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2006 Documents Not Signed By BCC AGREEMENT 06-3937R for "Process Server Services for Collier County" THIS AGREEMENT, made and entered into on this 24th day of April 2006, by and between SAS Subpoena and Record Retrieval, Inc., authorized to do business in the State of Florida, whose business address is: PO Box 56, Ft. Myers FL 33902 hereinafter called the "Contractor" (or "Consultant") and Collier County, a political subdivision of the State of Florida, Collier County, Naples, hereinafter called the "County": WITNESSETH: 1. COMMENCEMENT: The contract shall be for a one (1) year period, commencing on April 24, 2006, and terminating on April 23, 2007. The County may, at its discretion and with the consent of the Contractor, extend the Agreement under all of the terms and conditions contained in this Agreement for three (3) additional one (1) year periods. The County shall give the Contractor 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. 2. STATEMENT OF WORK: The Contractor shall provide process server services in accordance with the terms and conditions of RFP #06-3937R and the Contractor's proposal hereto attached and made an integral part of this agreement. 3. COMPENSATION: The County shall pay the Contractor 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. Any county agency may purchase products and services under this contract, provided sufficient funds are included in their budget(s). 4. 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: SAS Subpoena and Record Retrieval, Ine. Attn: Dorn J. Becklow PO Box 56 Ft. Myers FL 33902 239/671-9676 FAX: 239/543-4386 All Notices from the Contractor 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 Attn: Steve Carnell 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 Service Agreement must be in writing. 5. 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. 6. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.5., all permits necessary for the prosecution of the Work shall be obtained by the Contractor. 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. 7. 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 contract 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. 8. 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 immediately for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be sole judge of non-performance. 9. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as to race, sex, color, creed or national origin. 10. INSURANCE. The Contractor 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 Contractors; Products and Completed Operations and Contractual Liability. B. Business Auto Liability: Coverage shall have minimum limits of $500,000 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 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 Contractor 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. Contractor shall insure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Contractor shall provide County with certificates of insurance meeting the required insurance provisions. 11. INDEMNIFICATION. The Contractor/Vendor, in consideration of One Hundred Dollars ($100.00), the receipt and sufficiency of which is accepted through the signing of this document, shall hold harmless and defend Collier County and its agents and employees from all suits and actions, including attorneys' fees and all costs of litigation and judgments of any name and description arising out of or incidental to the performance of this contract or work performed thereunder. This provision shall also pertain to any claims brought against the County by any employee of the named Contractor/Vendor, any Subcontractor, or anyone directly or indirectly employed by any of them. The Contractor/Vendor's obligation under this provision shall not be limited in any way by the agreed upon contract price as shown in this Contract or the Contractor/Vendor's limit of, or lack of, sufficient insurance protection. The first One Hundred dollars ($100.00) of money received on the contract price is considered as payment of this obligation by the County. This section does not pertain to any incident arising from the sole negligence of Collier County. 12. CONTRACT ADMINISTRATION: This Agreement shall be administered on behalf of the County by the County Attorney's Office. 13. 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. 14. 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: Contractor's Proposal, Insurance Certificate, and RFP #06-3937R Scope of Services. 15. 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. 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 COLLIER COUNTY, FLORIDA By: s~t:~.I~a~ell, ~:/l / General Services/Purchasing ~ ~12 .lJ()h., l~j First Witness SAS Subpoena and Record Retrieval, Inc. ByconZL ~ ~ Signature t'Y'e.1i~~q War{ tType/print witness namet \~;:;., Q~~ Second Witness ~~CA Arn<1m~ tType/ print witness nam 'Pthn4. L. ~t\i,) I Clw\'l&.(' Typed signature and title CORPORATE SEAL (corporations only) Approved as to form and legal sufficiency: C~m~ Robert Zachary / Assistant County Attorney Ma~ 10 DB 01:58p Island Coast-FEAH~Mann (239)275-7829 p.1 13- HOJr<rce'NIa.1lll Educated Financial Solutions The Horace Mann Companies 6281 Metro Plantation Road Fort Myers, FL 33912 Bus. 239.275-4667 Fax 239-275-7829 magoond l@notes.horacemann,com www.horacemann.cum David W. Magoon, LUTe Senior Account Executive Horace Mann Teachers Insurance Company Fax Cover Sheet To r rom David w. Magoon LUTCF An:1:o Home Number ofpages Subject 2- Life ~ t90 /JJ."~ /DU) H' , ~.: c. .1lt'd.ifl .... Annuity , Horace Mann Investors; Inc. Distributor of Securities Products Member NASD 1 Horace Mann Plaza Springfield,1L 62715-0001 217-789-2500 www.horacemann.com Ma~ 10 OB 01:58p Island Coast-FEAH.Mann (239)275-7829 p.2 Teachers Insurance Company Automobile - Change Policy ReqUest -- Signature is Required -- Policy #: 09 - 69220180 Effective: 05/10/2006 Agent: 3711 David W. Magoon, LUTCF Policy Holder(s): ARMSTRONG, ANNE L t 1J<ocljOl<J) Vehicle: 2004 SUZU Created: 05{10/2006 1:36:33 pm Printed: 05/1O{2006 ** Change ** $ Home Office Use Only IOerl< uaL~ COVERAGE INFORMATION . Change: Bodily Injury Code: 28 Limits: $250,000.00/$500,000.00 . Change: Property Damage Code: 08 Limit: $100,000.00 DRrVERINFORMATION (1) IlWe have read this entire application; (2) , The statements that lIWa made are correct, including ttJose made on any ather application fer automobile insurance to this company dated this dete which are incorporated b~ reference and made part of this application; (3) INVe are the $Ole owner(s) afthe vehicle(s) de5cribed unless othetwise stated; and (4) The coverages and fimts were selected by meIus. I/Vlle understand that any ch endered with this appllcatton Is accepted sUbject to callectia (y. uw ""'" coo..- D.te 5 Horace N1ann ApplkantSi9~~ . ;/:Z-- Agent Si~r~ .....- irJ/.. Date 1::,J,,,,..,,=.)J [,;",1".;;,,1 ~...I...i'J1'''' f"y,rol Date s-cooe INSP AT Al UM.SW eo em-< TERR KINO ClASS SYM 5POA INEX RCP AP VP OEF PIR FIBG MOIED 01 ------- - - - CAR 246 From: Tammy Leigh At: Oswald, Trippe and Company Inc. FaxlD: 239-433-4148 To: Ms Tibbett Date: 5/1012006 09:26 AM Page: 1 of 1 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 1~ DATE (MMIDDIYYYY) SEARC-1 05/10/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Oswald Trippe and Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I? O. Box 60139 ALTER THE COVERAGE AFFOROED BY THE POLICIES BELOW. Ft. Myers FL 33906-6139 I?hone:239-433-4535 Fax:239-433-4148 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Philadelphiil :rn..ul:ilnce company 09566 INSURER B Search and Serve Subpoena & INSURER C Anne Beddow POBox 56 INSURER 0 Fort Myers FL 33902 INSURER E COVERAGES mE POLICIES OF INSURJl,NCE LISTED BELOW HAVE BEEN ISSUED TO mE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWlmSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OmER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, mE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOYVN MAY HAVE BEEN REDUCED BY PAID CLAIMS '~~~ NSR TYPE OF INSURANCE POLICY NUMBER DATE CMMIDDNYJ<=; DATE (MMfDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE . - PREMISES (E~c;~~'c~~ence) COMMERCIAL GENERAL LIABILITY . I CLAIMS MflJJE D OCCUR MED EXP (.Ally one person) . PERSONAL 8.: ADV INJURY . GENERAL AGGREGATE . GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG . ~'-POLICY n -:;~& n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - (Ea8ccident) , - ANY AUTO - ALL OWNED AUTOS 80DIL Y INJURY , SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY I--- , NON-OWNED AUTOS (peraccidsnt) I--- 1-- PROPERTY DAMAGE , (Peraccidsnt) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT , R ANY AUTO OTl-1ER THAN EAACC , AUTO ONLY AGG , ~ESSJUMBRELLA LIABILITY EACH OCCURRENCE , OCCUR 0 CLAIMS MADE AGGREGATE , , R ,DEDUCTIBLE , RETENTION . , WORKERS COMPENSATION AND I TORY LIMITS I IV ER EMPLOYERS' LIABILITY , ANY PROPRIETORiPARTNERfEXECUTIVE EL EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E.L. DISEASE- EA EMPLOYEE , Hyes.describeunder EL DISEASE- POLICY LIMIT . SPECIAL PROVISIONS below OTHER A prOfessional. Liab I?HSD189775 05/04/06 05/04/07 1000000 DESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDEO BY ENDORSEMENT J SPECIAL PROVISIONS CERTIFICATE HOLOER COL2800 CANCELLATION SHOULD ANY OF THE ABOYE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Col.lier County Community Dev fax# 239-403-2469 Purchasing Department 2800 N Horseshoe Drive Naples FL 34104 @ACORDCORPORATION1988 ACORD 25 (2001108) JRN-14-2002 10:33P FROM:Lexmark X125 13H0090 TD:12395305598 P:2/5 -- ~~(Cre;~WIElDJ JUN 08 2006 BUREAU OF COMPLIANCE FT. MYERS DEPARTMENT OF FINANelAL SERVICES TOM GALLAGHER CHIEP FINANCIAL OmcER. EXEMPTION APPLICATION RECEIPT This receipt ONLY confirms that the applicant listed below has submitted an application for exemption from the provisions of the workers' compensation law to the Division of Workers' Compensation. THIS RECEIPT DOES NOT CONSTITUTE PROOF THAT AN EXEMPTION HAS BEEN ISSUED TO THE APPLICANT. AN EXEMPTION SHALL BECOME EFFECTIve WHEN ISSUED BY THE DEPARTMENT. . DATE RECEIVED: J \JH Q 81006 APPLICANT'S NAME: ~ L. &.ddow BUSINESS NAME: Sfi.s 5CLb roe h D..- <f /2a.-h-Ie-vcJ ]'.he.., .L~ Receipt comple~ed by: Exemption applications are processed in the order it was received. The Division of Workers' Compensation has 30 days to process the application after it has been received. The exemption application was received, at the following Division of Workers' Carripensation office: Bureau of Compliance 4415 METRO PKWY Suite # 300 Ft. Myers, FL. 33916 Telephone (239) 938.1840 DrvIS~ON OF WORKERS' COMPENSATION ~ BUREAU OF COMPUANCE Affirmll;i~ Al;tion f EqUIII Oppommity Emplc}'er JAN-1-2002 01: 3BP FRUI1: Le,mark X125 UH0090 IU: 1<'.0" ((4clIYRl 1-':3/..5 PROCESSED .... ("Yel 'J','_ .,....1 Con,ph:;r, L i\'1~(1["n1ttod ':1\1 ~ '.<.:111 U::Ul'"- J 1'1 udt.ctror. 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( Ctl r t\e5 uVl t1-P~~ ( .;; 3i) I ] ~ - /3' g 3; ~C{rc( ----,0 f:-A 7 AGREEMENT 06-3937R for "Process Server Services for Collier County" THIS AGREEMENT, made and entered into on this 24th day of April 2006, by and between Ortino Enterprises, Inc., authorized to do business in the State of Florida, whose business address is: PO Box 10398, Naples FL 34101 hereinafter called the "Contractor" (or "Consultant") and Collier County, a political subdivision of the State of Florida, Collier County, Naples, hereinafter called the "County": WITNESSETH: 1. COMMENCEMENT: The contract shall be for a one (1) year period, commencing on April 24, 2006, and terminating on April 23, 2007. The County may, at its discretion and with the consent of the Contractor, extend the Agreement under all of the terms and conditions contained in this Agreement for three (3) additional one (1) year periods. The County shall give the Contractor 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. 2. STATEMENT OF WORK: The Contractor shall provide process server services in accordance with the terms and conditions of RFP #06-3937R and the Contractor's proposal hereto attached and made an integral part of this agreement. 3. COMPENSATION: The County shall pay the Contractor 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. Any county agency may purchase products and services under this contract, provided sufficient funds are included in their budget(s). 4. 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: Ortino Enterprises, Inc. Attn: Mr. Victor Ortino PO Box 10398 Naples FL 34101 239/353-4224 FAX: 239/353-1907 All Notices from the Contractor 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 Attn: Steve Carnell 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 Service Agreement must be in writing. 5. 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. 6. 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. 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. 7. 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 contract 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. 8. 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 immediately for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be sole judge of non-performance. 9. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as to race, sex, color, creed or national origin. 10. INSURANCE. The Contractor shall provide insurance as follows: A. Commercial General Liabilitv: 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 Contractors; Products and Completed Operations and Contractual Liability. B. Business Auto Liability: Coverage shall have minimum limits of $500,000 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 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 Contractor 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. Contractor shall insure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Contractor shall provide County with certificates of insurance meeting the required insurance provisions. 11. INDEMNIFICATION. The Contractor/Vendor, in consideration of One Hundred Dollars ($100.00), the receipt and sufficiency of which is accepted through the signing of this document, shall hold harmless and defend Collier County and its agents and employees from all suits and actions, including attorneys' fees and all costs of litigation and judgments of any name and description arising out of or incidental to the performance of this contract or work performed thereunder. This provision shall also pertain to any claims brought against the County by any employee of the named Contractor/Vendor, any Subcontractor, or anyone directly or indirectly employed by any of them. The Contractor/Vendor's obligation under this provision shall not be limited in any way by the agreed upon contract price as shown in this Contract or the Contractor/Vendor's limit of, or lack of, sufficient insurance protection. The first One Hundred dollars ($100.00) of money received on the contract price is considered as payment of this obligation by the County. This section does not pertain to any incident arising from the sole negligence of Collier County. 12. CONTRACT ADMINISTRATION: This Agreement shall be administered on behalf of the County by the County Attorney's Office. 13. 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. 14. 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: Contractor's Proposal, Insurance Certificate, and RFP #06-3937R Scope of Services. 15. 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. 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 COUN1Y COMMISSIONERS COLLIER COUN1Y, FLORIDA (I.A . . .. By: ,ct\~V\ ~' lJ;?L //171 Stephen Y. Car ell, DIrector General Services/Purchasing ~~.,~ First itness ,xI'lN bl S~.LLo tTy e/print witness namet Ortino Enterprises. Inc. B:OO""dO~J4-v Signature Second Witness tl,c...fo~ P. ()R,r/A/O/ !>/I'.ff/JIP/7!- Typed signature and title !JiJto(.... ':D~Sa.("o tType/print witness namet CORPORATE SEAL (corporations only) Approved as to form and legal sufficiency: ~ ~/ Robert Zac y Assistant County Attorney ~ Allstate. You''''ing<KMlhsool''- BUSINESS AUTO DECLARATIONS POLICY NU MSER: 649866509 SAP ALLSTATE INSURANCE COMPANY 2775 Sanders Road Northbrook, IL 60062-6127 AGENT: CHUCK EAGLESTON 12330 TMIMI TR E101 NAPLES, FL 34113 ITEM ONE NAMED INSURED: MAILING ADDRESS: ORTINO ENTERPRISES INC 1890 40TH TERR SW NAPLES, FL 34116-6030 FROM JANUARY 09, 2006 TO JANUARY 09, 2007 At 12:01 AM. Standard Time at your mailing address shown above. POLICY PERIOD: PREVIOUS POLICY NUMBER: FORM OF BUSINESS: ITI CORPORATION D PARTNERSHIP D LIMITED LIABILITY COMPANY D OTHER D INDIVIDUAL IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. PREMIUM FOR ENDORSEMENTS 'ESTIMATED TOTAL PREMIUM -"This policy may be subject to final audit. $82.00 $3,546.00 Premium shown Is payable: $3,546.00 AUDIT PERIOD (IF APPLICABLE): D ANNUALLY at inception. D SEMI-ANNUALLY D QUARTERLY . D MONTHLY ENDORSEMENTS ATTACHED TO THIS POLICY: IL 00 17 - Common Policy Conditions (IL 01 46 in Washington) IL 00 21 - Broad Form Nuclear Exclusion (Not Applicable in New York) FORMS AND ENDORSEMENTS CONTAINED IN THIS POLICY AT ITS INCEPTION: BU1330A-3 BU1401-21001 CA0001 1001 CA0128 0203 CA2172 0401 CA2210 0704 CA0051 1204 CA0045 0303 CA9903 0797 CA9923 1293 CA9944 1293 I L0021 0702 IL0017 1198 CA0267 1094 CA2001 1001 BU1127 0297 BU1129C10702 CA2356 1102 BU181 1092 BU1109 0590 BU1110 0590 BU1455-11001 COUNTERSIGNED .~. ,,!-li-.:.- (Date) , ))1 I, / 11~"'t14:_- BY 7;17q( / Authorized Representative) BU10426-3 (Ed. 10-03) PAGE 1 OF 3 tc=.'.. ~j~ DECLARATIONS - BUSINESS AUTO POLICY - (Continued) ALLSTATE INSURANCE COMPANY POLICY NUMBER: 649866509 SAP ITEM TWO - SCHEDULE OF COVERAGES AND COVERED AUTOS This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos." "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Auto Section of the Business Auto Coverage Form next to the name of the coverage. COVERAGES COVERED AUTOS LIMIT PREMIUM (Entry of one or more of the symbols from the Covered Autos Section of the Business -- - --- ---- - - -Auto-Coverage Form--- - ----- -- ----...---- ----,-- .--------- ,--oo---- --- - -----------"-- - - shows which autos are covered autos.) LlABI L1TY 07,09 $300,000 $1,758.00 PERSONAL INJURY 05 SEPARATELY STATED IN EACH P.IP. $210.00 PROTECTION (or equivalent ENDORSEMENT MINUS $ SEE SCHEDULE No-fault coverage) DED. ADDED PERSONAL INJURY SEPARA TEL Y STATED IN EACH ADDED PROTECTION (or equivalent PIP. ENDORSEMENT added No-fault coverage) PROPERTY PROTECTION SEPARATELY STATED IN THE P.P.I INSURANCE (Michigan only) ENDORSEMENT AUTO MEDICAL PAYMENTS 07 SEE SCHEDULE $30.00 UNINSURED MOTORISTS 07 $100,000 $402.00 UNDERINSURED MOTORISTS (When not included in Un- insured Motorists Coverage) PHYSICAL DAMAGE 07 ACTUAL CASH VALUE OR COST OF REPAIR. $293.00 COMPREHENSIVE WHICHEVER IS LESS, MINUS $ (See Schedule) COVERAGE DED. FOR EACH COVERED AUTO, BUT NO DEDUCTIBLE APPLIES TO LOSS CAUSED BY FIRE OR LIGHTNING. See ITEM FOUR For Hired Or Borrowed "Autos". PHYSICAL DAMAGE ACTUAL CASH VALUE OR COST OF REPAIR, SPECIFIED CAUSES OF LOSS WHICHEVER IS LESS, MINUS $25 DED. FOR COVERAGE EACH COVERED AUTO FOR LOSS CAUSED BY MISCHIEF OR VANDALISM. See ITEM FOUR For Hired Or Borrowed" Autos". PHYSICAL DAMAGE 07 ACTUAL CASH VALUE OR COST OF REPAIR, $745.00 COLLISION COVERAGE WHICHEVER IS LESS, MINUS $ (See Schedule) DED. FOR EACH COVERED AUTO. See ITEM FOUR For Hired Or Borrowed "Autos". PHYSICAL DAMAGE TOWING 07 $ (See Schedule) For Each Disablement Of A $26.00 AND LABOR Private Passenger" Auto". PREMIUM FOR ENDORSEMENTS I $82.00 'ESTIMATED TOTAL PREMIUM I $3,546.00 'This policy may be subject to final audit. The estimated total premium for this policy is based on the exposures you told us you would have when this policy began. We will compute your final premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due and you will be billed for the balance. if any. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund. The portion of the estimated total premium shown above that is attributable to coverage for "acts of terrorism" covered by the Program established by the "Terrorism Risk Insurance Act of 2002" is $0.00. SEE DISCLOSURE NOTICE ON PAGE 3 OF 3. BU10426-3 (Ed. 10-03) PAGE 2 OF 3 ~OLD DOMINION ~INSUR/\NCE COMPANY 4601 Touchton Road East, Ste. 3300 P.o. Box 16100. JacksonVille, FL 32245-6100 Telephone: 1-904-642-3000/ 1-800-226.0875 INSURED SPECIAL COMMERCIAL PACKAGE POLICY Named Insured and Mailing Address ORTINO ENTERPIRSES, INC 1890 40TH TERRACE SW NAPLES, FL 34116 Agent: EDISON INSURANCE AGENCY INC AGENT PHONE : 239 693 0400 POLICYHOLDER INFORMATION Policy Number: B P G 5 8107 Account Number: CACG581 07 Producer Code: 090290003 Named Insureds Business: Entity: Policy Term: Effective: Expiration: OFFICE CORPORATION 12 11/06/05 11/06/06 (12:01 A.M. Standard Time at the address of the Named Insured stated above) In return for the payment of the premium and subject to all the terms of this poiicy, we agree with you to provide the in.surance as stated in this policy. See the attached schedules for Descrrption of Premises, Property Coverage, Optional Coverages, Forms and Enaorsements applying to this policy and Mortgagee Schedule if applicable. LIABILITY COVERAGE LIMITS OF INSURANCE Liability & Medical Expenses - each occurrence $ 1 , 000, 000 Personal and Advenising Injury Limit $ 1 , 000,000 Products-Completed Operations Aggregate Limit $ 2,000,000 General Aggregate Limit $ 2, 000,000 Fire Legal Liability - anyone fire or explosion $ 50,000 Medical Expense Limit - per person $ 5,000 Business liability and Medical Expense: Except for Fire Legal Liability, each paid claim for the above cover- ages reduces the amount of insurance we provide during the applicable annual period. For policies subject 10 premium audit: Annual Audit Applies. Total Annual Premium: $ 960 FL EMPAT FUND: FL FIRE MARSHALL: $ $ 4.00 .86 TOTAL PREMIUM AND CHARGES $ 964.86 Countersigned: By: 64-5255 (1/04) 09/22/05 RENEWAL MW OLD DOMINION INSURANCE CO. ORTINO ENTERPIRSES, INC Policy Number: BPG581 07 Account Number: CACG581 07 Effective Date: 11/06/05 Producer Code: 090290003 Agent EDISON INSURANCE AGENCY INC SPECIAL CPP DECLARATIONS - COVERAGES APPLYING TO THIS LOCATION DESCRIPTION OF PREMISES Prems. Bldg. No. No. 1 1 - ADDRESSES Address 1888/1890 40TH TERRACE SW NAPLES, FL 34116 DESCRIPTION OF PREMISES - OCCUPANCY AND Prems. Bldg. No. No. . 1 1 CONSTRUCTION Construction NDN-COMBUSTIBLE Occupancy OFFICE - OWNER OCCUPIED COVERAGES PROVIDED Prems. Bldg., No. No. Coverage 1 1 CONT COV - SPCL (90% COINS) Limit of Insurance 200,000 OPTIONAL COVERAGES Prems. Bldg. No. No. ALL ALL ELECTRICAL AND PRESS SYS BRKDWN AND NON-OWNED AUTO LIABILITY Limits INCLUDED $500,000 Coverage MECHANICAL HIRED AUTO 64-5258 9/00 09/22/05 RENEWAL MW ~.., ~'" <:)'" '" ')<1:- Protectic 2 Ded 1,000 l.;t~i,~~!~~ I~!-~~~~' !'o.:;" _, !"':;<~;v:".~~.~ ",,~,; , ']..":~?';;;'-C;~~ "''":';;''.;~ FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES DIVISION OF UCENSING Post Office Box 6687 . Tallahassee, FL 32314-6687 . (850) 488-5381 Internet Address: http://Iicgwcb.doacs.state.fl.usI Chapter 493. Florida Statutes CDAllt..Y.8 n. llROi'lSON m'\lMISSIONER CERTIFICATION OF INSURANCE Pursuant to Section 493.6110, Florida Statutes, a private investigative agency, a private security agency or a recovery agency must maintain continuous insurance coverage as a prerequisite for doing business in the State of Florida. As a person lawfully authorized to sell insurance in the State of Florida for an insurance company that is lawfully engaged to provide insurance coverage in Florida, I hereby certify that the beiow named agency licensed under Chapter 493. Florida Statutes, is presently insured in an amount of not less than $300,000 which includes comprehensive general liability coverage for death, bodily injury, property damage, and personal injury coverage including false arrest. detention or imprisonment, malicious prosecution, libel, slander, defamation of character and violation of the right of privacy. I further state that this policy insures for the liability for all agency employees required to be licensed by the State of Florida while engaged in activities pursuant to their employment.. I further acknowledge that the Department of Agriculture and Consumer Services, Division of Licensing, is listed as an additional insured party to assure that all notices regarding coverage are sent by the insurance provider to the Department. Failure to maintain insurance coverage as required by law results in the AUTOMATIC suspension of the agency license. Continuation of activities regulated under Chapter 493, Florida Statutes, without insurance coverage or with a suspended license may result in administrative action pursuant to Section 493.6118(1)(h), Florida Statues, or criminal penalties pursuant to Section 493.6120, Florida Statues. Oct/no Investigations Name of Insured as it appears on license Licenses Insured - check all that apply and provide corresponding license numbers: ~Class "A" - Private Investigative Agency License Number: A 8900082 DClass "B" - Security Agency License Number: B DClass "R" - Recovery Agency License Number: R 1890 40th Terrace Southwest, Naples, FL 33999 Florida Address of Insured's Location Covered by this Certification Policy Number FMMI007080 Expiration Date 6/6/2006 First Mercury Insurance Company Name of Insurance Company La-,.;/ully Authorized to Sell Insurance in the State of Florida 29621 Northwestern HWY/Southfield, MI 48034 Mailing Address of In ance-9mpany (Street, PO Box, etc) State 248-358-4010 Telephone Number Zip Code Signature of Florida Licensed Insurance Agent E049378 Florida License Number of Insurance Agent STATE OF FLORIDA COUNTY OF / The foregoing instrument was sworn to (or affirmed) and subscribed before me t R. L. Ring, Jr. Name ofFforida Licensed Insurance Agent t: M Sc:huIla e"" ".. ,,-,-~L"_ -L.,<"" .-1~ .'>,.~ ;;~Tca:15,.dSrl Personally Known X entification Produced 0 ntification produced) Ann Schultz Print. Type, or Stamp Name of Notary Page I of2 ~110Rlr);\ _FINANcIAlslRvICEs HOME' CQNBCT . HELP, SJIEM TOM GAL~AGHER, . l'jEWS &MEDIA SEARCH Goj ....,,0 Workers' Comp llome About Us Assessment Rates Benefit Delivery Proc. Centralized Performance System Ch. 440 FL Statutes Contact Us Databases Directory District Offices ED! Frequent Questions History Memoranda/Bulletins Publications Related Links Rulcs & Forms Safety Statistics What's New QFF!<::ES & PIVlSlQNS' FIRE MARSHAL <::AREEJ,- OPPORTUNrnm PUBIACA T10]\jS Exemption Detail Page This tlatabase was Last Updated: 8/17/2006 1:33: 18 AM Retltrn to QuervForm --.,...-- ........". ...-..-- I Exemption Details I E:JEJ l:ffective *'fcnnination Ex('mption Dale Dale 'f;.'pc Employer Name VICTOR IEJIOol61989 II C"~,,,t I Non QRT1NO ORTINO Construction eNTERPRISES fNC . Tcnninatinn may be throllgh the rcvOC<llion orlhe exemption, exriration of the exemption, or invalidation by failure to fe-issue the exemption Return to Query Form http://www.f1dfs.com/WCAPPS/Compliance ]OC/wScriptslExcmptions.asp?PERlD= 421... 8/17/2006 Page 2 of2 Gcr ,Ide", "-..i Rea<lo'.LJ HelD with PDF Files DIVISION OF WORKERS' COMPENSATION (800) 742-2214 or (850) 413-1601 8 Florida Department of Financial Services' Division of Workers' Compensation' 200 East Gaines Street. Tallahassee, Florida 32399~4228 . Pri,'acv Statement http://www.tldfs.com/WCAPPS/Compliance_POC/wScripts/Excmptions.asp?PERID= 421... 8/17/2006 ~HOIIIDA _fiNANCIAL SlRVIQS Page I of2 I:iQMI:<:' CONTACI' tlE1I" SlTEM SEARCH I 001 ~ TOM GALLAGHER . NEWs & MEQIA Workers' Comp Home About Us Assessment Rates Benefit Delivery Proc. Centralized Performance System Ch. 440 FL Statutes Contact Us Databases Directory District Offices EDI Frequent Questions History Memoranda/Bulletins Publications Related Links Rules & Forms Satety Statistics What's New . QfFI(::ES &;DlVJSIQNS' FIR~MARSHA1 . CAREER OI'POR1]J1\jITlE~ PUElLI(::A l]()NS Employer Detail Page This J)atabase was Last Updated: 8/17/2006 1 :33: 18 AM Rei!!rn to_Query Foxm I Employe." Information - 999153001 I Employer IORTINO ENTERPRISES INC I Name IAddress 115254 32ND PLACE S W 1 ICity IINAPLES I IState IIFL IIZip 113394111CountyllCollier 1 Employer ICORPORA TIONj l?dustry 17380 I Iype (odc No Coverage History Exemption Listings Click El:emp!iou!lo!t!er's /Vamefor Details. I Name I I ELAJNAORTINQ I I ylCTQKORIlHO I No Owner EJection of Coverage Listings No Additional Locations I Employer Name History I I':>nployer Name II Name Type II Change Date I ORTlNO ENTERPRISES INC II Legal II Current I Relu-,"u tQ-fruer)'lfnrm http://www.fldfs.com/WCAPPS/Compliance _POC/wScripts/Employer.asp?EmplD= 9991... 8/17/2006 Page 2 of2 G~~~J;y:~ lliillLwith PDF FiI~~ DIVISION OF WORKERS' COMPENSATION (800) 742-2214 or (850) 413-1601 &3 Florida Department of Financial Sen'ices' Division of Workers' Compensation' 200 East Gaines Street. Tallahassee, Florida 32399M4228' frjYJl.~ Statement htlp://www.f1dfs.com/WCAPPS/Compliance ]OC/wScripts/Employer.asp?EmpID= 9991... 8/17/2006