The URL can be used to link to this page

JEFFORDS ST CHANNEL GABIONS PROJECT - 11-0009-EN LL 0 >- Clearwater ENGINEERING P a �- CONSTRUCTION I OFFICE COMMUNICATION TO: Tara Kivett SUBJECT- One Year Warrant, Check C EIIIITSPE 'T( 1 : Flo ger Larkin ' PROTECT COMPLETION DATE: 9112,x14 PROJECT NAME: Jeffords Street Channel Gabions Project CONTRACTOR:TOR: Keystone Excavators Inc Attn: Dave Atkins 371 Scarlet Bled. Oldsmar, FL 34677 INSPECTOR: DATE: tw_ COMMENTS: p r rr� rt CERTIFICATE O U TANTI!!AIL COMPLETION Project- -Jeffords Street Channell Gab' Pro ec�,w_- Contract Number- 11-00094,],N Location � Channel 1) es on Jef ords Strget ;!L Contract lata ...11111 f11 Notice to proceed Dates 12/02/13 Substantial Cay pletion late: ,9112114 --Warranty Expiration Date: 9112115 The work performed under this Contract has been inspected by authorized representatives of the Owner, Contractor, and Consultant, and the project(or specified pant of the Project, as indicated above) is hereby declared to be substantially completed on the above date. DEFINITION OF SUBSTANTIAL COMPLETION Substantial completion is the stage in construction when a project or designated portion thereof is sufficiently complete in accordance with contract documents so that the (honer can use they work or portion thereo f for its intended use. .Items that affect operational integrity and function of the work must be capable of continuous use. The Contractor accepts the above Certificate of Substantial Completion and agrees to complete and correct the items on the tentative list within the time indicated. P ey: 4 1 i t,l�. 1 , r tii Excavators, Inc 11k1' 'i1ft.: Represenia9Ve The Owner accepts the specified area of the Project as Substantially Complete and will assume full possession of the specified area of the Project an a teratl�cr 2 14. The responsibility for utilities, security,and insurance under the Contract Documents shall be as set forth in the Contract Do'cumem s. Tara City of KkClearw°atereer�� Construct;lon ana�er i'e� � .� iAO'riid Representative bate V nka (.'(1-fifHC9tC Of SOMWnfial ('olliplefilD111, Jf,'gge A punch list of items '0 he cou] W-Cectecl b)- is appended hervw, J-his 11SI may not be exhaustive. an(l the fiai'ure to include anacir on it does not alter the rcspoilSaP jtjllN Contractors to complete aH the worl" in accordance with the Contract Docliments, PROJECT ONE YEAR WARRANTV Contract Section 111, 13.5 WARRANTYMORRECTION PERIOD If within one year after the date of Subsiantial Completion or such longer period of time as may be presc:ribed kv Lwvs or Regulations or by the terms of an�Y applicable special guarantee required by the Contract Documents or by any specific provision of the Contract Documents, any Work is found to be defective, Contractor shall promptly, without cost to the Owner and in accordance with the Chvners written instructions; (i) correct such defective Work, or, if it has been rejected by the (,)wner, remove it frons the site and replace it with Work that is not defective and(ii)satisfactorily correct or remove and replace any damage to other Work or the work ofothers resulting therefrom... Wheredefective Work(and damage to other Work resulting therefrom) has been corrected, removed or replaced under this paragraph the correction period hereunder with respect to such Work will be extended for an additional period ofone year after such correction or removal and replacement has been satisfactorij,,,� completed. Substantial Completion Date: arranty Expiration Date: 9/12/15 A copy of this signed anti executed document should be provided to the following parties: Stonnwater Maintenance Keystone [ xcavatoxrs, Inc, City Construction Office Specialist ProJect File d7l LL Cleanvate CERTIF7CATE OF SUBSTANTIAL COMPLETION Project. W.._Jeffo ds Street Chaq l Gabjpns rContract bar 11-0009-EN Location. -11--Channel behind o es.on Jeffords Street and Lotus Path Contract Date; .W 10/17/13 m. -...... Notice to Proceed Date. 121112/1 Substantial Completion Date: 9/12/14 --Warranty Expiration Date: 9112115 The work performed under this Contract has been inspected by authorized representatives of the ONner, Contractor, and Consultant,and the Project(or specified part of the Project,as indicated above) is hereby declared to be substantially completed on the above date, DEFINITION OF SUBSTANTIAL COMPLETION Substantial completion is the stage in construction when a project or designated portion thereof is sufficiently complete in accordance with contract documents so that the Owner can use the work or portion thereof for its intended use. Items that affect operational integrity andfunetion of the work must be capable of continuous use. The Contractor accepts the above Certificate of Substantial Completion and agrees to complete and correct the items on the tentative list within the time indicated. ' K 15 KAN Excavators,Inc a ors,Inc ..:I �,^ ' Represen] 11¢Ve The Owner accepts the specified area of the :Project as Substantially Complete and will assume full possession of the specified area of the Project on Se�teber 12 214. The responsibility for utilities, security, and insurance under the Contract Documents shall be as set forth in the Contract Documents.. Tara.Rivett En itaeerin Construction Mana_er � ' City of Clearwater Va L lorfized Representative Bate * R -""' t Certificate of Substantial Completion, Page oft PROJECT P J C LIST A punch list of items to be completed or corrected by is appended hereto. This list.. may not be exhaustive, and the failure to include an item on it does not alter the responsibility of the Contractors to complete all the work in accordance with the Contract Documents. PROJECT ONE YEAR A T Contract Section III, 13.5 WARRANTWCORRECTION PERIOD if within one year after the date of Substantial Completion or such longer period of time as may be prescribed by Laws or Regulations or by the terms ofany applicable special guarantee required by the Contract Documents or by any speck provision of the Contract Documents, any Work is found to be defective, Contractor shallpromrptly without cost to the Owner and in accordance with the Owner's written instructions, (i)correct such defective Work, or, if it has been rejected by the Owner, remove ii from the site and replace it with Work that is not defective and(d)satisfactorily correct or remove and replace any damage to other Work or the work of others resulting therefrom... Where defective Work(and damage to ether Work resulting therefrom) has been corrected, removed or replaced under this paragraph the correction period hereunder with respect to such Work will be extended for an additional period of one year after such correction or removal and replacement has been satisfactorily completed, Substantial Completion Date: ..,., 9112114 �. . '%k arranty Expiration Date: copy of this signed and executed document should be provided to the following parties: Storm,water Maintenance Keystone Excavators, Inc. City Construction Office Specialist Project File KEYSTONE EXCAVATORS, INC. CUCO 56698 FPSCV 72520700011996 September 30, 2013 Ken Sides, PE Engineering Department City of Clearwater 100 South Myrtle Avenue Clearwater , FL 33756 - 5520 371 Scarlet Blvd. Oldsmar, FL 34677 Phone 813 - 854 -2342 Fax 813 - 854 -2993 Subj : Jeffords Street Channel Gabions (N356) project Contract number 11- 0009 -EN Dear Mr. Sides : Enclosed please find Keystone Excavators' proposal to furnish all labor, equipment, materials and insurances to construct the Jeffords Street Channel Gabions project for the Guaranteed Maximum Price of $ 1,491,820.0° as shown on the enclosed proposal. At the end of this proposal is a signature block for the City's signature, along with the signature of Contractor's President, who has signed in his block. This proposal is based upon the performance under the Construction Manager- at- Risk Services for Continuing Contracts , dated June 17th , 2013. A brief Scope of Work is as follows : 1. Perform Clearing and Grubbing as necessary , including removal of existing gabions, to construct new Gabions and Reno Mattress in the footprint of the existing channel. 2. Bypass pump stormwaters as needed to ensure proper flow of stormwater run -off during construction to ensure no flooding impacts to any neighboring properties or downstream of project. In the event of heavy rainfall , cease construction and open dams to maintain proper flow through the channel. Use approved methods of Erosion Control and Water Treatment as prescribed by the Environmental Protection Agency , Southwest Florida Water Management District regulations and City of Clearwater and Pinellas County Standards , and as further described in all applicable site permits from these agencies. Page 1 of 5 Page 2 Keystone Excavators , Inc. September 30, 2013 Subj : Jeffords Street Channel Gabions (N356) project Contract number 11- 0009 -EN Scope of Work ( continued) : 3. Construct Gabion basket retaining walls and Reno mattress channel reinforcements, using commonly approved Construction methods and Materials, in accordance with applicable Plans and Specifications for Gabions, as approved by the City of Clearwater Engineering Department and subject to Inspection by City's forces. 4. Restore all areas affected by construction to the same , or better condition , paying particular attention to individual Homeowner requests, as authorized for construction/restoration by the City Inspector. Project Duration is 270 calendar days from the date of the Notice to Proceed. Contingency services will be billed as incurred only after written authorization provided by the City to proceed with these services . This Proposal is prepared in accordance with all applicable City of Clearwater Specifications, the Construction Plan set dated September 5, 2013, and the revised Supplemental Technical Specifications Section IVa for the Jeffords Channel Gabions project. Please call me at 813 - 854 -2342 if you have any questions. We appreciate the opportunity to submit our Proposal for this work . Sincerely, Keystone Excavators, Inc. /Caq-a-eig,a67g.z) David Atkins Estimator enclosure Page 2 of 5 September �� ~~`~r_~ ~~ 30, -- - Unit Prices for JEFFORDS STREET CHANNEL GABIONS / N356 \ Contract Number 11-0009-EN Item No. Description Contract Quantity Unit Price Extended Price 005'0700 Sunxyy, CONSTRUCTION LAYOUT 1 LS $ 36.213.00 $ 28.213.00 005'0850 Gunwsy, AS-BUILTS 1 LS $ 4.503.00 $ 4.603.00 101'0100 MOBILIZATION 1 LS $ 32.760.00 $ 32.780.00 102'0100 MAINTENANCE OF TRAFFIC 1 LS $ 9.783.00 $ 9.763.00 104-16 TURBIDITY BARR|EF{, Floating 240 LF $ 12.00 $ 2.080.00 104'2010 EROSION & WATER POLL. CONTROL 1 LS $ 8.827.00 $ 8.827.00 110-0100 CLEAR & GRUB 1 LS $118.673.00 $ 118.672.00 120'0020 EXCAV., Unsuit. YNot'| 100 CY $ 33.00 $ 3.300.00 120'0035 EXCAV, Channel 1 LS $ 14.830.00 $ 14.830.00 120'0810 BYPASS FLOW SYS., Temporary 1 LS $ 45.482.00 $ 45.482.00 120'1100 GRADING 1 LS $ 42.380.00 $ 42.380.00 400'445 CONC CL IV, Misc 10 CY $ 620.00 $ 6.200.00 530-2200 Rubble F�|PRAp' Bank & Shore oiza' with Filter Fabric underneath 150 TN $ 179.00 $ 26.050.00 530-3108 GABION BASKET Retaining Wall, w/ Filter Fabric 3,257 CY $ 247.00 $ 804.479.08 530'3201 RENO MATTRESS at channel bottom, 12" Thick 1,692 SY $ 78.00 $ 131.976.00 530-3128 PIPE PENETRATION thru Gabions 4 EA $ 1.855.00 $ 8.620.00 550-2103 FENCE, DOT Type B. 4' (vinyl coated witop rail) 1,585 LF $ 13.00 $ 20.805.00 520'1 6"x8" EDGE CURB, (behind fence, at top of gabioris) 1.585 LF $ 18.00 $ 28.530.00 575'0109 SC]O, BAHIA 5,100 SY $ 3.50 $ 17.850.00 800'3100-1 Cap and Remove DIP Watermain Crossing over Chann 1 LS $ 2.880.00 $ 2.880.00 800'0100 SIGNS, Project ID, Erect & Maintain 1 EA $ 600.00 $ 600.00 Bo mm Contract Total $ 1.356.300.00 908'0000 10Y6 Contingency 1 EA $135.620.00 $ 135.620.00 Submitted by Guaranteed Maximum Price, with Contingency $ 1,491,820.00 David Atkins, Estimator Keystone Excavators, Inc. 371 Scarlet Blvd . Oldsmar . Florida 34677 Phone 813-854-2342 Fax 813-054-2993 Contractor Licenses CUCO 58698 FPSCV 725207000198 Page 3 of 5 IN WITNESS WHEREOF, the parties to the agreement have hereunto set their hands and seals and have executed this Agreement . Countersigned: eteA9fle4(re\045 George N. Cretekos Mayor proved as Camilo A. Soto Assistant City Attorney keystone'Excavators, Inc. /..14:44e; c. RobeCC. Fornwalt- President (Contractor) CITY OF CLEARWATER, FLORIDA By: 41.4eAhOthae illiam B. Horne II City Manager Attest: kitALIte- Rosemarie CaII City Clerk (SEAL) SCRUTINIZED COMPANIES AND BUSINESS OPERATIONS WITH CUBA AND SYRIA CERTIFICATION FORM PER SECTION III, ITEM 25, IF YOUR BID IS $1,000,000 OR MORE, THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE BID PROPOSAL. FAILURE TO SUBMIT THIS FORM AS REQUIRED, MAY DEEM YOUR SUBMITTAL NONRESPONSIVE. The affiant, by virtue of the signature below, certifies that: I. The vendor, company, individual, principal, subsidiary, affiliate, or owner is aware of the requirements of section 287.135, Florida Statutes, regarding companies on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaging in business operations in Cuba and Syria; and 2. The vendor, company, individual, principal, subsidiary, affiliate, or owner is eligible to participate in this solicitation and is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Sector List, or engaged in business operations in Cuba and Syria; and 3. Business Operations means, for purposes specifically related to Cuba or Syria, engaging in commerce in any form in Cuba or Syria, including, but not limited to, acquiring, developing, maintaining, owning, selling, possessing, leasing or operating equipment, facilities, personnel, products, services, personal property, real property, military equipment, or any other apparatus of business or commerce; and 4. If awarded the Contract (or Agreement), the vendor, company, individual, principal, subsidiary, affiliate, or owner will immediately notify the City of Clearwater in writing, no later than five (5) calendar days after any of its principals are placed on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in Iran Petroleum Sector List, or engages in business operations in Cuba and Syria. STATE OF FLORIDA COUNTY OF PINELLAS day of , 20% (name of person whose signatu e is being notarized) as Authorized Signature ROBERT C. FORNWALT Printed Name PRESIDENT Title KEYSTONE EXCAVATORS, INC. Name of Entity/Corporation T by the gain g strru 1cnt wa$ caknowledged before me on this (title) of (name of corporation/entity), personal) known to me as described herein , or pe o i entification) as identification, and who did/did not take My Commission Expires: NOTARY SEAL ABOVE SectionV • Notary Public CANDICE A. CHURCHILL Printed Name Page 5 of 5 Notary Public State of Florida Candice A Churchill My Commission EE 189502 Expires 04115/2018 7/29/2013 .1 BOND NUMBER: 479861P CONTRACT BOND (1) STATE OF FLORIDA COUNTY OF PINELLAS KNOW ALL MEN BY THESE PRESENTS: That we KEYSTONE EXCAVATORS, INC. as Contractor and Developers Surety and Indemnity Company (Surety) whose home address is 17780 Fitch, Suite 200, Irvine, California 92614 HEREINAFTER CALLED THE "Surety", are held and firmly bound into the City of Clearwater, Florida (hereinafter called the "Owner ") in the penal sum on One Million Four Hundred Ninety One Thousand Eight Hundred Twenty Dollars and No Cents Dollars ($ 1,491,820.00 ) for the payment of which we bind ourselves, our heirs, executors, administrators, successors, and assigns for Ate faithful performance of a certain written contract, dated the 1744" day of ileftD4We-- , 20/3., entered into between the Contractor and the City of Clearwater for: JEFFORDS STREET CHANNEL GABIONS (N356) 11- 0009 -EN a copy of which said contract is incorporated herein by reference and is made a part hereof as if fully copied herein. NOW THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Contractor shall in all respects comply with the terms and conditions of said contract, including the one year guarantee of material and labor, and his obligations thereunder, including the contract documents (which include the Advertisement for Bids, Form of Proposal, Form of Contract, Form of Surety Bond, Instructions to Bidders, General Conditions and Technical Specifications) and the Plans and Specifications therein referred to and made a part thereof, and such alterations as may be made in said Plans and Specifications as therein provided for, and shall indemnify and save harmless the said Owner against and from all costs, expenses, damages, injury or conduct, want of care or skill, negligence or default, including patent infringements on the part of the said Contractor agents or employees, in the execution or performance of said contract, including errors in the plans furnished by the Contractor, and further, if such "Contractor" or "Contractors" shall promptly make payments to all persons supplying him, them or it, labor, material, and supplies used directly or indirectly by said Contractor, Contractors, Sub - Contractor, or Sub - Contractors, in the prosecution of the work provided for in said Contract, this obligation shall be void, otherwise, the Contractor and Surety jointly and severally agree to pay to the Owner any difference between the sum to which the said Contractor would be entitled on the completion of the Contract, and that which the Owner may be obliged to pay for the completion of said work by contract or otherwise, & any damages, direct or indirect, or consequential, which said Owner may sustain on account of such work, or on account of the failure of the said Contractor to properly and in all things, keep and execute all the provisions of said contract, SectionV Page 1 of 17 7/29/2013 CONTRACT BOND (2) And the said Contractor and Surety hereby further bind themselves, their successors, executors, administrators, and assigns, jointly and severally, that they will amply and fully protect the said Owner against, and will pay any and all amounts, damages, costs and judgments which may be recovered against or which the Owner may be called upon to pay to any person or corporation by reason of any damages arising from the performance of said work, or of the repair or maintenance thereof, or the manner of doing the same or the neglect of the said Contractor or his agents or servants or the improper performance of the said work by the Contractor or his agents or servants, or the infringements of any patent rights by reason of the use of any material furnished or work done; as aforesaid, or otherwise. And the said Contractor and Surety hereby further bind themselves, their successors, heirs, executors, administrators, and assigns, jointly and severally, to repay the owner any sum which the Owner may be compelled to pay because of any lien for labor material furnished for the work, embraced by said Contract. And the said Surety, for the value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to the specifications. IN TESTIMONY WHEREOF, witness the hands and seals of the parties hereto this 17th day of October 20 13 /./L, MAR K. B'+ DLEY- TREASURE/SEC. WITNESS: C e—CPACUP1 Angelica Roman COU ► ER IG •he A urray, Registered, orida Agent SectionV Page 2 of 17 KEYSTONE EXCAVATORS, INC. CONT • By: i0'''0-tGc/`iy�j. ROBERT C. FORNWALT - PRESIDE{ T Developers S and Indemnity Company SURETY By: /r ATTO ' ► Y -I FACT R' D 7/29/2013 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY PO Box 19725, IRVINE, CA 92623 (949) 263 -3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY, does hereby make, constitute and appoint: ** *Tammy Wheeler, Stephen A. Murray, Roy D. May, Angelica Roman, jointly or severally * ** as its true and lawful Attomey(s) -in -Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporation, as surety, bonds, undertakings and contracts of suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporation could do, but reserving to each of said corporation full power of substitution and revocation, and all of the acts of said Attomey(s) -in -Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attomey is granted and is signed by facsimile under and by authority of the following resolution adopted by the Board of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY, effective as of January 1st, 2008. RESOLVED, that a combination of any two of the Chairman of the Board, the President, any Executive Vice- President, Senior Vice- President or Vice- President of the corporation be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attomey(s) named in the Power of Attorney to execute, on behalf of the corporation, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of the corporation be, and each of them hereby is, authorized to attest the execution of any such Power of Attomey; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attomey or to any certificate relating thereto by facsimile, and any such Power of Attomey or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY has caused these presents to be signed by its officers and attested by its Secretary or Assistant Secretary this May 23, 2013. By: By: Daniel Young, Senior Vice - President diF Gregg N. 0 State of California County of Orange On ce- President May 23, 2013 Date personally appeared before me, xw.x.x+ute, Rqr. zsx: OCT. Etas 10 r's ,f4Y+ta,. Gina L. Garner, Notary Public Here Insert Name and Title of the Officer Daniel Young and Gregg N. Okura Name(s) of Signer(s) GINA L. GARNER COMM. # 2021213 TARY PUBLIC 0AUFORMA who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Place Notary Seal Above Signature aS10"44. CERTIFICATE Gina L. Gamer, Notary Public The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolution of the Board of Directors of said corporation set forth in the Power of Attorney are in force as of the date of this Certificate. By: Oc +obey This Certificate is executed in the City of Irvine, California, this � � day of , 2013 Mark J. Lansdon, Assistant Secretary ID-1438(Rev.05/13) CERTIFICATE OF LIABILITY INSURANCE KEYST -1 OP ID: SB I DATE (MM /DD/YYYY) 10/17/13 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 Fessler Agency- Clearwater 3165 N McMullen Booth Road G -2 Clearwater, FL 33761 -2020 Case J. Fessler, AAI, CIC 727 - 726 -3377 727-725-4698 CONTACT NAME: PHONE (A /C. No, Ext) : E -MAIL ADDRESS: FAX (A /C, No): INSURER(S) AFFORDING COVERAGE INSURER A : National Trust NAIC # INSURED Keystone Excavators, Inc. 371 Scarlet Blvd. Oldsmar, FL 34677 INSURER B : FCCI Commercial Insurance Co. INSURER c : FCCI Insurance Company 20141 33472 10178 INSURER D:AIIied World Assurance Co. INSURER E : Phoenix Insurance Company INSURER F : 25623 COVERAGES CEK I IrMGA I t Numatrc: • - -- - -. --- - - -- - - 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 WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP IMMIDDIWYY) LIMITS LTR A JNSR GL000954834 12/01/12 12/01/13 EACH OCCURRENCE $ 1,000,000 GENERAL X LIABILITY COMMERCWL GENERAL LIABILITY 14EmANEVERaEorsi cafence) $ 100,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 X Per Proj Agg PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY X I P I LOC $ A IFPT AUTOMOBILE LIABILITY CA00148524 12/01/12 12/01/13 Ea acca1 den SINGLE LIMIT $ 1,000,000 X X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -0WNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UMB00098584 12/01/12 12/01/13 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 $ DED X RETENTION $ 10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y❑ EXCLUDED? OFFICERIMEMBH) (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 60855 12/01/12 12/01/13 X TORY LAMITS OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D E POLLUTION INSTALLATION FLTR 5152001054 66038428003 05/10/13 12/01/12 05/10/14 12/01/13 LIMITS 1,000,000 LIMITS 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) RE: Jeffords Channel Improvements Projedt #11- 0009 —EN CERTIFICATE HULUtK City of Clearwater Attn: Cathy Tefft 100 Clearwater, r South Myrtle Ave., #220 Clearwater, FL 33756 1 CITYCLE 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 (�'1?e /K/n�l/ — ...n n n^onrles AT1AaJ All rinhf¢ rGCGNPrI ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD