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EXHIBIT B
CONTRACT, LEASE, AGREEMENT CONTROL FORM
CONTRACT # C03-0898-TDC
Date: of 23. WASTE MANAGEMENT
DUMPSTER/COMPACTOR @ CONF. CTR
Contract/Lease Control #: C03-0898-TDC EXPIRES: 06/24/2016
Bid #: N/A Contract/Lease Type: AGREEMENT
Award To/Lessee: WASTE MANAGEMENT
Lessor/Owner: OKALOOSA COUNTY
Effective Date: 6/25/2009 Cost: PER AGREEMENT RATES
Expiration Date: (frye WITH AUTOMATIC RENEWALS?
Description of Contract/Lease: DUMPSTER/COMPACTOR @ CONF. CTR.
Department Manager: TDC
Department Monitor: Wen rz
Monitor's Telephone #: 651-7131
Monitor's FAX #: 651-7149
Date Closed:
Cc: Finance Dept Contracts & Grants Division
—y
ACCORD DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE ee
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 |OCKTON COMPANIES ayer
8847 SAN FELIPE, SUITE 320 O09 aIB? fe
HONE FA:
(AIC, No, Ext): | (AIC, No):
sea OBMB | RIBS [sais
iM 640 is INSURER(S) AFFORDING COVERAGE NAIC #
BORE AK g One INSURER A: ACE American Insurance Company 22667
INSURED STE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, INSURER B :_ Indemnity Insurance Co of North America 43575
1300299 RELATI DIARY COMPANIES INCLUDING: ~ ACE Pri & Casua
WASTE MANAGEMENT, INC OF FLORIDA INSURER C: ACE Property & Casualty Insurance Co 20699
108 HILL AVENUE INSURER D/:
FORT WALTON BEACH FL 32548 INSURER E :
INSURER F :
COVERAGES FLETWABE CERTIFICATE NUMBER: 3494268 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 (RUBR POLICY NUMBER (MMOD) | (MIMD AA eY) LIMITS
A [3g | COMMERCIAL-GENERAL LIABILITY’ =| wy | y | HDO G27320244. 1/1/2014 | 1/1/2015 [EACH OCCURRENCE _5,000,000
] CLAIMS-MAD' occur PAMMSES (es occurrencsy [s 5,000,000
X |xcu INCLUDED MED EXP (Any one person) |g XXXXXKX
[3x liso FORM CG 00011207 PERSONAL & ADV INJURY | 5,000,000
GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000,000
H pouicy [|X | SES: [x] Loc PRODUCTS - comPvop ace | 6,000,000
OTHER $
A. | AUTOMOBILE LIABILITY y | y [Mr Hogsi6025 innoi4 fines [GOMBINEDSINGLELIMIT —[¢ 1000,000
X | any auto BODILY INJURY (Per person) |§ KXNXXNX
X | aRONNES [ /ScuepuLED BODILY INJURY (Per accident] $ XXXKXXK
LX] HIRED AuTos nutog ED [Per enaery AE $ XXXXXKXK
XxX | MCS-90 § XXXXXKXK
C LX] UMBRELLALIAB |X Joccur Y | Y | X00 G27054961 1/1/2014 | 1/1/2015 [EACH OCCURRENCE $ 15,000,000
[| excess LiaB [ |cuaims-mane AGGREGATE $ 15,000,000
veo | [ReTeNTION$ : $ XXXXKXX
Bi | AGREGRS CONEENSATON VIN ¥ [aR c47876345 (As) vio Jinpors [XE sure | [SF
A | any PROPRIETORIPARTNER/EXECUTIVE WLR C47876357 (AZ,CA&MA) | 1/1/2014 VW/1/2015 Ey each accIDENT $3,000,000
A. | OFFICER/MEMBER EXCLUDED? NIA SCF C47876369 (WI) 1/1/2014 1/1/2015 L
(Mandatory in NH) EL. DISEASE - EA EMPLOYEE $3,000,000
4 SUMPTION OF OPERATIONS below IE .L. DISEASE - POLICY LIMIT g 3,000 000
A | EXCESS AUTO y | y | XSA H08816013 1/1/2014 1/1/2015 | COMBINED SINGLE LIMIT
LIABILITY $9,000,000
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT
REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED
(EXCEPT FOR WORKERS’ COMP/EL) WHERE AND TO THE EXTENT 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.
3494268 AUTHORIZED REPRESENTATIVE
OKALOOSA COUNTY
602 C NORTH PEARL STREET
CRESTVIEW FL 32536
ee
ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
Board of County Commissioners
Purchasing Department
State of Florida
March 26, 2013 CONTRACT/LEASE REN EWAL FORM
Waste Management
Attn: Jean Ann Encardes
108 Hill Ave
Fort Walton Beach, FL 32548
Contract/Lease #: C03-0898-TDC
Dear Ms Encardes:
The Okaloosa County Tourist Development Department wishes to renew the subject contract/lease, #
C03-0898-TDC for an additional 36 month term. The contract renewal period will be 6-25-13 to 6-
24-16. The annual budgeted amount for this contract is Per Agreement Rates.
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: °
Doug Ahern
Emerald Coast Convention Center
1250 Miracle Strip Prky SE
Fort Walton Beach FL 32548.
COUNTY REPRESENTATIVES a AUTHORIZED COMPANY REPRESENTATIVE
Director: DaAnd/£ OBR NE Contractor: 4 wr (owt. bryan f pr bee \n Wy
Director Signature:
County Official: if We | Lt re nde)
Approved By: Approved By:
Title: _ fared est _DiecOr Title:
Date: S21) 4 Date:
cmalleL fe Ay Yl
CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number:_{ fa 3 £98 = iC. Tracking Number: SIF SS
Contractor/Lessee ~ lz act Mon aploterit Grant Funded: YES__ Now
Purpose: J lal Tresh @ EK.
Date/Term: a Wh 16 1. [.) GREATER THAN $50,000
Amount: _2er LEbS 2, (.] GREATER THAN $25,000
Department: _7DD -E€Céc. 3, [£25,000 OR LESS
Dept. Monitor Name: vA) Z Brac Likowman
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
Eros nf requirements are met:
Date: L425 3
g Director or designee
oo
Risk ae he Review
Date: deal (2
“ hoo rd
County a pe -
rare Of 9/2
County Attomey \
Following Okaloosa County approval:
Contracts & Grants
Document has been received:
Date:
Contracts & Grants Manager
Waste Management of Fort WM Agreement # $0003339246
Walton Beach
: Customer Acct# 233-62244
08 Hi .
— a ee ent, FL, 32458 Service Agreement Acct. Name EMERALD COAST
TE MAMAGERME
Non-Hazardous Waste = gc et ERENCE CTR
Salesperson Jean Ann Encardes
Billing Information
Name EMERALD COAST Contact Doug Ahern Effective Date 6/26/2013
CONFERENCE CTR
Address 1250 MIRACLE STRIP Telephone # 8506093800 Last API Date Mon Oct 04 00:00:00 GMT 2010
PKWY SE
City State Zip FORT WALTON BEACH, Fax# (850) 609-5095
FL 32548
County/Parish OKALOOSA Email dahern @co.okaloosa.fl.us
ON DEMAND (see details for amounts & charges)
Ref# Quantity ProductEquipment | Waste Type . Frequency
1-1 10 FEL Toter * j MSW Industrial ; 1x On Call
1-2 1 34 Yard Compactor MSW Industrial - Compacted 1x On Call
TOTAL INITIAL FEES $ 0.00
| This is not a bill |
A fuel surcharge and environmental cost recovery charge calculated as a percentage of the Charge(s), will be included on your invoice. Information about
the Fuel/ Environmental Charge can be found on our website at www.wm.com/fec.jsp. State and Local taxes, if applicable, will also be added to the
Charges. A monthly administrative fee of $ 4.00 per invoice will be assessed; this fee can be removed by enrolling in paperless statements and automated
payments.,
If applicable to your account, a Recycle Material Offset (RMO) will appear on your invoice and may vary from month to month based on the recyclable
material commodity market conditions. Waste Materials not to exceed an average weight of ( Ibs/yard).
The individual signing this agreement on behalf of customer acknowledges that he/she has read and accepts the terms and conditions of this agreement
which accompany this service summary sheet and that he/she has the authority to sign on behalf of the customer. ,
Contract Term for monthly rate services is for 3 year(s) from the Effective Date ("Initial Term’) and it shall automatically renew thereafter for additional terms of 36 months
42 f\ ihr (‘Renewal Term’) unless terminated as set forth herein.
- _—
li Z rm —— _Peeneas c Gienlo/ OSL
Customer Signature Printed Name Date
\biw tne [on pma dee eon Rone Encard s S-y1-\3
Qpmpany Signature Printed Name Date
WM KELEBNS Won Anonnes \Adons % ier ¥ RAM 3 oF ne
IT, res $7 gine
CONTRACT # C03-0898-TDC
WASTE MANAGEMENT
DUMPSTER/COMPACTOR @ CONF. CTR
EXPIRES: 06/24/2016
Page | of 4
Me
WASTE MARLAGEMENT
Service Agreement
Non-Hazardous Waste
WM Agreement #
$0003339246
Service Location: 1250 MIRACLE STRIP PKWY SE, FORT WALTON BEACH, FL 32548
Name EMERALD COAST Contact Name Doug Ahern Email dahern@co.okaloosa.fl.us
CONFERENCE CTR
County/Parish OKALOOSA Telephone # 8506093800 Mobile #
Customer Comments Rate guarantee for one year Fax # (850) 609-5095
excluding disposal price
increases. Then cap rate
increase in years 2 & 3 to
no more than 3%,
excluding disposal.
Total Initial Fees For This Location $ 0.00 Total Recurring Charges For This Location $ 0.00
ROLL OFF SERVICES
Quantity Equipment Waste Type Frequency Requested Pickup day Attributes Haul Rate Disposal Rate
1-1 10 FEL Toter MSW Industrial 1x On Cail WM Owns: 10, Delivery: 10, $0.00
Conditional (as required) Fees/Charges
Relocate Fee $ 125.00
Trip Charge $ 125.00
Quantity Equipment Waste Type Frequency Requested Pickup Attributes Haul Disposal
day Rate Rate
1-2 1 34 Yard MSW Industrial - 1x On Misc WM Owns: 1, No $292.31 {$60.58 Tons
Compactor Compacted Calt Delivery,
Recurring Fees/Charges
Container Usage Fee
$ 523.87/Month
$ 125.00
$ 125.00
Conditional (as required) Fees/Charges
Relocate Fee
Trip Charge
Page 2 of 4
‘THE FOLLOWING TERMS AND CONDITIONS APPLY TO SOLID WASTE AND NON-REBATE RECYCLING SERVICES (INCLUDING PERMANENT, TEMPORARY,
COMMERCIAL AND RESIDENTIAL) AS MAY BE PROVIDED BY AFFILIATES AND SUBSIDIARIES OF WASTE MANAGEMENT, INC. (4€ COMPANY4A€ )
THIS IS A LEGALLY BINDING AGREEMENT.
1, SERVICES RENDERED; WASTE MATERIALS. Customer grants to Company the exclusive right, and Company through itself and its subsidiaries and corporate affiliates, shall furnish equipment and
services, to collect and dispose of and/or recycle all of Customer's Waste Materials. Customer represents and warrants that the materials to be collected under this Agreement shall be only "Waste Materials"
as defined herein. For purposes of this Agreement, "Waste Materials" means all non-hazardous solid waste, organic waste and Recyclable Materials (as defined in Section 12 below) generated by Customer or
at Customer's Service Address. Waste Materials includes Special Waste, such as industrial process wastes, asbestos-containing material, petroleum inated soils, d/de-cl ized wastes, and
demolition debris, for which Customer shall complete a Special Waste Profile sheet to be approved by Company in writing. Waste Materials excludes, and Customer agrees not to deposit or permit the
deposit for collection of, any waste tires, radioactive, volatile, corrosive, f ible, explosive, bi dical, infecti biot di gulated medical or hazardous waste, toxic substance or material, as
defined by, characterized or listed under applicable federal, state, or local laws or regulations, or Special Waste not approved in writing by Company (collectively, “Excluded
