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Okaloosa County BOCC — February 18, 2014 — Insituform Technologies 14-14 — reading text

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CONTRACT This agreement, executed in Crestview, Florida _ this day of 2014 between the County, of Okaloosa, Florida, the Owner, hereinafter called the Party of the First Part, and ti rm jeehho UL. or its successors, executors, administrators and assigns, hereinafter called the Party of the Second Part. WITNESSETH: That for and in consideration of payments, hereinafter mentioned, to be made by the Party of the First Part, the Party of the Second Part agrees to furnish alll equipment, machinery, tools and labor; to furnish and deliver all materials required to be furnished and delivered in and about the improvement and to do and perform all work relating to Bid # RD 14-14, Stormwater Pipe Rehabilitation Cured-In-Place Pipe in strict conformity with the provisions of this Contract, the Notice to Contractors, the Specifications approved by the Owner. The said Plans, Specifications, the Notice to Contractors, and the Proposal are hereby made a part of this agreement as fully and to the same effect as if the same had been set forth at length in the body of this agreement. In consideration of the foregoing promises, the Party of the First Part agrees to pay to the Party of the Second Part such unit prices for the work actually done as are set out in the accompanying proposal in the manner provided in the said Specifications. The Contractor/Consultant shall be prepared to begin work to be performed under the contract as he set forth in his proposal, but will not proceed until the Contract has been executed. This contract shall be in effect upon signatures by both parties and shall run through | the length of the project. This contract shall commence effective upon execution by both parties and extend through September 30, 2014 and may be renewed for two (2) additional 12 month periods if in agreement with both parties. The contract may be terminated by either partly without cause with 30 day written notice. REPRESENTATIVES: The authorized representative of the County shall be: Clay Simmons, P.E. 1759 S. Ferdon Blvd. Crestview FL 32536 850-689-5772 E-Mail: csimmons@co.okaloosa.fl.us The authorized representative for__| wer}udorm Fechrologies Ue shail be: Contracts: Diane Partridge, Contracting and Attesting Officer 17988 Edison Avenue Chesterfield, MO 63005 (636) 530-8000 Project Manager: Tad Powell (205) 281-2555 tpowell@insituform.com EMail: dpartridge@insituform.com All notices required by this agreement shall be in writing to the representative listed above with a courtesy copy to the following: Joanne Kublik Contracts & Leases Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, FL 32536 850-689-5960 / 850-689-5032 (FAX) E-Mail: jkublik@co.okaloosa.fl.us IN WITNESS WHEREOF, the Chairman of the Board of County Commissioners, by authority vested in him, has hereunto subscribed his name on behalf of the County of Okaloosa, Florida, the Owner, and the said has hereto fixed his signature, the day and year above written. WITNESS: / Swine t” Dre ane Insituform Technologies, LLC Debra . Jasper, Contracting and Attesting Officer CONTRACTO BY Ke. ate iohe Diane Partridge Contracting and Attesting Officer TITLE STATE OF FLORIDA COUNTY OF OKALOOSA This contract is accepted this day of 2014 and is effective on the day of 2014, ATIEST: COUNTY OF OKALOOSA, FLORIDA BY Gary Stanford Charles K. Windes, Jr. Chairman Deputy Clerk of Court INSITUFORM TECHNOLOGIES, LLC Assistant Secretary’s Certificate The undersigned, being the Assistant Secretary of Insituform Technologies, LLC, a Delaware limited liability company, hereby certifies that: 1. The following is a true and correct excerpt from the Limited Liability Company Agreement of the Company: Appointments by the President. The President of the Company may from time to time appoint officers of the Company’s operating divisions, and such contracting and attesting officers of the Company as the President may deem proper, who shall have such authority, subject to the control of the Board of Managers, as the President may from time to time prescribe. 2. The President of the Company has, pursuant to the above authority, duly appointed H. Douglas Thomas, Vice President — Global Procurement/Operations Support, and has appointed Joann Smith, Denise L. Carroll, Debra Jasper, Jana Lause and Diane Partridge as Contracting and Attesting Officers of the Company. Each of the foregoing have been fully authorized and empowered by the President of the Company (i) to certify and to attest the signature of any officer of the Company, (ii) to enter into afid to bind the Company to perform pipeline rehabilitation activities of the Company and all matters related thereto, including the maintenance of one or more offices and facilities of the Company, (iii) to execute and to deliver documents on behalf of the Company, and (iv) to take such other action as is or may be necessary and appropriate to carry out the project, activities and work of the Company. IN WITNESS WHEREOF, I have hereunto affixed my name as Assistant Secretary this 1* day of January, 2014, INSITUFORM TECHNOLOGIES, LLC . — tf Th Tod O’Donogtitfe Assistant Secretary , we ACORD CERTIFICATE OF LIABILITY INSURANCE,,,,,, | “™imponr 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: /f 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 rompanies LLC St Louis tal x Three City Place Drive, Suite 900 Ext): FA . St. Louis MO 63141-7081 7 in No: (314) 432-0500 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Liberty Mutual Fire Insurance Company (64) 23035 INSURED , netvtorm Technologies, LLC INSURER B : Liberty Insurance Corporation (64) 42404 1347989 17988 Edison Avenue ; Chesterfield MO 63005 WSURERC: INSURER D : LINSURER E: INSURER F : COVERAGES INSTE02 CERTIFICATE NUMBER: 12756073 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 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. ADDL |SUBR OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below INSF TYPE OF INSURANCE ADDL |SUBR POLICY NUMBER MADD yy MKS) LIMITS A | GENERAL LIABILITY Y | N | TB2-641-004218-033 7/1/2013 | 7/1/2014 — [EACH OCCURRENCE s_ 2,000,000 X | commerciat GENERAL LIABILITY PREMISES (Es oettonce 350,000 A BROAD FORM PD/CONTRACTUAL 2 A CLAIMS-MADE| X | OCCUR PER PROJECT AGG. CAP $20M MED EXP (Any one person) _{s 10,000 |_X | Independt Contractor PERSONAL & ADV INJURY _|$ 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 | 58S Loc $ A | AUTOMOBILE LIABILITY Y | N | AS2-641-004218-023 7/1/2013 | 7/1/2014 |@QMBINED SINGLE LIMIT T 7 000,000 X | ANY AUTO BODILY INJURY (Per person) |$ KX XXXXKK ma ALL RWNED SCHBQULED BODILY INJURY (Per accident] $ KK XXXXX HIRED AUTOS AgToS NED COE AMAGE $ XXXXKXX $ XXXXXXX UMBRELLA LIAB OCCUR EACH OCCURRENCE § XXXXXXX | | EXCESS LIAB CLAIMS-MADE| NOT APPLICABLE AGGREGATE $ XXXXXXX DED RETENTION $ B | WORKERS COMPENSATION VIN N | wA7-64D-009004-443 7/1/2013 | 712014 [|X LWSSTAI] Orr B ] any PROPRIETOR/PARTNERIEXECUTIVE NIA WC7-641-0042 18-013 (wD 7/1/2013 7/1/2014 E.L. EACH ACCIDENT 3 1 000,000 E.L. DISEASE - EA EMPLOYEE $ 1 .000,000 E.L. DISEASE - POLICY LIMIT $ 1,000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: BID # RD 14-14, STORMWATER PIPE REHABILITATION CURED-IN-PLACE PIPE. OKALOOSA COUNTY IS ADDITIONAL INSURED UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS REQUIRED BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED’S OPERATIONS. **SEE ATTACHED ENDORSEMENTS** CERTIFICATE HOLDER CANCELLATION See Attachment 12756073 OKALOOSA COUNTY 602-C NORTH PEARL STREET CRESTVIEW FL 32536 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ! ACORD 25 (2010/05) ©1988- ORD CORPORAMION. All rights reserved The ACORD name and Iogo are registered marks of ACORD Policy Number TB2-641-004218-033 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, NOTICE OF CANCELLATION TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY - UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Email Address or mailing address: Number Days Notice: Organization(s): Per schedule on file with 60 company A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only, Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 01 05 11 © 2011 Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, inc., with its permission. Policy No: AS2-641-004218-023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are “insureds” under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name of Person(s) or Organization(s): Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and miminum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy. For designated insured added under this policy, and where a written agreement requires the insured to provide liability insurance on a primary, excess, contingent, or any other basis, this policy will apply soley on the basis of such written agreement (If no

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