1st Amendment 06/11/2014AMY NEAVILIN, CPA
CLERK OF c curr couRr & COMPTROLLER
DATE: July 7, 2014
TO: Christine Hurley, Director of
Growth Management
ATTN. Mayra Tezanos
Executive Assistant
FROM: Lindsey Ballard, D. CV
At the June 11, 2014, Board of County Commissioner's meeting the Board granted approval and
authorized execution of Items H3 First Amendment to Agreement between Selectron Technologies, Inc.
and Monroe County in the amount of $14,100 for enhancements to the Interactive Voice Response
(IVR) system for permit inspection scheduling, reporting and providing inspection status to the public.
Enclosed is a duplicate original executed on behalf of Monroe County, for your handling. Should you
have any questions, please feel free to contact me.
cc: County Attorney
Finance
File
500 Whitehead Street Suite 101, PO Box 1980, Key West FL 33040 Phone: 305 - 295 -3130 Fax. 305 - 295 -3663
3117 Overseas Highway, Marathon, FL 33050 Phone: 305 - 289 -6027 Fax: 305 - 289 -6025
88820 Overseas Highway, Plantation Key, FL 33070 Phone: 852 -7145 Fax. 305 - 852 -7146
I
FIRST AMENDMENT TO AGREEMENT
BETWEEN SELECTRON TECHNOLOGIES INC.
AND MONROE COUNTY, FLORIDA
Rp IS FIRST A NDMENT TO AGREEMENT (Amendment) is made and entered into
this day of , 2014, between the Monroe County Board of County
Commissioners ( Co y ) and Selectron Technologies, Inc. (Selectron).
WITNESSETH:
WHEREAS, the parties entered into a Professional Services Agreement (Agreement) on
January 16, 2013, for the provision of Interactive Voice Recognition (IVR) services including
hardware, software, installation and training; and
WHEREAS, County desires enhancements to the IVR services from Selectron which
provide for a Custom Limit Inspections Module and VoicePermits Customizations, and Selectron
desires to provide these enhancements; and
WHEREAS, Selectron is the only vendor with compatible software and equipment for
Selectron's enhancements to County's system;
NOW, THEREFORE, IN CONSIDERATION of the mutual covenants contained herein the
parties agree as follows:
1. Selectron shall provide the services and software shown on Exhibit A and shall be
compensated in the amount of Ten Thousand Nine Hundred Fifty Dollars ($10,950.00) by
County according to the terms of Exhibit A.
2. Selectron shall provide the services and software shown on Exhibit B and shall be
compensated Three Thousand One Hundred Fifty Dollars ($3,150.00) by County according
to the terms of Exhibit B.
3. All deliverables of services and software shall be provided no later than December 1, 2014.
4. All other terms and conditions of the Agreement between the parties dated January 16, 2013,
shall remain in full force and effect.
SIGNATURE PAGE TO FOLLOW
May 20 2014
SS WHEREOF, the parties have executed this First Amendment to Agreement.
Deputy
HEAVILM, CLERK
WITNESSES:
1. & 1 l
//►► J
Print Name: bar !cd/%,
17 2.
Print Name:
STATE OF n f P c
COUNTY OF b�jCk <,h 1 nc n
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
SELECTRON TECHNOLOGIES,INC.
By: p
Print Name:
Titl
On this D+-t ck day of XN _ 2014, before me the person whose name is
�-�
subscribed above, and who produced c��n" �. p– k:c4a gi s identification, acknowledged
\c��C�c \Cl�siti^rl
that he /she is the person who executed the above Amendment for the purposes therein contained.
ublic
Print Name
My commission expires: 11"� r� h e-4-7 � 0
May 20 2014
OFFICIAL STAMP
SARA ELIZABETH ENGEL
i. NOTARY PUBLIC- OREGON
COMMISSION NO. 926636
MY 60MMI46ION @XPAS MARCH 27, 2018
Seal
W/FiA NAd[;; r 44
IL
® Selectron
VOICE • WEB - M O B I L E
Price Quote EE4162B
May 16, 2014
Quote is valid for 90 days
PREPARED FOR: Monroe County, FL
Price Quote
EXHIBIT A
Custom Limit Inspections Module $10,950
VoicePermitSTM will automatically limit the number of inspections that may be scheduled
on a given day. Individual limits may be set for pre- defined inspection groups. To enhance
the Limit Inspections module, the IVR will call a stored procedure which will provide
current inspection counts for the defined groups. Grouping will be based on inspection
type, location, and time slot.
Once the maximum number of inspections has been reached for a given day, the IVR
system will offer the next available day during the scheduling routine.
Assumptions: Monroe County will create and maintain the stored procedure for current
inspection counts for the defined group.
Project Management Included
Solution Design & Development Included
Remote Support for Acceptance Testing & Go -Live Included
Total Cost $10,950
SELECTRON PRODUCT AND SERVICE PRICING & PAYMENT INFORMATION
Pricing does not include additional application integration charges that may be required as
part of this solution. This includes Application Vendor API, user, or implementation fees,
additional licensing fees, or other surcharges directly or indirectly charged by or remitted to
the Application Vendor.
PAYMENT TERMS
Receipt of a Purchase Order by the Customer will constitute acceptance of the terms and
conditions utilized in the Professional Services Agreement executed with the initial purchase
of your interactive system.
Customer will be invoiced 45% of Total Investment amount upon receipt of a Purchase Order.
The second installment of 40% of Total Investment will be invoiced when the module is
delivered and made available to the Customer for testing. The Customer will be invoiced the
Page 1 of 2
® Selectron
VOICE - WEB - M O B I l E
Price Quote EE4162B
May 16, 2014
Quote is valid for 90 days
final installment of 15% 30 days after the completion of installation. The Customer is given
thirty days to test the functionality as defined by the scope of work. It is the Customer's
responsibility to ensure full testing is completed during this period and it is Selectron
Technologies responsibility to resolve all issues found during testing. If User Acceptance
Testing is delayed beyond thirty days, not due to any fault of Selectron Technologies, the
payment will become immediately due.
Selectron Technologies expects payment to occur within 30 days of receipt of invoice unless
otherwise agreed to in the contract or purchase order terms and conditions.
PREMIERPRO ON -GOING SUPPORT
An active Support and Maintenance Agreement and all applicable fees are required as
qualification for the discounted pricing offered in this quote. Based upon evaluation of the
items contained in this quote, Support and Maintenance fees will be adjusted accordingly
upon the next renewal of the active Support and Maintenance Agreement.
TAXES
Sales Tax or any other applicable taxes are NOT included in any of this proposal's pricing
information. If taxes become applicable, these taxes will then need to be added to the
proposed pricing.
VENDOR INFORMATION
Selectron Technologies, Inc.
12323 SW 66th Ave
Portland, OR 97223
Ph: 503.443.1400 Fax: 503.443.2052
Page 2 of 2
® Selectron
V O I C E • W E B • M O B I L E
Price Quote EE4163B
May 16, 2014
Quote is valid for 90 days
PREPARED FOR: Monroe County, FL
Price Quote
EXHIBIT B
VoicePermitsTm Customizations $3,150
Selectron will provide professional services to implement third -party inspector
posting on the VoicePermits IVR. Using their issued Contractor ID and Inspector PIN,
third -party inspectors will have a 48 -hour window to post inspection results on a
permit they are tied to in CommunityPLUS.
Project Management Included
Solution Design and Development Included
Remote Support for Acceptance Testing & Go -Live Included
Total Cost $3,150
SELECTRON PRODUCT AND SERVICE PRICING & PAYMENT INFORMATION
Pricing does not include additional application integration charges that may be required as
part of this solution. This includes Application Vendor API, user, or implementation fees,
additional licensing fees, or other surcharges directly or indirectly charged by or remitted to
the Application Vendor.
PAYMENT TERMS
Receipt of a Purchase Order by the Customer will constitute acceptance of the terms and
conditions utilized in the Professional Services Agreement executed with the initial purchase
of your interactive system.
Customer will be invoiced 45% of Total Investment amount upon receipt of a Purchase Order.
The second installment of 40% of Total Investment will be invoiced when the module is
delivered and made available to the Customer for testing. The Customer will be invoiced the
final installment of 15% 30 days after the completion of installation. The Customer is given
thirty days to test the functionality as defined by the scope of work. It is the Customer's
responsibility to ensure full testing is completed during this period and it is Selectron
Technologies responsibility to resolve all issues found during testing. If User Acceptance
Testing is delayed beyond thirty days, not due to any fault of Selectron Technologies, the
payment will become immediately due.
Page 1 of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
@VANTAGE FOR GENERAL LIABILITY
TECHNOLOGY COMPANIES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
The following schedule lists the coverage extensions provided by this endorsement. Refer to the individual
provisions to determine the extent of your coverage.
1. ADDITIONAL INSURED— BROAD FORM VENDORS
Section II — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s)
(referred to below as vendor) with whom you agreed in a written contract or agreement to provide insurance, but
only with respect to "bodily injury" or "property damage" arising out of 'your products" which are distributed or sold
in the regular course of the vendor's business, subject to the following additional exclusions:
a. This provision 1. does not apply to:
(1) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
(2) Any express warranty not authorized by you;
(3) Any physical or chemical change in the product made intentionally by the vendor;
(4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
(5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or
sale of the products;
(6) Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
(7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor, or
(8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not
apply to:
(a) The exceptions contained in Subparagraphs 4. or 6.; or
VCG 207 07 09 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of
Copyright 2009, OneBeacon Insurance Group LLC
E- INSURED
SCHEDULE OF COVERAGE EXTENSIONS
1.
Additional Insured — Broad Form Vendors
8.
Coverage Territory — Worldwide
2.
Additional Insured — by Contract, Agreement or
9.
Duties in Event of Occurrence, Claim or Suit
Permit relating to:
10.
Expected or Intended Injury (PD)
• Work performed by you
11.
Incidental Medical Malpractice
• Premises you own, rent, lease or occupy
12.
Medical Payments
• Equipment you lease
13.
Mobile Equipment Redefined
3.
Aggregate Limit Per Location
14.
Newly Acquired or Formed Organizations
4.
Blanket Waiver of Subrogation
15.
Non -Owned Aircraft
5.
Bodily Injury Redefined — Mental Anguish
16.
Non -Owned Watercraft
6.
Broadened Named Insured
17.
Personal and Advertising Injury
7.
Broadened Property Damage
18.
Product Recall Expense
o Borrowed Equipment
19.
Supplementary Payments Increased Limits
o Customers' Goods
o Use of Elevators
1. ADDITIONAL INSURED— BROAD FORM VENDORS
Section II — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s)
(referred to below as vendor) with whom you agreed in a written contract or agreement to provide insurance, but
only with respect to "bodily injury" or "property damage" arising out of 'your products" which are distributed or sold
in the regular course of the vendor's business, subject to the following additional exclusions:
a. This provision 1. does not apply to:
(1) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
(2) Any express warranty not authorized by you;
(3) Any physical or chemical change in the product made intentionally by the vendor;
(4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
(5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or
sale of the products;
(6) Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
(7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor, or
(8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not
apply to:
(a) The exceptions contained in Subparagraphs 4. or 6.; or
VCG 207 07 09 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of
Copyright 2009, OneBeacon Insurance Group LLC
E- INSURED
(b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of the
products.
(9) Any vendor, person or organization if the "products- completed operations hazard" is excluded either by
the provisions of the Coverage Form or by endorsement.
b. This insurance does not apply to any insured person or organization, from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
2. ADDITIONAL INSURED —CONTRACT, AGREEMENT OR PERMIT
a. Section II — Who Is An Insured is amended to include as an additional insured any person(s) or organi-
zation(s) with whom you agreed in a written contract, written agreement or permit to provide insurance such
as is afforded under this Coverage Part, but only with respect to liability for'bodily injury", "property damage"
or personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or
omissions of those acting on your behalf:
1. In the performance of'your work" for the additional insured(s) at the location designated in the contract,
agreement or permit; or
2. In the maintenance, operation or use of equipment leased to you by such person(s) or organization(s), or
3. In connection with premises you own, rent, lease or occupy.
This insurance applies on a primary or primary and non - contributory basis if that is required in writing by the
contract, agreement or permit.
b. The insurance provided to the additional insured herein is limited. This insurance does not apply:
1. Unless
(a) the written contract, agreement or permit is currently in effect or becomes effective during the term of
this policy; and
(b) the contract or agreement was executed or permit issued prior to the 'bodily injury", "property
damage ", or "personal and advertising injury";
2. To any person or organization included as an insured under the Additional Insured - Broad Form
Vendors provision of this endorsement;
3. To any person or organization included as an insured by an endorsement issued by us and made part of
this Coverage Part;
4. To any person or organization if the "bodily injury", "property damage ", or "personal and advertising
injury arises out of the rendering of or failure to render any professional architectural, engineering or
surveying services by or for you including:
(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports,
surveys, field orders, change orders or drawings and specifications; or
(b) Supervisory, inspection, architectural or engineering activities.
5. To any:
(a) Lessor of equipment after the equipment lease terminates or expires; or
(b) Owners or other interests from whom land has been leased; or
(c) Managers or lessors of premises if:
(1) The "occurrence" takes place after you cease to be a tenant in that premises; or
(2) The 'bodily injury", "property damage ", "personal and advertising injury" arises out of structural
alterations, new construction or demolition operations performed by or on behalf of the manager
or lessor.
6. To'bodily injury, or "property damage" occurring after.
(a) All work on the project (other than service, maintenance or repairs) to be performed by or on behalf of
the additional insured at the site of the covered operations has been completed; or
(b) That portion of 'your work" out of which the injury or damage arises has been put to its intended
use by any person or organization other than another contractor or subcontractor engaged in
performing operations for a principal as part of the same project.
Page 2 of Includes copyrighted material of Insurance Services Office, Inc. VCG 207 07 09
Copyright 2009, OneBeacon Insurance Group LLC
c. Limits of Insurance applicable to the additional insured are those specified in the contract, agreement or
permit or in the Declarations of this policy, whichever is less, and fix the most we will pay regardless of the
number of:
1. Insureds;
2. Claims made or "suits" brought; or
3. Persons or organizations making claims or bringing "suits".
These Limits of Insurance are inclusive of and not in addition to the Limits of Insurance shown in the
Declarations.
3. AGGREGATE LIMIT PER LOCATION
a. Under Section III — Limits of Insurance, the General Aggregate Limit applies separately to each of your
"locations" owned by or rented or leased to you.
b. Under Section V —Definitions, the following definition is added:
"Location" means premises involving the same or connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway or right- of-way of a railroad.
4. BLANKET WAIVER OF SUBROGATION
Section IV — Transfer of Rights of Recovery Against Others to Us Condition is amended to add the
following:
We will waive any right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of your ongoing operations done under a written contract or agreement with
that person or organization and included in 'your work" or the "products- completed operations hazard ". This
waiver apples only to persons or organizations with whom you have a written contract, executed prior to the
"bodily injury" or "property damage ", that requires you to waive your rights of recovery.
5. BODILY INJURY REDEFINED— MENTAL ANGUISH
Under Section V, the definition of "bodily injury" is replaced by the following:
"Bodily injury" means bodily injury, sickness, or disease sustained by a person, including mental anguish
or death resulting from any of these at any time.
6. BROADENED NAMED INSURED
Section II — Who Is An Insured is amended to include as an insured the following:
Any organization which is a legally incorporated entity in which you own a financial interest of more than 50
percent of the voting stock on the effective date of this endorsement will be a Named Insured until the 180th
day or the end of the policy period, whichever comes first, provided there is no other similar insurance
available to that organization.
The insurance afforded herein does not apply to any entity which is also an insured under another policy or
would be an insured under such policy but for its termination or the exhaustion of its limits of insurance.
7. BROADENED PROPERTY DAMAGE —BORROWED EQUIPMENT, CUSTOMERS' GOODS AND USE OF
ELEVATORS
The insurance for "property damage" liability is subject to the following:
a. The Damage To Property exclusion under Section I Coverage A is amended as follows:
1. The exclusion for personal property in the care, custody or control of the insured does not apply to
"property damage" to equipment you borrow while at a job site and provided it is not being used by
anyone to perform operations at the time of loss.
2. The exclusions for
(a) Property loaned to you;
(b) Personal property in the care, custody or control of the insured; and
(c) That particular part of any property that must be restored, repaired or replaced because 'your
work" was incorrectly performed on it
do not apply to "property damage" to "customers' goods" while on your premises nor do they apply to
"property damage" arising from the use of elevators at premises you own, rent, lease or occupy.
Subject to the Each Occurrence Limit, the most we will pay for "property damage" to "Customers'
Goods" is $35,000 per "occurrence ".
VCG 207 07 09 Includes copyrighted material of Insurance Services Office, Inc. Page 3 of
Copyright 2009, OneBeacon Insurance Group LLC
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
@VANTAGE FOR AUTOMOBILE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The following schedule lists the coverage extensions provided by this endorsement. Refer to the individual provi-
sions to determine the extent of your coverage.
1. ADDITIONAL INSURED BY CONTRACT
The Who Is An Insured provision under SECTION II — LIABILITY COVERAGE is amended to include as an
additional "insured" any person or organization with whom you agreed in a written contract, written agreement
or permit, to provide insurance such as is afforded under this Coverage Form. Such person or organization is
an "insured" only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part by
your maintenance, operation or use of your covered "autos ".
With respect to the insurance afforded to these additional "insureds ", this insurance does not apply:
a. Unless the written contract or agreement has been executed or the permit has been issued prior to the
"bodily injury" or "property damage ";
b. To any person or organization included as an "insured" by endorsement or in the Declarations; or
c. To any lessor of "autos" when their contract or agreement with you for such leased "auto" ends.
2. AIRBAG DISCHARGE
If you purchased physical damage coverage for a covered "auto" under this policy, we will pay to reset or re-
place an airbag that accidentally discharges without the vehicle being involved in an accident. No deductible
applies to this additional coverage. However, this coverage only applies if the airbag is not covered under a
manufacturer's warranty and you did not intentionally cause the airbag to discharge.
3. AUTO THEFT REWARD
We will pay up to a $2,000 reward in the event of a covered loss, for information leading to the arrest and con-
viction of anyone stealing a covered "auto ". A reward will not be paid to you, a family member, employee or any
public official while performing their duty.
4. BLANKET WAIVER OF SUBROGATION
The Transfer Of Rights of Recovery Against Others To Us condition under SECTION IV — BUSINESS
AUTO CONDITIONS, paragraph A. LOSS CONDITIONS is replaced by the following:
We will waive any right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of the operation of a covered "auto" when you have assumed liability for
such "bodily injury" or "property damage" under an "insured contract ", provided the contract is in writing and
executed prior to the "bodily injury" or "property damage ".
5. BODILY INJURY REDEFINED —MENTAL ANGUISH
The definition of "bodily injury" under SECTION V — DEFINITIONS is replaced by the following:
"Bodily injury" means bodily injury, sickness, or disease sustained by a person, including mental anguish or
death resulting from any of these at any time.
VCA 201 01 09 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 5
Copyright 2004, OneBeacon Insurance Group LLC
F- INSl1RFn
SCHEDULE OF COVERAGE EXTENSIONS
1.
Additional Insured By Contract
12.
Employee Hired Autos
2.
Airbag Discharge
13.
Fellow Employee Exclusion
3.
Auto Theft Reward
14.
Glass Repair — Waiver of Deductible
4.
Blanket Waiver of Subrogation
15.
Hired Auto Physical Damage Coverage
5.
Bodily Injury Redefined — Mental Anguish
16.
Lease Gap Coverage
6.
Broad Form Named Insured
17.
Liability Coverage — Supplementary Payments
7.
Communications Equipment
18.
Newly Formed or Acquired Organizations
8.
Diminution in Value
19.
Physical Damage — Transportation Expenses
9.
Drive Other Car — Executive Officers
20.
Rental Reimbursement — Private Passenger
10.
Duties In The Event of Accident, Claim, Suit or Loss
Vehicles
11.
Employees As Insureds
21.
Towing — Any Covered Auto
1. ADDITIONAL INSURED BY CONTRACT
The Who Is An Insured provision under SECTION II — LIABILITY COVERAGE is amended to include as an
additional "insured" any person or organization with whom you agreed in a written contract, written agreement
or permit, to provide insurance such as is afforded under this Coverage Form. Such person or organization is
an "insured" only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part by
your maintenance, operation or use of your covered "autos ".
With respect to the insurance afforded to these additional "insureds ", this insurance does not apply:
a. Unless the written contract or agreement has been executed or the permit has been issued prior to the
"bodily injury" or "property damage ";
b. To any person or organization included as an "insured" by endorsement or in the Declarations; or
c. To any lessor of "autos" when their contract or agreement with you for such leased "auto" ends.
2. AIRBAG DISCHARGE
If you purchased physical damage coverage for a covered "auto" under this policy, we will pay to reset or re-
place an airbag that accidentally discharges without the vehicle being involved in an accident. No deductible
applies to this additional coverage. However, this coverage only applies if the airbag is not covered under a
manufacturer's warranty and you did not intentionally cause the airbag to discharge.
3. AUTO THEFT REWARD
We will pay up to a $2,000 reward in the event of a covered loss, for information leading to the arrest and con-
viction of anyone stealing a covered "auto ". A reward will not be paid to you, a family member, employee or any
public official while performing their duty.
4. BLANKET WAIVER OF SUBROGATION
The Transfer Of Rights of Recovery Against Others To Us condition under SECTION IV — BUSINESS
AUTO CONDITIONS, paragraph A. LOSS CONDITIONS is replaced by the following:
We will waive any right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of the operation of a covered "auto" when you have assumed liability for
such "bodily injury" or "property damage" under an "insured contract ", provided the contract is in writing and
executed prior to the "bodily injury" or "property damage ".
5. BODILY INJURY REDEFINED —MENTAL ANGUISH
The definition of "bodily injury" under SECTION V — DEFINITIONS is replaced by the following:
"Bodily injury" means bodily injury, sickness, or disease sustained by a person, including mental anguish or
death resulting from any of these at any time.
VCA 201 01 09 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 5
Copyright 2004, OneBeacon Insurance Group LLC
F- INSl1RFn
r .
CERTIFICATE OF LIABILITY INSURANCE 01D nouDONYYYI
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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement.Aabatement on this certificate does not confer rights to the
certificate holder In Ileu of such endorsement(s).
PRODUCER CONTACT W.S.Adams Co.
NAME
W.B.Adams Company P(Eam,:,F.,.(503)BM-9945 INCAX
Kok(503)644.9997
General Insurance ADDRESS- info@wbadams.com
14737 SW Millikan Way INSURERISI AFFORDING COVERAGE HNG0
Beaverton OR 97006 INSURER • One Beacon Insurance Company MI 21970
INSURED INSURER e• Hartford Casualty Insurance Co.A XV 29424
Selectron Technologies,Inc. INSURER C
12323 SW 86th Ave. INSURER o-
Tigard,OR 97223 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.
INSR TYPE OF INSURANCE BAR 4wvri POLICY NUMBER IPOLICY
LMOONYYYI IMMM/OD ESP
UNITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A X COMMERCIAL GENERAL IABIUTY DAMAGE
OiFS fl im el F1,000,000
JCLAIMS+uDE (OCCUR 7110137430001 1/31/14 1/31/15 MEDEXP(MyoneWWII) $10,000
PERSONAL ADV INJURY 01,000,000
X Ded:SO GENERAL AGGREGATE $2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 12,000,000
X POLICY ilf P1 LOC 8
AUTOMOBILE LABILITY OEOeMBINE WOLF LIMIT L 1,000,000
A X ANY AUTO BODLY INJURY(Pe,lam/ $
ALL OWNED SCHEDULED 7110137430001 1/31/14 1/31/15 BODILY INJURY(Per accident) $
— AUTOS UTOS
HIRED AUTOS NON-OWNEDAUTOS IPROPERTY aidentl AGE S
5
X UMBRELLA LAE X OCCUR EACH OCCURRENCE 85,000,000
A EXCESS LIAR CLAIMS-MADE 7110197490001 1/31/14 1/31/15 AGGREGATE 55,000,000
OEO RETENTIONS , $
WORKERS COMPENSATION X WC STAN 0TH
AND EMPLOYERS'LIABILITY eFR
11 E.L.EACH ACCIDENT $1,000,000
B OFFICER/MEMBER EXCLUDED? NIA 52WBCGD0279 1/31/14 1/31/15
(Mandatory In NH) EL DISEASE-EA EMPLOYEE $1,000,000
D SORIPTION OF OPERATIONS WOW E.L DISEASE-POLICY LIMIT $1.000,000
A Technology Services E B 0 Agg:51,000,000 Ded:$10,000
Retroactive Date 01/31/2002 7110137430001 1/31/14 1/31/15 Each Claim 51,000,000
DESCRIPTION OF OPERATIONS/LOCATONS/VEHICLES(Attach ACORD 101,Additional Remark.Schedule,N more pace M required)
RE:Deign,Development,Installation of VoicePermits IVR solution for inspection scheduling.Contract Start Date:1/18/2013.Monroe County.
Florida Board of County See at Cored ors is included as additional insured where required pW C QH neral Liability
and auto liability.See attached endorsement VCG2W0709&VCA2010109. Ad
0.47EJ 6, - '
WAIVER N/A LAVER
CERTIFICATE HOLDER CANCELLATION
Monroe County,Florida Board of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN
County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS.
2798 Overseas Hwy,Suite 400
Marathon,FL 33050 AUTHORIZED REPRESENTATIVE <AD>
I
4$1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD