Okaloosa County BOCC — December 16, 2014 — CATHEY CONSTRUCTION — reading text

Ltd dba Securadyne Systems NE, Securadyne Systems Southeast LLC, Intelligent Access Systems of North Carolina LLC, Intelligent Access Systems Holdings LLC. Cathey Construction & Development LLC is included as additional insured with respect to General Liability. CERTIFICATE HOLDER CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cathey Construction & THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Development LLC ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 13107 403 North 30th St AUTHORIZED REPRESENTATIVE Mexico Beach, FL 32410 | Debloe Praentiy © 1988-2010 ACORD CORPORATION, Att rights reserved. ACORD 25 (2010/05) 41 of 1 The AGORD name and logo ara registered marks of ACORD #3129047 34/M12887841 DSPO ay oO DATE (MM/DDIYYYY} ACORD CERTIFICATE OF LIABILITY INSURANCE 6/17/2014 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, iMIPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. tf 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 Seueeet Waildorff Insurance & Bonding PHONE 850.581 -. FAX 0t:850-58 1- 45 Eglin Parkway NE Ste 203 {alc, No Ext); 850-581 4925 {A/C, No}:850-58 1-4930 Fort Walton Beach FL 32548 Apbressreceptionist@waldorffinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A ‘National Trust Insurance Co. 20141 INSURED SAMN-01 INSURER B ‘The FCCI Insurance Company (10178 Samm Electric | INSURER CG: Samm Enterprises, Inc. BBA i P.O. Box 410 INSURER D: Defuniak Springs FL 32435 INSURER E ¢ INSURER F: COVERAGES CERTIFICATE NUMBER: 4377395199 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. WSR ADOLSUBR POLIGYEFF, | POLICY EXP LIR TYPE OF INSURANCE INSR| WvD POLICY NUMBER [MMIDDYYYY) | IMM/DDIVYYY} LIMITS A} GENERAL LIABILITY Y |Y — {GLooiose74 8/2/2013 B/2/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X_| COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) _| $100,000 | cLAIS.MADE OCCUR : MED EXP (Any one person) | $5,000 PERSONAL & ADV INJURY _ | $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG | $2,000,000 poucy |X_} hRS Loc $ AUTOMOBILE LIABILITY Y CA00165714 12/2043 212014 EEE NOTE UNIT 54,000,000 xX | ANY AUTO BODILY INJURY (Per person) '| $ ALL OWNED SCHEDULED cM Lee nen sone tS X | HIRED AUTOS AUTOS (Per accident) 8 § A |X | umprettauiae = 1X | occur UMB00111484 B/2/2013 B/2/2014 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED Ix l RETENTION $10,000 8 | WORKERS COMPENSATION 101-WG13A-71026 1212013 B/2/2014 xX | WESTATU OTH AND EMPLOYERS’ LIABILITY YIN il TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L, EACH ACCIDENT. $1000000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE] $1000000 yes, describe under DESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT | 1000000 B |Leased/Rented Equipment IcM00055794 B/2/2043 B/2/2014 Deductible $500 400,000 DESGRIPTION OF OPERATIONS / LOCATIONS f VEHICLES {Attach ACORD 101, Additional Remarks Schedulo, if more space is required) It is hereby understood and agreed that the below named certificate holder is added as Additional Insured as respects to General Liability. NW Florida Airport, Ft. Walton Beach CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cathey Construction & Development, LLC ACCORDANCE WITH THE POLICY PROVISIONS, PO Box 13107 103 North 30th Street Mexico Beach FL 32410 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACGORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CONSENT OF OWNER SURETY COMPANY A LOR TO FINAL PAYMENT SURETY OTHER (SIMILAR TO AIA DOCUMENT G707) KOO Security Checkpoint Exit Lane Control System , Okaloosa PROJECT: County, FL (name, address) TO (Owner) ARCHITECT'S PROJECT NO: The Board of County Commissioners of Okaloosa County, CONTRACT FOR: Florida 302 N Wilson St. Suite 302 Crestview, FL 32536 __| CONTRACT DATE: March 11, 2014 N CTOR: CONTRA Rathey Construction & Development, LLC P.O. Box 13107 Mexico Beach, FL 32410 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Fidelity and Deposit Company of Maryland 1400 American Lane , SURETY COMPANY, Schaumburg, IL 60196 on bond of (here insert name and address of Contractor) Cathey Construction & Development, LLC P.O. Box 13107 s;CONTRACTOR, Mexico Beach, FL 32410 hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) The Board of County Commissioners of Okaloosa County, Florida 302 N Wilson St. Suite 302 Crestview, FL 32536 , OWNER, as set forth in the said Surety Company's bond. Certification: The warranty period for this bond is one year commencing at Owner's acceptance of the project. IN WITNESS WHEREOF, ‘ - , 4 The Surety Company has hereunto set its hand this 18th ay of November, 2014 , Fidelity and Deposit Company of Maryland 7 Company Signature of Authorized Representative Attest: C\ (Seal): Michael W Brown / Attorney-in-Fact Title Note: This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims, Current Edition ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS 0. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Michael W. BROWN and Jo M. CHONKO, both of Panama City, Florida, EACH. its true and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By-Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 4th day of June, A.D. 2013. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND ew D.Prseb oa WeUlhh Assistant Secretary : Vice President Eric D. Barnes Thomas O. McClellan State of Maryland City of Baltimore On this 4th day of June, A.D. 2013, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS O. MCCLELLAN, Vice President, and ERIC D. BARNES, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the exccution of same, and being by me duly swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my band and affixed my Official Seal the day and year first above written. Comeianhe A. Quan Constance A. Dann, Notary Public My Commission Expires: July 14, 2015 POA-F 033-0024A 201-0940-014 OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM Bond # PRFO9007846 PERFORMANCE BOND KNOW ALL MEN by these presents; That we (1)__Cathey Construction & Development LLC. a (2)___Limited Liability Company hereinafter called “Principal” and (3)_ Fidelity and Deposit Campoany of Maryland of_1400 American Lane , Schaumburg , State of _Iilinois hereinafter called the “Surety”, are held and firmly bound unto (4)__ Okaloosa County Board of County Commissioners of _1804 Lewis Tumer Blvd. Ste100 Fort Walton Beach.FL 32547_, hereinafter called “OWNER”, in the penal sum of Four Hundred Ninety Six Thousand Eight Hundred Forty-Six and NO/100----_ dollars ($496,846.00 in lawful money of the United States for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the Owner, dated the day of , 20.14, a copy of which is hereto attached and make a part hercof for the construction of: _ SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM AT NORTWEST FLORIDA. REGIONAL AIRPORT, OKALOOSA COUNTY, FLORIDA NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the Owner, with or without notice to the Surety, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the Owner from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the Owner all outlay and expense which the Owner may incur in making good any default, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety, for value teceived hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms