#11-5794 (BQ Concrete, LLC)AGREE MEN Tll -5794
for
Solid Waste Hammerhead Construction
THIS AGREEMENT is made and entered into this ?f i` day of AU 2012, 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" or "Owner ") and B.Q. Concrete, LLC.,
authorized to do business in the State of Florida, whose business address is 6017 Pine Ridge Road,
Suite 329, Naples, FL. 34119 (hereinafter referred to as the "Contractor ").
WITNESSETH:
1. COMMENCEMENT: The contract shall be for a one (1) year period, or until such time as all
outstanding Work Orders issued prior to the expiration of the Agreement period have been
completed. This contract shall have three one (1) year renewals, renewable annually. The County
Manager, or his designee, may, at his discretion, extend the Agreement under all of the terms and
conditions contained in this Agreement for up to one hundred eighty (180) days. The County
Manager, or his designee, shall give the Contractor written notice of the County's intention to
extend the Agreement term not less than ten (10) days prior to the end of the Agreement term
then in effect.
2. STATEMENT OF WORK: The Board of County Commissioners deemed three (3) firms to be
pre - qualified and awarded a Contract to each firm. Each contract is for complete services for
Solid Waste Hammerhead Construction on an as- needed basis as may be required by the Owner
in accordance with the terms and conditions of ITB #11 -5794 and the Contractor's proposal,
which is incorporated by reference and made an integral part of this Agreement. As allowed by
ITB #11 -5794, each Contract also includes other driveway projects of similar scope on an as-
needed basis as may be required by Owner. The execution of this Agreement shall not be a
commitment to the Contractor that any work will be awarded to the Contractor. Rather, this
Agreement governs the rights and obligation of the Quotation procedure outlined in the next
paragraphs and all Work undertaken by Contractor for Owner pursuant to this Agreement and
that procedure during the term and any extension of the term of this Agreement.
Prior to the issuance of a Work Order, the Owner shall provide a summary of Work to be
performed which will afford the Contractor the opportunity to submit a formal quotation for the
Work; the Contractor shall respond with the information sought within ten (10) working days. For
projects with an estimated cost of Two Hundred Thousand Dollars ($200,000) or less, the Owner
shall obtain a proposal from all of the selected firms, negotiate favorable project terms and
conditions, and issue a numbered Work Order, signed by the Department Director to initiate the
projects.
For projects with an estimated cost over Two Hundred Thousand Dollars ($200,000) and less
than Five Hundred Thousand Dollars ($500,000), competitive quotes shall be solicited from all of
the selected firms. The Contractor shall respond with the information sought within ten (10)
working days. The County will negotiate favorable project terms and conditions, and issue a
numbered Work Order to initiate the projects. Division Administrator, County Attorney and Board
of County Commissioners approval is required at this level.
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Payment and Performance Bonds will be required and shall be provided within ten (10) business
days after notification of award. In each Request for Quotation, the Owner reserves the right to
specify the period of completion and the collection of liquidated damages in the event of late
completion.
3. THE CONTRACT SUM: The Owner shall pay the Contractor for the performance of the Work
pursuant to the quoted price offered by the Contractor in his response to a specific Request for
Quotation. Any County agency may utilize the services offered under this contract, provided
sufficient funds are included in its budget(s).
4. NOTICES: All notices required or made pursuant to this Agreement to be given by the County to
the Contractor 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 Contractor's address of record:
B.Q. Concrete, LLC.
6017 Pine Ridge Road, Suite 329
Naples, FL. 34119
Attn: Buddy Quarles
Phone: 239 - 262 -7320
Fax: 239 - 354 -4458
All notices required or made pursuant to this Agreement to be given by the Contractor 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
3327 East Tamiami Trail
Naples, Florida 34112
Attn: Purchasing /General Services Director
Phone: 239 - 252 -8407
Fax: 239 - 252 -6584
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, Florida Statutes, 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. Contractor is not
responsible for paying for permits issued by Collier County, but is responsible for acquiring all
permits. Owner may require the Contractor to deliver internal budget transfer documents to
applicable Collier county agencies when the Contractor is acquiring permits.
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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 Contractor. Contractor shall pay all sales,
consumer, use and other similar taxes associated with the Work or portions thereof, which are
applicable during the performance of the Work.
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.
9. TERMINATION: Should the Contractor 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 for cause; further the County may terminate this Agreement for convenience with
a thirty (30) day written notice. The County shall be sole judge of non - performance.
10. NO DISCRIMINATION: The Contractor agrees that there shall be no discrimination as to race,
sex, color, creed or national origin.
11. INSURANCE: The Contractor shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000 Per
Occurrence, $1,000,000 aggregate, for Bodily Injury Liability and Property Damage Liability.
This shall include Premises and Operations; Independent contractors; Products and
Completed Operations and Contractual Liability.
B. Business Auto Liability: Coverage shall have minimum limits of $1,000,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability.
This shall include Owned Vehicles, Hired and Non -Owned Vehicles and Employee Non -
Ownership.
C. Workers' Compensation: Insurance covering all employees meeting Statutory Limits in
compliance with the applicable state and federal laws. The coverage must include
Employers' Liability with a minimum limit of $1,000,000 for each accident.
D. Pollution Liability: Coverage shall have minimum limits of $1,000,000 per occurrence,
combined single limit for bodily injury and property damage.
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.
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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 ten (10) 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 ensure 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.
12. INDEMNIFICATION: To the maximum extent permitted by Florida law, the
ContractorNendor /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 ContractorNendor /Consultant or anyone
employed or utilized by the ContractorNendor /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.
This section does not pertain to any incident arising from the sole negligence of Collier County.
13. BONDS.
A. When a construction project is in excess of $200,000, the Contractor(s) shall be required to
provide Payment and Performance Bonds.
B. When required by Owner, the Contractor shall furnish a Performance and /or Payment Bond
prior to commencing performance, for the full amount of the Work, which shall act as a
security guaranteeing the performance of the Contractor's work and the payment by the
Contractor to any other party (ies) providing labor and /or materials in connection with each
construction or renovation project performed by the Contractor. The bonds shall be furnished
using the forms prescribed in Exhibit "A ".
C. If the surety for any bond furnished by Contractor is declared bankrupt, becomes insolvent, its
right to do business in the State of Florida, or it ceases to meet the requirements imposed by
the Contract Documents, the Contractor shall, within five (5) calendar days thereafter,
substitute another bond and surety, both of which shall be subject to the Owner's approval.
14. PAYMENTS. Payments will be made upon receipt of a proper invoice and in compliance with
Section 218.70, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act ".
Generally, the Contractor will be paid upon completion; however, for Work in excess of thirty
(30) days, the Contractor may indicate on his response to the Request for Quotation his wish
to receive Progress Payments. Subsequent to the first payment, Contractor must provide
Owner with a fully executed Release and Affidavit in the form attached hereto as Exhibit "B" as
a condition precedent to release of each progress payment. All applications for payment,
whether for full payment or a progress payment shall be in writing, and in substantially the
form attached hereto as Exhibit "C ".
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15. PAYMENTS WITHHELD. Owner may decline to approve any Application for Payment, or
portions thereof, because of defective or incomplete work, outstanding punch list items,
subsequently discovered evidence or subsequent inspections. The Owner may nullify the
whole or any part of any approval for payment previously issued and Owner may withhold any
payments otherwise due Contractor under this Agreement or any other agreement between
Owner and Contractor, to such extent as may be necessary in the Owner's opinion to protect it
from loss because of: (a) defective Work not remedied; (b) third party claims failed or
reasonable evidence indicating probable fling of such claims, (c) failure of Contractor to make
payment properly to subcontractors or for labor, materials or equipment; (d) reasonable doubt
that the Work can be completed for the unpaid balance of the Contract Amount; (e)
reasonable indication that the Work will not be completed within the Contract Time; (f)
unsatisfactory prosecution of the Work by the Contractor; or (g) any other material breach of
the Contract Documents.
If any conditions described above are not remedied or removed, Owner may, after three (3)
days written notice, rectify the same at Contractor's expense. Owner also may offset against
any sums due Contractor the amount of any liquidated or unliquidated obligations of
Contractor to Owner, whether relating to or arising out of this Agreement or any other
agreement between Contractor and Owner.
16. SUBMITTALS AND SUBSTITUTIONS. Any substitution of products /materials from
specifications shall be approved in writing by Owner in advance.
17. CONTRACT TIME AND TIME EXTENSIONS.
A. Time is of the essence in the performance of any Work under this Agreement and Contractor
shall diligently pursue the completion of the Work and coordinate the Work being done on the
Project by its subcontractors and materialmen, as well as coordinating its Work with all work
of others at the Project Site, so that its Work or the work of others shall not be delayed or
impaired by any act or omission by Contractor. Contractor shall be solely responsible for all
construction means, methods, techniques, sequences, and procedures as well as
coordination of all portions of the Work under the Contract Documents, and the coordination
of Owner's supplies and contractors.
B. Should Contractor be obstructed or delayed in the prosecution of or completion of the Work
as a result of unforeseeable causes beyond the control of Contractor, and not due to its fault
or neglect, including but not restricted to acts of Nature or of the public enemy, acts of
Government, fires, floods, epidemics, quarantine regulation, strikes or lockouts, Contractor
shall notify the Owner in writing within forty -eight (48) hours after the commencement of such
delay, stating the cause or causes thereof, or be deemed to have waived any right which
Contractor may have had to request a time extension.
C. No interruption, interference, inefficiency, suspension or delay in the commencement or
progress of the Work from any cause whatever, including those for which Owner may be
responsible, in whole or in part, shall relieve Contractor of his duty to perform or give rise to
any right to damages or additional compensation from Owner. Contractor expressly
acknowledges and agrees that it shall receive no damages for delay. Contractor's sole
remedy, if any, against Owner will be the right to seek an extension to the Contract Time;
provided, however, the granting of any such time extension shall not be a condition precedent
to the aforementioned "No Damage for Delay" provision. This paragraph shall expressly apply
to claims for early completion, as well as to claims based on late completion.
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18. CHANGES IN THE WORK. Owner 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, Contractor
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
Owner, and Owner shall not be liable to the Contractor for any increased compensation
without such written order. No officer, employee or agent of Owner is authorized to direct any
extra or changed work orally. Any modifications to this Contract shall be in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
modifications are authorized.
A Change Order in the form attached as Exhibit "D" to this Agreement, shall be issued and
executed promptly after an agreement is reached between Contractor and Owner concerning
the requested changes. Contractor shall promptly perform changes authorized by duly
executed Change Orders. The Contract Amount and Contract Time shall be adjusted in the
Change order in the manner as Owner and Contractor shall mutually agree.
19. COMPLIANCE WITH LAWS. Contractor 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 Contractor observes that the Contract Documents are
at variance therewith, it shall promptly notify Owner in writing.
20. CLEAN UP. Contractor 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, Contractor shall
remove all 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 Owner.
21. ASSIGNMENT. Contractor shall not assign this Agreement or any part thereof, without the
prior consent in writing of Owner. If Contractor does, with approval, assign this Agreement or
any part thereof, it shall require that its assignee be bound to it and to assume toward
Contractor all of the obligations and responsibilities that Contractor has assumed toward
Owner.
22. WARRANTY. Contractor shall obtain and assign to Owner all express warranties given to
Contractor or any subcontractors by any materialmen supplying materials, equipment or
fixtures to be incorporated into the Project. Contractor warrants to Owner that any materials
and equipment furnished under the Contract 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 Contract Documents.
Contractor further warrants to Owner that all materials and equipment furnished under the
Contract 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 Contract Documents.
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If, within one (1) year after final completion, any Work is found to be defective or not in
conformance with the Contract Documents, Contractor shall correct it promptly after receipt of
written notice from Owner. Contractor 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 Owner is
entitled as a matter of law.
23. STANDARDS OF CONDUCT: PROJECT MANAGER, SUPERVISOR, EMPLOYEES. The
Contractor shall employ people to work on County projects who are neat, clean, well - groomed
and courteous. Subject to the American with Disabilities Act, Contractor shall supply
competent employees who are physically capable of performing their employment duties. The
County may require the Contractor 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.
24. TESTS AND INSPECTIONS. If the Contract 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, Contractor shall assume full
responsibility therefore, pay all costs in connection therewith and furnish to the Owner 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 Owner.
25. PROTECTION OF WORK.
A. Contractor shall fully protect the Work from loss or damage and shall bear the cost of any
such loss or damage until final payment has been made. If Contractor or anyone for whom
Contractor is legally liable is responsible for any loss or damage to the Work, or other work or
materials of Owner or Owner's separate contractors, Contractor shall be charged with the
same, and any monies necessary to replace such loss or damage shall be deducted from any
amounts due Contractor.
B. Contractor shall not load nor permit any part of any structure to be loaded in any manner that
will endanger the structure, nor shall Contractor subject any part of the Work or adjacent
property to stresses or pressures that will endanger it.
C. Contractor shall not disturb any benchmark established by the Owner with respect to the
Project. If Contractor, or its subcontractors, agents or anyone, for whom Contractor is legally
liable, disturbs the Owner's benchmarks, Contractor shall immediately notify Owner. The
Owner shall re- establish the benchmarks and Contractor shall be liable for all costs incurred
by Owner associated therewith.
26. 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, Contractor, without special
instruction or authorization from Owner is obligated to act to prevent threatened damage,
injury or loss. Contractor shall give the Owner written notice within forty -eight (48) hours after
the occurrence of the emergency, if Contractor believes that any significant changes in the
Work or variations from the Contract Documents have been caused thereby.
If the Owner determines that a change in the Contract Documents is required because of the
action taken in response to an emergency, a Change Order shall be issued to document the
consequences of the changes or variations.
Page -7-
If Contractor fails to provide the forty -eight (48) hour written notice noted above, the Contractor
shall be deemed to have waived any right it otherwise may have had to seek an adjustment to
the Contract Amount or an extension to the Contract Time.
27. COMPLETION. When the entire Work (or any portion thereof designated in writing by Owner)
is ready for its intended use, Contractor shall notify Owner in writing that the entire Work (or
such designated portion) is substantially complete and request that Owner issue a Certificate
of Substantial Completion. Within a reasonable time thereafter, Owner and Contractor shall
make an inspection of the Work (or designated portion thereof) to determine the status of
completion. If Owner does not consider the Work (or designated portion) substantially
complete, the Owner shall notify Contractor in writing giving the reasons therefore.
If Owner considers the Work (or designated portion) substantially complete, Owner shall
prepare and deliver to Contractor a Certificate of Substantial Completion, Exhibit E, which
shall fix the date of Substantial Completion for the entire Work (or designated portion thereof)
and include a tentative punch list of items to be completed or corrected by Contractor before
final payment.
Owner shall have the right to exclude Contractor from the Work and Project site (or designated
portions thereof) after the date of Substantial Completion, but Owner shall allow Contractor
reasonable access to complete or correct items on the tentative punch list.
Upon receipt of written certification by Contractor that the Work is completed in accordance
with the Contract Documents and is ready for final inspection and acceptance, Owner will
make such inspection and, if Owner finds the Work acceptable and fully performed under the
Contract Documents, he shall promptly issue a Certificate of Final Completion, Exhibit F,
recommending that on the basis of his observations and inspections, and the Contractor's
certification that the Work has been completed in accordance with the terms and conditions of
the Contract Documents, that the entire balance found to be due Contractor is due and
payable. Final payment shall not become due and payable until Contractor submits:
(1) The Release and Affidavit in the form attached as Exhibit "B ".
(2) Consent of Surety (if applicable) to final payment.
(3) If required by Owner, other data establishing payment or satisfaction of all obligations,
such as receipt, releases and waivers of liens, arising out of the Contract Documents, to the
extent and in such form as may be designated by Owner.
Owner reserves the right to inspect the Work and make an independent determination as to
the acceptability of the Work. Unless and until the Owner is completely satisfied, the final
payment shall not become due and payable.
28. LIQUIDATED DAMAGES. The "Commencement Date" shall be established in the Notice to
Proceed to be issued by the Owner. Contractor shall commence the work within five (5)
calendar days from the Commencement Date. No Work shall be performed at the Project site
prior to the Commencement Date. Any Work performed by Contractor prior to the
Commencement Date shall be at the sole risk of Contractor.
The Work shall be substantially completed within the time specified in the Request for
Quotation. The date of substantial completion of the Work (or designated portions thereof) is
the date certified by the Owner when construction is sufficiently complete, in accordance with
the Contract Documents, so Owner can occupy or utilize the Work (or designated portions
Page -8-
thereof) for the use for which it is intended. The Work shall reach final completion and be
ready for final acceptance by Owner within the time specified in the Request for Quotation.
Owner and Contractor recognize that since time is of the essence for any work under this
Agreement, Owner will suffer financial loss if the Work is not substantially completed within the
time specified in the Request for Quotation. Should Contractor fail to substantially complete
the Work within the specified time period, Owner shall be entitled to assess as liquidated
damages, but not as a penalty, the amount specified in the Request for Quotation for each
calendar day thereafter until substantial completion is achieved.
The Project shall be deemed to be substantially completed on the date the Owner issues a
Certificate of Substantial Completion pursuant to the terms hereof. Contractor hereby
expressly waives and relinquishes any right which it may have to seek characterize the above
noted liquidated damages as a penalty, which the parties agree represents a fair and
reasonable estimate of the Owner's actual damages at the, time of contracting if Contractor
fails to substantially complete the Work in a timely manner.
When any period of time is referenced by days herein, it shall be computed to exclude the first
day and include the last day of such period. If the last day of any such period falls on a
Saturday or Sunday or on a day made a legal holiday by the law of the applicable jurisdiction,
such day shall be omitted from the computation, and the last day shall become the next
succeeding day which is not a Saturday, Sunday or legal holiday.
29. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of the
County by the Public Utilities Solid Waste Department.
30. COMPONENT PARTS OF THIS CONTRACT. This Contract 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: Contractor's Proposal, Insurance Certificate, ITB No. 11 -5794, any
addenda, any Quotation/Work Order made or issued pursuant to this Agreement, and any
related plans or specifications for any such Quotations or Work Orders.
31.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.
32. 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.
33. SALES TAX. Contractor shall pay all sales, consumer, use and other similar taxes associated
with the Work or portions thereof, which are applicable during the performance of the Work.
No markup shall be applied to sales tax.
Page -9-
34. IMMIGRATION LAW COMPLIANCE: By executing and entering into this agreement, the
Contractor 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 Contractor to comply with the laws referenced herein shall constitute a breach of
this agreement and the County shall have the discretion to unilaterally terminate this
agreement immediately.
35. 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.
36.OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES: Collier County encourages
and agrees to the successful proposer extending the pricing, terms
solicitation or resultant contract to other governmental entities at
successful proposer.
and conditions of this
the discretion of the
37.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.
38. SECURITY. If required, Contractor shall be responsible for the costs of providing background
checks by the Collier County Facilities Management Department for all employees that shall
provide services to the County under this Agreement. This may include, but not be limited to,
checking federal, state and local law enforcement records, including a state and FBI fingerprint
check, credit reports, education, residence and employment verifications and other related
records. Contractor shall be required to maintain records on each employee and make them
available to the County for at least four (4) years
39. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted by this
Agreement to resolve disputes between the parties, the parties shall make a good faith effort
to resolve any such disputes by negotiation. The negotiation shall be attended by
representatives of Contractor with full decision - making authority and by County's staff person
who would make the presentation of any settlement reached during negotiations to County for
approval. Failing resolution, and prior to the commencement of depositions in any litigation
between the parties arising out of this Agreement, the parties shall attempt to resolve the
dispute through Mediation before an agreed -upon Circuit Court Mediator certified by the State
of Florida. The mediation shall be attended by representatives of Contractor with full decision -
making authority and by County's staff person who would make the presentation of any
settlement reached at mediation to County's board for approval. Should either party fail to
submit to mediation as required hereunder, the other party may obtain a court order requiring
mediation under section 44.102, Fla. Stat.
Any suit or action brought by either party to this Agreement against the other party relating to
or arising out of this Agreement must be brought in the appropriate federal or state courts in
Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters.
Page -10-
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.
ATTEST:
Dwight E.;rock,1k of Courts
By: p.
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Contractor
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First fitness
Type /Print V itness Name
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Deputy County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Fred W. Coyle, Chairman
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Title
Page -11-
EXHIBIT A
PUBLIC PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: That
Principal, and
Bond No.
Contract No. 11 -5794
as
as Surety, located at
(Business Address)
are held and firmly bound to as
Oblige in the sum of ($ ) for
the payment whereof we bind ourselves, our heirs, executors, personal representatives, successors
and assigns, jointly and severally.
WHEREAS, Principal has entered into a contract dated as of the
, 201_, with Oblige for
day of
in accordance with
drawings and specifications, which contract is incorporated by reference and made a part hereof, and
is referred to as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
Promptly makes payment to all claimants as defined in Section 255.05(1), Florida Statutes,
supplying Principal with labor, materials or supplies, used directly or indirectly by Principal in the
prosecution of the work provided for in the contract, then this bond is void; otherwise it remains in full
force.
Any changes in or under the Contract and compliance or noncompliance with any formalities
connected with the Contract or the changes do not affect sureties obligation under this Bond.
The provisions of this bond are subject to the time limitations of Section 255.0592. In no event
will the Surety be liable in the aggregate to claimants for more than the penal sum of this Payment
Bond, regardless of the number of suits that may be filed by claimants.
IN WITNESS WHEREOF, the above parties have executed this instrument this day of
201_, the name of under - signed representative, pursuant to authority of its governing
body.
Page -12-
Signed, sealed and delivered
in the presence of:
Witnesses as to Principal
STATE OF _
COUNTY OF
PRINCIPAL:
By: _
Name:
Its:
The foregoing instrument was acknowledged before me this of 201 _, by
as of
a corporation, on behalf of the corporation. He /she is personally
known to me OR has produced as identification and did (did
not) take an oath.
My Commission Expires:
(AFFIX OFFICIAL SEAL)
ATTEST:
Witness as to Surety
(Signature of Notary)
Name:
(Legibly Printed)
Notary Public, State of
Commission No.:
SURETY:
(Printed Name)
(Business Address)
(Authorized Signature)
(Printed Name)
EM
Page -13-
As Attorney in Fact
(Attach Power of Attorney)
Witnesses
(Business Address)
(Printed Name)
(Telephone Number)
STATE OF _
COUNTY OF
The foregoing instrument was acknowledged before me this day of
201 _, by as _
of Surety
to me OR has produced
oath.
My Commission Expires:
(AFFIX OFFICIAL SEAL)
on behalf of Surety. He /She is personally known
as identification and who did (did not) take an
(Signature of Notary)
Name:
(Legibly Printed)
Notary Public, State of
Commission No.:
Page -14-
EXHIBIT A -2
PUBLIC PERFORMANCE BOND
Bond No.
Contract No. 11 -5794
KNOW ALL MEN BY THESE PRESENTS: That
, as Principal, and
as Surety, located at
(Business Address) are held and firmly bound to
as Oblige in the sum of
($ ) for the payment whereof we bond
executors, personal representatives, successors and assigns, jointly and severally.
WHEREAS, Principal has entered into a contract dated as of the
201 _, with Oblige for
day of
ourselves, our heirs,
in accordance with drawings and specifications, which contractor is incorporated by reference and made a pat
hereof, and is referred to as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
1. Performs the Contract at the times and in the manner prescribed in the Contract, and
2. Pays Oblige any and all losses, damages, costs and attorneys' fees that Oblige sustains because
of any default by Principal under the Contract, including, but not limited to, all delay damages,
whether liquidated or actual, incurred by Oblige; and
3. Performs the guarantee of all work and materials furnished under the Contract for the time
specified in the Contract, then this bond is void; otherwise it remains in full force. Any changes in
or under the Contract and compliance or noncompliance with any formalities connected with the
Contract or the changes do not affect Sureties obligation under this bond.
The Surety, for value received, hereby stipulates and agrees that no changes, extensions of time,
alterations or additions to the terms of the Contract or other work to be performed hereunder, or the
specifications referred to therein shall in anywise affect its obligations under this bond, and it does hereby
waive notice of any such changes, extensions of time, alternations or additions to the terms of the Contract or
to work or to the specifications.
Page -15-
This instrument shall be construed in all respects as a common law bond. It is expressly understood
that the time provisions and statute of limitations under Section 255.05, Florida Statutes, shall not apply to this
bond.
In no event will the Surety be liable in the aggregate to Oblige for more than the penal sum of this
Performance bond regardless of the number of suits that may be filed by Oblige.
IN WITNESS WHEREOF, the above parties have executed this instrument this day of
201_, the name of each party being affixed and these presents duly signed by its
undersigned representative, pursuant to authority of its governing body.
Signed, sealed and delivered
in the presence of :
Witnesses as to Principal
STATE OF _
COUNTY OF
PRINCIPAL:
By: _
Name:
Its:
The foregoing instrument was acknowledged before me this
201, by , as
,a
He /She is personally known to me OR has produced
did (did not) take an oath.
My Commission Expires:
(AFFIX OFFICIAL SEAL)
day of _
of
corporation, on behalf of the corporation.
as identification and
(Signature of Notary)
Name:
(Legibly Printed)
Notary Public, State of
Commission No.:
Page -16
ATTEST:
Witness as to Surety
Witnesses
STATE OF _
COUNTY OF
SURETY:
(Printed Name)
(Business Address)
(Authorized Signature)
(Printed Name)
OR
As Attorney in Fact
(Attach Power of Attorney)
(Business Address)
(Printed Name)
(Telephone Number)
The foregoing instrument was acknowledged before me this day of
201 _, by as
of Surety, on behalf of Surety. He /She is personally known
to me OR has produced as identification and who did (did not) take an
oath.
My Commission Expires:
(AFFIX OFFICIAL SEAL)
(Signature of Notary)
Name:
(Legibly Printed)
Notary Public, State of _
Commission No.:
Page -17-
EXHIBIT B
RELEASE AND AFFIDAVIT FORM
COUNTY OF COLLIER
STATE OF FLORIDA )
Before me, the undersigned authority, personally appeared
who after being duly sworn, deposes and says:
(1) In accordance with the Contract Documents and in consideration of $
paid, ( "Contractor ") releases and waives for itself and it's
subcontractors, material -men, successors and assigns, afi claims demands, damages, costs and expenses,
whether in contract or in tort, against the Board of County Commissioners of Collier County, Florida, relating in
any way to the performance of the Agreement between Contractor and Owner, dated
201_ for the period from to
(2) Contractor certifies for itself and its subcontractors, material -men, successors and assigns, that all
charges for labor, materials, supplies, lands, licenses and other expenses for which Owner might be sued or
for which a lien or a demand against any payment bond might be filed, have been fully satisfied and paid.
(3) Contractor agrees to indemnify, defend and save harmless Owner from all demands or suits, actions,
claims of liens or other charges filed or asserted against the Owner arising out of the performance by
Contractor of the Work covered by this Release and Affidavit.
(4) This Release and Affidavit is given in connection with Contractor's [monthly /final] Application for Payment
No.
9W
ITS:
DATE:
Witnesses
STATE OF _
COUNTY OF
9\ CG •z
President
[Corporate Seal]
The foregoing instrument was acknowledged before me this day of
, 201_, by , as
of a corporation, on behalf of the
corporation. He /she is personally known to me or has produced
as identification and did (did not) take an oath.
My Commission Expires:
(AFFIX OFFICIAL SEAL)
NAME:
(Signature of Notary)
(Legibly Printed)
Notary Public, State of
Commissioner No.:
Page -18-
EXHIBIT C
FORM OF CONTRACT APPLICATION FOR PAYMENT
(County Project Manager) Bid No. 11 -5794
(County Department) Project No.
Collier County Board of County Commissioners (the OWNER) or
Collier County Water -Sewer District (the OWNER) Application Date
FROM: (Contractor's Representative)
(Contractor's Name)
(Contractor's Address)
G7�1
Original Contract Time:
Revised Contract Time:
Retainage @ 10% thru[insert date]
Retainage @ _% after [insert date]
Percent Work completed to Date:
Percent Contract Time completed to Date
Liquidated Damages to be Accrued
Payment Application No.
for Work accomplished through the Date:
Original Contract Amount:
Total Change Orders to Date
Revised Contract Amount
Total value of Work Completed
and stored to Date
Less previous payment (s)
AMOUNT DUE THIS
APPLICATION:
_(Project Name)
$
ATTACH SCHEDULE OF VALUES AND ACCOMPANYING DOCUMENTATION TO THIS APPLICATION
CONTRACTOR'S CERTIFICATION: The undersigned CONTRACTOR certifies that: (1) all previous progress payments
received from OWNER on account of Work done under the Contract referred to above have been applied to discharge in
full all obligations of CONTRACTOR incurred in connection with Work covered by prior Applications for Payment
numbered 1 through inclusive; (2) title to all materials and equipment incorporated in said Work or otherwise listed
in or covered by this Application for Payment will pass to OWNER at time of payment free and clear of all liens, claims,
security interests and encumbrances (except such as covered by Bond acceptable to OWNER); (3) all amounts have been
paid for work which previous payments were issued and received from the OWNER and that current payment is now due;
(4) and CONTRACTOR agrees that all overruns as shown on the monthly estimate summary shall, in fact, be added to the
revised contract and shall be incorporated into a future Change Order:
By CONTRACTOR: (Contractor's Name)
(Signature) DATE:_
(Type Name & Title)
(shall be signed by a duly authorized representative of CONTRACTOR)
Payment to the CONTRACTOR for the above AMOUNT DUE THIS APPLICATION is recommended:
By Design Professional
(DP's Name)
(Signature) DATE:
(Type Name & Title)
Payment to the CONTRACTOR for the above AMOUNT DUE THIS APPLICATION is approved:
By OWNER'S Project Manager: (Signature) DATE: _
(Type Name and Title)
Page -19-
EXHIBIT D
CHANGE ORDER
CHANGE ORDER NO.
TO:
DATE
CONTRACT NO. 11 -5794
PROJECT NAME:
PROJECT NO.:
Under our AGREEMENT dated 201_
You hereby are authorized and directed to make the following change(s) in accordance with terms and conditions
of the Agreement:
FOR THE (Additive) (Deductive)
Sum of: $
($
Original Agreement Amount
it
Sum of Previous Changes $_
This Change Order (Add) (Deduct) $,
Present Agreement Amount $
The time for completion shall be (increased /decreased) by calendar days due to this Change Order. Accordingly,
the Contract Time is now calendar days. The substantial completion date is and the
final completion date is Your acceptance of this Change Order shall constitute a modification to our
Agreement and will be performed subject to all the same terms and conditions as contained in our Agreement indicated
above, as fully as if the same were repeated in this acceptance. The adjustment, if any, to the Agreement shall constitute a
full and final settlement of any and all claims of the Contractor arising out of or related to the change set forth herein,
including claims for impact and delay costs.
Accepted: 201
CONTRACTOR:
By:
DESIGN PROFESSIONAL:
By:
By:
OWNER:
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
Page -20-
OWNER'S Project No.
PROJECT:
CONTRACTOR
Contract For _
Contract Date
FXHIRIT F
CERTIFICATE OF SUBSTANTIAL COMPLETION
ENGINEER'S Project No.
This Certificate of Substantial completion applies to all Work under the Contract documents or to the
following specified parts thereof:
To
70172M.-
And
To
The Work to which this Certificate applies has been inspected by authorized representatives of
OWNER, CONTRACTOR AND DESIGN PROFESSIONAL, and that Work is hereby declared to be
substantially complete in accordance with the contract documents on:
DATE OF SUBSTANTIAL COMPLETION
A tentative list of items to be completed or corrected is attached hereto. This list may not be all -
inclusive, and the failure to include an item in it does not alter the responsibility of CONTRACTOR
to complete all the Work in accordance with the Contract Documents. The items in the tentative list
shall be completed or corrected by CONTRACTOR within days of the above date of
Substantial Completion.
Page -21-
The responsibilities between OWNER and CONTRACTOR for security, operation, safety,
maintenance, heat, utilities, insurance and warranties shall be as follows:
RESPONSIBILITIES:
OWNER:
CONTRACTOR:
The following documents are attached to and made a part of this Certificate:
This certificate does not constitute an acceptance of Work not in accordance with the Contract
Documents nor is it a release of CONTRACTOR'S obligation to complete the Work in accordance
with the Contract Documents.
Executed by Design Professional on
Design Professional
Type Name and Title
, 2012
CONTRACTOR accepts this Certificate of Substantial Completion on
, 2012
CONTRACTOR
Type Name and Title
OWNER accepts this Certificate of Substantial Completion on
, 2012
OWNER
Type Name and Title
Page -22-
OWNER'S Project No
PROJECT:
CONTRACTOR
Contract For _
Contract Date
CERTIFICATE OF FINAL COMPLETION
ENGINEER'S Project No.
This Certificate of Final completion applies to all Work under the Contract documents.
To
OWNER
And
To
The Work to which this Certificate applies has been inspected by authorized representatives of
OWNER, CONTRACTOR AND DESIGN PROFESSIONAL, and that Work is hereby declared to be
finally complete in accordance with the contract documents on:
DATE OF FINAL COMPLETION
Page -23-
The following warranty is attached to and made a part of this Certificate:
EXHIBIT G
Executed by Design Professional on 12012
Design Professional
By:
Type Name and Title
CONTRACTOR accepts this Certificate of Final Completion on
2012
CONTRACTOR
By:
Type Name and Title
OWNER accepts this Certificate of Final Completion on
2012
OWNER
By:
Type Name and Title
Page -24-
EXHIBIT G
WARRANTY
In consideration of ten dollars, ($10.00), receipt of which is hereby acknowledged, the undersigned
CONTRACTOR does hereby provide, warrant and guarantee all work done and executed under the
contract either directly performed by the CONTRACTOR or at the express request of the
CONTRACTOR by a SUBCONTRACTOR or CONSULTANT.
Project Name:
Date of Final Completion:
Name and Address of CONTRACTOR:
CONTRACTOR warrants and guarantees the work performed pursuant to the contract shall be free
of all defects of materials and workmanship for a period of one year from the DATE OF FINAL
COMPLETION.
The undersigned party further agrees that it will, at its own expense, replace and /or repair all
defective work and materials and all other work damaged by any defective work upon written demand
by the COUNTY. It is further understood that further consideration for this warranty and guaranty is
the consideration given for the requirement pursuant to the general conditions and specifications
under which the contract was let that such warranty and guaranty would be given.
This warranty and guaranty is in addition to any other warranties or guaranties for the work performed
under the contract and does not constitute a waiver of any rights provided pursuant to Florida
Statutes, Chapter 95, et seq.
DATE:
CONTRACTOR
BY:
Attest:
Page -25-
Policy Number: 8090012640
Date Entered: 5/1/2007
,acoRV" CERTIFICATE OF LIABILITY INSURANCE
DATE(MMrODrYYYY)
1 5/7/2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER
Perlin Insurance Agency
PO Box 366697 Bonita Springs, FL 34136
24520 Production Cr., #4
CONTACT
PHONE FAX
(239)263-3141 Arc No: (239)
263 -6696
F -M IL
M a
ADDRESS:
LIMITS
A
Bonita Springs, FL 34135
INSURER (S) AFFORDING COVERAGE
NAIC N
INSURER A NORTHPOINTE INS. CO.
5/01/2012
INSURED BQ CONCRETE, LLC
INSURER B :NORTHPOINTE INS. CO.
$1,000,000
BUDDY QUARLES
lNSURERC;AMERICAN SAFETY C/O APPALACHIAN
MEDEXP(Anyoneperson)
INSURER D:
6017 PINE RIDGE RD #329
INSURER E:
NAPLES, FL 34119
INSURER F :
PERSONAL &ADVINJURY
I.UVGKAtaCS UtK 111-IUAII- N11MHFF1' RFUISInkI IJI IMRFA-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
QTR
TYPE OF INSURANCE
ADOL
INSR
SUER
D
POLICYNUMBER
POLICY EFF
MMIDD
POLICY FXP
MMIDD
LIMITS
A
GENERAL LIABILITY
kCOhMv MERCI ALGENERALLIABILnY
CLAIMSfiAADE ®OCCUR
X
ALTO5O12OZ`1B193758
5/01/2012
5/01/2013
EACH OCCURRENCE
$1,000,000
REN 0
PREMISES Ea occurrence
S 100 000
MEDEXP(Anyoneperson)
$5,000
MITS ARE AS
PERSONAL &ADVINJURY
$1,000,000
INCEPTION
GENERAL AGGREGATE
$2,000,000
GENLAGGREGATELIMITAPPLIESPER
PRODUCTS - COMPIOPAGG
$21000,000
POLICY PRO- LOC
$
AUTOMOBILE
LIABILITY
COMBINED I EDSINGLELIMIT
$
BODILY INJURY (Per person)
$
ANY AUTO
SNED SCHEDULED
AUTO AUTOS
BODILY INJURY (Peraccident)
$
NON-OWNED
HIREDAUTOS
Pe0P 10AMAGE
cid
5
S
13
UMBRELLA LIAR
HCLAIMS-MADF
OCCUR
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1,000,000
EXCESSLIAB
8094123069
5/01/2012
5/01/2013
DED I I RETENTION $
$
WORKERS COMPENSATION
WC OTH-
AND EMPLOYERSIA
' LBILITY YIN
ANY PROPRIEFOR/PARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDED?
NIA
L1Mrrj ER
E.L -EACH ACCIDENT
$
E. L. DISEASE - EA EMPLOYEE 1
$
(Mandatory In NH)
If yes describe under
DESCRIPTION OF OPERATIONS be
-
E.L. DISEASE - POLICY LIMIT I
$
C
POLLUTION LIABILITY
CPL031796 -12 -01
6/04/2012
6 /Oa /2013
AGGREGATE LIMIT 1,000,000
EACH OCCURANCE 1,000,000
EACH POLUTION INCIDM0,000
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more epics Is required)
CONCRETE CONSTRUCTION, MASONRY & FENCE ERECTION
ADDITIONAL INSURED GENERAL LIABILITY: COLLIER COUNTY BOARD OF COMMISSIONERS
JOB: ALL COLLIER COUNTY PROJECTS
COLLIER COUNTY BOARD OF COMMISSIONERS
3301 TAMIAMI TRAIL E.
NAPLES, FL 33957
FAX:252 -6597 ATTN: BRENDA REAVES
dianadeleon @colliergov.net
ACORD 25 (2010105)
SHOULD ANY OF THE ABOV DESCRIBED POLICIES BE CA CELLED BEFORE
THE EXPIRATION DATE DESCRIBED
NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ITHORIZEO REPRESENTATiViE
EDRA WILLIAMS
01988 -2010 ACORD CORPORATION. All rlahts reserved
The ACORD name and logo are registered marks of ACORD
Produced using Forms Boss Plus software. www.FormsBoss.00m; Impressive Publishing 500- 208 -1977
CERTIFICATE OF LIABILITY INSURANCE
Date
1 2129/2012
Producer. Lion Insurance Company
This cetfiiRote Is issued as a matter of Information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
tiger upon time Certificarte Holder. This certifi°te does not arena, extend
or alter the coverage afforded by the policies below.
1
(727) 938 -5562
Insurers Affording Coverage
NAIL #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A- Don Insurance Company
11075
Insurer e:
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer C:
Insurer D:
Insurer E:
Coverages
as
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 terns, exclusions, and conditions of such policies- Aggregate
limits shown may have been reduced by paid claims.
INSR
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Polity Effective
Date
Policy Expiration Date
Limits
(MWDD/YY)
(MM/DD/YY)
GENERAL LIABILITY
Each Occurrence
5
Claims Made 11 Occur
T-- mmercial General Liability
Damage to rented pre Anises (EA
occurrence) occurrence)
Med Exp
Personal Adv Injury
General aggregate limit applies pe r.
Policy ❑ Project 1:1 LOC
General Aggregate
Products - Comp /Op Agg
AUTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
$
Any Auto
Bodily Injury
All Owned Autos
(Per Person)
Scheduled Autos
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Property Damage
(Per Accident)
EXCESS /UMBRELLA LIABILITY
Each Occurrence
Aggregate
occur ❑ Claims Made
Deductible
R
A
Workers Compensation and
Employers' Liability
Any proprietor /partnedexecubve officer /member
WC 71949
01/0112012
01101/2013
X
WC Statu_
tory Limits
OTH-
ER
E_L Each Accident
$1.000.000
E.L. Disease - Ea Employee
$1,000,000
excluded? NO
If Yes, describe under special provisions below.
E.L. Disease - Policy Limits
1 $1,000,000
Other
Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616
Descriptions of Operations /Locations/Vehicies /Exclusions added by Endorsement/Special Provisions: Client ID: 41 -65 -750
Coverage only applies to active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company ":
B.Q. Concrete, L.L.C.
Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in Florida.
Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity.
A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562.
Project Name:
FAX: 239 - 594 -5351 & 239 - 252 -6597 / ISSUE 07 -30 -10 (CF) / REISSUE 02 -29 -12 (TD)
Beoin Data: 3/29/2007
CERTIFICATE HOLDER CANCELLATION
COLLIER COUNTY BOARD OF COUNTY COMMISSIONER
Should any of the above described policies be cancelled before the expiration date thereof the issuing
insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to
do so shall impose no obligation or liability of any Idnd upon the insurer, its agents or representatives.
3301 TAMIAMI TRAIL EAST
NAPLES, FL 34109��
CERTIFICATE OF INSURANCE
XX ALLSTATE INSURANCE COMPANY ❑ALLSTATE INDEMNITY COMPANY OALLSTATE TEXAS LLOYD'S
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CERTIFICATE HOLDER
NAMED INSURED
Name and Address of Party to Whom this Certificate is Issued
Name and Address of Insured
Board of County Commissioners Collier County
BQ Concrete LLC
3299 Tamiami Trail, Ste 303
48 Wickliffe Dr.
Naples, FL 34112
Naples, FL 34110 -1332
This is.to certify that policies of Insurance listed beloW nave been Issued to the insured names adore suolea w die e)PHOWn - ,- -, - ••a ••,
requirement, term or condition of arty contract or &i dr document with respect to which this certificate may be issued or may pertain. The insurance afforded by the policies
described heiein is subject to all the terms, exclusions, and conditions of such policies.
t c no IumreeurF AND LIMITS
COMMERCIAL GENERAL LIABILITY Policy Effective
Number Date
Expiration
Date
Limn
Amount
GENERAL AGGREGATE LIMIT (Other than Products - Completed Operations),
$
PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT
$
PERSONAL AND ADVERTISING INJURY LIMIT
$
EACH OCCURRENCE LIMIT
$
PHYSICAL DAMAGE LIMIT
$
ANY ONE LOSS
MEDICAL EXPENSE LIMIT
$
ANY ONE PERSON
WORKERS' COMPENSATION & Policy Effete
EMPLOYERS' LIABILITY Number Date
Expiration
Date
Coverage
Limits
WORKERSFCOMPENSATION
EMPLOYE Sr: 01 or ccr,. ;n o.
STATUTORY - applies only in the following states:
BODILY.-INSURY BY ACCIDENT
1 $ EACH ACCIDENT
BODILY INJURY BY DISEASE
I $ EACH EMPLOYEE
BODILY INJURY BY DISEASE
1 $ POLICY LIMIT
Policy Effective
AUTOMOBILE LIABILITY Number 048912427 Date
Expiration
7123111 Date 7123112
Coverage Balls
Limits
❑ ANY AUTO X OWNED AUTOS HIRED AUTOS
❑ SPECIFIED AUTOS NON -OWNED AUTOS
OWNED PRIVATE PASSENGER AUTOS
❑ OWNED AUTOS OTHER THAN PRIVATE PASSENGER
Combined Single Limit of Liability
BODILY INJURY & PROPERTY DAMAGE 1 $ 2,000,000 EACH ACCIDENT
Split Liability, Limits
Bodily Injury
Property Damage Each
$
PERSON -
$
$ ACCIDENT
JMBRELLA LIABILITY Policy Effective
Number Date
Expiration
Data
= Ml- K_OCCURREP_t•CE _
GENERAL AGGREGATE
PRODUCTS - COMPLETED OPERATIONS AGGREGATE
P0
pt' �R �5�, Policy Effective
we of Policy) Number Date
Expiration
Date
DESCRIPTION OF OPERATIONSI LOCATIONSNE1IICLES IRESTi21CT1ONSISPECIAL ITEMS
CANCELLATION
Number of days notice ao 2/29/12
Auth zed Represe we Date
of uld any of the above described policies be Cancelled the tion date, the issuieigatlw any will endeavor to mail within the number of days entered above, written
mss•. Y
�otiee by thk4ertificate holdernamed above. But fail to mail or liability of any kind upon.the company, its agents or representatives.
U10523-2
ALLSTATE INSURANCE COMPANY
Home Office Northbrook, Illinois
Calendar Date 02/29/2012
FLORIDA
BUSINESS NAME BQ CONCRETE LLC
BUSN ADDRESS 6017 PINE RIDGE RD
CITY NAPLES
HOME PHONE ( 239 ) 595 - 4519
CUSTOMER SERVICE REQUEST
COMMERCIAL AUTO POLICY
Policy Number: 048912427 07/18
ST: FL ZIP: 34119
BUSINESS PHONE : ( 239 ) 594 - 5351
-----------------------------------------------------------------------------
ADD POLICY ADDITIONAL INSURED
Dir Code: 000000
Name: BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY
Address: 3299 TAMIAMI TRAIL 303
City: NAPLES State: FL Zip: 34112
-----------------------------------------------------------------------------
CHANGE POLICY ADDITIONAL INSURED
Dir Code: 000000
Name: SOUTHERN SIGNAL & LIGHTING
Address: 3884 PROSPECT AVE
City: NAPLES State: FL Zip: 34104
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THIS ENDORSEMENT HAS AFFECTED THE FOLLOWING POLICY FORMS:
Forms Added: CA2001 0306 ADDITIONAL INSUREDS
THIS REQUEST IS SUBJECT TO POLICY TERMS AND IS EFFECTIVE ONLY IF
THE POLICY NOTED IS CURRENTLY IN FORCE
EFFECTIVE 11:03 AM 02/29/2012
Notice: it is a crime to knowingly provide false, incomplete or
misleading information to an insurance company for the purpose of
defrauding the company. Penalties include imprisonment, fines and
denial of insurance benefits.
POLICYHOLDER's S
NO: 035329 LOC: EC2 1877 -217 -7445
s na re Agent's Phone#
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