HomeMy WebLinkAboutSunshine Building and Development Agreement Form 4th Addition to WM Improvements -1997 02 24r,.
SECTION 00500
AGREEMENT FORM
1. GENERAL
1.01 THIS AGREEMENT, made this,Z~ day of TP 6T u 4r,y 1997, by and between
(1) the City of Winter Springs ,hereinafter called the Owner, and
12- Sunshine Building and Development doing business as a
13) Corporation ,and hereinafter called the Contractor.
1.02 WHEREAS, the OWNER and CONTRACTOR are desirous of entering into an Agreement for
construction of a the North Orlando Fourth Addtion Water Main Improvements (Bid No. 97-0011
by CONTRACTOR for OWNER.
NOW, THEREFORE, for and in consideration of the mutual promises hereinafter exchanged the
parties agree as follows:
1. Contract Documents -The Contract Documents consist of this Agreement; all Technical,
General, and Supplementary Conditions and Sections contained in the Project Manual; the
Drawings as listed on the Bid Form and Index to Drawings; all Addenda issued prior to and all
Change Orders issued after execution of this Agreement. These form the Contract and all are
as fully a part of the Contract as if attached to this Agreement or repeated herein.
2. Scope of Work -The CONTRACTOR shall perform all work required by
the Contract Documents for the construction of North Orlando Fourth Addition Water Main
Improvements.
3. Contract Time -The CONTRACTOR shall begin work within 10 days after the issuance
of a written Notice to Proceed and shall complete the work within one hundred
twenty(120)calendar days from the date of the Notice to Proceed.
4. Liquidated Damages -OWNER and CONTRACTOR recognize that time is of the essence
of this Agreement and that OWNER will suffer financial loss if the Work is not substantially
complete within the time specified in Paragraph 3 above, plus any extensions thereof allowed
in accordance with the General Conditions. They also recognize the delays, expense and
difficulties involved in proving in a legal arbitration proceeding the actual loss suffered by
OWNER if the Work is not substantially complete on time. Accordingly, instead of requiring any
such proof, OWNER and CONTRACTOR agree that as liquidated damages for delay (but not as
a penalty) CONTRACTOR shall pay OWNER 5250.00 for each day that expires after the time
specified in Paragraph C for final completion until the work is finally complete.
5. Contract Price -The OWNER will pay the CONTRACTOR in current funds for the
performance of the work, subject to additions and deductions by Change Order and subject to
the Measurement and Payment Provisions (Section 01 150), and subject to actual constructed
quantities; the Total Contract Price of Four Hundred Sixtv Two Thousand Thirty and 95/100
Dollars (5462.030.95). Payments will be made to the CONTRACTOR on the basis of the
Schedule of Unit Prices included as a part of his/her Bid, which shall be as fully a part of the
Contract as if attached or repeated herein.
(1) Owner
(2) Contractor
(3) Sole Proprietor, Partnership, or Corporation
00500-1
-i ~ .
6. Payments -The Owner will make payments as provided in the General Conditions and
Supplementary Conditions.
7. Engineer -The Project has been designed by Conklin, Porter &Holmes-Engineers, Inc.,
referred to in the documents as the Engineer, whose authority during the progress of
construction is defined in the General Conditions and Supplementary Conditions.
8. Bon -CONTRACTOR shall supply a materials, performance and payment bond (s) in
accordance with Florida law and to the satisfaction of Owner.
9. Mediation/Venue -The parties agree that should any dispute arise between them
regarding the terms or performance of this Agreement, both parties will participate in a
mediation. The parties agree to mutually select a mediator and int he event they cannot
mutually agree upon a mediator, one will be appointed by the American Arbitration Association.
The parties agree to equally share the cost of the mediator. Should the parties fail to resolve
their differences through mediation, then any cause of action filed hereunder shall be filed in the
Circuit or County Court for Seminole County, Florida.
10. CONTRACTOR warrants the Water Main Improvements will be fit for the City's intended
use and purpose and will comply with all Federal and State laws and regulations.
1.03 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first
above written.
CONTRACTOR:
Sunshine Building and. Development
Name of Firm
" // _ eaU
Bq (Sig~ure and Title) Jghy~'B,us resident
/ ~
ttest
OWNER:
The Citv of Winter Springs
Name of Owner
N ~/ (Seal)
By Signature a T' e)Ron McLemore, City Manager
Attest
END OF SECTION
00500-2
,~
UNTIED STATES FIDELITY AND GUARANTY COMPANY
1041895
POWER OF ATTORNEY ~
~USF-Cw
NO, 106664 iliultttl
KNOW ALL MEN BY THESE PRESENTS: That UNITED STATES FIDELITY AND GUARANTY COMPANY, a corporation organized and existing
under the laws of the Slate of Muyland and having its principal office at the City of Baltimore, in the State of Maryland, does hereby constitute and appoint
Lewis Donald Rushing, David Tobin Johnson, Gilbert Oswalt Bennett, Robert Harris Dixon
and Alan Douglas Moore
of the City of Pensacola ,Slate of Florida its true sod lawful Attomey(s}in-Fact, each in their separate
capacity if more than one is narrted above, to sign its name as surety to, and to execute, seal and acknowledge say and all hoods, undertakings, coWracts and other
written insltuments in the nature thereof om behalf of the Company in its business of guaranteeing the fidelity of persons; guaranteeing the performance of contracts;
and executing or guaranteeing bonds and undertakings required or permitted in soy adioos or proceedings allowed by law.
In Witness Whereof, the said UNITED STATES FIDELITY AND GUARANTY COMPANY has cauxd this irtstnttrtent to be sealed with its corporate seal,
duly attested by the signatures of its Seaior Vice President and Assistant Secretary, this 2 2nd day of January , A.D. 19 9 3 .
~~ ~ UNITED STATES FIDELITY AND GUARANTY COMPANY
t
rmraaa (Signed) By.../. ~.
....
.~- t~06 -' ... .. ................
Senior Vice President
~~- ~~~ ~ -
(Signed) By ......................:..............................
~ssistant Secretary
STATE OF MARYLAND) ~~ ~'
SS: `w
BALTIMORE C17Y ) y~~~~
Om this 22nd day of January ,A.D.199 DeCote~mepersooallyc~~~~Robert J. Lamendola
Senior Vice President of the UNITED STATES FIDELI'T'Y AND GUA COMPANY an~ 1~'''Paul D . Sims , Assistam
Secretary of ssid Company, with both of whom I am personally aCdtt rated, who being b~~'~erally duly sworn s~ that they, the said Robert J .
Lamendola and Paul D . Si, l' 7 ~~ ere rcspectivel or Vice President and the Assistant Secretary of
the said UNI'i-ED STATES FIDELITY AND GUA ANY, the cio3described in an xecuted the foregoing Power of Attorney; that they
each knew the seal of said corporation; that the a d to said Power ey was such co ,that it was so affixed by order of the Board of Directors
of said corporation, and that they signed lheir~e Thereto by like p~ nior Vice Presi~tl~O ssisgnt Secretary, respectively, of the Company.
My Commission expires the 11 ttt day in 5
~w.u~r L (Si~red~~`~~t. !1.0.-^.~.. ..~i!~
""" ~ ~ • NOTARY PUBLIC
4>up~r`P
This Power of Attorney is granted under sod by 4( ~y of the following Resolutions adopted by the Board of Directors of the UNITED STATES
FIDELITY AND GUARANTY COMPANY on Septemb{~4}I~92:
RESOLVED, that in connection with the fidelity and stuety insurance business of the Company, all bonds, undertakings, contracts sod other insttumeots
relating to acid business may be aired, executed, and acknowledged by persons or entities appointed as Attorney(s)-in-Fact pursuant to a Power of Attorney issued in
accordance with lhex resolutions. Said Power(s) of Attorney for and on behalf of the Company may and shall be executed in the name sod on behalf of the Company,
either by the Chairrrran, or the President, or am Executive Vice President, or a Senior Vice President, or a Vice President or an Assistant V ice President, jointly with the
Secretary or an Assistant Secretary, under their respective designations. The signature of such officers troy be engraved, printed or lithographed. The signature of each
of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing
Attoraey(a}in-Fact for purposes ody of executing and attesting bonds and undertakings and other writings obligatory in the rtaturc thereof, and, unless subsequently
revoked and subject to any limitations set forth therein, any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and
binding upon the Company and any such power so executed and certified by such facsimile sigrtalurc and facsimile seal shall be valid and binding upon the Company
with respect -o any bond or undertaking to which it is validly attached.
RESOLVED, that Attomry(s}im-Fact shall have the power and authority, unless subsequently revoked snd, in any case, subject to the terms and limitations
of the Power of Attorney issued to thetr>, to execute sod deliver on behalf of the Company and to attach the seal of the Company to any and all bonds aad undertakings,
and other writings obligatory in the nature thereof, and any such instrument executed by such Attorney(s)-in-Fact shall be as binding upon the Company as if signed by
an Executive Officer and sealed and attested to by the Secretary of the Company.
I. Paul D . Sims , an Assi~ant Secretary of the UNITED STATES FIDELITY AND GUARANTY COMPANY,
do hereby ceRify that the foregoing is a true excerpt from the Resolution of the said Company u adopted by its Board of Directors oo September 24, 1992 and that this
Resolution is in full force sod effect.
I, the undersigned Assistant Secretary of lbe UNITED STATES FIDELITY AND GUARANTY COMPANY do hereby certify that the foregoing Power of
Attorney is in full force snd effect and has not been revoked.
In Testitnony Whereof, i have hereunto set my hand and the seal of t e iTED STATES FIDELITY AND GUARANTY COMPANY on this day
of , 19
t ........................... ..........
`J ssavan Assistant Secrets
~g,~ 1196 ~q~ rY
"~11 ANtI~
FS 3 (10-92 )
Fisher-Brown, Inc.
P. O. Box 711
Pensacola, FL 32593-0711
WEL/cr
904-432-7474
Sunshine Bldg 8c Development Co
Attn: Amoret LaRosa
P. O. Box 180958
Casselberry, FL 32718-0958
o-o->~IwF:w::::::.>o->swlw>:w>1~F:~1wc~w:~1Rw;;:wR•:w::!~w!~:wwfs::::;;;5',S'.::E27>:~8~8~>:~S>:::>:::>t:.;:::i5:i:::::: s:2~iii'i5i:::':Si:~iSi:~:::~'
................................................... 2/03/97
' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A U S FIRE INSURANCE CO
COMPANY
B CNA Insurance Companies
COMPANY
C
COMPANY
THISIS TOCERTIFY THATTHEPOLICIES OF INSURANCELISTEDBELOW HAVE BEENISSUEDTOTHE INSUREDNAMED ABOVEFOR THEPOLICYPERIOD
INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENT WITHRESPECTTO WHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCH POLICY NUMtER POLICY EFFECTIVE POLICY EXPIRATION
LIMIT8
LTR DATE (MMIDDIYY) DATE (MMIDD/YY)
OENERALLIAEE.n'Y GENERAL AGGREGATE S 2000000
B X COMMERCIAL GENERAL LIABILITY 0144619785 4/09/96 4/09/97 PRODUCTS-COMP/OP AOG $ 2000000
ii CLAIMS MADE a OCCUR PERSONAL & ADV INJURY S 1000000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000
FIRE DAMAGE (Any one tire) S 50000
MED EXP (Any one person) S 5 0 00
AUT OMOaE.E LIABE.ITY
COMBINED SINGLE LIMIT
S
g X ANY AUTO 0144616496 4/09/96 4/09/97 1000000
ALL OWNED AUTOS BODILY INJURY s
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY 3
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE g
OARAOELIASR.n'Y AUTO ONLY EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE S
EXCESi LIABE.ITY EACH OCCURRENCE S $ Q Q Q Q Q Q
A X UMBRELLA FORM 5530244085 4/09/96 4/09/97 AGGREGATE s 16000000
OTHER THAN UMBRELLA FORM S
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS' LIAa1LRY
EACH ACCIDENT
S
THE PROPRIETOR/
PARTNERS/EXECUTIVE ~ INCL DISEASE • POLICY LIMIT f
OFFICERS ARE: EXCL DISEASE • EACH EMPLOYEE S
OTHER
Ref: North Orlando 4th Addition Water Main Improvements. The City of Winter
Springs, its representative, Conklin, Porter 8c Holmes, Engineers Inc, the
architect. their consultants. officers, agents & Employees are addditional i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED ![FORE THE
692380000 EXPIRATION GATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
City D f Winter Springs 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
1 126 E e s t SR 434 BUT FA RE TO MAIL SUCH NOTIC LL IMPOSE NO OBLIGATION OR LIABE.ITY
Winter Springs , F L 3 2 7 0 8 A Y KIN UPON THE CO PAN ITB AGENTS OR REPRESENTATIVES.
A OR D EP SENTATIVE 692380000
~ n A.
02/Q~%9i 1d:1~ $ l~]012
' SECTION 00652
CERTtF1CATE OF INSURANCE AND ENDORSEMENT
Description of Contract: North Orlando FQyrth Addition Water Main Improvements
Owner:
Engineer.
~{tv of Vthnter Springs Canklln, Porter & Holmes -Engineers, Inc.
1126 East 5.8, ~~~ 1104 E. Robinson Street
Vlfinter Sg~'ngs. PL 32708 Orlando, Florida 32801
Type of Insurance: COMPREHENSNE GENERAL UAIBtLITY INSURANCE
THlS IS 70 CERTIFY that the following numbered polities have been issued by the below-stated company in
conformance with the limits and requirements sst forth in the General Conditlons and Supplemental Condfiions.
The insurance company will give at least thirty (3~ days' written notice by registered mail to the Owner and the Engineer
prior to any material change or cancellation of said policy or pollees.
See attached Accord Form 25 for limits.
POLICY NUMBER EFFECTIVE GATE EXPIRATION DATE
0144619785 4-9-96 4-9-97
ENDORSEMENT
The Owner, the Owner's Representative, the Engineer, the Architect, and their consultants, and each of their officers,
agent, and employees, are included as additionally named insured under said policies but only while acting in their
capacity as such and only as respects operations of the originally named insured, his subcontractors, agents, and
employees in the performance of the above-referenced contract; provided, however, that if the loss or damage is
ultimately determined to be the proximate result of the sole negligence of one or more of the aforesaid additionally
named insured, this insurance shall not apply.
This endorsement shall not operate to increase the insurance company's total limit of liability hereunder,
The insurance company hereby waives its rights of subrogation against the additionally named insured.
Sunshine Bld & Development Co CNA Insurance Co
Named Insured Insurance Company
2q1 Anchor St P_(1_ Rnx 154
Street 8~ Number Street 8 Number
City & State " ~ I ~' I City & State
By
(Attach Acknowledgement)
(Notice: No substitution or revision to the above certificate and endorsement wilt he accepted. It the insurance called
for is provided by more than one company, a separate certificate in the exact above form shall be provided for each
company.)
END OF SECTION
00652-1
Fisher-Brown, Inc.
P. 0. Box 711
Pensacola, FL 32593-0711
WEL/cr
904-432-7474
Sunshine Bldg & Development Co
Attn: Amoret LaRosa
P. O. Box 180958
Casselbarry, FL 32718-0958
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A Associated Industries Ins Co
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFYTHAT THEPOLICIES OF INSURANCELISTEDBELOWHAVE BEENISSUED TOTHE INSUREDNAMED ABOVEFOR THEPOLICYPERIOD
INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTW ITHRESPECTTO WHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMR)D/YY) DATE (MMIDDIYY)
GENERAL LIABLRY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ^ OCCUR
OWNER'S 8 CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GENERAL AGGREGATE S
PRODUCTS-COMP/OP AGG S
PERSONAL & ADV INJURY S
EACH OCCURRENCE S
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
COMBINED SINGLE LIMIT I $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE ~$
OARAOELIABS.RY AUTO ONLY EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE S
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM S
WORKERS COMPENSATION AND STATUTORY LIMITS
A EMPLOYERS' LIABILITY
962301769
4/09/96
4/09/97
EACH ACCIDENT
$ 500000
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL DISEASE -POLICY LIMIT $ 500000
OFFICERS ARE: EXCL DISEASE • EACH EMPLOYEE $ SQQQQQ
OTHER
Ref: North Orlando Fourth Addition Water Main Improvements
692380000
City of Winter Springs
1126 East SR 434
Winter Springs FL 32708
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
3 Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAQ E TO MAIL 8UCH NOTICE 8 I OSE NO OBLIGATION OR LIABLITY
O ANY IN UPON THE COMP NY, S GENT8 OR REPRESENTATIVES.
ORIZE EP ESENTA gg2380000
. ~.
..
I.J
SECTION 00650
CER71FtCATE OF INSURANCE
Doscxiption of Contract: Nart.'^ Crlando Fourth Additlar'~',(ater Main lmorovements
Owner. Engineer.
City aT inter SQ~g~_ ConkJln, Porter aHolmes -Engineers, Inc.
11~R past S.R. 434 1104 E. Robinson Street
Orlando, Florida 32801
Winter Sp~s_ FL. 32708.
Type of Insurance: WORKER'S OR WORKMEN'S COMPENSATION INSURANCE
~ uio
THI9 IS TO CERTIFY that the following numbered policies have been issued by the below-stated company in
conformance with the limits and requirements as set forth in the General Conditloris and Supplementary Condfions.
See attached Accord Form 25 for limits.
The insurance company will give at leasithirty (30) days' written notice by registered mail to the Owner and the Engineer
prior to any material change or cancellation of said polity or polices.
POLICY NUMBERS EFFECTNE DATE EXPIRATION DATE
962301769 4-9-96 4-9-97
Named Insured Insurance Company
Snnchina R1 rl f~ 'Tlavcl nnmcnt ('n Acenni ~tcrl Tnrlnctri cc Tnc (,'Q
Street & Number rCity Ste P.O. Box 3 7 Boca Raton, FL 33431
291 Anchor St
"~ Casselberry, FL gY `
32707 Authoriz d presentative
(Notice: No substitution or revision to the above certificate will be accepted. If the insurance called For is provided by
more than one company, a separate certificate in the exact above form shall be provided for each company.)
....
ENO OF SECTION
00850-1
•::: \ '~ :: .: ~ .::.> :`'' . 'i. :: iii .:: :i:ii:3i '': i .: iii ''<' >`i'`ti:;E :ir:....DATH (MMIDD/YY) !'..
:::: a it~~..::::: .:::::::.:..::..:::::::::::::::::.:::::::::..:...: ~:: .:::::::::::::::: ::.: ;:
2/03/97
::>:'V11biSUCEl4;;:.:;:.;:.;;:.;;>;:.>:<:::>:<:::>::::> :>::><::>::>::::>::::>::>::»::::>::»:::»::::»:»>::::><:::::ii:`•>::»::>:: »::> ` »> »::i;:'s:::>;>:>:>::»:;>:::::>::>:::<::
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Fisher -Brown , Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P . O. Box 71 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pensaco I a , FL 32593-0711 COMPANIES AFFORDING COVERAGE
WE L / c r COMPANY
904-432-7474 A U S FIRE INSURANCE CO
INSURED
COMPANY
Sunshine Bldg & Development Co B CNA Insurance Com anies
Attn: Amoret LaRosa COMPANY
P. O. Box 180958 C
Casselberry, FL 32718-0958 COMPANY
D
THISISTO CERTIFY THAT THEPOLICIES OF INSURANCELISTEDBELOW HAVE BEENISSUEDTOTHE INSUREDNAMEDABOVEFOR THEPOLICYPERIOD
INDICATED,NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTII TYPE OF INSURANCE POLICY NUMiER POLICY EFFECTIVE
DATH (MMR)D/YY) POLICY EXPIRATION
DATE (MMlODIYY)
LIMBS
GEN ERALLIABE.n'Y GENERAL AGGREGATE S 2000000
B X COMMERCIAL GENERAL LIABILITY 0144619785 4/09/96 4/09/97 PRODUCTS•COMP/OP AGG S 2000000
CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY S 1 OOOOOO
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1 OOOOOO
FIRE DAMAGE (Any one tire) S 50000
MED EXP (Any one person) $ 5 O O O
AUT OMOBILE LIAaE.ITY
COMBINED SINGLE LIMIT
f
g X ANY AUTO 0144616496 4/09/96 4/09/97 1000000
ALL OWNED AUTOS BODILY INJURY 3
SCHEDULED AUTOS (Per person)
x HIRED AUTOS BODILY INJURY g
x NON•OWNED AUTOS (Per accident)
PROPERTY DAMAGE g
GARAGE LIAaE.ITY AUTO ONLY EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE S
EXCESSLIAaE.ITY EACH OCCURRENCE S $OOOOOO
A X UMBRELLA FORM 5530244085 4/09/96 4/09/97 AGGREGATE S 16000000
OTHER THAN UMBRELLA FORM 4
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS' LIAEE.ITY
EACH ACCIDENT
f
THE PROPRIETOR/
PARTNERS/EXECUTIVE ~ INCL DISEASE POLICY LIMIT S
OFFICERS ARE: EXCL DISEASE -EACH EMPLOYEE S
OTHER
Ref: North Orlando 4th Addition Water Main Improvements. The City of Winter
Springs, its representative, Conklin, Porter & Holmes, Engineers Inc, the
architect. their consultants. officers. agents & EmDlovees are addditional ins
692380000
City of Winter Springs
1126 East SR 434
Winter Springs, FL 32708
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES aE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE 188UIN0 COMPANY WILL ENDEAVOR TO MAIL
3 O DAY8 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FA RE TO MAIL SUCH NOTIC LL IMPOSE NO OBLIGATION OR LIABILRY
A Y KIN UPON THE CO PAN ITS AGENTS OR REPRESENTATIVES.
OR D EP ESENTATIVE 692380000
. ~.
0~/Q~-9i ld:l? $ ~I01~
SECTION 00652
CERTIFICATE OF INSURANCE AND ENDORSEMENT
Description of Contract: ~1o~hQrlando Fourth Additjcn Water Main Improvements
~~ ~ Owner. Engineer.
City of Winter Springs Conklin, Porter & Holmes -Engineers, Inc.
1126 East S.R. 434 1104 E. Robinson Street
Winter S~jng§, FL 32708 Orlando, Florida 32801
Type of Insurance: COMPREHENSNE GENERAL l.1ABIt.fTY INSURANCE
THIS IS TO CERTIFY that the following numbered polities have been issued by the below-stated company in
conformance with the fimib and requirements sst forth in the General Condftlons and Supplemental Conditions.
The lnsutance company will give at least thirty (30) days' wntien notice by registered marl to the Owner and the Engineer
prior to any material change or cancellation of said policy or policies.
See attached Accord Form 25 for limits.
POLICY NUMBER EFFECTII/E GATE EXPIRATION 4A1'E
0144619785 4-9-96 4-9-97
HIVDORSEMENT
The Owner, the Owner's Representative, the Engineer, the Architect, and their consultants, and each of their officers,
agenb, and employees, are included as additionally named insured under said policies but only while acting in their
capacity es such and only as respects operations of the originally named insured, his subcontractors, agents, and
employees in the perfomtance of the above-referenced contract; provided, however, that if the loss or damage is
ultimately determined to be the proximate result of the sole negligence of one or more of the aforesaid additionally
named insured, this insurance shall not apply.
This endorsement shall not operate to increase the insurance company's tote! limit of liability hereunder,
The insurance company hereby waives its rights of subrogation against the additionally named insured.
Sunshine Bld & Development Co CNA Insurance Co
Named Insured Insurance Company
- 2 1 Anchor St P_n_ Rnx 154
Street i~ Number Street ~ Number
City & State , ~ ~ i City & State
By
Re
(Attach Acknowledgement)
(Notice: No substitution or revision to the above certificate and endorsement will he accepted. If the insurance called
for is provided by more than one company, a separate certificate in the exact above form shall be provided for each
company,)
ENO OF SECTION
00652-1
Fisher-Brown, Inc.
P. O. BOx 711
Pensacola, FL 32593-0711
WEL/cr
904-432-7474
Sunshine Bldg & Development Co
Attn: Amorat LaRosa
P. O. Box 180958
Casselberry, FL 32718-0958
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A Associated Industries Ins Co
COMPANY
B
COMPANY
C
COMPANY
THISISTO CERTIFY THATTHEPOLICIESOF INSURANCELISTEDBELOW HAVE BEENISSUEDTOTHE INSURED NAMED ABOVEFOR THEPOLICYPERIOD
INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO npE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTI1 DATE (MMIDDIYY) DATE (MMIDDIYY)
GENERAL LIASLITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ^ OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOSLE LIABS.ITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GENERAL AGGREGATE S
PRODUCTS-COMP/OP AGG $
PERSONAL 8 ADV INJURY f
EACH OCCURRENCE f
FIRE DAMAGE (Any one fire) S
MED EXP (Any one person) 3
COMBINED SINGLE LIMIT ~ S
BODILY INJURY 3
(Per person)
BODILY INJURY S
(Per accident)
PROPERTY DAMAGE ~g
GARAGE LIASE.ITY AUTO ONLY EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
• EACH ACCIDENT S
AGGREGATE S
EXCESS LIASLn'Y EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM S
WORKERS COMPENSATION AND
' STATUTORY LIMITS
A EMPLOYER!' LIAaS.n
Y
962301769
4/09/96
4/09/97
EACH ACCIDENT
S 500000
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL DISEASE POLICY LIMIT S
5 0 0 0 O O
OFFICERS ARE: EXCL DISEASE • EACH EMPLOYEE S 500000
OTHER
Ref: North Orlando Fourth Addition Water Msin Improvements
692380000
City of Winter Springs
1126 East SR 434
Winter Springs FL 32708
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
3 Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAS. E TO MAIL SUCH NOTICES I OSE NO OSLIOATION OR LIABILITY
0 ANY IN UPON THE COMP NY, S GENTS OR REPRESENTATIVES.
ORIZE EP ESENTA 692380000
_ C'
o2~os; s; ia: io ~
SECTION 00650
CERTIFICATE OF INSURANCE
Doscxiption of Contract: lJort~; Crlando Fourth A.ididar;'~'~/ater Main lmorovemenis
Owner: Engineer.
City or 1Nnter SRr+.ngs Conklin, Porter 8~ Holme: -Engineers, Inc.
112f3 Eas S.R. 434 1104 E. Robinson Street
Orlando, Fiorida 32801
Winter,~,pIIngs. FL. 32708
Type of Insurance: WORKER'S OR WORKMEN'S COMPENSATION INSURANCC
~ oio
THIS iS TO CERTIFY that the following numbered policies have been issued by the below-stated company in
cor>formancs with the limits and requirements as set forth in the General Conditions and Supplementary Conditions.
See attached Accord Form 25 for limits.
The ~rsurance company will give at least thirty (30) days' written notice by registered mail to the Owner end the Engineer
prior to any material change or cancellation of said policy or pofiaes.
P4l.ICY NUMBERS EFFECTNE DATE EXPIRATION DATE
962301769 4-9-96 4-9-97
I.J
Named Insured Insurance Company
~nnchina Kira F. 'lla~~c l n mcnt ('n Accnr'1 7LP__ti__ LnrlusrY7Br~-~~is._~;p
Street & Number City St to p.0. Box 3 7 Boca Raton, FL 33431
291 Anchor St
"' Casselberry, FL BY `
32707 Authoriz d presentative
(Notice: No substitution or revision to the at~ove certifficate will be accepted. If the insurance called for is provided by
more than one company, a separate certificate in the exact above form shall be provided for each company.)
END OF SECTION
00850-1
Fisher-Brown, Inc.
P, O. Box 711
Pensacola, FL 32593-0711
WEL/cr
904-432-7474
Sunshine Bldg & Development Co
Attn; Amoret LaRosa
P. O. Box 180958
Cassalberry, FL 32718-0958
2/03/97
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A U S FIRE INSURANCE CO
COMPANY
B CNA Insurance Companies
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THATTHEPOLICIESOF INSURANCELISTEDBELOW HAVEBEENISSUEDTOTHEINSUREDNAMED ABOVEFOR THEPOLICYPERIOD
INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTII DATE (MM/DDIYY) DATE (MM/DDIYY) LIMITS
GENERAL LIABLITY
B X COMMERCIAL GENERAL LIABILITY 0144619785 4/09/96 4/09/97
CLAIMS MADE ~ OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBLB LIABLITY
g X ANY AUTO 0144616496 4/09/96 4/09/97
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON•OWNED AUTOS
GENERAL AGGREGATE S
PRODUCTS•COMP/OP AGG $
PERSONAL & ADV INJURY S
EACH OCCURRENCE S
FIRE DAMAGE (Any one fire) S
MED EXP (Any one person) S
COMBINED SINGLE LIMIT I S
2000000
2000000
1000000
1000000
50000
1000000 I
BODILY INJURY $
(Per person)
BODILY INJURY g
(Per accident)
PROPERTY DAMAGE Is
GARAGE LIABLn'Y AUTO ONLY EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE S
HXCESS LIABLITY EACH OCCURRENCE S $ Q Q Q Q D Q
A X UMBRELLA FORM 5530244085 4/09/96 4/09/97 AGGREGATE s 16000000
OTHER THAN UMBRELLA FORM S
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS' LIABLITY
EACH ACCIDENT S
THE PROPRIETOR/ INCL DISEASE • POLICY LIMIT f
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE • EACH EMPLOYEE S
OTHER
Ref: North Orlando 4th Addition Water Main Improvements. The City of Winter
Springs, its representative, Conklin, Porter & Holmes, Engineers Inc, the
architect. their consultants. officers. agents 81 EmDlovees are addditional i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EEFORE THE
692380000 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL
C i t y o f W i n t e r S p r i n g s 3 O DAY8 WIInTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
1 126 E a s t SR 434 BUT FA RE TO MAL 8UCN NOTIC LL IMPOSE NO OBLIGATION OR LIABLRY
W i n t e r S p r I n g S, F L 3 2 7 0 8 A Y KIN UPON THE CO AN ITS AGENTS OR REPRESENTATIVES.
A OR D EP SENTATIVE 692380000 'i
A A A. i
0.;'0~%9i 14:12 $
_. .
SEC170N 00652
CERTIFICATE OF INSURANCE AND ENDORSEMENT
Description of Contract: North Orlando FQy~ Addition Water Main Improvements
~Wner:
Engineer.
~itv of Winter Springs Conklin, Porter & Holmes -Engineers, Inc.
1126 Eastg.R, 434 1104 E. Robinson Street
Vlrntsr Snrinas. FL 32708 Orlando, Florida 32801
Type of Insurance: COMPREHENSIVE GENERAL LtABlt.ffY INSURANCE
~ 012
THIS IS TO CERTIFY that the following numbered polities have been issued by the below-stated company in
conformance with the limit and requirements set forth in the General Conditions and Supplemental Condstions.
The Insurance company will give at least thirty (3rd days' written notice by registered mail to the ~nrner and the Engineer
prior to any material change or cancellation of said policy or pollees.
See attached Accord Form 25 for limits.
POLICY NUMBER EFFECTIVE OATS EXPIRATION 4ATE
0144619785 4-9-96 4-9-97
!ENDORSEMENT
The Owner, the Owner's Representative, the Engineer, the Architect. and their consultants, and each of their officers,
agents, and employees, are included as additionally named insured under said policies but only while acting in their
capacity as such and only as respects operations of the originally named insured, his subcontractors, agents, and
employees in the performance of the above-referenced contract; provided, however, that if the loss or damage is
ultimately determined to be the proximate result of the sole negligence of one or more of the aforesaid additionally
named insured, this insurance shall not apply.
This endorsement shall not operate to increase the insurance company's total limit of liability hereunder,
The insurance company hereby waives its rights of subrogation against the additionally named insured.
Sunshine Bld & Development Co CNA Insurance Co
Named Insured Insurance Company
291 Anchor St_ P _ (). Rnx 1 5la
Street & Number Street $ Number
Clay & state - , ~ ~ ,City & state
By
(Attach Acknowledgement)
(Notice: No substitution of revision to the above certificate and endorsement wilt be accepted, It the insurance called
for is provided by more than one company, a separate certificate in the exact above form shall be provided for each
company,)
ENO OF SECTION
00652-1