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Board of County Commissioners Purchasing Department State of Florida February 17, 2014 CONTRACT /LEASE RENEWAL FORM Insituform Technologies Attn: Diane Partridge Contracting and Attesting Officer 17988 Edison Avenue Chesterfield, MO 63005 Contract/Lease #: Ci2-1955-WS Dear Ms. Partridge: The Okaloosa County Water and Sewer System wishes to renew the subject contract/lease, # €12-1955-WsS for an additional term. The contract renewal period will be 5/25/14 to 5/24/16 . The annual budgeted amount for this contract is $800,000.00. Bid prices will be adjusted upward by appropriate CPI increases (1.7% for 2012 and 1.5% for 2013) as indicated in Section 00100 — 8.01 (in Addendum 2) of the existing contract, for the renewal period (see attached). If you are in agreement, please sign below and return this form along with a current Certificate of Insurance listing Okaloosa County as co-insured (if applicable) to Beth Brant, P.E. — Polyengineering, Inc. COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Director:_Jeff Littrell Contractor: __!nsituform Technologies, LLC Director Signature: ar U Waa County Official:_ Board of County Commissioners Approved By: Approved By: pleinal Yocbattes Diane Partridge Title: BCC Chairman Title: Contracting and Attesting Officer Date: Date: t, /. / a/) aA County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then Purchasing Director <$25K, County Administrator <$50K or BCC Chairman >$50K, as necessary. 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; Jack Allen, Purchasing Services Manager. If you have any questions please contact Jack Allen at 850-689-5960, Fax—850-689-5998, e-mail: jallen@co.okaloosa.fl.us ADDENDUM NO. 2 TO: ALL BIDDERS PROJECT: 2011 GRAVITY SEWER REHAB BID DATE: MARCH 29, 2012 OWNER: BOARD OF COUNTY COMMISSIONERS, OKALOOSA COUNTY, FLORIDA ITEM NO. 1— SECTION 00100 (instruction to Bidders) Item 8.01 (Contract Times) should read as follows (deleted language stricken through and additional language in bold): 8.01 The initial term of this contract shall be for a period of one calendar year beginning with the effective date of the Agreement. This contract shall ya, renew for o one year on the oily Grsaly of the eter cake eat the ITEM NO. 2— SECTION 00500 (Standard Form of Agreement) Item 4.02 (Contract Time) should read as follows (additional language in bold): 4.02 A. Days to Achieve Substantial Completion and Final Payment The Work for the initial project will be substantially completed within 150 calendar days from the date when the Contract Time commences to run as provided in paragraph 2.03 of the General Conditions, and completed and ready for final payment in accordance with paragraph 14.07.B of the General Conditions within 210 calendar days from the date when the Contract Time commences to run. The Work for any subsequent task orders will be substantially completed within a number of calendar days to be determined per task order from the date when the Contract Time commences to run as provided in paragraph 2.03 of the General Conditions, and completed and ready for final payment in accordance with paragraph 14.07.B of the General Conditions within a number of calendar days to be determined per task order from the date Addendum No. 2 - Page 1 of 6 KK BLS | news ReEase BUREAU OF LABOR STATISTICS U.S. DEPARTMENT OF LABOR Transmission of material in this release is embargoed until USDL-13-0057 8:30 a.m. (EST) Wednesday, January 16, 2013 Technical information: (202) 691-7000 * Reed.Steve@bls.gov * www.bls.gov/cpi Media Contact: (202) 691-5902 * PressOffice@bls.gov CONSUMER PRICE INDEX — DECEMBER 2012 The Consumer Price Index for All Urban Consumers (CPI-U) was unchanged in December on a seasonally adjusted basis, the U.S. Bureau of Labor Statistics reported today. Over the last 12 months, the all items index increased 1.7 percent before seasonal adjustment. The gasoline index declined again in December, but other indexes, notably food and shelter, increased, resulting in the seasonally adjusted all items index being unchanged. Gasoline was the only major energy index to decline; the indexes for natural gas and electricity both increased. Within the food category, five of the six major grocery store food groups increased as the food at home index rose for the third consecutive month. The index for all items less food and energy increased 0.1 percent in December, the same increase as in November. Besides shelter, the indexes for airline fares, tobacco, and medical care also increased. The indexes for recreation, household furnishings and operations, and used cars and trucks all declined in December. The all items index increased 1.7 percent over the last 12 months, compared to a 1.8 percent figure in November. The index for all items less food and energy rose 1.9 percent over the last 12 months, the same figure as last month. The food index has risen 1.8 percent over the last 12 months, and the energy index has risen 0.5 percent. Chart 1. One-month percent change in CPI for All Urban Consumers (CPI-U), seasonally adjusted, Dec. 2011 - Dec, 2012 Percent change | 06 06 0.6. 0.5 04 0.4 | 0.3 | 0.3 0.2 0.2. 0.1 01) 90 ra 0.0 0.0 0.0 ee 0.0 0.0 | -0.1 | -0.2 | -0.3 | -0.3 -0.3 Dec'l1 = Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec'12 —_w * BLS NEWS RELEASE BUREAU OF LABOR STATISTICS U.S. DEPARTMENT OF LABOR Transmission of material in this release is embargoed until USDL-14-0037 8:30 a.m. (EST) Thursday, January 16, 2014 Technical information: (202) 691-7000 * Reed.Steve@bls.gov * www.bls.gov/cpi Media Contact: (202) 691-5902 ° PressOffice@bls.gov CONSUMER PRICE INDEX — DECEMBER 2013 The Consumer Price Index for All Urban Consumers (CPI-U) increased 0.3 percent in December on a seasonally adjusted basis, the U.S. Bureau of Labor Statistics reported today. Over the last 12 months, the all items index increased 1.5 percent before seasonal adjustment. Advances in energy and shelter indexes were major factors in the increase in the seasonally adjusted all items index. The gasoline index rose 3.1 percent, and the fuel oil and electricity indexes also increased, resulting in a 2.1 percent increase in the energy index. The shelter index rose 0.2 percent in December. The indexes for apparel, tobacco, and personal care increased as well. These increases more than offset declines in the indexes for airline fares, for recreation, for household furnishings and operations, and for used cars and trucks, resulting in the index for all items less food and energy rising 0.1 percent. The food index rose slightly in December, increasing 0.1 percent. The food at home index was unchanged for the third time in four months, as a sharp decline in the fruits and vegetables index offset other increases. The food index has not posted a monthly increase larger than 0.1 percent since June. The all items index increased 1.5 percent over the last 12 months; this is an increase over the October and November 12-month changes of 1.0 percent and 1.2 percent, respectively. The index for all items less food and energy has risen 1.7 percent over the last 12 months, the same figure as for the 12-month changes ending September, October, and November. Chart 1. One-month percent change in CPI for All Urban Consumers (CPI-U), seasonally adjusted, Dec. 2012 - Dec. 2013 Percent change 0.8 0.7 0.6 0.5 0.4 0.3 6 0.2 ae 0.2 0.2 a oo fC BBE Lo . 0.0 0 [eal a -0.2 -0.4 -0.4 Dec42 Jan Feb Mar “Apr May Jun Jul Aug Sep Oct Nov Dec'l3 — ACCORD CERTIFICATE OF LIABILITY INSURANCE,.,,,.,., | gso013” 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 endorsement(s). PRODUCER Lockton Companies,LLC-1 St.Louis NAME: ree City Place Drive, Suite . TAC. No}: St. Louis MO 63141-7081 EMAL a (314) 432-0500 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Liberty Mutual Fire Insurance Company (64) 23035 INSURED —_nsituform Technologies, LLC INSURER B; Liberty Insurance Corporation (64) 42404 1347989 17988 Edison Avenue INSURER C: Chesterfield MO 63005 : INSURER D : INSURER E : INSURER F : COVERAGES INSTE02 CERTIFICATE NUMBER: 11794330 REVISION NUMBER: XXXXXXX 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. (INSR TYPE OF INSURANCE ADDL |SUBR POLICY NUMBER (RSD AREY PAG Vee) LIMITS A_ | GENERAL LIABILITY Y | Y | TB2-641-004218-033 7/1/2013 | 7/1/2014 |EACH OCCURRENCE 3 2,000,000 EX | COMMERCIAL GENERAL LIABILITY PRE MES (es ccatirence) |s 350,000 A BROAD FORM PD/CONTRACTUAL A | CLAIMS-MADE OCCUR PER PROJECT AGG. CAP $20M MED EXP (Any one person) |¢ 10,000 | X_|Independt Contractor PERSONAL & ADVINJURY_|$ 2,000,000 |X |xcu GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - coMP/OP AGG} $ 4,000,000 pouicy| X | AEST [| LOC $ A | AUTOMOBILE LIABILITY Y | Y | AS2-641-004218-023 7/1/2013 | 7/1/2014 |RGMBINEDSINGLELIMIT | 2,000,000 X | ANY AUTO BODILY INJURY (Per person) |$ KK KX XXX _ ALE OWNED SCHERULED BODILY INJURY (Per accident] $ K XXX XXX HIRED AUTOS |__| AUTOS YNEP (Peracowenty MACE $ XXXXXXX $ XXXXXXX UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX T | EXCESS LIAB oh AIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED RETENTION $ $ B_ | WORKERS COMPENSATION, vin Y |WA7-64D-009004-443 71/2013 | 7/1/2014 LX WORPUMYsl [SR B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA WC7-641-0042 18-013 (WI) 7/1/2013 7/1/2014 EL. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) lex oisease-caemecovee [gs 1,000,000 DeSeRITiOn Of OPERATIONS below E.L, DISEASE - POLICY LIMIT $ l ,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 2011 GRAVITY SEWER REHAB. OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS AND POLYENGINEERING IN (ENGINEER) AND ENGINEER'S CONSULTANTS ARE ADDITIONAL INSUREDS UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WHERE APPLICABLE BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED’S OPERATIONS. WAIVER OF SUBROGATION APPLIES UNDER GENERAL LIABILITY, AUTOMOBILE LIABILITY, AND WORKERS’ COMPENSATION WHERE PERMISSIBLE BY LAW AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11794330 AUTHORIZED REPRESENTATIVE OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS <7, L Mo 302 N. WILSON STREET CRESTVIEW FL 32536 l 4 ACORD 25 (2010/05) © 1988-2040 ACORD CORPORATTON. All rights reserved The ACORD name and logo are registered marks of ACORD

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