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#06-3918 Assumption Agreement (Roadsafe) ASSUMPTION AGREEMENT This Assumption Agreement is made and entered into as of and between RoadSafe Traffic Systems, Inc. ("RoadSafe") and subdivision of the State of Florida ("County"). 4p,-: I 13 Collier County, ,2010, by a political WHEREAS, on April 25, 2006, the Collier County Board of County Commissioners entered into an Agreement with Trutwin Industries, Inc., for Roadway Paint, Thermoplastic Markings, and Raised Markers (attached hereto as Exhibit A, and hereinafter referred to as the "Agreement"); and WHEREAS, RoadSafe hereby represents to Collier County that by virtue of an asset purchase agreement RoadSafe is the successor in interest to Trutwin Industries, Inc., in relation to the Agreement; and WHEREAS, the parties wish to formalize RoadSafe's assumption of rights and obligations under the Agreement effective as of the date first above written NOW THEREFORE, IN CONSIDERATION of the mutual promises in this Assumption Agreement, and for other good and valuable consideration, the receipt and sufficiency of which are acknowledged by the parties, it is agreed as follows: 1. RoadSafe accepts and assumes all rights, duties, benefits, and obligations of the Contractor under the Agreement, including all existing and future obligations to pay and perform under the Agreement. 2. RoadSafe will promptly deliver to County evidence of insurance consistent with page 11 and 12 of the Agreement. 3. Except as expressly stated, no further supplements to, or modifications of, the Agreement are contemplated by the parties. 4. Notice required under the Agreement to be sent to Contractor shall be directed to: CONTRACTOR: RoadSafe Traffic Systems, Inc. Attention: Kathleen Holst 8031 Mainline Parkway Fort Myers, Florida 33912 5. The County hereby consents to RoadSafe's assumption of the Agreement. No waivers of performance or extensions of time to perform are granted or authorized. The County will treat RoadSafe as the Contractor for all purposes under the Agreement. IN WITNESS WHEREOF, the undersigned have executed and delivered this Assumption Agreement effective as of the date first above written. COLLIER COUNTY: ATTEST: DWIGHl' E(JiJR.~j,qf:Tk (\ ;~,'~' ..' . .;,"'~". \ ~~~~~ tt1~.til~.1 . 9/l1.-0.1Ml f' /",'.; '1.'~::1.: ~;':: J'''':~' RoadSafe Traffic Systems, Inc. BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA ~'w.~. Fred W. Coyle, Chairman \.J Kathie n Holst, COO/RVP 3/31/10 Attest: jJe-e Q p., -/ ~.s- Corporate Secretary Date: 3/31/16 By: Date: Approve , d legal sufficiency: By: Jeffre Count 2 ~ 4CORDe CERTIFICATE OF LIABILITY INSURANC~IO I DATE (1IIlWDIYVYY) 211712010 PRODUCER Lockton Companies,LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA11ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7 Times Square. Suite 3802 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR New York 10036 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. 646-512-1300 INSURERS AFFORDING COVERAGE NAlC' '.....00 ROADSAFE TRAFFIC SYSlEMS. INC. INSURER A:. Zurich American InslDDCe 16535 1300604 FKA NES TRAFFIC SAFETY. LP NSURER 8: Illinois National Insurance 23817 17405 JEAN STREET INSURER C: Fr. MYERS FL 33%7 INSURER 0: INSURER E: lHI8~TE Of""""-::I DOIaNOTCONlI1JtU1'f:ACONTRACT IIElWEEHTME ISSUING COVERAGES ROAHOOI RB AlmIClMEED REPRDBfl'A11VE OR PRODUCI!R AND TttE CllmFlCATE HOLDER. 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO All. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ~iES. AGGREGATE UMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. POUCY ........_ INSR POLICY EFFECTNE UIOI1ll ~ NS TYPE OF INSURANCE POLICY""- DATE DAlE ~UA8lUTY _RENTED I. I 500 000 A ~ D'ERClAL GENERAL UABIUTY GLO-92622'J9.02 101312009 1013/2010 . 500.000 I- ClAIMS MADE lKJ OCCUR NED EXP fArN one o.BDnl . 10.000 ~ S500,OOO SIR PERSONAL & AnY INJURY . 1,500,000 I- GEfrERAlAGGREGATE . 5.000,000 ~AGGREn UMlT APPnlPER: PAOOUCTS - COMPIOP AGO . 4.000.000 X POUCY ~~ lOC ~UTOM08lLE UABlUTY COMBINED SINGlE lIMIT . 2,000.000 A ~ ANY AUTO BAP.9262298-02 101312009 1013/2010 (EaMX:ld8nt) - AU OWNED AUTOS BOOll Y INJURY 1Pe<.......) . XXXXXXx I- SCHEDUlEO AUTOS ~ HIAED AUTOS BOOIL Y INJURY . XXXXXXX ~ NON-OWNEO AUTOS (Per acddent) ~ PIlDf'ERTY DAMAGE . XXXXXXX (...- =roe UA8UTY AUTO CN.. Y - EA ACCIDENT . XXXXXXX """' AUTO NOT APPLICABLE OTHER THAN EANX . XXXXXXX AUTO ON.. Y: AGG . XXXXXXX :KiCESS IIJMBREUA LIA8LI1'Y EACH OXURRENCE . 5 000 000 B X OCCUR 0 ClAIMS MADE BE 31163387 101312009 lOI3f20IO AGGREGATE . 5 nnn 000 ;J DEDUCTIBlE 0;UA . XXXXXXX . XXXXXXX X RETENT10N . 25.000 . X WORt<ERS C~llON XIT~f:'!)i;,1 IDJ1." A AND EMPLOYERS' l.JABLJTY Y/N WC,92622'TT-02 101312009 1013/2010 AKV PRClf'RETORIPARTNEf\'EXEC\JT ~ E.L EACH ACCIDENT . 1,000,000 OFFlCERlMEMBER EXClUDED? N (Mendatory In NH) E.L DISEASE. EA . 1,000,000 ~~~beIow E.L DfSEASE. POUCY lIMIT I $ 1,000,000 OTHER DESCRlPTlON OF OPERATIONS I LOCATIONS lYEHtCLES I EXCI tBONl ADDED BY ~tt:-.fT I SPECIAL PROVISIONS TIlE GENERAL UABILITY POUCY'S GENERAL AGGREGATE UMrr APPLIES PER PROJEcr IS SUBJECT TO A 10.000,000 AGGREGATE POUCY UMIT. RE' ROADWAY PAINT, TIlERMOPLAsnc MARKINGS AND RAISED MARKERS PO 1/4500112528. COWER COUNTY GOVERNMENT IS NAMED AS ADOmONAL INSURED WITH RESPECf TO UABIUTY AS 1lIEIR INTERESTS MAY APPEAR CERTIFICATE HOLDER 10800469 COUJER COUNTY GOVERNMENT ATTN: ALEXANDER BLANCO ADMINISTRATION SERVICES DIVISION 330 I T AMIAMI TRAIL EAST NAPLES FL 34112 CANCELLATION IHOULDNfYOFTHENJCNE EE$(AI8EIrPOt.JCESBECAHCEllEDBEFORElIE EXPIRATKJN DATE THEREOF, THE ISSUItG INSURER WLL ENDEAVOR TO IIAIL ..2L DAYS WRITTEN NOnce TO lHE CERTIFICATE HOLDER NAIlED TO THE LEfT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UA8tUTY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. ACORD 25 (2009101) ......... 'A. @ 1988-2009 ACORD CORPORATION, All rights ..served. The ACORD name and logo are 1"89_ marks of ACORD l'or~......tlW~,ClOIMCt"""""'~In"'","*-"HCtkln~and ..-.,._dlMot.......'ROAHOO1'. e-/ . . Bid No. 06-3918 - "Roadway Paint. Thermoplastic Markings & Raised Markers" Collier County Florida Insurance Requirements BID #06-3918 INSURANCE TYPE REQUIRED LIMITS -X. 1. Workers' Compensation Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements. -X. 2. Commercial General Liability (Occurrence Form) patterned after the most current I.S.0. form with no limiting endorsements. Bodilv Iniury & Prooertv Damaae $1.000.000 Single Limit Per Occurrence -X.3. Indemnification: To the maximum extent permitted by Florida law, the ContractorNendor/Consultant shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including. but not limited to. reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the ContractorNendor/Consultant or anyone employed or utilized by the ContractorNendor/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. -X. 4. Automobile Liability Owned/Non-owned/Hired Automobile Included $1.000.000 Each Occurrence 5. Other Insurance as indicated below: a) Professional Liability $ -0- b) Builder's Risk $ -0- 11 . . Bid No. 06-3918 - "Roadway Paint, Thermoplastic Markings & Raised Markers" Collier County Florida Insurance Requirements (Continued) ~ 6. Contractor shall insure that all subcontractors comply with the same insurance requirements that he is required to meet. The same contractor shall provide the County with certificates of insurance meeting the required insurance provisions. ~ 7. Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability. ~ 8. Collier County Board of County Commissioners shall be named as the Certificate Holder. NOTE: The "Certificate Holder" should read as follows: Collier County Board of County Commissioners 3301 East Tamiami Trail Naples, FL 34112 ~ 9. Thirty (30) Days Cancellation Notice is required. ~ 10. The Certificate must state the Bid Number and Title. BIDDER'S AND INSURANCE AGENT STATEMENT: We understand the insurance requirements contained in these specifications, and that the evidence of said insurance may be required within five (5) business days of the award of bid. ~'~~~. /Bidder ~~ Signature of Bidder ~t'~ !Ju In nce AgencY Signature of Bidder's Agent 12 "'11""\"'. :.J.c.uu.J InVII... ACORD~ CERTIFICA T F LIABILITY INSUR.CE DATE (MM/DD/YYYY) 05/13/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Gulfshore Insurance, Inc. 4100 Goodlette Road N, .100 , ". FL 34103 -3303 L ..61-3646 Trutwin Industries, Inc. 8031 Mainline Parkway Fort Myers, FL 33912 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Insurance Company INSURER B: St. Paul Fire & Marine/Halcyon Under INSURER c. Bridgefield Employers Insurance Comp INSURED INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR "'R TYPE OF INSURANCE POLICY NUMBER Pt?l-':'~~~~~~8;W\E P~~'fJ t~Xrf,W~~N LIMITS A ~NERAL. LIABILITY CAP5462161 05/16/05 05/16/06 EACH OCCURRENCE .1 000000 r2L plMERCIAL. GENERALlIA81l1TY I B~~~~~J9E~~NTE~ n .-, .100000 CLAIMS MADE ~ OCCUR i .5000 - --- L-L MEO EXP (Any ooe person) I X PD Ded:250 PERSONAL & AOV INJURY .1 000000 --,-- GENERAL. AGGREGATE .2 000 000 ..- ~.~ AGC:EnE :L1MIT AP~i PER PRODUCTS. COMP/OP AGG .2 000 000 , POLICY r;~8T L.OC ~_TOM08ILE LIABILITY I COMBINED SINGLE LIMIT . ANY AUTO I {Eaaccident} - , ALL OWNED AUTOS I -- I BODILY INJURY $ SCHEDULED AUTOS , I (Per person) - I --'" _........-. -- ----- f--- H:RED AUTOS I BOOIL Y INJURY , NON-DiNNED AUTOS {Perilccidenl) f--- J. ..-- ------ I I f--- i PROPERTY DAMAGE . (Peraccidenl) - 1-.. - -- -_..~ , , ._.m. - RAGE LIABILITY I AUTO ONLY. EA ACCIDENT -'------- ANY AUTO I OTHER THAN ---;A A~;; $ --- I AUTO ONLY AGG , I - -_.._~- B EXCESS/UMBRELLA LIABILITY QK06800720 , 05/16/05 05/16/06 EACH OCCURRENCE .4 000 000 D CLAIMS MADE ! L AGGREGATE , 'X OCCUR I .4.000,000 , ~ f--- , :;::j DEDUCTIBLE I I , . X RETENTION r---- --.- .10000 I $ -- C 83020688 103/01/05 f'.' X 1.~~-rST~::'~;,' IOJ~. WORKERS COMPENSATION AND RY 1M ' EMPLOYERS' LlA8lUTY .500.000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? I E.L. DtSEASE. EA EMPLOYEE .500,000 If yes. describe under ---- SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT .500.QOO OTHER I J I i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Collier County Board of Commissioners 2705 S, Horseshoe Drive Naples, FL 34106 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil -.10..- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATlON OR LIABILITY OF ANY KINO UPON THE INSURER,ITS AGENTS OR REPRESENTATlVES. AUTHORIZ D REPR SENTATlVE -~ ACORD 25 (2001/08) 1 of 2 .M264587 ERL @ ACORD CORPORATION 1988 ~Allstate.. You',.;o ~""" "'"." . CERTIFICATE OF INSURANCE . EFFECTIVE DATE OF CERTIFICATE 05/16/06 ALLSTATE INSURANCE COMPANY HOME OFFICE - NORTHBROOK. IL 60062 hereby certifies that the following insurance Is in force: POLICYHOLDER POLICY NUMBER TRUTWIN INDUSTRIES INC 649602968 BAP POLICY PERIOD 05/16/06 TO 05/16/07 AT 12:01 A.M. STANDARD TIME 8031 MAINLINE PKWY FORT MYERS, FL 33912-5931 The person or organization designated below is described in the policy as: COLLIER C BD OF COMM PO BOX 413016 NAPLES, FL 34101-3016 ~ LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED X CERTIFICATE HOLDER Coverages designated are afforded as stated below: AS THEIR INTEREST MAY APPEAR f={ECFl\/:~L. APR :? 8 2006 flNANCb (J t: I:';"' To the person or organization stated above: This policy. as respects the interest of the loss payee. additional interested party. additional insured or certificate holder named herein. may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU138o.1 PAGE 1 OF 1 II BU114-2 ~Allstate: """,""~Mn'" CUSTOMER NUMBER, CA649602968 . RI DATE. 04-21-06 THE HOODS &HAHN AGY 899 VNDRBLT BCH 1103 NAPLES, FL 34108 C.LH. (CA) 10 49 602968 NS FL 1"11"1"1",1111",",11,,11.11.,,,,,11.11.....11.11.,,1..11 COLLIER C BD OF COMM PO BOX 413016 NAPLES, FL 34101-3016 REPRINT KEY: 7105Z81 II BU114-2 . . Bid No. 06-3918 - "'Roadway Paint, Thermoplastic Markings & Raised Markers"' THIS SHEET MUST BE SIGNED BY VENDOR Board of County Commissioners Collier County, Florida Purchasing Department BIDDERS CHECK LIST IMP 0 R TAN T: Please read carefully, sign in the spaces indicated and ~ with your bid response. Bidder should check off each of the following items as the necessary action is completed: 1. The Bid has been signed. 2. The Bid prices offered have been reviewed. 3. The price extensions and totals have been checked. 4. The payment terms have been indicated. 5. Any required drawings. descriptive literature, etc. have been included. 6. Any delivery information required is included. 7. If reauired, the amount of bid bond has been checked. and the bid bond or cashiers check has been included. 8. Any addenda have been signed and included. 9 The maiiing envelope has been addressed to: Purchasing Director Collier County Government Center Purchasing Building 3301 East Tamiami Trail Naples, Florida 34112 10 The maiiing envelope must be sealed and marked with: . Bid Number . Bid Title . Opening Date 11. The bid will be mailed or delivered in time to be received no later than the specified ooenina date and time. (Otherwise bid cannot be considered.) ALL COURIER DELIVERED BIDS MUST HAVE THE BID NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET. -= -r:'-'-" /'K1/TCtJ)/f/ .-?-IYD, ~/lI~. Company Name ~~"" pignature & Title l.loeePh Tll.IlWin I PRlIident ~ ._..~ - --- Date tJ;}. 0l'J. ';?tJb& 13 tIl ". . . Bid No. 06-391 B, "Roadway Paint. Thermoplastic Markings & Raised Markers" BID RESPONSE FROM: TRIJ'IWIN TNDUSTRIES.INe DUE: February 28. 2006 @ 2:30 D.m. Board of County Commissioners Collier County Government Center Naples, Florida 34112 RE: BID No. 06-3918 -- "Roadway Paint, Thermoplastic Markings & Raised Pavement Markers" Dear Commissioners: The undersigned, as bidder, hereby declares that he has examined the specifications and informed himself fully in regard to all conditions pertaining to roadway paint, thermoplastic markings and raised pavement markers as per the attached specifications. The Bidder further declares that the only persons, company or parties interested in this Bid or the Contract to be entered into as principals are named herein; that this Bid is made without connection with any other person, company or companies submitting a Bid; and it is all respects fair and in good faith. without collusion or fraud. The Bidder proposes and agrees, if this Bid is accepted, to contract with the County furnish work in full, in complete accordance with the attached specifications, according to the following unit prices: . . . SEE FOllOWING PAGES' . . Any discounts or terms must be shown on the Bid Form. Such discounts, if any, will be considered and computed in the tabulation of the bids. In no instance should terms for less than fifteen (15) days payment be offered. Prompt Payment Terms: NfA %.NiJL.. Days; Net ~ Days Addenda received (if applicable): #1 #2_ #3_ Bid continued on next page.... 14 , r . '. . . Bid No. 06-3918 - "Roadway Paint, Thermoplastic Markings & Raised Markers" BID RESPONSE CONTINUED I. PAINT 1. Contractor to provide labor, equipment and materials for 15 mil reflective roadway paint to be applied on various roadways. Lines 15 mil a. 6" $ $ $ b. 8" $ c. 12" $ d. 18" $ e. 24" $ 12 ?S 1/ .50 1.50 1.75 LF LF (Under one (1) mile) LF (Over one (1) mile) LF LF LF LF 2_50 Svmbols and Pavement MessaCles 15 mil a. Miscellaneous Paint $ ? nn SF SUBTOTAL SECTION I: $ II. THERMOPLASTIC 1. Contractor to provide labor, equipment and materials for thermoplastic markings to be applied on various roadways andlor intersections, to include symbols and pavement messages. a. 60 mil b. 90 mil $ ~ sn $ 4.7S SF SF 2. Contractor to provide labor, equipment and materials for thermoplastic markings to be applied on various roadways to include edge lines, centerlines, stop bars, crosswalks lane lines, and bike paths. 60 mil a. 6" $ .4:3 LF $ 6'3 LF (Under one (1) mile) $ .4S LF (Over one (1) mile) b. 8" $ .75 LF c. 12 $ 2.75 LF d. 18" $ 4.25 LF e. 24" $ 'J./'J LF 90 mil a. 6" $ ss LF $ .75 LF (Under one (1) mile) $ .55 LF (Over one (1) mile) b. 8" $ 1.00 LF c. 12" $ 3.00 LF d. 18" $ 4.50 LF e. 24" $ 6.00 LF SUBTOTAL SECTION II: $ 15 ,r . . . Bid No. 06-3918, "Roadway Paint. Thermoplastic Markings & Raised Markers' BID RESPONSE CONTINUED III. REMOVAL OF PAINT OR THERMOPLASTIC MARKINGS 1. Contractor to provide labor, equipment and materials for the removal of pavement markings from various roadways to include edge lines, centerlines, bike paths and symbols. By grinding only no waterblasting. Paint $ 1 sn SF Thermoplastic a. 60 mil b. 90 mil $ ? nn $ 2.50 SF SF SUBTOTAL SECTION III: $ IV. Raised Pavement Markers IRPMs) 1. Contractor to provide labor, equipment, materials and required maintenance of traffic for the installation of raised pavement markers. A. Permanent RPMs, raised, reflectorized. Maximum width 5" Mono-directional with one reflective face, one-color reflectors shall be available as Amber (Yellow), Crystal (White), or Red in the following quantities per Work Order: a. Less than 200 $ 4.50 EA b. 200 to 500 $ 4.25 EA c.501t01,000 $4.00 EA d. greater than 1,000 $ 4.00 EA B. Permanent RPMs, raised reflectorized. Maximum width 5" two-color Bi- directional with two reflective faces, which shall be available in Amber (Yellow), Crystal (White), Red in the following quantities per Work Order: a. Less than 200 $ 4 so EA b. 200 to 500 $ 4.25 EA c. 501 to 1,000 $ 4 00 EA d. greater than 1,000 $ 4 00 EA 2. Removal of existing RPMs at the time of installation of new RPMs $ 2.00 EA 3. Furnish and Install Ceramic 6" disks with internal reflectors $ 75.00 EA 4. Furnish and Install traffic delineator pickets $ fiS 00 EA 5. Night/week-end differential 10 % SUBTOTAL SECTION IV: $ TOTAL BASE BID - SECTIONS I through IV: $ 16 -MINIMUM TRIP mARGE $750.00 . . Bid No. 06-3918 - "Roadway Paint, Thermoplastic Markings & Raised Markers" BID RESPONSE CONTINUED The service to be furnished by us is hereby declared and guaranteed to be in conformance with the specifications of the County. The undersigned do agree that should this Bid be accepted, to execute the form of contract and present the same to the County Purchasing Director for approval within fifteen (15) days after being notified of the awarding of the Contract. The undersigned do further agree that faiiure to execute and deliver said forms of contract within fifteen (15) days, will result in damages to the County. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this 27th day of 1eG. , 2006 in the County of Lee , in the State of 1L - 7~utw~n Indu~t~~e~, Inc. Firm's Complete Legal Name 8031 ~a~nf~ne. Pkwy (Address) 'ft. ~ye.~~, 1f. 33912 (City. State. ZIP) Phone No.2 39.489.4240 Fax No. 239. 489.0078 Check one of the following: o Sole Proprietorship 13 Corporation or PA State of 1 fo~~da o Limited Partnership - o General Partnership By: Typed and Written Signature P~e.~~dent Title ***************************************************-**************************-**'***********--**- ADDITIONAL CONTACT INFORMATION Send Payments To: (REQUIRED ONLY if different from above) (Company Name used as Payee) Contact Name [mma 90mez Title Acct. Re.cv. (Address) (City, State. ZIP) Phone No. FAX No. Email address: Office Servicing Collier County Account 'Place OrderslRequest Supplies (REQUIRED ONLY if different from above) (Address) (City, State. ZIP) Contact Name Title Phone No. FAX No. Email Address: NOTE: If you choose to bid, please submit an 17 . . Bid No. 06.3918 - "Roadway Paint, Thermoplastic Markings & Raised Markers" ORIGINAL and ONE COPY of your Bid Response pages. 18