Backup Documents 01/27/2009 Item #16C 5
16CJ5
MEMORANDUM
Date:
March 26, 2009
To:
Dianna Perryman, Contract Specialist
Purchasing Department
From:
Martha Vergara, Deputy Clerk
Minutes & Records Department
Re:
Contract: #08-5097: "Annual Agreement for Chlorinator
Equipment Maintenance"
Contractor: Water Treatment & Controls Company
Attached please find one (1) original document of each amendment, as
referenced above, (Agenda Item #16C5), approved by the Board of
County Commissioners on Tuesday, January 27, 2009.
An original has been retained in the Minutes and Records Department and
for the Board's official records.
If you should have any questions, please contact me at 252-7240.
Thank you.
Attachments
16C 5
MEMORANDUM
TO: Ray Carter
Risk Management Department
FROM: Dianna Perryman, Contract Specialist \..t17
Purchasing Department ';J)()
DATE: March 23, 2009
RE: Review of Insurance for Contract: #08-5097 "Annual Agreement
for Chlorinator Equipment Maintenance"
Contractor: Water Treatment & Controls Company
This Contract was approved by the BCC on January 27, 2009; Agenda Item
16.C.5
Please review the Insurance Certificates for the above-referenced contract. If
everything is acceptable, please forward to the County Attorney for further
review and approval. Also, please advise me when it has been forwarded.
Thank you. If you have any questions, please contact me at extension 4270.
dod/DP
C: Pam Libby, Water
DAlE RECEl\JEO
Mf>,R 2 ~ 2009
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I6C 5
A G R E E MEN T 08-5097
for
"Annual AQreement for Chlorinator EQuipment Maintenance"
1. THIS AGREEMENT is made and entered into this 27th day of January, 2009, by and between
the Board of County Commissioners for Collier County, Florida, a political subdivision of the
State of Florida (hereinafter referred to as the "County") and Water Treatment & Controls
Company, authorized to do business in the State of Florida, whose business address is 9900A
N. Palafox Street, Pensacola, Florida 32534-1227 (hereinafter referred to as the "Vendor").
WIT N E SSE T H:
2. COMMENCEMENT: The Agreement shall be for a one (1) year period, commencing on the
issuance of a Purchase Order. This Agreement shall have four (4) 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 Vendor written
notice of the County's intention to extend the Agreement term not less than ten (10) days prior
to the end of the Agreement term then in effect.
3. STATEMENT OF WORK: The Vendor shall furnish and provide Chlorinator Equipment
Maintenance, in accordance with the terms and conditions of Bid # 08-5097 and the Bid
Response form, which is incorporated by reference and made an integral part of this
Agreement. The execution of the Agreement shall not be a commitment to the Vendor that any
work will be awarded to the Vendor. Rather, this Agreement governs their rights and obligation
of the procedures outlined in the next paragraph.
Non EmerQencv Work: The County shall provide a summary of Work to be performed which
will afford the Vendor the opportunity to submit a proposal for the work; the Vendor shall
respond with the information sought within seven (7) working days. The County shall review
the proposal and upon acceptance authorize the work via purchase order. Vendor will be
required to provide a phone number for routine call-out services. Routine calls-outs must be
confirmed with the plant manager or his designee forty-eight (48) hours prior to service being
performed. The Vendor will be required to notify the plant manager or his designee upon
arrival and departure and comply with all safety and security requirements.
EmerQencv Work: The Vendor will be required to respond to emergency call-outs within
twenty-four (24) hours of initial call. Emergency service must be available three hundred sixty-
five (365) days of the contract year. The Vendor will be required to provide a cell phone
number along with a home number, to the County so that the County will be able to contact the
Vendor when needed. The Vendor will be required to notify the plant manager or his designee
upon arrival and departure and comply with all safety and security requirements.
4. COMPENSATON: The County shall pay the Vendor for the performance of this Agreement
pursuant to the bid schedule Exhibit B attached, as offered by the Vendor in his response to
Bid# 08-5097, together with the cost of any other charges/fees submitted in the bid response
form. In such instances, the Vendor shall submit a copy of the appropriate pages from said price
list with the invoice. Payment will be made upon receipt of a proper invoice and upon approval
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16e 5
by the Plant Manager or his designee, and in compliance with Section 218.70, Fla. Stats.,
otherwise known as the "Florida Prompt Payment Act"
5, NOTICES: All notices required or made pursuant to this Agreement to be given by the County
to the Vendor shall be made in writing and shall be delivered by hand, by fax, e-mail, or by the
United States Postal Service Department, first class mail service, postage prepaid, addressed to
the following Vendor's address of record:
Water Treatment & Controls Company
9900A Palafox Street
Pensacola, Florida 32534-1227
Attention: Anthony Boehk, V;ce rlc~ieleFlt 7ri"A:T,vi"i"r' ~
Phone: 805-474-7699
Fax: 850-474-1776
All notices required or made pursuant to this Agreement to be given by the Vendor to the
County shall be in writing and shall be delivered by hand, by fax, e-mail, or by United States
Postal Service Department, first class mail service, postage prepaid, addressed to the
following County's address of record:
Collier County Government Complex
Purchasing Department
3301 East Tamiami Trail
Purchasing Building G
Naples, Florida 34112
Attention: Stephen Y. Carnell
Purchasing/General Services Director
Phone: 239-252-8371
Fax: 239-732-0844
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 Service 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, Florida Statutes, 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. Vendor is
not responsible for paying for permits issued by Collier County, but is responsible for acquiring
all permits. County may require the Vendor to deliver internal budget transfer documents to
applicable Collier County agencies when the Vendor is acquiring permits.
All permits, fees and licenses necessary for the prosecution of the Work which are not issued
by Collier County shall be acquired and paid for by the Vendor. 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.
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
Page -2-
16C 5
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 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 Agreement 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 and requirements of this Agreement, the County may terminate said
Agreement immediately for cause; further the County may terminate this Agreement for
convenience with a seven (7) 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:
,/'
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 Agreementual Liability. /
.;
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.
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 $500,000 for each accident.
Special Requirements: Collier County Board of County Commissioners shall be listed as the
Certificate Holder and included as an Additional Insured on the Comprehensive General
Liability.
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.
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
Page -3-
I6C5
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. PAYMENTS WITHHELD. County may decline to approve any invoice for payment, or portions
thereof, because of defective or incomplete work, subsequently discovered evidence or
subsequent inspections. The County may nullify the whole or any part of any approval for
payment previously issued and County may withhold any payments otherwise due Vendor
under this Agreement or any other agreement between County and Vendor, to such extent as
may be necessary in the County's opinion to protect it from loss because of: (a) defective Work
not remedied; (b) third party claims failed or reasonable evidence indicating probable filing of
such claims; (c) failure of Vendor to make payment properly to subcontractors for labor,
materials or equipment; or (d) any other material breach of the Agreement Documents.
If any conditions described above are not remedied or removed, County may, after three (3)
days written notice, rectify the same at Vendor's expense. County also may offset against any
sums due Vendor the amount arising out of this Agreement or any other agreement between
Vendor and County.
14. SUBMITTALS AND SUBSTITUTIONS. Any substitution of products/materials from
specifications shall be approved in writing by County in advance.
15, CHANGES IN THE WORK. County shall have the right at any time during the progress of the
Work to increase or decrease the Work. Promptly after being notified of a change, Vendor shall
submit an itemized estimate of any cost or time increases or savings it foresees as a result of
the change. Except in an emergency endangering life or property, or as expressly set forth
herein, no addition or changes to the Work shall be made except upon written order of County,
and County shall not be liable to the Vendor for any increased compensation without such
written order. No officer, employee or agent of County is authorized to direct any extra or
changed work orally. Any modifications to this Agreement shall be in compliance with the County
Purchasing Policy and Administrative Procedures in effect at the time such modifications are
authorized.
A purchase order modification shall be issued and executed promptly after an agreement is
reached between Vendor and County concerning the requested changes. The Agreement
amount and Agreement time shall be adjusted in the purchase order modification in the manner
as County and Vendor shall mutually agree.
16. COMPLIANCE WITH LAWS. Vendor agrees to comply, at its own expense, with all federal,
state and local laws, codes, statutes, ordinances, rules, regulations and requirements applicable
to the Project, including but not limited to those dealing with taxation, workers' compensation,
equal employment and safety (including, but not limited to, the Trench Safety Act, Chapter 553,
Florida Statutes). If Vendor observes that the Agreement Documents are at variance therewith,
it shall promptly notify County in writing.
17. CLEAN UP. Vendor agrees to keep the Project site clean at all times of debris, rubbish and
waste materials arising out of the Work. At the completion of the Work, Vendor shall remove all
Page -4-
16C 5
debris, rubbish and waste materials from and about the Project site, as well as all tools,
appliances, construction equipment and machinery and surplus materials, and shall leave the
Project site clean and ready for occupancy by County.
18. ASSIGNMENT. Vendor shall not assign this Agreement or any part thereof, without the prior
consent in writing of County. If Vendor does, with approval, assign this Agreement or any part
thereof, it shall require that its assignee be bound to it and to assume toward Vendor all of the
obligations and responsibilities that Vendor has assumed toward County.
19. WARRANTY. Vendor shall obtain and assign to County all express warranties given to Vendor
or any subVendors by any materialmen supplying materials, equipment or fixtures to be
incorporated into the Project. Vendor warrants to County that any materials and equipment
furnished under the Agreement Documents shall be new unless otherwise specified, and that all
Work shall be of good quality, free from all defects and in conformance with the Agreement
Documents.
Vendor further warrants to County that all materials and equipment furnished under the
Agreement Documents shall be applied, installed, connected, erected, used, cleaned and
conditioned in accordance with the instructions of the applicable manufacturers, fabricators,
suppliers or processors except as otherwise provided for in the Agreement Documents.
If, within one (1) year after final completion, any Work is found to be defective or not in
conformance with the Agreement Documents, Vendor shall correct it promptly after receipt of
written notice from County. Vendor shall also be responsible for and pay for replacement or
repair of adjacent materials or Work which may be damaged as a result of such replacement or
repair. These warranties are in addition to those implied warranties to which County is entitled
as a matter of law.
20. STANDARDS OF CONDUCT: PROJECT MANAGER, SUPERVISOR, EMPLOYEES. The
Vendor shall employ people to work on County projects who are neat, clean, well-groomed and
courteous. Subject to the American with Disabilities Act, Vendor shall supply competent
employees who are physically capable of performing their employment duties. The County may
require the Vendor to remove an employee it deems careless, incompetent, insubordinate or
otherwise objectionable and whose continued employment on Collier County projects is not in
the best interest of the County.
21. TESTS AND INSPECTIONS. If the Agreement Documents or any codes, laws, ordinances, rules
or regulations of any public authority having jurisdiction over the Project requires any portion of
the Work to be specifically inspected, tested or approved, Vendor shall assume full responsibility
therefore, pay all costs in connection therewith and furnish to the County the required certificates
of inspection, testing or approval. All inspections, tests or approvals shall be performed in a
manner and by organizations acceptable to the County.
22. EMERGENCIES. In the event of any emergency affecting the safety or protection of persons or
the Work or property at the Project site or adjacent thereto, Vendor, without special instruction or
authorization from County is obligated to act to prevent threatened damage, injury or loss.
Vendor shall give the County written notice within forty-eight (48) hours after the occurrence of
the emergency, if Vendor believes that any significant changes in the Work or variations from the
Agreement Documents have been caused thereby.
Page -5-
16C 5
If the County determines that a change in the Agreement Documents is required because of
the action taken in response to an emergency, a purchase order modification shall be issued to
document the consequences of the changes or variations.
If Vendor fails to provide the forty-eight (48) hour written notice noted above, the Vendor shall
be deemed to have waived any right it otherwise may have had to seek an adjustment to the
Agreement Amount or an extension to the Agreement Time.
23. AGREEMENT ADMINISTRATION. This Agreement shall be administered on behalf of the
County by the Water Department.
24. COMPONENT PARTS OF THIS AGREEMENT. This Agreement consists of the attached or
referenced component parts, all of which are as fully a part of the Agreement as if herein set out
verbatim, including: Vendor's Proposal, Insurance Certificate, Bid #08-5097, any addenda, any
Quotation/Purchase order made or issued pursuant to this Agreement, and any related plans or
specifications for any such Quotations or Purchase orders.
25. 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 Agreement held by the individual and/or firm for cause.
26. 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.
27 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. No
markup shall be applied to sales tax.
28. IMMIGRATION LAW COMPLIANCE: By executing and entering into this agreement, the
Vendor is formally acknowledging without exception or stipulation that it is fully responsible for
complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8
U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended. Failure by the
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.
29 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.
30. 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.
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31. 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.
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.
ATTEST: ,', i" . J"
Dwight ~'>B~o.ck, ClerK'pf Courts
~" ... I' ", . -, '
By:
By:
BOARD OF COUNTY COMMISSIONERS
COLLIER CO NTY, FLORIDA
/,1 I
>I h?-n..<,...; ~
Donna Fiala, Chairman
Dated:
Attest. ~:'I/W~~~.. ,
.1onature on I'
:;;:: J. L~
First Witness
Water Treatment & Controls Company
By:
7~~~
Signature
Anthony A. Boehk
Typed Signature
;;r;,..- A.r.u... <'" /'
Title
k..v fi-"..J /JI,Q/'r~ / I
Type/Print Witness Name
Approved as to form and
legal st:!1? J~
Assistant County Attorney
Page -7-
EXHIBIT B
BID SCHEDULE PRICES
16C
5
Water Treatment & Controls Company
Description Qty Unit Unit Price
Micro 2000 3 ea $ 3,180,00
Residual Analyzer
for Chlorine
Pelican Bay
Wastewater
Treatment Facility
Wallace and
Tiernan:
V-75V2 Chlorinators 2 ea $ 2,680.00
Vacuum Regulators 3 ea $ 2,520.00
Chlorine Gas Leak 2 ea $ 1,244.00
Detectors 50-125
Micro 2000 1 ea $ 1,060.00
Residual Analvzer
Chlorine Gas Leak 1 ea $ 460,00
Detector Awtec 35
South Regional
Water Treatment
Plant
Wallace and
Tiernan:
V-800 Remote 2 ea $ 4,080.00
Vacuum Chlorinator
Svstern
V-2000 V Notch 1 ea $ 1,520.00
Chlorinator Svstern
60-215 Ammoniator 1 ea $ 2,950.00
System
A TI Chlorine Gas 1 ea $ 460.00
Detection Svstem
Series 50-185 4 ea $ 4,624.00
Pressure Reducing
Valves
Chlorine Injectors 2 3 ea $ 2,742.00
Inch
Automatic 2 ea $ 4,312.00
Switch over (1
chlorine, 1
ammonia)
Wallace & Tiernan
Acutec 35 Gas
Detection
System - NH3 1 ea $ 460.00
C282 Chlorine 2 ea $ 1,160.00
Specialties Gas
Filter
Page-1-
North Regional
Water Treatment
Plant
Chlorine System:
Wallace and
Tiernan:
Chlorinator 1000#, 2 ea $ 3,040.00
Model V-2020
Chlorine Leak 2 ea $ 1,244.00
Detector, Model 50-
125
Chloine Injector, 2" 2 ea $ 1,828.00
Adi. Throat
Vacuum Regulator 9 ea $ 7,560.00
500#
Unitede:
Chlorine Vacuum 2 ea $ 1,340,00
Switch, Model H-
105
Ammonia System:
Wallace and
Tiernan:
Ammoniator 190#, 2 ea $ 2,168.00
Model V-2000
Ammonia Injector, 2 ea $ 1,344.00
Model 120.35
Ammonia Vacuum 1 ea $ 1,236,00
Reaulator
Sensidyne:
Ammonia Leak 2 ea $ 1,340.00
Indicator, Model
NH3
Manatee Re-Pump
Station
Prominent Metering 2 ea $ 2.968.00
Pumps Model
#G4B0806TTI
Prominent Metering 2 ea $ 1,472,00
Pumps Model
#VAMB12017PVT
Micro 2000 Chlorine 2 ea $ 2,120.00
Analyzers
Acutec 35 Leak 2 ea $ 920.00
Detector
Good/and Re-
Pump Station
Wallace and
Tiernan:
Micro/2000 2 ea $ 2,120,00
Analvzer
V10K Gas Feed 1 ea $ 610.00
System
Acutec 35 Gas 1 ea $ 460.00
Detection System
200 PPD Vacuum 2 ea $ 1,920.00
16C 5
Page -2-
1
Regulator ..
3/4" Injector NH3 1 ea $ 552.00
Carica Re-Pump
Station"
(50-125) C12 Gas 2 ea $ 622.00
Detector
500# VAC 1 ea $ 420.00
Regulator With T.C.
Kit
V-2005 Chlorinator 2 ea $ 1,520,00
U-2747 1 Inch 1 ea $ 456.00
Iniector
60-200 Ammoniator 1 ea $ 1,453.00
50-185 Ammonia 1 ea $ 578.00
Pressure Reducing
Valve
5185 EIT TOX 1 ea $ 335,00
Alarm
"County Water Department prefers a once a year preventative maintenance check for the
Carica Re-Pump Station.
Total $ 73,078.00
Discount for parts shall be % off $ -
discounted from the Current
Published Price List
Additional Service
and Emergency
Reoairs
Service Technicians $ 80.00
Hourlv Rate
Service Technicians $ 120.00
Overtime Hourly
Rate
Mileage Cost for $ 200,00
North County
Regional
Wasterwater Facilitv
Additional
Services for
Emergency Round
Trip Mileaae
Mileage Cost for $ 240.00
South Regional
Water Treatment
Facilitv
Mileage Cost for $ 200,00
North Regional
Water Treatment
Facilitv
Mileage Cost for $ 220,00
Pelican Bav
6C 5
Page -3-
.
Wastewater
Treatment Facility
Mileage Cost for $ 260.00
Manatee Re-Pump
Station
Mileage Cost for $ 280,00
Goodland Re-Pumo
Station
Mileage Cost for $ 210,00
Carica Re-Pump
Station
Overnight Expenses $ 200,00
(per day)
Page -4-
6C 5
I6r 5
ACORO,. CERTIFICATE OF LIABILITY INSURANCE j DATE {MMIDDIYYYY)
I Oil 4/2008 10:35
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Riggs, Counselman. Michaels & Downes ONLY AND CONFERS NO RIGHTS UPON THECERTIFrCA TE
555 Fairmount Avenue HDLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Towson, MD 21286-5497 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4]0-339-7263
INSURERS AFFORDING COVERAGE NArC # /
INSURED INSURER A Travelers Property Casualty Company of America 25674 ,~ ~
Water Treatment & Controls Co. Travelers Indemnity Company of Conn ecti cuI 25682 V
clo Peoples Water Svc Co of MD INSURER B:
409 Washington Ave., Suite 310 INSURER C:
T OW5011,:MD 21204 , INSURER D
I I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
l~~~ AD~::;r POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LIMITS ,
A L GENERAL LIABILITY P6303656C736TIL08 5/1/2008 5/1/2009 EACH OCCURRENCE $1,000,000 ~,
IX:l COMMERCIAL GENERAL LIABILITY ~~~~~~S Ea occ~rencel $ 100,000
I CLAIMS MADE 0 OCCUR MED EXP (Any One parson) $ 5,000
X PERSONAL & ADV INJURY $ 1,000.,000
f--
I-- I GENERAL AGGREGATE $ 2,000,000
n'L AGG~nEt'MIT APnSjPER i PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY j~2T LOC
A P8103656C736TIL08 5/1/2008 5/1/2009 , /
~OMOBILELlABILITY COMBINED SINGLE LIMIT $ 1,000,000
~ ANY AUTO i , (Eaaccident)
I- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I--
cE. HIRED AUTOS BODILY INJURY I,
cE. NON-OWNED AUTOS (Per accident) i
r-
I-- I PROPERTY DAMAGE $
{PeraccidenlJ
R~GEllABlllTY AUTO ONLY" EA ACCIDENT ,
,
ANY AUTO laTHER THAN EA ACC $
AUTO ONLY: AGG $
~~SSfUMBRELLA LIABilITY I EACH OCCURRENCE $
OCCUR D CLAIMS MADE I AGGREGATE $
$
~ ~EDUCT[BLE $
,
RETENTION $ ,
D WORKERS COMPENSATION ANO PEUB3656C736()8 5/1/2008 511/2009 X I.WCSTATH~ I IOJbl-1 ,
EMPLOYERS' LIABILITY $ 500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT
OFFICERfMEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under $ 500,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMiT
OTHER
I
DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS
Bid #08-5097 - Annual Contract for Chlorinator Equipment Maintenance
Collier County is listed as Additional Insured under Gener:;1 Liability as respects work performed by the Insured under the above contract
/
CERTIFICATE HOLDER
CANCELLATION
Collier County
Board of County Commissioners
3301 E. Tamiami Trail
Naples, FL 34112
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
OATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAll ~ DAYS WRmEN
NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABilITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
@ACORD CORPORATION 1988
ACORD 25 (2001/08)
Client # 16377
Mst ~ OR-09 ALL WTC
Cert"# 161673
I6C 5
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endors~'nent. A statement on this certificate does not confer rights to the certificate holder in
lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the
issuing Insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
IMP-DISC (7/00) (F3F)