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#09-5227 Assumption Agreement (ADT) ASSUMPTION AGREEMENT This ASSUMPTION AGREEMENT is made and entered into as of September 11, 2012, by and between ADT, LLC ("ADT") and Collier County, a political subdivision of the State of Florida("Collier County"). WHEREAS, on June 23, 2009, in accordance with the terms and conditions of Invitation to Qualify #09-5227, the Collier County Board of County Commissioners awarded Agreement 09-5227 (Services for Seniors) to ADT Security Services, Inc., which Agreement was extended by an Extension Letter dated February 23, 2012, signed by both parties, a copy of all of which is attached hereto as Exhibit A, and hereinafter collectively referred to as "Agreement;" and WHEREAS, ADT Security Services, Inc., hereby represents to Collier County that by virtue of a company restructuring agreement, ADT is the successor in interest to ADT Security Services, Inc., in relation to the Agreement; and WHEREAS, the parties wish to formalize ADT'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. ADT 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. ADT will promptly deliver to Collier County evidence of insurance consistent with Paragraph 11 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: ADT, LLC c/o 32100 U.S. Highway 19 North Palm Harbor, Florida 34684 Phone: 877-456-1787; Fax: 877-666-4390 Attention: Martin Levenson, ADT HHSS Director 5. Collier County hereby consents to ADT's assumption of the Agreement. No waivers of performance or extensions of time to perform are granted or authorized. Collier County will treat ADT as the Contractor for all purposes under the Agreement. 1 IN WITNESS WHEREOF,the undersigned have executed and delivered this Assumption Agreement effective as of the date first above written. COLLIER COUNTY: ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E. I4ROCK, Clerk COLLIER COUNTY,FLORIDA � ,�., _ (a..V,-.0>4.. : O By: tom C x Retest n to., �liCltrk FRED W. COYLE, CHAIRMAN I i gnisturt )41.11. ADT,LLC: By: ' Attest: s.,=&;______Ls,,,,_,w-- 1 4 E, Lf W44V- are(IA J`'1 W uDkpo4 aptm N Print Name and Title Print Name Date: Ylii. Date: q ( `-E I O- gg gtiY SHAWNA CANN +: pfd . MY COMMISSION#DD 793316 W.7-,„;..:41 EXPIRES:September 19,2012 ' Rr h:' Bonded Thru Notary Pubic Underwriters Approve as t f• _ . and legal uffi ii • Alt' By: �1Vr∎ Jeffrey)• . atzkow County A 1 t ey 2 EXHIBIT A AGREEMENT09-5227 for Services for Seniors THIS AGREEMENT, made and entered into on this 23rd day of June, 2009, by and between ADT Security Services,Inc., authorized to do business in the State of Florida, whose business address is 32100 U.S. Highway 19 North, Palm Harbor, Florida 34684, hereinafter called the "Vendor" and Collier County, a political subdivision of the State of Florida, Collier County, Naples,hereinafter called the"County": WITNESSETH: 1. COMMENCEMENT. This Agreement shall commence on July 1, 2009 and shall terminate on June 30,2012. 2. STATEMENT OF WORK. The Contractor shall provide Services for Seniors in accordance with the terms and conditions of ITQ #09-5227 and the Vendor'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 Vendor and the County 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. COMPENSATION. The County shall pay the Vendor for the performance of this Agreement the aggregate of the units actually ordered and furnished at the unit price, together with the cost of any other charges/fees submitted in the proposal as set forth in Appendix I, Contract Rate Caps,attached hereto and made an integral part hereof. Payment will be made upon receipt of a proper invoice and upon approval by the Contract Manager or his designee, and in compliance with Section 218.70, Fla. Stats., otherwise known as the"Local Government Prompt Payment Act". 4. SALES TAX. Vendor 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. Page 1 of 7 5. NOTICES. All notices from the County to the Vendor shall be deemed duly served if mailed or faxed to the Vendor at the following Address: ADT Security Services,Inc. 32100 U.S.Highway 19 North Palm Harbor,FL 34684 Attention: Martin E. Levenson Telephone: 877 456-1787 Facsimile: 877-666-4390 All Notices from the Vendor to the County shall be deemed duly served if mailed or faxed to the County to: Collier County Government Center Purchasing Department-Purchasing Building 3301 Tamiami Trail, East Naples,Florida 34112 Attention:Steve Carnell,Purchasing/GS Director Telephone: 239-252-8371 Facsimile: 239-252-6584 The Vendor 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 Vendor or to constitute the Vendor as an agent of the County. 7. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.S., all permits necessary for the prosecution of the Work shall be obtained by the Vendor. 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 Vendor. The Vendor shall also be solely responsible for payment of any and all taxes levied on the Vendor. In addition, the Vendor shall comply with all rules, regulations and laws of Collier County, the State of Florida, or the U. S. Government now in force or hereafter adopted. The Vendor agrees to comply with all laws governing the responsibility of an employer with respect to persons employed by the Vendor. 8. NO IMPROPER USE. The Vendor 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 Page 2 of 7 effect or hereafter enacted or adopted. In the event of such violation by the Vendor or if the County or its authorized representative shall deem any conduct on the part of the Vendor to be objectionable or improper, the County shall have the right to suspend the contract of the Vendor. Should the Vendor 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 Vendor 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 Vendor 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 Vendor agrees that there shall be no discrimination as to race,sex,color,creed or national origin. 11. INSURANCE. The Vendor shall provide insurance as follows: A. Commercial General Liability: Coverage shall have minimum limits of$1,000,000 Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability. This shall include Premises and Operations; Independent Vendors;Products and Completed Operations and Contractual Liability. B. Business Auto Liability: Coverage shall have minimum limits of $1,000,000 Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability. This shall include: Owned Vehicles, Hired and Non-Owned Vehicles and Employee Non-Ownership. C. Workers' Compensation: Insurance covering all employees meeting Statutory Limits in compliance with the applicable state and federal laws. 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 Vendor during the duration of this Agreement. Renewal certificates shall be sent to the County thirty(30) days prior to any expiration date. There shall be a thirty (30) day notification to the County in the event of cancellation or modification of any stipulated insurance coverage. Page 3 of 7 Vendor shall insure that all subVendors comply with the same insurance requirements that he is required to meet. The same Vendor shall provide County with certificates of insurance meeting the required insurance provisions. 12. INDEMNIFICATION. To the maximum extent permitted by Florida law, the Vendor 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 Vendor or anyone employed or utilized by the Vendor 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 Housing and Human Services Department. 14. CONFLICT OF INTEREST: Vendor 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. Vendor 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: Vendor's Proposal, Insurance Certificate, and ITQ #09-5227 Specifi- cations/Scope of Services. 16. SUBJECT TO APPROPRIATION. It is further understood and agreed by and between the parties herein that this agreement is subject to appropriation by the Board of County Commissioners. 17. 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 Vendor is formally acknowledging without exception or stipulation that it is fully Page 4 of 7 • 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 Vendor 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 Vendor. 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 Vendor 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 Vendor 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. Page 5 of 7 IN WITNESS WHEREOF, the Vendor 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 COLLIER COUNTY,FLORIDA 0 9 I R TAI , et*;caf Courts By 4 .m �s�1 :! By: Donna Fiala,Chairman AttatiV.00.****04 ,3� s��� M ADT Security Services,Inc. SE • s ` Vendor L f By: /hill Ai/- First Witness Si. or re 1`t'v o ViibLo 1'Typ /print witness namet Martin E . Levenson 4,11Z49 ADT HHSS Director . Program DPvPlopment Second Witness Typed signature and title I 6 i 1►' 210 ru mil. Ja �°/� /F ,D TType/print witness nameT �iErr�� ������ N yP e/p 31?.?e96 0 Approved as to form and legal sufficiency: DANIEL 11F�PJn. Notary p� My�omrnlss" ,Massachusetts BY: Aires September 20,2013 Jet' IF right, Assistant County Attorney 3 Page 6 of 7 APPENDIX 1 CONTRACT RATE CAPS SERVICE MAXIMUM FEE/UNIT OF SERVICE Total Cost Reimbursement Adult Day Care(CCE) $10.00 per Hour $ 9.00 CHORE $20.00 per Hour $18.00 Enhanced CHORE* $30.00 per Hour $27.00 Emergency Alert Response System $ 1.11 per Day $ 1.00 Homemaker $20.00 per Hour $18.00 Personal Care $22.22 per Hour $20.00 Respite(In-Home) $20.00 per Hour $18.00 Respite(In-Facility)ADI $10.00 per Hour $ 10.00 Skilled Nursing $38.89 per Hour $35.00 Specialized Med Equipment 100%cost 90%of cost Facility Respite(24 Hours) $138.90 per 24hr. $125.00 per 24hr. *Enhanced Chore requires two(2)or more workers performing multiple tasks at the same time. Page 7 of 7 II CERTIFICATE OF INSURANCE .CERTIFICATE NUMBER 616443 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POUCY. THIS CERTIFICATE DOES NOT AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY 711E POLICIES DESCRIBED HEREIN. Marsh,Inc. COMPANIES AFFORDING COVERAGE 1166 Avenue of the Americas - New York,NY 10036 COMPANY A: New Hampshire Ins. Co. Telephone(212)345-5000 COMPANY B: Fireman'a Fund Insurance Company INSURED COMPANY C; Nat'l Union Fire Ins Co of Pittsburgh, PA COMPANY D: Illinois National Insurance Co_ COMPANY 5: Commerce & Industry Ins Co ADT Security Services.Inc. COMPANY F: AI South Insurance Co. 32100 US Hwy 19 N COMPANY G: Insurance Company of the State of PA Palm Harbor,FL 34684-3727 United States COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIRMENTS,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 LISTED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY LIMITS LTR DATE MM/DD ( /YY) EXPIRATION A GENERAL LIABILITY GL 1871924(Primary GL) 10/1/2008 10/1/2009 GENERAL AGGREGATE $2,000,000.00 X COMMERCIAL GENERAL PRODUCTS-COMP/CW AGO $2,000,000.00 CLAIMS MADE I X I OCCU PERSONAL&ADV INJURY $1.000,000.00 OWNER'S&CONTRACTOR'S EACH OCCURRENCE $1,000,000.00 FIRE DAMAGE(Any one Ore)_ $1,000,000.00 - MED EXP(.Any one person) $10,000.00 C AUTOMOBILE LIABILITY CA 11307774(MA) 10/1/2008 10/1/2009 COMBINED SINGLE LIMIT $1,000,000.00 C X ANYAUro CA 1607775(VA) 10/1/2008 10/1/2009 _ C X HIRED AUTOS CA 1607776(AOS) 10/1/2008 10/1/2009 X NON-OWNED AUTOS G WORKERS COMPENSATION AND WC 1872471(CA) 10/1/2008 10/1/2009 X I uulrecnrronY I 1070r C EMPLOYERS'LIABILITY WC 3764201(AOS) 10/1/2008 10/1/2009 EL EACH ACCIDENT $2,000,000.00 D THE PROPRIETOR/ WC 1872476(MI) 10/1/2008 10/1/2009 E PARTNERS/EXECUTIVE WC 1872472(FL) 10/1/2008 10/1/2009 EL DISEASE-POLICY LIMIT $2,000,000.00 F OFFICERS ARE: WC 1872478(CT.GA.PA.SC) 10/1/2008 10/1/2009 EL DISEASE-EACH A WC 1872477(NY.OH,WI) 10/1/2008 10/1/2009 $2,000,000.00 C WC 1872473(OR) 10/1/2008 10/1/2008 G WC 1872478(AR,MA,VA) 10/112008 10/1/2009 A WC 1872474(TX) 10/1/2008 10/1/2009 - - EXCESS LIABILITY GENERAL AGGREGATE = —1 OTHER THAN UMBRELLA FORM PRODUCTS-COMP/OP AGO EACH OCCURRENCE 'UMBRELLA FORM — OTHER - 8 Builder's RMkAnstalletion/Contr.ot Works OC 9112E60 5/1/2009 511!2010 USD 31,000,000.00 per MAIM 8 Rental Equ ment/ContracIor'e Equipment OC 9112860 6/1/2008 5/1/2010 USD 51,000,000.00 perio B Blanket Transit Transit OC 8112860 5/1/2009 5/1/2010 USD 31,000,000.00 per conveyance DESCRIPTION OF OPERATIONSA.00ATIONS/VEHICLEB/BPECIAL ITEMS Collier County Board of County or any other third party shall not be afforded statue of an additional insured except as expreealy agreed to and subject to the terms and condition. of a written agreement between the Named Insured and Collier County Board of Coil Job Numbers 0791 Coetomer Number, 0791 Town Number, .0791 Other Additional Insured., Collier County Board of County Coemiseionere CERTIFICATE HOLDER CANCELLATION Collier COUn Board Of COUn SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BS CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ty INSURER AFFORDING COVERAGE WELL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MILDER Commissioners NAMED HEREIN.BUT FAILURE TO MAIL SUCH NOTICE SHMI IMPOSE NO OBLIGATION Oft LIA8IUI'OF ANY KIND UPON Purchasing Dept,Building G THE M1811RER AFFORDMIO COVERAGE.ITS AGENTS OR REPRESENTATIVES.OR THE ISSUER OF THIS CERTIFICATE. 3301 E.Tamiami Trail 1-‘\ �._J'—1 ---∎ 2«AL:3, a- Naples,FL 34112 MARSH USA INC,BY; Franklin Hallock,Global Marine United States David Kong.Casualty Program Transit Program VALID AS OF 6/26/2009 For question. regarding Chin certificate contact: JOAN SBARPB /Email, jleharpeaadt.com Phone, 800-568-1216-OPT-31 I • Collier County BCC 2/27/2012 7:58:01 AM PAGE 3/004 Fax Server • Co le-r. County ity • Administrative-Services Division Purchasing. February 23, 2012 Mr. Martin Levenson ADT Security Services, Inc. 32100 US Highway 19 North Palm Harbor, FL 34684 Fax: 844-666-4390 Email: • Re: Extension of Contract#09-5227"Services for Seniors' • Dear Mr. Levenson: The above contract will expire June 22,2012 therefore the County will seek new proposals/bids for these services. In order to maintain required service levels in the interim,we request an extension of your contract as provided for in the Collier County Purchasing Policy until December 22, 2012 or until the new contract is awarded, whichever Is sooner. . If you are agreeable to extension of the referenced contract, please indicate your Intentions by providing the appropriate information as requested below: I am agreeable to extending the present contract for the time period indicated under the same terms and conditions as the existing contract. I am not agreeable to extension of this contract. • • PrdasYg llepatnant•3327 Tamiami Tail East•Naples,Florida 34112-4901•www.coltlargw.natlpun;hasing • Collier County BCC 2/27/2012 7:58:01 AM PAGE 4/004 Fax Server Page 2 of 2 3 Re: Extension of Contract#09-5227"Services for Seniors' • Your prompt attention is urgently requested. Please return this letter to the Purchasing Department, with your response as soon as possible. You may fax your response, to: 239.252.6592 or email brendareavesrfilcollieruov.net. if you have any questions you may contact me at 239.252.6020. Best regards, • • Steph=n Y. CamelI • Director-Purchasing/General Services • Acceptance: ADT Security Services, Inc. • ContractorNendor By: /g!"'—t4 fit - ok'd per MEL Signature Martin E. Levenson AflT Ennui Health Security Services Director Typed Name and Title (Corporate Officer) Date: February 27 . 2012 • • • _ A CQR U CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) ‘..✓ 9r1612011 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). CONTACT PRODUCER NAME: [pc Marsh USA Inc. BONE 1012) 345-5000 tAIC,NoI: 11643 Avenue of the Americas -M ISO'-E�i' New York,NY 10036 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 NSURER A: AGCS Marine Insurance Company(Allianz) 22837 INSURED NSURER B: CHARTIS CASUALTY COMPANY 40258 ADT Security Services,Inc. NSURER C: Commerce&Industry Ins Co. 19410 32100 US Hwy 19 N NSURER 0: Illinois National Insurance Co. 23817 Palm Harbor,FL 34084-3727 NSURER E: Nat'l Union Fire Ins Co.of Pittsburgh,PA 19445 United States NSURER F: New Hampshire Ins.Co. 23841 COVERAGES CERTIFICATE NUMBER:872292-A 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, INSR ADDL SUER POLICY EFF POLICY EXP LIE TYPE OF INSURANCE MR WVO POLICY NUMBER IMMIDDrYVYY}I IMMIDDNYYYY)! LIMITS F GENERAL LIABILITY X GL 2449607(Primary GL) 10/1/2011 1 10/1/2012 I EACH OCCURRENCE ,$ $1,000,000.00 X COMMERCIAL GENERAL LIABILITY f PR SE$t[n occurrence) $ $1,000,000.00 CLAIMS-MADE X I OCCUR MED EXP(Any one person) $ $10,000.00 OWNER'S A CONTRACTOR'S PROT PERSONAL&ADV INJURY j$ $1,000,000.00 GENERAL AGGREGATE $ $2,000,000.00 GEN'I_AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMP/OP AGO $ $2,000,000.00 (X POLICY WI: n LOG I $ E _AU TGNOME UABILITY X CA3506468 (VA) 10/1/2011 10/1/2012 (Eeech1antStNGLELIMIT $ $1,000,000.00 E X ANY AUTO CA 3506466(MA) 10/1/2011 1 10/1/2012 BODILY INJURY(Per person) $ ----1 E ALL OWNED _ SCHEDULED CA 3506464 (ADS) 10/1/2011 10/1/2012 BODILY INJURY(Parecdden0 $ 'F AUTOS _I AUTOS CA 3506466(NH)(Primary AL) 10/112011 10/1/2012 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) NEW HAMPSHIRE(CSL) $ $250,000.00 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE PRODUCTS- $ De0 I I RETENTIONS NEW HAMPSHIRE(CSL) $ B WORKERS COMPENSATION WC 015884005(CT,GA,PA,SC) 10/1/2011 10/1/2012 X I TAY LUdITB I 1 ER AND EMPLOYERS'UABILI TY Y r N WC 015884006(FL) C ANY PR OPRIETOR/PARTNER/EXECUTIVE WC 015884008(MI) 101112011 10/1/2012 E.L.EACH ACCIDENT $ $2,000,000.00 D OFFICER/MEMBEREXCLUDED7 IN I NIA WC 015884004(CA) 10/1/2011 10/1/2012 E (Mandatory In NH{ 10/1/2011 10/1/2012 E.L.DISEASE-EA EMPLOYEE $ $2,000,000.00 F If yes,dace ibo under WC 015684007(MA,ND,OH,WA, 10/1/2011 10/1/2012 DESCRIPTION OF OPERATIONS below .WI.WY) E.L.DISEASE-POLICY LIMIT $ $2,000,000,00 A Builders Rlsklinstallation/Contract Works OC&OCW 91128600 10/1/2011 1011/2012 USD$1,000,000.00 per jobaite A Rental EquIpmenUContrecters Equipment 00&OCW 91128600 10/1/2011 10/1/2012 USD$1,000,000.00 per jobstte A Blanket Transit 00 5 OCW 91128600 10/1/2011 10/1/2012 USD$1,000,000.00 per conveyance DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarke Schedule,it more apace to required) Job Number: 0791 Customer Number: 0791 Town Number: 0791 Please refer to attached ACORD 101 for further remarks. CERTIFICATE HOLDER CANCELLATION Collier County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Dept.,Building G ACCORDANCE WITH THE POLICY PROVISIONS. 3301 E.Tamiami Trail Naples,FL 34112 AUTHORIZED REPRESENTATIVE United States %: ., .{ Jk :iii!% 4 MARSH USA INC,BY Franklin Marlud,,Global Markus I Cynthia Kim,Ceaudry P,upem IMO*P,oar.n, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOG g: ACCORD/1r ADDITIONAL REMARKS SCHEDULE Page z of j„... AGENCY NAMEDINSUSED USA ADT Security Services,Inc. }OUCYNUMeEt 32100 US Hwy 19 N Palm Harbor,FL 34684-3727 United States CARRIER RAC INIFEC1WE DATE: • ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE REGARDING POLICIES OF INSURANCE: Insurer Policy Number(s) Effective Date(a) Expiration Date(s) F NC 015884003 (A0S) 10/1/2011 10/1/2012 WC 015884009 (014) 10/1/2011 10/1/2012 REGARDING NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: This endorsement modifies the notice of cancellation of insurance provided hereunder: Should any of the above described policies be cancelled, other than for non-payment of premium, before the expiration date thereof, 30 days advice of cancellation will be delivered to certificate holders in accordance with the policy endorsements. All other terms and conditions of this policy remain unchanged. REGARDING ADDITIONAL INSURED STATUS: In accordance with the policy provisions, Collier County Board of County is included as an additional insured under this policy, as a result of any contract or agreement entered into by the named insured and Collier County Board of County . Other Additional Insureds: Collier County Board of County Commissioners { FOR QUESTIONS REGARDING THIS CERTIFICATE OF INSURANCE CONTACT: JOINT SHARPE (Email: jfsharpeeadt.con Phones 800-568-1216-OPT-3) Certmotate of Insurance was generated byE1DORI RISICwsAOO rm.Cer80oafaee.To ream more about EXIGIS Coddled.Management Sofudons Welt www.ada mcomllye. ACORD 101(2001001) 0 2096 ACORD CORPORATION All rights reserved. The ACORD name and logo are registered marks of ACORD •