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GMP 04/19/2018 AgreementJ 4 GOURTB \l` Kevin Madok CPA (lw Clerk of the Circuit Court & Comptroller — Monroe County, Florida �Il R OE C01N� DATE: May 18, 2018 TO: Ann Mytnik, Sr. Contracts Administrator Project Management Tammy Sweeting Executive Assistant FROM: Sally M. Abrams, D.C. SUBJECT: April 19 BOCC Meeting Approved Agenda Item Attached is an electronic copy of the executed agenda item listed below for your handling. C11 Board granted approval to utilize and implement the Guaranteed Maximum Price from Biltmore Construction Co., Inc., Construction Manager at Risk proposal for the construction of the Plantation Key Government Center and Roth Building Wastewater Treatment Plant Replacement and Abandonment Project. This project is funded by infrastructure sales surtax in the amount of $783,765.00. Please contact me at extension 3550 with any questions. cc: County Attorney Finance File KEY WEST 500 Whitehead Street Key West, Florida 33040 305 - 294 -4641 MARATHON 3117 Overseas Highway Marathon, Florida 33050 305 - 289 -6027 PLANTATION KEY 88820 Overseas Highway Plantation Key, Florida 33070 305 - 852 -7145 PK/ROTH BUILDINC 50 High Point Road Plantation Key, Florida 305 - 852 -7145 Monroe County Plantation Key Government Center Plantation Key Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center & Detention Facility Guaranteed Maximum Price Proposal March 16, 2018 CIRIGINAL DOCUMENT QILTMORE COiNSTRUCTION CO., INC. BILTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 TABLE OF CONTENTS •3 Article 1— Guaranteed Maximum Price (GMP) Proposal ❖ Project Summary Exhibit A - Enumeration of Contract Documents ❖ Exhibit B - Allowance Items ❖ Exhibit C -Assumptions and Clarifications ❖ Exhibit D- Construction Schedule Page 1 C?I fliAL DOCUMENT GILT "f ORE CONSTRUCTION CO., INC. BIELTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 ARTICLE 1 - Guaranteed Maximum Price (GMP) Proposal Biltmore Construction Co., Inc. proposes to complete the work, as described herein, for the Guaranteed Maximum Price of: SEVEN HUNDRED EIGHTY -THREE THOUSAND SEMEN HUNDRED SIXTY -FIVE DOLLARS ($783,765.00). This Price is for the performance of the Work as described herein and in accordance with the Contract Documents. By acceptance of the GMP and issuance of a Purchase Order and /or Notice to Proceed, Monroe County hereby incorporates the GMP into the Agreement between Owner and Construction Manager. Page 2 C; 1vIy:l�L DOCUMENT BILTMORE CONSTRUCTION CO., INC. BIELTMOIRE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 PROJECT SUMMARY The Project includes the demolition and removal of the existing wastewater treatment plant for the Plantation Key Judicial Center and Detention Facility including all electrical service to the plant. In its place a new lift station will be installed for the Plantation Key Judicial Center and Detention prior to the removal of the existing treatment plant. The second part of the work included in this GMP is the demolition and removal of the existing wastewater treatment plant that services the Plantation Key Judicial Roth Building including all electrical service to the plant. In its place a new lift station will be installed for the Plantation Key Roth Building prior to the removal of the existing treatment plant. Page 3 Cs ik. aW I DOCUMENT P TMOH CONSTRUCTION CO., INC, BILTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 EXHIBIT A — Enumeration of Contract Documents Contract Documents include: the Drawings, Specifications, Addenda (Construction Documents), the Agreement, General Conditions, Supplementary Conditions as expressly noted herein, and this Exhibit A, as well as the Guaranteed Maximum Price (GMP) Proposal in its entirety. This GMP Proposal is expressly recognized as a Contract Document inasmuch as it forms the basis upon which the Guaranteed Maximum Price is based. As such, in the event there is any disagreement, conflict, or ambiguity between the GMP Proposal and any other Contract Document, the GMP Proposal shall govern. The Owner's issuance of any Notice to Proceed, Purchase Order, or any other written directive or instructions to proceed with the Work, after this signed GMP Proposal has been delivered by Biltmore to the Owner, shall constitute an express acceptance of the foregoing Enumeration of Contract Documents and the enforceability thereof. See Attached Exhibit "A" Enumeration of Documents Page 4 �: ^;G;i1.1AL DOCUtiiL��T 1TS'A/� ^r P'/^ i �1.Sj RUCTiON CO., INC. Enumeration of Documents Exhibit "A" Biltmore Construction Co., Inc. Date: 3/712018 1 -0991 PK Courthouse WWTP Number Title Date Rev. Received Date Status Comments Civil GCC -00 Cover Sheet 1/10/2018 N/A Kimley Horn GCC -01 Abandonment Site Plan 1/10/2018 NIA Kimley Hom GCC -02 Abandonment Site Plan 1/10/2018 NIA Kimley Horn GCC -03 Site Photos 2 1/10/2018 N/A Kimley Horn GCC -04 Site Photos 2 1/10/2018 N/A Kimley Horn GCC -05 Original Construction Plan Sheets 1/10/2018 N/A Kimley Horn GCC -06 Original Construction Plan Sheets 1110/2019 N/A Kimley Horn GCC -07 Original Construction Plan Sheets 1/10/2018 N/A Kimley Horn GCC -08 Original Construction Plan Sheets 1/1012018 NIA Kimley Horn GCC -09 Utility Site Plan 1/10/2018 N/A Kimley Horn GCC -10 Pump Station Site Plan 1/10/2018 NIA Kimley Horn GCC -11 Sewer Details 1/10/2018 N/A Kimley Horn GCC -12 Pump Station Details & Notes 1/10/2018 N/A Kimley Horn RBC -00 Cover Sheet 1/10/2018 N/A Kimley Horn RBC -01 Abandonment Site Plan 1/10/2018 N/A Kimley Horn RBC -02 Abandonment Site Photos 1 1/10/2018 N/A Kimley Horn RBC -03 Abandonment Site Photos 2 1/10/2018 N/A Kimley Horn RBC -04 Abandonment Site Photos 3 1110/2018 N/A Kimley Horn RBC -05 Pump Station Site Plan 1110/2018 N/A Kimley Horn RBC -06 Sewer Details 1/10/2018 NIA Kimley Horn RBC -07 Pump Station Details and Notes 1/10/2018 N/A Kimley Horn Electrical GCE -0.1 Electrical Notes, Symbols, Luminaire 1/10/2018 N/A Kimley Horn List GCE -1.1 Electrical Plan 1/10/2018 N/A Kimley Horn GCE -2.1 Pump Station Details 1/10/2018 N/A Kimley Horn GCE -2.2 Control Panel Details 1/10/2018 NIA Kimley Horn GCE -3.1 Electrical Details 1/10/2018 N/A Kimley Horn RBE -0.1 Electrical Notes, Symbols, Luminaire 1/10/2018 N/A Kimley Horn List RBE -1.1 Electrical Plan 1/10/2018 N/A Kimley Horn RBE -2.1 Pump Station Details 111012018 NIA Kimley Horn RBE -2.2 Control Panel and Electrical Details 1/10/2018 NIA Kimley Horn Biltmore Construction Co., Inc / Original Document BIELTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 EXHIBIT B— Allowance Items The Allowances noted below represent reasonably anticipated values included in this GMP Proposal to cover the cost of certain items absent or not specified in sufficient detail in the Construction Documents as listed in the ENUMERATION OF CONTRACT DOCUMENTS Section of this GMP Proposal or for which uncertainty remains. The amount of the Allowance stipulated herein is inclusive of all labor, materials, equipment taxes, delivery, insurances, bond and fees necessary to perform the anticipated work, unless otherwise noted. Allowances for work as represented in this GMP Proposal govern over the actual items contained in the Contract Documents. Variations between the Allowance values and the actual cost of these prescribed items may be reflected in add or deduct Change Order(s) to this GMP Proposal. The ASSUMPTIONS AND CLARIFICATIONS section of this GMP Proposal may provide a more detailed description of these Allowances, DESCRIPTION OF ALLOWANCES FOR JUDICIAL BUILDING AND DETENTION CENTER WASTE WATER TREATMENT PLANT ALLOWANCE AMOUNT General Works Allowance $2,500.00 Permit Allowance $1,000.00 Builders Risk Insurance Allowance $3,866.00 DESCRIPTION OF ALLOWANCES FOR ROTH BUILDING WASTE WATER TREATMENT PLANT ALLOWANCE AMOUNT General Works Allowance $2,500.00 Permit Allowance $1,000.00 Builders Risk Insurance Allowance $3,972.00 Page 5 •-• 1 fir; .: i�,� A "11;r''� u)LTIMIORE CONSTRUCTION CO., INC. BIELTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 EXHIBIT C— Assumptions and Clarifications The Contract Documents are amended by Biltmore Construction Co., Inc. as follows: 1. The following are not included in the GMP Proposal: A. Survey of Asbestos Containing Material or any other hazardous or unsuitable material, unless specifically noted as an item included in the Scope of Work. B. Impact Fees /Inspection Fees. C. Performance Specifications. 2. Warranties and Guarantees: A. Biltmore Construction Co., Inc. Warranties and Guarantees Biltmore Construction Co., Inc. warrants to the Owner that the materials and workmanship furnished under this Contract will be of good quality and new unless otherwise required or permitted by the Construction /Contract Documents, that the Work will be free from defects not inherent in the quality required or permitted, and that the Work will conform with the requirements of the Construction /Contract Documents. Work not conforming to these requirements may be considered defective. Biltmore Construction Co., Inc.'s warranty excludes remedy for damage or defect caused by insufficient maintenance, improper operation, or normal wear and tear under normal usage. The term and duration of this express warranty is one (1) year from the Date of Substantial Completion. The provisions herein shall not prevent the Owner from proceeding directly against the manufacturer and /or installer for such longer period of time as allowed by State Statute. B. Installer/ Subcontractor Warranties and Guarantees The Subcontractor shall warrant to the Owner and to Biltmore Construction Co., Inc. that all workmanship and materials are free from defects in installation. The express warranty /guarantee shall be consistent with the durations stipulated in the Construction /Contract Documents. The period customarily being one 1 year from the Date of Substantial Completion established in the Construction /Contract Documents. Page 6 CR.I.GN :L DOCUMENT DILTMORE CONSTRUCTION CO., INC. BIELTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 Notwithstanding anything to the contrary, neither Biltmore Construction Co., Inc., nor its Surety, nor the Subcontractor shall have any joint /several liability relating to, nor shall they be obligated to underwrite, or in any way become guarantor(s) of any manufacturer's warranty /guaranty or product to the Owner. The Owner shall be provided with the "standard" manufacturer's warranty, and it shall satisfy the requirements under the Construction /Contract Documents relating thereto. C, Manufacturer's Express Warranties / Guarantees Biltmore Construction Co., Inc. shall collect and transmit to the Owner any and all standard manufacturer's warranties and standard manufacturer's guarantees specified in the Construction /Contract Documents. The obligation and liability of Biltmore Construction Co., Inc. and /or its Surety is limited to the collection and proper transmittal of these warranties and guarantees to the Owner. D. Extended Warranties This proposal is qualified to include only those extended warranties available as standard from the manufacturers. The Contractor, installers, and applicators will not provide extended warranties or guarantees. 3. Special conditions relating to Owner purchased / Contractor installed items and associated tax exemptions: Notwithstanding any provision to the contrary, should the Owner elect to purchase items directly and avoid any sales taxes or other taxes, the Owner will defend, indemnify, and hold harmless Biltmore Construction Co., Inc. absolutely from and against any claim, audit, investigation, cost, or assertion of any kind made by, or on behalf of, the Florida Department of Revenue or other such agency that may arise during and / or subsequent to the completion of the project. Under no circumstances shall Biltmore Construction Co., Inc. or its subcontractors be liable for the sales taxes associated with the Owner purchased items. 4. Builder's Risk Insurance: Biltmore Construction shall purchase and maintain, until the date of Substantial Completion of this project, a standard Special Form (all "Risks of Physical Loss ") Completed Value Builder's Risk insurance policy in the amount of the initial contract sum (GMP), including any subsequent modifications thereto, insuring the interests of the Owner, Biltmore Construction Co., Inc., and Subcontractors in the Work under this contract. A separate flood policy will be included as part of this insurance. - Page 7 Ot?ICIr,l L DOCIJi iETIT )RE Cp "v51' �(!rTICi`1 CO. INC. BIELTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 All premiums and deductible costs related to this property insurance shall be seen as cost of the work and paid by the Owner. A. The following items are the responsibility of the Owner and are not included in this GMP: Property insurance premiums and /or deductible costs. 1. Property insurance coverage on existing buildings and /or contents. 2. Property insurance coverage on the Work under this Contract after the date of Substantial Completion. 5. Basis of this GMP Proposal relative to 100% Permitted Drawing Document Review Comments and other potential design change' subsequent to the submittal of this proposal: This proposal is provided based on the 100% Permitted documents. If the Scope of Work changes or permit review requires additional changes to the work the GMP Proposal and its associated costs are subject to change. 6. Time and Price - Impacted Materials & Equipment (Escalation /Availability of Materials): As of the date of this Contract Agreement and /or during the performance of the Work, certain markets providing materials and equipment necessary to complete the Project may experience significant industry -wide fluctuation in cost, delivery, and availability. As a result, should there be any fluctuations that materially affect the cost, delivery, and /or availability of such items, regardless if same should occur before the acceptance of the GMP Proposal, or subsequent to the acceptance, the Owner agrees to make an equitable adjustment in the Contract Time and /or Guaranteed Maximum Price as applicable. Notwithstanding any other provision to the contrary, the Contractor shall not be liable to the Owner for any expenses, losses or damages arising from a delay in delivery of a potentially time and price impacted material /equipment item not the fault of the Contractor. 7. Subcontractor Payments: Notwithstanding anything to the contrary, the Owner specifically acknowledges and agrees that the Construction Manager (Contractor) operates on a pay - when -paid basis with its subcontractors, and nothing contained herein or elsewhere shall be interpreted to require the Construction Manager and /or its Surety to remit any payment (including final payment) to subcontractors prior to the receipt of payment (including final) from the Owner. 8. No cost is included for any Florida Keys Electric Co -Op work related to primary power. 9. This GMP is not a line item GMP and the costs should not be considered as such. Page 8 DOCUMENT MLTMOIE CONSTRUCTION CO., INC. BIELTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 10. This GMP Proposal is based on both waste water plants being decommissioned at the same time. 11. GMP Proposal includes rerouting of the 6" sewer line to avoid interference with the existing electrical services for the existing Judicial Center and Detention Facility WWTP. 12. All work is to be done during normal work hours. No overnight work is included in this GMP. 13. All finishes are included as specified on the drawings and specifications. All colors are to be selected from normal range of colors unless specified. 14. Utility consumption costs, other than temporary utilities for construction, are excluded. 15. Any unused allowances, general works cost, phase fee, contingency and general conditions will revert to the Owner at the completion of the project. 16. This GMP does not included any cost for testing or removal /replacement of any contaminated or unsuitable soil. 17, This GMP does not include any costs for testing of the existing piping, structures or sanitary system. 18. The Construction Manager (CM) Contingency is to be used by the CM for work included in the original contract. 19. The billable rates for the CM personnel listed in the General Requirements are based on the rates listed on Page 12 of this GMP Proposal. 20. The sod included in this proposal is Bahia. 21. No retainage will be held on Bonds and Insurances. 22. Costs are included for materials testing to include soil densities. 23. The issuance of Performance and Payment Bonds will be provided after the approval of the GMP and issuance of the Notice to Proceed by the Owner. 24. In the case where a vendor requires advance payment for materials, Monroe County Government will allow the CM to bill in advance and make advance payment to the CM for those materials. This provision would typically apply to items usually purchased directly by the Owner. Page 9 O► 2CiNAL DOCUMENT GILTMORE CONSTRUCTION CO., INC. BILTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 25. Costs for a jobsite office trailer are not included 26. Temporary electrical, water and sewer utility consumption costs are not included. All utility consumption cost will be paid directly by the Owner. 27. An Allowance of $1,000.00 is included for each project for the permit /administration cost for the Villages permitting authority. 28. No cost is included for the Department of Environmental Protection permits as those have already been paid for and received by Monroe County Government. Please see the "Guaranteed Maximum Price Breakdown" which follows. Page 10 C, o UNAL DOCTIE NT BILTMORE CONSTRUCTION CO., INC. BILTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 - 001 GUARANTEED MAXIMUM PRICE BREAKDOWN JUDCIAL CENTER AND DETENTION FACILITY WWTP Bid/ Trade Itemized Description of the Work _ Base GMP Amount lA General Works Allowance $2,500.00 22A WWTP Demo/New Utility Work $147,344.00 26A Electrical $26,180,00 32B I Fencing $2,950.00 Subcontractor Direct Cost (SDC) $178,974.00 _ Liability Insurance $3,866.00 Performance and Payment Bond $3,866.00 Permit Allowance $1,000.00 Builders Risk Insurance Including Deductible Expenses enses Allowance $3,866.00 General Conditions/Requirements $13,575.00 Construction Phase Fee $120,999.00 Construction Cost Budget (CCB) $326,146.00 Overhead and Profit 10% of (GMP) $38,656.00 Preconstruction Fee 1% of (GMP) $3,866.00 Total Construction Budget (TCB $368,668.00 Construction Manager Contingency (10 %) $17,897.00 Total Guaranteed Maximum Price (G MP ) $386,565.00 Page 11 it f j1R , .,i:.1 tVl�...' K is `�� ✓Ir�li \!_; (ti, �l�J71 CC). ti'i�. BILTMORE CONSTRUCTION CO., INC, Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 GUARANTEED MAXIMUM PRICE BREAKDOWN ROTH BUILDING WWTP Bid/Trade Itemized Description of the Work Base GMP Amount IA _ General Works Allowance _ $2,500.00 22A WWTP Demo/New Utilitv Work $139,554.00 _ 26A Electrical Landscaping $38,185,00 32A $4,100.00 32B Fencintr $2,950.00 Subcontractor Direct Cost (SDC) $187,289.00 Liability Insurance $3,972.00 Performance and Payment Bond Permit Allowance $3,972.00 $1,000.00 Builders Risk Insurance Including Deductible Expenses Allowance $3,972.00 General Conditions/ $13,575.00 Construction Phase Fee $120,999.00 Construction Cost Budget (CCB) $334,779.00 Overhead and Profit 10% of (GMP) $39,720.00 Preconstruction Fee 1% of (GMP) $3,972.00 Total Construction Budget CB $378,471.00 Construction Manager Contingency (10% ) $18,729.00 Total Guarantee Maximum Price GMP $397,200.00 GMP TOTALS Total GMP Judicial Center and Detention Facility WWTP $386,565.00 Total GMP Roth Building WWTP $397,200.00 Total Guaranteed Maximum Price Both Proiects (GMP) $783,765.00 Page 12 ORIGIML DOCUMENT BILiMORE CONSTRUCTION CO., WC. BIELTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 GENERAL REQUIREMENTS BREAKDOWN: DESCRIPTION UNIT COST PER MONTH TOTAL Cell Phones 5 months x $900.00 per month $4,500.00 IT Costs 1 Lump Sum $500.00 Office Supplies 5 months x $100.00 $500.00 Postage & Delivery 5 months x $120.00 per month $600.00 Temporary Labor 108 Man Hours x $43.00 per hour $4,644.00 Rubbish Removal 2 Pulls x $700.00 $1,400.00 First Aid Supplies 5 months x $60.00 $300.00 Fire Extinguisher 1 Lump Sum $200.00 Perimeter Fencing & Screening /Gate 1 Lump Sum $3,300.00 Security Signage 1 Lump Sum $240.00 Project Sign 1 Lump Sum $1,500.00 Temporary Water 5 months x 75.00 per month $375.00 Temporary Sanitation 5 months x $280.00 per month $1,400.00 Small Tools 5 months x $100.00 per month $500.00 As Built Drawings 1 Lump Sum $250.00 Extra Plans and Specs 1 Lum Sum $250.00 Quality Control Testing 1 Lump Su $6,691.00 Total $27,150.00 Page 13 81LTMO {E CONSTRUCTION CO., INC. BIELTMORE CONSTRUCTION CO.. INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 CONSTRUCTION PHASE FEE BREAKDOWN: DESCRIPTION UNIT COST PER MONTH TOTAL Project Coordinator 160 MH x $115.00 per hour $18,400.00 Sr. Project Manager 433 MH x $99.00 per hour $42,867.00 Project Engineer 502 MH x $46.00 per hour $23,094.00 General Superintendent 160 MH x $92.00 per hour $14,720.00 Superintendent 866 MH x $80.00 per hour $69,280.00 Job Clerical 501 MH X $42.00 per hour $21,042.00 Safety Director 1 Lump Sum $3,500.00 Accounting Manager 100 MH X $75.00 per hour $7,500.00 Accounting Clerical 200 MH X $46.00 per hour $9,200.00 Housing 5 Months x $1,400.00 per month $7,000.00 Per Diem 5 Months x $1,300.00 per month $6,500.00 Travel 10 trips x $1,400.00 per trip $14,000.00 Vehicle Rental 5 trips x $979.00 per trip $4,895.00 Total $241,998.00 GRZIGli�I L DOCUMENT SILTMORL CON, ,RUCTION CO., INC. Page 14 BILTMORE CONSTRUCTION CO., INC. Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 EXHIBIT D — Construction Schedule 1NAL DOCUMENT tiSTRUCTION CO., INC 8{tTMORE CON Page 15 Monroe County Courthouse and Detention Facility Decommissioning and Demo of (2) Waste Water Plants ID Task Name Duration Start Finish uarter 1st uarter 2nd Quarter 3rd quarter No v Feb r A r h6ay Jun J 1 I Au I Se 1 Preconstruction For Waste Water Plants 2 Bidding 30 days Mon 1/15/18 Fri 2/23/18 /23 3 Bid Date 0 days jFri 2/23/18 Fri 2/23/18 4 Review & Tabulate Bids 10 days IMon 2/26/18 Fri 3/9/18 5 Prepare GMP 10 days Mon 3/12/18 Fri 3/23/18 6 GMP Review 6 days JIVIon 3/26/18 Mon 4/2/18 r' 7 GMP Approval 13 days jTue 4/3/18 Thu 4/19/18 8 Drawings 12 days Mon 2/26/18 Tue 3/13/18 9 'Permits 20 days jWed 3/14/18 Tue 4/10/18 O _. 10 Issue Notice to Proceed 5 days Fri 4/20/18 Thu 4/26/18 4 27 T: 11 Demo & Decommission MCCH Complex C ;- 0 12 Issue Contracts 20 days IFri 4/27/18 Thu 5/24/18 i - {�- 13 Submittals 20 days Fri 5/11/18 Thu 6/7/18 O C— 14 Mobilize 10 days jFri 5/25/18 Thu 6/7/18 iK o rt, 15 Install New Lift Station's 10 days IlFri 6/8/18 Thu 6/21/18 a I ■ =� 16 New Sewer Connections 8 days Tue 6/12/18 'Thu 6/21/181 17 New Lateral Lines to Street 5 days Fri 6/22/18 Thu 6/28/18 18 Electrical and Controls 8 days Fri 6/22/18 Tue 7/3/18 19 Tie Existing Lines In To New Lift stations 5 days jWed 7/4/18 Tue 7/10/18 20 Decommission Old Tanks & System 5 days lWed 7/11/18 Tue 7/17/18 21 Pump Tanks Out 5 days jWed 7/18/18 Tue 7/24/18 22 Demo Old Tanks & Systems 10 days lWed 7/25/18 Tue 8/7/18 23 IFill and Restore Site's 5 days Wed 8/8/18 ITue 8/14/18 24 Demo & Decommission Ro 25 Install New Lift Station's 10 days IFri 6/22/18 IThu 7/5/18 i ir 26 New Sewer Connections 8 days Fri 7/6/18 Tue 7/17/18 27 New Lateral Lines to Street 5 days lWed 7/18/18 ITue 7/24/18 4th Wed 3/14/18 Page 1 Biltmore Construction Co., Inc. Monroe County Courthouse and Detention Facility Decommissioning and Demo of (2) Waste Water Plants ID Task Name Duration Start Finish uarter 1st uarter 2nd Quarter 3rd uarter 4th uart Nov Dec an Feb Mar A Ma y n Jul Aug 5 N v 28 Electrical and Controls 18 days Wed 7/25/18 JFri 8/3/18 T Ir ir i,, T., 29 Tie Existing Lines In To New Lift stations 15 days Mon 8/6/18 JFri 8/10/18 30 Decommission Old Tanks & System 15 days Mon 8/13/18 IFri 8/17/18 31 Pump Tanks Out 5 days Mon 8/20/18 lFri 8/24/18 32 Demo Old Tanks & Systems 10 days Mon 8/27/18 'Fri 9/7/18 33 Fill and Restore Site's 5 days IMon 9/10/18 !Fri 9/14/18 j 9/19 34 Sod at Roth Complex ;3 days Mon 9/17/18 'Wed 9/19/18 35 Project Completion 10 days lWed 9/19/18 !Wed 9/19/18 36 37 38 145 Calendar Days = M �l Wed 3/14/18 Page 2 Biltmore Construction Co., Inc. t B ILTMORE CONSTRUCTION CO., INC. PROPOSAL TERM Plantation Key Government Center & Roth Building WWTP Replacement & Abandonment Plantation Key Judicial Center and Detention Facility Guaranteed Maximum Price (GMP) Proposal 991 -001 This GMP Proposal must be accepted in writing by the Owner on or before May 31, 2018. After said date, this GMP Proposal shall be null and void, absent the express written acceptance by Biltmore Construction Co., Inc. Biltmore ns tion Co., c. (CGC040464) By: nature Name: Print Name Title: Vice President Monroe County By: Signature Name: bowL P'c cc' MONROE COUNTY ATTORNEY'S OFFICE q VEQ AS FO. RAQ Print Name P ��U-- d11 -�-�1� PATRICIA FABLES ASSISTANT COUNTY ATT ORNEY Title: a +r 0 4. I' f2 DATE: W (SEAL) CD ATTEST: / KEVIN MADOK, CLERK Uj � 2 BY ti.I DEPUTY CL oo � 04'1 - I.I q U tYp Page 17 LLJ --' Co L Docp 2167179 05/02/2018 12:57PM Filed & Recorded in Official Records of MONROE COUNTY KEVIN MADOK 1 W.AlA Document A312 TM 2010 Performance Bond CONTRACTOR: (Name, legal status and address) Biltmore Construction Co., Inc. SURETY. (Name, legal status and principal pluce of business) Federal Insurance Company 202B Hall's Mill Road Whitehouse Station, NJ 08889 BCC Job #991 Bond No. 82466774 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. 1055 Ponce de Leon Blvd. Belleair, FL 33756 OWNER: (!'ante, legal status and address) Monroe County Board of Commissioners BOND Datc:April 27, 2018 (Not earlier than Construction Contract Date) Doc# 2167179 Bk# 2904 Pg# 1292 Amount: Seven Hundred Eighty -three Thousand Seven Hundred Sixty -five And No /100THS ($783,765.00) Modifications to this Bond: None IR See Section 16 CONTRACTOR AS SURETY Company: (Corporate S !) Company: (Corporate Seal) Binmore str tion Co., Ina Federal ce o pany,- � Signature: N ame wrt Name n Tauer, Atfoi Vice President and Title: and e: (Any additional signatures appear on the last page of this Performance Bond.) (FOR 1NPORMATION ONLY— Name, address and telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE: Cobb Strecker Dunphy & Zimmermann, (Architect, Engineer or other party.) 225 South Sixth Street, Suite 1900 Minnea 55402 612 -349 -2400 Init. Document A312T" — 2010. The American institute at Architects. aiim Any singular reference to Contractor, Surety, Owner or 500 Whitehead Street other party shall be considered Key West, FL 33040 CONSTRUCTION CONTRACT plural where applicable. Date: March 16 2018 AIA Document A312 -2010 combines two separate bonds, a Amount: Seven Hundred Eighty-three Thousand Seven Hundred Sixty -five And Performance Bond and a No /100THS ($783,765.00) Payment Bond, Into one form. Description: This is not a single combined (Nante and location) Plantation Key Government Center & Roth Building Waste Performance and Payment Bond. Water Treatment Plant Replacement & Abandonment, 88820 Overseas Hwy., Tavernier, FL 33070 1055 Ponce de Leon Blvd. Belleair, FL 33756 OWNER: (!'ante, legal status and address) Monroe County Board of Commissioners BOND Datc:April 27, 2018 (Not earlier than Construction Contract Date) Doc# 2167179 Bk# 2904 Pg# 1292 Amount: Seven Hundred Eighty -three Thousand Seven Hundred Sixty -five And No /100THS ($783,765.00) Modifications to this Bond: None IR See Section 16 CONTRACTOR AS SURETY Company: (Corporate S !) Company: (Corporate Seal) Binmore str tion Co., Ina Federal ce o pany,- � Signature: N ame wrt Name n Tauer, Atfoi Vice President and Title: and e: (Any additional signatures appear on the last page of this Performance Bond.) (FOR 1NPORMATION ONLY— Name, address and telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE: Cobb Strecker Dunphy & Zimmermann, (Architect, Engineer or other party.) 225 South Sixth Street, Suite 1900 Minnea 55402 612 -349 -2400 Init. Document A312T" — 2010. The American institute at Architects. aiim DocU 2167179 Bk# 2904 Pg# 1293 § 1 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner for the performance of the Construction Contract, which is incorporated herein by reference. § 2 if the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation under this Bond, except when applicable to participate in a conference as provided in Section 3. § 3 Ifthere is no Owner Default under the Construction Contract, the Surety's obligation under this bond shall arise alter .1 the Owner first provides notice to the Contractor and the Surety that the Owner is considering declaring a Contractor Default. Such notice shall indicate whether the Owner is requesting a conference among the Owner, Contractor and Surety to discuss the Contractor's performance. If the Owner does not request a conference, the Surety may, within five (5) business days after receipt of the Owner's notice, request such a conference. If the Surety timely requests a conference, the Owner shall attend. Unless (lie Owner agrees otherwise, any conference requested tinder this Section 3.1 shall be held within ten (10) business clays of the Surety's receipt of the Owner's notice. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable time to perform the Construction Contract, but such an agreement shall not waive the Owner's right, if any, subsequently to declare a Contractor Default; .2 the Owner declares a Contractor Deibult, terminates the Construction Contract and notifies the Surety; and .3 the Owner has agreed to pay the Balance of the Contract Price in accordance with the terms of the Construction Contact to the Surety or to a contractor selected to perform the Construction Contract. § 4 Failurc on the part of the Owner to comply with the notice requirement in Section 3.1 shall not constitute a failure to comply with a condition precedent to the Surety's obligations, or release the Surety from its obligations, except to the extent the Surety demonstrates actual prejudice. § 5 When the Owner has satisfied the conditions of Section 3, the Surety shall promptly and at the Surety's expense take one of the following actions: § 5.1 Arrange for lie Contractor, with the consent of the Owner, to perform and complete the Construction Contract; § 5.2 Undertake to perform and complete the Construction Contract itself, through its agents or independent contractors; § 5.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for performance and completion of the Construction Contract, arrange for a contract to be prepared for execution by the Owner and a contractor selected with the Owner's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract, and pay to the Owner the amount of damages as described in Section 7 in excess of the Balance of Elie Contract Price incurred by the Owner as a result ofthe Contractor Default; or § 5.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: .1 After investigation, determine the amount for which it may be liable to the Owner and, as soon as practicable alter the amount is determined, make payment to the Owner; or ,2 Deny liability in whole or in par( and notify the Owner, citing the reasons for denial. § G If the Surety does not proceed as provided in Section 5 with reasonable promptness, the Surety shall be deemed to be in default on this Bond seven days after receipt of an additional written notice fi•om the Owner to the Surety demanding that the Surety perform its obligations under this Bond, and the Owner shall be entitled to enforce any remedy available to the Owner. If the Surety proceeds as provided in Section 5.4, and file Owner refuses the payment or the Surety has denied liability, in whole or in part, without further notice the Owner shall be entitled to enl'oree any remedy available to the Owner. unit. AIA Document A312 — 2010. The American Institute o(Archieets. Doc# 2167179 Bkp 2904 Pgil 1294 § 7 If the Surety elects to act under Section 5.1, 5.2 or 5.3, then the responsibilities of the Surety to the Owner shall not be greater than those of the Contractor under the Construction Contract, and the responsibilities of the Owner to the Surely shall not be greater than those of the Owner under the Construction Contract. Subjcct to the commitment by the Owner to pay the Balance of the Contract Price, the Surety is obligated, without duplication, for .1 the responsibilities of the Contractor for correction of defective work and completion of fhe Construction Contract; .2 additional legal, design professional and delay costs resulting from the Contractor's Default, and resulting from the actions or failure to act of the Surety under Section 5; and .3 liquidated damages, or if no liquidated damages are specified in the Construction Caltract, actual damages caused by delayed peri'ormance or non- perfonnauce of the Contractor. § 8 if the Surety elects to act under Section 5.1, 5.3 or 5.4, the Surety's liability is limited to the amount of this Bond. § 9 The Surety shall not lie liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction Contract, and the Balance of the Contract Price shall not be reducect or set off on account of any such unrelated obligations. No right of action shall accrue on this Bond to any person or entity other than the Owner or its heirs, executors, administrators, successor's anti assigns. § 10 The Surely hereby waives notice of any change, including changes of time, (o the Construction Contract or to related subcontracts, purchase orders and other obligations. § 11 Any proceeding, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in the location in which the work or part of the work is located and shall be instituted within two years after a declaration of Contractor Default or within two years after the Contractor ceased working or within two years alter the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the mininurtn period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. § 12 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page on which their signature appears. § 13 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted hcrefrorn and provisions cont'orming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 14 Definitions § 14.1 Balance of the Contract Price. The total amount payable by the Owner to the Contractor under the Construction Contract after all proper adjusunents have been made, including allowance to the Contractor of any amounts received or to be received by the Owner in settlement of insurance or other claims for damages to which the Contractor is entitled, reduced by all valid and proper payments made to or on behali'of the Contractor under the Construction Contract. § 14.2 Construction Contract. The agcement between the O>Anler and Contractor identified on the cover page, including all Contract Documents and changes made to the agreement and the Contract Doeunteuts. § 14.3 Contractor Default. Failure of the Contractor, which has not been remedied or waived, to perform or otherwise to comply with a material term of the construction Contract. § 14.4 Owner Default. Vailurc of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with t11e other material terms of the Construction ContracC. § 14.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. § 15 If this Bond is issued for an agreement between a Contractor and subcontractor, the tern Contractor in this Rond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Init. AIA Document A312° —2010. The American Institute of Architects. Does 2187179 BkN 2904 Pgtt 1295 § 16 Modifications to this bond are as follows: This bond in all respects shall be deemed a statutory bond and shall be governed by Section 255.05, Florida Statutes, including, but not limited to, the notice and time provisions as set forth in 255.05(2), Florida Statutes. (Space is provided below for additional signatures of added parties, other than those appearing on the cover page,) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Signature: Name and Title: Address Signature: Name and Title: Address CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. InIt AIA Document A312* — 2010. The American Inslitule of Architects. 4 DoeN 2167179 8ka 2904 PgN 1296 CORPORATE ACKNOWLEDGMENT State of Florida ) ) ss County of Pinellas ) On this �_ day of Mci Z018 before me appeared Vito Dirugglero , to me personally known, who, being by me duly sworn, did say that he /she is the Vice President of Biltmore Construction Co.. Inc. , a corporation, that the seal affixed to the foregoing instrument is the corporate seal of said corporation, and that said instrument was executed in behalf of said corporation by authority of its Board of Directors, and that id Vito Diruggiero acknowledged said instrument to be the free act and deed of said co ration. Notary Public County, PL My commission expires r DONALD BANNISTER Tlw NOTARY PUBLIC STATE OF FLORIDA Coma* FF145216 Expires 8116/2018 SURETY ACKNOWLEDGMENT State of Minnesota ) ) ss County of Hennepin ) On this 27th day of April 2018 , before me appeared John E. Tauer to me personally know, who being by me duly sworn, did say that (s)he is the Attorney - in - Fact of Federal Insurance Company a corporation, that the seal affixed to the foregoing instrument is the corporate seal of said corporation and that said instrument was executed in behalf of said corporation by authority of its Board of Directors; and that said John E. Tauer acknowledged said instrument to be the free act and deed of said corporation. Notary Public Ramsey County, Minnesota My commission expires 1/31/2020 RACHEL THOMAS {; P W)7 Y FOX - MNNESOTA My Cernmission Expires 1 wary 31, 2020 •� • ��nMrlMnti,Mn� y Notary Public Ramsey County, Minnesota My commission expires 1/31/2020 CHUBB' Doeft 2167179 Ska 2904 Pgn 1297 Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Know AI by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation. do each hereby constitute and appoint Melinda C. Blodgett, R. C. Bowman, R. Scott Egginton, Sandra M. Engstrum, R. W. Frank, Ted Jorgensen, Joshua R. Loftis, Kurt C. Lundblad, Brian J. Oestreich, Jerome T. Ouimet, Craig H. Remick, Nicole M. Stillings, John E. Tauer, Rachel A. Thomas, Lin Ulven, Colby D. White and Emily White of Minneapolis, Minnesota----------------------------- each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seats to and deliver for and on their behalf as surety thereon or otherwise, bands and undertakings and other writings obligatory in the nature thereof (other than ball bonds) given or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of arty Instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 25t day of September, 2017. lkrwn M. Chkmxs. Msistarit Stviviary STATE OF NEW JERSEY" County of Hunterdon i� Steptncn M. Haney. Vice Prcvdent On this 25 day of September, 2017 before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn A Chloros, being by me duly sworn, did depose and say that she Is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY. and PACIFIC INDEMNITY COMPANY and knows the corporate seats thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of saki Companies; and that she signed said power of Attorney as Assistant Secretary of said Companies by like authority: and that she is acquainted with Stephen M. Haney, and knows him to be Vice President of said Companies: and that the sipature of Stephen M. Haney, subscribed to said Power of Attorney is in the genuine handwriting of Stephen 161. Haney, and was thereto subscribed by authority of said Companies and hi deponent's presence. Notarial Seal NOT vuu �Y rr Ito. 20111111111111 r. 0- 8r•M JUV Vk 2019 mm" Mee CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNrry COMPANY on August 30, 2016: - RESOLVED, that the following authorizatlons relate to the execution, forand on behalf of the Company, of bonds, undertakirwi rewgnieatns, tontracrs and otter written commitments of the Company entered into to the ordinaryenu M. ofhuAncss (each a - Wtinen Comndtmenr .. (n Each of the Chairman, the lResident and the Vice Presidents of the Company is hereby authorized to execute arty Wriuen Gtamfirmer fur and on behalof the Company, under the sea] of the Company or otherwise. (2) Each duly appointed attorney- fn-fatt (A the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or otherwise, to the extent that such action is authurmd by the W o( powetx provided for in such person's written appointment as such attorney -in -fact (3) Each of the ('Aafrman. the President and the Vice Presidents of the Company is hereby authorized, for and on behalfof the Company. to appoint in writing any person the attorney- in-fact of the Company with fuI power and authority to execute. for and on hehalof the Company, under the seal of the Company or otherwise, such Written Commitmatts of the Company as may be gtecitied in such written appointment, which specification may he by general type or clam of Written x:nmmitmetits or by specification of one or more particular Written Commitments. (4) Each of the Chairman. the President and the Vice Presidents of the Company Is hereby authorized, fur and on behalf of the Company, to delegate in writing to any other officer of the Company the authority in execute. for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments of the Company as are specified in such written delegation. which specification may he by general type or class of Written Commitments or by specification of one or more particular Written Ortnunimrents (5) The signature of any officer or otter perstnt executing any WAueu Comntiune t or appointment or delegation pursuant to this Resolution. and the seal of the Company. may be mixed by facsimile on such Written Cmmndtment or written appointment or delegation. FURTHER RFSOLVED, that the ireguing Resolution shall not be deemed to be an exclusive statement of the powers and authority ofotfker& employees and other persons to act for and on behalf of the Company, and such Resolution shall not limlt or otherwise affect the exercise orany suds power or authority otherwise validly granted or vested" 1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the - Companies') do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect, (it) the Companies are duly licensed and authorized to transact surety business in all SO of the United States of America and the District of Columbia and arc authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in the US. Virgin islands, and Federal is licensed In Guam, Puerto Rlco, and each of the Provinces of Canada except Prince Edward Island; and (iii) the foregoing Power of Attorney is true, correct and in full force and effect. Given under my hand and seals of said Companies at Whitehouse Station, NJ, this 27th day of April, 2018 litwn A Chkxxn. A-q&. nt Socirt..taty IN TI IE L. VEW YOU WISH TO NOTIFY US OF A (LUM, VER]FY 71 fE AUTHENTICITY OF THIS BOND OR N(7n US OF ANY (7 IER MATTER PLEASE CONTACT US AT Te hone (908 903 -3493 Fax(908)9M -3556 rmall: sun chubb.com Farm 16 -1C- 0225& U GEN CONSENT (rev. 12 -16) Doe# 2167179 Bktt 2904 P911:11 1298 :a v A.I.A- Document A312 TM -2010 Payment Bond CONTRACTOR: // Narne le sal status and address) BiltmoreVonstruction Co., Inc. 1055 Ponce de Leon Blvd. Belleair, FL 33756 OWNER: (Name, legal status and address) Monroe County Board of Commissioners 500 Whitehead Street Key West, FL 33040 CONSTRUCTION CONTRACT Date: March 16, 2018 Bond No. 82466774 SURETY: (Narne, legal status and principal place oJbusiness)Federal insurance Company 202B Hall's Mill Road Whitehouse Station, NJ 08889 This document has Important legal consequences. Consultation with an attorney Is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. AIA Document A312 -2010 combines two separate bonds, a Performance Bond and a Payment Bond, into one form. This is not a single combined Performance and Payment Bond. Amount: Seven Hundred Eighty-three Thousand Seven Hundred Sixty -five And Noi100THS ($783,765.00) Description: (Nance and location) Plantation Key Government Center & Roth Building Waste Water Treatment Plant Replacement & Abandonment, 88820 Overseas Hwy., Tavernier, FL 33070 BOND Date: April 27, 2018 (Not earlier than Construction Contract Date) Amount: Seven Hundred Eighty -three Thousand Seven Hundred Sixty-five And No /100THS ($783,765.00) Modifications to this Bond: None 15 See Section 18 CONTRA CTO ftS PRINCIP ETY Company: (CorTorate Seaq C tpany: (Cwpot'ate Seal) Biltmore Co n Co., Inc. ederal I nce Co pan -_ Signatur /J l / _ . (i Name ru Name ohm E. Tauer, Attorney -in -Fact and Title: Vice President and Title: (Any additional signatures appear on the last page of 1his Aayinent Bond) (TOR INI•'ORMATION ONLY— Narna, address and telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE: Cobb Strecker Dunphy & Zimmermann, (A,•chitect, Engine,• or other party:) 225 South Sixth Street, Suite 1900 Minnea p olis,MN 55402 612 -349 -2400 Init. AIA Document A312 — 2010. The American Institute d Architects. 061110 Doea 2167179 Bkst 2904 Pgp 1299 § 1 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner to pay for labor, materials and equipment furnished for use in the performance of the Construction Contract, which is incorporated herein by reference, subject to the following terms. § 21f the Contractor promptly makes payment of all sums due to Claimants, and defends, indemnifies and holds harmless the Owner from claims, demands, liens or suits by any person or entity seeking payment for labor, materials or Nuipment furnished for use in the perlorniance of die Construction Contract, then the Surety and the Contractor shall have no obligation under this Bond. § 31i'there is no Owner Default under the Construction Contract, the Surety's obligation to the Owner under this Bond shall arise after the Owner has promptly notified the Contractor and the Surety (at the address described in Section 13) of clains, demands, liens or suits against the Owner or the Owner's properly by any person or cutity seeking payment for labor, materials or equipment furnished for use in the performance of the Construction Contract and tendered delbtise of such claims, demands, liens or suits to the Contractor and the Surety. § 4 When the Owner has satisfied the conditions in Section 3, the Surety shall promptly and at the Surety's expense defend, indemnify and hold harmless the Owner against a duly tendered claim, demand, lien or suit. § 5 The Surety's obligations to a Claimant under this Bond shall arise after the following: § 5.1 Claimants. who do not have a direct contract with file Contractor, .1 have furnished a written notice of non- payment to the Contractor, stating with substantial accuracy the amount claimed and the name of the parly to whom the materials were, or equipment was, furnished or supplied or for whom the labor was done ar performed, within ninety (90) days after having last performed labor or last furnished materials or equipment included in the Claim; and 2 have sent a Claim to die Surety (at the address described in Section 13). § 5.2 Claimants, who are employed by or have a direct contract with the Contractor, have sent a Claim to the Surety (at the address described in Section 13). § G If a notice of non - payment required by Section 5.1. l is given by the Owner to the Contractor, that is sufficient to satisfy a Claimant's obligation to furnish a written notice ol'non- payment under Section 5.1.1. § 7 When a Claimant has satisfied the conditions of Sections 5.1 or 5.2, whichever is applicable, the Surety shalt promptly and at the Surety's expense take the following actions: § 7.1 Send an answer to file Claimant, with a copy to the Owner, within sixty (60) days after receipt of the Claim, stating the amounts that are undisputed and the basis for challenging any amounts that arc disputed; and § 7.2 Pay or arrange for payment of any undisputed amounts. § 73 The Surety's (hilure to discharge its obligations under Section 7.1 or Section 7.2 shall not be deemed to constitute a waiver of defenses the Surety o Contractor may have or acquire as to a Claim, except as to undisputed amounts for which the Surety and Claimant have reached agreement. lf; however, the Surety fails to discharge its obligations under Section 7.1 or Section 7.2, the Surety shall indemnify the Claimant for the reasonable attorney's Pecs the Claimant incurs thercaller to recover any suns found to be due and owing to the Claimant. § 8 The Surely's total obligation shall not exceed die amount of this Build, plus the amount of reasonable attorney's fees provided under Section 7.3, and the amount of this [fond shall be credited for any payments made in Food faith by the Surety. § 9 Amounts owed by the Owner to the Contractor under the Construction Contract shall be used for the performance or the Construction Contract and to satisfy claims, if any, under any construction performance bond. By the Contractor furnishing and the Owner accepting this Bond, they agree that all funds canted by the Contractor in the performance of the Construction Contract are dedicated to satisfy obligations of the Contractor and Surety under this Bond, subject to the Owner's priority to Use the funds for the completion ofthe work. Init. AIA Document A312 — 2010. The American Instilule of Architects. Doeo 2167179 1300 Bko 2904 Poet § 14 The Surety shall not be liable to the Owner, Claimants or others for obligations of the Contractor that are unrelated to the Construction Contract.'i'he Owner shall not be liable for the payment of any costs or expenses of any Claimant under this Bond, and shall have under this Bond no obligation to make payments to, or give notice on behalf of, Claimants or otherwise have any obligations to Claimants tinder this Bond. § 11 The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. § 12 No suit or action shall be commenced by a Claimant under this Bond other than in a court of competent jurisdiction in the slate in which the prgject that is the subject of the Constriction Contract is located or after the expiration of one year front the dale (1) on which the Claimant sent a Claim to the Surety pursuant to Section 5.1.2 or 5.2, or (2) on which the last labor or service was performed by anyone or the last materials or equipment were furnished by anyone under tine Construction Contract, whichever of (1) or (2) fast occurs, if the provisions of this Paragraph are void or prohibited by law, the mininnunn period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. § 13 Notice and Claims to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page on which their signature appears. Actual receipt of notice or Claims, however accomplished, shall be sufficient compliance as of the date received. § 14 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed inco•po•aled herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 15 Upon request by any person or entity appearing to be a potential beneficiary ofthis Bond, the Contractor and Owner shall promptly furnish a copy of this Bond or shall permit a copy to be made. 1116 Definitions § 16.1 Claim. A written statement by the Claimant including at a mininnunn: .1 the nannc of the Claimant; .2 the name of the person for whom the labor was done, or materials or equipment furnished; .3 a copy of tine agreement or purchase order pursuant to which labor, materials or equipment was furnished for use in the performance of the Construction Contract; .4 a brief description of the labor, materials or equipment furnished; .5 the date on which the Claimant last performed labor or last fin•nished materials or equipment for use in the performance of the Construction Contract; .6 tine lotal amount earned by the Claimant for labor, materials or equipment furnished as of the date of the Claim; 3 the total annount of previous payments received by the Claimant; and .8 the total amount due and unpaid to the Claimant for labor, materials or equipment flnnished as of the date of the Claim. § 16.2 Claimant. An individual or entity having a direct contract with the Contractor or with a subcontractor of the Contractor to furnish labor, materials or equipment for use in the performance of the Construction Contract. The term Claimant also includes any individual or entity that has rightfully asserted a claim under in applicable mechanic's lien o• similar statute against file real properly upon which file Project is located. The intent of this Bond shall be to include without linniwtion in the terms "labor, materials or equipment" that part of water, gas, power, light, heat, oil, gasoline, telephone service or rental equipment used in the Construction Contract, architectural and engineering services required for poTfunnance of the work of the Contractor and the Contractor's suliwaractors, and all other items for which a mechanic's lien may be asserted in the jurisdiction where the labor, materials or equipment were furnished. § 16.3 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and all changes made to the agreement and the Contract Documents. Init. AIA Document A312° — 2010, The American Inslitute of Architects. Doe" 2167179 Bk# 2904 P9N 1301 § 16.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. § 16.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. § 17 If this Bond is issued for an agreement between a .Contractor and subcontractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. § 18 Modifications to this bond are as follows: This bond in all respects shall be deemed a statutory bond and shall be governed by Section 255.05, Florida Statutes, including, but not limited to, the notice and time provisions as set forth in 255.05(2), Florida Statutes. (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Signature: Name and Title: Address Signature: Name and Title: Address CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. Wit AJA 000Umeat A312- — 2010. The American lnstRute of ArChilects. 8 DoeN 2167179 Bktt 2904 Pga 1302 CORPORATE ACKNOWLEDGMENT State of Florida ) ) ss County of Pinellas On this 2018 S I day of h� ,before me appeared Vito Diru9glero to me personally known, who, being by me duly sworn, did say that he /she is the vice President of Blltmore Construction Co.. Inc. , a corporation, that the seal affixed to the foregoing instrument is the corporate seal of said corporation, and that said instrument was executed in behalf of said corporation by authority of its Board of Directors, and that said Vito Dirugalero acknowledged said instrument to be the free act and deed of said corporation. Notary Public l DONALD NOTARY PUBLIC My commissio ex AZT AV- Comm# FF145216- Expires 8016.!2018 SURETY ACKNOWLEDGMENT State of Minnesota ) ) ss County of Hennepin ) On this 27th day of April 2018 , before me appeared John E. Tager to me personally know, who being by me duly sworn, did say that (s)he is the Attorney -in -Fact of Federal Insurance Company , a corporation, that the seal affixed to the foregoing instrument is the corporate seal of said corporation and that said instrument was executed in behalf of said corporation by authority of its Board of Directors; and that said John E. Tauer acknowledged said instrument to be the free act and deed of said corporation. nM ��,NW����NMn . ■ 4 ' RACHEL THOMAS r ti:Y.:(tr. k tdOTARY PUCi L - MNNESOTA Idy Commission Expires y January 31, 2020 Notary Public Ramsey County, Minnesota My commission expires 1/31/2020 Power of Attorney Doca 2167179 BkN 2904 P9N 1303 Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Know ALI by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation. VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY. a Wisconsin corporation, do each hereby constitute and appoint Melinda C. Blodgett, R. C. Bowman, R. Scott Egginton, Sandra M. Engstrum, R. W. Frank, Ted Jorgensen, Joshua R. Loftis, Kurt C. Lundblad, Brian 1. Oestreich, Jerome T. Ouimet, Craig H. Remick, Nicole M. Stillings, John E. Tauer, Rachel A. Thomas, Lin Ulven, Colby D. White and Emily White of Minneapolis, each as their true and lawful Attorney -in -Fact to execute under such designation In their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than ball bonds) given or executed In the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any Instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 25 day of September, 2017. MEN Iluwwn M.ChIrtrti•,4�sist:mtSt'cret:ry ►r titq)htir M. IAuxy. Vice Pnvdent STATE OF NEW JERSEY County of Hunterdon On this 25 day of September, 2017 before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attomey, and the said Dawn M. Chloros, being by me duly swom, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and (mows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she is acquainted with Stephen M Haney, and knows him to be Vice President of said Companies; and that the signature of Stephen M. Haney, subscribed to said Power of Attorney is in the genuine handwriting of Stephen M. Haney, and was thereto subscribed by authority of said Companies and in deponent's presence. Notarial Seal KATIEftNE J. ACV" TAR NOTARY PUKJ6OFtAW JONIifY as.� me, 2111011111111 camm emm Evva July 10. 2019 bury Nnb9e CERTIFICATION Resolutions adopted by the Boards of Directors of FE• DERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY. and PACIFIC INDEMNITY COMPANY on August 30.2016: 'RESOLVED, that the following authorizations relate to the execution, forand on behalf of the Company. of bonds, undertaking;, recognizance. rnmrarts and other written mmmftntents of the company entered into in the ordinary come of business (each a'Written Commitment"): (0 Each of the Chairman. the President and the Vine Presidents of the Company is hereby authorized to execute any Written Cnmmltmenr for and on behalf of the Company, under the seal of the Company or otherwise. (2) Each duty appointed attorney- infact of the Company is hereby authorized to execute any Written Conmtilment for and on behalf of the Company, under the seal or the Company or otherwise, to the extent that such anion is amhot1zed by the grant of powers provided for in such person's written appointment as such attorney -in -fact. (3) Each of the Chaim=. the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, to appoint in writing any person the attorney- in -fact of the Company with full power and authority to execute, for and on behalf of the Cumpany, under the seal of the Company or otherwise. such Written Commitwnts of the Company as may be specified In such written appointment which specification may he by general type or class of written t'nmmitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman, , the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Connpany, to delegate In writing to any other ofltax of the Company the authority to exeene. for and on behalf of the Company. under the Company's seal or ntherwise Ruch Written Commitments ofthe Company as are specified in such written delegation which specification may he by general type or class of Written Cbr mirments or by specification ofoneor more particrlar Written Committenm (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution• and the seal of the Company, may be afted by facsimile on such Written Commitment or written appuinuuerit or delegation. FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to he an exclusive statement of the powers and authority ofofflceM employees and other persons to are for and on behalf of the Company, and such Resolution shall not Emit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested." f, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies ") do hereby certify that (1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, Correct and in full force and effect. (ii) the Companies are duty licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in the U.S. Virgin Islands. and Federal is licensed in Guam. Puerto Rico, and each of the Provinces of Canada except Prince Edward island; and (iii) the foregoing Power of Attorney is true, ixarect and in full fierce and effect. Given under my 4 hand and seals of said Companies at Whitehouse Station, NJ, this 27th day of April, 2018 ph � nnwu M. C:hkrra. A4;i raim Smivi ar1 IN TILE EVEN' YOU WISH TO NOTIFY US OF A C[.A11vL VERIFY THE AUTHENTICITY OF TMS BOND OR NOTIFY [1S OF ANY OTHER MATTER PLEASE CONTACT US AT: T one 908)903.3493 Fax 908 903 -3656 retail: surd �chubb.cvm Form 15.10- 02258- U GEN CONSENT (rev. 12 -16) MONROE COUNTY OFFICIAL. RECORDS t �� ® DATE (MM /DD/YYYY) A c" CERTIFICATE OF LIABILITY INSURANCE 4/26/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C NTACT Cobb Strecker Dunphy & Zimmermann PHONE Val Hendrickson FAX 225 South Sixth Street • 612 - 349 -2446 A/C. No): Suite 1900 ADDRESS: vhenddckson csdz.com Minneapolis MN 55402 INSURER(SI AFFORDING COVERAGE NAIC# INSURED BILTCONI INSURER B: American Guarantee & Liab Ins Co 26247 re COr1StfU Inc. 1055 Ponce De L eon Blvd lvd INSURER C: Westchester Fire Insurance Company 10030 1055 Belleair, FL 33756 INSURER D: INSURER E : INSURER F: rnVFRAr;FC CERTIFICATE NIIMRFR• 1974957917 RFVISIr)N NIIMRFR- 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 REDU BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE employees and officials POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL0008451103 1/1/2018 1/12019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE FxI OCCUR M" E� REMISES Ea NTEU nce $1,000,000 X ED EXP (Any one person) $15,000 Cony Liab per �Y X Policy FomVXCU PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY II PR COT- � LOC GENERAL AGGREGATE $ 2,000,000 Wa PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY BAP008451203 1/12018 1112019 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ Hired Auto Ph s Dm $ACV X Comp $1,000 X Coll: $1,000 B X UMBRELLA LIAB X OCCUR AUC578165504 1/1/2018 1/12019 EACH OCCURRENCE $20,000,000 AGGREGATE $ 20,000,000 EXCESS LIAR CLAIMS -MADE DED X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBEREXCLUE N N/A VVC008451403 1/1/2018 1/1/2019 X OT STATUTE ER E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Blkt Bldrs Risk/Completed Value 108847253004 1/12018 1/12019 See Below See Below A Leased or Rented Equip /ACV CPP105206803 1112018 1112019 $1,000 Deductible $250,000 Per Item Property- Specific/Repl Cost $5,000 Deductible $1,113,918 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) BCC Project #991: Plantation Key Government Center & Roth Building Waste Water Treatment Plant Replacement & Abandonment, 88820 Overseas Hwy, Tavernier, FL 33070 Additional Insured only if required by written contract With respect to General Liability, Automobile Liability and Umbrella /Excess Liability applies on a primary basis and the Insurance of the Additional Insured shall be Non - Contributory Certificate Holder, Project Owner and Others as required by written contract. Waiver of Subrogation only if required by written contract with respect to General Liability, Automobile Liability, Workers Compensation and Umbrella /Excess Liability applies in favor of: Certificate Holder, Project Owner and Others as required by written contract. See Attached... rCDTICIr ATC u nl nc D rAmr FI I ATlnfd ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE / SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Monroe County Board of County Commissioners its ACCORDANCE WITH THE POLICY PROVISIONS. employees and officials AUTHPRIZED REPRES 500 Whitehead Street Key West FL 33040 �'1 A ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE / ACOR" AGENCY CUSTOMER ID: BILTCONI 110103 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Cobb Strecker Dunphy & Zimmermann NAMED INSURED Biltmore Construction Co., Inc. 1055 Ponce De Leon Blvd Belleair, FL 33756 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Builder's Risk Coverage: Named Insured Includes: contractor, owner and subcontractors of every tier as required by written contract Project Limit $783,765, Deductible $10,000 Named Windstorm Limit: $783,765, Deductible $100,000 Flood Limit $783,765, Deductible $100,000 Builder's Risk coverage ceases upon substantial completion or when project is accepted by owner. The following supersedes the Cancellation wording: Should any of the above described policies be cancelled before the expiration date, 30 Days written notice (10 Days for Non - Payment) will be delivered to the certificate holder. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD