#12-5839 (Angie Brewer & Associates, LC) AGREEMENT12-5839
for
Loan Grant Acquisition and Compliance Services
THIS AGREEMENT, made and entered into on this t day of J LA.0 42 , 20
by and between Angie Brewer & Associates, L.C., authorized to do business in the State of
Florida, whose business address is 9104-58th Drive East, Bradenton, Florida 34202, 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. The contract shall be for a five (5) year period, commencing on
the date of award by the Board of County Commissioners.
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 provide Loan Grant Acquisition and
Compliance Services ("Services"), in accordance with the terms and conditions of RFP
#12-5839 and the Consultant's proposal referred to herein and made an integral part of
this agreement. This Agreement contains the entire understanding between the parties
and any modifications to this Agreement shall be mutually agreed upon in writing by
the Consultant and the County Project or Contract Manager or his designee, in
compliance with the County Purchasing Policy and Administrative Procedures in effect
at the time such services are authorized.
3. ESTIMATES OF WORK. Services shall be mutually agreed upon in writing by the
Consultant and County Department in the form proposals to be attached to, and made
part of, subsequently issued Purchase Orders. The County shall pay the Consultant for
the performance of this Agreement upon completion or partial completion of the tasks
as accepted and approved by the Project Manager or his designee. Payments shall be
made to the Consultant when requested as work progresses, but not more frequently
than once per month. Prior to issuing a Purchase Order for any assignment pursuant to
this Agreement, the County Department shall request that Consultant advise the
County in writing of the estimated time allocation of Consultant's personnel and the
estimated fees thereof for the proposed work to be specified in the assignment.
Consultant shall supply such estimate to County, based on Consultant's good faith
analysis,within ten (10) business days of the request.
Page 1 of 8
4. COMPENSATION. The compensation (whether based upon a negotiated lump sum,
time and materials, hourly with a cap or some other agreed-to format) contained in each
separate proposal shall be based on the hourly rates as set forth and identified in
Schedule A which is attached hereto, for the time reasonably expended by Consultant's
personnel in performing the Services. The Rate Schedule may be updated by mutual
agreement on renewal anniversary date of the contract if Consultant so requests in
writing. Assignments shall be made by Purchase Order based on Consultant's proposal.
4.1 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
"'aches" as untimely submitted. Time shall be deemed of the essence with respect to
the timely submission of invoices under this agreement.
5. INVOICING. The purchase order number must be referenced on each invoice. If this
number does not appear or is omitted, the invoice will be returned to the vendor by the
Accounts Payable Department. Billing problems/concerns should be directed to the
Public Utilities Operations Department, Building H, 3339 Tamiami Trail East, Suite 305
Naples, Florida 34112. Payment will be made upon receipt of a proper invoice and in
compliance with Section 218.70, Fla. Stats., otherwise known as the "Local Government
Prompt Payment Act". Consultant will endeavor to invoice County every thirty (30)
days for services performed against all purchases orders unless no service was provided
by Consultant to County. Consultant may be subject to audit by the County, in the
County's sole discretion.
6. 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:
Angie Brewer & Associates, L.C.
9104-58th Drive East
Bradenton, FL 34202
Telephone: 941-756-5800; Fax: 941-756-0804
E-mail: president@angiebrewer.com
Attention: Mark A. Brewer, President
All Notices from the Consultant to the County shall be deemed duly served if mailed or
faxed to the County to:
Board of County Commissioners
Collier County Florida
Purchasing Department, Purchasing Building
3327 Tamiami Trail East
Page 2 of 8
Naples, FL 34112
Attention: Joanne Markiewicz, Interim Purchasing/GS Director
Telephone: 239-252-8407; Fax: 239-732-0844
The Consultant and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
7. 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.
8. NO IMPROPER USE. The Consultant will not use, nor suffer or permit any person to
use in any manner whatsoever, County facilities for any improper, immoral or offensive
purpose, or for any purpose in violation of any federal, state, county or municipal
ordinance, rule, order or regulation, or of any governmental rule or regulation now in
effect or hereafter enacted or adopted. In the event of such violation by the Consultant
or if the County or its authorized representative shall deem any conduct on the part of
the Consultant to be objectionable or improper, the County shall have the right to
suspend the contract of the Consultant. Should the Consultant fail to correct any such
violation, conduct, or practice to the satisfaction of the County within twenty-four (24)
hours after receiving notice of such violation, conduct, or practice, such suspension to
continue until the violation is cured. The Consultant further agrees not to commence
operation during the suspension period until the violation has been corrected to the
satisfaction of the County.
9. TERMINATION. Should the Consultant be found to have failed to perform his
services in a manner satisfactory to the County as per this Agreement, the County may
terminate said agreement immediately for cause; further the County may terminate this
• Agreement for convenience with a thirty (30) day written notice. The County shall be
sole judge of non-performance.
10. NO DISCRIMINATION. The Consultant agrees that there shall be no discrimination
as to race, sex, color, creed or national origin.
11. INSURANCE. The Consultant shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000
Per Occurrence, $2,000,000 aggregate 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.
Page 3 of 8
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 for
each accident.
Special Requirements: Collier County Government shall be listed as the Certificate
Holder and included as an Additional Insured on the Comprehensive General Liability
Policy.
Current, valid insurance policies meeting the requirement herein identified shall be
maintained by Consultant during the duration of this Agreement. Renewal certificates
shall be sent to the County ten (10) days prior to any expiration date. There shall be a
thirty (30) day notification to the County in the event of cancellation or modification of
any stipulated insurance coverage.
Consultant shall insure that all subConsultants comply with the same insurance
requirements that he is required to meet. The same Consultant shall provide County
with certificates of insurance meeting the required insurance provisions.
12. INDEMNIFICATION. To the maximum extent permitted by Florida law, the
Consultant shall indemnify and hold harmless Collier County, its officers and
employees from any and all liabilities, damages, losses and costs, including, but not
limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the
negligence, recklessness, or intentionally wrongful conduct of the Consultant or anyone
employed or utilized by the Consultant in the performance of this Agreement. This
indemnification obligation shall not be construed to negate, abridge or reduce any other
rights or remedies which otherwise may be available to an indemnified party or person
described in this paragraph.
This section does not pertain to any incident arising from the sole negligence of Collier
County.
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of
the County by the Collier County Public Utilities Division.
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 following
component parts, all of which are as fully a part of the contract as if herein set out
verbatim: Consultant's Proposal, Insurance Certificate, RFP #12-5839, Scope of Services,
Addendum, and Schedule A, Fee Schedule.
Page 4 of 8
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. VENUE. This agreement shall be construed in compliance with Florida Laws.Venue shall
be in Collier County, Florida.
18. 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.
19. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement,
the Consultant is formally acknowledging without exception or stipulation that it is fully
responsible for complying with the provisions of the Immigration Reform and Control
Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either
may be amended. Failure by the Consultant to comply with the laws referenced herein
shall constitute a breach of this agreement and the County shall have the discretion to
unilaterally terminate this agreement immediately.
20. 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.
21. 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.
22. VOLUME OF REQUIRED SERVICES. It is mutually understood and agreed that the
nature, amount and frequency of the Services shall be determined solely by County and
that County does not represent or guarantee unto Consultant that any specific amount of
Services will be requested or required of Consultant pursuant to this Agreement
23. ADDITIONAL ITEMS/SERVICES. Additional items and/or services may be added to
this contract in compliance with the Purchasing Policy.
24. 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
Page 5 of 8
faith effort to resolve any such disputes by negotiation. The negotiation shall be attended
by representatives of Consultant with full decision-making authority and by County's
staff person who would make the presentation of any settlement reached during
negotiations to County for approval. Failing resolution, and prior to the commencement
of depositions in any litigation between the parties arising out of this Agreement, the
parties shall attempt to resolve the dispute through Mediation before an agreed-upon
Circuit Court Mediator certified by the State of Florida. The mediation shall be attended
by representatives of Consultant with full decision-making authority and by County's
staff person who would make the presentation of any settlement reached at mediation to
County's board for approval. Should either party fail to submit to mediation as required
hereunder, the other party may obtain a court order requiring mediation under section
44.102, Fla. Stat.
Any suit or action brought by either party to this 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.
25. KEY PERSONNEL/PROTECT 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 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. 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.
26. ORDER OF PRECEDENCE: In the event of any conflict between or among the terms
of any of the Contract Documents, the terms of the Request for Proposal and/or the
Consultant's Proposal, the Contract Documents shall take precedence. In the event of any
conflict between the terms of the RFP and the Consultant's Proposal, the language in the
RFP would take precedence.
27. ASSIGNMENT: Consultant shall not assign this Agreement or any part thereof,
without the prior consent in writing of the County. Any attempt to assign or otherwise
transfer this Agreement, or any part herein, without the County's consent, shall be void. If
Consultant does, with approval, assign this Agreement or any part thereof, it shall require
that its assignee be bound to it and to assume toward Consultant all of the obligations and
responsibilities that Consultant has assumed toward the County.
******A AA k
Page 6 of 8
IN WITNESS WHEREOF, the Consultant and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first
above written.
BOARD OF COUNTY COMMISSIONERS
ATTEST: COLLIER COUNTY,FLORIDA
Dwight E. Brocr c.'.'..1.., erk of Courts
t w- G-t3j/k
By:
Dated; II °.' it.A.',1- Fred W. Coyle, Chairman
Attest t' i ,.
ANGIE BREWER &ASSOCIATES, L.C.
Consultant
/
_16,...A—.., _•.„ By. l/a , ,
First ∎.f itness Signature
N. wlsh.ar-t-
TType/print witness namet
'111 411 i.e.. M,H,21LA. &Zt k1Z) 'bair
Second Witness Typed signature and title
Me-Vs s� Mt-A\c e.Sc_
TType/print witness nameT
Approved as to form and
legal sufficiency:
iii--1?Le,..:
• ant County Attorney
DEPUTY
SCnTT R. TEACH
Print Name
Page 7 of 8
SCHEDULE A
Collier County Fee Schedule
Contract 12-5839
"Loan Grant Acquisition and Compliance Services"
Title Rate
Principal $155.00/hr
Client/Program Manager $130.00/hr
Senior Project/Planning Manager $118.00/hr
Project/Planning Manager II $71.00/hr
Project/Planning Manager I $67.00/hr
Senior Project/Planning Coordinator $53.00/hr
Project/Planning Coordinator I $46.00/hr
Administrative Manager $49.00/hr
Accounting Clerk $46.00/hr
Administrative Assistance II $45.00/hr
Administrative Assistant I $35.00/hr
This list is not intended to be all-inclusive. Hourly rate fees for other categories of professional,
support and other services shall be mutually negotiated by the County and firm on a project by
project basis as needed.
END OF SCHEDULE A
Page 8 of 8
ACARDT, CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYW)
05/30/2012
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
W.Heath Marston Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
8784 E.State Road 70 Suite 101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Bradenton,FL 34202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A.Slate Farm Florida Insurance Company 10739 10739
Angie Brewer and Associates LC
9104 58th Dr.E. INSURER B:
Bradenton,FL 34202 INSURER C:
INSURER O
1 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.
MR ADDS, POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POUCY NUMBER DATE IMNDOIY n_ DATE GIMEMIYY) LASTS
A X GENERALU1BILRY 98-NB-4106-88 12/21/2011 12/21/2012 EACHOCCURRENCE S 1,000,000.00
X COMMERCIAL GENERAL LIABILITY
PREMISES O aocruencpl $ 300,000.00
JCLAIMS MADE I X I OCCUR MED EXP(Any one Person) _S 5,000.00
PERSONAL a ADV INJURY S
GENERAL AGGREGATE S 2,000,000.00
GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COME/OP AGO S
1 POLICY f ECT n LOC
AUTOMOBILE LIABILITY
(.E
ANY AUTO UNIT S
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per RY
HIRED AUTOS
BODILY INJURY S
NON (Per accident)t)
ONMED AUTOS
PROPERTY DAMAGE
(Per accident)
GARAGE UABLLITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG S
EXCESS/UMBRELLA UABLJTY EACH OCCURRENCE S _
IOCCUR I I CLAIMS MADE AGGREGATE S
DEDUCTIBLE
RETENTION S —S
WORKERS COMPENSATION AND (TORY LASTS I ICIER
LAMM
L auTY —
ANYPROPRIETOR/PARTNERCUTIVE E.L.EACH ACCIDENT
� S
OFFICERMEMBER EXCLUDED?
If yes,desWbe urWx
E.L.DISEASE-EA EMPLOYEE S
SPECIAL PROVISIONS below E.L.DISEASE-POLICY UNIT S
OTHER
DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
Collier County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
Agreement#12-5839 Loan/Grant DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL 30 DAYS WRITTEN
Acquisition&Compliance Service NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL.
$301 E Tamiami Trl IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON TIE INSURER,ITS AGENTS OR
ES.
Naples,FL 34112 RT"TM
AIJ7frQR{ REP N ATNE
I 1H�V)
ACORD 25(2001/08) ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001108)
Certificate of Insurance
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 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 endorsements(s).
Named Insured(s):
TriNet HR Corporation Insurer Affording Coverage
and all its affiliates and subsidiaries* Chartis Casualty Company(A)
Angie Brewer And Associates LC (Endorsed as alternate employer) Commerce&Industry Ins Company(B)
9000 Town Center Parkway Ins Co of the State of Pennsylvania(C)
Bradenton,FL 34202 Nat Union Fire Ins Co of Pittsburgh PA(D)
New Hampshire Insurance Company(E)
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 the 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.
Type of Insurer Policy State Effective Expiration Limits
Insurance Number Date Date O WC Statutory Limits
Workers' (B) 046926592 FL 07-01-2011 07-01-2012 Employers Liability
Compensation Bodily Injury By Accident
$ 2,000,000 Each Accident
Bodily Injury By Disease
$ 2,000,000 Each Person
Bodily Injury By Disease
$ 2,000,000 Policy Limit
Other: Client Number: 92D6
The above referenced workers'compensation policies provide statutory benefits only to the employees of the Named Insured(s)on such policies,not to
the employees of any other employer.
*TriNet HR V, Inc;TriNet HR Corporation
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer
affording coverage or its designee will endeavor to provide 30 days written or electronic mail notice to the certificate
holder named herein, but failure to provide such notice shall impose no obligation or liability of any kind upon the
insurer affording coverage, its agents or representatives.
Certificate Holder:
AON Risk Services Northeast, Inc.
Angie Brewer And Associates LC
AON Risk Services Northeast,Inc.
9104 58th Dr E
Bradenton, FL 34202-9187 (866)443-8489 07/01/2011
Phone Date Issued
002754
ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE 05/30/2012
(I`"
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
W.Heath Marston Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
8784 E.State Road 70 Suite 101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Bradenton,FL 34202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
t•—=,l INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: State Fawn Mutual Automoble Insurance Cowpony 25178 25178
Angela R.and James Brewer INSURER B
8738 53rd Terrace East
Bradenton,FL 34211-3702 INSURER C:
INSURER D.
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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.
R/SR ADM POLICY POLICY EXPIRATION
LT TYPE OF INSURANCE POLCYNUYBER DATE D I , DATE IW/13D1YY1 WITS
GENERAL LIABILITY EACH OCCURRENCE S
COMMERCIAL GENERAL LIABILITY PREMISES(Es acsurerse) •
CLAIMS MADE OCCUR MED EXP(Any one person) _S
PERSONAL 8,ADV INJURY S
GENERAL AGGREGATE _$
GEN'L AGGREGATE UNIT APPUES PER: PRODUCTS-COMP/OP AGG S
n POLICY n JPF T 7 LOC
A X AUTOMOBILE UABILITY COMBINED SINGLE UNIT
(Ea accident $
ANY AUTO 984 0804-015-59 04-15-2012 10-15-2012 _
ALL OWNED AUTOS
BODILY INJURY $ 1,000,000.00
X SCHEWFD
LA(ITOS (Per person)
HIRED AUTOS BODILY INJURY S 1,000,000.00
NON-OWNED AUTOS (Per )
PROPERTY DAMAGE s 1,000,000.00
(Per accident
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG S
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S
OCCUR I (CLAIMS MADE AGGREGATE S
S
DEDUCTIBLE S _
RETENTION S S
WORKERS COIPENSAIION AND
TORY TATU- IOAL
EMPLOYERS'UABIIRY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S
Unitunder
SPECIAL PROVISIONS below EL.DISEASE-POLICY LIMIT S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/VEIECLES/EXCLUSIONS ADDED BY ENDORSBIENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
Collier County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Agreement#12-5839 Loan/Grant DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Acquisition&Compliance Service NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL.O1 E Tamiami Trl IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Naples,FL 34112 REPRESENTAThEIL R C�TrvE
V '4 C,
ACORD 25(2001108) ®ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001/08)