#11-5673 (TAG Grinding, Inc.)
Request for Legal Services
OFfiCE OF ]1-lE '
Purchasing D~<<nm~ ATIuRNEY
3327 Tamiarm.r'f~~-east I
Naples, Florida 3411f, J. ~~~ \\: 30
Telephone: (i~l25MOOJLH t-\ll
FAX: (239) 252-6592 -\--
Email: BrendaReaves@collierqov.net l})~"
WWWOOllierQOVneu~.~ ~.d
DATE RECEIVED: ~ y::> \ ~ ~ \;.,..."
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Purdlasing
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ITEM NO.: I ~ . ~)r2G" D\q~i
FILE NO.:
ROUTED TO:
DO NOT WRITE ABOVE THIS LINE
Date:
June 2, 2011
From:
Scott Teach
Depu y County Attorney
Brenda Reaves ~ontract/PurchaSing Technician - For Nicole Parker
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To:
Subject:
Solicitation # 11-5673 "Disaster Debris Removal & Disposal Services"
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The County is in the process of executing this contract WiC9 Grinding~.IV ":) -(\ \ ~r
BACKGROUND OF REQUEST: -- ~ ~~ -~~~Jt
This contract was approved by the BCC on May 24, 2011 Agenda Itel. # 1 OH ~ ~L)\~rR( ,
This contract was not previously been reviewed by County Attorney CcYTf(~
ACTION REQUESTED:
Contract approval.
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OTHER COMMENTS:
Please forward to BCC for signature after approval. If there are any questions concerning the document, please
contact me at the telephone number or email address above. Purchasing would appreciate notification when the
documents exit your office, along with a copy of the completed RLS.
Please contact Brenda Reaves x6020 when review is complete.
Thank you,
G/ Acquisitions/AgentF ormsand Letters/RiskMgmtReviewoflnsu rance4/15/201 0/16/09
A G R E E MEN T #11-5673
for
Disaster Debris Removal and Disposal Services
THIS AGREEMENT, made and entered into on this ~ If day of /J1~ 2011, by and
between TAG Grinding Services, Inc., authorized to do business In th State of Flonda,
whose business address is 1113 Horseshoe Bend Road, Dadeville, AL. 36853, hereinafter
called the "Contractor" and Collier County, a political subdivision of the State of Florida,
Collier County, Naples, hereinafter called the "County":
WIT N E SSE T H:
1. COMMENCEMENT. The contract shall be for an initial two (2) year period,
commencing on May 24, 2011 and terminating on May 23, 2013 with two (2) additional
one (1) year renewals under all of the same terms and conditions contained in this
Agreement.
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 Disaster Debris Removal and
Disposal in accordance with the terms and conditions of RFP #11-5673 and the
Contractor's proposal referred to herein and made an integral part of this agreement.
This Agreement contains the entire understanding between the parties and any
modifications to this Agreement shall be mutually agreed upon in writing by the
Contractor and the County project manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. THE CONTRACT SUM. The County shall pay the Contractor for the performance of
this Agreement the aggregate of the units actually ordered and furnished at the prices
identified in Appendix A "Rate Schedule", together with the cost of any other
negotiated charges/ fees for a specific event. The definition of "event" shall include, but
not be limited to: hurricanes, floods, windstorms, tornadoes, chemical and hazardous
waste spills, or any other natural or man-made disasters which prompt the use of this
Agreement. Any county agency may purchase products and services under this
contract, provided sufficient funds are included in their budget(s). Payment will be
made upon receipt of a proper invoice and upon approval by the Solid Waste Director
or his designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the
"Local Government Prompt Payment Act" .
Page 1 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.
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:
TAG Grinding, Inc.
1113 Horseshoe Bend Road
Dadeville, AL. 36853
Jerry Brooks, CFO
Telephone: (256)825-4400
Facsimile: (256)825-4100
Email: Charlene@taggrinding.com
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
3327 Tamiami Trail, East
Naples, Florida 34112
Attention: Steve Carnell, Purchasing/ GS Director
Telephone: 239-252-8371
Facsimile: 239-252-6584
The Contractor and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
6. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating
a partnership between the County and the Contractor or to constitute the Contractor as
an agent of the County.
7. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.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
payment of any and all taxes levied on the Contractor. In addition, the Contractor shall
Page 2 of8
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 Liability: Coverage shall have minimum limits of
$5,000,000.00 Per Occurrence, Combined Single Limit for Bodily Injury Liability
and Property Damage Liability. This shall include Premises and Operations;
Independent Contractors; Products and Completed Operations and Contractual
Liability .
B. Business Auto Liability: Coverage shall have minimum limits of $2,000,000.00
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include: Owned Vehicles, Hired and Non-Owned
Vehicles and Employee Non-Ownership.
C. Workers' Compensation: Insurance covering all employees meeting Statutory
Limits in compliance with the applicable state and federal laws.
The coverage must include Employers' Liability with a minimum limit of
$1,000,000.00 for each accident.
Page 3 of8
D. Pollution Insurance: is required for the Contractor. The Contract shall maintain:
1. Pollution and Remediation Liability Insurance including the cost of defense
during the term of this Agreement and for a period of five (5) years following
the completion of the Project as outlined in this Agreement. Such coverage
shall apply specifically to the contracting services / scope of work as outlined
in this Agreement and shall include, but not be limited to Pollution Legal
Liability (legal liability arising out of the discharge, dispersal, release, seepage,
migration or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic
chemicals, liquids or gasses, hazardous materials, waste materials or other
irritants, contaminates or pollutants into or upon land, the atmosphere or any
watercourse or body of water including ground water at under or emanating
from the project).
2. Remediation Legal Liability / Expense (expenses incurred for or in connection
to the investigation, monitoring, removal, disposal, treatment or neutralization
of a condition arising from the discharge, dispersal, release, seepage, migration
or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic chemicals, liquids
or gasses, hazardous materials, waste materials or other irritants, contaminates
or pollutants into or upon land, the atmosphere or any watercourse or body of
water including ground water at under or emanating from the project, as well
as the cost to repair or replace real, or personal property damaged during the
course of Remediation Expense in order to restore the property to the
condition it was in prior to the Remediation Expense to the extent required by
Federal, State, Local or Provincial laws, regulations or statutes or any
subsequent amendments thereof).
3. Transportation Legal Liability / Expense - Pollution Legal Liability or
Remediation Legal Liability / Expense arising out of the movement by the
Contract of product or waste of the Owner to its final delivery point specified
under this Agreement.
Each Occurrence
$2,000,000.00 Per Occurrence
E. Other Insurance Requirements: Watercraft, Maritime Coverage (Jones Act),
United States Longshoreman's and Harborworker's Act coverage shall be
maintained where applicable to the completion of the work.
$ 2,000,000.00 Per Occurrence
F. Subcontractor's Insurance: Subcontractors shall be required to maintain
Commercial General Liability insurance with minimum limits of $500,000.00;
Workers Compensation as per Statutory Limits of Florida Statutes, Chapter 440
and all Federal Government Statutory Limits and Requirements; and Automobile
Liability Insurance with minimum limits of $500,000.00. The Contractor shall
Page 4 of8
provide the County Subcontractors' certificate of insurance meeting the required
insurance provisions upon request.
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 Solid Waste 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, Performance and Payment
Bonds, RFP #11-5673 Specifications/Scope of Services and Addendum/Addenda,
Appendix A "Rate Schedule".
Page 5 of8
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
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
Page 6 of8
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.
23. KEY PERSONNEIjPROTECT STAFFING: The Consultant'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. The Consultant
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. The Consultant shall not change the Project Manager
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. The Consultant 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.
24. ORDER OF PRECEDENCE. In the event of any conflict between or among the terms of
any of the Contract Documents, the terms of the Agreement shall take precedence over
the terms of the RFP and Consultant's response Proposal.
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.
Page 7 of8
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SCOTT R. TEACH
Print Name
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
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TAG GRINDING SERVICES, INC.
Contractor
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Page 8 of8
Agreement #11-5673
For
Disaster Debris Removal and Disposal Services
Appendix A
Rate Schedule as per attached
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Hourlv Cost Proposal for Personnel and Eauipment
I Eauipment/Description
I
Hourly Rate
IJD 544 Wheel Loader w/Debris Grapple $75.00
JD 644 Wheel Loader w/Debris Grapple $85.00
Extendaboom Forklift wI Debris Grapple $65.00
753 Bobcat Skid Steer Loader w/Debris Grapple $55.00 --
753 Bobcat Skid Steer Loader w/Bucket $55.00
753 Bobcat Skid Steer Loader w/Street Broom $50.00
30-50 HP Farm Tractor wI Box Blade or Rake $55.00
~______"H_'_"~____"____
2 to 2-1/2 CY Articulated Loader w/Bucket $75.00
3-4 CY Articulated Loader wI Bucket $85.00
~ 648E Log Skidder or Equivalent $125.00
Cat 04 Dozer $110.00
Cat 05 Dozer $130.00
Cat 06 Dozer $170.00
I
Cat 07 Dozer $185.00 I
I
J
ICat 08 Dozer $195.00
Cat 125-140 Motor Grader $150.00
ID 690 Track Hoe w/Debris Grapple $115.00
JD 310 Rubber Tired Excavator wI Debris Grapple $70.00
--."
210 Prentiss Knuckleboom w/Debris Grapple $70.00
Cat 623 Self-Loader Scraper $250.00
Hand Fed Debris Chipper $55.00
-.._----
300 to 400 HP Grinder $250.00
1800 to 1000 HP Grinder $550.00
130 Ton Crane $175.00
I
50 Ton Crane $250.00
.~.-
100 Ton Crane (8 Hour Minimum) $1000.00
--"-- f----.--
40' to 60' Bucket Truck w/Current Dielectric Test $130.00
,----.- $175.00
60' or Greater Bucket Truck w Current Dielectric Test
Fuel and/or Service Truck $65.00
---.....-
Water Truck 2000 Gallon Capacity $65.00
Portable Ught Plant $40.00
~Oy Trailer w/Tractor $110.00
ed Truck $65.00 i
Pick-Up Truck (Unmanned) $35.00 l
Self-loading Dump Truck w/Debris Grapple $125.00 i
i
,
Single axle Dump Truck 5 to 12 CY Capacity $45.00
Tandem Axle Dump Truck 16 to 20 CY Capacity $55.00
Tandem Axle Dump Truck 21 to 30 CY Capacity $65.00
.-.--.---....----. ......--...-
Tandem Axle Dump Truck 31 to 50 CY Capacity $85.00
Tandem Axle Dump Truck 51 to 80 CY Capacity I $95.00
Power Screen I $125.00
I
i $35.00
Stacking Conveyor I
Chain Saw $12.00
Air Curtain Incinerator Self-Contained $135.00
- -- -----_.,-----~,_._,-,."-,,-,
Temporary Office Trailer $125.00
,,,
Emergency Response Trailer 20' $90.00
Emergency Response Trailer 36' $130.00
Mobile Command Center $250.00 I
i
Personnel
ject Manager w/Truck and Communications
Crew Foreman w/Truck and Communications
Skilled Saw Man w/References
Laborer w/Hand Tools
Flag Personnel
.....------.---
Climber w/Gear
$85.00
$65.00
$35.00
$30.00
$30.00
$125.00
~
A~D. CERTIFICATE OF LIABILITY INSURANCE DA~=~-'~
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 CERnFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BElWEEN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERnFICATE HOLDER.
IMPORTANT: If the c:ertlfic:ate holder Is an ADDITIONAL INSURED, the poIlc:y(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the tenns and conditions of the policy. certain poIlc:1es may require an endorsement A statement on this certificate dOes not confer rights to the
certificate holder In lieu of such endOnleme s.
PRODUCER
HawkIns & Rawlinson. Inc.
P.O. Box 3493
2515 East Glenn Ave, Ste101
Auburn, AL 36831.3493
Chuck Hawkins
OP 10: TT
TAG Grinding ServiceS,lne.
JWB Leasing Co., Inc.
1113 Horseshoe Bend Road
Dadeville, AL 36853
NO. 334-821-5801
INSURED
NAIC .
12157
INS!NIl 8:
INSURIR C ;
INS!NIl D;
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 ='
~1: TYPE OFIN8URAIICE POLICY ~ ~ LMl8
GENERAL UMILllY &URRENCE s
r---
r--- COMMERCIAl GENERAL Ul\81L1lY S
f-- ~ cLAJMS.MAOE D OCCUR MEO EXP (Any one penonl S
r--- PERSOIW. & ACN INJURY S
r--- GENERAl. AGGREGATE S
~'L AGGREnE LIMIT APf=lS PER: PRODUCTS - COMPIOP AGG S
POLICY ':.P;: !DC S
AUTCII08ILE L1A1IILI1Y COMBINED SINGLE LIMIT S
- (Ea acckIIInI)
- AIlV AUTO 8001I. V INJURV (Per perIlIf1)
S
- ALL OWNED AUTOS 80DIl V INJURY (Par accidenl) S
- SCHEDUlED AUTOS PROPERTY DAMAGE
HIRED AUTOS (Per accidenl) S
-
NON-OWNEO AUTOS S
-
S
UIIMELLA LIA8 H OCCUR EACH OCCURRENCE S
-
EXCESS LIA8 CLAlMS-MAOE AGGREGATE S
- DEDUCTIBLE S
RETENTION S S
WORKERS COMPENSA11ON X WCSTATIJ.. 1 IOl:-
AND EMPLOYERS' UAIILIlY
A VIM ~WC3070514 08 03 07/27MO 07/27/11 1,ooo,OOC
AH'f PROPRIETORJPAImlERJEXECUTNE 0 NIA E.L EACH ACCIDENT S
OFFICERIMEMBER EXCLUDED?
(...-., In NHI E.L DISEASE - EA EMPlOYEE S 1,000,00(
grssCRl~ ogrrOPERATlONS below E.L. DISEASE - POLICY LIMIT S 1,000,00(
DESCRIPnON OF OPIiRAllClNS I LOCA11ONS I VEHICLES (~ACORD 101. _.. 1lanwIIa",-"" If..... _I. ......._1
Grinding 1 Covered states are Georgia, Alabama, Texas and Florida
CERTIFICATE NUMBER-
F:
COVERAGES
REVISION NUMBER'
CERTIFICATE HOLDER
CANCELLATION
COLNA01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DElIVERED IN
Collier County Government ACCORDANCE WITH THE POLICY PROVISIONS.
Center Purchasing Department AUTHORIZED ItEPRElI&NTA11VE
3327 Tamiami TraU, East ?p~
Naples, FL 34112
I
ACORD 25 (2009109.
e 1988-2009 ACORD CORPORA nON. All rights nlServed.
The ACORD name and logo are registered marks of ACORD
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
6/13/2011
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: If the 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 ~~~~~'" Rachel Bulloch
J Smith Lanier & Co of Newnan r1JgN~o Extl: 770 683-1048 I r~, No): 770683-1010
P. O. Box 71429 ~~DA~~sS: rbulloch@jsmithlanier.com
Newnan, GA 30271-1429 c~~~~~~~ ID #:
770 683-1000 IN5URER(S) AFFORDING COVERAGE NAIC#
INSURED INSURER A: Employers Mutual Casualty Compa 21415
TAG Grinding Services, Inc. INSURER B : Great American Insurance Compan 16691
J W B Leasing Co., Inc. INSURER C : Indian Harbor Ins. Co. 36940
1113 Horseshoe Bend Rd.
INSURER D :
Dadeville, AL 36853 INSURER E :
INSURER F :
Client#. 67108
50TAGGRINDIN
COVERAGES
CERTIFICATE NUMBER:
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~T~t TYPE OF INSURANCE "DuL FSuBR Ir~~)g6/~\ Ir~~)g6/~\ LIMITS
~""R WvD POLICY NUMBER
A GENERAL LIABILITY 3K74918 ~7/27/2010 07/27/2011 EACH OCCURRENCE $1 000.000
f--
~ (FL Only) DAMAGE 19tENTED $100,000
OMERCIAL GENERAL LIABILITY PREMISES Ea occurrence)
f-- CLAIMS-MADE [!] OCCUR MED EXP (Anyone person) $5,000
~ PD Ded: 500 PERSONAL & ADV INJURY $1,000,000
I-- GENERAL AGGREGATE $2,000,000
n'L AGGRE~E LIMIT APns PER: PRODUCTS - COMP/OP AGG $2,000,000
POLICY X ~~p.;: LOC $
A AUTOMOBILE LIABILITY 3E74918 07/27/2010 07/27/2011 COMBINED SINGLE LIMIT $1 000000
I--- (Ea accident)
X ANY AUTO
I--- BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
I---
SCHEDULED AUTOS PROPERTY DAMAGE
I--- $
~ HIRED AUTOS (Per accident)
X NON-OWNED AUTOS $
-
$
B ~ UMBRELLA L1AB ~ OCCUR SUB019398800 ~8/09/20 10 08/09/2011 EACH OCCURRENCE $4 000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $4 000,000
I--- DEDUCTIBLE $
X RETENTION $ 10.000 $
WORKERS COMPENSATION 1~~o~~~T.Y;" I l~rH-
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVED E,L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E,L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E,L. DISEASE - POLICY LIMIT $
C Equipment Floater UM00000165MA 1 OA 07/27/2010 07/27/2011 Limit Per Policy
C Leased/Rented Eao UM00000165MA 1 OA 07/27/2010 07/27/2011 $100,0001 $5,000 Ded
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Coverage's Continued:
Pollution Liability - Carrier: American Safety Indemnity Company
(See Attached Descriptions)
CERTIFICATE HOLDER
CANCELLATION
Collier County Government Center
Purchasing Department
3327 Tamiami Trail, East
Naples, FL 34112
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
@19 .
ACORD 25 (2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD
#S1222315/M1221720
HXS
I)ESCRIPTIONS (Continued from Page 1)
Effective 06/10/11 - 06/10/12
$2,000,000 Each Occ/$2,000,000 Aggregate
$25,000 Deductible
Collier County Government is named as additional insured as respects to the general liability policy when
required by written contract, subject to all policy terms, conditions, limitations, and exclusions.
AMS 25.3 (2009/09) 2 of 2
#S1222315/M1221720