Backup Documents 09/11-12/2012 Item #16E 816E8
MEMORANDUM
Date: September 19, 2012
To: Diana De Leon, Contract Technician
Purchasing Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Assumption Agreement ADT Security Services to ADT LLC
Attached, is an original copy of the contract referenced above, (Item #16E8)
approved by the Board of County Commissioners on Tuesday, September 11, 2012.
The second original contract will be held on file with the Minutes and Record's
Department in the Board's Official Records.
If you have any questions, please contact me at 252 -8411.
Thank you.
Attachment
Memorandum
Purchasing Department
3327 Tamiami Trail East
Naples, Florida 34112
Telephone: (239) 252-8375
FAX: (239) 252 -6597
Email: dianadeleon(a) colliergov.net
www.colliergov.neUpurchasing
Subject: Assumption Agreement ADT Security Services to ADT LLC
Date: September 11, 2012
From: Diana DeLeon, CPPB, Contract Technician, Purchasing Dept.
To: Ray Carter, Manager Risk Finance
This Contract was approved by the BCC on September 11, 2012 agenda item 16. E. 8.
100 r,60
The County is in the process of executing this contract with ADT, LLC. The contract cannot take place
until verification is received from Risk that all the insurance requirements, per the contract, have been
met.
Please review the Insurance Certificate(s) for the referenced Contract.
• If the insurance is not in order please contact the vendor /insurance company to obtain a proper
certificate. Once you receive the proper certificate(s), please acknowledge your approval and send
to the County Attorney's office via the attached Request for Legal Services.
• If the insurance is in order please acknowledge your approval and send to the County Attorney's
office via the attached Request for Legal Services.
If you have any questions, please contact m_e-at1hZ)aboy0referenced information.
Insuran
Managers k Finance Signature
(Please route to County Attorney via attached Request for Legal Services)
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Date
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16E8
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
16EB
IN WITNESS WHEREOF, the undersigned have executed and delivered this Assumption
Agreement effective as of the date first above written.
COLLIER COUNTY:
ATTEST:
DWIGHT E. BROCK, Clerk
By
` e�u erk
I tun
ART, `-ELC:
By:
Print Name and Title
Date:
Apr
and
2
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
FRED W. COYLE, CHAI
Attest:
3V)AL0014 CA M 1'4
Print Name
Date: 9 (`{ It 2-
i SHAWNA CANN
MY COMMISSION p DD 793316
? • EXPIRES: September 19, 2012
p ; Balled Thru NOW Pubic un&w,bM
Deputy Clerk
Agenda
q 1( Z
Data
Date
Rac'd
Deputy Clerk
EXHIBIT A
AGREEMENT09 -5227
for
Services for Seniors
16E8
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 I of 7
16EB
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
16E8
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
16E8
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. SUBTECT 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
16E8
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
16E8
M 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.
ATTEST: �` F
... et of Courts
�z %1 Al
First Witness
,vo V1ToLo
TTyp /print witness namef
1;yP
Second Witness
14'a 11 " I ✓.).1 o ru ZI.
TType /print witness namef
Approved as to form and
legal sufficiency:
BY:
Jeff ".right, Assistant County Attorney
Page 6 of 7
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
4L I I
Donna Fiala, Chairman
ADT Security Services, Inc.
0
Vendor
Martin E. Levenson
ADT HHSS Director, Program Development
Typed signature and title
Oeptember 20.2013
16E8
APPENDIX 1
CONTRACT RATE CAPS
SERVICE
Adult Day Care (CCE)
CHORE
Enhanced CHORE*
Emergency Alert Response System
Homemaker
Personal Care
Respite (In -Home)
Respite (In- Facility)ADI
Skilled Nursing
Specialized Med Equipment
Facility Respite (24 Hours)
MAXIMUM FEE/UNIT OF SERVICE
Total Cost
Reimbursement
$10.00 per Hour
$ 9.00
$20.00 per Hour
$18.00
$30.00 per Hour
$27.00
$ 1.11 per Day
$ 1.00
$20.00 per Hour
$18.00
$22.22 per Hour
$20.00
$20.00 per Hour
$18.00
$10.00 per Hour
$ 10.00
$38.89 per Hour
$35.00
100% cost
90% of cost
$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
1 l� F s2
For questions regarding this certificate contact: JOHN SIOUtFB (Email: jfaharpeaadt.com Phone: 800 -568- 1216 - OPT -3)
CERTIFICATE
OF INSURANCE CERTIFICATE NUMBER
616443
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
PRODUCER
RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY.
-
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES DESCRIBED HEREIN.
Marsh, Inc.
1166 Avenue of the Americas
COMPANIES AFFORDING COVERAGE
COMPANY A: New Hampshire Ins. Co.
New York, NY 10036
Telephone(212)345 -5000
COMPANY B. Fireman's Fund Insurance Company
COMPANY C: Nat'l Union Fire Ins Cc of Pittsburgh, PA
COMPANY D: Illinois National Insurance Co.
INSURED
ADT Security Services, Inc.
COMPANY E. Commerce & Industry Ins Co
COMPANY F: AI South Insurance Co.
32100 US Hwy 19 N
Palm Harbor, FL 346843727
COMPANY G: Insurance Company of the State of PA
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 REQUIRMENTS, 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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDNY)
POLICY
EXPIRATION
LIMITS
A
GENERAL
LIABILITY
GL 1871924 (Primary GL)
10/1/2008
10/112009
GENERAL AGGREGATE
$2,000,000.00
X
COMMERCIAL GENERAL
—]CLAIMS MADE 1 OCCU
PRODUCTS - COMP /OP AGG
$2,000,000.00
PERSONAL 8 ADV INJURY
$1,000,00 0.00
EACH OCCURRENCE
$1,000 000.00
OWNER'S S CONTRACTOR'S
FIRE DAMAGE (Any one fire)
$1,000,000.00
MED EXP (Anyone
S10.000.00
C
C
AUTOMOBILE LIABILITY
X ANY AUTO
CA 1607774 (MA)
CA 1607775 (VA)
10/1/2008
10/1/2008
10/1/2009
10/1/2009
COMBINED SINGLE LIMIT
$1,000,000.00
C
X HIRED AUTOS
CA 1607776 (AOS)
10/1/2008
10/1/2009
X NON-OWNED AUTOS
C
C
D
E
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERSIEXECUTIVE
WC 1872471 (CA)
WC 3754201 (ADS)
WC 1872475 (MI)
WC 1872472 (FL)
10/112008
10/112008
1011n008
10/112008
10/1/2009
10 /112009
1011/2009
10/1 /2009
/� WCaTAMOaY oTM
EL EACH ACCIDENT
$2,000,000.00
EL DISEASE - POLICY LIMIT
$2,000,000.00
F
A
OFFICERS ARE:
WC 1872478 (CT,GA PA,SC)
WC 1872477 (NY, OH, WI)
10/1/2008
10/1/20118
10/1/2009
10/1 /2009
EL DISEASE -EACH
$2,000,000.00
C
G
A
WC 1872473 (OR)
WC 1872476 (AR,MA VA)
WC 1872474 (TX)
10/1 2008
1011/2008
10 /1/20oli
1011 /2009
10/1 /2009
10/112009
EXCESS LIABILITY
GENERAL AGGREGATE
PRODUCTS - COMP /OP AGO
OTHER THAN UMBRELLA FORM
-
EACH OCCURRENCE
UMBRELLA FORM
OTHER
B
B
B
Builder's Rlskfinstalladw /Contract Wake
Rental Equipmen4Conlractors Equipment
Blanket Transk
OC 9112960
00 9112860
OC 9112860
5/112009
5 11/2009
5112009
5/112010
5/1/2010
5/112010
USD $1,000,000.00 per)obsite
USD $1,000,000.00 perioWta
USO $1,000,000.00 per conveyance
DESCRIPTION OF OPERATION SILOCATIONSNEHICLEB /SPECULL ITEMS
Collier County Board of County or any
subject to the terms and conditions of
other third party shall not be afforded statue of an additional insured except as -W—aly agreed to and
a written agreement between the Named Insured and Collier County Board of Cou
Job Number: 0791 Customer Number: 0791
Town Number: 0791
Other Additional Ineureda: Collier County Board of County Commissioners
CERTIFICATE HOLDER
CANCELLATION
Board Ot C
Collier County County
•7
Commissioners
Purchasing Dept., Building G
AN
SHOULD Y OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE
INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL BAPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
THE INSURER AFFORDING COVERAGE, RB AGENTS OR REPRESENTATIVES , OR THE ISSUER OF THIS CERTIFICATE.
j � I T4Ae— rAk %&.4
MARSH USA INC. BY; Franklin Hallodl, Global Marine
David Kong. Casualty Program Tranalt Program
3301 E. Tamiami Trail
Naples, FL 34112
United States
VAUD AS OF: 6/26/2009
For questions regarding this certificate contact: JOHN SIOUtFB (Email: jfaharpeaadt.com Phone: 800 -568- 1216 - OPT -3)
Collier County BCC
February 23, 2012
2/27/2012 7:58:01 AM PAGE
3/004 Fax Server 16E8
neiT'
c 1 County
Administative. Services Division
Purchasing
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:
Y 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.
Rrtweirg DspeiMrent• 3321 Tani" Trail East • Na#es, Florida 341124901 • www.co01wr9ov.nedpurdrasing
Collier County BCC 2/27/2012 7;58:01 AM PAGE
Page 2 of 2
}
Re; Extension of Contract # 09 -5227 "Services for Seniors"
16E8
4/004 Fax Server
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 brendareaves@collier-uov.net. If you have any questions you may contact
me at 239.252.6020.
Best regards,
Steph n Y. Carrmell
Director — Purchasing / General Services
Acceptance:
ADT Security Services, Inc.
ContracttooJr,N�endor
By: 4Y Alts c= _ ok' d per MEL
Signature Martin E. Levenson
ervices Director
Typed Name and Title
(Corporate Officer)
Date: February 27, 2012
16E
,4ca oo CERTIFICATE 4F LIABILITY INSURANCE ° "9;;6,2""011 "'
FTHIS 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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
( IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. if SUBROGATION 15 WAIVED, subject to
Ifthe 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
Marsh USA Inc.
kA-M -'
PHOdE . ( 212) 345 -5000 1 MIX. No):
A IL
1166 Avenue of the Americas
Now York, NY 10036
INSURE AFFORDING COVERAGE
NAICP
INSURER A: AGCS Marine Insurance Company (Allianz)
INSURER B: CHARTIS CASUALTY COMPANY
22837
40268
MIDDNYYY
INSURED
ADT Security Services, Ina
32100 US H wy 19 N
Palm Harbor, y 1 34884 -3727
United States
INSURER C: Commerce & Industry Ins Co.
INSURER D: Illinois National Insurance Co.
INSURER E: NaCl Union Fire Ins Co. of Pittsburgh, PA
INSURER F: New Hampshire Ins. Co.
19410
23817
19445
23841
wr•va- ,•ian�n f- colrieIPATc Rlllmomm- aY,]Qn9 _ A
QRVIS:IAId N inuippo•
GL 2440607 (Primary GL)
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTVATHSTANDING 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.
INSR1
LIE
TYPE OF INSURANCE
ADIX
S
POLICY NUMBER
MIDDNYYY
ftQ
LIMITS
F
GENERAt_LIABIUTY
�(
GL 2440607 (Primary GL)
10/1/2D11
1011/2012
EACH OCCURRENCE
$ $1,000,000.00
DAMAGE TO RENTED
$ $1,000,000.00
X COMMERCIAL GENERAL LIABILITY
MED EXP (Anyone person )
$ $10.000.00
CLAIMS -MADE Q OCCUR
PERSONAL & ADV INJURY
$ $1,000,000.00
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE
$ $2,000,000.00
GEWLAGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOPAGO
$ $2,000,000.00
$
X POLICY F1 JWT LOC
E
E
E
F
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
%( HIREDAUTOS %( AUTOS NON-OWNED
AUTOS
X
CA 3506468 (VA)
CA 3506465 (MA)
CA 3506484 (ADS)
CA 3506468 (NH) (Primary AL)
10/1/2011
10/1/2011
10/112011
1011/2011
10/112012
101112012
10/1/2012
10/112012
COMBINED SINGIT'nFr—
fEe woldenfl
$1,000,000.00
BODILY INJURY 4Perperson)
$
BODILY INJURY (Paraccldenq
$
PROPERTY
(Peracddentl
$
NEW HAMPSHIRE (CSL)
$260,000.00
UMBRELLA UAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE PRODUCTS-
$
EXCESS LIAR
OED RETENTION$
NEW HAMPSHIRE (CSL )
$
B
C
D
E
F
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIE%ECUTIVE Q
OFFICEPJMEMBEREXCLUDED7
(Mandatory In NH}
It yee. describe under
DESCRIPTION OF OPERATIONS below
NIA
WC 015884005 (CT,GA PA,SC)
WC 015884006 (FL)
WC 015884006 (MI)
WC 015884004 (CA)
WC 016884007 (MA, ND, OH, WA,
10MI2011
10/112011
1011120 11
101112011
10/112011
101112012
10/1/2012
10/1/2072
10/112012
101112012
X yy N- 0TH• rift
E.L. EACH ACCIDENT
$ $2.000,000.00
E.L. DISEASE . EA EMPLOYE
S $2,000,000.00
E.L. DISEASE - POLICY LIMIT
$ 1+2,000,000.00
A
A
A
Builder's RlakAnsteliadon/Contract Works
Rental Equ(pmentlContradoes Equipment
Blanket Tranalt
OG & OGW 91128600
OG & OCW 91128600
OC & OCW 91128600
101'1120'11
10/1/2011
10/112011
10/1/2012
101112012
1011/2012
USD $1,000,000.00 per ioba(te
USD $1,000,000.00 per )obane
USD $1,000,000.00 per conveyance
DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES (Attach ACORD 101, AddMonat Remarks Schedule, If more space Is requlm,d)
Job Number: 0791 Customer Number: 0791 Town Number: 0791
Please refer to attached ACORD 101 for further remarks.
Collier County Board of County
Commissioners
Purchasing Dept., Building G
3301 E. Tamlemi Trail
Naples, FL 34112
United States
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
MARSH
REPRESENTATIVE
988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 2s FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
REGARDING POLICIES OF INSURANCE.-
Insurer Policy Number(&) Effective Date(a) Expiration Date(s)
F WC 015984003 (AOS) 10/1/2011 10/1/2012
F WC 015884009 (NN) 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.
11 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
der this policy, as a result of any contract or agreement entered into by the named insured and Collier
County Board of County .
ther Additional Insureds: Collier County Board of County Commissioners
FOR QUESTIONS REGARDING THIS CERTIFICATE OF INSURANCE CONTACT:
JOIN SHARPE (Email: jfsharpeeadt.com Phone: 800- 568 -1216- OPT -3)
TWs CerlMcate of Insurance was nenerated WEMMS Ri twedmO rrn.ComflcatsssJo learn more about EXIGIS Cer9kAle, Wnegemem Sdugate Nsh www.exials,comifte. I
0 2006 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCYCUSTOMERID:
16
E8
LOD R:
_
A� o
ADDITIONAL REMARKS SCHEDULE
Page
z ot,�
AGENCY
NAMEDINSURED
Marsh USA Inc.
ADT Security Services, Inc.
32100 US Hwy t9 N
POUCYNUMaeR
Palm Harbor, FL 346843727
United States
CARRIER
NAIL
EFFECTIVE GATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 2s FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
REGARDING POLICIES OF INSURANCE.-
Insurer Policy Number(&) Effective Date(a) Expiration Date(s)
F WC 015984003 (AOS) 10/1/2011 10/1/2012
F WC 015884009 (NN) 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.
11 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
der this policy, as a result of any contract or agreement entered into by the named insured and Collier
County Board of County .
ther Additional Insureds: Collier County Board of County Commissioners
FOR QUESTIONS REGARDING THIS CERTIFICATE OF INSURANCE CONTACT:
JOIN SHARPE (Email: jfsharpeeadt.com Phone: 800- 568 -1216- OPT -3)
TWs CerlMcate of Insurance was nenerated WEMMS Ri twedmO rrn.ComflcatsssJo learn more about EXIGIS Cer9kAle, Wnegemem Sdugate Nsh www.exials,comifte. I
0 2006 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD