;;;t
Typed signature and title
Approved as to form and
];~7(~ \_
~t County Attorney
8-r-n+-7 . ~r..l'\t
Print Name
Agreement #10-5478 Page 7 of8
Bureau of Emergency Services Accreditation Services
Exhibit A
PAYMENT SCHEDULE
Deliverable Invoice Amt Payment Balance Due
(after retention)
Task 1 - Project Kick-off Meeting Report/Minutes $ 8,580.00 $ 7,722.00 $ 858.00
Task 2 - EMAP Assessment Report and Gap Analysis $ 11,800.00 $ 10,620.00 $ 1,180.00
Task 3 - CAAS Assessment Report and Gap Analysis $ 11,800.00 $ 10,620.00 $ 1,180.00
Task 4 - CAMTS Assessment Report and Gap AnalysIs $ 11,800.00 $ 10,620.00 $ 1,180.00
Task 5 - EMAP Final Verification Report $ 5,800.00 $ 5,220.00 $ 580.00
Task 6 - CAAS Final Verification Report $ 5,800.00 $ 5,220.00 $ 580.00
Task 7 - CAMT5 Final VerIfication Report $ 5,800.00 $ 5,220.00 $ 580.00
Task 8 - Executive Summary Report and PowerPoint
Presentation $ 7,000.00 $ 6,300.00 $ 700.00
Task 9 - Travel and Reimbursable Expenses - Time and
Material Not to Exceed $ 10,257.00 $ 10,257.00
Labar Subtotal (after retention) $ 61,542.00
Final Labor Billing * $ 6,838.00
Labor Total $ 68,380.00
Travel and other direct costs $ 10,257.00
Total $ 78,637.00
. Final labor billing is to recover payment retainage amounts, and will be invoiced at end of project.
Agreement #10-5478 Page 80f8
Bureau of Emergency Services Accreditation Services
~
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
~ 7/26/2010
PRODUCER Phone: 212-344-2444 Fax: 212-509-1292 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Frank Crystal & Co., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLOER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Financial Square ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
32 Old Slip
New York NY 10005
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERAThe Emnlovers' Fire Insurance 20648
Witt Group Holdings, LLC INsuRERB:Illinois National Insurance C 23817
1501 M Street, NW 5th Floor
Washington DC 20005 INSURER c:
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.
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X COMMERCIAL GENERAL LIABILITY : P~E~IS~S YE~~~~ncel $1 000 000
I CLAIMS MADE [X] OCCUR MED EXP (Anyone person) no 000
- PERSONAL & ADV INJURY SExcluded
- GENERAL AGGREGATE '2 000 000
~.~ AGG~lQ~E LIMIT AP~SI PER: PRODUCTS - COMP/OP AGG '2 000 000
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I COMBINED SINGLE LIMIT $1,000,000
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~ollier County Board of County is included as an Additional Insured with respect to liability insurance as required by
ease or written contract.
CERTIFICATE HOLDER
CANCELLATION 3 0
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
Collier County Board of County CERTIFICATE HOLDER NAMED TO THE LEFT, BOT FAILURE TO DO SO
Commissioners SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
3301 East Tamiami Trail THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Naples FL 34112
I AUTHORIZED REPRESENTATlVE\~ ~~ l ~il' , ~.
ACORD 25 (2009/01)
@1988.2009ACORDCORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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 lerms 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
This Certificate of Insurance 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 (2009/01)
ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE {MMIDDNYVY)
07/27/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher RMS, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2 Pierce Place, 6th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Itasca, IL 60143
Sue Purtill 630-285-4465 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Wausau Underwriters Insurance Campan 26042
Century II Staffing, Inc. INSURER B:
278 Franklin Rd., Ste. 350 INSURER c:
Brentwood, TN 37027 INSURER 0:
INSURER E:
Clienl#' 109175
CENSTA
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.
~l: ~~~~ TYPE OF INSURANCE POLICY NUMBER Pt?A~~\i~f&8~\E Pg~~J/~~~~N LIMITS
~NERAL LIABILITY EACH OCCURRENCE $
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GENERAL AGGREGATE $
~'~ AGG~nE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $
POLICY ~~gT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Eaaccidenl)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
PROPERTY DAMAGE $
(Per accident)
~-:GE LIABILITY AUTO ONLY - EAACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
~~SS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
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RETENTION $ $
A WORKERS COMPENSATION AND VVAJZ9D437757010 01101/10 01/01/11 X I, wc STATU- 10J~-
EMPLOYERS' LIABILITY ,1,000 000
ANY PROPRJETORlPARTNERJEXECUTIVE EL EACH ACCIDENT
OFFICERJMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000
If yes, describe under EL DISEASE - POLICY LIMIT $1,000,000
SPECIAL PROVISIONS belOW
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS {VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CLIENT #: 128
COVERS ALL EMPLOYEES OF THE INSURED AS RESPECTS THE EMPLOYERS AGREEMENT (PEO) VVITH
WITT GROUP HOLDINGS, LLC. ALTERNATE EMPLOYER ENDORSEMENT IS INCLUDED.
PROJECT: RENEVVAL OF CONTRACT #06-4056
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
COLLIER COUNTY GOVERNMENT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil ---3.0..- DAYS WRITTEN
COLLIER COUNTY GOVERNMENT CENTER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
PURCHASING DEPT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
3301 TAMIAMI TRAIL EAST REPRESENTATIVES.
NAPLES, FL 34112 AUTHORIZED REPRES1?TATIVE
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ACORD 25 (2001/08) 1 of 2
#S461752/M444607
SPU
o ACORD CORPORATION 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 Of producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-8 (2001/08) 2 of 2
#S461752/M444607