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#10-5442 (Willis of Florida, Inc.) MEMORANDUM Date: January 24, 2011 To: Lyn Wood, Contract Specialist Purchasing Department From: Martha Vergara, Deputy Clerk Minutes and Records Department Re: Contract #10-5442 "Group Insurance Brokerage Actuarial Services" Contractor: Willis of Florida, Inc. Attached one Original of the Contract, referenced above (Item #16E2) approved by the Board of County Commissioners on December 14,2010. One original has been kept by the Minutes and Records Department to be kept as part of the Boards Official Records. If you should have any questions please contact me at 252-7240. Thank you. ITEM NO.: \ \ - v\lC..-()\JC\~ DATE RECEIVED: -0 ......",.,. Ur ! rit ~ \{"'I)"I'l' \1 ATT"n~JC\i Cclf'-dr ~j, i\' '. 1\1i"'C: ., '" 20 I\~.J .::;0 Ad. '",,~.....C'_..~ l"'l.J.~\' 1-\;1 ITlI. fli:>Ucmvv: .;:)I;;l1V'ces Ul\l'~l '... Pu<d1_ . 1)W- '\1..\..\. FILE NO.: ROUTED TO: r,.) DO NOT WRITE ABOVE THIS UN ~ cp C: ..-: Se- \ D 0- \ !ILJ \ 11 Jeff Klatzkow \ ~ County Attorney's Office "--- rID U/ III I Lyn M. Wood, CP.M, Contract Specialist J~ eAYl ~ Solicitation # 10-5442 "Group Insurance Brokerage Actuarial Services" P u .. I .!l ~'IJv----- Contractor: Willis of Florida, Inc. W ,-' - tJytJ U,Nt ~ ~ tA. ~1 This contract was approved by the BCC on December 14, 2010; agenda item 16.E.2~ vt/l ~ { This item has not been previously SUb;~. -R _ :::J ?O ~_~ ~~~t~ ACTION REQUESTED: 1,!r"J.--' _ / ( <r ,- fW\,..... ' Contract review and approval. I It I / ~ It 1,(-0. J"""'" Y \b . .J ~ \ OTHER COMMENTS: +-" 1:)1> VV-Ir' 't ~ Please forward to BCC for signature after approval., If there are any questions concerning the do~cm nt, please contact me at the telephone number or email address above. Purchasing would appreciate notification when the documents exit your ::o~< ~? ~\l j '\ A 1\ _~~, J ~ Jeff Walker, Risk Mgmt r \ lJ\.Jl';'" I', I' ~ \ \'l<l " \ \ '1..4; It {;.v\ ~ 1- D '/ Sp.-1 ~ ~13~./", G/Aoq"i'i\iO",/A9'";17~r+.kMgmtR"i""f1"'";T~9 Request for Legal Services Date: 12/23/10 To: From: Re: BACKGROUND OF REQUEST: Entity Name: RLS # J I - f ~C- CHECKLIST FOR REVIEWING CONTRACTS W;U,'5 of FtOf'I~~ o I 79~ -~ J-v"C - I Entity name correct on contract? Entity registered with FL Sec. of State? -"--Yes -L Yes No No Insurance Insurance Certificate attached? Insured registered in Florida? Contract # &lor Project referenced on Certificate? Certificate Holder name correct (BCC)? Commercial General Liability General Aggregate Required $ I M \ L Products/CompVOp Required $' lw\ \ L Personal & Advert Required $ ~ ~ I P'r Each Occurrence Required $ J M, L.- Fire/Prop Damage Required $ tJ I f'\ Automobile Liability Bodily Inj & Prop Required $ Workers Compensation Each accident Required $ \ M \ L- Disease Aggregate Required $ tJ J f\. Disease Each Empl Required $ V J pr- Umbrella Liability Each Occurrence Provided $ tJo,.J E. Exp Date Aggregate Provided $ ""0,J €- Exp Date Does Umbrella sufficiently cover any underinsured portion? ,.J -/f!L- Y es Professional Liability Each Occurrence Required $ I t-\. I \.- Provided $ tJ "tJ f- Exp. Date Per Aggregate Required $ :J I ~ Provided $ Exp. Date Other Insurance / / Each Occur *Type: E ~ 0 Required $ N 0 Provided $ .5 MIL Exp Date 7 (3 Cl II '/f t'J o\" -J A \... I 0 1\S C E- (~_:\ \ ~ I C. A- "\ E.. N 0'\ A rr A <: I~ E..D County required to be named as additional insured? _ Yes _No County named as additional insured? _ Yes _No ..., Provided $ .., Provided $ Provided $ Provided $ Provided $ I , I M lL- 'c # I Yes No ~Yes No ~ ~z,e~/ i:: ..i.~~ ~ t-\ \l.- Exp. Date 1/, I H ~ \L Exp.Date~1 H \ L- Exp. Date ~( Exp. Date 7 I' ,I', Exp. Date Exp Date 7/, /11 J II (t( 7/t /t/ 7( .'1'1 1"\1'- Provided $ J t1. \ l- Provided $ Provided $ Provided $ 10.\1.- /MIL I t-A-IL Exp Date Exp Date Exp Date No 6~ ~ Indemnification Does indemnification meet County standards? Is County indemnifying other party? ./' Yes Yes No ~No Performance Bond Bond requirement referenced in contract? Ifattached, expiration date of bond Does dollar amount match contract? Agent registered in Florida? Yes /No ,J, h Yes ~Yes No No 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? ~ Yes Yes fYes Yes No No No No .../ Yes -:: Yes Yes No No No Attachments Are all required attachments included? /Yes No Reviewer Initials: ;::"C Date: 1- i f"-I ( 04-COA-OJ 030/222 , Co~ Cmmty Adninistrative SeMces Division Purcha$ing Purchasing Department 3327 Tamiami Trail East Naples, Florida 34112 Telephone: {239} 252-2667 FAX: {239} 252-6593 Email: LynWood@collierqov.net www.collierQov.netlpurchasi nq Memorandum Subject: Solicitation # 10-5442 "Group Insurance Brokerage Actuarial Services" Date: 12/23/10 G,.-, ,) . J>;- i~ '-.-' t ---d From: Lyn M. Wood, C.P.M, Contract Specialist To: Ray Carter, Risk Manager This Contract was approved by the BCC on December 14,2010, agenda item 16.E.2 The County is in the process of executing this contract with Willis of Florida, Inc. The insurance requirements are on pages 3 & 4. Please review the Insurance Certificate{s) for the referenced Contract. · If the insurance is not in order. please contact the vendorlinsurance company to obtain a proper certificate. Once you receive the proper certificate{s), please acknowledge your approval and send to the County Attorney's office via the attached Request for Legal Services. · If the insurance is in order. please acknowledge your approval and send to the County Attorney's office via the attached Request for Legal Services. If you have any questions, please contact me at the above referenced information. In 1<1 ~ RECE:IVED DEe 2 8 2010 C: Jeff Walker, Risk Mgmt. '1/8K MANAGEMENT (Please route to County Attorney via attached Request for Legal Services) G/ Acquisitions/AgentF ormsandLetters/RiskMgmtReviewoflnsu rance4/15/201 0/16/09 MausenGeorgina From: Sent: To: Cc: Subject: CarterRaymond Tuesday, January 11, 2011 1: 11 PM WoodLyn MausenGeorgina; HerreraSandra; Walker Jeff Contract 10-5442 "Group Insurance Brokerage Actuarial Services" All, I have approved the certificate(s) of insurance provided by Willis of Florida, Inc. for contract 10-5442. The contract will now be forwarded to the county attorney's office for their review. Thank you, Ray 7la.g. Cah.teJr. Manager Risk Finance Collier County Board of County Commissioners 3301 East Tamiami Trail Naples, FL 34112 Office 239-252-8839 Mobile 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. 1 CERTIFICATE OF THE SECRETARY OF WILLIS OF FLORIDA, INC. I, Holly Gay Murphy, hereby do certify that I am the duly appointed and qualified Secretary and the keeper of the records of Willis of Florida, Inc., (the "Corporation"), a corporation organized and existing under the laws of the State of Florida. I further certify that Mike Meredith is a duly elected and qualified Executive Vice President of the Corporation. In that capacity he is authorized to submit proposals and execute contracts of the Corporation on behalf of the Corporation, and such execution of any such contract or obligation in the Corporation's name on its behalf by Mike Meredith shall be binding upon the Corporation. I further certify that Willis of Florida, Inc. does not have a corporate seal and that a signature without seal is sufficient to bind the Corporation. IN WITNESS WHEREOF, I have hereunto S~~i~O. STATE OF TENNESSEE ) COUNTY OF DAVIDSON) Before the undersigned, a Notary Public in and for the County and State aforesaid, personally appeared HOLLY GAY MURPHY, with whom I am personally acquainted, who acknowledged that she is the duly qualified Secretary of Willis of Florida, Inc., and who further acknowledged that she executed the foregoing instrument for the purposes therein contained. Witness my hand and s::!:ter~~y 1Z;'er 2010 ~rsey ~\\\"""""'1. My Commission Expires: / (,...7,r:J.O( ~ ,,~ ~ ,. K€Ji ~''- ( ( ~ ~c:.. ~~ ~ $"l' STATE ~ ~ ... I OF .,. ~ {TENNESSEE E : .. NOTARY :: ;. <' .... PUBLIC. ~ ~ , ";td .. .., ..., '0. "'- ...... ~ ~ ""1 {). ~ ON CO \ ", I, !'fI"\\\\ www.sunbiz.org - Departme' f State Page 1 of3 Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return To List IEntity Name Search Submit I Events Name HistolV Detail by Entity Name Florida Profit Corporation WILLIS OF FLORIDA, INC. Filing Information Document Number P94000092852 FEI/EIN Number 650544419 Date Filed 12/23/1994 State FL Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 01/02/2009 Event Effective Date NONE Principal Address 3000 BAY PORT DRIVE, STE 300 TAMPA FL 33607 US Changed 04/09/2010 Mailing Address ATTN: HOLLY MURPHY 26 CENTURY BLVD. NASHVILLE TN 37214 US Changed 04/09/2010 Registered Agent Name & Address C T CORPORATION SYSTEM C/O C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION FL 33324 US Name Changed: 10/02/2008 Address Changed: 10/02/2008 Officer/Director Detail Name & Address Title T MOONEY, C. W 26 CENTURY BLVD. NASHVILLE TN 37214 US Title S MURPHY, HOLLY G http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inCL doc _ number=P940000928... 12/3/2010 www.sunbiz.org - Departme" f State Page 2 of3 26 CENTURY BLVD. NASHVILLE TN 37214 US Title D ROSMAN, ADAM ONE WORLD FINANCIAL CENTER, 200 LIBERTY ST NEW YORK NY 10281 US Title P DUNN, JAMES W 3000 BAY PORT DR, STE 300 TAMPA FL 33607 US Annual Reports Report Year Filed Date 2008 04/21/2008 2009 04/29/2009 2010 04/09/2010 Document Images 04/09/2010 -- ANNUAL REPORT 04/29/2009 -- ANNUAL REPORT 01/02/2009 -- Name Chanqe 10/02/2008 -- Reo. Aoent Chanqe 04/21/2008 -- ANNUAL REPORT 06/11/2007 -- ANNUAL REPORT 01/26/2006 -- ANNUAL REPORT 06/28/2005 -- Merqer 06/20/2005 -- Name Chanqe 06/16/2005 -- ANNUAL REPORT 05/03/2004 -- ANNUAL REPORT 02/25/2003 -- ANNUAL REPORT 02/04/2002 -- ANNUAL REPORT 04/30/2001 -- ANNUAL REPORT 02/20/2000 -- ANNUAL REPORT 09/10/1999 -- Name Chanqe 06/15/1999 -- Req. Aqent Chanqe 03/16/1999 -- ANNUAL REPORT 02/06/1998 -- ANNUAL REPORT 05/05/1997 -- ANNUAL REPORT 04/19/1996 -- ANNUAL REPORT View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Events Name History Return To List IEntity Name Search http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inCL doc _ number=P940000928... 12/3/2010 www.sunbiz.org - Departme' f State Page 3 of3 I Home I Contact us I Document Searches I E-Filinq Services I Forms I Help I Copyriqht@ and Privacy Policies State of Florida, Department of State http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inCL doc _ number=P940000928... 12/3/2010 A G R E E MEN T No. 10-5442 For Group Insurance Brokerage and Actuarial Services THIS AGREEMENT, made and entered into on this ~ day of i)~~ b<t.v 2010 by and between Willis of Florida Inc., authorized to do business in the State of Florida, whose business address is 3000 Courtney Campbell Causeway, Suite 300, Tampa, FL 33607 hereinafter called the "Consultant" and Collier County, a political subdivision of the State of Florida, Collier County, Naples, hereinafter called the "County": WITNESSETH: 1. COMMENCEMENT. This Agreement shall commence after receipt of the Notice to Proceed, in the form of a letter from the Contract Manager. The Contract shall be for a three (3) year period, commencing on January 1, 2011 and terminating on December 31, 2013. 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 two (2) additional one (1) year periods. The County shall give the Consultant written notice of the County's intention to renew 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 furnish Group Insurance Brokerage and Actuarial Study services in accordance with the terms and conditions of RFP #10- 5442, "Group Insurance Brokerage and Actuarial Services" and the Consultant's proposal incorporated herein by reference and made an integral part of this agreement. Exhibit A, attached hereto and made an integral part hereof, includes, but is not limited to, the Scope of Services to be provided by Consultant. 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. THE CONTRACT SUM. The County shall pay the Consultant for the performance of this Agreement in accordance with Exhibit B, Cost Proposal, attached hereto and made an integral part of this agreement. Payments shall be made to the Consultant not more frequently than once per month. Payment will be made upon receipt of a proper invoice and in compliance with Chapter 218 Florida Statutes, otherwise known as the "Local Government Prompt Payment Act". Commissions paid to the Consultant for any voluntary or 100% employee-paid benefits will be paid by the insurance carrier. 4. 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: Michael R. Meredith, Executive Vice-President Willis of Florida, Inc. 720-5th Avenue South, Suite 203 Naples, FL 34102 Facsimile: 239-262-5338 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 3327 Tamiami Trail, East Naples, Florida 34112 Attention: Steve Carnell Telephone: 239-252-8371 Facsimile: 239-252-6584 The Consultant and the County may change the above mailing address and/ or fax numbers at any time upon giving the other party written notification. All notices under this Service Agreement must be in writing. 5. 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. 6. 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 Con. 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. 7. 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 2 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. 8. 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. 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 immediately for cause; further the County may terminate this Agreement for convenience with a seven (7) 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 $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. 3 The coverage must include Employers' Liability with a mlmmum limit of $1,000,000 for each accident. D. Professional Liability Insurance: The Consultant shall maintain Insurance to insure it's legal liability for claims arising out of the performance of professional services under this Agreement. Coverage shall have minimum limits of $1,000,000 Per Occurrence. Special Requirements: Collier County 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 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. 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 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 Risk Management 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 4 verbatim: Exhibit A, Cost Proposal; Insurance Certificate; Consultant's Proposal; and RFP #10-5442, "Group Insurance Brokerage and Actuarial 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. 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. 18. 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. 19. 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. 20. 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. 21. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between the partiesl 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 5 or state courts in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters. 22. KEY PERSONNEuPROTECT STAFFING: The proposerl 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 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, respectivelYI by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. ATTEST: , " Dwight ~,.BtOck: Clerk of Courts BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: ~W'7 Fred W. Coyle, Chairman . Willis of Tennessee, Inc., d/b/ a Willis of Florida By:'11tJq 1nwd1lJ1 Signature \L-I'I'S t""f\ "Q{"~b (~ So Type/ print witness name ~f:Lj" Second Witness L, >'\; ~ 'M~dl"c-P;+k F-'l-e ~ , \iP Typed signature and title S ,\S. Lu; L'" ';(J Type/ print witness nam 6 Approved as to form and legal sufficiency: ~& IZL~L Deputy County Attorney S; V6 tl- f< ktL~ ~ Print Name 7 Exhibit A SCOPE OF SERVICES Services Strategic Planning · Assist in defining and prioritizing strategic health & welfare plan objectives · Assist in the evaluation of internal technical capabilities to determine increased/improved applications for administrative processes · Identify underperforming vendor relationship · Assess carrier/vendor customer service levels · Develop project action timelines · Periodic review of employee demographics · Assist in the development of an employee survey. Conduct survey and provide an executive summary detailing results · Discuss relevant benchmarking data · Strategic guidance and direction on the overall structure and approach pertaining to: o Exploration of Narrow network o Accountable Care Organizations o Integrated medical records Financial Analysis · Perform financial review and analysis of experience reports · Assess current funding arrangements for appropriateness and make recommendations as needed · Evaluate current costs of benefits versus effectiveness of plan design · Review managed care expense and administrative service fees (where applicable) · Analyze utilization data and cost containment results of medical management · Forecast projected benefit costs to include maximum exposure · Evaluate excess loss coverage · Prepare experience reviews as directed · Assist in developing appropriate employee contributions levels · Perform trend analysis from available diagnostic and normative data Actuarial Services · Provide limited actuarial services, including projecting funding needs for upcoming fiscal year · Complete FAS 106 filing 8 Services Renewal · Analyze and negotiate renewals with vendors · Review vendor renewal methodology, experience data, and assumptions for accuracy and logic · Compare vendor renewal with Willis projections · Develop and present alternative plan designs and provisions with associated financial and member impact analysis · Finalize program design, rates, and fees · Prepare an accurate renewal document with recommendations for delivery to senior management (as needed) Marketing · Develop plan specification based on feedback from strategic planning meeting · Jointly determine list of vendors best suited to meet plan goals and objectives · Develop vendor performance guarantees with monetary penalties as necessary · Assist in the review of current electronic data transfer processes with vendors · Perform pre-marketing evaluation of census data, network service areas, and administrative needs · Evaluate carrier client support services · Evaluate vendor financial ratings and accreditation · Review provider network accessibility/employee match · Perform critical analysis and comparison of plan features and costs · Assist in the scheduling of selected finalist site visits · Assist in conducting finalist negotiations · Prepare and submit a summary report with recommendations to management · Assist in the notification of all bidders as to the final outcome Services Annual Enrollment · Assist in the planning of employee meetings, round tables, and health seminars · Provide guidance on delivering a comprehensive communication strategy · Introduce workable technology solutions for communications and enrollment where appropriate · Coordinate vendor sponsored communication material · Call Center Administration Compliance · Provide legislative updates as needed · Provide signature ready Form 5500s · Provide access to ERISA attorne s for re 9 · Review plan documents and summary plan descriptions for regulatory compliance from a non-legal perspective (client would need to retain legal advice) · Provide access to periodic web casts compliance sessions Account Management Services · Serve as a liaison between the client and all insurance companies/vendors · Monitor administrative process and assist in the smooth resolution of elevated issues · Act as an employee/employer advocate in the resolution of ongoing claims issues · Audit, confirm, and manage all changes in legal documents (contracts, policies, SPDs, etc.) · Set and monitor vendor goals and performance and report findings at quarterly meetings · Review plan performance as directed · Review and provide guidance of diagnostic data · Identify and monitor potential catastrophic claims · Review large claims management activity · Review network utilization · Participation and facilitation with Collier County Health Care Consortium Willis Resources and Tools · HR Partner- provide assistance with broad HR structural, administrative, and organizational issues; including, training, HR audit, compensation, etc. · Compliance Manual - provide access via Willis Online and the Internet to Willis Compliance Manual · Provide access for three users to Search Willis knowledge and research system · Provide customized, professionally crafted text and design communication pieces on as needed basis; only printing and shipping costs apply · Provide customized Total Compensation Statement to illustrate to employees the total cost Collier County Board of County Commissioners spends toward their total compensation package. · Design and implement customized company portal for HR and benefits (Communication Manager) Additional Services - Additional Charges May Apply . GASB 45 Valuation . Actuarial Services - special projects . Willis Auditing Services . HR Partner organization-wide compensation studies, special projects . On-Line Enrollment System, Billing Reconciliation 10 Additional Services - Additional Charges May Apply · Willis Training Solutions (may use HR partner hours) · Additional items offered through the Willis Communicator practice (posters, benefit statements, direct mailings, fulfillment, etc) Performance Guarantees Willis of Florida is prepared to offer the following as guarantees for our performance in handling the insurance brokerage and consulting services on the Collier County Board of County Commissioners account: Analysis and Reporting-Willis guarantees that all reports will be provided on a timely basis and will contain data that is helpful to Collier County Board of County Commissioners in managing their Benefit Program. Percentage of Fees at Risk-5% Renewal and Negotiation Process-Willis will negotiate all rates and plans with the vendors/carriers for purposes of providing Collier County Board of County Commissioners with the best possible program for their employees in terms of costs and plan design. Percentage of Fees at Risk-5% Client Management-Willis will work with Collier County Board of County Commissioners to create a benefits program that is competitive in the marketplace, and will provide the necessary support to Collier County Board of County Commissioners for managing the daily activities of the benefit plans. Percentage of Fees at Risk-10% Willis of Florida will consider other alternative service satisfaction measures proposed by Collier County Board of County Commissioners to reflect the 20% of fees at risk. 11 Exhibit B Cost Proposal Agreement No. 10-5442 Group Insurance Brokerage and Actuarial Study The Consultant shall be paid a flat fee as outlined in this cost proposal based upon the work completed. Further, the Consultant shall be permitted to accept a commission on insurance coverage purchased by employees on a voluntary basis. It is understood by the parties that such voluntary purchase does not include the employeel s portion of a core benefit program but shall include any non employer paid benefit as well as the cost to buy additional benefits above the core benefit as provided by the county. The Consultant agrees to disclose the total fees, commissions, and other earnings paid to the Consultant either by the County or by an insurance company or other vendor doing business with the County on an annual basis. This disclosure shall be provided to the County by January 31st of a each year for the most recently completed fiscal year. The County reserves the right to request the disclosure of compensation received by the Consultant at other times as it deems necessary. Failure to provide a disclosure of compensation received may result in the termination of the agreement. Flat Fee for Group Insurance Brokerage and Actuarial Services $94,000.00 per year GASB 45 Analysis $7,500.00 12 ~ ACORD@ CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 I DATE (MM/DD/YYYY) ~ 12/20/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA TIVEL Y OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions ofthe 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). PRODUCER CONTACT NAMF' Willis of New York, Inc. PHONE 877-945-7378 I FAX 888-467-2378 26 Century Blvd. (AIr. N() Fxn (AIr. ..m. P. O. Box 305191 E-MAIL certificates@Wi11is.com Ann"""". Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: See Subsequent Page 00000-004 INSURED INSURER B: Willis North America, Inc. One World Financial Ctr. INSURER C: 200 Liberty Street INSURER D: New York, NY 10281 INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: 15182212 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~i: TYPE OF INSURANCE ~DD'I SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS ~ERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ~~~~~H?E~~~6~~nce ) $ I CLAIMS-MADED OCCUR MED EXP (Anyone person) $ f- PERSONAL & ADV INJURY $ f- GENERAL AGGREGATE $ n'LAGGRErl LIMIT APn PER: PRODUCTS - COMP/OP AGG $ POLICY ~~~,: LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT r- (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ r- ALL OWNED - SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ r- - NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ r- - $ UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ r- EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION I T"A~~Tf'Jg~ I IO~~- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 1~~~~3~~~ib~ ~~~er EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ A FSIL2010.11 7/30/2010 7/30/2011 Errors and Omissions See Coverage Schedule Attached DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) All employees of Willis North America and its subsidiaries are included as Insureds under the Errors & Omissions policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDAN E WITH HE POLICY PROVISIONS. ACORD 25 (2010/05) Co11:3214810 Tp1:1127840 Cert: 212 @1 88-201 0 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks 0 ACORD Collier County Government Purchasing Building 3301 E. Tamiami Trail Naples, FL 34112 WE, THE UNDERSIGNED, HEREBY CERTIFY that the following described insurance is in force at this date: NAME OF ASSURED: Willis Group Holdings Limited and/or all Subsidiary and/or all Associated Companies Worldwide including Willis North America, Inc. ADDRESS OF ASSURED: Cedar House, 41 Cedar Avenue, Hamilton, HMI2, Bermuda with an office at: 200 Liberty Street, New York, NY 10281 KIND OF INSURANCE: Worldwide Brokers and Agents Errors & Omissions Liability Insurance (Claims Made Form) POLICY/COVER NOTE NO.: FSIL2010.11 PERIOD: July 30, 2010 to July 30,2011, both days inclusive AGGREGATE LIMIT OF LIABILITY: US $5,000,000 for the policy period. CARRIER: Various including Lloyd's of London and XL Insurance Company Ltd This document is furnished to you as a matter of information only. The issuance of this document does not make the person or organization to whom it is issued an additional Assured, nor does it modify in any manner the contract of insurance between the Assured and the Underwriters. Any amendment, change or extension of such contract can only be effected by specific endorsement attached thereto. Should the above mentioned contracts of insurance be cancelled, assigned or changed during the above named policy period in such manner as to affect this document no obligation to inform the holder ofthis document is accepted by the undersigned or by the Underwriters. SEVERAL LIABILITY NOTICE: The subscribing insurer's obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-insuring subscriber who, for any reason, does not satisfy all or part of its obligations. NOT VALID UNLESS ATTACHED TO AN ACORD CERTIFICATE FORM AND SIGNED BY TAD OJEKS. L~ << Baccala & Shoop Insurance Services Freberg Environmental, Inc. Global Special Risks, LLC Hilb Rogal & Hobbs Investment Company Hilb Rogal & Hobbs of Atlanta, Inc. Hilb Rogal & Hobbs Services Company HRH Consulting, LLC HRH E&S Services, LLC HRH Investment Advisors, LLC HRH Risk Mitigation, Inc. HRH Securities, LLC Hunt Insurance Group, LLC InsuranceNoodle of Massachusetts, Inc. InsuranceNoodle, Inc. Maclean, Oddy & Associates, Inc. New World E&S, LLC Philadelphia Benefits, LLC Premium Funding Associates, Inc. Queenswood Properties, Inc. SB&T Captive Management Company Smith, Bell & Thompson, Inc. The Managing Agency Group, Inc. Westport Financial Services, LLC Westport HRH, LLC Willis Administrative Services Corporation Willis Americas Administration, Inc. Willis Benefits of Pennsylvania, Inc. Willis Commercial, Inc. Willis Corroon Corporation of Sacramento Willis HRH, Inc. Willis liB, Inc. Willis Insurance Brokerage of Utah, Inc. Willis Insurance Services of Atlanta, Inc. Willis Insurance Services of Califomia, Inc. Willis Insurance Services of Georgia, Inc. Willis Management (Vermont) Ltd. Willis of Alabama, Inc. Willis of Alaska, Inc. Willis of Arizona, Inc. Willis of Colorado, Inc. Willis of Connecticut, LLC Willis of Delaware, Inc. Willis of Florida, Inc. Willis of Greater Kansas, Inc. Willis of Illinois, Inc. Willis of Kansas, Inc. Willis of Louisiana, Inc. Willis of Maryland, Inc. Willis of Massachusetts, Inc. Willis of Michigan, Inc. Willis of Minnesota, Inc. Willis of New Hampshire, Inc. Willis of New Jersey, Inc. Willis of New York, Inc. Willis of North Carolina, Inc. Willis of Northern New England, Inc. Willis of Ohio, Inc. Willis of Oklahoma, Inc. Willis of Oregon, Inc. Willis of Pennsylvania, Inc. Willis of Seattle, Inc. Willis of Tennessee, Inc. Willis of Texas, Inc. Willis of Virginia, Inc. Willis of Wisconsin, Inc. Willis of Wyoming, Inc. Willis Personal Lines, Inc. Willis Programs of Connecticut Willis Re Inc. Willis Securities, Inc. Willis Services LLC ~ ACORD~ CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 I DATE (MMfDDIYYYY) ~ 12/20/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 1ft he certificate holder is an ADDITIONAL INSURED, the pOlicy(ies)must be endorsed. 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). PRODUCER f.?~JACT Willis of New York, Inc. ;.~,?~~ "Yn 877-945-7378 I ;~ ..'" 888-467-2378 26 Century Blvd. P. O. Box 305191 ~;:t~~12c c certificates@Wi11is.com Nashville, TN 37230-5191 INSURER{S)AFFORDING COVERAGE NAIC# INSURER A: National Union Fire Insurance Co. of Pitt 19445-001 INSURED INSURERB: Insurance Company of the State of Pennsyl 19429-001 willis North America, Inc. One World Financial Ctr. INSURER C: New Hampshire Insurance Company 23841-001 200 Liberty Street INSURER D: New York, NY 10281 INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: 15182207 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I,Ni: TYPE OF INSURANCE ~!?,~~ I~~~ POLICY NUMBER POLICY EFF POLICY EXP LIMITS A ~NERAL LIABILITY Y GL4570688 7/1/2010 7/1/2011 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY ~~~~[f,~~9E~~~~~nce \ $ 1 000 000 I CLAIMS-MADEW OCCUR MED EXP (Anyone person) $ 10 000 r1L Contractual Liabi1itv PERSONAL &ADV INJURY $ 1 000 000 f-- GENERAL AGGREGATE $ 5 000 000 ~'L AGGREGA LIMIT APn PER: PRODUCTS - COMPfOP AGG $ 1 000 000 X POLICY ~~?,: LOC $ A AUTOMOBILE LIABILITY CA1469371 7/1/2010 7/1/2011 COMBINED SINGLE LIMIT 1,000,000 - (Ea accident) $ X ANY AUTO BODILY INJURY(Per person) $ - ~ SCHEDULED ALL OWNED BODILY INJURY(Per accident) $ - AUTOS f-- AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE - f-- AUTOS (Per accident) $ $ UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION WC67712388 (CA) 7/1/2010 7/1/2011 X I Wt,;::;IATU- I IUJ~- AND EMPLOYERS' LIABILITY YfN C ANY PROPRIETOR/PARTNER/EXECUTIVE D NfA WC67712387 (AOS) 7/1/2010 7/1/2011 EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? f~~~~g~~:r,i~';, ~~~er EL DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) It is agreed that Collier County Government is included as an Additional Insured as respects to General Liability, where required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDAN E WITH HE POLICY PROVISIONS. ACORD 25 (2010/05) Coll:3214805 Tp1:1114679 Cert: 207 @1 88-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks 0 ACORD Collier County Government Purchasing Building 3301 E. Tamiami Trail Naples, FL 34112