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Backup Documents 04/11/2017 Item #16C 4 (American Water Chemicals, Inc.) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 C )' TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE COUNTY ATTORNEY PINK ROUTING SLIP Routed by Purchasing Department to Office Initials Date the Following Addressee(s) (In routing order) 1. Risk Management Risk Li 9A0 2. County Attorney Office County Attorney Office 512-7 pf)/2 3. BCC Office Board of County Commissioners vv/6-/ elATArk 4. Minutes and Records Clerk of Court's Office 1-4f\ ( fri 3,[�M 5. Return to Purchasing Department Purchasing `t Contact: Barbara Lance PRIMARY CONTACT INFORMATION Name of Primary Barbara Lance for Swain Hall, Phone Number 252-8998 Purchasing Staff 4/11/17 Contact and Date Agenda Date Item April 11,2017 Agenda Item Number 16.C.4 was Approved by the BCC Type of Document Contract , s Number of Original f1 Attached 4 Documents Attached v� PO number or N/A Solicitation/Contract 17-7091 CountyWide account number if NumberNendor Chemicals/AirGas,Allied,AriXater, document is to be Name Brenntag,Carus,Chemrite,.Harcros, recorded Hawkins,Lhoist,Polydyne,Shrieve INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? 01‘_, Bt- V 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman,with the exception of most letters,must be reviewed and signed BL by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the BL document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's BL signature and initials are required. 7. In most cases(some contracts are an exception), an electronic copy of the document and this routing slip should be provided to the County Attorney's Office before the item is BL input into SIRE. 8. The document was approved by the BCC on the date above and all changes made during the meeting have been incorporated in the attached document. The County N/A Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made, and the document is ready for the eirittl Chairman's signature. 16C 4 MEMORANDUM Date: April 21, 2017 To: Barbara Lance for Swain Hall, Procurement Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Contract #17-7091 "Countywide Chemicals" Contractor: American Water Chemicals, Inc. Attached for your records is an original of the referenced contract above, (Item #16C4) adopted by the Board of County Commissioners on Tuesday, April 11, 2017. If you have any questions, please feel free to contact me at 252-7240. Thank you. Attachment 16C 4 AGREEMENT 17-7091 for Countywide Chemicals THIS AGREEMENT, made and entered into on this i 1*1 day of Q 2017, by and between American Water Chemicals, Inc., authorized to do business in the State of Florida, whose business address is 1802 Corporate Center Lane, Plant City, Florida 33563, (the "Contractor") and Collier County, a political subdivision of the State of Florida, (the "County"): WITNESSETH: 1. AGREEMENT TERM. The Agreement shall be for a three (3) year period, commencing on Date of Board award, and terminating three (3) years from that date, or until such time as all outstanding Purchase Order(s) issued prior to the expiration of the Agreement period have been completed or terminated. This Agreement shall have two (2) additional, one (1) year renewals, renewable annually. The County Manager, or his designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred eighty (180) days. The County Manager, or his designee, shall give the Contractor written notice of the County's intention to extend the Agreement term prior to the end of the Agreement term then in effect. The County Manager, or his designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred and eighty (180) days. The County Manager, or his designee, shall give the Contractor written notice of the County's intention to extend the Agreement term prior to the end of the Agreement term then in effect. 2. COMMENCEMENT OF SERVICES. The Contractor shall commence services upon the issuance of a Purchase Order. 3. STATEMENT OF SERVICES. The Contractor shall provide specified Chemicals for various County Departments/Divisions in accordance with the terms and conditions of Invitation to Bid (ITB) #17-7091 and its Scope of Work, hereby incorporated by reference and made an integral part of this Agreement. The execution of this Agreement shall not be a commitment to the Contractor that any products will be purchased from the Contractor. Rather, this Agreement governs the rights and obligation of the procedure to obtain Products and all Services undertaken by Contractor for the County pursuant to this Agreement during the term and any extension of the term of this Agreement. Any County Agency may utilize the products offered under this Agreement, provided sufficient funds are included in the budget(s). Page 1 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc. 16C4 3.1 The Contractor is the Primary for the chemical(s) listed on Exhibit A — Price Schedule. If the Primary Contractor cannot provide requested product(s) within the timeframe specified by the user division, then the Secondary Contractor will then be contacted as listed on Exhibit A— Price Schedule. 3.2 This Agreement contains the entire understanding between the parties and any modifications to this Agreement shall be mutually agreed upon in writing by the Parties, in compliance with the County's Procurement Ordinance, as amended, and Procurement Procedures in effect at the time such services are authorized. 4. THE AGREEMENT SUM. The County shall pay the Contractor for the units actually ordered and furnished at the unit price in Exhibit B — Fee Schedule and in accordance with Section 4.1. 4.1 Price Methodology: Unit Price: The County agrees to pay a firm total fixed price (inclusive of all costs, including labor, materials, equipment, overhead, etc.) for a repetitive product or service delivered (i.e. installation price per ton, delivery price per package or carton, etc.). The invoice must identify the unit price and the number of units received (no contractor inventory or cost verification required). 4.2 Any County agency may obtain products and services under this Agreement, provided sufficient funds are included in their budget(s). 4.3 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 the Agreement. Any untimely submission of invoices beyond the specified deadline period is subject to non-payment under the legal doctrine of "laches" as untimely submitted. Time shall be deemed of the essence with respect to the timely submission of invoices under this Agreement. 5. SALES TAX. Contractor shall pay all sales, consumer, use and other similar taxes associated with the Work or portions thereof, which are applicable during the performance of the Work. Collier County, Florida as a political subdivision of the State of Florida, is exempt from the payment of Florida sales tax to its vendors under Chapter 212, Florida Statutes, Certificate of Exemption # 85-8015966531C-2. 6. NOTICES. All notices from the County to the Contractor shall be deemed duly served if mailed or faxed to the Contractor at the following Address: American Water Chemicals, Inc. 1802 Corporate Center Lane Plant City, Florida 33563 Phone: 813-246-5448 Fax: 813-623-6678 Attn: Rudy Canezo, Treasurer Email: customerservice@membranechemicals.com Page 2 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc.Ari\ • 16C 4 All Notices from the Contractor to the County shall be deemed duly served if mailed or faxed to the County to: Public Utilities Wastewater Division 8005 Vanderbilt Beach Road Naples, 34120 Attention: Howard Brogdon, Plant Manager c/o Steve Messner, Director, Water Phone: 239-252-5252 Fax: 239-252-6450 The Contractor and the County may change the above mailing address at any time upon giving the other party written notification. All notices under this Agreement must be in writing. 7. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating a partnership between the County and the Contractor or to constitute the Contractor as an agent of the County. 8. 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 Contractor. The County will not be obligated to pay for any permits obtained by Subcontractors/Subconsultants. Payment for all such permits issued by the County shall be processed internally by the County. All non-County permits necessary for the prosecution of the Work shall be procured and paid for by the Contractor. The Contractor shall also be solely responsible for payment of any and all taxes levied on the Contractor. In addition, the Contractor shall comply with all rules, regulations and laws of Collier County, the State of Florida, or the U. S. Government now in force or hereafter adopted. The Contractor agrees to comply with all laws governing the responsibility of an employer with respect to persons employed by the Contractor. 9. NO IMPROPER USE. The Contractor will not use, nor suffer or permit any person to use in any manner whatsoever, County facilities for any improper, immoral or offensive purpose, or for any purpose in violation of any federal, state, county or municipal ordinance, rule, order or regulation, or of any governmental rule or regulation now in effect or hereafter enacted or adopted. In the event of such violation by the Contractor or if the County or its authorized representative shall deem any conduct on the part of the Contractor to be objectionable or improper, the County shall have the right to suspend the Agreement of the Contractor. Should the Contractor fail to correct any such violation, conduct, or practice to the satisfaction of the County within twenty-four (24) hours after receiving notice of such violation, conduct, or practice, such suspension to continue until the violation is cured. The Contractor further agrees not to commence operation during the suspension period until the violation has been corrected to the satisfaction of the County. Page 3 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc. 16C4 10. TERMINATION. Should the Contractor be found to have failed to perform his services in a manner satisfactory to the County as per this Agreement, the County may terminate said Agreement for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be sole judge of non- performance. In the event that the County terminates this Agreement, Contractor's recovery against the County shall be limited to that portion of the Agreement Amount earned through the date of termination. The Contractor shall not be entitled to any other or further recovery against the County, including, but not limited to, any damages or any anticipated profit on portions of the services not performed. 11. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as to race, sex, color, creed or national origin. 12. INSURANCE. The Contractor shall provide insurance as follows: A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000 Single Limit Per Occurrence, $2,000,000 aggregate, for Bodily Injury Liability and Property Damage Liability. This shall include Premises and Operations; Independent contractors; Products and Completed Operations and Contractual Liability. B. Business Auto Liability: Coverage shall have minimum limits of $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. The coverage must include Employers' Liability with a minimum limit of $1,000,000 for each accident. D. Pollution: Coverage must include a minimum limit of $1,000,000 for occurrence. 13. INDEMNIFICATION. To the maximum extent permitted by Florida law, the Contractor shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, whether resulting from any claimed breach of this Agreement by Contractor, any statutory or regulatory violations, or from personal injury, property damage, direct or consequential damages, or economic loss, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor or anyone employed or utilized by the Contractor in the performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an indemnified party or person described in this paragraph. This section does not pertain to any incident arising from the sole negligence of Collier County. Page 4 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc. 0 16C 4 13.1 The duty to defend under this Article 13 is independent and separate from the duty to indemnify, and the duty to defend exists regardless of any ultimate liability of the Contractor, County and any indemnified party. The duty to defend arises immediately upon presentation of a claim by any party and written notice of such claim being provided to Contractor. Contractor's obligation to indemnify and defend under this Article 13 will survive the expiration or earlier termination of this Agreement until it is determined by final judgment that an action against the County or an indemnified party for the matter indemnified hereunder is fully and finally barred by the applicable statute of limitations. 14. AGREEMENT ADMINISTRATION. This Agreement shall be administered on behalf of the County by the Public Utilities Wastewater Division. 15. CONFLICT OF INTEREST. Contractor represents that it presently has no interest and shall acquire no interest, either direct or indirect, which would conflict in any manner with the performance of services required hereunder. Contractor further represents that no persons having any such interest shall be employed to perform those services. 16. COMPONENT PARTS OF THIS AGREEMENT. This Agreement consists of the following component parts, all of which are as fully a part of the Agreement as if herein set out verbatim: Contractor's Proposal, Insurance Certificate(s), ITB #17-7091-Scope of Work, and Exhibit A— Fee Schedule. 17. 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. 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, as amended, 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 Agreement held by the individual and/or firm for cause. 19. COMPLIANCE WITH LAWS. By executing and entering into this Agreement, the Contractor is formally acknowledging without exception or stipulation that it agrees to comply, at its own expense, with all federal, state and local laws, codes, statutes, ordinances, rules, regulations and requirements applicable to this Agreement, including but not limited to those dealing with 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; taxation, workers' compensation, equal employment and safety (including, but not limited to, the Trench Safety Act, Chapter 553, Florida Statutes, and the Florida Page 5 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc. 0 16C 4 Public Records Law Chapter 119, including specifically those contractual requirements at F.S. § 119.0701(2)(a)-(b) as stated as follows: IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: Communication and Customer Relations Division 3299 Tamiami Trail East, Suite 102 Naples, FL 34112-5746 Telephone: (239) 252-8383 The Contractor must specifically comply with the Florida Public Records Law to: 1. Keep and maintain public records required by the public agency to perform the service. 2. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 3. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the Contractor does not transfer the records to the public agency. 4. Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the Contractor or keep and maintain public records required by the public agency to perform the service. If the Contractor transfers all public records to the public agency upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the public agency, upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. If Contractor observes that the Contract Documents are at variance therewith, it shall promptly notify the County in writing. Failure by the Contractor to comply with the laws referenced herein shall constitute a breach of this Agreement and the County shall have the discretion to unilaterally terminate this Agreement immediately. 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 Agreement to other governmental entities at the discretion of the successful proposer. Page 6 of 10 Agreement#17-7091"Countywide Chemicals" 0 American Water Chemicals,Inc. 16C 4 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. ADDITIONAL ITEMS/SERVICES. Additional items and/or services may be added to this Agreement in compliance with the Procurement Ordinance, as amended, and Procurement Procedures. 23. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between the parties, the parties shall make a good faith effort to resolve any such disputes by negotiation. The negotiation shall be attended by representatives of Contractor with full decision-making authority and by County's staff person who would make the presentation of any settlement reached during negotiations to County for approval. Failing resolution, and prior to the commencement of depositions in any litigation between the parties arising out of this Agreement, the parties shall attempt to resolve the dispute through Mediation before an agreed-upon Circuit Court Mediator certified by the State of Florida. The mediation shall be attended by representatives of Contractor with full decision-making authority and by County's 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. 24. VENUE. 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/PROJECT or AGREEMENT STAFFING. The Contractor'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 ensure that competent persons will be utilized in the performance of the Agreement. The Contractor shall assign as many people as necessary to complete the project/services on a timely basis, and each person assigned shall be available for an amount of time adequate to meet the required service dates or dates set forth in the Project Schedule. The Contractor 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 Contractor 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. OR if there are no Key personnel, just staff, use the following: 25. PROJECT or AGREEMENT STAFFING. The Contractor's personnel and management to be utilized for this Agreement/project shall be knowledgeable in their areas of expertise. The County reserves the right to perform investigations as may be deemed Page 7 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc. 010 16C 4 necessary to ensure that competent persons will be utilized in the performance of the Agreement. The Contractor's shall assign as many people as necessary to complete the Choose: project/Agreement/required services on a timely basis, and each person assigned shall be available for an amount of time adequate to meet the Choose: required service delivery dates/dates set forth in the Project Schedule. 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 ITB, the Contractor's Proposal, and/or the County's Board approved Executive Summary, the Contract Documents shall take precedence. 27. ASSIGNMENT. Contractor 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 Contractor does, with approval, assign this Agreement or any part thereof, it shall require that its assignee be bound to it and to assume toward Contractor all of the obligations and responsibilities that Contractor has assumed toward the County. 28. SECURITY. The Contractor is required to comply with County Ordinance 2004-52, as amended. Background checks are valid for five (5) years and the Contractor shall be responsible for all associated costs. If required, Contractor shall be responsible for the costs of providing background checks by the Collier County Facilities Management Division for all employees that shall provide services to the County under this Agreement. This may include, but not be limited to, checking federal, state and local law enforcement records, including a state and FBI fingerprint check, credit reports, education, residence and employment verifications and other related records. Contractor shall be required to maintain records on each employee and make them available to the County for at least four (4) years. All of Contractor's employees and subcontractors must wear Collier County Government Identification badges at all times while performing services on County facilities and properties. Contractor ID badges are valid for one (1) year from the date of issuance and can be renewed each year at no cost to the Contractor during the time period in which their background check is valid, as discussed below. All technicians shall have on their shirts the name of the contractor's business. The Contractor shall immediately notify the Collier County Facilities Management Division via e-mail (DL-FMOPS a(�colliergov.net) whenever an employee assigned to Collier County separates from their employment. This notification is critical to ensure the continued security of Collier County facilities and systems. Failure to notify within four (4) hours of separation may result in a deduction of$500 per incident. Page 8 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc. 16C 4 IN WITNESS WHEREOF, the Contractor and the County, have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. BOARD OF COUNTY COMMISSIONERS ATTEST: COLLIER C• NTY, FLORIDA Dwight E. Brock, Clerk of Courts ' gg�� By. + , t, ' " By: //yA,1d _...i_ .L Penny Tat: , Chair a Dated: , 11:'4.0 ' (Seal) .\/.,,:,..., _ Attest Chainnan''s" rinrown r'n t,.;te� American Water Chemicals, Inc. _ Contractor 'kLA ,A,,,3 By: ., t First Witness ature Itronies:. \Ia_ry N\oNock ,c cX thou\., Typ- Print Witness Name Typed Signature Seco • 'tness Title Type/Print Witness Name A..roved .s t•. For and Legality: ilia I/ WOW. ounty Attorney UP-'-'' n Page 9 of 10 Agreement#17-7091"Countywide Chemicals American Water Chemicals,Inc. 0 16C 4 Exhibit A — Price Schedule Unit of Item Product Description Rank Vendor Cost Measure 4 W-4 Corrosion Inhibitor (ortho- lbs Primary American $0.295 polyphosphate) 80-20 Water 4 W-4 Corrosion Inhibitor (ortho- lbs Secondary Chemrite - polyphosphate) 80-20 9 W-9 Scale Inhibitor lbs Primary American $0.71 Water 9 W-9 Scale Inhibitor lbs Secondary King Lee - la Page 10 of 10 Agreement#17-7091"Countywide Chemicals" American Water Chemicals,Inc. 16C 4 Client#: 1696523 131AMERIENG ACORDr, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)4/19/2016 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). PRODUCERCONTA ( CT NAME: BB&T Insurance Services, Inc. PHONE 407 691-9600 FAX 888-635-4183 PO Box 4927 ( No): E-MAIL Ext): (AIC, Orlando, FL 32802-4927 ADDRESS. INSURER(S)AFFORDING COVERAGE NAIC if 407 691-9600 INSURER A:Evanston Insurance Company 35378 INSUREDINSURER B:Owners Insurance Company 32700 American Engineering Services Inc 1802 Corporate Center Ln INSURER C Plant City, FL 33563 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 16/17 GL BAI/Auto 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. LTR TYPE OF INSURANCE NSRWVD POLICY NUMBER MI L POLICY EFF POLICY EXP LIMITS (MDD/YYYY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY ' 16PKGSE20192 04/29/2016 04/29/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occur ence) $100,000 X Deductible: $5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 I ', OTHER: $ B AUTOMOBILE LIABILITY 4947152201 05/01/2016 05/01/2017 E0 aBccl eDn NGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X AU NONTOS- WNED I PROPERTY DAMAGE O (Per accident) _ A UMBRELLA LIAB X 1 OCCUR �1 16EFXSE20080 04/29/2016 04/29/2017! EACH OCCURRENCE $5,000,000 x EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE i 1 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A I (Mandatory in NH) I 'I E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT $ A Contr. Pollution 16PKGSE20192 04/29/2016 04/29/2017 $1,000,000 Ea Condition $5,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Renewal Contract 12-5845-County-Wide Chemicals Insured name continued:American Water Chemicals, Inc.dba Alkema Solutions, Inc. Additional Insured status is granted with respects to General Liability per endorsement"Additional Insured (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Collier CountyBoard of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 3327 Tamiami Trail,East Naples,FL 34112 AUTHORIZED��. REPRESENTATIVE , ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #516017700/M16017380 MOCO 16C4 DESCRIPTIONS (Continued from Page 1) Owners, Lessees or Contractors-Blanket"form#CG 20 10 07/04 and"Additional Insured-Owners, Lessees or Contractors-Completed Operations-Blanket"form#CG 20 37 07/04 Additional Insured status is granted with respects to Automobile Liability per endorsement"Automatic Designated Insured-Blanket Coverage"form#89304 07/10 SAGITTA 25.3(2014/01) 2 of 2 #S16017700/M16017380 16C4 4 POLICY NUMBER:1 aPKGSE2w492 Ct)MMEECIAL GENERAL LIABILITY CC 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This errdorseiient rncdifies insurance provided under the fal:owing. COMMERCIAL GEIJERAL LEAB LITY COVERAGE PART SCHEDULE Name of Additional Insured Pe(viols) Or Or..nization s : Locations Of Covi)r4d O r iOrts Any person(s)or organiietion(s)to vino m the insured Contracting work or contracting operations agrees to provide Additional nsured status in a written f performed under a written contract by you or 4u:11.1aut 3ilil led:!y bout piilica Auld enewledl{,r iui to the wi your behalf for others at a location mat you connmenmment of operations. S do not own,control or rent,or occupy other I than for the purpose of the performanrn of yrtuT ongoing operations. InFurnkitiuir required to complete llrb Si;ed i1e,it,lut Jtr:twr ibuvu,will shown el ltu.'D claiatiuns A. Section II —Who is An Insured is 4+nended to B. with respect :o the insurance afforded to these iidurir. a. rtn nddrlinnnl insuavri trc jr^,an(.^,) nr additional n:arr.dr, The following additional oxclu- t:ri,;;rni<•:+li rt(3) Ammon in the 8oherluk„ tial only siorr apply with resect to liability for"bodily injury'. 'property This insurance tic no;apply to "boo)y injLrti.' or 4amaga' of 'paASgnal and sdvarising injury" 'raroparty damage,"occurring atter_ caused,in orf ole or 41 part,zy: 1. All wcrk, inducing n teriats, pars or equiF- 1. Your acts or orris ions;ur ireni 'urnished in coiractior with suci rk, 2. The acts or omissions of those acting on your on the projoct(othcrtien scrvi ,maintcnancc behalf; or repairs)to oe performed by or on behalf ct ii the performance of your ongcing operations for the additional insurticis) ai-.no location of tho the add i lona! insure As) at the locations) desig ccr:'ered otx,salions ras rxien ccrnr.lot r or rated ahn,o. CG 20 10 07 04 '1)ISO Properties, 'rte:,,2004 Page 1 of 2 0 16C 4 2 That portiork CiNcur victrk" act k-rif wow!, injury or dainago ariscs has teen put tu tsIV' tended u5e by any person or IA]alnk,u lti- or than another contractor c4 enqajed ri perfOrcrino operationsri 3pc nc.- Pal as a pont of the sane project. Page 2 at 2 0 ISO Prcventw.1,. triL, 2034 CO 20 10 07 04 El 16C4 POLICY NUMBER:15 KGSE'0142 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This Pnciorsement rnctlifics insurance provided under the'llo'wing COM IN"E CIi,L(.:EPIEERAL LIAB LIT? COVEF AGE PART SCHEDULE Name Of Additional Insured Pe rsonl s) Location And Description Of Completed Opera- Or{7rgsnizatiian{s): tions Any perso:i(S)o Uroanizatia'1(s)towhomthe insured Corltacting worts or contracting operaticnsperfuinied agraes to provide Atkliti.mal nsurerl-Co:rtpleted under written contract by ycti of on your behalf for Operaiiarts status Ina writter contract signed by hath ,oth��s at location khat you du riot own,control or rent, panios and executed prior to th+'errvrtriPnr erten of 'or ncrupy other than lot the purpose of the c�pw rat un's perto'rtlarico of your ongoing operations. Iiformnticn regt.iret to complete th s Smeduie,If not show,above,will be shown in the Declnretl:)rs Section Ii - Who Is An Insured 15 amended to include es >3n ir^-crod tho perscit(S) or nrgani¢atior(ti}shnvon irY t'ir. nr.he'.dule, but only:vith rasped lo Iiabili-y tor "Willy tntt:ry" or "property ieiiricge"cHi,Scci, in whole Of i pail, by'yoLrwork" et the iodation destgnatca and described in the sciedule of this endorsement per unveil for Mal additional insured and included in Ut!' "prnficeri,- cOrnpletad operations hazard". CG 20 37 07 04 ISO Properties, Inc.,2004 Paye•1 of 1 0 16C 4 89304(7-10) AUTOMATIC DESIGNATED INSURED - BLANKET COVERAGE Automobile Policy SECTION II -LIABILITY COVERAGE is provided to any The insurance provided by this endorsement does not person or organization only to the extent such person or apply to any extension of SECTION II-LIABILITY COV- organization is liable for your conduct arising from an ERAGE provided elsewhere in this policy. automobile to which SECTION II - LIABILITY COV- ERAGE applies. All other policy terms and conditions apply. 89304(7-10) Page 1 of 1 16C 4 a� CERTIFICATE OF LIABILITY INSURANCE DnrE(MMrocrYYYvI AC �...- 06/22116 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 have ADDITIONAL INSURED provisions or be endorsed- If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk Services Inc of Florida NAME: Aon Risk Services,Inc of Florida 1001 Briokeli Bay Drive,Suite#1100 ��PNHONE FAX Miami,FL 33131-4937 _LUC,1 o,Ext):800-743-8130 (NC,No):800-522-7514 -EMAIADDRESS: ADP.COI Center@Aon cora INSURERIS)AFFORDING COVERAGE NAIC# INSURER A: Il inois National Insurance Co 23817 _ INSURED ADP TotalSource III,Inc. INSURER 8. 10200 Sunset Drive INSURER C: Miami,FL 33173 ALTERNATE EMPLOYER INSURER D: American Water Chemicals.Inc DBA Alkema Solutions,Inc INSURER E: 1802 Corporate Center Lane, Plant City.Fl 33563 INSURER F: COVERAGES CERTIFICATE NUMBER: 1320151 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 LIMITS SHOWN ARE AS REQUESTED INSTYPE OF INSURANCE NSR SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP OMITS LTR (MM/OD/YYYY) (MM/DEV YYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES{Ea occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ OTHER $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Fa accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED _AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY ...(Per accident) $ UMBRELLALIAB _OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEC RETENTIONS WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE WC 061139701 FL 7/1)2016 7/1/2017 E EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED') N/A (Mandatory in NH) E L. DISEASE-EA EMPLOYEE $ 2.000,000 it yes,dexntw under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All worksite employees working for AMERICAN WATER CHEMICALS,INC DBA ALKEMA SOLUTIONS.INC.paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy AMERICAN WATER CHEMICALS INC DBA ALKEMA SOLUTIONS.INC is an alternate employer under this policy CERTIFICATE HOLDER CANCELLATION Collier County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3327 Tamiarni Trail,East THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Naples,Ft.34112 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hort dtisk 'etvlces, QFca Of Oflotidla ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1012400