#08-5011 (WO Higgins 2011)
WORK ORDER
Contract # 08-5011
Underground Utility Contracting Services
Dated: August 23, 2011
This Work Order is for General Contractor's Services, subject to the terms and
conditions of the Contract referenced above, for work known as:
Project: Sub-Master PS312.41 Refurbishment -70046
The purpose of the work order is to provide underground utility services related to mechanical and
electrical upgrade for the PS.312.41. In accordance with Terms and Conditions of the Agreement
referenced above this Work Order is assigned to Douglas N. Higgins Inc.
Scope of Work: Replacement of pumps, piping and new generator is required, and the Contractor
will be responsible for bypass pumping as described in the specifications and drawings. The
Contractor is responsible for all required bypassing and shall provide power to pump station
throughout construction.
Task 1- Generals: {Pre and post construction videos,
and record drawings)............ .............................. ......... $ 2,420.00
Task II - Demolition, Relocation and Temporary Facilities.......... $ 23,635.00
Task 111- Mechanical... '" ... ... ...... ... ... ... ... ... ... ......... ... ... ..... $141,855.00
Task IV - Civil... ... ... ... ... ... ... ... ... ... ... ... ...... ... ... ... ... ... ........ $ 18,930.00
Task V - Electrical... ... ... ... ... ... ... ...... ... ... '" ... ... ... .... ... .... ..... $107,550.00
Task VI - Site Restoration..................... .......... '" ........... ..... $ 3,200.00
Task VII - Mobilization/Demobilization... ... ...... ..... ........ ......... ... $ 1,210.00
Total Task I, II, III, IV, V, VI and VII...................................... $298,800.00 Lump Sum
Task VIII - Owner Directed Allowance for Geological or
Corrosion Unforeseen Conditions..................................... $ 44,820.00 Time and Materials
Total Task I, II, III, IV, V, VI, VII and VIII............... $343,620. 00
1iQuidated Damaoes: Per RFQ letter from Collier County and per contract 08-5011.
Sch~dule of Work: The scope of work defined herein will commence upon notice to proceed, and
are estimated to be completed within 240 days after all materials are received.
Compensation: The County will compensate Douglas N. Higgins Inc., an amount not to exceed
$343,620.00 as noted above, and as provide 'n the attached hereto.
PREPARED BY:
l~~ .
Zamira Del Toro, Project Manager
Planning and Project Management Department
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APPROVED BY:
,P.E., rincipal Project Manager
d Project Management Department
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Date
APPROVED BY:
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T m Chmelik, P.E., Director
anning and Project Management Department
APPROVED BY:
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Date
Steve Nagy. Collections Manager - WW Department
APPROVED BY:
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Date
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Date
APPROVED BY:
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Steve Messner, Wastewater Department Director
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Date
REVIEWED BY:
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Nicole Parker, Purchasing Contract Specialist
APPROVED BY: c- ~ _ - / ~
George Yilmaz. PhD, Public Utilities Administrator
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Date;' r
ACCEPTED BY: DOUGLAS N. HIGGINS INC. ___u.___________________________________
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Signature of Authorized Company Officer
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Type or Print Name and Title
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Witnesses (2)
AnuT:' ,
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BOARD OF COUNTY COMMISSIONEllS
Cok County,Florida
By:
,_ ".'~I:l'li. '.''''n~\"..; ',-
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De. . ~ouhty Attorney
A ~;5 fen"'"
e AlA Document A312™ - 2010
Performance Bond
CONTRACTOR:
(Name, legal status and address)
SURETY:
(Name. legal status and principal place
of business)
Douglas N. Higgins, Inc.
3390 Travis Pointe, Suite A
Ann Arbor, MI 48108
Hartford Accident and Indemnity Company
One Hartford Plaza, T-4
Hartford, CT 06155
OWNER:
(Name. legal status and address)
Collier County Board of Commissioners
3301 Tamiami Trail East
Naples, FL 34412
CONSTRUCTION CONTRACT
Date:
Aunount: Three Hundred Forty-Three Thousand Six Hundred Twenty and 00/100
($343,620.00)
Description:
(Name and location)
Contract #08-5011
Underground Utility Contracting Services
Sub-Master PS312.41 Refurbishment - 70046
BOND
Date: August 25, 2011
(Not earlier than Construction Contract Date)
)unount: Three Hundred Forty-Three Thousand Six Hundred Twenty and 00/100
($343,620.00)
Modifications to this Bond: 0 None QI See Section 16
CONTRACTOR AS PRINCIPAl SURETY
Company: (Corporate Seal) Company:
. """"'" Douglas N. Higgins, Inc. Hartford~
.... \' ~.I ') I Ii J/"; ".
" , ;1,
. :................Signatw'e: Signature:
.' _ Name Un J Name Heather M. J s n
r I IB~'" T't!~ ,J- d T't! Att F t
.',t ~~ d e: I an ] e: orney in ac
(A~(gdditional signatures appear on the last page of this Performance Bond)
co) :
~:
--,', " ')2 .' r
. ~..I.l.)j,h ..
... \.) l~ U . r,
\ U:t:,,:' .fF,ORINFORMATIONONLY-Name, address and telephone)
'<', /.'J;:..... ...... ,AGENT or BROKER: OWNER'S REPRESENTATIVE:
....' ) I I I ...., -
"',.' I, . I . (Architect, Engineer or other party:)
Hylant Group
24 Frank Lloyd Wright Dr.
P.O. Box 541
Suite J4100
Ann Arbor, MI 48106
(734) 741- 0044
Bond No. 35BCSEP0668
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
AlA Document A312-2010
combines two separate bonds, a
Perfonnance Bond and a
Payment Bond, into one tonn.
This Is not a single combined
Perfonnance and Payment Bond.
Inlt.
AlA Document A312" - 2010. The American Institute of Archllects.
1
081110
~ 1 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors
and assigns to the Owner for the performance of the Construction Contract, which is incorporated herein by reference,
~ 2 If the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation under
this Bond, except when applicable to participate in a conference as provided in Section 3,
S 3 If there is no Owner DefauJt under the Construction Contract, the Surety's obligation under this Bond shall arise
after
.1 the Owner fITSt provides notice to the Contractor and the Surety that the Owner is considering declaring
a Contractor Default. Such notice shall indicate whether the Owner is requesting a conference among
the Owner, Contractor and Surety to discuss the Contractor's performance. If the Owner does not
request a conference, dle Surety may, within five (5) business days after receipt of the Owner's notice,
request such a conference. If the Surety timely requests a conference, the Owner shall attend, Unless
the Owner agrees otherwise, any conference requested under this Section 3,1 shall be held within ten
(10) business days of the Surety's receipt of the Owner's notice. If the Owner, the Contractor and the
Surety agree, the Contractor shall be allowed a reasonable time to perform the Construction Contract,
but such an agreement shall not waive the Owner's right, if any, subsequently to declare a Contractor
Default;
.2 the Owner declares a Contractor Default, terminates the Construction Contract and notifies the Surety;
and
.3 the Owner has agreed to pay the Balance of the Contract Price in accordance with the terms of the
Construction Contract to the Surety or to a contractor selected to perform the Construction Contract.,
S 4 Failure on the part of the Owner to comply with the notice requirement in Section 3.1 shall not constitute a failure
to comply with a condition precedent to the Surety's obligations, or release the Surety from its obligations, except to
the extent the Surety demonstrates actual prejudice.
S 5 When the Owner has satisfied the conditions of Section 3, the Surety shall promptly and at the Surety's expense
take one of the following actions:
S 5.1 Arrange for the Contractor, with the consent of the Owner, to perform and complete the Construction Contract;
S 5,2 Undertake to perform and complete the Construction Contract itself, through its agents or independent
contractors;
S 5.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for
performance and completion of the Construction Contract, arrange for a contract to be prepared for execution by the
Owner and a c~ntractor selected witb the Owner's concurrence, to be secured with performance and payment bonds
executed by a qualified surety equivalent to the bonds issued on the Construction Contract, and pay to the Owner the
amount of damages as described in Section 7 in excess of the Balance of the Contract Price incurred by the Owner as
a resuJt of the Contractor Default; or
S 5.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable
promptness under the circumstances:
.1 After investigation, determine the amount for which it may be liable to the Owner and, as soon as
practicable after the amount is determined, make payment to the Owner; or
.2 Deny liability in wbole or in part and notify the Owner, citing the reasons for denial.
S 6 If the Surety does not proceed as provided in Section 5 with reasonable promptness, the Surety shall be deemed to
be in default on this Bond seven days after receipt of an additional written notice from the Owner to the Surety
demanding that the Surety perform its obligations under this Bond, and the Owner shall be entitled to enforce any
remedy available to the Owner. If the Surety proceeds as provided in Section 5.4, and the Owner refuses the payment
or the Surety has denied liability, in whole or in part, without further notice the Owner shall be entitled to enforce any
remedy available to the Owner,
loll
AlA Document A312'" - 2010. The American Institute of Architects.
2
~ 7 If the Surety elects to act under Section 5.1, 5.2 or 5.3, then the responsibilities of the Surety to the Owner shall not
be greater than those of the Contractor under the Construction Contract, and the responsibilities of the Owner to the
Surety shall not be greater than those of the Owner under the Construction Contract. Subject to the commitment by the
Owner to pay the Balance of the Contract Price, the Surety is obligated, without duplication, for
.1 the responsibilities of the Contractor for correction of defective work and completion of the
Construction Contract;
.2 additional legal, design professional and delay costs resulting from the Contractor's Default, and
resulting from the actions or failure to act of the Surety under Section 5; and
,3 liquidated damages, or if no liquidated damages are specified in the Construction Contract, actual
damages caused by delayed perfonnance or non-perfonnance of the Contractor.
~ 8 If the Surety elects to act under Section 5.1, 5.3 or 5.4, the Surety's liability is limited to the amount of this Bond.
~ 9 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the
Construction Contract, and the Balance of the Contract Price shall not be reduced or set off on account of any such
unrelated obligations, No right of action shall accrue on this Bond to any person or entity other than the Owner or its
heirs, executors, administrators, successors and assigns.
~ 10 Tbe Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to
related subcontracts, purchase orders and other obligations.
~ 11 Any proceeding, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in
the location in which the work or part of the work is located and shall be instituted within two years after a declaration
of Contractor Default or within two years after the Contractor ceased working or within two years after the Surety
refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this .Paragraph
are VOId or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of
the suit shall be applicable.
~ 12 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page
on which their signature appears.
~ 13 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where
the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement
shall be deemed deleted herefrom and provisions confonning to such statutory or other legal requirement shall be
deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and
not as a common law bond.
~ 14 Definitions
~ 14.1 Balance of the Contract Price. The total amount payable by the Owner to the Contractor under the Construction
Contract after all proper adjustments have been made, including allowance to the Contractor of any amounts received
or to be received by the Owner in settlement of insurance or other claims for damages to which the Contractor is
entitled, reduced by all valid and proper payments made to or on behalf ofthe Contractor under the Construction
Contract.
~ 14.2 Construction Contract. The agreement between the Owner and Contractor identified on the cover page,
including all Contract Documents and changes made to the agreement and the Contract Documents.
S 14.3 Contractor Default Failure of the Contractor, which has not been remedied or waived, to perform or otherwise to
comply with a material term of the Construction Contract.
~ 14.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required
under the Construction Contract or to perform and complete or comply with the other material terms of the
Construction Contract.
~ 14.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor.
S 15 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond
shall be deemed to be Subcontractor and the tenn Owner shall be deemed to be Contractor.
Init.
AlA Document A312T11 - 2010. The American Institute of Architects.
3
S 16 Modifications to this bond are as follows:
Section 8 is hereby deleted in its entirety and replaced with the following:
If the Surety elects to act under Section 5.1, 5.2, 5.3 or 5.4, the Surety's liability is limited
to the amount of this bond.
(Space is provided he/ow for additional signatures of added parties, other than those appearing on the cover page.)
, -:~Q~~CTORASP~~Jr~~ SURnY
" ',: ' ,.Com~Y~LtpfJ'fl1:fvU;~' (Corporate Seal) Company: (Corporate Seal)
....~.. ....~En:J I '!!:to ~=T;tl.:
l~\.>." :Ad~~:~.$1~ r ,.1!'~/tl/~; 9-fJCJ. Address
c)..,;" CApT~<;>N:~O d Slgrl.fnl2~gin~ ,{fi-Contract Document, on which this text appears in RED. An original assures that
,., cHanges will not be obscured.
Init
AlA Document A312" - 2010. The American Institute of Architects,
4
"'AlA Document A3121M - 2010
BOND NO. 35BCSEP0668
Payment Bond
CONTRACTOR:
(Name, legal status and address)
Douglas N. Higgins, Inc.
3390 Travis Pointe, Suite A
Ann Arbor, MI 48108
SURETY:
(Name. legal status and principal place
of business)
Hartford Accident and Indemnity Company
O H f d PI 4 This document has inportant legal
ne art or aza, T-
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety. Owner or
other party shall be considered
plural where applicable.
AlA Document A312-2010
combines two separate bonds, a
Performance Bond and a
Payment Bond, into one form.
This is not a single combined
Performance and Payment Bond.
Hartford, CT 06155
OWNER:
(Name, legal status and address)
Collier County Board of Commissioners
3301 Tamiami Trail East
Naples, FL 34412
CONSTRUCTION CONTRACT
Date:
Aunount: Three Hundred Forty-Three Thousand and 00/100
($343,620.00)
Description:
(Name and location)
Contract #08-5011
Underground Utility Contracting Services
Sub-Master PS312.41 Refurbishment - 70046
BOND
Date: August 25, 2011
(Not earlier than Construction Contract Date)
Aunount: Three Hundred Forty-Three Thousand Six Hundred Twenty and 00/100
($343.620.00)
Modifications to this Bond: I] None 0 See Section 18
CONTRACTOR AS PRINCIPAL
Company: (Corporate Seal)
, Douglas N. Higgins, Inc.
...i f, '} ! '""l .. .
\\ 'I..)' 1v'/',
i. /;~~::e~~~
.? ; 'and1'.ltJe: ~ VIa '/ ItS I and Title: Attorney in Fact
:::: :"'.:) . {A1ty'J)ddi~.ta..fJpl signatures appear on the last page of this Payment Bond}
. ,,".{f/J,_ .') . r-
ff1 ". ~y,~ L_t !) ~ ;'j 'J : r-~
1/ ....7-' (FOR,INfdRMATION ONLY - Name, address and telephone)
,),") / i'l'GfiNT.Ol"aROKER: OWN~R'S RE~SENTATlVE:
, Hylant Group (Architect, Engmeer or other party:)
24 Frank Lloyd Wright Dr.
P.O. Box 541
Suite J4100
SURETY
Company:
Hartford Accident
Signature:
Name
Ann Arbor, MI 48106
(734) 741-0044
Init.
AlA Document A312™ - 2010. The American Institute of Architecls.
081110
5
~ 1 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors
and assigns to the Owner to pay for labor, materials and equipment furnished for use in the performance of the
Construction Contract, which is incorporated herein by reference, subject to the following terms.
~ 2 If the Contractor promptly makes payment of all sums due to Claimants, and defends, indemnifies and holds
harmless the Owner from claims, demands, liens or suits by any person or entity seeking payment for labor, materials
or equipment furnished for use in the performance of the Construction Contract, then the Surety and the Contractor
shall have no obligation under this Bond,
~ 3 If there is no Owner Default wtder the Construction Contract, the Surety's obligation to the Owner wtder this Bond
shall arise after the Owner has promptly notified the Contractor and the Surety (at the address described in Section 13)
of claims, demands, liens or suits against the Owner or the Owner's property by any person or entity seeking payment
for labor, materials or equipment furnished for use in the performance of the Construction Contract and tendered
defense of such claims, demands, liens or suits to the Contractor and the Surety.
~ 4 When the Owner has satisfied the conditions in Section 3, the Surety shall promptly and at the Surety's expense
defend, indemnify and hold harmless the Owner against a duly tendered claim, demand, lien or suit
~ 5 The Surety's obligations to a Claimant under this Bond shall arise after the following:
S 5.1 Claimants, who do not have a direct contract with the Contractor,
.1 have ftmtished a written notice of non-payment to the Contractor, stating with substantial accuracy the
amowtt claimed and the name of the party to whom the materials were, or equipment was, furnished or
supplied or for whom the labor was done or performed, within ninety (90) days after having last
performed labor or last furnished materials or equipment included in the Claim; and
.2 have sent a Claim to the Surety (at the address described in Section 13).
~ 5.2 Claimants, who are employed by or have a direct contract with the Contractor, have sent a Claim to the Surety (at
the address described in Section 13).
S 6 If a notice of non-payment required by Section 5.1.1 is given by the Owner to the Contractor, that is sufficient to
satisfy a Claimant's obligation to furnish a written notice of non-payment under Section 5. I ,1.
S 7 When a Claimant has satisfied the conditions of Sections 5,1 or 5.2, whichever is applicable, the Surety shall
promptly and at the Surety's expense take the following actions:
~ 7.1 Send an answer to the Claimant, with a copy to the Owner, within sixty (60) days after receipt of the Claim,
stating the amounts that are wtdisputed and the basis for challenging any amounts that are disputed; and
S 7.2 Payor arrange for payment of any undisputed amowtts.
~ 7.3 The Surety's failure to discharge its obligations wtder Section 7.1 or Section 7.2 shall not be deemed to
constitute a waiver of defenses the Surety or Contractor may have or acquire as to a Claim, except as to undisputed
amounts for which the Surety and Claimant have reached agreement. If, however, the Surety fails to discharge its
obligations under Section 7,1 or Section 7.2, the Surety shall indemnify the Claimant for the reasonable attorney's
fees the Claimant incurs thereafter to recover any sums found to be due and owing to the Claimant.
S 8 The Surety's total obligation shall not exceed the amowtt of this Bond, plus the amowtt of reasonable attorney's
fees provided wtder Section 7.3, and the amount of this Bond shall be credited for any payments made in good faith
by the Surety.
S 9 AmOwtts owed by the Owner to the Contractor wtder the Construction Contract shall be used for the performance
of the Construction Contract and to satisfy claims, if any, under any construction performance bond. By the
Contractor furnishing and the Owner accepting this Bond, they agree that all funds earned by the Contractor in the
performance of the Construction Contract are dedicated to satisfy obligations of the Contractor and Surety under this
Bond, subject to the Owner's priority to use the funds for the completion of the work,
Inlt.
AlA Document A312" - 2010. The American Institute of Archileds,
6
~ 10 The Surety shall not be liable to the Owner, Claimants or others for obligations of the Contractor that are
unrelated to the ConstJUction Contract. The Owner shall not be liable for the payment of any costs or expenses of any
Claimant under this Bond, and shall have under this Bond no obligation to make payments to, or give notice on behalf
of, Claimants or otherwise have any obligations to Claimants under this Bond.
~ 11 The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to
related subcontracts, purchase orders and other obligations.
~ 12 No suit or action shall be commenced by a Claimant under this Bond other than in a court of competent
jurisdiction in the state in which the project that is the subject of the Construction Contract is located or after the
ex-piration of one year from the date (1) on which the Claimant sent a Claim to the Surety pursuant to
Section 5. 1.2 or 5.2, or (2) on which the last labor or service was perfonned by anyone or the last materials or
equipment were furnished by anyone under the Construction Contract, whichever of (1) or (2) fIrst occurs. If the
provisions of this Paragraph are void or prohibited by law, the minimum period ofIimitation available to sureties as a
defense in the jurisdiction of the suit shall be applicable.
~ 13 Notice and Claims to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown
on the page on which their signature appears. Actual receipt of notice or Claims, however accomplished. shall be
sufficient compliance as of the date received.
~ 14 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where
the construction was to be perfonned, any provision in this Bond conflicting with said statutory or legal requirement
shall be deemed deleted herefrom and provisions confonning to such statutory or other legal requirement shall be
deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and
not as a common law bond.
~ 15 Upon request by any person or entity appearing to be a potential benefIciary of this Bond, the Contractor and
Owner shall promptly furnish a copy of this Bond or shall pennit a copy to be made.
~ 16 Definitions
~ 16.1 Claim. A written statement by the Claimant including at a minimwn:
.1 the name of the Claimant;
.2 the name of the person for whom the labor was done, or materials or equipment furnished;
.3 a copy of the agreement or purchase order pursuant to which labor, materials or equipment was
furnished for use in the perfonnance of the Construction Contract;
.4 a brief description of the labor, materials or equipment furnished;
.5 the date on which the Claimant last perfonned labor or last furnished materials or equipment for use in
the perfonnance of the Construction Contract;
.6 the total amoWlt earned by the Claimant for labor, materials or equipment furnished as of the date of
the Claim;
.7 the total amount of previous payments received by the Claimant; and
.8 the total amount due and unpaid to the Claimant for labor, materials or equipment furnished as of the
date of the Claim.
~ 16.2 Claimant An individual or entity having a direct contract with the Contractor or with a subcontractor of the
Contractor to furnish labor, materials or equipment for use in the perfonnance of the Construction Contract. The term
Claimant also includes any individual or entity that has rightfully asserted a claim under an applicable mechanic's lien
or similar statute against the real property upon which the Project is located. The intent of this Bond shall be to
include without limitation in the tenns "labor, materials or equipment" that part of water, gas, power, light, heat, oil,
gasoline, telephone service or rental equipment used in the Construction Contract, architectural and engineering
services required for perfonnance of the work of the Contractor and the Contractor's subcontractors, and all other
items for which a mechanic's lien may be asserted in the jurisdiction where the labor, materials or equipment were
furnished.
~ 16.3 Construction Contract. The agreement between the Owner and Contractor identified on the cover page,
including all Contract Documents and all changes made to the agreement and the Contract Documents.
Inlt
AlA Document A312111 - 2010. The American Institute of Architeds.
7
S 16.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required
under the Constnlction Contract or to perform and complete or comply with the other material terms of the
Construction Contract.
S 16,5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor.
S 17 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond
shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor,
S 18 Modifications to this bond are as follows:
(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.)
GON'rRAqOR AS PRlNCIp,M' .' -r;,.y. . SURETY
.' " ,.', ."Com.~: D::uglAJ N. m~ 1f7:,-rCOiPorate SeaQ Company: (Corporate SeaQ
Jnlt
AlA Document A312TW - 2010. The American Institute of Archilecls,
8
POWER OF ATTORNEY
Direct Inquiries/Claims to:
THE HARTFORD
BOND, T-4
P,O. BOX 2103,690 ASYLUM AVENUE
HARTFORD, CONNECTICUT 06115
call. 888-266-3488 or fax: 860-757 -5835
Agency Code: 35-350851
KNOW ALL PERSONS BY THESE PRESENTS THAT:
~ Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut
~ Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State ofIndiana
~ Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut
c=J Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut
c=J Twin City Fire Insurance Company, a corporation duly organized under the laws of the State ofIndiana
c=J Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State ofIllinois
c=J Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana
c=J Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida
having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make. constitute and appoint,
up to the amount of unlimited:
Dan Hines, Heather M. Johnson, Judy K. Macklem, Carol J. Youngs
of
Ann Arbor, MI
their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as
delineated above by ~, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the
nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and
executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on January 22, 2004 the Companies
have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant
Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are
and will be bound by any mechanically applied signatures applied to this Power of Attorney.
~i"~~ ~"
..... ~'~._1,
!;~~~;. {;{#..:......':H ,f ~
V.;....I97'%il '~';.\Jl;l7tfJ.,,!.t.~ ',9 ',~
... - ,'....~. .' ~:---..--:- " '~
-'" 'tllfQI"t I....." ~:.~.
f~O Ct. ~
..->~ //:,:,'
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,ii', .. _ ~_" .-"..._._......
'Y . ~ .-.....-... ~
l"t'" ...-
Paul A, Bergenholtz, Assistant Secretary
M. Ross Fisher, Assistant Vice President
STATE OF CONNECTICUT}
55.
COUNlY OF HARTFORD
On this 3rd day of March, 2008, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and
say: that he resides in the County of Hartford, State of Connecticut; that he is the Assistant Vice President of the Companies, the corporations
described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said
instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his
name thereto by like authority,
Hartford
.',
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Scott E, Pasek.
Notary Public
My Commission Expires October 31. 2012
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Gary W. Stumper, Assistant Vice President
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OP 10: AV
,
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
~' 12/09/10
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{sl.
PRODUCER 734-741-0044 ~~~~CT
Hylant Group Inc - Ann Arbor 734-741-1850 r11g~o. Extt I FAX
lAIC Not
24 Frank Lloyd Wright Dr J4100 i~1l~"""
Ann Arbor, MI 48105 PRODUC~ lD#:HIGGI-5
David Harlock
INSURER/s1 AFFORDING COVERAGE NAJC #
INSURED Douglas N. Higgins, Inc. INSURER A :Continentallnsurance Company 035289
3390 Travis Pointe, Suite A INSURER B: Vallev Forae Insurance Co 020508
Ann Arbor, MI 48108 INSURER c: Continental Casualty Com pany 020443
INSURER 0: Greenwich Insurance Com pany 22322
INSURER E:
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.
II~f: TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP
LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,001
f--
A X COMMERCIAL GENERAL LIABILITY U1061922047 12/10/10 12/10/11 PREMISES /Ea occurrence) $ 200,00(
I CLAIMS-MADE [!] OCCUR MED EXP (Anyone person) $ 15,00(
X Includes XCU PERSONAL & ADV INJURY $ 1,000,00(
---- - 2,000,00e
X Contractual Llab GENERAL AGGREGATE $
-=...::-
GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ 2,000,00e
I POLICY fXl- ~blP,: LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,Ooe
f-- (Ea accident)
A c-!- ANY AUTO U1061922033 12/10/10 12/10/11
BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident)
f-- $
f-- SCHEDULED AUTOS PROPERTY DAMAGE
.x HIRED AUTOS (Per accident) $
.x NON-OWNED AUTOS $
$
UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 10,000,ooe
-
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000
C U1061922050 12/10/10 12/10/11
f-- DEDUCTIBLE $
X RETENTION $ 10000 $
WORKERS COMPENSATION X I T~~y5[~Ws I IOJ~-
AND EMPLOYERS' LIABILITY YIN
B ANY PROPRIETORlPARTNERiEXECUTlVE 0 WC161922016 12/10/10 12/10/11 E.L, EACH ACCIDENT $ 500,00e
OFFICERlMEMBER EXCLUDED? NIA
(Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ 500,00e
If yes, describe under 1,000,00(
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
0 Professional and PECOO25095 12/10/10 12/10/11 2,000,ooc
Pollution Liab 25,000 dec
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Job - Contract #08-5011; Annual Contract for Underground Utility
Contracting Services, Additional Insured for General LIability, as re~Ulred
by wrItten contract (primary) - Board of County Commissioners, Coli er
County.
CERTIFICATE HOLDER
CANCELLATION
COLCOO2
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Collier County Board of ACCORDANCE WITH THE POLICY PROVISIONS.
County Com missioners AUTHORaEDREPRESENTATWE .
3301 Tamiami Trail East ~.{; ('< ~
Naples, FL 34412 .~: ~'-'
ACORD 25 (2009/09)
@ 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
NOTEPAD:
HOLDER CODE COLC002
INSURED'S NAME Douglas N, Higgins, Inc.
HIGGI-5
OP ID: AV
PAGE 2
DATE 12109/10
Waiver of subrogation in favor of Board of COunty Commissioners, Collier
County on Workers' Compensation.