Okaloosa County BOCC — October 15, 2013 — Road-striping-renewal — reading text

Uo Reo ¢-R-43 Co August 7, 2013 MEMORANDUM TO: Clay Simmons, Public Works FROM: Jack Allen, Purchasing RE: Contract renewal for Gulf Coast Traffic Engineers # C12-1990-PW Clay, GCTE, Inc. mailed this to us today. Please have Mr. Hofstad and Mr. Padgett sign, then prepare an agenda request for Board approval. Please let me know if you have any questions. Thanks, Reta To Uo Simmmo Pleene. Jack “Thanks Aare CONTRACT/LEASE RENEWAL FORM Date: July 24, 2013 Gulf Coast Traffic Engineers, Inc. Altn: . David E. Cook Address: 8203 Kipling Street Pensacola, FL 32514 RE: Miscellaneous Road Striping Services (C12-1990-PW, original RFB - PW 49-12) Dear Mr. Cook: The Okaloosa County Road Division agrees to renew the subject contract/lease, #C12-1990-PW [original RFB — PW 49-12) for an additional term. The contract renewal period will be October 1, 2013 to September 30, 2014. The annual budgeted amount for this contract is $200,000.00 {two hundred thousand dollars and no cents). If you are in agreement, please sign below and retum this form along with a current Certificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIV AUTHORIZED COMPANY REPRESENTATIVE Dept: Dreger 77 Contractor. Guu 2eAST TEAK PRG EMG /WSERS (16. Signature: aul Ga {foes Wofsiad Approved Approved 6y: Z f {as prescfibed below gn tiem DPAVD £. Beers nV Approved By: Title Wee PResipseT {as prescribe Date: Date:_ Sve AS’ AZ County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then Purchasing Director <$25K and less, County Administrator <$50K and less or Board >$50K, as necessary. If Board-approval is required; fhe: Chairman:and: County: Administrator's signatures are required. Make sure the company provides a current Certificate of Insurance. (If applicable). 2) Keep a copy of this form for your records. 3) Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998. —, GULFC-9 OP ID: L8 ACCORD CERTIFICATE OF LIABILITY INSURANCE orga 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 policy{ies) 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 endarsementis}. PRODUGER > 850-332-5458 ane. Alice Pousson Site Insurance Srp Pensacola 850-607-2060) 2G, 2.9, 850-361-4212 ERE no). 850-607-2060 Pensacola, FL 32502 bones: apousson@sihle.com Justin Donovan - INSURER(S} AFFORDING COVERAGE NAIC # insurer a : Liberty Mutual Fire Insurance 23035 INSURED Gulf Coast Traffic Engineers INSURER B: The First Liberty Ins. Corp. P.O Box 10625 :North River Insurance Compan SACOLA 4, INSURER c: NO pany PEN FL 3262 insurer b: Travelers Property & Casualty 36161 insurer € : Bridgefield Employers Ins. Co. 40701 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. UBER] hi’ TYPE OF INSURANCE INSR [WWD POLICY NUMBER (HDB) | (RIB) LiMrrs | GENERAL LIABILITY EACH OCCURRENCE $ 71,000,000) A [X | commercial GENERAL LIABILITY TB2Z91457323023 OF/0113 | D7/0114 | Oe RE TO RO ence) (8 300,000) CLAIMS-MADE OCCUR MED EXP {Any one person} | $ 5,000; |__| PERSONAL & ADVINJURY _[$ 1,000,000 |_| GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG [| $ 2,000, 000; Ll eoucy X EES LOC Emp Ben. $ 1,000, 000; | AUTOMOBILE LIABILITY EO NCLELIMIT ig 1,000,000 B |X | any auto \AS2Z91457323013 07/013 | 07/01/14 | BODILY INJURY (Per person) | $ |_| ALL OWNED [| SCHEDULED BODILY INUURY (Per accident) | $ |X |rizeoauros |X | Rotos NP (Peracciaent) AF $ PIP $ 10,000 |X | UMBRELLALIAB | X | occur EACH OCCURRENCE $ 2,600,000 c EXCESS LIAB CLAIMS-MADE 5814619551 07/01/13 07/01/14 | aceREGATE $ 4,000,000! DED l x [ RETENTION S Zero $ WORKERS COMPENSATION X Osa OTH AND EMPLOYERS" LIABILITY YIN TORY LIMIT: ER E | ANY PROPRIETORIPARTNER EXECUTIVE 83045408 07/01/13 | O7/01/94 | EL, EACH ACCIDENT $ 500,000} OFFICER/MEMBER EXCLUDED? NIA {Mandatory in NH) EL. DISEASE - EA EMPLOYEE! $ 500, 000; Ifyes, describe under DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LMT | ¢ 500,000! D (Equipment Floater \QT6604529R426 O7/01/13 07/01/14 |lease/ren 25,000; DESCRIPTION GF OPERATIONS | LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Proj: C12-1990-PW lOkalossa County and its respective agents, consultants, servants and employees are included as additional insured for General Liability and Auto Liability when required by written contract. Coverage is Primary and Non- Contributory with regards to General Liability and Auto Liability when CERTIFICATE HOLDER CANCELLATION OKALOCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Okaloosa County ACCORDANCE WITH THE POLICY PROVISIONS. 602 C- North Pearl Street Crestview, FL 32536 AUTHORIZED REPRESENTATIVE jet (Cooruam © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD: : vouner cone OKALOCO GULFC-9 page 2 NOTEPAD: INSURED'S Nane GUIf Coast Traffic Engineers OP ID: L8 DATE 07/25/43 required by written contract. AUSTIN OFFICE P. O. BOX:26720 AUSTIN, TEXAS:78755 (612) 343-9033 FAX (512) 3438363 RIVE IOWA 50321-1158 43-8174 AX (615) 243-0344 ENDORSEMENT _ Itis hereby tindérstood ahd agreed that Bond No.: FLC82205 Principat: Gulf Coast ‘Trattic Engineers, Inc. Obligae: Okeloos4 County, FL in the MERCHANTS BONDING COMPANY (Mutual), is changing this bond effective July 26, 2013 FROM: Bond Amount: $300,000 Term: 10/1/2012 - 9/30/2013 TO: Bond Amount: ‘$200,000 Term: 10/1/2013 - 9/30/2014 All terms and conditions of said bond, except as above changed, to remain the same. Signed, sealed and dated this __26th___ day of July 2013 MERCHANTS BONDING COMPANY ( ) by Coady) a Cindy L. Miriso SUP 0018 (1/09) Attorney-In-Fact MERCHANTS SS BONDING COMPANY: POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations duly organized under the laws of the State of lowa (herein collectively called the “Companies’}, and that the Companies do hereby make, constitute and appoint, individually, Sarah Ann Lambert, Cindy L. Mirisola OF ‘Altamonte Springs” ~ “" “aid State of Florida ~~” theif true and lawful Attomey-in-Fact, with full power and authority hereby conferred in their name, place and stead, to sign, execute, acknowledge and deliver in their behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of: THREE MILLION (33,000,000.00) DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies, and ail the acts of said Attorney-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This Power-of-Attorney is made and executed pursuant to and by authority of the following By-Laws adopted by the Board of Directors of the Merchants Bonding Company (Mutual) on April 23, 2011-and adopted by the Board of Directors.of Merchants Nationat. Bonding, Inc., on October 24, 2011. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed.” L in Witness Whereof, the Companies have caused this instrument to be-signed and sealed this 7th day of May , 2013 . tH gy, wn 1ONgs ° cope - rug h, ee es MERCHANTS BONDING COMPANY (MUTUAL} % MERCHANTS NATIONAL BONDING, INC. ‘¢ : BA ~ ~o- . = * aie Sa /ylom STATE OF IOWA at 8 Was COUNTY OF POLK ss. rig ri President Onthis 7th day of May , 2013, before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument is the Corporate Seais of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. In Testimony Whereof, i have hereunto set my hand and affixed my Official Seal.at the City of Des Moines, lowa, the day and year first above written. MARANDA GREENWALT etn ‘a: Commission Number 770312 (Meusacls {Quan ack A$ My Commission Expires October 28, 2014 Notary Publie, Polk County, lowa STATE OF IOWA COUNTY OF POLK ss. 1, William Warmer, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, | have hereunto set my hand and affixed the seal of the Companies on 413. this 26th day of July ae i sé Oe ? fas 2 “ES hile Micewer Zo, z ms rs Secretary ss is rag i tt, "hiey, POA 0014 (11/11) ipsa s i, we tps ie