#08-5081 (Public Financial Management, Inc.)
A G R E E MEN T 08-5081
for
Financial Advisory Services
THIS AGREEMENT, made and entered into on this n-t'1 day of DCCE,,,d:1\!V- 2008,
by and between Public Financial Management, Inc., authorized to do business in the State of
Florida, whose business address is 12730 New Brittany Boulevard, Suite 439, Fort Myers,
Florida 33907-4685, hereinafter called the "Consultant" and Collier County, a political
subdivision of the State of Florida, Collier County, Naples, hereinafter called the "County";
WIT N E SSE T H:
1. COMMENCEMENT. This Agreement shall commence upon award by the Board of
County Commissioners.
The contract shall be for a two (2) year period, commencing on date of award by the
Board of County Commissioners, and terminating two (2) years from that date. The
County, at its discretion, shall have the option to renew this Agreement after the initial
term for two (2) additional one (1) year terms. Such renewals shall be under the same
terms and conditions as this Agreement. If changes in the terms or conditions are
negotiated, said renewal(s) will be contingent upon an amendment approved by the
parties in writing and approved by the Board of County Commissioners. The County
shall give the Consultant written notice of the County's intention to renew 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 Consultant shall provide financial advisory services in
accordance with the terms and conditions of RFP #08-5081 and the Consultant'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
Consultant and the County Project 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 Consultant for the performance of this
Agreement upon completion of the work as accepted and approved by the Director of
the Office of Management and Budget or his designee. Payment will be made pursuant
to the price schedule offered by the Consultant in Attachment" A", hereto attached and
Page I on
incorporated herein by reference, together with the cost of any other charges/fees
submitted in the proposal. Payments shall be made to the Consultant when requested
as work progresses but not more frequently than once per month. Payment will be
made upon receipt of a proper invoice and in compliance with Chapter 218, Florida.
Statutes, otherwise known as the "Local Government Prompt Payment Act".
Any County agency may purchase services under this Agreement, provided sufficient
funds are included in their budget(s).
4. TRAVEL AND REIMBURSABLE EXPENSES. Travel expenses shall be reimbursed as
per Section 112.061 Fla. Stats.
Reimbursements shall be at the following rates:
Mileage $0.445 per mile
Breakfast $6.00
Lunch $11.00
Dinner $19.00
Airfare Actual ticket cost
Rental car Actual rental cost
Lodging Actual cost of lodging at single
occupancv rate
Parking Actual cost of varking
Taxi or Airport Actual cost of either taxi or airport
Limousine limousine
Reimbursable items other than travel expenses shall be limited to the following:
telephone long-distance charges, fax charges, photocopying charges and postage.
Reimbursables will be paid only after Consultant has provided all receipts. Consultant
shall be responsible for all other costs and expenses associated with activities and
solicitations undertaken pursuant to this Agreement.
5. SALES TAX. Consultant 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.
6. NOTICES. All notices from the County to the Consultant shall be deemed duly served
if mailed or faxed to the Consultant at the following Address:
Hal W. Canary, CPA
Public Financial Management, Inc.
12730 New Brittany Boulevard, Suite 349
Fort Myers, Florida 33907-4685
Fax: 239-939-1220
Page 2 of7
All Notices from the Consultant to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Government Center
Office of Management and Budget
3301 Tamiami Trail, East
Naples, Florida 34112
Facsimile: 239-252-8828
The Consultant and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement
must be in writing.
7. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating
a partnership between the County and the Consultant or to constitute the Consultant as
an agent of the County.
8. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.s., all permits
necessary for the prosecution of the Work shall be obtained by the Consultant. 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 Consultant. The Consultant shall also be solely responsible for
payment of any and all taxes levied on the Consultant. In addition, the Consultant 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 Consultant agrees to comply
with all laws governing the responsibility of an employer with respect to persons
employed by the Consultant.
9. NO IMPROPER USE. The Consultant 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 Consultant
or if the County or its authorized representative shall deem any conduct on the part of
the Consultant to be objectionable or improper, the County shall have the right to
suspend the contract of the Consultant. Should the Consultant 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 Consultant further agrees not to commence
operation during the suspension period until the violation has been corrected to the
satisfaction of the County.
10. TERMINATION. Should the Consultant 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
Page.3 of7
Agreement for convenience with a thirty (30) day written notice. The County shall be
sole judge of non-performance.
11. NO DISCRIMINATION. The Consultant agrees that there shall be no discrimination
as to race, sex, color, creed or national origin.
12. INSURANCE. The Consultant 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
Consultants; 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.
D. Professional Liability: Coverage shall have minimum limits of $1,000.000.
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 Consultant 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.
Consultant shall insure that all subConsultants comply with the same insurance
requirements that he is required to meet. The same Consultant shall provide
County with certificates of insurance meeting the required insurance provisions.
13. INDEMNIFICATION. To the maximum extent permitted by Florida law, the
Consultant 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 Consultant or anyone
employed or utilized by the Consultant 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.
Page 4 of7
This section does not pertain to any incident arising from the sole negligence of
Collier County.
14. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf
of the County by the Office of Budge and Management Department.
15. CONFLICT OF INTEREST: Consultant 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. Consultant further represents
that no persons having any such interest shall be employed to perform those services.
16. 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: Consultant's Proposal, Insurance Certificate, RFP #08-5081 Specifi-
cations/Scope of Services, Addenda and Exhibit A.
17. SUBJECT TO APPROPRIATION. It is further understood and agreed by and between
the parties herein that this agreement is subject to appropriation by the Board of County
Commissioners.
18. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or
individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee,
service or other item of value to any County employee, as set forth in Chapter 112,
Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004-05, 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.
19. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement,
the Consultant 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 use. 1324, et seq. and regulations relating thereto,
as either may be amended. Failure by the Consultant to comply with the laws
referenced herein shall constitute a breach of this agreement and the County shall have
the discretion to unilaterally terminate this agreement immediately.
20. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES. Collier County
encourages and agrees to the successful proposer extending the pricing, terms and
conditions of this solicitation or resultant contract to other governmental entities at the
discretion of the successful proposer.
Page 5 of7
21. AGREEMENT TERMS. If any portion of this Agreement is held to be void, invalid, or
otherwise unenforceable, in whole or in part, the remaining portion of this Agreement
shall remain in effect.
22. ADDITIONAL ITEMS/SERVICES. Additional items and! or services may be added to
this contract upon satisfactory negotiation of price by the Contract Manager and
Contactor.
23. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted
by this Agreement to resolve disputes between the parties, the parties shall make a
good faith effort to resolve any such disputes by negotiation. The negotiation shall be
attended by representatives of Consultant 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 Consultant 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.
24. KEY PERSONNEl/PROJECT STAFFING: The proposer's personnel and management
to be utilized for this Agreement shall be knowledgeable in their areas of expertise.
The County reserves the right to perform investigations as may be deemed necessary
to insure that competent persons will be utilized in the performance of this
Agreement. Selected firm shall assign as many people as necessary to complete the
assignments on a timely basis, and each person assigned shall be available for an
amount of time adequate to meet the dates required by each assignrnent. Firm shall
not change Key Personnel unless the following conditions are met: (1) Proposed
replacements have substantially the same or better qualifications and! or experience.
(2) that the County is notified in writing as far in advance as possible. Firm shall make
commercially reasonable efforts to notify Collier County within seven (7) days of the
change. The County retains final approval of proposed replacement personnel.
IN WITNESS WHEREOF, the Consultant 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.
Page 6 of?
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Page 7 of7
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Public Financial Management, Inc.
By:
,Consultant J
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Signature ~.
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(-Idl IV (:rfI1/;4~Y
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Typed signature and title
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==PFM"
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.
Exhibit A
Cost Proposal
Pricing shall be inclusive of all costs and shall be full compensation for
all services, labor, tools, equipment, local travel (within Lee and Collier
County) and any other items required for project completion and/or
completion of services. Travel expenses outside of Lee and Collier
Countyshallbereimbursed pursuant to Section 112.061,
Floxida Sta_tutes.
For all services not directly related to the issuance of bonds or notes:
1. Hourly rate for time and services for all officers, Senior Vice Presidents
and First Vice Presidents: $200.00Ihour
2. Hourly rate for time and services for all financial and computer analysts:
$175.00/hour .
3. Alternative cost to above hourly fees in the form of a monthly retainer:
$2,500.00 month"
"Note: Some clients prefer a retainer as a means of "budgetary certainty"
and 'unimposed access" to call on PFM at any time.
4. For all services related to the issuance of bonds or notes issued by the
County, regardless of the manner of sale:
Amount of Debt
Fee per $1.000
.
For the first $10,000,000
$0.80
$0.75
$0.65
$60.000.00
For the next $10,000,000
Amounts above $20,000,000
Maximum fee per any singular issue
Structured Products, Investment Advisory, and Arbitrage Rebate
Services
The financial advisory compensation proposed above does not apply to
services related to procurement of bond proceeds investments or other
structured products, investment management, or arbitrage rebate. Fees for
these special services shall be negotiated as a function of the complexity of
the proposed engagement and the specific scope of services outlined. PFM
Asset Management, LLC, registered investment advisor. is prepared to offer
the City its full range of structured products, investment management and
arbitrage rebate compliance services. This might include the procurement of
structured products or other investment securities for a bond construction
account or refunding escrow. If needed. these services would be performed
by PFM Asset Management, LLC pursuant to a separately negotiated letter
agreement. PFM Asset Management, LLC fully discloses all fees related to
any transaction.
.
Collier County, Florida ,- RFP /108-5081 - Proposal for Financial Advisory Services 113
__~._n__.._..__'~
ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDlYYYY)
11/26/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Frank Crystal & Co., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Financial Square ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
32 Old Slip
New York, NY 10005 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Great Northern Ins. Co.
Public Financial Management, Inc. INSURER B: Federal Insurance Company
Two Logan Square; Suite 1600 INSURER c: Pacific Indemnity Co.
18th and Arch Streets INSURER 0'
Philadelphia, PA 19103 INSURER E:
Clienl#' 39328
PUBLFI
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 POLlCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR NSR TYPE OF INSURANCE POLICY NUMBER P~AI.{~';r.i~iJ8,w\E P%~iJ I~X~~~I~N I.IMITS
A ~NERAlLIABILITY 35363950 11/30/08 11/30/09 EACH OCCURRENCE '1 000000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED .1 000000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) .10000
PERSONAL & ADV INJURY .1 000 000
-
GENERAL AGGREGATE .2 000 000
C-
GEN'L AGGREGATE LIMIT APAS PER- PRODUCTS - COM PlOP AGG 'Included
1Xl'-n- :RO-
POLICY JECT lOC
B ~TOMOBILE L1ABII.ITY 73248555 11/30/08 11/30/09 COMBINED SINGLE LIMIT
ANY AUTO (Eaaccident) $1,000,000
c-
C- ALL OWNED AUTOS BODilY INJURY
(Per person) ,
- SCHEDULED AUTOS
1<- HIRED AUTOS BODilY INJURY
,
1<- NON-OWNED AUTOS (Peraccidenl)
- PROPERTY DAMAGE ,
{Per accident)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT ,
ANY AUTO OTHER THAN EAACC ,
AUTO ONLY' AGG ,
B ~ESS/UMBRELLA LIABILITY 79774080 11/30/08 11/30/09 EACH OCCURRENCE '10000000
X OCCUR D CLAIMS MADE AGGREGATE ,10000000
,
R OEDUCT'BLE ,
RETENTION , ,
C WORKERS COMPENSATION AND 71642435 11/30/08 11/30/09 X I_~"H~,~" I 10J~
EMPLOYERS' LIABILITY ,1 000000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE ,1 000000
If yes. describe under E,l. DISEASE - POLICY LIMIT ,1,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Agreement #08.5081 Financial Advisory Services
It is hereby understood and agreed that Collier County is included as an
Additional Insured with respect to the General Liability coverage only.
(See Attached Descriptions)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Collier County Government: DATE THEREOF, THE ISSUING INSURER WILL~KJ(R MAIL ---30...- DAYS WRITTEN
Purchasing Building NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,DJl:.&M~J(
3301 E. Tamiami Trail ~K.,.tlXlJIl)dn.KJlUCX)NIlUlXa:dX:KBrDUn!J(XKlUllllKelllXt(nUK.aO$X)8{xx
Naples, FL 34112 JlJt8!fDXllClROVXax
,6,UTHORIZED REPRES~~
.;.,,~ l\~S~o.~'
ACORD 25 (2001/08) 1 of 3
#M256563
JDM
@ ACORD CORPORATION 1988
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 endorsement. 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.
ACORD 25-5 (2001/08) 2 of 3
#M256563
DESCRIPTIONS (Continued from Page 1)
Non-Owned & Hired Automboile and Workers Compensation - Evidence of
coverage only
AMS 25.3 (2001108)
3 013
#M256563
ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDfYYYY)
11/26/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Frank Crystal & Co., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Financial Square HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
32 Old Slip
New York, NY 10005 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Indian Harbor Insurance Co.
Public Financial Management, Inc. INSURER B:
Two Logan Square, Suite 1600; 18th and INSURER c:
Arch Streets INSURER D:
Philadelphia, PA 19103 INSURER E
Clienl#' 39328
PUBLFI
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.
IT. NS. TYPE OF INSURANCE POLICY NUMBER PJ'~i~~ri~i~8~\E Pg~fJ (~X:,~~~N LIMITS
~NERAL LIABILITY EACH OCCURRENCE S
DAMAGE TO RENTED
- :5MMERCIAL GENERAL LIABILITY S
-' CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
~'~ AGGREnE ~~~ APPlS LPER: PRODUCTS - COM PlOP AGG $
POLICY JECT LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Eaaccidenl)
-
- ALL OWNED AUTOS BODILY INJURY
S
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY
(Per accident) S
- NON-OWNED AUTOS
PROPERTY DAMAGE $
(Peraccidenl)
~AGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
~~SS/UMBREL.l.A LIABIL.ITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
=i ~EDUCT'BlE S
RETENTION $ S
WORKERS COMPENSATION AND I Tv;.,~.Jr~~~~ I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $
A OTHER Professional BINDER464006 11/30/08 11/30/09 Limit of Liability
Liabil ity $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Evidence of Coverage Only
The Professional Liability Policy is non-cancelable by the Insurer.
CERTIFICATE HOLDER
CANCELLATION
ACORD 25 (2001/08) 1 of 2
#256865
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WIL.L ENDEAVOR TO MAIL ----D./..c... DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L.EFT, BUT FAIL.URE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
,6,UTHORIZED REPRESENTATIVE
'\~ l\ooSl~~",~.
CM5 @ ACORD CORPORATION 1988
Collier Country Government
Center of Management and Budget
3301 Tamiami Trail, East
Naples, Florida 34112
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 endorsement. 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.
ACORD 25-5 (2001/08)
2 012
#256865