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Item C27BOARD OF COUNTY COMMISSIONERS County of Monroe A(I Mayor George Neugent, District 2 TheOI1da Keys 4� �� m Mayor Pro Tern David Rice, District 4 l Danny L. Kolhage, District I „ Y „; ° W Heather Carruthers, District 3 Sylvia J. Murphy, District 5 County Commission Meeting June 21, 2017 Agenda Item Number: C.27 Agenda Item Summary #3078 BULK ITEM: Yes DEPARTMENT: Project Management / Facilities TIME APPROXIMATE: STAFF CONTACT: Steven Sanders (305) 295-4338 N/A AGENDA ITEM WORDING: Approval to award bid and enter into Contract with Air Mechanical and Service Corp. for HVAC system upgrades at the Marathon Government Center for $87,200.00, paid from the one -cent infrastructure sales surtax. ITEM BACKGROUND: On May 23, 2017, a Request for Proposals bid opening was held for the HVAC system upgrades at the Marathon Government Center. Two bids were received and the lowest conforming, responsive bidder was Air Mechanical & Service Corp. with a bid price of $87,200. PREVIOUS RELEVANT BOCC ACTION: Annual Capital Improvements budget approval for Miscellaneous Public Works projects for $600,000 on September 12, 2016. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Staff recommends approval of the award of the bid and entering into the Contract. DOCUMENTATION: marathon gov contract Signed and notarized (6 7 17) Bid recap. Air Mechanical bid forms FINANCIAL IMPACT: Effective Date: 06/21/17 Expiration Date: Total Dollar Value of Contract: $87,200.00 Total Cost to County: $87,200.00 Current Year Portion: $87,200.00 Budgeted: yes Source of Funds: 304 CPI: N/A Indirect Costs: None Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: Grant: N/A County Match: N/A Insurance Required: Additional Details: Yes No If yes, amount: Will be provided 06/21/17 304-24000 - GEN GOVT CAP PROJECTS $87,200.00 CG1718 REVIEWED BY: Ann Mytnik Completed 06/06/2017 8:04 AM Cary Knight Completed 06/06/2017 2:18 PM Kevin Wilson Skipped 06/06/2017 8:04 AM Patricia Eables Completed 06/06/2017 3:00 PM Budget and Finance Completed 06/06/2017 3:11 PM Maria Slavik Completed 06/06/2017 4:04 PM Kathy Peters Completed 06/06/2017 6:57 PM Board of County Commissioners Pending 06/21/2017 9:00 AM SECTION 00500 AGREEMENT Agreement Between Owner and Contractor R7 0) � 'Avtl� � Itt "'If ""M I'm For the folio yAng Project. MARATHON GOVERNMENT CENTER HVAC 1 Project Overview 1. Remove existing 40 nominal Ton ACC-1 air cooled condensing unit. Associated piping where accessible and properly dispose of removed equipment. 2. Provide and install hvo (2) Now 20 Ton air cooled condensing units as specified with new refrigerant piping and accessories. S. Provide and Install electrical control and power for the new condensing units. New fused disconnects, Conduit, and conductors as detailed on the electrical plans. 4. Coordinate down time of equipment with Monroe County Project Manager. 5. Apply for and obtain permits. 6. Clean up space after and during Installation. :AFF1771, q; ;1 1'4 1! F ,, 77"T7 JMQ A i 1'' 41" illi 111il" 5111 �J-1 Q=;�= AGREEMENT 00500-Page I of Is of alI, the work in accordance with the Contract Documents. The Work shall include, bul, not be limited to, that shown on the Drawings and detailed in the Technical Specifications it any included in this Contract. 3. General Requirements A. Construction work times shall be limited to: 4:00 am to 540 pm Monday -Friday. The contractor will be responsible to obtain all additional necessary permits and approvals including the: City of Marathon and any other permitting or regulatory agencies as applicable. The following Special Provisions are intended to clarify the scope of work, or highlight features of the work, or modify, change, add to, or delete from the General Scope of this Proposal Package. 2. Provide, replace, and maintain any safety rails and barricades as necessM during the process of work, or during deliverlies of materials or equipment. Contractor is to review Division I General Requirements for additionol responsibilities required in order to perform this Work. AGREEMENT 00500-Page 2 of 15 -1. If in the event of conflicting, or overlapping requirements in any area of the proposal documents, technical specifications, or drawings, the Most strinaent condition shall be vroposed and constructed. Notify Project Management in any event, in order to not compromise the Owner's right to make appropriate decisions. 5. Contractor shall maintain As -Built DMAM, (Record Drawings per Section 01720). of his work progression. 8. Coordination of each days' work shall be done in advance with approva� from County. All spaces Interior and exterior shall be cleaned arril returned to non-nal each work period. ARTICLE 2 The Work of this Contract AGREEMENT 00500-Page 3of 15 indicatedThe Contractor shall execute the entire Work described in the Contract Documents, except to the extent specifically Documents h responsibility as follows: ARTICLE t Date of Commencement Substantial Completion 3.1 The date of commencement is the date to be fixed in a notice to proceed issued by the ARTICLE 4 Contract Sum AuuuuuuM�����aaY,n„�,a�u����a �a� auua �... uuuuuuuuuuAua a uuu �� ��M„e 0 AGREEMENT age 4 of 'IS y , of MM ..3 Subt the aggregate of pravlousnOwner; and AGREEMENT 00500-Page 6 of 15 2,»>t»:%« and Certificate «-rayme< 2) Continuationda:: ?)?»6icateoSbstan%Completion ..Contractors» ««» <« Debts and Claims 2\Contractor's Affidavit of Release of Liens () Final Rele w:»e « (7©w «<�z soya:tw. «:hard copies »«<<£w� ?aide? binders and one \\\m\< electronically\/\mand indexed inAdobe A bat file <2#2 < format ds »> » on » ?!« Gr»?y»? ??I»<» c< all the following b«»§.«:__®: A. Project Record Documents (As Built Documents). S. >ngand maintenance data, instructions - the <a:a® 2erwnnel. AGREEMENT 050a e 6 of1 Miscellaneous AGREEPAENTmme 7 of 15 k) Covenant of No tContractorcovenant that neitherpresently any interest, and shall not acquire any interest, which would conflict in any manner or degree with its performance under s Agreement, and tt yinterest of each is toperform receive benefits as recited (,this Agreement. CodeoEthics.Countyagrees that employees the County recognize t will be required to comply with f position,e standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or acceptance of gft; doing business with one's agency; unauthorized compensation; misuse of public ( (, pdisclosure of certain information. AGREE Am 500—P The Contractor shall not transfer custody, release, alter, destroy or ofse dispose of any public records unless or otherwise provided in this provision or as ofse provided by law. AGREEMENT 00500-Page 10 of 15 u) Oxecution in Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this Agreement by signing any such counterpart. AGREEMENT 00500-Page 11 of 15 AGREEMENT 00500-Page 12 of IS Floridaz) Florida Green Building Coalition Standards. Monroe County requires its buildings to ,,onform to Building standards. Special Conditions, K any are detailed in Section 00990 of the Project Manual for this Project. Termination orr Suspension .1 The Contracti the Owner as providedIn it f the General Conditions. AGREEMENT --page 13 of 15 (SEAL) Attest Kevin Madok, Clefk STATE OF FLO A COUNTNI OFM la - On this day o b f re me, the underslgned notary public, pamonally 3 # LARRY DALTON ----------- AGREEME MM-Page 14 of 16 GENERAL REQUIREMENTS Where f Management is Not a Constructor �1 r� r t it i t - r 'a GENERAL REQUIREMENTS 0 1 740-Page IS of 15 BUDGET AND FINANCE PURCHASING DEPARTMENT TABULATION SHEET OPEN DATE: MAY 23, 2017 AT 3:00 PM TITLE: MARATHON GOVERNMENT CENTER HVAC MONROE COUNTY, FLORIDA RESPONDENT BID BOND BID AMOUNT Air Mechanical & Service Corp. 5% $87,200.00 Master Mechanical Services, Inc. $89,120.00 Bid Committee Present: Steven 5anders Members of the Public Present: None I hereby certify that this is a true and correct copy of said bid opening and that all bidders listed above have been checked against the State of Florida Convicted A Suspended Vendor listings. All bids listed above were received by the date and time specified. Bid Opened By: Lisa Abreu, OMB Board Of County Com'missioners Rif {€ . z t t i-th on vit ; et�\��,} r t (. c , p p r ,.,� . , � lA ,m ,',� �f�vu,� 'N.#.'N.#.'N.#.'N.iTdp. PROPOSAIJ to J:t-urchasing Departmew Monroe County B O Room t 10 Simonton Streeti 7ROPOSAL FROM: Air Mechanical & Service Corp 2700 Avenue of the Americas _3Agle-_wood, FL -34224 I IUMIllal-1:11D all K'Udl IrSHUILIU115 11IM-Furily MOM 86UM1119 Me OR inereof, a CR rw himself with material availability, Federal, State, and Local laws, ordinances, rules and regulations affecting performance of the Work, does hereby propose to furnish all labor, mechanics, superintendents, tools, material, equipment, transportation services, and all incidentals necessary to perform and complete said Work and work incidental hereto, in a workman -like manner, in conformance with said Drawings, Specifications, and other Contract Documents including Addenda issued thereto. The undersigned further certifies that he has personally inspected the actual location of whera f 11 f I The Base Proposal shall be furnished below in words and numbers. If there is an inconsistency between the two, the Proposal in words shall control. Eighty-seven Thousand Two -Hundred 00/100 Dollars. (Total Base Proposal- words) (Total Base Proposal - numbers) PROPOSALFORM 00 11 O-Page 20 of 211 MARATHON GOVERNMENT CENTER HVAC No. 1 Dated May 11, 2017 No.—Dated— :0roposer, states by his check mark in the blank beside the form and by his signature that he provided the following forms (located in Section 00110): a. Proposal Form _2L_ b. Proposal Security (Bid Bond) 2L_ C. Non -Collusion Affidavit -2L— d. Lobbying and Conflict of Interest Clause _2�_ e. Drug -Free Workplace Form _2L_ f. Subcontractor Listing Form 9. Proposer's Insurance and Indemnification Statement h. Insurance Agents Statement (signed by agent) i. Local Preference Form and requirements (if applicable) In addition, Proposer states that he has included a certified copy of Contractor's License, and Monroe County Occupational License. (Check mark items above, as a reminder that they are included.) Mailing Address: Air Mechanical & Service Corp 2700 Avenue of the Americas Englewood, Florida 34224 (Name) ffifle) 2 M-1 0011 O-Page 21 of 211 CONSTRUCTION OF Marathon Governinent Center HVAC MONROE COUNTY, FLORIDA ADDENDUM NO.1 The information contained in this Addendum alters the information contained in the Bid and is hereby made a part of the Contract Docurnents. Question: Sheet M-0. I - the equipment schedule has a Note 6 on ACCU­2B for the replacement of the condenser roil. Is this correct? k1Z "41,4MI1,41IM401ASU" 2. Question: Equipment model #'s are for Dual Compressor Single reftigeration circuit condensing units. Sheet M1.2 Plan Note E calls for (2) sets of pipes from each unit- please confirm units are to have single or dual refrigeration circuits. Answer: There is to be one set of refrigerant lines from each condensing unit;Y4" Liquid and 2-1/8" suction. 3. Question: During the walk-thru it was discussed a metal pipe cover is required for the pipes along the building-1 do not see this requirement on the plans. 4. Question: If metal pipe cover is required -Is 22 Gauge Galvanneal metal an acceptable material? Answer. YES 5. Question: Do the new condensers require a BacNet communication board? Answer Yes 6. Question: Sheet MI. I - States reffigerant to be tamed over to owner —Will ow"i provide the cylinders? 11740,rinw� 511110x�, � 11111111 1 r TF V11111111 1001-1410 �W, ME, T, Drawing: 5 Revision #01 dated Item Note hn g . d, provide one SECTION 00110 NON -COLLUSION AFFIDAW 1. Blaine Byers of the chy Englewood according to law on my oath, and under penalty of perjury, depose and say that: I.., Service Sales and that ii executed the said proposal Wth full authohly to do so; 2. The prices in this proposal have been arrived at independently without collusion, consult�ticm communication or agreement for the purpose of restricting competition, as to any matter relating such prices with any other proposer or with any competitor; I a Ifilail t;itl rA Loinil VAL411 11�3041oiflpmzlgi wr-] I a I W I IN I a Cflylip WAll illillil] a a [flateVil ill ti I k "L. I$; Iti ctif-'Is [41 cgs [;As] 11019n;�K41 MI;I.-1110"UMPKIi. wllu q I q I 1 0 - J a 5. The statements contained in this affidavit are true and correct, and made with full knowledge that said project, May 23, 2017 (Signature of Proposer) B ine Byers (Date) PERSONALLY APPEARED BEFORE ME, the undersigned authority, Blaine Byers who, after first being sworn 'k_*3G__ PROPOSAL FOR. 0011 O-Page 23 of 211 MARATHON GOVERNMENT CENTER HVAC I SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA Air Mechanical & Service Corp . . ................. — - - ------------------ — -------------------- - ---------------- — - -- - ------------ 'Company) of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otheroAse recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee" ignature) Blaine Bye Datw— May 23, 2017 PROS OSAL FORM 0011 O-Page 24 of 211 MARATHON GOVERNMENT CENTER HVAC DRUG -FREE WORKPLACE FORM M.- May 23, 2017 Date PROPOSALFORM 0011 O-Page 25 of 211 MARATHON GOVERNMENT CENTER HVAC LOCAL PREFERENCE FORM A,;T,enaors claiming a iocarlyrepereW73-a-WiTIP 004-2015, must complete this form. Name of Bidder/Responder Air Mechanical & Service Date: May 23, 2017 Corp 1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least one (1) year prior to the notice of request for bids or proposals? NA (Please furnish copy.) 2. Does the vendor have a physical business addiress located within Monroe County from which the a or services being offered to Monroe County? NA (The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1) year prior to the notice of request for bid or proposal.) List Address, NA Tdephone Number: B, Does the vendorlprime contractor intend to subcontract 50% or more of the goods, services or construction to local businesses meeting the criteria above as to licensing and location? NA 1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least one (1 ) year prior to the notice or request for bid or proposal. 2. Subcontractor's physical business address within Monroe County from which the subcontractor operates: (The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1) year prior to the notice of request for bids or proposals) Mk Add�Pss ignature and Title of AujthorSignatory for Bidder/Responder STATE OF Florida COUNTY OF Charlot±-e— Tel. Number ( 941 ) 475-3715 Blaine Byers Print Name: — On this23rd day of May 20 17 , before me, the undersigned notary public, personally appeared known to me to be the person whose name is subscribed above or who produced NA —as niffication, and acknowledged tholi A�i t7teralt contained. IIjWjN= Larry Dalton LARRY DALTOK PROPOSALFORM 00 11 O-Page 26 of 211 MARATHON GOVERNMENT CENTER HVAC PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may Tr "i", I have read the above and state that neither Air Mechanical & Service Corp (Proposer's name) nor any Affiliate has been placed on the convicted vendor list within the last 36 months. tgnyature) Blaine -Yers Date: May 23, 2017 STATE OF: FLORIDA COUNTY OF: CHARLOTTE Subscribed and sworn to (or affirmed) before me on the 2 3rd dayof may 20_ 17, by Blaine Evers __jname of affiant). He/She is personally known tome orhas produced personally known (type of ident ification) as ide tification. sot TOM LAjqRy DAL June 26, 2018 My Co I My ComMISSION #FFI 15182 of -s june 26. 2018 ---------------- -- — ------------ -xpjRF NOTARY BLJC Larry Dalton r1addaNGtWYS&rV1G8-00M PROPOSALFORM 001 10-Page 27 of 211 Crane-AC/DC Crane Service Jerry Doss (305)872-8152 203 107th Street Marathon, FL 33050 ac.dc.doss@gmail.com Electric -Falcon Electric Bonnie Hall (813) 814-1816 440 Roberts Road, SuiteE Oldsmar, FL 34677 falconelectric@msn.com End of Section 00110 PROPOSALFORM 0011 O-Page 28 of 211 41111 A i0l, 11 SECTION 00120 YXISPAAWN1 Pf_T3Cl� �EDURFESff w - 111.1171 IX ��l 0W11 RO General Insurance Requirements for Construction Contractors and Subcontractors 1111111111 W=01411 1W 114d;M0W Ul pmunnut ana-:aUlta I ku), ontractor s-Fan MOM, at as specified in the attached schedules, which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Sub - Contractors engaged by the Contractor. As an alternative the Contractor may require all Subcontractors to obtain insurance consistent with the attached schedules. The Contractor will not be permitted to commence work governed by this contract (including pre -staging of personnel and material) until satisfactory evidence of the required insurance has been fin-nished to the County as specified below. Delays in the commencement of work, resulting ftoin the failure of the Contractor to provide not extend deadlines specified inthis contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Contractor's failure to provide satisfactory evidence. The Contractor shall maintain the required insurance throughout the entire term of this contract and any extensions specified in any attached schedules. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the failure of the Contractor to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended, except for the Contractor's failure to maintain the required insurance. The Contractor will be held responsible for all deductibles and self insured retentions that may be contained in the Contractor's hisurancepolicies. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, either: I INSURANCE REQUIRMENTS AND FORMS 00 1 20-Page 29 of 211 MARATHON GOVERNMENT CENTER HVAC The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. All insurance policies must ehor, are not subfect to material change, or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving the Contractor from any liability or obligation assumed under this contract Or imposed by law. The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Insured" on all policies, except for Workers'Compensation. In addition, the County will be named as an Additional Insured and Loss Payee on all policies covering County -owned pro#erty. deviations from these General Insurance Rouirements must be r t I M INSURANCE REQIRMENTS AND FORMS 00 120- Page 30 of 211 MARATHON GOVERNMENT CENTER HVAC MONRWE, COUNTY, FLOR] 'IDA INSURANCE CHECKLIST FOR P proposal. A x Workers'Compensation Statutory Limits, injury by Disease, policy limits/Bodily Injury by Disease each employee WW1 Employers Liability $ 100,0001$500,0001$ 100,000 WC2 x Employers Liability $500,0001$500,0001$500,000 WC3 Employers Liability $ 1,000,000/$ 1,000,000/$ 1,000,000 WCUSLH US Longshoremen & $1,000,000 Harbor Workers Act WCJA Federal Jones Act $1,000,000 INSURANCE REWREMENTS AND FORMS 001 20-Page 31 of 211 MARATHON GOVERNMENT CENTER HVAC GENERAL LLABMrrY As a mmum, the required general liability coverages will include: • Premises Operations 6 Products and Completed Operations • Blanket Contractual 0 Personal Injury x off GLLIQ Liquor Liability GLS Security Services All endorsements are required to have thes. elimits as the basicpolicy. f"i INSURANCE REQUIREMENTS AND FORMS 00120-Page 32 of 211 VEHICLE LIABILITY As a minimum, coverage should extend to liability for: Owned; Non -owned; and Hired Vehicles Required Limits: VLl $5 0,000 per Person: $100,000 per Occurrence $25,000 Property Damage or $100 ' 000 Combined Single t Limi (The use of VLI should be limited to special projects that involve of governmental entities or "Not for ProW organizations. Risk Management must approve the use of this form). VL2 X $200,000 per Person; $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit VL3 $5 00,000 per Person; $ 1,000,000 per Occurrence $100,000 Property Damage or $ 1,000,000 Combined Single Limit VL4 $5,000,000 Combined Single Limit MISCELLANEOUS COVERAGES BR1 Builders' Limits equal to the Risk Full Replacement Value of the completed project. CLI Cyber Liability $1,000,000 MVC Motor Track Limits equal to the maximum Cargo value of any one shipment. PROI Professional $ 300,000 per Occurrence/$ 500,00OAgg. PRO2 Liability $ 500,000 per Occurrence/$t,000,000 Agg. PR03 $1,000,000 per Occurrence/$2,000,000 Agg. POLI Pollution $ 500,000 per OccurrenceJ$1,000,000 Agg. POL2 Liability $ 1,000,000 per Occurrence/$2,000,000 Agg. POL3 $3,000,000 per Occurrence/$6,000,000Agg. POLE $ 5,000,000 per Occurrence/$I 0,000,000 Ag& EDI Employee $ 10,000 ED2 Dishonesty $100,000 NSURANCE REQUIREMENTS AND FORMS 001 20-Page 33 of 211 MARATHON GOVERNMENT CENTER HVAC GKI Garage $ 300,000 ($ 25,000 per Veh) GK2 Keepers $ 500,000 ($100,000 per Veh) GK3 $1,000,000 ($250,000 per Veh) MEDI Medical $ 300,000/$ 750,000 Agg. MED2 Professional $ 500,0001$ 1,000,000 Agg. ME13 ... . . ....... $1,000,000 3,000,000 Agg. MED4 $5,000,0001$ 10,000,000 Agg. IF Lqstallation Maximum value of Equipment Floater histalIed VLPI Hazardous $ 300,000 (Requires MCS-90) VLP2 Cargo $ 500,000 (Requires MCS-90) VLP3 Transporter $1,000,000 (Requires MCS-90) BLL Bailee Liab. Maximum Value of County Property that will be in the Baee's posession. HKLI Hangarkeeperd 300,000 HKL2 ------------- Liability $ 500,000 HKL3 s 1,000,000 HKL4 $ 5,000,000 AIRI Aircraft s 1,000,000 AIR2 Liability $ 5,000,000 AIR3 $50,000,000 AEOl Architects Errors $ 250,000 per Occurrence/$ 500,000 Agg. AE02 & Omissions $ 500,000 per Occurrence/$ 1,000,000 Agg. AE03 $ 1,000,000 per Occurrence/$3,000,000 Agg. AE04 $ 3,000,000 per Occurrence/$5,000,000 Agg. AR-P All Risk Property Full Replacement Value of Structure EOI Engineers Errors $ 250,000 per Occurrence/$ 500,000 Agg. E02 & Omissions $ 500,000 per Occurrence/$ 1,000,000 Agg. E03 $ 1,000,000 per Occurrence/$2,000,000 Agg. E04 $ 5,000,000 per Occurrence/$ 10,000,000 Agg. INSURANCE WEE WREMENTS AND FORMS 00120-Page 34 of 211 MARATHON GOVERNMENT CENTER HVAC Air mechanical & Service Corp Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers' Compensation Insurance Wth limits sufficient to respond to the applicable state statutes and the requirements of Florida Statute 440. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less ftwm: 1111111111111111111111111 ;11111111111 11 1: 111111 111�11 111111111111111,11:: ijp�1111 MFIT- M, Coverage shall be provided by a company or companies authorized to transact business in the state of Florida. If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractors Excess Insurance Program. If the Contractor participates in a self-insurance fund, a Certcate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. WSURANCE REQUREMENTS AND FORMS 00,1-Page 35 of 211 MARATHON GOVERNMENT CENTER HVAC INSURANCE GENERAL LIABILITY REQUIREMENTS ( 4 - r MARATHONFOR _ BETWEEN MONROE Air Mechanical & Service Corp Prior to the commencement of work governed by this contract, the Contractor shall obtain General Liability Insurance. Coverage shall be maintained throughout the life ot the contract and include, 41 Premises Operar ContractualProducts and Completed Operations Blanket r Personal Injury Liability r# # Iii id IS WHOTarly Me acceptalloo# r 00ye GIL lNSIURANCE REQUIREMENTS AND FORMS 1 -Page MARATHON GOVERNMENT CENTER HVAC VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR MARATHON GOVERNMENT CENTER HVAC BETWEEN MONROE COUNTY, FLORID AND D Air Mechanical & Service Corp Coverage shall be + s of - contract and include, minimum, liability cover -age for: �� • -r n1mummum The Monroe County Board of County* be named as +d+ Insured on all policies issued to satisfy the above requirements. r. INSURANCE REQUIREMENTS AND FORMS 00 1, -r 1 MARATHON GOVERNMENT CENTER HVAC 30 L6110 14:1,01 11111VIZ, UTA 1 110 OIT I 1114011��� Statutory Limits $500,000 Bodily Injury by Accident $500,000 ..• injury by Disease Policy Limits $600, 000 Bodily Injury bv Disease P9,JL0H2JQ= r% 3eneral Liability, including Premises Operations Products and Completed Operations Blanket Contractual Liability Personal Injury Liability Vehicle Liability (Owned, non -owned, and hired vehicles) $300,000 Combined Single Limit Ifsplit limits are preferred: $200,000 per Person $300,000 per Occurrence $200,000 Property Damage Public Construction bond is Not Required. Bond must be issued by an A rated surety company doing business in the State of Florida. N Ml' i�ll INSURANCE REQUIREMENTS AND FORMS __ 00120-Page 38 of 211 MARATHON GOVERNMENT CENTER HVAC gation, proceedings, costs or expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. In the event that the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf. The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for the above. ire -ZMAtWz-- -or lessened W insurance re u ments contained elsewhere within this AGREEMENT. I understand the insurance that will be mandatory if awarded the contract and will comply in full with all the requirements. I fully accept the indemnification and hold harmless as set out on page 00120-38 of this proposal. Air Mechanical & Service Corp PROPOSER Signature Blaine Byer INSURANCE REGWREMENTS AND FORMS 00120-Page 39 of 211 MARATHON GOVERNMENT CENTER HVAC 1NSU1R,A4,,,NQE,4,,,Q-ENT'S ST EIVIENT I have reviewed the above requirements wfth ft proposer named above. The fbHaM deducUbles apply to the corresponding policy. I NUM ""I", C 9 5 0 4 2 Auto - CAQ095041 Jabilt E y policies are _�_QccurrenqZ Lassiter are Inc. Insurance Agency III 1rns Made g End of Section 00120 ------------- [NSUf,-,b;kNCE REQUIREMEN11,'S AND FORMS 0 0 12 0,,P ag, e� 40 o, f 2 11 _ffonroe County BOCC r}�m p I t(€ �; Lindsay 1; Byers, President Connelly, o- President Byers,John L. Secretary/Treasurer C. & D. Air Mechanical & Service Corp has operated under the same name for 35 years & has relevant experience (per Englewood Branch see attached) # will oversee this project. #. There are 1# judgments,arbitration proceeding or pending or outstanding against Air Mechanical r Service Corp or any person, principal of the entity or entity, or its officers. c. Air Mechanical & Service Corp's principal, entity or its officers have never been . party to any s or #III s 1 1 regard to .; contractor services, goods or # similar # # r IiMechanical# Service Corp'sprincipal and 1. officers have never initiated g. # g.11 1' County or been sued by the County connection with a contract to provide services, goods or for similar 0-90M e. Air Mechanical & Service Corp"s owner, officers or affiliates have never failed to perform services or furnish goods for any project bid or xo bid. f Customer References: 1. Monroe County Schools Jeff Barrow (305) 360-1424 Jef,f.barrowLi!kie,jsschools.com 241 Trumbo Road, Key West, FL 33040 2. Monroe County BOCC Richard Velzy (305) 407-0177 Richard- ve1u@monroeqo un 10600 Aviation Blvd., Marathon, FL 33050 3. Homestead Correctional Institute Florida Dept. of Corrections Mike Rachel (941) 628-4116 501 S. Calhoun St., Tallahassee, FL 32399 4. Florida Dept. of Transportation Eric Feldmeier (954) 707-0064 Eric.feldmeier(&,do state.ffus 1. FIP (Florida Industrial Products) (813) 247-5356 1602 North 39thSt., Tampa, FL 33605 2. Johnstone Tampa (813) 875-4545 3650 West Spruce St., tamps, FL 33607 3. Carrier Enterprise (407) 532-7008 2000 Park Oaks Ave., Orlando, FL 32808 g. Financial Statement: under separate cover Mm Name of rit Contract Year Trade/Scop Owner Amount Completed Venice City lull $454,924.00 2006 HVAC C'itY Of Venice Distribution Sanibel pity ball 15,60.00 2006 �&:Distribuhen pity of °bel �.�U as NorthFort Myers School 337,650.00 2007 C o ty School o ) Air Dis ution as Fort Myers Post ice 7 6,000.0 2007 VAS CT l'c�s Se ice Chillers, Cooling Towers, s, F1 S ce and Controls Vineland lern School 14,6.00 2007 HVAC�CharlotteCounty Public School °liar Be placement North Fort Myers $199,850.00 2007 RVAC Lee County School Board 00 I, - Academy of the Arts RoofTo Unit Revlacement CD eSoto Middle School 06,795.00 E200 Delete County t led Water Pie lac 0 South Florida379,45 .00 2005 HVAC South Florida_ COMEELMt C olle e Cooling Tower lation Ica z�� Rolle e Hendry-F--o ctio 1 Institute $874,9K00 2008 GC Flori& Department of Correctic SAC; Renovation �.HVZ C and Water Heater Pinewoods Elementary School 19 ,850.00 2008 HVAC Lee County School Board_ U and Fan Coil BERIREement Trafalgar Middle School $442,875.00 2009 RVAC Lee County School Board HVAC Renovation AHU, Heat Pump Replacement d _Installationof ODA Units C;aloo a Elementary School 1 63,894.00 2009 AC" e county schoolBoard Chiller 1 e ent 'liar lace t West Transportation Center $91,704.00 2010 A County t School Board Air Handler lace ent X I e t 21 dr F�� �- Harold Av ue ecre `o Center ,45 .00 VACy Government EIA Renovation 1t lac t Venice Post C1 ce 130, 80,00 2010 U PostalService RV A, r Want; Sra11t vste lace t Air Mechanical and Service Corp NSMULEMigg Contract Year Ttade/Scope Owner Amount Completed C n Manatee Co. Civic Cen�ter�$�I IIVA�C H Manatee County �nate�, �=VAC �R2�ovation S Jac to Fie ernent �Gove�rnment Man arse Co. Public Safety Bl,: $167,438.0 -,)Oil HVC A ManCounty Govermnent arse 3rd Floor HVAC Renovation cal Ungres Mecbaniad Mamtee, Co. Adran, Bldg. $5 -5,081 .00 2011 HVAC E:Ch�ifl=ller Manate County Government HVACRenovation Coil Chhanpre Out Sardsota Manatee $47,965.00 2011 HVAC Sarasota Manatee L) Airport Authority AHU Retrofit 3 s Airport Authority Lion HVAC Renovati X Oscar Scherer State Park $53,790.00 2011 State of Florida Florida Parks District Four 4IRVAC Retrofit AHU's for 3 Buildings f Dept.of Environmental Protectii as L) HVAC Renovation E Fort Myers Beach E/S �E/S h �v:a w !HXV:A:C �R 2011 HVAC �Chfller W e n o t i o a in rhange Out > 0 Hardee Senior High $109,661.0 2011 HVAC 0 HVAC Renovafion Chiller Change Out _hille DeSoto County Courthouse $68,9WOO 2012 RVAC DeSom County BOCC HVAC Renovation Chiller Ghana pe Out 00 enaissance _fs s c R Re ' a: $311,130.0 0 2012 HVAC CD :e 0 V :HVAC:Zenov:aafion Retrofit CoolinLy Tower E =Myakk�aRti�verE/S 2012 RVA C 10 HVAC Rencvanon� Retrofit fool T rawer Homestead YMCA $500,000.00 2012 HVAC City of Homestead HVAC Renovation Replace HVAC and Seminole Electric $155,100A 2012 HVAC Seminole Electric Coopera 've Midulla Genenition Station Retrofit 11 package is < HVAC Renovation Z; Bradenton Fire Station #1 $63,852.00 2012 HVAC Bradenton, City of E HVAC Renovation Sarasota County Government $807,210.0 2013 E[VAC Sarasota County Gov Brat Administration Building Replace Cooling Tower, HVAC Renovation Pine& Roof Drain Charlotte Harbor Center $91,000.00 2013 JIVAC County Public School HVAC Renovation _7Charlotto Re JaCeAflTVeRiiflejing) -a Tropicana �2013 ITVAC �I�nst�aU �2AIHU's is le Haskell Compan I x U!F0 2 Expanson & Ductwork Name of Prolect Contract Year raelSece r Amount Completed dvisors Tropicana $208,759.00 2013 V.C.H Tropicana Diversified Packaging Retrofit RTU HVAC Renovation Fort Myers, City of $176,623.00 2013 11VAC City of Fort Myers linaginarium Science Center Chiller Replacement HVAC Renovation L) e r r'ot' " ffhulo�,IeCoun�tyPubhc School X > ,,, �Cha ff� AC �Ren ioCn ovat State Florida0) �De:�en L) Corffrec�ticns of C ,Monroe Regional Service Coriter $656,759.0 j 2013 RVAC State of Florida E HV AC Renovation Chiller R lacenrent Pnt qprvices D t. of nLnarrme- f Man a > 0 Deep Creek Elementary School $146 000 0' 2014 HVAC Charlotte County Public School a HVAC Renovation Cool 0 Wes ter Bradenton i or 159'000.110 2014 HVAC Westminster Services HVAC Renovation 00 Oak Park School $470,755.00 2014 VAC E�s �11 �stem rosota Sarasota County Public School HVAC Renovation Install Ice Tank S 'e� E Hensley Wing 41h Floor $581,067.30 2014 Manatee Comity Goverruneat Lo HVAC Renovation MHVAC at I.T. Room ovatiori Holmes Beach City Hall $113,390.0 20I4 VAC City of'Hohnes each HVAC Renovation Manatee County WWTP 125,759.5f1 2014 HVAC Manatee County Goverranem HVAC Renovation Cental. Lab Generator Disconnect & Chiller Connections Sugarloaf Key West S7755 0.0(11111 2014 HVAC Monroe County School District HVAC Renovation Retrofit 5 CU's & 3 RTU's E Sarasota County Government !a' un $163,252.00 2014 HVAC Sarasota County Govercment ()am North Jail Bathroom Replace Chilled Water Pipe HVAC Renovation Insulation Punta Gorda Center $83,215.00 2014 HVAC Charlotte County Public School Administration Building Division 23 I HVAC Renovation Boca Toll Data �Center�1277,00�1.0O Boca Toll �5 �2�1 �ReplacMo �Flda �D=�ment ol�� M o s t 7 %AC le� r System�s rarn T 0i sportT HVAC Renovation Air Mechanical and Service Corp Name f PrLpject Contract Year RA49§0M Owner Amount C late $71,600.00 2015 HVAC Florida West Coast Symphony Sarasota Orchestra FAQ Renovation R lace Clri er SyLfpm Lower KeysMedical Cent 714, 90.00 2015 C Community Health Systems, Ina lProfessional HV 1 ee C ` ler S ste Services C� Bright House NetworLm, Tampa 55 $59,342.00 2015 HVAC Community Health Systems, In( HVAC Renovation replace ) —Ton Split Systems Professional Services Corp j iii� c�rlr Municipal Auditorium $208,512.00 2015 HVAC City of Sarasota HV C Renovation Replace (2) Ait HandlerUnits tee CoSheriff's Office $101,094.69 2015 RVAC Manatee County Government as Adorn. Replace (3) Chilled Water t C Renovation Air Handler Units as L PNC Bank 205 Ida 210,266.00 2015 HVAC iPNC Bank Financial S `c:e Cc 0 West Palm Beach Replace Chiller Systems RNAC Renovation Manatee Cos tram Bldg $1,030,000.FO— 201 C® installed 3 CRAC & 3 CU, l Manatee County Govermnent 7th Floor Data Center AHU, 8 V4s, contrails, electrical, C Renovation fire su ression al ys., 00 I, - Cabling, modify sprinkler sys,, CD installed 's and additional security m- Samsota County CEP RVAC Sarasota County Government E " C Renovation Rebuild C Towers _ Manateedo Center $838,604.00 November er 015 JIVAC Florida Dept of Transportaton HVAC Renovation Replace Variable Reffigerran Project ## 1I 21 6� S4dE�S Tropicana UFO- 359,19 ,00T-----3270-15 C PepsiCo, Inc. SAC 1 encrvauon Re lace 7 R 's --[S Sarasota Memorial Hespital 100,497.1 2015 C ras sta e ri Hospital C Renovation Revlace 3 OAU RTU's Frey Vest High School $218,800.00 October 2015 HVAC Monroe County School District e"C Renovation R lace 2 's & 7 CFI's 3,600.00 October 2015 HVAC JMonroe County School District Marathon High School HVAC Renovation Replace 2 CU's Sugarloaf School $155,500.00 2016 C o rye County School District H AC ovation Re lace 3 I T J's & 5 C 1's Manatee Co Utilities 6 th Street $104,675.00 2015HVAC Manatee County Government EIVAC Renovation F lace Chiller Air Mechanical and Service Corp Packet Pg. 1042 Nifflg-2t' oie� Contract Year Owner Amount Completed FPL DeSoto County Project $497,128,00 2016 HVAC DeSoto County Government HVAC Renovation Replace 2 Chillers I and 21 S fits stems S so EOC $55,125,00 — 2016 HVAC Sarasota County Governnment FIVAC Renovation Install 2 Leibert water cooled - +em—s- 00 8 t of X as Mediterranean Plaza $60,850.0() 2016 RVAC cite 1 HVAC, Renovation retrofit'-1—fo rW E L- Sarasota D for Hospital, &c— 0 to w> 0 Agent: Lineol�nHarris CS (D r_ 0 The Gle nridge� the Gl�enridge�� -9 V C nova �HA R �e tion Maitatee Tax Collector 17,55,00 2016 HVAC Manatee County Government co Ren HVAC ovation re AHU ff CD Charlotte Harbor School/Center 1 0,1 7.00 2016 HVAC Public Schooil u) E HVAC Renovation labor only L- 0 ;JC;ha;rlo;tte;County install 2 chillers & ice tanks 'a Hardee Senior High School $68,515.00 2017 HVAC Sr Hardee County Poblic Schools HVAC Renovation S for Bid-. 400 & 900 Lee County Admn, & Old $764,000.00 2017 HVAC Lee County Cove W Courthouse retrofit chffier & coo KELtower FDLE Miami $613,465.00 in progress V. DMS Z; retrofit chiller E Eissey Theater $155,000.00 2017 HVAC Palm Beach State College chiller re lice errt. to #1862 Ft Myers $121,600.00 2017 -HVAC JC Penney Company, Inc. coolin tower renlacenient Marathon Aitport $75,000.00 in progress RVAC Monroe County BOCC chiller replacement City Hall Administration & $141,800.00 just a dedV. City of Sanibel it Mechanical and Service or Lan Energy Systems IJ WaIde-mem Medical Plaza S137455100 1 just de I RVAC Welltower Inc. I renlace CHW A I X Please Note: These are just a few of the major projects the Englewood Office has completed in the past along with numerous smaller projects plus our ongoing service contracts. as L) as as E 0 (D r- 0 00 I, - CD M U) E 0 4- 2 Air Mechanical and Service Corp ..... . .... . ... ....... . . . ... .. . ......... IA Imm w 0 p I AIR MECHAINICAIL & SERvicrz cosp. 1 i 1, Iiiiiiiir, I '-w D. Charlotte County Business Tax Recei t IP 0!-.MHM i x PRODUCER Lassiter -Ware Insurance of Jacksonville { Suite INSURER A -A INSURED Air Mechanical & Service Corp. 2700 Ave of The Americas �Englewood FL + f i CLAIMS -MADE FT OCCUR MED EXP (Any one persan) AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED X AU'rGS AUTOS HIRED AUTOS AUTOS tYIN .. •,. a OFFICEiicEMBER EXCLUDED? (Mandstary In NH) 11 describe under DES O't 111H,AddilarialSchedule, RE?PJPTI Marath= Government Center KVAC Monroe County Board of County Commissioners, its employees and officials are named ao Additional Insurel with respect to General Liability. Automobile Liability and Umbrella Liability when required.,,. Air Mechanical & Service Corp.. Certificate Notes for Policy Term 12/31/16-12/31/17(WC) and 111117 to 1/1/16 ALL COVERAGE IS SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS. OFREMARK COPY -RIGHT 2000, ANS SERVICES IKC k.,N � 41- SUBJECT POLICY .�. , �. .� � � .gym ���T A ."�:.,., IS T1,1113 ENDORSEMENT CHANGES THE FK)UCY, PLEASE READ IT CAREFULLY. Ca�.ONTRCTR'S BLANKET ADDITIONAL INSURED ENDORSEMENT - FORM . A This ndorsomerd modifim Insurance mW under the following: COMMERCIAL GENERAL, LIABILMY COVE-IRAC:IPE PAW W41,t, lifi'�� be3" Ulrl�tr.Wr S��A�+ 1,i !i t� "{a iak; ,FAX: Iif t � t�S�Q e llVi � �141 aF4, t1; 4. Other InsuranCe. Coverage provided by this endorsment is excegs over any other valid and oollerAble Insurance available to ft addifoneJ Insured whether a. Primary', b. Excess; c. Contingent: or CMSITRLACTORS (FOFth1 IS) This endomement modifies Insurance provided under the follovft: COMMFRCIAL GENERAL LIABILITY COVERAGE PAW, SCHEDULE CIS 20 10 il 65 copyright, Insumnes SeMces OfficO, Inc., 1984 CO 70 48 10 15 Includes copyrighted material of Insurance SoMt*s Offim, Inc. pages 3 of 4 The Insurance proAded by this endorsement does not apply to SnY Preen 6e3 or rk fbr which the person or organization is Sp9cifically listed 9% an addlflonW Insured on another ends aftched to tills policy. Inrjudes copywighted mater!W of Insumnoe Services OMM IM CO 70 48 10 15 Page 4 of 4 042 Air mechanical Serv,j.ce Cozp.an-d Po , fit- ENDORSE a CHANGE�" fs"".�``sx�� C',10% �"�.�,E���F+t�.� RF-ddlldf) !' CAREFULLY. LY. CONTFR Pig 1 'G LIABILIT'If EXTENSION ENDORSEMENT This wWorsernent modifies insurance Provided undef the II 1 r COMMERCIALfUTY COVERAGE FORM Under SECTION I - " AGE. A. BODI Ly INJURYP f , ,rig r EXCLUSIONS, Provisions I e through .. of thisodorm rrf amend Ire. Policy SS M Exclusion rrm Uquor Liability is deleted, WATERCRAFT f PT (HIRED, RENTEE) OR LOANED NTH PAID aAuslon 9. Aircraft, Auto or Watercraft paragraph Is deleted and replared with the fold ng' A watercraft you do not own that Is: n 61 feet long: and Not baing used to rr parsons sr property for a charge; Exclusion Aircraft, Atdo or r r % P r r a " dd d 85 f 1lrr ; n aircraft that you do rrrrf nwn that Is: Hired; Rented, or (c) Loaned to you s AM d crew for a period of 5) consmffw days r leas. does not BPPIY If fda insured has any other insurance 'bocflly InjurY or 'PrOPertY damager liability fbr such aircraft, whether such other Insurance [is Primary® excew, contngarAn any other bads. „ PREMISES AUENATED A. ExclurAon J. Danw9s to PrOPOrIg. P r Wh . is deleted, Bi 'he following pamgraph is also deleted froftr r=xcluslon „. Deere Pry yn P r raPd of &jW exclusion em n&%apply 1° the preffilsSS Bra U£r work" and wore rover occupiod, rented or mold for rental by you. B. With respect Ito emy one borrroved equipment Item, proVislon III.& above does not apply to 'PrOPeftY dame that exceods $26,000 per occurrence or $26,0DO annual aggregate. 8. PRODUCT RECALL EXPEMSE Ct reW A, EAnjuslon n� Recall Ol produaW, Work Or impaW Property does not apply ta'Produ expenses' !hat you incur for the "covered rectir of 0your produef. This excsPdOn tO ths 8x0luslon does not apply to `pmduci lWall gxpensee resurdni; from: 1. Failure of any producft to 8=mPllsh it intOrded purpose', 2. Brasch of warrantes of fitness, quardy, durabilitrformance; Loss of customer approval or ar I wst incurred to regain custorner approvat 0, Insured Contract" mearm' all A conr a Imse of premises. However, that poftn of the contract for a lease of PrOM1888 that Wernnifies any person ororgenization for damage bY fka to promises while Mnted to you or temporarity occupled byyou,wkh permWMon of Itis owner is not an 'Insured 0ontracr; lo. A sidetrack 2,788MM; c. Any easameM or 11cense,agreement, d. An obligation, as required by ordinance, to indemnity a MurildPORY, except in oonneegon vAth work for a munidpWity; Includes copyrighted maledlil of Insurance Services Offic^ Inc- CG TO 49 1-109 Page 2 or 10 Incite gs copyrighted nlatelial of Unsurance Services Office. Inc. CO 70 49 1109 mm� Howmr, no archited, engineer. or survepr Is an insured wUh reaped to - t! IIJ urV . PrWarty W or spersonal and advertising hury" arising out of ths rsndfldng Of Or ths fmilur6 to r"Wer any pro fesSIOMI WMQW bY Or f*r Y= including: 9 v A re ft (1) The preparing, approving, or falling to prepare or OPPrOw MOP , , dra ngs opinions, po awrveys, change orders, designs or speaffications; or (2) SupeMaory, inemadW orengineering services. This paragraph J. don not applY If Ibm CG 70 48, OwtracWrs Blanket Adcriflonal Insured Endorsement. is attached to 9w P0110Y. % -Y - - - - - - person or organizaton. & Any aroanizalon you newly acquirs or fbrrn, of than 0 partnership, joint venture or 11mkad fl ability company and over whIch YPLA mWrft in Gymer' or maj ly ir"rest, vAll qua* 98 a Narned Insured Mere is no other similar insurance available to that organization. Howmmr: a- Coveracie under this provision u S afforded unffl the end of the policy peiiod. b. Any express vmrranty unauthodzed by you; C. Anv ohnical or Chernical change in your producf MWO intern fiomily by the verwelor, includes copyrighted mewdal d Insurance Servicss Offica In(;- CG 70 49 1109 MMMEM 1. $10,000; or 2. The amount shown in the Dec3arations for Medical Expense Limit. C. ThLs provision I& does not apply I? COVORAGE C MEDICAL PAYMEWrS is exduded either by the proAsbris oft Coverage Form or, bi endorsement 14. DAMAGE TO PREMISES RENTED To YOU —SPECIFIC FEMLS A. The wary fire is changed to sp@r.Mc pedis- where it appears in', 1. The last paragraph of SEC110N I — COVERAGE A. peragraPh 2. ExcluslOns; Includes copyrighted material of Insuranoe ServIC98 Offic% Inc. CO 70 40 1109 Page 7 of 10 ® UMNTENTIONAL FAILURE TO DISCLOSE Paragraph 6. ReprosentatiOnsis deleted and replacedfollomAng., �nckjdos copydghtDd material of Insurance SMICOS Office., Inc, j"C;jUdeq copyrightedrnateNal of insurance m Inc. THIS ENDORsEMEW CHANGES THE POLICY. pLEASE READ ff CAREFULM EARLIER NOTICE OF fe",ANCELI A"'I'lON PROVIDED BY US 0= Narre Of ftm" Ot OrM12800n mmmmimm IL 3,45 06 W Insured.- Air Medmkwd & 9,8(Wce Corp. And Automated Building Cw*01 SYstwns, MO. Policy No.: CA200041 Policy To= 01101/2017 to 0110112018 VIM$ ENDORLSEMENT CHANGES THE POLWY. 'PLEASE JoJEAD iT kCAREFULL "*I(. FLORIDA At.' W!" GE COMMERCIAIL, BR(',)AD FORIM ENC)ORSWO 0411, ENT This endorsement lfleG Insurance proAded under the BUFWNESS AU17"I) C0.VL"RA`,3',`15 F Iffith respect to coverage promded by rhis andom, ement, fhe rAovisionf ft Cov=gs FOrm apply unlew modffied W the endorsement. 'The premiurri for WS endorsement is $- 1. EMNDED CANCgLLAMONCONDITION COMMON POUCY CONDMONS - CANCELLKnON, Palregraph A-2. is reply by ft f0owng' 2. We may annoel this policy Iby rnalling or d6livering to the first rned Insured wTitten notice of cencellaVon at leak 9. 10 days befem the effecove date of canoI itwe cancel for nonpayment Of premium; Or b. 60 days before the aftafive date of:Cancellistlon if we cancel for any other reason. 2. �BROAD FORM INSURED amended by the addiflon of thek,110WInZ SECTION I - 11ABIUW COVERAGE A.I. WHO IS AN INSURED Is d. Any organizatiml you newly acquire or fom other than a padnership,joint vanture or lkn!W labliftY ,Gom pony, and over which you maintain ovmembip or a majority interest, Will qualify �as a Named Insured. However, (1) Coverage under this provision is affbided only udl the end of 'the policy Period; dnot gpply to Aa =-IderW or'loss"that occurred belbre you acquilr6d or tbrrned M (2�) Covqrage ws organlzaWn; and (3) Cowrage does not apply to tin organizeflora that is an min"under' any other policy or viould bean 'Insured' but for Its ternnirmtk3m or the exhausting of Re PI It of insurance. Indudes iwpy�nghted material of Insurance SeMC86 Offics, InO, page I of iii Includes copyiighted majefial of Insurance ServICOS Office, In (3) Collision, only, if the Dederaflons Indicate that COMMOn Co is prowidod for any covered .auto'., Includes copyrighted material of Insurance Services Offlc% Inc. Page 3 of 6 CA71 7106 08 b. Bkwxuts, punctums or other road damage to Wre& Includes copyriglftd rnatedW of Insurance SOMCSS OfOO9, Inc. CA 717106 08 Page 4 of 6 A-UE,10,,VlStIALA?4,DLIATAEI,,,,E.CTil(,'J,,NICEQtilPMENTc-,j'lri'RAO,'E SCKEDULE Descdpbon of Covered "Auto": Deductible Limit of insurance $500 $250 A. CoverROG - --m- �ncjudea copydghted mqt&,.de1 of Insuranoe SeMcss OfficO, Ina page 5 of a CA 717105 08 Includes pighted mst8dgl Of 'nsurarloe Sorvlms Ckffice, lrw-' CA 717105 08 page, a *f 6 Air Machwlkd & Swviw COrP- & Auk mted Bu'ld* Comtrol syswms, Inc. policy NopCU2095043 0 M Et R C, I A L 1L Lk E, I L r r' U MS R, E', - L "A 01/01/2017 to ol/01/2018 cu n120807 THIS', ENDORSEMENT CH1AJN'GTjE,,,5',, ICIHM POLICY, PLEASE MONt) �IT CAREFULL LIMITS OF LIABIL11,111""Y" AMENDME1,11, "I "I )"I"HER HA&Z RDS PER PROJEC",,'T AGGREGA."rE - 0 'This endorsement modifieS insurance prwWded under,ft foflovAng: COMMERCIAL LIABILITY UMBRELLA coVERAGV FORM smsommm Air Mechanical & Service Crop and pol Ko; CU2095043 Automated Building ContrOl Service, Inc, 01/01/2017 to 01/01/2018 COMMERCIAL LIASIU" UMBRELLA CU 74 67 08 10 THIS ENDORSEMEN TCH; NGES THE POLICY. PLEE,APSE READ IT CAREFULI-Y. RY ADDITION,0141L. INCEMSVU RED - PRIMARY N0N-,,;0NTR BU COVERLP'%GE WHEN REQUIRED B"I" VNITRU'111T"EN CONTFtJOIXT, WRITTEN AGREEMENT, OR CEt:2Vr1,FIC0k7,-E OF INSURA�,NC,flue This andorsemOnt m0difiss insurance provided under the f0fl0Vw1r19: CCoMMERCIAL LiNCILITY UNE1,RELLA COVERA45-E FORNI includes ropyrigkited matedal of insurance SOrvicss Offic*, fnr- SOME= poi, No.: cU20950,43 Air Mechanical & Service crapand 01/01/2017 tO 01/01/2018 ij,u-tomated Building Control Service, Illc cCoMMERCAL LIABUTY UMBRFLLA CU 74 67 OR 10 ENDORSEMIENTCHANGES THE POLICYPU,,'',ASE Ri�-:�w rT (41PAEF1,JLLY. ADDITIONAL INSURED - PRIMAIrD NON.,,C,,'ONib RIBUTO�t��,,,,-V,'�' C(., ERAGE WHEN REQUIRED BY'V!l',fRl"T"'rE"N RIIl'TEN 1 AGREEMENT,, OR CEF? IFICATE OF INSURANCE This andoreament modifies 1"surwoe proAded under the followin,9: C,L1lVlMF:R'.C,;AL LKBIUrf UVARELI-A. CEIVI"'WhGE FORM Includes copydghted mated of linsurance Servim office, Inc.. IM83MIM pol NoR: CE72095043 Air eachxi& Service COand ol/01/2017 to 01/oi/2018 Atitomated BiAlding, ContrOl Service, Inc. COWERCLAL LWKII-Pry LIMUS051LA cul"00 010.413 COMMERCIAL LIAB1111-1 F0114 Nk, ­', 11"M Visious provisions In this piolicy mstfld CAMM911 , No -afar obfigaWn cw liability to pay sms or 1,s unless Read ft er&e. poliry camfuV to detBrnine fkO.% peribrm acts or servica covemd expri cWy prvMeil for under rft�y dulles and what Is mzd is not cwejedx Payments crmerager. A and B. ilimughout this porky the wards 'Wu-% and ",YOW to dw Named,insured shaven in to Dpdarafon% b. This insurance &PP1,185 W lbodity h1utir or mftr Ord any otW. persan or organiusdon quafflying as a W, morapaty damage' ftt is SUL00d er RA applimble ". tairk-.d 0mr—, If 81Y db@-r Umt Narmd Insumd urWer this pofiqy1'he %wrds mu.sll amour thliq StXh as a subliaA is SP00ted il 1 the and rekr to the COMPanY WMdIng Runded Mg irouraror? this imstgrance dops rud ym lwsufancac 'The word Insu red' meareq any person ar organbratkni apply i) "bodibe indurY' or "PrOWY d8rnage" afiships cmA of that axPosurn unless dat IhM is qua W"g as s=h unde.r Section 11 -- efto Is An WCfled in the Dadaraticfvi under the Iniured. Schedule of "underbring inv-nance!'. offier wouis and phrasm ftt appear In quanft, c, Thk; Qum urarce app.1jes to *bodDy AW and marier hae special RvArdng. Rg%r to Sec6an V - uproperty da-maW 0* ff- r*ffinitiorm. 1,1,'p jha "badly injury" or "prupeft c6- mega" I's !W-,CT10N I - C,0VERACIF-S d by an 110ccurren&' ftT, takes poce COVERAGE A - BOWLY INJURY AND PROPERT'y in ft mcmmirage 1crftY-, DAMAGE LMILMY (2) The rbodffinjury' 'or wpnvrey dernarl, 1. Insuring Agrawarkt: atruns during 0* pole; perkol; and & %Ne Wil , pay on, behaff, el the Insured the (3) prior to the parry paiod� no insured listed W1W Iq adlimatz net Lo5s" in excess of the wr-.tained Imirl becaus�,_ & "WDY ldurY' OT 'PW-* under Paragraph I.& of Section 11 - An 'Insured and no Pirn&Yee' authOlt4sci darnaw.w to whidi.thfis insurance aPPIIMWO WIN have the do it and duty to defend Via by yxmj to give or mccW hobts of an aoccurrence or dakn, . #1e lbodl� k1sured against any, "stff' seekwig dangs'es far ijiW 01—prnperty damage" had occurred, if a Wed Insured swh lboddy friuql oa,,,propwW damage'O wW the nunde�jyft insurantv does rtai pWde hi whdle or in psjt� such or auttmilized saimpidyes' know, pft to the caiterage or the 11mits of ffunderiylm insurance poliqy peod, thct the "bodfly hWr,%e of have Vprmn exhamoed. When we have no duty &,Wnd, ve.11 hav's the ight bD defend-, or uprop" damage occuffed, then any tmnontralom age or resumption of such to we, to parddpato In the defense dF, *W insumd "suir damaM tD lbodily arf or 1proF daruagell driOng Ae.- the will be deemed to agairmt any other seegling WWI Is Insurance -may apply. However, we or pW!cy per�iod Jjave beem kimm prior to em PONC' period. M11 have no duty to dakincl Ox- Insured agairist injurf 0 T 'PACAMtY daMqe 'kt & "Bodil - W� any "suir swking liamages 1br lbodfly injuty' ,y ovcum dudng 'dw Polk-Y period and was not. or vpvp" damageff at'vftch Ws Instn'riCe Pdor to the poliov perkni. krwwn to hQW10 does not aPPV At our dismation, vee Mai am-urred b", my hsured listed ender kwWwodgase arry mv=irrcncm;ky hwobffl p - Who is Ann of Sedan 11 - this aniurammand saitk.- any resultant clairii, ar insured or any "env1qJW" arlipmrdrw by you to %W W whiLh vve have Ihe duty to defend. mcuM� niyfica of an "baudwCe" Or But. daim, indudes any rollflnuahon, change or (I) -.The gmeurt we vAll pay for Me "LiKirrals net k-imbed In Seclon III rosumrAon c* that 40* I*W Or "PrOPeAy do and after to of Me Palklf PerkA ljose L% 1knW as d Limits Of In ace; aM (24, our dgit p-ml tilty to defend ands arlwan we have used up the applicable firrilt Of i. #w pqyw-rd of judgments or se.Wements urWerCoviarages A or, B. CU 00 010413 0 insuranmt sere es office. 1=.2012 pwa I of Is Pago, 2of 16 0 ln%,Uranrr Services Of4m. Inc,2012 CU 00 ol 04 13 I Packet Pg. 1074 1 CU Oo ol 04 13 0 JA&rance SeMcQ?s (Acp, Jjv_a012 Pago of is Packet Pg. 1075 %v ,f € jnc:,,2012 RMEMENEM Packet Pg. 1076 C27.c HE "Your 2) IwYburwaWl, or 1 I i � E d ` 4,i Packet Pg. 1077 6 of 18 COVERAGE 13 - poLSOM AND AOMRn-qNG 14JURY LIABILITY 1. houdwAUMMMd 0 Insuromm'Seter, Offff-P- Inc-.2012 MIMEME= Packet Pg. 107 In Cap office, l ay (14) Tol (a) A pemon M----'ng Out Of OW (I 9) profwsiom! Semkas Page a OF 18 0 Insurm", SeMces Me, Inc-,20112 cu ou si 04 13, I Packet Pg. 1080 1 1. 'We VdIl pay, wkh Mspeo to MY Claim WO irwesfigate at Sede, ot any 'r os against an , uI. irmured we. dedwid. *ben the dutY 16 deknd exbts: cu 00 1" 04 10 0 Insurance SorAMS Office, hIC-2012 pap, 0, 9 nf is C27.c Page 16 cof IS a insurame-qefvker, Office. ine..2012 CU00 ol1 .. ,, , ., , � � � " " Packet Pg. 1082 . You am an Insumd. InowwarKe Sbrvkes Office, Irw-,2012 pap 11 of is Page 12 of Is SECYTON FV — CONMONS Howe-var, thk insuwce w!R not replace the IVArihnng imummd' In ft evert of ffiankmptcy or ins61vom- ,Y of die "uri&-dybg insum. This insures ee vAU apply aq j tile . lury1rafying insurance were in Ul eftd. 3. Dut%s In The EWant Of 0CCUrmnr,%% Offenm CIS Lm Or Suit a- [rut urdme Ser&xs Off kz, inr.,21112 RMEMEREM 11 . ., 11 '' ''I'll I I I , -11 "1,"", .11- "I'll, "I I � 'I Packet Pg. 1084 1 (2) The MI of al dedudibla and solVinbumd amounts under al Ow offw insumm 6. Prwakwo Audit & LWW A&Von, AgakW Us By amepdng this policy. youi agmm' a The . SWftMer2S In the De We accurift and compkLm.,; S. Odw Insumms C,U 90 010413 0 Inswarmm SoMms Office, 1pc.7012 Pa©. 13 of 10 TOA iuflffiaf Nafftr UMMEMMM I 2.TransAr Of Dahansa Any 'undedying insurance" must be mainta-Ined �n full effect, wNwW, reduction of oDwerage or limits except for the reduction of the aggiegate Omit in a=r&ncv wfth ft provisions of such 'underVing lns� that resufts frarn payment of dahm, -seffbinent or judgments W which Ut inswarna appk.s. pa%v* tvi 4f, is C insurance SaMEas Office, Inc.,M12 CU 00 0104 13 SECT10N V .DEFINMOWS b. Re.gardinites. orty that part of a web zM that is about your goods, producu or servkes for ft purpimm of anmaing curstomers or suppoftm Is mnsIdered an m%dvprd.W. mem. a. It incoipprahm Wur produce cv Oyour worie that Is known or fluxigM to be defi5c,6ve. defldent Inadequate or dangeroms: or - b. You have failed to fuffdl the tenm of a conma or agreffnen;' if such property can be rnsWrad hi use by the rcpair, mpWommm, adjumnent or removal or "your prodW or 'Vour %vW', or ywr MINIng the tams of the crx*act or agmement. 9. "Insured tkmtmcV mam 0 I So-Mces, Offica. Inc,2012 Packet Pg. 1087 (3) That holds a perm-i or organizadon C =gaged in ft busimss of bmsportIng p.Watty by 'auW lbr hire harmim The your um of a "mmed auW mw a foum dr temibxy Mat pambn or orpnkAon is siftwized to sem by public authoft. BtAldozeys, Urm. macMneyy, trWft and other vehicles desigried for use pflncipally off pubhc roads, 21MEEM (1) Equipme6l dWgned pdnwfly lbr is) SrKyw mmavA; 9. 1Wnging up6n anatfieft copyright tmde dress or Wagan In your !advardsarrwifl 9 Instuance SmVices GIRce, Inca 2012 NUEEENEW . . ..................................... .. .. ­1 ..................... 11,1111, 1 ...... .. . . . . ... . 1-1111,11,11, ....... . ... .... . ........... .. .. .. .. .. .. .. .. .. .. .. ... ........................... .. 11 ............... �,, , '­ ....................... `1 Packet Pg. 1088 The exWerce of imls, uninvWled equo,ment or abwdoned or unused maiefts. Insurance 44 I— 2B.wYour workw.' k Means: (1) Wor k or operadons, Kformed by you or on ypur bahn\ and CO m4,tft-nWs. paft or equipment ftimished in cormclan wh1h such work or a*adons. 27. our prodwr.- & Means: Page Is of Is 0 Insurmce Services OfflM me; ,2012 CAJ go 0104 13 WIC' 110' COHO Mw ON AWD EMPLOYMM31 LIASUZY I SURANCE PCHUCY WC 00 03 13 (E& +84) WAIVER OF $DAIR RIGHT IM RECOWOR FROM OTHERB EMDORS EMENT We hism theright to row-ver our payments from anywie Roble for an Injury, awered by M policy. We will o0l enforce, our Oght spinet the person or orgenbmilan named In the SchaWW M. Lq vVeemad appl[ras only to the exterg that you perbroi workWer a wrfflsn =i1vact that, requims you to obtoln thb agrimmuni fRim us.) This agrooment WWI not qwists, directly or indkeedy W benefit anyone not neamd In ft SOW u6s. "Any peraw or on; . anizedort requked by welfien contract or oefflkmft of Insumnoo." wThis endorwment Is not app9cable in California. Kentuciqr, Now Hampshira, Noy ®'fie and Utah.w 'TVs wdmomeft dm nm appfy b puldes In Mbs=A vibere the ex*kW k In the amtrucWn cade Cimrftadmg, ACCOmbig IQ Geatbn 287.IM(B) of tM MoDurl Shohm, a aor*wW,W pmWobn pu*wfffig to wohe &AxgOon fthtB U agelvol pubSe palloy Md vaid whwe arm Wy to ths coftwl Is an wnpk"r In the wMiruclan QWup of Caft chmWfflwVwWw WC 00 03 13 KM Fft'M & MVAU (Ed4.84) Cupyftht '1083 Naftnal Cound cn CompowndlDn Inwarm. AM16f Ma I 4-CM, State c?f Florider Department ofState I MWY fi-cm ft rwonb of *k office 69 AIR MECHANICAL A SERVICE CORP. is a carpmwfim argudzed under dw laws of dw Stab of Fbfida, Mad an lmwm7 27, 1992. 11w dwmeW number of this ampmadm n' F601 0. I fadw ocrffy dut wdd corporadon hu paid 0 fixs due this oMm ffiamgh D==bw 31, 2017, *at ift mwt nwwt wmnal rqwWunjfwm Nubmw KTmj was filed on lanuwy 13,2017, and ffid he sh*mn' aadn. I fadha Qw* that mae. mpondon he not fdad Atticlos of DWoWojL -X& Sawdw of&,* To ofthwd"M " mdamftwm tb2 bambs *DA*Aar" ME*", mi an "aw aw kmrwaw dw*v& ON-4 U &KENTIP FFA, 8 1 D El 1 1, C I w""filtio, "N"arna " Amus�, oww", 4311 W. IDA sr. TAMPA, FL 3WU A oA % A 4311 W IDA, Spa TAMPA Fl. 33614 WaRA ummy W. 4311 W., CA STREEI 'rAhW,14 FL =14 US 7hp OWN MW OW w4uft twomm so pgpm 0,4 O'khoO, M 8, on"'Imitka, SIGNIATIRE' . 1p TNW v f0mo 9-,Ff , f-AhOR Addmm- 14TU FK)WRUSIN E)Rttkvl�- 04,06ghft,224", rva'A"pam im,. aws Tib v *xno ClriK, AM)REINH fils'hD "AlmTH 9TR al"l N SENINDLE, F"L SV/2, Nome BYERS, JCHK L 2wTENW-SWZAw" 4lY-S%k,,2Jp,' TAMPA FR BM TWO vp N-wro $PAW, KWLD T, AWdmu 2,606 W, SITKA 8TREET C*',%ltwXix TAMPA FL 3W14 OWRO, hr&4f boltwom IwAl"Nowd w NO "O'N"o"ar, "0' rtmxp, aft"m roco, e4a al%dowtv lwal, at' �-.mar as stpowtv, of st"mmig owwornmr amms ,piathm m ,rkb v Nartlo GOLD 1111(foli N, 6369 SI.XrrHVW.,K DRAT' 'nam, m =24 "rMals Flo Norm FfmlwDwYW kidn'm fOW ODWHA MW O�v4kwhzjux fyl% 11 'IF SE"k,"'HI IR WrOG, !a* v I P&WO CONNELLY, NEL Aftm 15=11 POMFFON VLI-&-k WWI, CWhIto-09A. TAMPA FL 33819 TW5 MP, (ASTMELNNO� WW aw POUMB of POILOY, I=* Ift 7homwiwshm my6womb to mcww March 24, 2017 awwmf- fusbuosons l-llc mown dll'e"�r "MIN££�IV f U{ }£UQS iRr 4'£i RW,ttllr,l{�«r �11``A�N£ IIscs9}z£S�"a'i'. °tlt,' PJCK *Twm OF mall, Sk,)(� ?F0��"�tim �yf9>�f%ti(?�,�Q� fIr lM1`�c t"���ttc �difi`4S�)k:;�.3��}}A`Myi1 Noma b� �Y 9 R 8 Rt �§. 'z Cri`�ff4'#fib RR`1P tC SutiY' ." ij aa m� COPLAYAS FMUJRW NYIAW THESEBID (PROPOSAL) BOND KNOW ALL MEN BY PRESENTS, Air Mechanical & Service Corp., 2700 Avenueof tEnglewood, (Here insert name and address or legal title of Contractor) as Principal, hereinafter called the Principal, and Westfield Insurance Company, P.O. Box 5001, Westfield Center, OH 44251 insert fulln s or legal title ofSurety) corporationduly organized under the laws of e• the _ _, and firmly bound unto AmountMonroe County Board of County Commissioners, 1100 Simonton Street, Gato Building, Room 1- 213, Key West, FL 33040 (Here insert full name and address or legal title of Owner) "Five Percent of t as Obliges, hereinafter called the Obliges, in the sum of Dollars ($), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, F - • andassigns,jointlyiseverally, firmlyby presents. GovernmentWHEREAS, the Principal has submitted a bid fbr Marathon • (Here Insert U1 name, address and description of project) n fifer Spurway PROPOSALFORM 00 11 O-Page 22 of 211 THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME POWER # AND ISSUED PRIOR TO 12/18/14, FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 0994782 00 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these ppresents make, constitute and appoint KEVIN WOJTOWICZ, JENNIFER STEPHENS, JOHN R. NEU, JOINTLY OR SEVERALLY of ST PETERSBURG and State of FL its true and lawful Attorneys) -In -Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bands, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - - - - - - - - - - - - - - - - - - ® - - . - . .. ® . . . . _ - _ _ LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE UUNIUMMET, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate the sealpof the applicable Company and dully attested by itsintment Is made under and Secretaryof the , hereby ratifyinggg and confolutio irming all that the said Attorney(d)in wit Fact may do in WESTFIELD INSURANCE aid QCOMPANY, WESTFIELD NATIONALINSURANCECOMPANY and OHIO FARMERS INSURANCE Boardof COMPANY: DIrectors each of the 'Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Operations Executive to represent and act far and on behalf of the Company subject to the following provisions: The Attorney -in -Fact may be given full power and authority for and In the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary... "Be it Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any sower of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate gearing facsimile signatures or facsimile eal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8, 2000),In Witness Whereof, COM ANY have caused ttheseFpreDsents ANCE to be sig red bythe r NationalSLD uretyNATIONAL COMPANYINSURANCE Suurety Lader and Senior ExeINSURANCE tive and O of porn eAseas to be hereto affixed this 18th day of DECEMBER A,D., 2014 . Corporate \�*� ,- NONAC �N,°rr N. ` e01Pry°f, WESTFIELD INSURANCE COMPANY Affixed v®''° nw ~ `���°'t "� SSG': WESTFIELD NATIONAL INSURANCE COMPANY g ®moo'°° OHIO FARMERS INSURANCE COMPANY SEAL State of Ohio °'° * h`°° ByDennis P. Baus, National Surety Leader and County of Medina ss.: Senior Executive p yy, On this 18th day of DECEMBER A.D., 2014 , before me personally came Dennis P. Baus to me known, who, being by me duly sworn, did COMPANY, WESTFIELD NATIONAL INSURANCECOMPANY ahio; that he is National Surety and OHIO FARMERS INSURANCE OMPANY,Executive he companies described inand which ffiINSURANCE executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said Instrument are such corporate seals; that they were so axed by order of the Boards of Directors of said Companies; and that he signed his name thereto by lies order. Notarial Seal `q Affixed ,gyp • ••• S 28 �1'Il%9 t State of Ohio ° County of Medina ss.; A ,f AUV14tX David A. Kotnik, Attorney at Law, Notary Public My Commission Does Not Expire (Sec, 147.03 Ohio Revised Code) I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full Force and effect; and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect, In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this day of w " ,w•1-7 99YR.t °tONA( j PO ER 14) °g°a,eo,*j,nre°y0`m`t9 f Sa ¢ry Frank A. Carrino, Secretary $'Ml W �- '0 q V Sorying fha cz �OwirUCIAM Irdirstry sinc;,q 1964 FULMR, In!"Muts Of COM Pubho Aarwouinpwnfs 30, 3 § T"', 411,10, 1 � �«�©�m��\�.:.��\ ....�. $ � ¥ i,r3e,� e 3:JJ %:±2«:� « J.2a � 7r� y .:.. � Try J »:«J � s.� 3 � � 9>� > Packet Pg. 1105 d �')t �' f � f t� i � 11 i' .. � Yir - if^ �