Okaloosa County BOCC — February 18, 2014 — Underground Electric Manhole — reading text

affixed by order of the Board of Directors of Cynthia A. Takai IN WITNESS WHEREOF, | have hereunto set my hand at The Guarantee Notary Public, State of Michigan Company of North America USA offices the day and year above written. County of Oakland My Commission Expires February 27, 2018 C. ») pth raw aa. Ta 7 b vy, Acting in Oakland Count; aa ig ly |, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force-and effect. IN WITNESS WHEREOF, | have thereunto set my hand and attached the seal of said Company this | O'eey of helper , OD \3 Randall Musselman, Secretary : K “* i i —, ; (ASO _ CERTIFICATE OF LIABILITY INSURANCE “o1orot4 BILLS-4 OP ID: JT FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. Qricne 0: IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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 lteu of such endorsement(s). PRODUCER Div P Phone: 850-432-7474] Name’ Lynne Tecu, CPCU; CIC 1 701 West Garden street a Fax: 850-438-4678. GN, Ea: 850-444-7624 [FAX no. 850-438-4678 ‘ensacola, 0 7 . ins. Alan D. Moore, CPCU ADDRESS: tecu@fbbins com INSURER(S) AFFORDING COVERAGE NAIC # 4 INSURER A: AMerisure Insurance Company 19488 “WINSURED Bill Smith Electric, Inc. INSURER B : ; Laura Smith . PO Box 1057 . INSURER C | Gonzalez, FL 32560 INSURER D : INSURER E : 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. te TYPE OF INSURANCE NSR WD POLICY NUMBER (MMB) (MMIDDIYYYY) |- LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A |X | comMERCIAL GENERAL LIABILITY GL 2077896 07/24/2013 | 07/24/2014 | Parwicesces occurence) | $ 300,000 | CLAIMS.MADE OCCUR | MED EXP (Any one parson) _| $ 10,000 | X | Pollution $100000 PERSONAL & ADVINJURY | $ 1,000,000) {| GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS- COMPIOP AGG | $ 2,000,000} pouicy | X | FBS LOC Emp Ben. $ 1,000,000 OMOBILE LIABILITY COMBINED SINGLE TMT 1,000,000 A ANY AUTO CA 2077895 07/24/2013 | 07/24/2014 | BODILY INJURY (Per person) | $ [| ALL OWNED SCHEDULED - |__| atros [| Autos ; BODILY NUR er accident) | $ |X | HIRED AUTOS AUTOS {Per accident) s $ LX | UMBRELLALIAB | X | occur EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE CU 2077898 07/24/2013 | 07/24/2014 | acorecate $ 1,000,000 pep | X | ReTeNTIONS 0 $ WORKERS COMPENSATION | WC STATU- OTH- AND EMPLOYERS’ LIABILITY YIN TORY LimiTs ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIOENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) EL DISEASE - EA EMPLOYEE| $ If yes, describe under DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT | $ A |Equipment Floater IM 2077897 “| 07/24/2013 | 07/24/2014 |LeaseRent 125,000 Ded 1,000 Project: Russell Stephenson Electrical Manhole Rehabilitation WS03-14 Should any of the above policies cancel before the expiration date thereof, 30 days written notice will be mailed to certificate holder. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 104, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION OKALOO1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE wos XPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners : ACCORDANC Okaloosa County, FL E WITH THE POLICY PROVISIONS. 602-C North Pearl Street AUTO @ Crestview, FL 32536 RIZED REPRESENTATIVE ACORD 25 (2010/05) ® 1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD , ) Date CERTIFICATE OF LIABILITY INSURANCE 1/28/2014 Producer: Lion insurance Company This Certificate is Issued as a matter of Information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend, extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC ¥ Insured: South East Personnel Leasing, Inc. & Subsidiaries) “= *_"on Isuranoe company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages dicated. Notwithstanding . any req t OF Gondition of any co ribed herein is subject to all the terms, exclusions, and conditions of B policies of insurance listed be per is: d to t med above for the policy period with respect to which this certificate may be issued or may pertain, the insurance ftorded by the polici limits shown may have been reduced by paid claims. act or of docurnent such policies. Aggregate Policy Effective Policy Expiration we INSRD Type of Insurance Policy Number Date 1 a Limits _ (MM/DD/YY) (MM/DD/YY) SONERAL LIABILITY : Each Occurrence Pp Commercial General Liability . wroniees (EA ] Claims Made Cl Occur occurrence) a . Med Exp F . Personal Adv injury i eneral aggregate limit applies per: Genveral Aggregate p Policy C] Project C] Loc Products - Comp/Op Agg [AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Say [ All Owned Autos (Per Person) Scheduled Autos Hired Autos | Bodily injury Non-Owned Autos (Per Accident) 5 Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur Claims Made Aggregate Deductible O A | Workers Compensation and WC 71949 01/01/2014 01/01/2015 XP WC State OTH- Employers’ Liability Limits ER Any proprietor/partner/executive officer/member E.L. Each Accident . $1,000,000 exciuded? NO E.L. Disease - Ea Employee | $1,000,000 If Yes, describe under special provisions below. EL DI Poloy Linds 37 000.000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Speciat Provisions: Client 1D: 93-67-085 Covefage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company”: ; - Bill Smith Electric, Inc. Coverage only applies to injuries Incurred by South East Petsonnel Leasing, Inc. & Subsidiaries active employee(s), white working in: PL. 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: ISSUE 01-28-14 (ND) Begin Date 41/2033 Se a9 CERTIFICATE HOLDER CANCELLATION | Neen ee ne eee peas pape a apy pabemi =gragyS PE PWAGp yar ENP EOP Paap RAED BOARD OF COUNTY OMMISSIONERS OKALOOSA COUN Should any of the above described policies be canceled before the expiration date thereof, the issuing insurer will endeavor fo mail 30 days written notice to the certificate holder named to the left, but feilure to . do So shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 302 N. WILSON ST. #203 CRESTVIEW, FL 32536 ' 224 re SECTION 00700 Russell Stephenson — Electrical Manhole Rehabilitation GENERAL CONDITIONS GENERAL CONDITIONS Adapted with permission from Standard General Conditions of the Construction Contract, EJCDC No. 1910-8 (1996 Edition). GENERAL CONDITIONS OKALOOSA COUNTY WATER AND SEWER DATE: 8/15/2013 00700-1 SECTION 00700 Russell Stephenson — Electrical Manhole Rehabilitation GENERAL CONDITIONS [This page was left blank intentionally. ] GENERAL CONDITIONS OKALOOSA COUNTY WATER AND SEWER DATE: 5/13/2012 00700-2 SECTION 00700 Russell Stephenson — Electrical Manhole Rehabilitation GENERAL CONDITIONS TABLE OF CONTENTS Page ARTICLE 1 - DEFINITIONS AND TERMINOLOGY ..........cccecscsseeetesesteeesenteneeeeeetneeeeernes 00700 - 8 1.01 Defined Terms ......eccescccesccccsseesecesecensseeseeensaeecuaseresereaesneeesseeeseeeeeenny 00700 - 8 1.02 — Terminology .......c.ccsscssscccccceeeseesensnnneeeeeseneesecensaenanenesseneeneanaeeaseaeenens 00700 - 11 ARTICLE 2 - PRELIMINARY MATTERS. ..........cccccsssccceseseseeeesssnseneeeesseesereenseasessesseatees 00700 - 12 2.01 Delivery of BONS ......cccccccccsceeseeeent cess eeneteeneseeeeteeeenseesnsaeeneteees 00700 - 12 2.02 Copies of DOCUMEHES .....cceccccccececeeesceeeeieeeneentctaeectsaee reece reneaseneeenne 00700 - 12 2.03 Commencement of Contract Times; Notice to Proceed «0.1.11... 00700 - 12 2.04 Starting the WOrK ......cccccccssccccsestceeeesssseeeeesneeeseeenneeneseneneeeeensneeeenes 00700 - 12 2.05 Before Starting COMSUrUctiOn ....cccccccccerceieceeesineeetseereseeenseeeneeneeees 00700 - 12 2.06 Preconstruction CONf€rence ....ccccccccecccccseeenseeeeesssseeenecsaneeeenennaeeeeones 00700 - 13 2.07 Initial Acceptance Of Schedules .......ccccseccccccsccseeeeise teen nnnneeeeeennenenes 00700 - 13 ARTICLE 3 - CONTRACT DOCUMENTS: INTENT, AMENDING, REUSE..............045 00700 - 13 30) 171-17) EEO E ESE ETO D SEES SESSSSSESEOSEOSSSSSSOECOTESSSSOOSESSIO‘ION 00700 - 13 3.02 Reference Standards.......ccccccccccceceescressseeesscensceeesteeeeniasenseeesseeeeeeene 00700 - 13 3.03 Reporting and Resolving DiSCrePANCles ......sccceeeieeesseenere teste eeees 00700 - 14 3.04 Amending and Supplementing Contract Documents..........:c10c00e 00700 - 14 3.05 Reuse of DOCUMENES ..........scccscceencres eeeteecteeenteeentaeetenennetennaeeseeeneenys 00700 - 14 ARTICLE 4 - AVAILABILITY OF LANDS; SUBSURFACE AND PHYSICAL CONDITIONS; REFERENCE POINTS .........cccscecesesneeereeseees 00700 - 15 4.01 Availability Of LANAS .....cccsecccccce cette nee etteeeeeeeetnceeneasaeneaeessaaeees 00700 - 15 4.02 Subsurface and Physical Conditions ....ccccccescesccsecrerseteteeessenseesees 00700 - 15 4.03 Differing Subsurface or Physical Conditions ..........:ceccsserseeeeceeees 00700 - 15 4.04 Underground Facilities ......cccccccccccccceeees cece etic ee nennineeceenraeeesensensens 00700 - 16 4.05 Reference POINtS ......ecccccccccscccsssseseseeneceenesectaeeetaeeenseensaseeeeeresesnneennes 00700 - 17 4.06 Hazardous Environmental Condition at Site .....cccccccessesccsecceeeeeieees 00700 - 17 ARTICLE 5 - BONDS AND INSURANCE... ccccccccceeeeeeesetnateeeeeeeeeseensnaneaeeenseeseesersneas 00700 - 19 5.01 Performance, Payment, and Other Bonds ....cccccccsesseeeretsseeseereteaes 00700 - 19 5.02 Licensed Sureties And INSUrErS .....ccccccccecceceteeesenenenenecacenneneeeaneeneenees 00700 - 19 5.03 Certificates of INSUPANCE ...cccccccceccceseeees tite n tte ttt e ene e eee tnn eee teena teas 00700 - 19 5.04 CONTRACTOR 's Liability INSUrANCE ........cccccsee ieee eee eeetetteteneettees 00700 - 19 5.05 OWNER '’S Liability INSUPANCe ......cccccccsccccc settee tee t tenn nnnnttneetaees 00700 - 20 5.06 Property Insurance (See Supplementary Conditions) .........0.0100 00700 - 20 5.07 (Not Used)... ceeeeeccececcecseeseeeeneeeseeeneeeerneeenineenneesnasesneeesteeseneeenneees 00700 - 20 5.08 (Not Used) occ ceeceececeeceesnscesseeeeenneeenecseeersaeeesssneeeneseeensneseenenereesaeees 00700 - 20 5.09 (Not Used)... cece