Agenda Item #: 3-C-C PALM BEACH COUNTY BOARD OF COUNTY...
Transcript of Agenda Item #: 3-C-C PALM BEACH COUNTY BOARD OF COUNTY...
Agenda Item #: 3-C-C
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: March 17, 2009 [X] Consent [ ] Regular
Department: Submitted By: Submitted For:
[ ] Workshop [ ] Public Hearing
Engineering & Public Works Roadway Production Division
I. EXECUTIVE BRIEF
Motion and Title: Staff recommends motion to approve: The renewal of the Landscape Architectural Services Annual Agreements with Gentile, Holloway, O'Mahoney & Associates, Inc., whose original Agreement was dated May 1, 2007, R2007 -0617 and RoyFisher Associates, Inc., whose original Agreement was dated April 10, 2007, R2007-0466.
SUMMARY: Approval of these Renewal Agreements will extend for one year, required professional services on a task order basis. ·
Countywide (PK)
Background and Justification: In accordance with Board of County Commissioners adopted procedures pursuant to Florida Statutes 287.055 Consultants Competitive Negotiations Act, the above listed consulting firms were selected to perform professional services relative to Palm Beach County (County) needs, and are presently under agreement with the County on an annual contractual basis. This is the second and final renewal of these firm s., Agreements. It is the consensus of the user departments that these consulting firms have, within the provisions of their Agreements, provided the professional services requested by the County. Since they remain in good standing and wish to continue to provide the professional services as indicated in their Agreements, the County agrees to renew their Agreements for one year. ·
These Renewal Agreements have been reviewed with the above listed consulting firms, and staff recommends the second and final renewal of the Annual Agreements. This transaction will maintain the continuous process of professional services required by the County. ·
Attachments: 1. Renewal Agreements with Exhibits and Certificate of Insurance (2)
Recommended By:-'-=-->~~-____,__·.lJ=-~~~d:-+-~~-"--··· ~.-,:::;;._c::::::: _1-+-,-;;;}-z_;;........;;..7___,__/--Jo ) rf Director ~ Date
Approved By: __ })-"-•/--~~'T__,,,'--.l.L(,J.=-.. . .,1 ....... J-=--_______ z-+/--z y_,_,_/_0°_1 _ u County Engineer Date
F\ROADWAY\CCNA\Annuals\Landscape Arch\2009\Master AIS for Agreement Renewal-Gentile&Roy-Fisher.doc
II. FISCAL IMPACT ANALYSIS
A. Five Year Summary of Fiscal Impact:
Fiscal Years Capital Expenditures Operating Costs External Revenues Program Income (County) In-Kind Match (County) NET FISCAL IMPACT # ADDITIONAL FTE POSITIONS (CUMULATIVE)
2009 -0--0--0--0--0-
~ -0-
2010 -0--0--0--0--0--0--0--0-
Is Item Included in Current Budget? Yes No_
Budget Account No.:
2011 -0--0--0--0--0--0--0--0-
Fund Agency Organization Object Amount
B. Recommended Sources of Funds/Summary of Fiscal Impact:
201.f -0--0--0--0--0--0--0--0-
C. Departmental Fiscal Review: __ """'&¥""'--__.... ________ _
Ill. REVIEW COMMENTS
A. OFMB Fiscal and/or Contract Administration Comments:
~ Fiscal impact is :irrleterm:i.nable at this tine, wo:rk will be perfomai on a ta4c order b3s:i.s.
~ ~-'Z.-o-,
B. Legal Sufficiency:
C. Other Department Review:
Department Director
This summary is not to be used as a basis for payment.
2013 -0--0--0--0--0--0--0--0-
- GENTILE HOLLOWAY O'MAHONEY -1, 1• ~ f 1l C Landscape Architects Planners and Environmentai
J Con'i!llt.i.r.l.ii,.g• LC-0000177 anuary o, ;.:'.Uu
' . .
I
Palm Beach County Board of Commissioners C/O: Engineering & Public Works Department 2300 N. Jog Road -West Palm Beach, FL 33411-2745
George G. Gentile. FASLA M. Troy Holloway. ASLA Emily UMahoney. ASLA
Renewal Agreeaaat: 1
Attention: David Young,-P.E., Special Projects Manager
RE: ,LANDSCAPE ARCHITECTURAL SERVICES ANNUAL AGREEMENT (~007<-0617) DATED MAY 1, 2091 '
Dear Mr. Young:
This letter serves as our official notification of interest in continuing our Agre'ement with Palm Beath_ County for -professional services as specified in the above reference, for the period of May 1, 2009 through Aprit 30, 2010.
We are in agreement that all provisions in the original Agreement remain in full force and effect. Per your .request, we are enclosing an updated fee schedule, State Registration, General, Automobile, and Prdessional UabiHty Insurance Certificates, and all appropriate affidavits. ', ' Please indicate your acceptance of this proposal by proper signature below and ·returning sarrle as fully executed to this office. ,
Sincerely,
Genti~ney ~ Associates, Inc. r_ Attest: . · ~GiigetG~iE!ntile, L. A .• President "'' -... , ,(',,,, 1;7 :t, . .,~ :-'~ --cJti~~/2001 -'.-1,1rn Q , -
Accepted by: , Palm Beach County B~rcl of Commissioners
BY:-.-____________ _ John F. Koons, Chairman
Approved ~s To Form & legal Sufficiency:
County Attorney
1907 Commerce Lane. Suite 101 Jupiter: Florida 33458 561-575-9557 561-575-5260 FAX www.landscape-architects.com
I • •
I
ot/ BI ~oo°f DATE
Attest: Sharon R. Bock, Clerk and Comptroller
BY: ________________ _ Deputy Clerk,
Approved as to Terms and Conditions
,.Wu~
EXHIBIT "B"
HOURLY RATES
For the purposes of unual work (effective from May I, 2809 until April 30, 2010) the following hourly base salary costs shall apply to this Agreement multiplied by a factor of 3.00.
RATE CATAGEORY HOURLY MULTIPLIER BASE SALARY
Gentile Holloway O'Mahoney - Landscape Architects
SR. LANDSCAPE ARCH $42.23 3.00
PROJECT LANDSCAPE ARCH. $38.76 3.00
CADD/DRAFTSMAN $24.86 3.00
IRRIGATION DESIGNER* $36.05 3.00
SR.PLANNER $49.20 3.00
PLANNER $33.47 3.00
HOURLY RATE
$126.69
$116.30
$74.SS
$108.15
S147.60
$100.41
*Chris Spaia will also provide Irrigation Design services u a consultant with our sta~
Project: Project No.:
CONSULTANT:
Landscape Architectural Annual Services On A Task Order Basis
Gentile Holloway O'Mahoney & Associates, Inc.
TRUTH-IN-NEGOTIATION STATEMENT
By entering into this Agreement, the CONSULTANT certifies that the wage rates and costs used to determine the lump sum fees contained in herein are accurate, complete and current as of the date of this Agreement.
The said lump sum fees shall be adjusted to exclude any significant sums should the COUNTY determine that the lump sum fees were increased due to inaccurate, incomplete or non-current wage rates or due to inaccurate representations of fees paid to outside consultants.
The COUNTY shall exercise its right under this "Certificate" within one year following final payment.
PROHIBITION AGAINST CONTINGENT FEES STATEMENT
By entering into this Agreement the CONSULTANT warrants that they have not employed or retained any company or person other than a bonafide employee working solely for the CONSUL TANT to solicit or secure this Agreement and that they have not paid or agreed to pay any person, company, corporation, individual or firm other than a bonafide employee working solely for the CONSUL TANT, any fee, commission, percentage, gift or other· consideration contingent upon or resulting from the award of making of this agreement.
PUBLIC ENTITY CRIMES STATEMENT
As provided in F .S. 287 .132-133, by entering this Agreement or performing any work in furtherance hereof, the CONSULTANT certifies that it, its affiliates, suppliers, sub-contractors and consultants who will perform hereunder, have not been placed on the convicted vendor list maintained by the State of Florida Department of Management Services within the 36 months immediately preceding the date hereof. This notice is required by F.S. 287.133 (3) (a).
NON-DISCRIMINATION STATEMENT
The CONSUL TANT warrants and represents that all of its employees are treated equally during employment without regard to race, color, religion, disability, sex, age, national origin, ancestry, marital status, sexual orientation, gender identity and expression.
George G. Gentile, L.A., President
\\Eng fs1\sys1\ROAOWAYICCNA\Annuals\Lanscape Arch\GENTILE\2009\Affidavit.doc
Project: Project No.:
CONFLICT OF INTEREST DISCLOSURE FORM
Landscape Architectural Services On a Task Order Basis
ENGINEER represents that it presently has no interest, either direct or indirect, which would or could conflict in any manner with the performance of services for the County, except as follows:
(Attach additional sheets as needed.)
ENGINEER further represents that no person having any interest shall be employed for said performance. By signing below, ENGINEER certifies that the information contained herein is true and correct and constitutes all current potential conflicts of interest which may influence or appear to influence ENGINEER'S judgment or quality of services being provided to the County.
ENGINEER shall promptly notify the COUNTY in writing by certified mail of all potential conflicts of interest that may arise in the future through any prospective business association, interest or other circumstance which may influence or appear to influence ENGINEER'S judgment or quality of services being provided to the County. Such written notification shall identify the prospective business association, interest or circumstance, the nature of work that ENGINEER may undertake and request an opinion of the COUNTY as to whether the association, interest or circumstance would, in the opinion of the COUNTY, constitute an unacceptable conflict of interest if entered into by the ENGINEER.
If, in the sole opinion of the COUNTY, the prospective business association, interest or circumstance of ENGINEER would constitute an unacceptable conflict of interest to the COUNTY, the COUNTY shall so state in the notification and the ENGINEER shall not enter into said association, interest or circumstance.
TIDS DISCLOSURE is submitted by _ _.,.;:,G=e=or~g=e--==G=-=-. ...:::G=e=nt=il=e.L.::L=.A:o.=..... _____ _,, as (Name of Individual)
____ P_r-es=id=e=n=t ___________ ,, of Gentile. Holloway. O'Mahoney & Assoc., Inc. (Title/Position) (Firm Name of ENGINEER)
who hereby certifies that the information stated above is true and correct. Further, it is hereby acknowledged that any misrepresentation by the Consultant on this Disclosure is considered an unethical business practice and is grounds f~t futme County business with the
Consultant. ------'""---"=::......C:,::>"'l'--'°:_"=._-=_~-:_--:__ (}/ / !) /zooC, (Signature) (Date)
F:\ROADW A Y\CCNA \Annuals\Lanscape Arch\GENTILE\2009\Disclosure Doc.doc
1 Revised 01/27/05
ACORD_ CERTIFICATE OF LIABILITY INSURANCE dl°-1~ DATE·(MMIDD/YYYY)
07/14/08 l'IIODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE J.ATON INSOIWICE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR . O. Box 220537 ALTER THE COVERAGE AFFORDED BY THE POUCll;S BELOW .
West Pala Beach FL 33422 Phone:561-683-8383 Fax:561-684-5995 INSURERS AFFORDING COVERAGE NAICt INIURED
INSURERk Assurance Co of America "19305 INSURERS: AmCONP Preferred Ins. Co. 10006 ff8til• Hflloway O'Mahoney INSURERC: New ..... bi.re Inauranoe Co. Assoc ates~nc.
7 CCllmler~ ! INSURERD: Jupiter FL 4 - 516 INSURERE:
COVERAGES THE POI.ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING NIY REQUIREMENT, TERM OR COMOlTION OF NIY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURNICE AFFORDED BY THE POI.ICIES DESCRIBED HEREIN IS SUBJECT TO i\LL THE TERMS, EXCLUSIONS NID CONDtTIONS OF SLICH POI.ICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID Cl.AIMS.
"Lii ml TYPE OF IMSURANCE POLICY NUMBER ~ '1iAn UMITI
~LIAIIILITY EACH OCCURRENCE s l,000,000 A X COMMERCIAL GENERAL LIABILITY PAS3H66828 06/21/08 06/21/09 PREM!Ses'te':'~1 s 1,000,000 ~ :=J Cl.AIMS MADE 00 OCCUR MED EXP (Any one-) s 10,000
PERSONAL & ADV INJURY s 1,000,000 -GENERAL AGGREGATE ,___ s 2 .ooo. 000
GEN'!. AGGREGATE LIMIT APPLIES PER: PRODUCTS· COMP/OP AGO s2,000,000 7 POLICY n ~ n LDC Em> Ben. 1,000,000 AUTOMCIIIILE LIAIIILITY
COMBINED SINGLE LIMIT sl,000,000 ,___
A ANY AIJTO PAS38466828 06/21/08 06/21/09 (Ea acc:tdenl) -ALL OWNED AIJTOS
BODILY INJURY - s SCHEDULED AIJTOS (Per-) -X HIRED AIJTOS
BODILY INJURY -(Per eccidenl) s X NON-oWNED AIJTOS
) - PROPERTY DAMAGE s (Per acc:tdent)
GARAGE LIA8ILITY AIJT0 ONLY • EA ACCIDENT s Fl ANYAIJTO OTHER THAN EAACC S AIJTOONLY: AGO S
EXCEIMIM8REl.lA LIAIIILITY EACH OCCURRENCE s OoccuR • Cl.AIMS MADE AGGREGATE s
s R DEOUCTB.E s RETENTION s s
W0RKERI COMPINIATION AND X ITOR·ti.'1Mrrs I 1-iiR B Elll'l.OYERI" LIA8ILITY WCV7072313 06/09/08 06/09/09 E.L. EACH ACCIDENT s 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICEAIMEMSER EXCLUDED? E.L. DtSEASE • EA EMPLOYEE s 100,000 ~.:-=-~s- E.L. DISEASE - POLICY LIMIT s 500,000
OTHER
A Property Section PAS38H6828 06/21/08 06/21/09 BPP $577,100 C Professional Liab 23'6633 07/06/08 07/06/09 Arch/Enq $1mil/$2mil
DEICNPTION OF OPERATIONS / LOCATIONS / VIHICLEI / EXCLUIIONI ADDED IY ENDORSEIIIENT / IPECIAL PROVIIIONS Palm Beach County Board of County COIIDisioners, a political subdivision of the State of Florida, its officers, employees and agents are included as addition insured with respects to General Liability only. Professional Liability on Claias Made Basis Retro Date 7/6/98. Ila: Annual Planning, Property Developaent Services. Attn: Kr John Chesher. CERTIFICATE HOLDER CANCELLATION
Palm Bch Cty Board of Cty Comm Facilities DevelOpNnt, Ops Capital Improvement Division
PBC0008 ltlOULD Alff OF THE ABOVE DEICRl8ED l'0LICEI 8E CANCELLED 8EFORE THE EXPIRATION DATE THEREOF. THE IISUICCI ~ WU ENDEAVOR TO MAL ~ DAVI WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILia& TO DO IO IHALL
I West Palm Beach, FL 33406 ! ~,./1 3200 Belvedere Road REPMIE~"
._AC_O __ R __ D_2_5-(200--1~/0I,---) _______________ __._ I~ CACORD CORPORATION 1118
January 8, 2009
Palm Beach County Board of Commissioners C/O: Engineering & Public Works Department 2300 N. Jog Road West Palm Beach, FL 33411-2745 Attention: David Young, P.E., Special Projects Manager
Renewal Agreement
RE: LANDSCAPE ARCHITECTURAL SERVICES ANNUAL AGREEMENT (R2007-G488) DATED APRIL 10, 2007
Dear Mr. Young:
This letter serves as our official notification of interest in continuing our Agreement with Palm Beach County for professional services as specified in the above reference, for the period of April 10, 2009 through April 9, 2010.
We are in agreement that all provisions in the original Agreement remain in full force and effect. Per your request, we are enclosing an updated fee schedule, State Registration, General, Automobile, and Professional Liability Insurance Certificates, and all appropriate affidavits.
Please indicate your acceptance of this proposal by proper signature below and returning same as fully executed to this office.
Sincerely,
Accepted by:
DATE
CORPORATE SEAL
Palm Beach County Board of Commissioners
BY: ---~-----------John F. Koons, Chairman
Approved As To Form & Legal Sufficiency:
County Attorney
DATE
Attest: Sharon R. Bock, Clerk and Comptroller
BY: ------------------Deputy Clerk
Approved as to Terms and Conditions
ROY.FISHER ASSOCIATES, INC.
Landscape Architecture and Land Planning
EXHIBITS
FH Schedule Landscape Architectural Servlc.es On A Tak Order Basis Palm Buch County Engineering April 10, 2009-Aprtl 9, 2810
Staff Hout Rates BaseHourt Rate Multl ler
41 32 24 35
2.65 2.65 2.65 2.65 2.65
..... to ro.r • COIUICction belweea natural elements. the senses, the psyche, ud the soul.
381 Tequesta Drive Tequesta. PL 33469
Tel (561) 747-3462 Pax (561) 747-0281 www.roy-flsher.mm
Project Project No.:
CONSULTANT:
Landscape Architectural Annual Services On A Tpk Order Basis
Roy-Fisher Associates, Inc.
TRUTH-IN-NEGOTIATION STATEMENT
By entering into this Agreement, the CONSULT ANT certifies that the wage rates and costs used to determine the lump sum fees contained in herein are accurate, complete and current as of the date of this Agreement.
The said lump sum fees shall be adjusted to exclude any significant sums should the COUNTY determine that the lump sum fees were increased due to inaccurate, incomplete or non-current wage rates or due to inaccurate representations of fees paid to outside consultants.
The COUNTY shall exercise its right under this "Certificate" within one year following final payment.
PROHIBITION AGAINST CONTINGENT FEES STATEMENT
By entering into this Agreement the CONSUL TANT warrants that they have not employed or retained any company or person other than a bonafide employee working solely for the CONSULT ANT to solicit or secure this Agreement and that they have not paid or agreed to pay any person, company, corporation, individual or firm other than a bonafide employee working solely for the CONSULTANT, any fee, commission, percentage, gift or other consideration contingent upon or resulting from the award of making of this agreement.
PUBLIC ENTITY CRIMES STATEMENT
As provided in F .S. 287 .132-133, by entering this Agreement or performing any work in furtherance hereof, the CONSULTANT certifies that it, its affiliates, suppliers, sub-contractors and consultants who will perform hereunder, have not been placed on the convicted vendor list maintained by the State of Florida Department of Management Services within the 36 months immediately preceding the date hereof. This notice is required by F.S. 287.133 (3) (a).
NON-DISCRIMINATION STATEMENT
The CONSUL TANT warrants and represents that all of its employees are treated equally during employment without regard to race, color, religion, disability, sex, aQ.e, national origin, ancestry, marital status, sexual orientation, gender identity and expression. / !
I 1/~wi
c«&tance ~oy-Fisher, President
Project: Project No.:
CONFLICT OF INTEREST DISCLOSURE FORM
Landscape Architectural Services On a Task Order Basis
ENGINEER represents that it presently has no interest, either direct or indirect, which would or could conflict in any manner with the performance of services for the County, except as follows:
(Attach additional sheets as needed.)
ENGINEER · further represents that no person having any interest shall be employed for said performance. By signing below, ENGINEER certifies that the information contained herein is true . and correct and constitutes all current potential conflicts of interest which may influence or appear to influence ENGINEER'S judgment or quality of services being provided to the County.
ENGINEER shall promptly notify the COUNTY in writing by certified mail of all potential conflicts of interest that may arise in the future through any prospective business association, interest or other circumstance which may influence or appear to influence ENGINEER'S judgment or quality of services being provided to the County. Such written notification shall identify the prospective business association, interest or circumstance, the nature of work that ENGINEER may undertake and request an opinion of the COUNTY as to whether the association, interest or circumstance would, in the opinion of the COUNTY, constitute an unacceptable conflict of interest if entered into by the ENGINEER.
If, in the sole opinion of the COUNTY, the prospective business association, interest or circumstance of ENGINEER would constitute an unacceptable conflict of interest to the COUNTY, the COUNTY shall so state in the notification and the ENGINEER shall not enter into said association, interest or circumstance.
THIS DISCLOSURE is submitted by __ ...,;::C=o=nstan==ce""'&"""o.._.y'-'-F=-=i=sh=er=--____ __., as (Name of Individual)
_..,..Pres-=iden==t _________ _. of Roy-Fisher Associates, Inc. (Title/Position) (Firm Name of ENGINEER)
who hereby certifies that the information stated above is true and correct. Further, it is hereby acknowledged that any misrepresen · by the Consultant on this Disclosure is considered an unethical business practice and is orn:nntt for sanctions · .,,,- future County business with the Consultant.
(Date)
1 Revised 01127/05
CORD.,.. CERTIFICATE OF LIABILITY INSURANCE -
Leatzow Insurance
2301 W. 22nd Street Suite 208
Oak Brook, IL 60523
INSURED
Roy-Fisher Associates, Inc. 381 Tequesta Drive Tequesta, FL 33469
THIS CERTIFICATE IS ISSUED AS A· MATTER OF INFORMATION ONLY AND CONFERS NO RIGliTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW.
COMPANIES AFFORDING COVERAGE COMPANY
A New Hampshire Insurance Company
COMPANY B
COMPANY C
COMPANY D
------------------------------------------ -------------\:0\'( r~,il.(,... .>
THIS IS TO CERTIFY 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 NAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co LTR
A
TYPE OF INSURANCE
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS UNDERGROUND EXPLOSION COLLAPSE HAZARD
PRODUCTS/COPMLETEO OPER
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABlLITY
ANY AUTO
ALL OWNED AUTOS(Private Pass)
ALL OWNED AUTOS (Other then Private ~l HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKfiRS COMPENBATION ANO EMPLOYERS' LIABILITY
THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE:
OTHER
Professional
Liability
INCL EXCL
POLICY NUMBER
DOES NOT APPLY
DOES NOT APPLY
DOES NOT APPLY
DOES NOT APPLY
006936885
DESCRIPTION OF OPERATIONSA.OCATIONSNEHICLES/SPECIAL ITEMS
Re: PBC Landscape Architectural Annual Agreement Retroactive Date of Policy: 7/21/1988
Palm Beach County c/o Department of Engineering Attn: David Young
00 N. Jog Road, 3rd Floor est Palm Beach, FL 33411-27 45
POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/00/YY) DATE (MM/DD/YY)
7/31/2008 7/31/2009
LIMITS
BODILY INJURY OCC s BODILY INJURY AGG s PROPERTY DAMAGE OCC S
PROPERTY DAMAGE AGG S
Bl & PD COMBINED OCC S
81 & PD COMBINED AGG
PERSONAL INJURY AGG
BODILY INJURY (Per Person)
BODILY INJURY (Per Accident)
PROPERTY DAMAGE
BODILY INJURY PROPERTY DAMAGE COMBINED
EACH OCCURENCE
AGGREGATE
s s
s
s
s
s
1,000,000 each claim
1,000,000 aggregate
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENOEA\/OR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
01/19/2009 16:30 5617478245 BILL l3CWIAN INS PAGE 02/02
I ·-ACQBD. CERTIFICATE OF LIABILITY INSURANCE 01/19/09 ........ THIS CllfflPICAlli II IUUED Al A IIIA1TER 01' INFOIIIIATION STATE FARM INSURANCE ONLY AND CONI l!RI NO RICIHTI UPON THE CElfflfllCATE
~ 720 W IMOIANTOWN RD ~ c;ERTIFICA~ D0&8 NOT ~r. l!XTEND OR JUPITER, FL 334611 ALTa ORDm IV THE IES BELOW.
ll8URBt8 AIIPORDING COVl!RAGE NAICt -- ~II! ROY-FIIHl!R A880CIATE8, INC MlM!ft8: 11'1 TEQUESTA DRIVE
TEQUUTA. FL 33•• 3027 INIIURIIII C;
MUftl!III•. I ·--~ C
.
THE POl.lCaOP INIURANCal.llttD BELOWH.\VIHIN 188ueDTOTtll! IN8UREONMEDA80VI !'Oft TtEPQJCYPllftlQO INDICATED. NOtwlTHITANDING AH'f REIQU.....,., TaM Ollt CONDffl0N OF NN ~ OR OTHM DOCUMENT WITlf RE8PECT TO WHICH THl8 Cllffl!IICATE MAY Bl IIIUIO o.-MAY l'l!RT~ INIUfWG: AfFOROID IY THI! POLICIES Dlall!IED H1SRE1N IS 9IAIICTTO AU. THE TERMS, IIXClUSfON8 AND CONDITIONS OF SUCH P0UCll8, :rE LIMITS IMOWN MAY HAVEi iON N!DlJCED BY !WCI Cl.AN8,
·- -- "°'-'GT- ~~ LIWTS A X .,_!!llatM-UAIIM 91-KS-4372-48 81111111 01131119 tE-!~-· 'I .__ OOlll!IIDW..caNIIIW.IJMLITY I
........ • CLAIM8MDI! • CXJCUII iMliD ____ ,
• s.•.oo ........ l'l!MDMIIL.IIOIIWRY I 1••.00 --- Ql!NIRALAGQRNAT! I 2.000.~~ r7.AG9MM'le LMTAPPLIU Plilt Mt-Mis: n.,.,, PR0DUCft.COW'l0f' AGO I 2,000,000.00
• X ~UlanY m.~1NI C 011191N 07119119 r-=,IINQUII.NlT • ,,,,IIUTO ........ - ALLOIIIIWIDAUT09
ll0DIL 'I' IN.IUA'I' • 1,000,000.00 ICMDUU!IJ MIT08 ("If,._, ---- tllalDAln'Qa
ev.':r" • 1,000,000.00 - ICIN,Ol'Wl!I) A&ITolS
- Pll0PIIR'TVl)AMAOI! (Pllt......, ' 1,000,000.00
HUUUY AU1'0 ONI.V • fAACCKan' I NffAUTO
ant!ft111M MMX: I IIOTOOILY: .. ,... I
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INICRl'IICINOPCIIIIM ...... ,&.OOA ..... ,ff!IIIILD,rm_...,..,_an II 11/TI...W. ....... PALM BEACH COUNTY BOARD OF COUNTY COMlll9SIONl!ft8, A POLITICAL SUBDMSION OF THE STATE OF FLORIDA, fT8 OFFICERS,EMPLOVEES. AND AGENCY·AR~ U8Tl!D AS
CERTIFICATE.--. -- CANCELLATION ......,,,,, Clll'lllaMGWD•c•••l'CILDII •"""•' m---•nm--•IA'IICIN ADDITIONAi.. IN8URED Mff,..._.,,._ __ ....,-..,....,._lVIIM. - Mff _,,-PAUi Bl!ACtl COUNTY ENGINEERING & PUBLIC WORKS N01a 1Vlla!ClllffllllOAftllGl.&IIRMIIIID'IQ1NI Liff, IUJ P ...... TODOIOMALL FAY- 9011 NO -..MllOII GIi waiuff GP Ntr 11111D UPGII Tift! - mt MMl'S CIR N. ~ IID,WDT PAUi lll!ACII, PL 33411 -·· '"-HnllDMIO--• IT~'INl
ACORD 21 (2001111) eACORD CORPORATION 1•
•
•
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l'OJ-25-2008 13:10 FRCl'l:ROV-FISI-ER ASSOC. 561-747-0281 T0:6844166 P.2 •
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