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HomeMy WebLinkAboutAgreement_General_04/13/2017 (3) i VILLAGE OF TEQUESTA CONTRACT FOR VIDEO SURVEILLANCE AND ACCESS CONTROL SECURITY SYSTEM REPAIRS, MAINTENANCE, UPGRADES AND NEW INSTALLATION SERVICES THIS CONTRACT FOR VIDEO SURVEILLANCE AND ACCESS CONTROL SECURITY SYSTEM REPAIRS, MAINTENANCE, UPGRADES AND NEW INSTALLATION SERVICES, hereinafter the "Agreement ", is entered into and effective this rd Z day of March 2017, by and between the V I L LA G E O F T E Q U E S TA, a Florida municipal corporation with offices located at 345 Tequesta Drive, Tequesta, Florida 33469 -0273, organized and existing in accordance with the laws of the State of Florida, hereinafter "the Village "; and MILLER ELECTRIC COMPANY a Florida corporation with offices located at 2251 Roselle Street, Jacksonville, Florida 32204, hereinafter "the Contractor" and collectively with the Village, "the Parties ". WITNESSETH The Village and the Contractor, in consideration of the mutual covenants contained herein and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged by the Parties, hereby agree as follows: 1. SCOPE OF SERVICES: The Parties hereby agree to enter into this Agreement whereby the Contractor shall furnish all necessary labor and materials to complete video surveillance and access control security system repairs, maintenance, upgrades and new installation services at the Village's Village Hall Building facility, Public Safety Building facility, and Parks and Recreation Building facility as specified in the Proposals attached hereto as Exhibit "A ". The Parties agree to enter into this Agreement and piggyback for the labor and materials at the prices described in the Contractor's contract with Osceola County, RFP -16- 4469 -TP, effective April 19, 2016. Said contract, comprised of the Osceola RFP -16- 4469 -TP, the Con- tractor's Proposal thereto, and the contract, are hereby fully incorporated into this Agreement and attached hereto as Exhibit "B ". 2. COMPENSATION: In consideration for the above Scope of Services, pricing shall be pursuant to the prices provided in the Contractor's contract with Osceola County (Exhibit "B" hereto). Prices shall remain firm for the duration of the Agreement. The Village shall CONTRACT FOR VIDEO SURVEILLANCE AND ACCESS CONTROL SECURITY SYSTEM REPAIRS, MAINTENANCE, UPGRADES AND NEW INSTALLATION SERVICES pay the Contractor upon the Contractor's completion of, and the Village's acceptance of, the services required herein as specified in Exhibit "A ". 3. INDENINIFICATION; INSURANCE: The Contractor shall at all times indemnify, defend and hold harmless the Village, its agents, servants, and employees, from and against any claim, demand or cause of action of whatsoever kind or nature, arising out of any error, omis- sion, negligent act, conduct, or misconduct of the Contractor, its agents, servants, or employ- ees in the performance of services under this Agreement, to the same extend that it has agreed to indemnify Osceola County pursuant to Exhibit "B ". The Contractor shall at all times carry insurance pursuant to the requirements of its contract with Osceola County pursuant to Exhibit "B ". 4. PUBLIC ENTITIES CRIMES ACT: As provided in sections 287.132 and 287.133, Florida Statues, by entering into this Agreement or performing any work in furtherance here- of, the Contractor certifies that it, its affiliates, suppliers, subcontractors 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 thirty -six (36) months immedi- ately preceding the date hereof. This notice is required by section 287.133(3)(a), Florida Statutes. 5. TERM; TERMINATION: Pursuant to Osceola County, RFP -16- 4469 -TP, the term of this Agreement shall extend through April 19, 2019. In the event that the Contractor's contract with Osceola County pursuant to Osceola County RFP -16- 4469 -TP is extended beyond April 19, 2019, then the Parties may likewise extend this Agreement upon the same terms and conditions as the Osceola County RFP -16- 4469 -TP extensions. This Agreement may be ter- minated by the Village or the Contractor upon thirty (30) days written notice to the either the Village or Contractor. 6. NOTICE: Notice required by this Agreement shall be considered sufficient when sent by certified mail or hand delivered to the Parties during regular business hours at the following addresses: As to THE VILLAGE As to THE CONTRACTOR Village of Tequesta Miller Electric Company 345 Tequesta Drive 2251 Rosette Street Tequesta, Florida 33469 Jacksonville, Florida 32204 Attn: Information Technologies Manager Attn: David Stallings, Vice President Page 2 of 5 CONTRACT FOR VIDEO SURVEILLANCE AND ACCESS CONTROL SECURITY SYSTEM REPAIRS, MAINTENANCE, UPGRADES AND NEW INSTALLATION SERVICES 7. INDEPENDENT CONTRACTOR: It is specifically understood that the Contractor is an independent contractor and not an employee of the Village. Both the Village and the Contrac- tor agrees that this Agreement is not a contract for employment and that no relationship of employee— employer or principal —agent is or shall be created hereby, nor shall hereafter exist by reason of the performance of the services herein provided. 8. ATTORNEY'S FEES: In the event a dispute arises concerning this Agreement, the prevailing party shall be awarded attorney's fees, including fees on appeal. 9. CHOICE OF LAW; VENUE: This Agreement shall be governed and construed in accordance with the laws of the State of Florida, and venue shall be in Palm Beach County, or the United States District Court in and for the Southern District of Florida should any dispute arise with regard to this Agreement. 10. AMENDMENTS & ASSIGNMENTS: This Agreement, all Exhibits attached hereto, and required insurance certificates constitute the entire Agreement between both Parties; no mod- ifications shall be made to this Agreement unless in writing, agreed to by both Parties, and attached hereto as an addendum to this Agreement. The Contractor shall not transfer or assign the services and provision of goods called for in this Agreement without prior written consent of the Village. 11. INSPECTOR GENERAL: Pursuant to Article XII of the Palm Beach County Charter, the Office of the Inspector General has jurisdiction to investigate municipal matters, review and audit municipal contracts and other transactions, and make reports and recommendations to municipal governing bodies based on such audits, reviews, or investigations. All parties do- ing business with the Village shall fully cooperate with the inspector general in the exercise of the inspector general's functions, authority, and power. The inspector general has the pow- er to take sworn statements, require the production of records, and to audit, monitor, investi- gate and inspect the activities of the Village, as well as contractors and lobbyists of the Vil- lage in order to detect, deter, prevent, and eradicate fraud, waste, mismanagement, misconduct, and abuses. 12. PUBLIC RECORDS: PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, the Contractor must keep and maintain this Agreement and any other records asso- ciated therewith and that are associated with the performance of the work described in the Proposal or Bid. Upon request from the Village's custodian of public records, the Contractor Page 3 of 5 CONTRACT FOR VIDEO SURVEILLANCE AND ACCESS CONTROL SECURITY SYSTEM REPAIRS, MAINTENANCE, UPGRADES AND NEW INSTALLATION SERVICES must provide the Village with copies of requested records, or allow such records to be in- spected or copied, within a reasonable time in accordance with access and cost requirements of Chapter 119, Florida Statutes. A Contractor who fails to provide the public records to the Village, or fails to make them available for inspection or copying, within a reasonable time may be subject to attorney's fees and costs pursuant to Sec. 119.070 1, Florida Statutes, and other penalties under Sec. 119. 10, Florida Statutes. Further, the Contractor shall ensure that any exempt or confidential records associated with this Agreement or associated with the performance of the work described in the Proposal or Bid are not disclosed except as author- ized by law for the duration of the Agreement term, and following completion of the Agree- ment if the Contractor does not transfer the records to the Village. Finally, upon completion of the Agreement, the Contractor shall transfer, at no cost to the Village, all public records in possession of the Contractor, or keep and maintain public records required by the Village. If the Contractor transfers all public records to the Village upon completion of the Agreement, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the Agreement, the Contractor shall meet all applicable requirements for retaining public records. Records that are stored electronically must be provided to the Village, upon request from the Village's custodian of public records, in a format that is compatible with the Village's information technology systems. IF THE CONTRACTOR HAS Q UESTIONS REGARDING THE APPLI- CATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CON- TRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT (561) 768 -0685 OR AT lmcwilliams aJequesta.org OR AT 345 TEQUESTA DRIVE, TE- QUESTA, FLORIDA 33469. Page 4 of 5 CONTRACT FOR VIDEO SURVEILLANCE AND ACCESS CONTROL SECURITY SYSTEM REPAIRS, MAINTENANCE, UPGRADES AND NEW INSTALLATION SERVICES IN WITNESS WHEREOF, the Parties hereto have executed this Agreement the date and year first above written. WITNESSES: MILLER ELECTRIC COMPANY � A David Stallings, Vice President (Corporate Seal) VILLAGE OF TEQUESTA .4 1 Al�y 0�� ATTEST: A igtailren n, ayor 0 Lori McWilliams, MMC Village Clerk SE E AL INCORPORATED Page 5 of 5 MILLELE -01 DPARAT ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE (MAA/D 03/15/2017 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 ACT Dora A Paratore Cecil W. Powell & Company 219 N. Newnan Street (A/C, PHON , E :q: (904) 353 -3181 FAX No):(904) 353 -5722 Jacksonville, FL 32202 - MA' , dparatore@cwpowellins.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Zurich American Ins Co 16535 INSURED INSURER B: St Paul Fire & Marine 24767 Miller Electric Company INSURER C: XL Insurance America Inc 24554 P O Box 1799 INSURER D: Jacksonville, FL 32201 -1799 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE T OCCUR X X GL0038137501 07101/2016 07/01/2017 DAMAGE TO $ 1,000,000 REMISES _a occurrence) MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a jra Fx LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO X X BAP038137601 07/01/2016 07/01/2017 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY O�S ONLY AUTO -OSWN BODILY INJURY Per accident $ X A X AUUTOS ONLD AMAGE Y PPerOacGdent UR TOS $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS -MADE X X ZUP15P2028316NF 07101/2016 07/01/2017 AGGREGATE $ 10,000,000 DED X RETENTION $ 10,000 $ A WORKERS COMPENSATION X PER (OTH- STATUTE E AND EMPLOYERS' TOR /P RTNEY ECUTIVE Y IN X CO38137401 07/01/2016 07/01/2017 1, 000,000 STATUTE ER — % FICERMI I EMBER EXCLUDED? ❑ N / A E.L. EACH ACCIDENT $ 1' 000,000 (Mandatory In IJH) E.L. DISEASE - EA EMPLOYE $ It es, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Leased /Rented Equip UM00040936MA16A 07/0112016 07/01/2017 Any One Item: 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached K more space Is required) Project: Video Surveillance and Access Control Security System Repairs, Maintenance, Upgrades and New Installation Services 2017 Village of Tequesta is included as additional insured as respects general liability and auto liability on a primary and non - contributory basis per the attached endorsements. A waiver of subrogation is granted in favor of the additional insured as respects general liability, auto liability, and workers compensation per the attached endorsements. Umbrella liability applies excess to general liability, auto liability, and employers liability (workers compensation). 30 days notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Tequesta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 q ACCORDANCE WITH THE POLICY PROVISIONS. 345 Tequesta Drive Tequesta, FL 33469 -0273 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Miller Electric Company Addendum to Certificate of Insurance Additional Description of Operations: Auto Liability Includes: Hired and Non -Owned Liability Hired and Non -Owned Physical Damage - Deductibles as follows: $250 Comprehensive; $500 Collision Professional and Contractors Pollution Legal Liability Policy # CPL7420321 Effective 07/01/2016; Expiration 07101/2017 Insurer: Indian Harbor Insurance Company Policy Aggregate Limit of Liability: $5,000,000 Coverage A - Professional Liability Limit of Liability Each Act, Error, or Omission: $5,000,000 Aggregate Limit of Liability: $5,000,000 Retention: $100,000 Professional Liability Coverage is Claims Made. Retroactive date: 12/0312010 Coverage B - Contractors Pollution Legal Liability Each Pollution Condition: $5,000,000 Aggregate Limit of Liability: $5,000,000 Retention: $100,000 Pollution Coverage is occurrence based Installation Floater - Policy # UM00040936MA16A Effective 07/01/2016 - 07101/2017 Insurer: XL Specialty Insurance Company Basic Limit: $5,000,000 Maximum Amount of Payment: $10,000,000 Temporary Location: $1,000,000 In Transit: $750,000 Deductible: $2,500 Separate Named Storm deductible applies - 2% of the completed value subject to $10,000 minimum for listed coastal counties. Excludes Flood and Earth Movement Crime Coverage - Policy # 169804990 Carrier: Continental Casualty Company Effective: 07101/2016 - 07/01/2017 Coverage A - Employee Theft - $1,000,000 - Per Occurrence Coverage Al - Client Property - $1,000,000 - Per Occurrence Deductible - $25,000 - Per Occurrence Additional Insured — Automatic — Owners, Lessees Or ZURICH"' Contractors Policy No. I Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. G L0038137501 07/01/2016 07/01/2017 07/01/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such perso n or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the p erformance of yo ur o ngoing o perations or "your work" as included in the "p roducts - completed operations hazard ", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be b roader than th at which you are requi red by the written contract or written agreement to provi de for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepa re or approve maps, shop drawi ngs, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclu sion ap plies ev en if the cl aims against any insured alleg e n egligence or other wrongdoing in th e supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage ", or the offense which caused the "pe rsonal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U -GL- 1175 -F CW (04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C. The following is add ed to Paragraph 2. Duties In T he Event Of Occurren ce, Offense, Claim Or Suit of Se ction IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an 'occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit' as soon as practicable; and 3. A request for defense and indemnity of the clai m or "suit' will p romptly be bro ught against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non - contributory. D. For the purposes of the coverage provided by this endorsement: 1. The followi ng is adde d to the Other Insura nce Con dition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is p rimary to and will n of seek contribution from any other in surance available to an ad ditional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract o r writte n ag reement that this in surance be primary and not see k contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other in surance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence ", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured i s a Named Insured on such other policy and where our policy is re quired by a written contract o r written ag reement to p rovide coverage to the ad ditional insure d on a primary a nd n on- contributory basis. E. This endorsement does not apply to a n additional insured which has be en added to thi s policy by a n endorsement showing the additional insured in a Schedule of a dditional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the i nsurance afforded to the additional insureds under this endorsement, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U -GL- 1175 -F CW (04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Notification to Others of Cancellation ZURICH V or Non - Renewal Policy No. I Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddT Prem Return Prem. GL0038137501 07/01 /2016 07/01/2017 07/01/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by written notice t o the firs t Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non - renewed to each person or organization shown in a list provided to us by the fi rst Named In sured if you are required by written contact or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non - renewal; 2. Must co ntain the name s and add resses of only the persons or organi zations requiring n otification th at su ch Coverage Part has been cancelled or non - renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non - renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non - payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non - renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non - renewal date; 2. Negate the cancellation or non - renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U -GL- 1521 -A CW (10/12) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. (iv) If the loss arises out of the maintenance or us a of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I — Coverage A — Bodily Injury And Property Damage Liability; or (v) That is property insurance (including any deductible or self insurance portion thereof) purchased by you to cover damage to: Equipment you borrow from others; or Property loaned to you or personal property in the care, custody or control of t he insured arising out of the use of an elevator at premises you own, rent or occupy. (b) Any other pri mary insurance (including any deductible or self in surance portion thereof) available to the insured covering liability for damag es arising out of the premi ses, operations, products, work or services for which the insured has been granted additional insured status either by policy provision or attachment of any endorsement. Other primary insurance includes any type of self insurance or other mechanism by which an insured arranges for funding of its legal liabilities. (c) Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the ad ditional in sured o n our poli cy is al so covered a s an additional insured o n another p olicy providin g coverage fo r the same "occurre nce ", cl aim o r "suit ". Thi s provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our p olicy i s required by wri tten contract or written agreement to provide coverage to the additional insured on a primary and non - contributory basis. W. Unintentional Failure to Disclose All Hazards Paragraph 6. Representations of Se ction IV — Commercial General Liability Conditions is repla ced by the following: 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. Coverage will continue to apply if you unintentionally: a. Fail to disclose all hazards existing at the inception of this policy; or b. Make an error, omission or improper description of premises or other statement of information stated in this policy. You must not ify us as so on as possible after the discov ery of any hazards or any other information that was not provided to us prior to inception of this Coverage Part. X. Waiver of Right of Subrogation Parag raph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Commercial General Liability Conditions is replaced by the following: 8. Transfer Of Rights Of Recovery Against Others To Us a. If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. b. If the insured waives its right to recover payments for injury or damage from another person or organization in a written contract executed prior to a loss, we waive any right of recovery we may have against such person or organization because of any payment we have made under this Coverage Part. The written contract will be considered executed when the insured's performance begins, or when it is signed, whichever happens first. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U -GL- 1345 -B CW (04/13) Page 11 of 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04 -84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this poli cy. We will not enforce our right against the person o r organization named in the Sched ule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Blanket when required by written contract or agreement. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 07/01/2016 Policy No. WCO38137401 Endorsement No. Insured Miller Electric Company Premium $ Insurance Company: Zurich American Insurance Company Countersigned by WC 124 (4-84) Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform FormsTM WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non -renew this poli cy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non - renewed to each person o r organization shown in a list p rovided to u s by you if you are requi red by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non - renewal; b. Must contain the na mes and addresses of only th a pe rsons o r org anizations requi ring n otification th at such policy has been cancelled or non - renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be ba sed on the most recent list in our record s as of the date the notice of cancellation or non - renewal is mailed or delivered to you. We w ill mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of ca ncellation, if we ca ncel fo r no n- payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non - renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non - renewal date; b. Negate the cancellation or non - renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the a ccuracy, integrity, timeliness and validity of informatio n contained in th a list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/01/2016 Policy No. WCO38137401 Endorsement No. Insured Miller Electric Company Premium $ Insurance Company Zurich American Insurance Company WC 99 06 43 Page 1 of 1 (Ed. 01 -13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. 0 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. Coverage Extension Endorsement ZURICH Policy No. Eff. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. Add'I. Prem Return Prem. BAP038137601 107/01/2016 1 07/01/2017 1 07/01/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II — Covered Autos Liability Coverage: The following are also "insureds ": a. Any "employee" of you rs is an "insured" while using a covered "auto" you d on't own, hi re or borrow for acts performed within the sco pe of employ ment by you. Any "empl oyee" of you rs is al so a n "insu red" while operating an "auto" hi red or rented u nder a contract or ag reement in an "employee' s" name, with you r permission, while performing duties related to the conduct of your business. b. Anyone volu nteering services to you i s a n "in sured" while u sing a covered "auto" you d on't own, hi re or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident ", including those person(s) or organization(s) directing your work p ursuant to such written contract or written ag reement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the Ii mits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is adde d to the Other Insurance Condition in the Busine ss Auto Coverage Form and the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person (s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident ", will apply on a primary and non - contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment —Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions P rovision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violation s) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U -CA -424 -F CW (04/14) Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II — Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II — Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is add ed to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Cove rage Form a nd Parag raph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss" to a covered "auto ", we will pay any unpaid amount due on the lease or loan for a covered "auto ", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or loan payments at the time of the "loss "; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actu ally re paired rath er than repl aced, the dedu ctible will be waived. You have t he opti on of having the glass repaired rather than replaced. H. Hired Auto Physical Damage — Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U -CA -424 -F CW (04/14) Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto "; (2) Specified Causes Of Loss only if the Decla rations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto "; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto'. However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for "loss" to personal effects which are: (1) Personal property owned by an "insured "; and (2) In or on a covered "auto'. b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage p rovided in Para graphs a. and b. a bove, only a pplies in th e e vent of a tot al theft of a covered "auto". No dedu ctible applies to this co verage. However, we will not pay for "loss" to perso nal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, note s, securities, or comme rcial paper or other documents of value. (2) Bullion, gol d, silver, platinum, or other pre cious all oys or metals ; furs or fur garments; jewel ry, wat ches, precious or semi - precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same 'loss ". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The follo wing is a dded to Parag raph 1.a. Comprehensive Coverage and er the Coverage Provi sion of the Physical Damage Coverage Section: We will pay for "loss" to tape s, records, discs o r other si milar devices used with audio, visual o r data electron is equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured "; and (b) Are in a covered "auto' at the time of "loss". The mo st we will pay for su ch 'loss" to tapes, re cords, di scs o r other si milar devices is $ 500. The Physical Damage Coverage Deductible Provision does not apply to such 'loss ". U -CA -424 -F CW (04/14) Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. K. Airbag Coverage The Exclusion in Paragraph 6.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this po [icy or Coverage Form is not t he smaller (or smallest) deductible, it will be red uced by the amount of the smaller (or smallest) deductible. M. Physical Damage — Comprehensive Coverage — Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos — Physical Damage 1. The following is added to Section I — Covered Autos: Temporary Substitute Autos — Physical Damage If Physical Damage Coverage is provided by this Co verage Form on your owned covered "autos ", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with th a permission of its owner a s a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss "; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos — Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible fo r the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of "accident", claim, "suit" or "loss ", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss ". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive office r or insurance manager (if you are a corporation). T he failure of an y U -CA -424 -F CW (04/14) Page 4 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. agent, servant or employee of the "insured" to notify us of any "accident ", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, whe n a nd wh ere the "accid ent" or "loss" o ccurred and if a claim is mad a or "suit" is b rought, writte n notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit "; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you repo rt an "accid ent ", claim, "suit" or "lo ss" to another insurer when yo u should have reported to u s, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss ", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos — Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected o r a ppointed official with you r pe rmission while bei ng ope rated wi thin the course and scope of tha t "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must no tify us as so on as p ossible after the d iscovery of a ny haza rds o r any other i nformation that was n of provided to us prior to the acceptance of this policy. S. Hired Auto — World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bo dily injury, sickness or di sease, su stained by a perso n includi ng d eath or ment al angui sh, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U -CA -424 -F CW (04/14) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "in sured ". This exclusion does not apply to "bodily inju ry" or "p roperty damag e" resulting from the u se of reasonable force to p rotect persons or property. V. Physical Damage — Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section III — Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,0 00 for temporary transportation expense incurred by you because of the total theft of a cove red "auto" of the priv ate passenger type. We will pay only for those covered "autos" for which you carry either Comp rehensive or Specified Causes of Loss Coverage. We will pay for temp orary transportation expenses incurred during the p eriod beginning 48 ho urs after the theft a nd ending, regardless of the policy's expi ration, when the covered "auto" i s returned to u se o r we pay for its "loss ". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alte rnative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "a uto ", excludi ng tax, title, lice nse, other fe es and a ny aftermarket vehicl e u pgrades, up to a maximum of $2500. The covered "aut o" must be replaced by a hybrid "auto" o r an "auto" powe red by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "aut o ", the "auto" must be p owered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qu alify as an "a uto" powered by an altern ative fuel so urce, the "au to" must be powered by a source of propulsion power other than a conventional gasoline engine. An " auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U -CA -424 -F CW (04/14) Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Notification to Others of Cancellation ZURICH or Non - Renewal Policy No. I Eff. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. AddT Prem Return Prem. BAP038137601 07/01/2016 1 07/01/2017 1 07/01/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non -renew this Coverage Part by written notice t o the firs t Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non - renewed to each person or organization shown in a list provided to us by the first Na med Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non - renewal; 2. Must co ntain the name s and add resses of only the persons or organi zations requiring n otification th at su ch Coverage Part has been cancelled or non - renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non - renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non - payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non - renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non - renewal date; 2. Negate the cancellation or non - renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U -CA -832 -A CW (01/13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Amendment Of Limits Of Insurance And Other Insurance Clause For Described Persons Or Organizations 1. The following replaces section IV. Definitions J. Insured, Paragraphs 2. and 5., but only with respect to any person or organization listed in the Schedule below: Any person or organization that is listed in the Schedule below is an Insured but only: a. with respect to liability for Bodily Injury or Property Damage caused, in whole or in art, b P tY Y J rY P HY g P Y our Y acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of Your Work to which the written contract requiring insurance applies for such Insured; and b. if such person or organization is included as an Insured under any Scheduled Underlying Insurance or Scheduled Retained Limit. 2. The following is added to section VII. Conditions L. Other Insurance: L. Other Insurance Nor will we apply this provision to any person or organization listed in the Schedule below if: 1. such person or organization qualifies as an Insured under section IV. Definitions J. Insured 2. or 5. of this agreement; 2. you have agreed in a written contract or agreement with such person or organization that this policy will apply before any Other Insurance; and 3. the Scheduled Underlying Insurance or Scheduled Retained Limit applies to such person or organization on a primary and noncontributory basis. If these conditions are met, then this policy will apply to such person or organization before any Other Insurance, but only to the extent that the minimum limits of liability required by such written contract or agreement exceed the applicable limits of such Scheduled Underlying Insurance or Scheduled Retained Limit, subject to the Limits of Insurance stated in Item 3. of the Declarations of this policy. 3. The following is added to section III. Limits of Insurance B.: However, with respect to any person or organization listed below in the Schedule, the most we will pay for all damages covered under Insuring Agreement 1. Coverage shall be the lesser of the following to the extent they exceed the applicable limits of the Scheduled Underlying Insurance or Scheduled Retained Limit: 1. the minimum limits of insurance required in the contract or agreement between you and such person or organization; or 2. the limits of insurance stated in Item 3. of the Declarations. Schedule of Described Persons or Organizations Any person or organization for whom you have agreed in a written contract, agreement, or permit issued by a state or political subdivision that this policy shall apply to them before any Other Insurance. Schedule of Designated Locations Only those locations designated in the written contract, agreement, or permit issued by a state or political subdivision referenced directly above. All other terms of your policy remain the same. SU334 Ed. 7 -11 • 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Waiver of Rights of Recovery Endorsement The following is added to section VII. Conditions, P. Transfer of Rights of Recovery to Us: If, prior to an Occurrence, covered by this policy, you have agreed in a written contract, to waive your rights to recovery of payment for damages for Bodily Injury, Property Damage, Personal Injury or Advertising Injury caused by that Occurrence, then we agree to waive our right of recovery for such payment. All other terms of your policy remain the same. SU085 Ed. 10 -02 ® 2002 The St. Paul Travelers Companies, Inc. All Rights Reserved Page 1 of I Notice of Cancellation Provided By Us The following is added to section VII. D. Cancellation of this insuring agreement and to any applicable state amendatory endorsement forming a part of this policy that contains a provision that replaces section VII. D. Cancellation: If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, we will mail notice of cancellation to any person or organization to whom you have agreed in a written contract that notice of cancellation of this policy will be given, but only if: 1. the first Named Insured sends us a written request to provide such notice, including the name and address of such person or organization, after you receive notice from us of the cancellation of this policy; and 2. we receive such written request at least 14 days before the beginning of the applicable number of days shown in the below schedule. We will mail such notice at least the number of days shown for cancellation in the below schedule before the effective date of cancellation. Schedule Number of days notice of cancellation 30 Days Notice All other terms of your policy remain the same. SU331 Ed. 11 -10 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Form w_9 _9 Request for Taxpayer Give Form to the (Rev. December 2014) Identification Number and Certification requester. Do not send to the IRS. Department of the Treasury Internal Revenue Service 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Miller Electric C N 2 Business name /disregarded entity name, if different from above d 0 cu a 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only to c certain entities, not individuals; see ❑ Individual/sole proprietor or ❑ C Corporation Q S Corporation ❑ Partnership ❑ Trust/estate instructions on page 3): d o single- member LLC Exempt a code if an Q. o - c orpo ra t ion. =S cor oration P= artnershi 11- pyee ( y) �- Limited liability company. Enter the lax classification C =C S p p p) ❑ Y Exemption from FATCA reporting `p � Note. For asingle- mernber LLC that is disregarded, do not check LLC; check the appropriate box in the line above for p � N the tax classification of the single- member owner. code (if any) tl El Other (see instructions) P •c (Apr4es to Msm ir•vred me us) c 5 Address (number, street• and apt, or suite no.) Requester's name and address (optional) 2251 Rosselle Street 4) 6 City state, and ZIP code n Jacksonville, FL 32204 7 List account number(s) here (optional) 93 Mi Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number ( page However, for a FM -M- resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. 5 9- 0 1 3 1 6 1 1 1 8 5 0 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification dumber (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sig of Here U.S. person ► �. �/.�'' _ Date ► 3 ;Z D General Instructions • Form 1098 (home mortgage interest), 1098 -E (student loan interest), 1098 -T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. a Form 1099 -C (canceled debt) Future developments. Information about developments affecting Form W -9 (such • Form 1099 -A (acquisition or abandonment of secured property) as legislation enacted after we release it) is at www.ifs.gov /fw9. Use Form W -9 only if you are a U.S. person (including a resident alien), to Purpose of Form provide your correct TIN. An individual or entity (Form W -9 requester) who is required to file an information If you do not return Form W -9 to the requester with a TIN, you might be subject return with the IRS must obtain your correct taxpayer identification number (TIN) to backup withholding. See What is backup withholding? on page 2. which may be your social security number (SSN), individual taxpayer identification By signing the filled -out form, you: number (ITIN), adoption taxpayer identification number (ATIN), or employer 1. Certify that the TIN you are giving is correct (or you are waiting for a number identification number (EIN), to report on an information return the amount paid to to be issued), you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following: 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt Form /099•INT interest earned or aid P P 9 payee. If Y P P Y ( paid) • Form 1099 -DN (dividends, including those from stocks or mutual funds) applicable. p you are also certifying that as a U.S. person, your allocable haze of any y partnership income from a U.S. trade or business is not subject to the • Form 1099 -MISC (various types of income, prizes, awards, or gross proceeds) withholding tax on foreign partners' share of effectively connected income, and • Form 1099 -B (stock or mutual fund sales and certain other transactions by 4. Certify that FATCA codes) entered on this form (if any) indicating that you are brokers) exempt from the FATCA reporting, is correct. See What is FATCA reporting? on • Form 1099 -S (proceeds from real estate transactions) page 2 for further information. • Form 1099 -K (merchant card and third party network transactions) Cat. No. 10231X Form W9 (Rev. 12 -2014) Form W -9 (Rev. 12 -2014) Page 2 Note. If you are a U.S. person and a requester gives you a form other then Form 3. The IRS tells the requester that you furnished an incorrect TIN. W9 to request your TIN, you must use the requester's form If it Is substantially 4. The IRS tells you that you are subject to backup withholding because you did similar to this Form W -9. not report all your Interest and dividends on your tax return (for reportable Interest Definition of a U.S. person. For federal tax purposes, you are considered a U.S. and dividends onto, or person If you are: 5. You do not certify to the requester that you are not subject to backup • An Individual who Is a U.S. citizen or U.S. resident alien; withholding under 4 above (for reportable Interest and dividend accounts opened • A partnership, corporation, company, or association created or organized In the after 1983 only). United States or under the laws of the United States; Certain payees and payments are exempt from backup withholding. See Exempt • An estate (other than a foreign estate); or payee code on page 3 and the separate Instructions for the Requester of Form W -9 for more information. • A domestic trust (as defined in Regulations section 301.7701 -7). Also see Special roles for partnerships above. Special rules for partnerships. Partnerships that conduct a trade or business In the United States are generally required to pay a withholding tax under section What is FATCA reporting? 1448 on any foreign partners' share of effectively connected taxable Income from such business. Further, in certain cases where a Form W -9 has not been received, The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign the rules under section 1448 require a partnership to presume that a partner Is a financial institution to report all United States account holders that are specified foreign person, and pay the section 1448 withholding tax. Therefore, If you are a United States parsons. Certain payees are exempt from FATCA reporting. See U.S. person that Is a partner in a partnership conducting a trade or business in the Exemption from FATCA reporng code on page 3 and the Instructions for the United States, provide Form W -9 to the partnership to establish your U.S. status Requester of Forth W -9 for more information. and avoid section 1448 withholding on your share of partnership Income. Updating Your Information In the cases below, the following person must give Form W -9 to the partnership for purposes of establishing Its U.S. status and avoiding withholding on Its You must provide updated Information to any person to whom you claimed to be allocable share of net Income from the partnership conducting a trade or business an exempt payee If you are no longer an exempt payee and anticipate receiving In the United States: reportable payments In he future from his person. For example, you may need to • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the provide updated Information If you are a C corporation that elects to be an S disregarded entry and not he entity corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W -9 If the name or TIN changes for the account; for example, if the grantor • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, of a grantor trust dies. the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and - in the case of a U.S. trust (other than a grantor trust), he U.S. trust (other than a Penalties grantor trust) and not the beneficiaries of the trust. Failure to furnish TIN. If you fall to fumish your correct TIN to a requester, you are Foreign person. If you are a foreign person or the U.S. branch of a foreign bank subject to a penalty of $50 for each such failure unless your failure Is due to that has elected to be treated as a U.S. person, do not use Form W -9. Instead, use reasonable cause and not to willful neglect. the appropriate Form W-8 or Form 8233 (see Publication 515, Withholding of Tax Civil penalty for false Information with respect to withholding. If you make a on Nonresident Aliens and Foreign Entities). false statement with no reasonable basis that results In no backup withholding. Nonresident alien who becomes a resident alien. Generally, only a nonresident you are subject to a $500 penalty. alien Individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on Criminal penalty for falsifying Information. Willfully falsifying certifications or certain types of Income. However, most tax treaties contain a provision known as affirmations may subject you to criminal penalties Including fines and/or a "saving clause." Exceptions specified In the saving clause may permit an imprisonment. exemption from tax to continue for certain types of Income even after the payee has otherwise become a U.S. resident alien for tax purposes. Misuse of TINs. If he requester discloses or uses T1N3 In violation of federal law, If you are a U.S. resident alien who is relying on an exception contained In the the requester may be subject to civil and criminal penalties. saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W -9 that specifies the following Specific Instructions fire Items: Line 1 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. You must enter one of the following on this line; do not leave this One blank. The 2. The treaty article addressing the income. name should match he name on your tax return. 3. The article number (or location) In the tax treaty that contains the saving If this Forth W -9 is for a joint account. list first, and then circle, he name of the clause and its exceptions. person or entity whose number you entered in Part I of Form W -9. 4. The type and amount of Income that qualifies for he exemption from tax. a Individual. Generally, enter the name shown on your tax return. If you have Sufficient facts to the exemption horn tax under the terns of the tree changed your lest name without Informing the Social Security Administration (SSA) S. Su testify mP treaty of the name change, enter your first name, the last name as shown on your social article. security card, and your new last name. Example. Article 20 of the U.S. -China Income tax treaty allows an exemption Note. [TIN applicant: Enter your Individual name as It was entered on your Form from tax for scholarship Income received by a Chinese student temporarily present W -7 application, One 1 a. This should also be the same as the name you entered on In the United States. Under U.S. law, this student will become a resident alien for the Form 1040/1040A/1040EZ you filed with your application. tax purposes If his or her stay In the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S. -China treaty (dated April 30, b. Sole proprietor or angle- member LLC. Enter your Individual name as 1984) allows the provisions of Article 20 to continue to apply even after the shown on your 104011040A/1040EZ on line 1. You may enter your business, trade, Chinese student becomes a resident alien of the United States. A Chinese student or "doing business as" (DBA) name on line 2. who qualfies for his exception (under paragraph 2 of the first protocol) and Is c. Partnership, LLC that Is not a single- member LLC, C Corporation, or 8 relying on this exception to claim an exemption from tax on his or her scholarship Corporation. Enter the entity's name as shown on the entity's tax return on One 1 or fellowship Income would attach to Forth W -9 a statement that Includes he and any business, trade, or DBA name on line 2. Information described above to support that exemption. d. Other entitles. Enter your name as shown on required U.S. federal tax If you are a nonresident alien or a foreign entity, give the requester the documents on One 1. This name should match the name shown on the charter or appropriate completed Form W -8 or Form 8233. other legal document creating the entity. You may enter any business, trade, or DBA name on line 2. Backup Withholding e. Disregarded entity. For U.S. federal tax purposes, an entity that Is What Is backup withholding? Persons making certain payments to you must disregarded as an entity separate from Its owner is treated as a "disregarded under certain conditions withhold and pay to the IRS 28% of such payments. This entity." See Regulations sWlon 301 .7701- 2(c)(2)(Op. Enter the owner's name on Is called "backup withholding." Payments that may be subject to backup line 1. The name of the entity entered on line 1 should never be a disregarded withholding Include Interest, tax - exempt Interest, dividends, broker and barter entity. The name on One 1 should be the name shown on the Income tax return on exchange transactions, rents, royalties, nonemployee pay, payments made In which the Income should be reported. For example, if a foreign LLC that Is treated settlement of payment card and third party network transactions, and certain as a disregarded entity for U.S. federal tax purposes has a single owner that is a payments from fishing boat operators. Real estate transactions are not subject to U.S. person, the U.S. owner's name Is required to be provided on Ina 1.0 the backup withholding. direct owner of the entity is also a disregarded entity, enter the first owner that Is You will not be subject to backup withholding on payments you receive if you not disregarded for federal tax purposes. Enter he disregarded entity's name on t One 2, Business give the requester your correct TIN, make the proper certifications, and report all person, o wed entity name complete a an owner of the disregarded your taxable Interest and dividends on your tax return. Instead s foreign of a Frm 9 This le he case even if the foreign person has a U.S. fore Form g person TIN. Payments you receive will be subject to backup withholding If: 1. You do not furnish your TIN to the requester, 2. You do not certify your TIN when required (see the Part 11 Instructions on page 3 for details), Form W -9 (Rev. 12 -2014) Page 3 Line 2 'However. the following payments made to a corporation and reportable on Form If you have a business name, trade name. DBA name, or disregarded entity name, 1099 -MISC are not exempt from backup withholding: medical and health cars you may enter It on line 2. payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 8045(f), and payments for services paid by a federal executive agency. Line 3 Exemption from FATCA reporting code. The following codes identify payees Check the appropriate box in line 3 for the U.S. federal tax classification of the that are exempt from reporting under FATCA. These codes apply to persons person whose name Is entered on line 1. Check only one box In line 3. submitting this form for accounts maintained outside of the United States by this forth Umked Llabilfly Company (LLC). If the name on line i is an LLC Vested as a certain foreign financial Institutions. Therefore, N you are only submitting partnership for U.S. federal tax purposes, check the "Umited Uabifity Company for an account you hold r the United States, you may leave tai field blank box and enter'P' in the space provided. If the LLC has filed form 8832 or 2553 to Consult with the person requesting this form requester are uncertain N t t a f co s a corporation, check the ' Umited Uabli ty Company' box and in the Institution le subject to these requirements. A requester may llca a that n lode le be taxed e ce provided enter 'C" for C corporation or 'S" for S corporation. If It le a not required ti pr you with a Form W -9 or a *Not A exemption (or any ape prov single- member LLC that is a disregarded entity, do not check the "Um Uabl tty similar indication) written or printed on the dins for a FATCA exemption code. Company" box; instead check the first box in line 3 "IndividuaVsole proprietor or A —An organization exempt from tax under section 501(x) or any Individual single -member LLC.- retirement plan as dented In section 7701(a)(37) Line 4, Exemptions B —The United States or any of its agencies or Instrumentalities If you are exempt from backup withholding and/or FATCA reporting, enter in the any of ttheir political su�bdivisio or Instrumentalities esesi onwea>bt or possession, or appropriate space In line 4 any code(s) that may apply to you. D —A corporation the stock of which is regularly traded on one or more Exempt payee code. established securities markets, as described in Regulations section • Generally, Individuals (Including sole proprietors) are not exempt from backup 1.1472- 1(cX1)m withholding. E —A corporation that Is a member of the same expanded affiliated group as a • Except as provided below, corporations are exempt from backup withholding corporation described In Regulations section 1.1472.1(cX1)(0 for certain payments, including Interest and dividends. F —A dealer In securities, commodities, or derivative financial instruments • Corporations are not exempt from backup withholding for payments made in (including notional principal contracts, futures, forwards, and options) that Is settlement of payment card or third party network transactions. registered as such under the laws of the United States or any state " Corporations are not exempt from backup withholding with respect to attorneys' G —A real estate investment trust fees or gross proceeds paid to attorneys, and corporations that provide medical or H —A regulated Investment company as defined In section 851 or an entity health care services are not exempt with respect to payments reportable on Form registered at all times during the tax year under the Investment Company Act of 1099 -MISC. 1940 The following codes Identify payees that are exempt from backup withholding. I —A common trust fund as defined in section 584(@) Enter the appropriate code in the space in line 4. 1 —An organization exempt from tax under section 501(a), any IRA, or a J —A bank as defined In section 581 custodial account under section 403(b)(7) If the account satisfies the requirements K —A broker of section 401((2) L —A trust exempt from tax under section 884 or described In section 4947(@)(1) 2 —The United States or any of its agencies or instrumentalities M —A tax exempt trust under a section 403(b) plan or section 457(g) plan 3 —A state, the District of Columbia, a U.S. commonwealth or possession, or Note. You may wish to consult with the financial institution requesting this form to arty of their political subdivisions or instrumentalities determine whether the FATCA code and/or exempt payee code should be 4 —A foreign government or any of Its political subdivisions, agencies, or completed. Instrumentalities Line 5 5 —A corporation Enter your address (number, street, and apartment or who number). This Is where 8 —A dealer in securities or commodities required to register in the United the requester of this Form W -9 will mail your Information returns. States, the District of Columbia, or a U.S. commonwealth or possession 7 —A futures commission merchant registered with the Commodity Futures Line 6 Trading Commission Enter your city, state, and LP code. B —A real estate Investment trust 9 —An entity registered at all times during the tax year under the Investment Part I. Taxpayer Identification Number (TIN) Company Act of 1940 Enter your TIN in the appropriate box. If you are a resident alien and you do not 10 —A common trust fund operated by a bank under section 584(a) have and are not eligible to get an SSN, your TN Is your IRS Individual taxpayer 11 —A financial Institution identification number (RiN). Enter it In the social security number box. If you do not have an ITiN, a" How to get a 77N below. 12 —A middleman known In the Investment community as a nominee or If you are a sole proprietor and you have an EIN, you may enter anther your SSN custodian or EIN. However, the IRS prefers that you use your SSN. 13 —A cost exempt from tax under section 884 or described in section 4947 If you are a sUple- member LLC that is disregarded as an entity separate from its The following chart shows types of payments that may be exempt from backup owner (see LJWted LisWi ty Company (LLC) on this page), enter the owner's SSN withholding. The chart applies to the exempt payees listed above, 1 through 13. (or EN, It the owner has one). Do not enter the disregarded entity's EIN. 0 the LLC Is classified as a corporation or partnership, enter the entity's EN. IF the payment Is for... THEN the payment is exempt for... Note. See the chart on page 4 for further clarification of name and TIN combinations. Interest and dividend payments All exempt payees except Now to get a TIN. It you do not have a TIN, apply for one immediately. TO apply for 7 for an SSN, get Form SS -5, Application for a Social Security Card, from your local SSA office or get this form online at www.ssa.gov. You may also get this form by Broker transactions Exempt payees 1 through 4 and 8 calling 1- 800.772 -1213. Use Farm W -7, Application for IRS individual Taxpayer through 11 and all C corporations. S Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer corporations must not enter an exempt Identification Number, to apply for an EIN. You can apply for an EN online by payee code because they are exempt accessing the IRS webske at wwwdrs gov/dwsinesses and clicking on Employer only for sales of roncovered securities Identification Number (Ent) under Starting a Business. You can get Forms W -7 and acquired prior to 2012. SS-4 from the IRS by visiting IRS.gov or by calling 1- 800 - TAX -FORM (1- 800 - 829 - 3878). Barter exchange transactions and Exempt payees 1 through 4 If you are asked to complete Form W -9 but do not have a TIN, apply for a TIN patronage dividends and write 'Applied For" In the space for the TIN, sign and date the form, and give it Payments over SOW required to be Generally, exempt payees to the requester. For Interest and dividend payments, and certain payments made reported and direct sales over $5,000' 1 through 5z with respect to readily tradable instruments. generally you will have 80 days to get a TN and ghro it to the requester before you are subject to backup vAdit dung on payments. The 00-day rule does not apply to other types of payments. You will be Payments made In settlement of Exempt payees 1 through 4 subject to backup withholding on all such payments until you provide your TIN to payment card or third party network the requester. transactions Note. Entering "Applied For" means that you have already applied for a TIN or that ' See Form 1099 -MISC, Miscellaneous Income, and its Instructions. you Intend to apply for one soon. Caution: A disregarded U.S. entity that has a /oredgn owner must use the appropriate Form W -8. Form W-9 (Rev. 12 -2014) P age 4 Part II. Certification a You must show your kxWk W name and you may also order your business or DBA name on the `Business narme/dlsroperded srusty name One. You may use either your SSN or BN Of you To establish to the withholding agent that you are a U.S. person, or resident atlen, have one), but the IRS encourages you to use your SSN. sign Forth W -9. You may be requested to sign by the withholding agent even If List and and circa the name of the oust, estate, or Pension tent. (Do not furnish the TIN of the items 1, 4, or 5 below Indicate otherwise. personal reprssentaflve or trustee unless the legal eni ty Itself is not designated inthe account For a joint account, only the person whose TIN Is shown In Part I should sign titke.) Also see Special rues for psroeMipa on page 2. (when required). In the case of a disregarded entity, the person identified on line 1 -Nob. Grantor also must provide a Form W -9 to trustee of trust. must sign. Exempt payees, a" Exempt payee code earlier. Note. if no name is circled when more than one name Is listed, the number will be Signature requirements. Complete the certification as Indicated in items i considered to be that of the first name listed. through 5 below. Secure Your Tax Records from Identity Theft 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your Identity theft occurs when someone uses your personal Information such as your correct TIN, but you do not have to sign the certification. name. SSN, or other identifying Information, without your permission, to commit 2 Interest, dividend, broker, and barter exchange accounts opened after fraud or other crimes. An Identity thief may use your SSN to get a job or may file a 1983 and broker accounts considered Inactive during 1983. You must sign the return using your SSN to receive a refund. certification or backup withholding will apply. If you are subject to backup To reduce your risk withholding and you are merely providing your correct TIN to the requester, you - Protect your SSN, must cross out Item 2 In the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out -Ensure your employer Is protecting your SSN, and item 2 of the certification. - Be careful when choosing a tax preparer. 4. Other payments. You must give your correct TIN, but you do not have to sign If your tax records are affected by Identity theft and you receive a notice from the certification unless you have been notified that you have previously given an the IRS, respond tight away to the name and phone number printed on the IRS Incorrect TIN. "Other payments" include payments made In the course of the notice or letter. requester's trade or business for rents, royalties, goods (other then bills for If your tax records are not currently affected by Identity theft but you thank you merchandise), medical and health care services (Including payments to are at risk due to a lost or stolen purse or wallet, questionable credit card activity corporations), payments to a nonemployee for services, payments made in or credit repot, contact the IRS Identity Theft Hotline at 1- 800 - 908 -4490 or submit settlement of payment card and third party network transactions, payments to Form 14039. certain fishing boat crew members and fishermen, and gross proceeds paid to For more information, see Publication 4535, Identity Theft Prevention and Victim attorneys (Including payments to corporations). Assistance. 5, Mortgage Interest paid by you, acquisition or abandonment of secured Victims of Identity theft who are experiencing econor is harm or a system property, cancellation of debt, qualified tuition program payments (under problem, or are seeking help In resolving tax problems that have not been resolved section 829), IRA, Coverdell ESA, Archer MSA or HSA contributions or through normal channels, may be eligible for Taxpayer Advocate Service (TAS) distributions, and pension distributions. You must ghre your correct TIN, but you assistance. You can reach TAS by calling the TAS toll -free case Intake line at do not have to sign the certification. 1-877- 777 -4778 or TWI DD 1.800- 829 -4059. W hat Name a nd Number To Give the Requester Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business For this type of account: Ghre name and SSN of: emails and websites. The most common act is sending an small to a user falsely 1. individual The individual claiming to be an established legitimate enterprise in an attempt to scam the user Into surrendering private Information that will be used for identity theft. 2. Two or more individuals Qoint The actual owner of the account or, Th IRS does not initiate contacts with taxpayers via smalls. Also, the IRS does account) If combined funds, the first not request personal detailed information through email or ask taxpayers for the Individual on the account' PIN numbers, passwords, or similar secret access Information for III* credit card, 3. Custodian account of a minor The rminor' bank, or other financial accounts. (Uniform Gift to Minors Act) If you receive an unsolicited email claiming to be from the IRS, forward des 4. a. The usual revocable savings The grantor - trustee' message to phWfing®bs.gov. You may also report misuse of the IRS name, logo, trust (grantor is also trustee) or other IRS property to the Treasury Inspector General for Tax Administration b. So -called trust account that is The actual owner (TiGTA) at 1- 800 - 388 -4484. You can forward suspicious emalle to the Federal not a legal or valid trust under Trade Commission at: spam®uce.gov or contact them at www.ffc.gov/dllreft or state law 1- 877- IDTHEFT (1- 877. 438 - 4338). 5. Sole proprietorship or disregarded The owner' Visit IRS.gov to learn more about Identity theft and how to reduce your risk. entity owned by an individual 8. Grantor trust filing under Optional The grantor' Privacy Act Notice Forth 1099 Filing Method 1 (see Regulations section 1.871.4(bX2XQ Section 8109 of the Internal Revenue Code requires you to provide your corre (A)) ct TIN to persons Qncluding federal agencies) who are required to file information returns with the IRS to report Interest, dividends, or certain otter income paid to For this type of account: Give name and EN of: you; mortgage interest you paid; the acquisition or abandonment of secured 7. Disregarded entity not owned by an The owner property; the cancellation of debt; or contributions you made to an IRA, Archer Individual MSA, or HSA. The person collecting this form uses the Information on the forth to 8. A valid taut, estate, or pension trust Legal entity' file information returns with the IRS, reporting the above information. Routine uses of this information Include giving it to the Department of Justice for civil and 9. Corporation or LLC electing The corporation criminal litigation and to cities, states, the District of Columbia, and U.S. corporate status on Form 8832 or commonwealths and possesslons for use in administering their laws. The Forth 2553 information also may be disclosed to other countries under a treaty, to federal and 10. Association, club, religious. The organization state agendas to enforce civil and criminal laws, or to federal law enforcement and charitable, educational, or other tax- intelligence agendas to combat terrorism. You must provide you TIN whether or exempt organization not you are required to file a tax return. Under section 3408, payers must generally 11. Partnership or multi member LLC The partnership withhold a percentage of taxable Interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for 12. A broker or registered nominee The broker or nominee providing false or fraudulent information. 13. Account with the Department of The public entity Agriculture In the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments 14. Grantor tent filing under the Form The trust 1041 Filing Method or the Optional Forth 1099 Ring Method 2 (see Regulations section 1.871- 4(bx2)(Q )) ' list Nil and chele the name of the person whose number you fumhsh. If only one perocn on a Joint account has an SSN, that person's number must be furnished. s Circe the mina's name end furnish the mines SSN. RFP -16- 4469 -TP Due Date & Time December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee. Florida 34741 Email: tphi�dosccola.org Phone: (407) 742.0900 Fax: (407) 742 -0901 Title . Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Request for Proposals �. Osceola County Board of County Commissioners Procurement Services Office 1 Courthouse Square, Suite 2300 Kissimmee, Florida 34741 Phone 407 742 -0900 Fax (407) 742 -0901 To: All Prospective Proposers From. Ted Phillips, Assistant Procurement Services Director Subject Solicitation Number: RFP -16- 4469 -TP, Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Date November 1, 2015 Dear Potential Proposer: Osceola County Government, an Equal Employment Opportunity (EEO) employer, does hereby announce that It is accepting written proposals from all qualified firms or Individuals interested in providing the services generally described herein and as specified In the "Scope of Services" of this Request for Proposals (RFP) document. The successful proposer(s) must demonstrate by hisihers qualifications, experience, availability, approach and work plan that he/she will best serve the overall needs of Osceola County. If you are Interested In preparing a response to this RFP, please read requirements carefully and complete the proposal in the manner as set forth In this RFP document. Your response is considered a binding offer to perform in the manner described in the proposal response and shall remain a firm offer for a period not to exceed one hundred eighty (180 days from public opening. Also please be aware that, under the competitive proposal process, the stipulations set forth herein are fully binding on the proposer to the extent that you confirm acceptance by your signature on Attachment "F ". Questions regarding this solicitation must be received in writing at the address above no later than November 20. 2015 at 2:00 PM, Local Time. Responses to those questions considered material to the solicitation shall be distributed via formal addenda and posted to the Osceola County VendorLink site: https:llvendorlink.osceola.org You may also access VendorLink by using the link located on the Procurement Services section page of www.osceola.org All proposers are advised that under chapter 119. Florida Statutes, all responses are deemed a public record and open to the public as provided for in said statute. Osceola County welcomes your response to this RFP document Proposals should be prepared in accordance with the RFP instructions and will be evaluated by Osceola County as stated in the evaluation section of this document. Osceola County reserves the right to waive any formalities, to reject any or all proposals or to re- advertise for proposals for these services. Osceola County may withdraw all or part of this RFP at any time to protect the interests of the County All proposers are asked to be thorough yet concise in their response. Failure to provide the response in the manner prescribed herein may be grounds for disqualification Thank you for your interest in doing business with Osceola County Procurement Services Office EX -L i-1 P-IJe S rage t of 34 Rev 02 -2015 RFP- 16-44WTP Due Date & Time: December 1. 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 201 S and Thursday, November S, 201 S Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tph4loscools.org Phone: (407) 7424)900 Fax: (407) 742-Ml Title : Video Surveillance and Access Control Security System Repairs. Installation. Maintenance and Upgrades TABLE OF CONTENTS SECTION TITLE PAGE NO. I Overview of Project 3 II Scope of Services and Technical Requirements 4 III General Instructions 10 IV Proposal Schedule 13 V Proposal Response, Criteria, and Evaluation Point Values 13 VI Evaluation Process 15 VII General Terms and Conditions 17 ATTACHMENT TITLE PAGE NO. A Statement of - No Proposal Submittal" 23 B Insurance Requirements 24 C Public Entity Crimes Statement 26 D Conflict of Interest Statement 28 E Drug -Free Workplace Certification 29 F Price Proposal and Acceptance of Proposal Terms and 30 Conditions G Proposed Schedule of Subcontractor Participation 32 H Addendum Ackr oMedgment 33 1 Articles of Incorporation ! Corporate Documents 34 J Vendor Demographics Survey 35 K Substitute W -9 Form 36 M Solicitation Response Identification Label 37 Page 2 of 34 Rev 02 -2015 I RFP- 164469 -TP Due Date 3 Time: December 1. 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiaosceoln org Phone: (407) 742 -M Fax: (407) 742.0901 Title : Video Surveillance and Access Control Security System Repairs. Installation, Maintenance and Upgrades Section I. Overview of Project. A. Intent. 1. It is the intent of the Osceola County to contract with a qualified Contractor for the purpose of awarding various maintenance, installation, repair, refurbishment, construction and equipment replacement of physical security systems associated with Osceola County facilities. 2. The successful proposer shall furnish all parts, materials, equipment, labor and supervision as necessary to calibrate, maintain, construct and install the assigned repair, refurbishment and/or replacement of security systems. 3. The successful proposer shall supply technical and programming services fort the purpose of maintain and optimizing various security databases and systems with in Osceola County facilities. S. Background. 1. Osceola County, Florida was created in 1887. Osceola County is a 1,506 square mile area that serves as the south/central boundary of the Central Florida Region and the Greater Metropolitan Area. The City of Kissimmee, the County Seat, is 18 miles due south of Orlando. Osceola's other incorporated City, Saint Cloud, is 9 miles east of Kissimmee, and approximately 45 miles west of the City of Melbourne on the Atlantic Coast 2. An urban and urbanizing area in the northwest quadrant of the County dominates Osceola County's geography. This area is adjoining to Polk and Orange County and includes most of Osceola's population. It includes the incorporated areas of Kissimmee and Saint Cloud, the unincorporated communities of Poinciana and Buenaventura Lakes, and incorporated subdivisions ranging from Narcoossee in the northeast to Campbell City and Intercession City in the southwest to Deer Run and the Saint Cloud Manor areas in the south. C. Term of Agreement. It is anticipated an Agreement will be awarded for a three year term to begin upon approval and execution by the County; with the opportunity for additional one (1) year renewal periods when in the best interest of the County. Total contract length, including all renewals shall not exceed five years. The decision to renew or extend the contract shall be at the discretion of the County. The successful proposer(s) shall be required to review the implementation and operation of the Inmate Transportation and Hospital Watch application with the County on a semi - annual basis. D. Minimum Requirements. The proposer shall provide proof of the above minimum qualification by furnishing copies of letters, certificates, etcetera (as applicable); which clearly document said qualifications. Failure to provide said documentation with your proposal shall be grounds for deeming your proposal unresponsive and removing it from further consideration. This is a non- negotiable item. In the event the proposer does not meet these minimum requirements, the proposer will be found non- responsive and removed from further consideration. E. RFP and/or Performance and Payment Bond, A RFP /Performance and Payment Bond is not required for this project. Section II. Scope of Services and Technical Requirements. A. Purpose: 1. It is the intent of Osceola County to contract with a qualified Contractor for the purpose of awarding various maintenance, install, repair, refurbishment, construction and equipment replacement of physical security systems associated with Osceola County facilities. The successful bidder shall furnish all parts, materials, equipment, labor and supervision as necessary to calibrate, maintain, construct and install the assigned repair, refurbishment and f or replacement of security systems. Page 3 of 34 Rev 02 -2015 RFP -16- 4469 -TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee. Florida 34741 Email: tphlaosceola.org Phone: (407) 742 -0900 Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs, Installation. Maintenance and Upgrades 2. The successful bidder shag supply technical and programming services for the purpose of maintaining and optimizing various security databases and systems within Osceola County facilities. B. Special Conditions: 1. All bidders shall be required to submitproof of current Lenses orcertifications as required below: a. The Contractor shall be an authorized Genetec Unified Elite partner. b. The Contractor shall be a Florida Certified Electrical Contractor (Electrical Fire, EF or Electrical Contractor, EC Minimum). c. The Contractor shall be a Florida Certified General Contractor (GC) and have a minimum of 5 years' experience in performing physical security improvements to structures, walls, fences and other apparatuses needed to secure facilities. d. The Contractor shall maintain, on staff, a minimum of one employee that is BISCI Registered Communications Distribution Designer (RCDD), or Axis Certified Professional. e. The Contractor shall maintain, on staff, a minimum of one employee that is Genetec Certified. f. The Contractor shall maintain, on staff, or utilize, a Cisco CCNP Certified professional when interacting with the security communications network. g. The Contractor shall utilize "like- for -like" parts for all existing systems which may affect the security communications network. h. For all new systems and system enhancements, all parts shall be new (non - refurbished). For all network switches, all items must be supplied by a Cisco certified reseller. 2. All bidders shall submit references for the following: a. The Contractor must have completed the installation of a minimum of one (1) Genetec digital video surveillance system within the last two (2) years. Contractor must show four (4) years of experience in the maintenance of Genetec digital video surveillance systems. b. References shall include the name and locations of projects, contact person name, title and telephone number. C. Response Time: 1. For all Contractor installed systems the Contractor must maintain an inventory of commonly used or restricted availability parts and provide delivery within two (2) hours for inoperable systems or within 5 business days for non- emergency needs_ Any exceptions must be approved and agreed upon with the County. 2. For all non- Contractor installed systems the Contractor must provide evidence of part order placement and an ETA an delivery of the parts within forty-eight (48) hours after receiving the Purchase Order. After delivery of parts, installation must be completed within two (2) hours for inoperable systems or within 5 business days for non - emergency needs. 3. The Contractor must provide service twenty -four (24) hours per day, including weekends and holidays. The Contractor must be able to respond with a knowledgeable trained technician to Osceola County sites within two (2) hours of notification for critical emergency service and within two (2) business days of notification for non - critical non - emergency service. 4. The Contractor shall provide the services of a professional answering service or dispatcher service for non - normal business hours contact. D. Protect Assignment and Pricina: For each project, the Contractor shall submit a complete written estimate prior to initiation of any work. The project requestor shall evaluate the estimates and, if found acceptable, shall provide written authorization in the form of a Purchase Order prior to the Contractor proceeding with the work. The County shall not honor any unauthorized charges. E. Sub- Contractors. Permits and Parts: 1. Sub - contractors shall only be utilized after receiving written approval by the County. Charges for sub- contractors shall be marked -up per the bid schedule (to be included in the bid) and the Contractor shall be required to provide supporting documentation of sub - contractors charges. Page 4 of 34 Rev 02 -2015 RFP- 16469 -4469 Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday. November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiaosceola.org Phone: (407) 742.0900 Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades 2. The Contractor shall be responsible to apply for and obtain all permits required to complete the assigned projects. Charges for permits fees shall not be marked up and the Contractor shall provide supporting documentation of all permit fee charges. 3. All parts necessary to complete the assigned projects shall be marked up at rate no greater than the maximum mark up as shown on the bid schedule form (to be included in the bid). No additional delivery costs will be paid. The Contractor will be required to provide supporting documentation of actual parts costs for every invoice submitted. F. Scope of Work: 1. Repairs / Corrective Maintenance: In the event of equipment failure, the Contractor will provide the supervision, labor, and equipment necessary to return the affected system(s) to normal operation. The Contractor will also provide the necessary replacement materials and parts. The Contractor is expected to respond 24 hours a day, seven days a week, and to be on -site with a trained technician within two (2) hours after being notified of emergency need or within two (2) business days for non- emergency needs in accordance with the terms of this Contract. 2. Preventive Maintenance: The Contractor will perform inspections, cleaning, performance checks, and consumable replenishment or replacement, and system calibrations. The Contractor will provide a breakdown of recommended preventive maintenance activities and schedule for Osceola County approval. 3. Renewal and Replacement: If as a result of either corrective or preventive maintenance the Contractor discovers deficiencies, and the correction or resolution of such deficiencies requires a level of effort or expenditure beyond the tasks specified and authorized in the Purchase Order Form, the Contractor shall submit to the County a proposal for the additional work necessary. 4. Provision of Material and Parts: The Contractor is expected to provide the necessary materials and replacement parts for both corrective and preventive maintenance. Osceola County may at its option provide parts and consumables from its own inventory for Contractor installation. 5. Asset Inventory and Database: The Contractor will create and maintain, in a format acceptable to Osceola County, a database of all equipment (including recommended spare parts) covered by this Contract. Definitions, identification conventions, and an initial list of security system components will be provided to Osceola County; the Contractor will verify all asset data provided to Osceola County and confirm its accuracy. The Contractor is also expected to add to, delete from, or modify any security system asset data provided by Osceola County. All replaced equipment will be entered into the database. The database will remain the property of Osceola County. 6. The Contractor shall assist in design, document review, construct, furnish and install all security control and associated equipment as specified to perform the intended function on an as- required basis. Work shall include the following: all labor, materials and equipment to complete the specifications; manufacturing and factory tests; delivery to the site; programming; interfacing with all existing alarm, access control, video and security systems; calibration; installation; system start-up services; training; and incidentals required to completely furnish and install security equipment at Osceola County facilities as designated. 7. The Contractor shall supply technical and programming services as required to troubleshoot and optimize Osceola County's existing alarm, access control, and video surveillance systems. These services shall be charged on an hourly basis per the bid schedule. 8. The Contractor shall provide detailed documentation and diagrams to the County when installing a new system or significantly altering an existing one. The documentation requirements will be agreed upon with the County per project. 9. Programming services shall include alarm, access control, and video surveillance equipment and systems programming, software maintenance and data backups. The hourly rates for these services shall include all application and documentation files being supplied to Osceola County on electronic media. All Contractor supplied programming services and applications turned over to or installed in Osceola County systems shall become property of Osceola County. 10. The Contractor shall provide technical support such as cost estimates. recommend actions of repair versus replacement, life expectancy, and maintenance recommendations at no additional costs to the County. Page 5 or 34 Rev 02 -2015 RFP- 16- 4469 -TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiQosceola.org Phone: (407) 742 -0900 Fax: (407) 742-0901 Title : Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades 11. The Contractor shall supply 24x7x365 technical telephone support services as required. At the start of each telephone support session, the Contractor shall assign a "Case Number" and log the start time and completion time. 12. The Contractor shall provide Vulnerability Assessments on new and existing facilities per Homeland Security and EPA Guidelines. These services shall be provided as Security Consultant Services. G. Quantities: The estimated quantities are given only as a guideline for preparing the bid and should not be construed as representing actual quantities to be purchased under this contract. The County makes no covenant or promise as to the number of available projects, or quantity of hours, or amount of work that the Contractor will perform on any project for the County during the life of this Agreement. H. Emergency Services: 1. Emergency Services are those services initiated during non - normal business hours and/or requiring priority response. Emergency Service shall be billed at the scheduled hourly rates plus emergency service multiplier. Planned or scheduled work during non - business hours shall not be considered emergency service and shall be invoiced at the normal scheduled rates. 2. Normal Business Hours under this agreement are Monday through Friday, 0600 through 1800 hours, excluding published County holidays. 3. The Contractor shall maintain a 24 hour, 365 day answering service for incoming service calls. All service calls shall be logged and the log shall be submitted to Osceola County on a monthly basis. 4. Repeated failure to meet established response times will be considered as grounds to terminate this agreement. I. Obliaatlons of the Contractor. During the performance of work pursuant to this Contract, the Contractor will: 1. Provide Osceola County with a monthly schedule for all planned work, and reschedule such work when notified by Osceola County that the work cannot be performed at that time. The Contractor will not be compensated if work cannot be performed due to foreseeable circumstances. 2. Employ professional, qualified, and responsible service technicians to perform the work. The Contractor is expected to employ service technicians trained in the maintenance and installation of the speck types of equipment used in the Osceola County video and security systems. 3. Maintain a neat and dean workspace both during and after the performance of work. All trash will be removed from the site and deposited as appropriate. Any fireproofing, caulking or other materials that must be removed for the installation or performance of maintenance will be re- installed or repaired as appropriate. Ensure that necessary markings are installed where appropriate to identify new circuits, cables, or equipment as applicable. 4. Observe all Osceola County site access and security procedures. As these procedures are subject to change, the Contractor is responsible for familiarizing the service technicians with current requirements; violation of site access and security procedures is a serious breach of the terms of this Contract. Failure to personally and property notify Osceola County as required is a violation of the terms of this Contract. For each on -site visit to an Osceola County facility the Contractor's service technicians will, at a minimum: a. Site visits must be coordinated in advance with County personnel. b. Where relevant, upon entry to a secured location, document the date, time of arrival, name of all personnel, and reason for the visit into the facility's log book. c. Document into the facility's log book completion of the work prior to exiting the facility and notify Osceola County. d. Upon request the contractor must present a Contractor photo ID badge and /or Government issued Photo. 5. Maintain documentation of all work performed under this Contract on forms provided or approved by Osceola County. All such documentation will become the property of Osceola County upon termination of this Contract. Invoices submitted by the Contractor will not be approved for payment unless written documentation of all work for which the Contractor seeks payment are attached. At the minimum, documentation will include: a. Contractor name, complete address, and contact information b. Date, time, and location of site visit Page 6 of 34 Rev 02 -2015 i RFP- 164469 -TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 201 Sand Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiGesceols.org Phone: (407) 7424M Fax: (407) 742-0901 Title: video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades c. Reason for site visit d. Brief description of work performed or accomplished e. Any observed deficiencies or operational issues and recommendations for resolution f. Required or recommended follow -up g. Parts and/or consumables used h. Labor hours I. Participating Contractor personnel j. Osceola County Purchase Order number k. Approval by Contractor Operations Manager All work performed will be certified as complete by the project requestor or delegated evaluator prior to payment of the invoice. J. Warranty All projects and work performed under this agreement shall have a minimum 24 month parts and labor warranty. Should the manufacturer's warranties exceed 24 months, the manufacturers' warranty shall prevail with only the Contractor's normal labor rates being charged after the initial 24 month period. Section III, General Instructions for Proposal Preparation and Delivery. A. Reauestina the Solicitation Document. The RFP documents are available on -line at no charge via the Osceola County VendorLink site: httm: / /vendodink_osceoia.ora Reaister as a vendor to download the solicitation documents. You may also download the solicitation documents via the link located on the Procurement Services section page of www.osceola.org Osceola County is not responsible for errors and omissions occurring In the transmission or downloading of any documents from these websites. In the event of any discrepancy between information on these websites and the hardcopy specifications, the terms of the hardcopy specifications shall prevail. For more information call the Procurement Services Office at (407) 742 -0900. Important: The desire of Osceola County to pursue proposals shall in no way obligate the County to compensate you for your efforts or to execute a contract with your firm. B. On -Line Service Provider Disclaimer, VendorUnk has no affiliation with Osceola County other than as a service that facilitates communication between the County and its vendors. VendorLink is an independent entity and is not an agent or representative of the County. Communications to VendorLink do not constitute communications to the County. C. Solicitation Documents from Third Party Providers. The Osceola County Procurement Services Office and its service provider VendorLink are the only authorized sources of solicitation documents/forms. Solicitation documents/forms obtained from any other third party source may contain an incomplete set of documents. Proposers using solicitation documents/forms obtained from any other third party source are advised to contact the Osceola County Procurement Services Office to provide a contact name, mailing address, phone number, fax number, and email address to obtain a complete set of solicitation documents and to enable notification of required addenda. Reproduction of these documents without the express permission of Osceola County is prohibited. D. Pre - Proposal Conference. There will be no pre - proposal conference for this project. IMPORTANT NOTE: It is imperative that all proposers have a dear understanding of the scope of services requirements. As such, the County reserves the right to schedule a pre- proposal conference, if necessary. Therefore, in the event a mandatory pre - proposal conference is required and/or subsequently scheduled, attendance will be a pre - requisite for submitting a proposal; and proposals will only be accepted from those who are represented at a mandatory pre - proposal conference. Attendance at the pre- proposal conference will be evidenced by the proposer'slrepresentative's signature on the attendance roster. In the event of a mandatory pre - proposal conference, the time, date, and location of the meeting will be noted in the released Page 7 of 34 Rev 02 -2015 RFP -16. 4469-TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 201 S and Thursday, November S, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphi®osceola.org Phone: (407) 742-0900 Fax. (40T) 7420901 Title : Video Surveillance and Access Control Security System Repairs, Installation. Maintenance and Upgrades Addendum notifying such requirement. Please plan your travel time accordingly. E. Interpretation and Questions. All questions relating to this RFP document must be in writing and hand - delivered or delivered electronically through email or fax to the designated Procurement Services Office Representative no later than Friday, November 20, 2015 at 2:00 PM Local Time. Any interpretations, clarifications, or changes will be made in the form of written addenda issued by the Procurement Services Office Representative. Any oral communications will not be authoritative and will not be binding on the County. It is the sole responsibility of the proposer to contact the Procurement Services Office prior to submitting a proposal to ascertain if any addenda have been issued, to obtain all such addenda, and to return executed addenda with each proposal. Addenda will be available to all proposers on the Osceola County VendorLink site: httipsl /vendorlink.osceola.or4 and via the link located on the Procurement Services section page at www.osceola.org F. Preparation and Format. Proposals should be prepared in a dear and concise manner to meet the requirements of the RFP. Emphasis should concentrate on conformance to the RFP instructions, responsiveness to the requirements, as well as completeness and clarity of content. G. Paae Limitation. Proposal packages shall be limited to not more than 30 PAGES printed on a single side of paper, with a font no less than twelve (12) point. Note: Required attachments will not be counted in the 30 page limitation. H. Completeness. Proposals shall contain the information as required in this solicitation. Failure to submit all information as requested may result in a lowered evaluation score of the proposal. Proposals that are substantially incomplete or lack key information may be rejected by the County. The following list details the appropriate proposal format: 1. Selection dividers with tabs labeled. Tab "A" through Tab "I ", to identify each required criteria in Section V; 2. All attachments shall be placed under the appropriate tab for that sub - section. 3. Currently valid Certificates of Insurance; and Local Business Tax Receipt (formerly known as Occupational License) shall be placed under Tab 'A" of your proposal. 1. Corporate Standing and Authorized Sianatorv. The bidder or proposer must demonstrate that the company is in good standing and that the person signing this bid or proposal is authorized on behalf of the bidder or proposer to sign bids, proposals, negotiate and/or sign contracts, agreements, amendments and related documents to which the bidder /proposer will be duly bound. The bidder /proposer must provide a copy of the State Certificate of Good Standing /Articles of Incorporation listing the officers of the company. In addition to the aforementioned documents the Bidder/Proposer must include necessary information to verify the individual signing this proposal/bid and or any contract document has been authorized to bind the corporation. Examples include: 1. A copy of your Articles of Incorporation listing the approved signatories of the corporation 2. A copy of a resolution listing the members of staff as authorized signatories for the company. 3. A letter from a corporate officer listing the members of staff that are authorized signatories for the company. J. Proposal Reproduction. Please submit six (6) copies of the proposal package, one (1) unbound original and five (5) bound copies. The submittal MUST also include a single CD-ROM or memory stick containing the entire submittal formatted to be read with Microsoft® software products or Adobe® PDF software. K. Proposal Submittal and IDeliverv. Sealed proposals must be received and date stamped in the Osceola County Procurement Services Office Page 8 of 34 Rev 02 -2015 RFP- 16- 4169 -TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphlGosceola.org Phone: (407) 742 4)900 Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs, Installation. Maintenance and Upgrades by the specified December 1, 2015 at 2:00 P.M. local time deadline. Proposals received after the stated date and time will not be accepted and will be returned unopened. No exceptions will be made. Proposals shall be submitted and delivered to the below address in a sealed, opaque envelope or packaging material, plainly marked on the outside with the following: Osceola County Procurement Services Office 1 Courthouse Square, Suite 2300 Kissimmee, Florida 34741 RE: Solicitation RFP -16- 4469 -TP Solicitation Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Date and Time: December 1, 2015 at 2:00 PM Local Time Attention: Ted Phillips For your convenience, Attachment "M" has been provided to property identify and affix to your RFP response. L. Improper Identification and Timeliness. The County is not responsible for the failure of a proposer or the proposer's agent to submit responses in a Umeiy manner or for a proposal that is not properly addressed or identified. Proposal delivery by electronic means, such as facsimile and e-mail, is not allowed. M. Public Opening of Proposals. Proposals will be announced publicly in the Procurement Services Office on the above appointed date and time or as soon thereafter as possible. Only the names of the respondents will be announced. All other information will be subject to Florida's Open Government Laws to Public Contracting. N. Withdrawal of Proposals. Proposals may not be withdrawn for a period of one hundred eighty days (180) days after the public opening date. O. Ownership of Documents. All documents resulting from this RFP solicitation shall become the sole property of Osceola County. THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK Page 9 of 34 Rev. 02 -2015 RFP- 16- 4469 -TP Due Date a Time: December 1, 2015 at 1 1 Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday. November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tph4losceola.org Phone: (407) 7424900 Fax: (407) 7420901 Tide: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Section IV. Proposal Schedule. Tentative Schedule Task Date RFP Released to General Public November 1, 2015 RFP Pre - Proposal Meeting (if applicable) Not Applicable Deadline for Questions by Interested Parties November 20, 2015 at 2:00 PM Proposal Due Date and Opening December 1, 2015 at 2:00 PM Evaluation and Selection December, 2015 Presentations, if required January, 2016 Board of County Commissioners or County Manager's Approval of Contracts February, 2016 Section V. Proposal Response, Criteria, and Evaluation Point Values. Evaluation Criteria category Points A. Firm Qualifications and Experience 25 B. Similar Projects 30 E. Project Approach 20 F. Price Proposal / Fee Schedule (Attachment F) 25 E. Additional Information 0 Total Points 100 A. Firm Qualifications and Experience — Tab "A" (25 Points 1. Letter of Transmittal. Provide a letter of transmittal, no longer than two (2) pages, signed by an authorized representative of the proposer, including a brief description of your firm's location, organization structure, and philosophy. (This section is not included in the overall proposal 30 page count.) 2. Individuals and Qualifications. Identify and include qualifications of specific individuals to be assigned to the project (include names, contact information, and resumes) and specify which services the individuals will provide to Osceola County. 3. Sub- Contractors. Proposers must list any sub - contractors that shall be used to accomplish the scope of services on the Proposed Schedule of Subcontractor Participation Form (Attachment "G "). If no subcontractors are going to be used. check the box for Subcontractors will not be utilized for this project at the top of the form. 4. Litigation. Please list any past and/or pending litigation or disputes relating to the work described herein that your firm has been involved in within the last Five (5) years. The list shall include each project name and the nature of the litigation. 5. Financial Information. Provide an official letter from the proposer's financial institution detailing the Page 10 of 34 Rev 02 -2015 RFP -16. 4469-TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiaosceola.mg Phone: (407) 7424)900 Far. (407) 742-0901 Tide: Video Surveillance and Access Control Security System Repairs. Installation, Maintenance and upgrades financial status of the proposer. The letter shall include a contact name, address, phone number, and fax number. The failure to produce financial requirements may be grounds for disqualification of your offer. 6. Insurance Certificates. Provide copies of your current liability and workers' compensation Certificates of Insurance. The successful offeror will be required to provide Certificate(s) of Insurance evidencing coverage as required in Attachment "B" within five (5) business days of the notification of intent to award. Note: Policies other than Workers' Compensation shall be issued only by companies authorized to conduct business in the State of Florida, with active certificates of authority issued by the State of Florida, Department of Insurance. 7. Corporate Standing and Authorised Signatories. Proposers must provide a copy of the State Certificate of good standing listing the officers of the company. If the signatory is not one of the officers listed on the State Certificate, the bidder /proposer must complete the Articles of Incorporation / Corporate Documents Form (Attachment "I ") or provide one of the forms of evidence of Signatory Authority listed In Section III, I Corporate Standing and Authorized Signatories. 8. Public Entity Crimes. Proposers must complete the Public Entity Crimes Statement (Attachment "C ") and have it notarized. 9. Conflict of Interest. Proposers must provide disclosure of any potential conflict of interest due to any other clients, contracts, or property interests for this project only. Complete the Conflict of Interest Statement (Attachment 'D ") and have it notarized certifying that no member of your firm ownership, management, or staff has a vested interest in any aspect of this solicitation or any department within the Osceola County Government. 10. Local Business Tax Receipt (formerly Occupational License). Provide a copy of your Local Business Tax Receipt. Osceola County requires a Local Business Tax Receipt (formerly Occupational License) be held by all its contractors. Please contact the Tax Collector/Local Business Tax Receipt Office directly for information concerning this requirement at (407) 742 -4000. In accordance with section 205.065, Florida Statutes, a current Department of Professional Regulation certificate may be provided in lieu of an Osceola Local Business Tax Receipt, with a copy of the corresponding Occupational License of the home state, county, or city. 11. Substitute W- 9Nendor Update Form. Vendors that have not done business with the County or have not provided a Substitute W-9/Vendor Update within two (2) years must complete the Substitute W- 9/Vendor Update Form (Attachment 'K") and submit with the proposal. B. Similar Protects — Tab "B" (30 Points). To demonstrate experience and success in conducting similar work, the proposer shall provide a minimum of three (3) references of similar size projects in similar circumstances with appropriate reference information, concentrating only on those projects completed within the last two (2) years or currently underway by the proposer's firm, as follows: 1. Client name, address, phone, fax number and email address; 2. Description of all services provided; 3. Performance period; and, 4. Total annual amount of contract. Describe any significant or unique awards received or accomplishments made in previous, similar projects. NOTE: Please do not include projects completed or currently underway with Osceola County Government. C. Protect Aooroach — Tab "F" 120 Points), 1. State your firm's technical approach to the project and the interpretation of the scope of services required. 2. Define the adequacy of resources, including personnel, labor, equipment and supply resources, and other requirements to provide the requested services. 3. Provide a clear statement of the specific services and tasks to be performed. Include information conceming each task and staff committed to accomplish each task. 4. Provide an implementation schedule for proposed services including any management and planning strategies. 5. Provide information regarding any proposed innovative concepts that may enhance the value and quality of the services to be performed. Page 11 of 34 Rev 02 -2015 RFP- 164469 -TP Due Date 8 Time: December 1. 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiaosceola.org Phone: (407) 742MW Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades D. Fee Schedule — Tab "D" (25 Points). The Price Proposal and Acceptance of Proposal Terms and Conditions Certification, Attachment "F ", page 36, shall be completed and included in Tab D. An authorized signatory must sign page 36 attesting to knowledge of scope of services, committing to the prices as offered, and acceptance of the terms and conditions. This form must be notarized. As stewards of public funds, the County maintains all adopted budgetary parameters in the performance of its contracts. The ability of the successful proposer to maintain a sense of fiscal responsibility shall be favorably considered in the evaluation of proposals. 1. The Fee Schedule shall be evaluated as follows: The lowest price receives the maximum points. The lowest price is then divided into, individually, by the other prices to determine the percentage. The percentage is then multiplied by the maximum points allowed. (The Weighted Score will be rounded to the nearest whole number.) Exam Vendor Proposed Price Maximum Weighted Score Score f A $40,000 85% X 100 = 85 B $37,500 1 90% X 100 = C $33,900 1 100% X 100 = 100 $33,900 divided by $37,500 = 90 %; 90% x 100 = 90 (rounded to the nearest whole number) E. Additional Information — Tab "E" (No Assianed Points). Proposers may include a section for appendixes Including promotional material or supporting documentation not otherwise requested herein. Please clearly designate this section in your response. This will be for informational purposes only. Section VI. Evaluation Process. A. Determinina Responsibility. In conjunction with the weighted criteria being used to determine the capability of the proposal, the County may also consider the proposers ability to meet or exceed the following criteria: 1. The proposer's ability, capacity, and skill to perform the contract or provide the service within the time specified; 2. The quality of performance of previous contracts or services including previous performance with the County, 3. Previous and existing compliance by the proposer with laws and ordinances relating to the contract or service; 4. Financial resources of the proposer to perform the contract or provide the service; and, 5. Whether the proposer is in arrears to the County on a debt or a contract; whether the proposer is in default on surety to the County; or whether the proposer's taxes are delinquent. B. Evaluation Committee. The Evaluation Committee (EC) is comprised of qualified and recommended Osceola County staff members, professional County advisors, or local govemment staff or officials which are appointed by the County Manager or Designee in coordination with the requesting department. The EC shall consist of members who have experience, knowledge and/or expertise in the program area and service requirements of the solicitation. The Procurement Services Office Representative shall be the non -voting chair of the committee. C. Initial Evaluation of Proposals The Procurement Services Office Representative shall perform the initial review of all proposals submitted for initial qualifications certification. This process includes, but is not limited to the following: 1. The proposal was submitted by the deadline; Page 12 of 34 Rev 02 -2015 RFP -16. 4469-TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday. November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Iassimmee, Florida 34741 Email: tphiGosceola.org Phone: (407) 7424900 Fax: (407) 742-0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades 2. All required documents have been submitted; 3. All documents requiring an original signature have been signed and submitted; and, 4. Verification through the professional regulatory agency to ensure proper professional licenses or credentials, as required. A checklist of the essential items required by the solicitation shall be prepared by the Procurement Services Office Representative and presented to the EC for consideration and action. The County, at its sole discretion, may utilize the services of one or more independent firms, consultants, technical experts, and/or services to assist in the review or to provide an assessment, evaluation, and/or opinion as to the merits or validity of the proposer's response to this RFP. D. Presentations or Interviews. The County may request that proposers provide presentations to the EC, County Manager, and/or Board of County Commissioners; and/or conduct interviews with the selected proposers regarding the qualifications, ability to furnish the required services, and all criteria set forth herein. The Procurement Services Office will notify all proposers of the County's decision to request presentations and/or interviews, as applicable. Pursuant to Florida Statute Chapter 286, any portions of a meeting, at which a vendor makes an oral presentation, or answers questions as part of a competitive solicitation, are exempt from Florida Statute 286.011 and Statute 24(b), Article I of the State Constitution. E. Best and Final Offer and Negotiations. The County may request that the respondents provide a Best and Final Offer submittal before final determination for recommendation of contract award. The contract negotiation team will include, at a minimum, a member from the Procurement Services Office and a member from the end use department. The County reserves the right to negotiate any and all elements of a contract resulting from this request for proposal. Pursuant to Florida Statute Chapter 286, any portion of a meeting, at which negotiation strategies are discussed, or negotiations with a vendor is conducted, are exempt from Florida Statute 286.011 and Statute 24(b), Article I of the State Constitution. F. Right to Cancel or Reiect A solicitation may be canceled, or any or all submittals in response to a solicitation issued by the County may be rejected, in whole or in part, without recourse, when it is in the best interest of the County in accordance with the Administrative Code, Chapter 3. The County reserves the right to accept or reject any or all proposals, or any part thereof, with or without cause, without recourse, to waive technicalities or irregularities, and to accept or reject proposals which. In its judgment, best serve the interest of the County. The County also reserves the right to reject the proposal from a proposer who has previously failed to perform properly, or complete on time contracts of a similar nature, or who investigation shows is not in a position to perform the contract. The cost of submittal of this proposal is considered an operational cost of the proposer and shall not be passed on to or be borne by the County. G. EC Tabulation. The tabulation of the EC evaluation will be posted via the Osceola County Vendorl-ink site: httns: //vendodink.osceola.org Tabulation of proposal selections may also be viewed via the link located on the Procurement Services section page of www.oweola.org Interested proposers may also call the Osceola County Procurement Services Office for results. H. Protests. 1. Notice of Solicitation Bid Protests: Any person having submitted a bid or proposal may protest an alleged Irregularity or defect in the procurement process by which such person is aggrieved by filing with the Procurement Services Office Director a Notice of Solicitation Protest setting forth in writing the nature of the protest, the grounds upon which it is based and the relief sought. The Notice of Solicitation Protest must be received in the Procurement Services Office at least three (3) business days prior to the due date for the Solicitation. Failure to file a Notice of Protest in a timely manner shall constitute a waiver of rights hereunder. 2. Notice of Award Protest: Any Bidder or Respondent, who is not the intended awardee and who claims to be the rightful awardee, may file a Notice of Protest, in writing with the Procurement Services Office. by Page 13 of 34 Rev 02 -2015 RFP- 16- 4469 -TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tph4losceoln org Phone: (407) 7420900 Fax: (407) 742.0901 Tide: vidso Surveillance and Access Control Security System Repairs, installation, Maintenance and Upgrades 5:00 pm on the third (3'd) business day after the Notice of intent to Award is posted. An Award Protest is not valid if filed by a Bidder who cannot show they would be awarded the Contract if their protest is upheld. A timely filing of a bid protest by an aggrieved bidder or proposer may stay further procurement proceedings. It shall be at the discretion of the Osceola County Manager whether the performance of the Contract should be stayed. The Procurement Services Director shall consider the protest, make any other pertinent inquiries and shall have the opportunity to begin to resolve the protest by mutual agreement between the parties. The Procurement Services Director shall confer with the Osceola County Attorney and Osceola County Manager or designee to review the basis for the protest and the results of the inquiries and concur on a determination. The Procurement Service Director will send the protestor a Notice of Determination within five (5) usiness Da of the Count ) Ys 's determination. Y I. Award of Contract 1. The County Manager, or designee, shall review the fees and rates of compensation for reasonableness prior to execution of contract or submittal of a recommendation of contract or agreement to the Board. The County Attorney's Office may review all contract documents. Other experts may be consulted to assist in this process. 2. The Procurement Services Office and the requesting Department will prepare the required award documents and make recommendations for approval to the Board of County Commissioners or County Manager. Upon award, the Chairman/Vice Chairman or County Manager, as applicable, will execute the agreement. The Board of County Commissioners retains full discretion t r r reject ag ty disc et on o award o e)ect a contrail, or authorize expenditures in the best interest of the County. 3. Non - Exclusive Contract: Award of this project shall impose no obligation on the County to utilize the successful proposer for all work of this type, which may develop during the contract period. This is not an exclusive contract. The County specifically reserves the right to concurrently contract with other companies for similar work if it deems such action to be in the County's best interest. 4. Ownership and Rights in Data: Any work, product or deliverable report provided to the County as a result of work performed while under contrail shall be considered the property of the County and may be used in any fashion the County deems appropriate. The County shall have exclusive ownership of, all proprietary interest in, and the right to full and exclusive possession of all information, materials, and documents discovered or produced by the successful proposer pursuant to the terms of the awarded contract, including but not limited to reports, memoranda or letters concerning the research and reporting tasks of the awarded contract Section VII, General Terms and Conditions. A. Fund Availability. Any contract resulting from this solicitation is deemed effective only to the extent that funds are available. Osceola County abides by the provisions set forth in Florida Statutes relative to the appropriation of funds. B. Prompt Payment Act. Payments will be made pursuant to section 218.70, Florida Statutes, Florida's Prompt Payment Act. C. Local Business Tax Receipt (formerly Occupational License) Osceola County requires a Local Business Tax Receipt (formerly Occupational License) be held by all its contractors. Please contact the Tax Collector /Local Business Tax Receipt Office directly for information conceming this requirement at (407) 742 -4000. 0. Permits. Licenses. or Fees. Any permits, licenses, or fees required will be the responsibility of the proposer. The County will not entertain separate payment for these items. E. Taxes. Osceola County is tax exempt. As such, the County does not pay State of Florida Sales Tax or Federal Excise Tax. The County's State Sales Tax exemption number is 85- 8013132398C -5 and the Federal Exemption Identification Number is 59- 6000780. Page 14 of 34 Rev 02 -2015 i I Due Date & Time: December 1, 2015 at Advertised Date: Sunday. November 1, RFP -16- 4469 -TP 2:00 PM Local Tune 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiooscoola.org Phone: (407) 7424NO Fax: (407) 742 -0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades F. Govemina Laws and Venue. Any contractual arrangement between Osceola County and the proposer shall be consistent with, and be governed by, the ordinances of Osceola County, the laws of the State of Florida, both procedural and substantive, and applicable federal statutes, rules, and regulations. Any and all litigation arising under any contractual arrangement shall be brought in the appropriate court in Osceola County, Florida. G. Conflict of Interest A I proposers must disclose, with their proposal, the name of any officer, director, or agent who is also an officer or employee of Osceola County. Furthermore, all proposers must disclose the name of any Osceola County officer or employee who owns, directly or indirectly, an interest of ten percent (10%) or more of the proposers firm or any of its branches, subsidiaries, or partnerships. Failure to disclose in this manner will result in the disqualification of the proposer or the cancellation of work. It is the sole responsibility of the proposer to ensure compliance with the County Administrative Code, Chapter 3, Section 3.9, Conflict of Interest. Please complete and submit Attachment "D" with your proposal response. The County may seek damages for the recoupment of losses in having to re- solicit or re- assign this project. H. Additional Tents and Conditions. No additional terms and conditions included within the proposal response shall be evaluated or considered, and any and all such additional terms and conditions shall have no force and effect and are inapplicable to this solicitation. If submitted either purposely, through intent or design, or inadvertently, appearing separately in transmitting letters, specifications, literature, price lists, or warranties, it is understood and agreed the general and special conditions in this solicitation are the only conditions applicable to this proposal and the proposer's authorized signature affixed to the proposal signature section attests to this. I. Liability. The successful proposer shall act as an independent contractor and not as an employee of Osceola County. The successful proposer will be required to indemnify, defend, and hold and save harmless Osceola County, its officers, agents, and employees, from damages arising from the performance of, or the failure to perform, any task or duty required to be performed by the successful proposer. J. Indemnification. 1. General Liability. The successful proposer will agree to be liable for any and all damages, losses, and expenses incurred to the County, caused by the acts and/or omissions of the successful proposer, or any of its employees, agents, sub- contractors, representatives, or the like. The successful proposer will agree to indemnify, defend and hold the County harmless for any and all claims, suits, judgments or damages, losses and. expenses, including but not limited to, court costs, expert witnesses, consultation services and attorney's fees, arising from any and all acts and/or omissions of the successful proposer, or any of its employees, agents, sub - contractors, representatives or the like. 2. Patent or Copyright: The successful proposer shall indemnify and hold harmless, and defend the County and the Board of County Commissioners, their agents and employees, and anyone directly or indirectly employed by either of them, from and against all liabilities, damages, claims, demands or actions at law or in equity, including court costs and attorney's fees that may hereafter at any time be made or be brought by anyone arising out of any infringement of patent rights or copyrights held by others or for the disclosure or improper utilization of any trade secrets by the successful proposer during or after completion of this project. These obligations shall survive acceptance of any goods, services and/or performance payment therefore by the County. K. Insurance Reauiremertt 1. Include a copy of your current liability insurance, workman's compensation insurance certificate, and a copy of your firm's Local Business Tax Receipt (Reference Section VII, letter C) with your proposal submittal. 2. The successful proposer(s) shall provide original certificates of Insurance, evidencing coverage as required in Attachment "B ", to Osceola County Procurement Services within five (5) regular business days of the notification of the intent to award the Agreement. Certificates of Insurance shall provide a minimum of a thirty (30) day notice of cancellation to Osceola County and shall name Osceola County Board of County Commissioners as the Certificate Holder. 3. All insurance certificates shall remain valid and in full force for the term of the Agreement. Failure to Page 15 of 34 Rev 02 -2015 i i RFP- 164469 -TP Due Date s Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphlGosceola.org Phone: (407) 7420900 Fax: (407) 742-Ml Title: Video Surveillance and Access Control Security System Repairs. Installation. Maintenance and Upgrades maintain binding Insurance policies for awarded services will be grounds for termination of awarded Agreement. L. Public Entity Crimes. A person or affiliate who has been placed on the convicted contractor list, following a conviction for public entity crime, may not submit a proposal on a contract to provide any goods or services to a public entity, may not submit a proposal on a contract with a public entity for the construction or repair of a public building or public work; may not submit proposals on leases of real property to any public entity; may not be awarded or perform work as a contractor, supplier, subcontractor, or con uft t u n n P pp s an under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in section 287.017, Florida Statutes, in CATEGORY TWO, for a period of thirty -six (36) months from the date of being placed on the convicted contractor list. By completion and submittal of Attachment "C" and signature on this solicitation, the proposer certifies that it is qualified to do business with Osceola County in accordance with all Florida Statutes. M. Acceptance of Goods/Services. Receipt of goodsiservice shall not constitute acceptance. Final acceptance and authorization of payment shall be given only after a thorough inspection indicates that the performance meets the specifications and/or all conditions. Should the delivered goods/services differ in any respect from the specifications, payment will be withheld pursuant to section 218.70, Florida Statutes, until such time as the successful proposer takes necessary corrective action. If the proposed corrective action is not acceptable to the County, the County may refuse final acceptance of the goods/services. N. MWBE. LSBE and SDVBE Programs. The Osceola County Board of County Commissioners has established a Minority and Woman -owned Business Enterprise (MWBE) and Local Small Business Enterprise Programs (LSBE) with a combined goal of 25% contractor and subcontractor participation. The purpose of these programs is to promote and encourage the participation of MWBE and LSBE as Contractor or Subcontractor on County awards. Proposers must include a list of subcontractors by completing Attachment °G ", Proposed Schedule of Subcontractors Participation, which identifies which firms are MWBE, SDVBE and LSBE and the proposed percentage of the dollar value of the contract to be performed by each firm. During the term of the agreement. Contractors using Subcontractors will be required to report on the percentage and the dollar value of the contract performed by MWBE, SDVBE and LSBE Subcontractors at the time of submission of each pay application or invoice. The Osceola County Board of County Commissioner has established a Service Disabled Veteran's Business Enterprise (SDVBE) Program to address the economic disadvantage of service- disabled veterans. Whenever the County is considering two (2) or more bids, proposals, or responses to a solicitation for the procurement of goods, services and/or construction, which are equal with respect to price, quality and services where at least one (1) response is from a certified SDVBE, the County shall award the agreement to the SDVBE. O. Drug -Free Workplace Preference. Certification of an implemented drug -free workplace program must be included with the RFP response when submitted. If your firm has implemented a drug -free workplace program, please complete Attachment "E ", Drug -Free Workplace Certification and include with your RFP response. P. Audits and Records — Responsibilities of Successful Proposer. Before or after an agreement is prepared and executed, the successful proposer may be required to disclose their financial condition in a specified manner. In addition, subsequent to an agreement being executed, the successful proposer must maintain financial records and reports relating to funds paid by any parties for work on the matters which are the subject of this RFP document, and submit reports to the County in the form and frequency requested. The successful proposer must maintain books, records, documents, and other evidence according to generally accepted accounting principles, procedures, and practices, which sufficiently and properly reflect all costs of any nature expended in the performance of the resulting contract, and retain said copies for a period of no less than three (3) years after termination of the project. The aforesaid records, Page 16 of 34 Rev 02 -2015 RFP- 16-4469 -TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5. 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphl@osccola.org Phone: (407) 742 -0900 Fax (407) 7424901 Tide: Video Surveillance and Access Control Security System Repairs. Installation, Maintenance and Upgrades books, documents, and other evidence shall be subject at all times to inspection, review, or audit by the Count Commission Auditor r ' o its designee. The successful proposer II in h t Y g propo she include these aforementioned audit and record keeping requirements in contracts and subcontracts thereto entered into by the successful proposer with any party for work required in the performance of this project. Q. Additional Information. The Osceola County Procurement Services Office reserves the right to request any additional information needed for clarification from any proposer for evaluation purposes. R. Eaual Opportunity, Osceola County recognizes fair and open competition as a basic tenet of public procurement and encourages participation by minority and women owned business enterprises. All proposers are asked to make an affirmative statement as to its support of all applicable equal opportunity and affirmative action requirements. A copy of the County's Equal Employment Opportunity policy is available upon request. S. Proposal Use by Other Agencies, All proposers submitting a response to this RFP document agree that such response may also constitute a proposal to other governmental agencies within the State of Florida, under the same conditions, for the same contract price, and for the same effective period as this proposal. Each governmental agency desiring to accept this proposal, and make an award thereof, shall do so independently of any other governmental agency. Each agency shall be responsible for its own purchases and each shall be liable only for materials and/or services ordered and received by it, and no agency assumes any liability by virtue of this proposal. This agreement in no way restricts or interferes with the right of any governmental agency to competitively procure any or all items. T. Lobbying: Lobbying Black -Out Period: Questions Regarding the RFP. 1. Lobbying is defined as any action taken by an individual, firm, association, joint venture, partnership, syndicate, corporation, and/or all other groups who seek to influence the governmental decision of a Board Member, the County Manager, any requesting or evaluating department/division personnel and/or any member of the evaluation committee concerning an active solicitation during the Black -Out period. 2. The Lobbying Black -Out Period commences upon the issuance of this solicitation document. 3. The Lobbying Black -Out Period for awards requiring Board approval concludes at the beginning of the meeting at which the Board will be presented the award(s) for approval or request to provide authorization to negotiate a Contract(s). If the Board refers the item back to the County Manager for further review or otherwise does not take action on the item, the Lobbying Black -Out Period will be reinstated until such time as the Board meets to consider the item for action. 4. The Lobbying Black -Out Period for awards requiring County Manager Approval concludes upon issuance of a Notice of Intent to Award. 5. Bidders, Respondents, potential Vendors, service providers, Lobbyists, Consultants, or Vendor representatives shall not contact any Board Member, the County Manager, any requesting or evaluating Department/Office personnel and/or any member of the Evaluation Committee concerning an active solicitation during the Black -Out Period. 6. All questions and procedural matters shall be directed to the Procurement Services Office. Except in response to communications initiated by authorized County representatives, contact by Bidders or Respondents to any Board Member, the County Manager, any requesting or evaluating County Personnel, or any member of the Evaluation Committee, initiated during the Black -Out Period, may result in disqualification from the Solicitation Process. 7. Any questions relating to the interpretation of specifications or any aspect of the solicitation process shall be addressed to the Procurement Services Office Representative, in writing, by the cutoff date and time stated herein. 8. Respondents to this solicitation or persons acting on their behalf may not contact, between the release of the solicitation and the end period as established in items (c) and (d) of this section, any employee or officer of the executive or legislative branch conceming any aspect of this solicitation, except in writing to the procurement officer or as provided in the solicitation documents. Violation of this provision may be grounds for rejecting a response. U. Office of Record. Page 17 of 34 Rev 02 -2015 i RFP- 16- 4469 -TP Due Date 8 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 201 S and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiQosceola.org Phone (407) 7420900 Fax: (407) 742-Ml Tide: Video surveillance and Access Control Security System Repairs. Installation, Maintenance and Upgrades The Osceola County Procurement Services Office shall be the official `office of record" for all Information transactions and data disbursements associated with this solicitation. The Procurement Services Office may be reached Monday through Friday between 8:00 a.m. to 5:00 p.m. at 407 - 742 -0900 (phone) or 407 -742- 0901 (fax). V. Public Records. Under chapter 119, Florida Statutes, all responses to this solicitation shall be considered public record subject to distribution pursuant to the request for records by any interested party. W. Time of Performance. The services described herein and on the attached shall be performed in a prompt and correct manner within the standards of good and ethical productivity as negotiated between the County and the successful proposer. All proposers are asked to provide the best estimate for compliance with the scope of work as established by the solicitation. All contract time lines will be based on the projected scope and the estimated time for performance. X. Attachments and Exhibits. All attachments and exhibits hereto are made a binding part of this solicitation by this reference. Y. Cost of Submittal. The proposer understands that any and all costs related to the submittal of a proposal is considered an operational cost of the Proposer and shall not be passed on to, or be bome by, the County. Z. Certification of Independent Price Determination. By submission of a response, the Proposer certifies that in connection with this proposal: The prices in this proposal have been arrived at independently, without consultation, collusion, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other Proposer or with any competitor. AA. Responsibility of Proposer. By submitting a proposal. the Proposer certifies that the Proposer has fully read and understands this RFP document and has full knowledge of the scope, nature, quantity, and quality of work to be performed; the detailed requirements of the services to be provided; and the conditions under which the services are to be performed. BB. Employment Ellaibility Verification (E- Verify In accordance with State of Florida, Office of the Governor, Executive Order 11 -116 (superseding Executive Order 11.02; Verification of Employment Status), in the event performance of an Agreement resulting from this solicitation is or will be funded using state or federal funds, the Bidder /Contractor must comply with the Employment Eligibility Verification Program ( "E- Verify Program ") developed by the federal government to verify the eligibility of individuals to work in the United States and 48 CFR 52.222 -54 (as amended) is incorporated herein by reference. If applicable, in accordance with Subpart 22.18 of the Federal Acquisition Register, the Bidder /Contractor must (1) enroll in the E -Verify Program, (2) use E- Verify to verify the employment eligibility of all new hires working in the United States, except if the RECIPIENT is a state or local government, the Bidder /Contractor may choose to verify only new hires assigned to the Agreement; (3) use E- Verify to verify the employment eligibility of all employees assigned to the Agreement; and (4) include these requirement in certain subcontract(s), such as construction. Information on registration for and use of the E- Verify Program can be obtained via the Internet at the Department of Homeland Security Web site: httpa /Www.dhs.nov/E- Verifir CC. Soversian Immunity, The County expressly retains all rights, benefits and immunities of sovereign immunity in accordance with Section 768.28, Florida Statutes. Notwithstanding anything set forth in any section, article or paragraph of this Solicitation to the contrary, nothing in this Solicitation shall be deemed as a waiver of sovereign immunity or limits of liability which may have been adopted by the Florida Legislature or may be adopted by the Florida Legislature, and the cap on the amount and liability of County for damages, attorney fees and costs, regardless of the number or nature of claims in tort, equity or contract, shall not exceed the dollar amount set Page 18 of 34 Rev 02 -2015 RFP- 16-4469 -TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphlC osceola.org Phone: (407) 742-M Fax: (407) 742-0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades by the Florida Legislature for tort. Nothing in this Solicitation shall inure to the benefit of any third party for the purpose of allowing any claim against the County which would otherwise be barred under the Doctrine of Sovereign Immunity or operation of law. 00. Estimated Quantities. Not Applicable. EE. Public Emergencies. It is hereby made a part of this proposal that before, during, and after a public emergency, disaster, hurricane, tornado, flood, or other acts of God, Osceola County shall require a "First Priority" for goods and services. It is vital and imperative that the health, safety, and welfare of the citizens of Osceola County are protected from any emergency situation that threatens public health and safety as determined by the County. The Proposer agrees to rentfsellAease all goods and services to the County or governmental entities on a "first priority" basis. The County expects to pay contractual prices for all products and/or services under the awarded Agreement in the event of a disaster, emergency, hurricane, tornado, flood, or other acts of God. Should the Proposer provide the County with products and/or services not under the awarded Agreement, the County expects to pay a fair and reasonable price for all products and/or services rendered or contracted in the event of a disaster, emergency, hurricane, tornado, flood, or other ads of God. FF. Scrutinized Companies Clause. Osceola County may not enter into any contract for S1 million or more with any company that is on the scrutinized companies lists enumerated in Section 287.135, Florida Statutes. AN responses to solicitations for goods and/or services equal to or in excess of $1 million shall be required to complete Attachment 'L ", certifying that the Respondent is not on any scrutinized companies list. AN resulting contracts for $1 million or more shall be subject to termination by Osceola County, i) in the event the contracting vendor is put on a scrutinized companies list, or ii) the County determines that the certification provided in Attachment "L' was false. Exceptions to and penalties for violation of Section 287.135, Florida Statues, shall be in accordance with those set forth therein. GG. Public Records Compliance. If successful Proposer /Contractor will act on behalf of the County, as provided under section 119.011(2), Florida Statutes, the Proposer /Contractor, subject to the terms of section 287.058(1) c, Florida Statutes. and any other applicable legal and equitable remedies, shall: 1. Keep and maintain public records that ordinarily and necessarily would be required by the County order to perform the service; and 2. Provide the public with access to public records on the same terms and conditions that the County would provide the records and at a cost that does not exceed the cost provided by Florida law; and 3. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law; and 4. Meet all requirements for retaining public records and transfer, at no cost, to the County all public records in possession of the contractor upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirement. All records stored electronically must be provided to the County in a format that is compatible with the information technology systems of the county. 5. If the contractor does not comply with a public records request, the County shall enforce the contract provisions in accordance with the contract. [This space intentionally left blank] Page 19 of 34 Rev 02 -2015 i Due Date & Time: December 1. 20 at Advertised Date: Sunday, November 1, RFP- 16- 4469 -TP 2 :00 PM Local Time 1 201 Sand Thursday, November S, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiaosceola.org Phone: (407) 742-0900 Fax: (407) 742-0901 Title : Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "A" Statement of "No Proposal Submittal" If you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to: Osceola County Procurement Services Office, 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741. MINE HAVE DECLINED TO PROPOSE TO RFP -16- 4469 -TP, titled "Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades" for the following reason(s): I Proposal requirements too "restrictive". J Insufficient time to respond to Request for Proposal. -i V11e do not offer this service. I Our schedule would not permit us to perform. - 1 Unable to meet requirements. Unable to meet insurance or bond requirements. I Scope of Services unclear (please explain below). j Other (please specify below). REMARKS: Typed Name and Title Company Name Address Signature and Title Date ! 1 Telephone Number Fax Number E -mail Address Page 20 of 34 Rev 02 -2015 i RFP- 16.4469-TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5 1 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiaoscoola.org Phone: (407) 7424M Fax: (407) 742-0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "B" Insurance Requirements A. Insurance. The successful Proposer /Contractor shall not commence any work in connection with an agreement until it has obtained all of the required types of insurance and has provided proof of same to the County, in the form of a certificate prior to the start of any work, nor shall the successful Proposer /Contractor allow any subcontractor to commence work on its subcontract until all similar insurance required of the subcontractor has been so obtained and approved. All insurance policies shall be with insurers qualified and doing business in Florida. B. Limits, The successful Proposer/Contractor and/or subcontractor shall maintain the following types of insurance, with the following respective minimum limits: 1. AUTOMOBILE PUBLIC LIABILITY: One Million Dollars (51,000,000) Combined Single Limit, All Automobiles; 2. GENERAL LIABILITY - One Million Dollars ($1,000,000) any single occurrence; a. Damage to Rented Premises — Fifty Thousand Dollars ($50,000) any single occurrence; b. Medical Expense — Five Thousand Dollars ($5,000) Any one person; c. Personal & Advertising Injury— One Million Dollars ($1,000,000) 3. GENERAL AGGREGATE — One Million Dollars ($1,000,000); 4. EXCESS/UMBRELLA COVERAGE — One Million Dollars ($1,000,000): 5. PRODUCTS - COMPLETED OPERATIONS LIABILITY AGGREGATE — Two Million Dollars ($2,000,000); and, 6. WORKER'S COMPENSATION — covering the statutory obligation for all persons engaged in the performance of the Work required hereunder and Employers' Liability insurance with limits not less than $1,000,000 per occurrence. Evidence of qualified self - insurance status will suffice for this subsection. In case any Gass of employees engaged in hazardous work under an agreement at the site of the project is not protected under the Worker's Compensation statute, the successful Bidder /Contractor shall provide, and cause each subcontractor to provide, adequate insurance, satisfactory to the COUNTY, for the protection of its employees not otherwise protected. C. Certificates of Insurance. The successful Proposer /Contractor and /or subcontractor shall provide the County's Procurement Services Office with a Certificate of Insurance evidencing such coverage for the duration of this Agreement. Said Certificate of Insurance shall be dated and show: 1. The name of the insured Contractor, 2. The specified job by name and job number, 3. The name of the insurer, 4. The number of the policy, 5. The effective date, 6. The termination date, 7. A statement that the insurer will mail notice to the County at least thirty (30) days prior to any material changes in the provisions or cancellation of the policy, and; 8. The Certificate Holders Box must read as follows: Osceola County Board of County Commissioners c/o Director of Human Resources 1 Courthouse Square, Suite 4200 Kissimmee Florida 34741 Page 21 of 34 -- - _ Rev. 02 -2018 RFP- 164469 -TP Due Date a Time: December 1, T015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday. November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee. Florida 34741 Email: tphiMosceola.org Phone: (407) 742 -0900 Fax: (407) 742-Ml Tide: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades An other wordin in he Y St t Certificate Holders Box shall not be acceptable. Non-conforming certificates will be returned for correction. •NOTE— FOR CONTRACTING PURPOSES THE CERTIFICATE OF INSURANCE MUST BE DELIVERED TO OSCEOLA COUNTY PROCUREMENT SERVICES,1 COURTHOUSE SO., SUITE 2300, KISSIMMEE, FL 34741 D. County as Additional Insured. The successful Proposer /Contractor and/or subcontractor shall name the "Osceola County Board of County Commissioners and Osceola County" as an Additional Insured, to the extent of the services to be provided hereunder, on all required insurance policies, and provide the County with proof of same. E. Waiver. Receipt of certificates or other documentation of insurance or policies or copies of policies by the County, or by any of its representatives, which indicates less coverage than is required, does not constitute a waiver of the successful Proposer's/Contractor's obligation to fulfill the insurance requirements specified herein. F. Subcontractors. The successful Proposer /Contractor shall ensure that any sub- contractor(s), hired to perform any of the duties contained in the Scope of Services of an Agreement, maintain the same insurance requirements set forth herein. In addition, the successful Proposer /Contractor shall maintain proof of same on file and make readily available upon request by the County. G. Loss Deductible Clause. The County shall be exempt from, and in no way liable for, any sums of money which may represent a deductible in any insurance policy. The payment of such deductible shall be the sole responsibility of the successful Proposer /Contractor and /or subcontractor providing such insurance. H. Additional Reauirements: All insurance carriers shall have an AM Best Rating of at least A- and a size of VII or larger. The General Liability and Workers' Compensation policies shall have a waiver of subrogation in favor of Osceola County. The liability policies shall be Primary/Non- Contributory. Initials of Signatory: Date: The County reserves the undaterai nght to modfy the insurance requirements set fofM at any time during the process orsobcamon or subsequent thereto_ >>>Failure to submit this form may be grounds for disqualification of your submittal <<< Page 22 of 34 Rev 02- -2015 _ . I RFP- 16- 4489 -TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2 :00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiGosceola.org Phone: (407) 742-M Fax: (407) 742 -0901 Title: Video Surveillance and Access Control Security System Repairs. Installation. Maintenance and Upgrades Attachment "C" Public Entity Crimes Statement SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS 1. This swom statement is submitted with Bid, Proposal, ITN, or Contract Number RFP - 164469 TP, titled "Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades" 2. This swom statement is submitted by whose business address is [Name of entity submitting swom statement] and (if applicable) its Federal Employer Identification Number (FEIN) is (If the entity has no FEIN, include the Social Security Number of the Individual signing this swom statement: 3. My name is and my relationship to the above is ' (Please print came of Individual signing] 4. 1 understand that a "public entity crime" as defined in section 287.133(I)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity in Fkxida or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 5. 1 understand that "convicted" or "conviction" as defined in section 287.133(l) (b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contenders. 6. 1 understand that "affiliate" as defined in section 287.133(1) (a), Florida Statutes, means: a. A predecessor or successor of a person convicted of a public entity crime; or b. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding thirty - six (36) months shall be considered an affiliate. 7. 1 understand that a "person" as defined in section 287.133(1) (e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives. partners, shareholders, employees, members, and agents who are active in management of an entity. 8. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting this sworn statement. [Please indicate which statement applies]. Neither the entity submitting this swom statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who is active in the management of the entity, nor any affiliate of the Page 23 of 34 Rev 02 -2015 RFP- 16- 4469 -TP No Data 3 Tim: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday. November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiloscoola.org Phone: (407) 742-0900 Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs. Installation, Maintenance and Upgrades entity have been convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND [Please indicate which additional statement applies]. There has been a proceeding concerning the conviction before a judge or hearing officer of the State of Florida, Division of Administrative Hearings, or a court of law having proper jurisdiction. The final order entered by the hearing officer or judge did not place the person or affiliate on the convicted contractor list. [Please attach a copy of the final order.] The person or affiliate was placed on the convicted contractor list. There has been a subsequent proceeding before a court of law having proper jurisdiction or a judge or hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the judge or hearing officer determined that is was in the public Interest to remove the person or affiliate from the convicted contractor list. [Please attach a copy of the final order.] The person or affiliate has not been placed on any convicted vendor list. [Please describe any action taken by or pending with the State of Florida, Department of Management Services.] By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment `C, Public Entity Crimes, is truthful and correct at the time of submission. AFFIANT Typed Name of AFFIANT Title STATE OF COUNTY OF The foregoing instrument was executed before me this day of 20_, by as of who personally swore or affirmed that he/she is authorized to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced as identification. NOTARY PUBLIC, State of (stamp) PLEASE COMPLETE AND SUBMIT WITH RFP » »Failure to submit this form with your RFP response may disqualify your submittal. «« Page 24 of 34 Rev 02 -2015 RFP -16. 4469-TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday. November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiiijOsceola org Phone: (407) 742 -M Fax: (407) 742-0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "D" Conflict of Interest Statement STATE OF ) COUNTY OF ) Before me, the undersigned authority, personally appeared who was duly swom, deposes, and states: A. I am the of with a local office (Insert Title) (Insert Company Name) in and principal office in B. Said entity is submitting this proposal/offer to RFP -16- 4489 -TP, titled "Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades ". C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full knowledge. D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby. E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of this solicitation, including but not limited to the prior discussion of terns, conditions, pricing, or other offer parameters required by this solicitation. F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from participation in this solicitation or any contract to follow thereafter by any government entity. �Y . G. Neither the entity or its affiliates nor a associated with y yo c aced them, have any potential conflict of interest because and due to any other clients, contracts, or property interests in this solicitation or the resulting project. H. I hereby also certify that no member of the entity's ownership or management or staff has a vested interest in any County Office or Department. I. 1 certify that no member of the entity's ownership or management is presently applying, actively seeking, or has been selected for an elected position within Osceola County government. J. In the event that a conflict of interest is identified in the provision of services, I, the undersigned will immediately notify the County in writing. AFFIANT Typed Name of AFFIANT Title STATE OF COUNTY OF The foregoing instrument was executed before me this day of 20_, by as of who personally swore or affirmed that he /she is authorized to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced as identification. NOTARY PUBLIC, State of (stamp) PLEASE COMPLETE AND SUBMIT WITH PROPOSAL »>>Failure to submit this form with your PROPOSAL may disqualify your response. c <c< Page 25 of 34 Rev 02 -2015 I RFP- 16- 4469 -TP Due Date S Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: t Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiGosceolaorg Phone: (407) 7424M Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "E" Drug -Free Workplace Certification The drug -free certification form below must be signed and returned with the RFP response. In order to have a drug -free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business' is of maintains Pa Y n9 a drug -free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in the first paragraph. 4. In the statement specified in the first paragraph, notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893, Florida Statutes, or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in, a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug -free workplace through implementation of the foregoing provisions. By the signature(s) below, Uwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment E, Drug -Free Workplace Certification, is truthful and correct at the time of submission. AFFIANT Typed Name of AFFIANT Title STATE OF COUNTY OF The foregoing instrument was executed before me this day of 20_. by as of who personally swore or affirmed that he /she is authorized to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced as identification. NOTARY PUBLIC, State of (stamp) PLEASE COMPLETE AND SUBMIT WITH RFP RESPONSE — IF APPLICABLE Page 26 of 34 Rev 02 -2015 i RFP - 164"9-TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 201 Sand Thursday. November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphlaosceohLorg Phone: (407) 742.0900 Fax: (407) 742-0901 Title: Video SurveiNance and Access Control Security System Repairs, Installation. Maintenance and Upgrades Attachment "F" Price Proposal and Acceptance of Proposal Terns and Conditions Certification Parts and Sub - Contractor M8'tk -' UP II Materialsand Parts p / 0 Invoice plus 0 ub-Contractors Invoice plus % quipment Rentals Invoice plus % = Labor Hours Prke Scheduleg Project Management $ Per Hour Installation Technician $ Per Hour Installation Technician (Helper) $ Per Hour Application Engineer $ Per Hour Draftsman/CADD Technician $ Per Hour Clerical (O&M Documentation) is Per Hour Other (Please explain) is Per Hour . _ _:Em ne .Services`Muiti tier <- :tfiimes Emergency ServiceslCritical Response Rate will be calculated at value the hourly labor times the hourly rate for the necessary labor categories utilized. ate Uwe, the undersigned, as authorized signatory to commit the firm, do hereby accept in total all the terms and conditions stipulated and referenced in this RFP document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the RFP document or as negotiated pursuant thereto. The undersigned, having familiarized him/herself with the terms of the RFP documents, local conditions, and the cost of the work at the place(s) where the work is to be done, hereby proposes and agrees to perform within the time stipulated, all work required in accordance with the scope of services and other documents including Addenda, if any, on file at the Procurement Services Office for the price set forth herein in Attachment "F ". The signature(s) below are an acknowledgment of my /our full understanding and acceptance of all the terms and conditions set forth in this RFP document or as otherwise agreed to between the parties in writing. Authorized Signatory Printed Name Page 27 of 34 Rev 02 -2015 RFP- 164469 -TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday. November 1, 2:00 PM local Time 1 2015 and Thursday. November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 94741 Email: tphiQosceola.orp Phone: (407) 742 -0900 Fax (407) 742-0901 Tide: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Title Date Mailing Address: Phone/Fax/E Mail Address: NOTARY: STATE OF ) COUNTY OF ) Sworn and Subscribed before me this day of , 20 Personally known: Or Produced Identification: Notary Public - State of: Commission Expires: Authorized Signature: Date: »>Failure to submit this form may disqualify your response <<< Page 28 of 34 Rev 02 -2015 RFP- 164169 -TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 201 Sand Thursday, November S, 201 S Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Emil: tph4losceola org Phone: (407) 7424M Fax: (407) 742-0901 Title: Video Surve0lance and Access Control Security System Repairs, Installation, Maintenance and Upgrades ATTACHMENT "G" PROPOSED SCHEDULE OF SUBCONTRACTOR PARTICIPATION (WITH MWBE, SDVBE, and LSBE DESIGNATION) 0 Subcontractors will not be utilized for this project- Name of ContractodConsultant: Project Title: Video Surveillance and Access Project Number. RFP- 16- 4469 -TP Control Security System Repairs, Installation, Maintenance and Upgrades Date: I Total Pro act Amount: Subcontractor Name Subcontrac Phone Scope of Work to be Dollar ' Percentag Certifying for Minority number Subcontracted Value a of Total Agency Code Project (if Amount applicable) i Minority Code Code Description Minority Code Code Description AA African American W Woman A Asian/Pacific Islander SDVBE Service Disabled Veteran H Hispanic LSBE Local Small Business Enterprise NA Native American Total Dollar Value Percentage of Total Protect Amount TOTAL Minority Participation The Proposer, will enter into a formal agreement with the subcontractors identified herein for work listed in this schedule conditioned upon execution of a contract with Osceola County. I declare that I have read the terms and conditions of the solicitation and the statement in this bid submission are true to the best of my knowledge. Signature: Date: Print Name: Title: Page 29 of 34 Rev 02 -2015 RFP•16- 4469-TP Due Date S Time: December 1. 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday. November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphi@?mceola.org Phone: (407) 7420900 Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "H" Addendum Acknowledgment cknowledgment is hereby made of receipt of Addendum # through # addenda issued during the solicitation period. Initial: Date: Company Name Company Address Authorized Signatory (Signature): Printed Name: ltle: » >Failure to submit this form may disqualify your response <<< Page 30 of 34 Rev 02 -2015 RFP- 164469 -TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to:1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiposceola org Phone: (407) 742.0900 Fax: (407) 742-Ml Title : Video Survedlance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "I" Articles of Incorporation / Corporate Documents Bidder /Proposer must include a copy of their State Certificate of Good Standing/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents the Bidder /Proposer must include necessary information to verify the individual signing this proposal/bid and or any contract document has been authorized to bind the corporation. Examples Include: 1. A copy of the Articles of Incorporation listing the approved signatories of the corporation. 2. A copy of a resolution listing the members of staff as authorized signatories for the company. 3. A letter from a corporate officer listing the members of staff that are authorized signatories for the company. Complete the information below and submit with the bid or proposal: Type of Organization: Corporation Partnership Non - Profit Joint Venture Sole Proprietorship State of Incorporation: Principal Place of Business: City /County /State Federal I.D. or Social Security number: >>>Failure to submit this form may disqualify your response <<< Page 31 of 34 Rev 02 -2015 RFP46- 4469 -TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday, November S. 2015 Procurement Analyst Ted Phillips Respond to:1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphiaosceola.org Phone: (407) 7424M Fax: (407) 742.0901 Title: video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "J" Vendor Demographics Survey Company Name: Company Address: City, State, and Zip: Telephone: Fax: Email: 1. How many people comprise your workforce? 2. Based on your current workforce, how many employees are residents of Osceola County? 3. Is your company currently certified as a Local Small Business Enterprise, minority, woman, or service - disabled veteran owned business (MWBE or SDVBE) with Osceola County? (For more info, call (407) 742 -0900 prior to RFP due date.) Yes No If yes, please enclose a copy of your Certificate with your RFP submission. 4. Based on your total workforce, please provide the number of workers your company employees by the ethnic affiliations listed in the chart below. Male Female Hispanic / Latino Caucasian / White African American/Black Asian / Pacific Islander American Indian / Native American Thank you for participating in this survey. Preparer's Name (print please): Preparer's Signature: Date: Rev. June 2011 Page 32 of 34 Rev 02 -2015 RFP- 16- 4469 -TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday. November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphlaosceola.org Phone: (407) 742-0900 Fax: (407) 742-0901 Title : Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "K" OSOOOia COWY BOWd Of CO MY - - SUBSUMTE W MMIDOR UPDATE FORM 7b1sb41aloceweeby t+ ar�swu> weaNbeaeteec. �IbMrtoassarenroreswr4ti .attAaer�Ns b bM. IbMeafftwas a7 MONO" OeMe�eaMes ns�renlss�Rf w� ass�sl w�as a�sa rs� �LSbb aN�PCaAeeT�B ewbsl+sme ��ese+besewe9 sassss•eeweel eseeaes�s[s, wresarrwes is �•Q � weZ�OOOSRi•A spwsswe9 �nwal e.errsmwr..� PlltaliMeettbl�p�ttaNtb lib s}0srbsllwianM1lM1aiirtebsogft "m Fmtbb ibt��rlr" �Af ases�' IreO�r�Ylj .11li�l�Mlfi0s111tlbllblei�! Qlt grenurlJElbantbltnsbpaMSa�g. �loa#b�b� -'>�i- Crdt ❑b/r�Mal�Aeo► ❑awa�A ❑ ❑ asswMrse ❑usorrargress.ir aira�ear< ewftc- nownemp wor.mnoex-- tenet ❑awereew►es 1Maelr�wrse�sr�ae�wira s�lO�o�iCwaj313La Olb t�df pMMlacOTpsgrty, s_ ia. e. atnrsoor nsoMoiNObi coned tarpaprosot eaaeasanasr (orl asweorgmrasusosrbbei Mseri� Main i �s� iaw}etb a �iwss�ii�s --- i.eWOMMIM r� a orlq�r� Insaoom se lltet t >tos "AMP" mo &I am au.s.a escrallwus. sign IN a HIM aawM► are► MocMla r comas your so= seams asower br prparesL sbssucame of =MONK MGM am es - 1 tag aa0lt�aiesMC ruoon�ibtloe,bail4y,aMta:wparug. Ss�st suosglrarwbs�s aa! swaw;NS:er�s. niwesttou�iMoraae n�aeaws la ssatraperpaac Teae : tsesaser Oft Tdnpteee >b k a.mrbseseK catarwrs oakc vb�ws ues><eib o.te Page 33 of 34 Rev 02 -2015 RFP - 16469 TP Due Date 3 Time: December 1, 20 y 15 at Advertised Date: Sunday. November 1, 2:00 PM Local Time 1 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tph4josceola.org Phone: (407) 7424M Fax: (407) 7424901 Tide: Video Surveftnce and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "M" Solicitation Response Identification Label NOTICE TO ALL RESPONDENTS: For your convenience, the label below has been provided to properly identify your solicitation submittal. Place your submittal in a sealed envelope or package, type or print the company name and address in the area provided below, and affix the label on the outer surface of the envelope or package. Osceola County requests that all visitors check -in at the Procurement Services reception desk. If you are hand - delivering a solicitation, a time/date stamp is available at the reception desk. The solicitation submittal envelope or package and label will be date stamped by a receptionist who will notify the appropriate Procurement staff. A record of all deliveries and delivery times will be documented at the Procurement Services reception desk and such record will be retained by Procurement Services. PLEASE FILL OUT THE LABEL BELOW AND ATTACH IT TO YOUR SOLICITATION REPLY ENVELOPE OR PACKAGE. Cut out the label and tape it to the outer sealed solicitation envelope or package. SEALED BID*****DO NOT O PEN*****SEALED SID**** o O NOT OPEN SOLICITATION NUMBER RFP -16 -4469 TP SOLICITATION TITLE ! Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades PROCUREMENT. Ted Phillips ANALYST: DUE DATE December 1, 2015 TIME: 2:00 P.M. Local Time BIDDER TO PROVIDE /COMPLETE INFORMATION BELOW FROM FIRM NAME FIRM ADDRESS CITY, STATE, ZIP PLEASE DELIVER TO OSCEOLA COUNTY PROCUREMENT SERVICES OFFICE. 1 Courthouse Square, Suite 2300, (Kissimmee FL 34741 Bids may not be delivered to any other Osceola County office location. It is BIDDER'S responsibility to ensure that the bid is received in the Procurement Services Office by the stated date and time. Any bid received after this date and time will not be accepted or considered. Page 34 of 34 Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades SiteSecure mss' POWERED BY 4 l s SiteSecure r/11LLE" E LEC [- IL cUMPANY ni!.� - ':An - c•[z'nmK: -' Osceola County Procurement Services Office Attn. Ted Phillips Re: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Mr. Phillips, SiteSecure was formed in 2003 to create a security- focused construction company that specializes in complex physical security projects. At that time, the market lacked a company that could turn-key the infrastructure and technology solutions without involving a willing 3rd party contractor to manage the various scopes. SiteSecure filled a niche market with utility organizations throughout Central Florida, whose projects often included fencing, motorized gates and concrete work, in addition to the video and access control systems. These projects were often design - build, complex, and required significant engineering and permitting; expertise that our competitors also lacked. As the company grew, so did our customer base and manufacturer partnerships. These relationships allowed us to expand our reach to other parts of the state, and beyond. SiteSecure, LLC was fully acquired by Miller Electric Company on October 1, 2014 and now operates under the Miller Integrated Systems division led by David L. Stallings, RCDD — Vice President. Committed to providing quality service to customers since 1928, Miller Electric Company has a long history of providing the highest level of service with the most dedicated employees. From its home office in Jacksonville, FL and network of branch offices, Miller Electric Company is able to serve the needs of our customers throughout the country. Because of our commitment to quality and customer service, Miller Electric Company consistently ranks among the largest electrical contractors in the nation. The combined resources of the Miller Electric/SiteSecure team in Orlando include all of the prior SiteSecure employees, as well as Miller personnel performing structured cabling and electrical installation and service. Many of the Miller cabling technicians are being cross - trained on the SiteSecure business to provide additional "flex" resources as the project and service backlog warrants the additional support. Our Philosophy SiteSecure has built a reputation based on loyalty, consistency and conservative principles for the last 11 years. The expertise that has been built stems from the idea that SiteSecure embraces non- proprietary systems solutions. This was a huge contradiction to the proprietary "black box" systems of the analog security manufacturers that our competitors were leading with in the past. Instead, we adopted an IP video and access control software -only model, which was largely unpopular and shunned by most industry natives. That approach allowed end users to procure their own server ATLANTA, GA I BIRMINGHAM, Al I CHARLOTTE, NC I DALLAS, TX I DENVER, CO I FT, LAUDERDALE, FL I GAINESVILLE. Fl I HOUSTON, TX JACKSONVILLE. FL I LITTLE ROCK, I MILWAUKEE, WI I NASHVILLE, TN I ORLANDO, Fl I PHOENIX, AZ I RICHMOND, VA I SALIM. VA Toll Free: 800.554.4761 Fax: 904.389.8653 www,mecoiax.com I www.sitesecure.com S�eSecure MILLEF , ELEC T RIL f 'UMPANY VIS P^WERED Sy and networking hardware, which was folded into their IT infrastructure. That approach has been the foundation of our business model, and is the reason why SiteSecure has such a broad customer base in the enterprise market. As our competitors soon discovered, many municipal and higher education clients were won on the idea that they could now be largely self - supported, to the extent that they felt comfortable with the technology. SiteSecure is very different from our industry competitors in that we do not employ any commissioned sales people. To combat this industry trend, we have adopted a Project Management model, which ensures a single point of contact for all issues related to a customer's needs. Our Project Managers are not sales people; they are technical resources that provide project management, product education, field engineering and technical support as well as estimating functions. The PM is responsible for quoting new business, maintaining the relationship with their respective accounts and ensuring the customer's ultimate satisfaction. They are instrumental in ensuring that service issues are resolved in a timely fashion and interacting with our installation staff to ensure that the customer's expectations are met during project execution. All of our PM's are certified on the SiteSecure product portfolio and most have Cisco or Microsoft certifications to reinforce that knowledge. The combined resources of Miller Electric Company and SiteSecure enable this team to offer unparalleled service with an even greater scope of services. By leveraging the equipment and human resources of the combined organization, we are committed to fulfilling the needs of Osceola County in all aspects of maintenance, service, and expansion of the County's Genetec Security Management System. We would like to thank you for the opportunity to submit our proposal on this project. If you have any questions, please feel free to contact us. Sincerely, Miller Electric Company David Stallings Vice President ATLANTA, GA I BIRMINGHAM, AL I CHARLOTTE, NC I DALLAS, TX I DENVER, CO I FT. LAUDERDALE. FL I GAINESVILLE. FL I HOUSTON, TX JACKSONVILLE, FL I LITTLE ROCK, I MILWAUKEE, WI I NASHVILLE, TN I ORLANDO, FL I PHOENIX, AZ I RICHMOND, VA I SALEM, VA Tall Free: 800.SS4.4761 Fax 904.389.8653 www,"co*ax.com I www.sitesecure.com AMPAIL Osceola County Video Surveillance & Access Control Securitv System Repair, Installation, Maintenance, and Upgrades I TABLE OF CONTENTS Firm Qualifications & Experience ................................................. ..............................2 Letter of Transmittal Individual & Qualifications ....................................... ..............................2 Subcontractors (Attachment G) ................................. ..............................3 Litigation Statement ................................................ ..............................3 Financial Information (Bank Letter) ............................ ..............................3 Insurance Certificates ............................................ ............................... 3 CeMcate of Good Standing .................................... ..............................3 Public Entity Crimes (Attachment C) .......................... ..............................3 Conflict of Interest (Attachment D) ............................. ..............................3 Occupational License ............................................. ..............................4 W -9 ..................................................................... ..............................4 SimilarProjects ........................................................................ ..............................5 Cityof St. Cloud ..................................................... ..............................5 HCSO ................................................................. ............................... 6 Cityof Lakeland ..................................................... ..............................7 SeminoleCounty ................................................... ..............................7 Cityof Tampa ........................................................ ..............................8 ProjectApproach ..................................................................... .............................10 Fee Schedule (Attachment F) Additional Information ............................................................. .............................14 Licenses, Certificates, Case Studies for Genetec, Axis & Cambium S 5 SiteSecur I J s 10 Firm Qualifications and Experience i Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades TAB 1 FIRM'S QUALIFICATIONS AND EXPERIENCE Individuals and Qualifications We have assembled a team of experienced professionals for this contract. Resumes for our proposed key personnel are included in this section. Melissa O'Prandy — Project Manager As Project Manager, Melissa is responsible for working directly with the customer and advocating for all of their needs. She will coordinate all the services provided to the customer, design any new solutions, and assign the proper resources for the job. Danilo Borjal — Field Engineer Mr. Borjal entered the industry in 2006 as System Support Specialist installing, configuring, and troubleshooting network video recording systems both analog and IP- based. In addition, he has installed, configured, and troubleshot state of the art Homeland Security Systems. Gary Bangs — Systems Engineer & IT Support As a Systems Engineer, Mr. Bangs is responsible for assisting the field technicians in implementing the as designed Access Control and Video Systems. He coordinates with end customers to design and implement Access Control rules and procedures. Mr. Bangs also assists the customer in integrating state of the art IP based systems into their existing networks. He also provides technical support after the installation. Richard Baez and Jason Page will serve as installers on this contract. M SiteSecure Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades Sub - contractors Sub - contractors will not be used for this contract. Attachment G is included at the end of this section. Litigation Miller Electric Company has not been the defendant in any litigation during the past five years except for worker's compensation and general liability claims defended by our insurance carrier. We are the plaintiff from time to time in cases for the collection of unpaid accounts receivables and other commercial disputes. Financial Information A letter from Wells Fargo Bank is included at the end of this section. Insurance Certificates Copies of current liability and worker's compensation certificates are included at the end of this section. Corporate Standing A copy of our Certificate of Good Standing is included at the end of this section. Public Entity Crimes Attachment C is included at the end of this section. Conflict of Interest Attachment D is included at the end of this section. SiteSecure I ' Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades Local Business Tax Receiat Our Department of Professional Regulation Certificate is included at the end of this section. W- 9Nendor Update Form Though SiteSecure has provided services to the County in the last two years, we have included Miller Electric's W -9 form. SiteSec 4 saeSecure As a Project Manager, ,Melissa is responsible for working directly with the customer and advocating for all of their needs_ She mill coordinate all the services prtwided to the customer, dcsign anv new solutions and assign the proper resources for the job. EXPERIENCE Osceola County Government — Osceola County, FL Worked as the County's liaison %xith SiteSeeure to implement the Gcnctce system for the Courthouse complex, while working as an employee for Osceola County Pivot3 / Plan \lanzger / Security Center 5.1 Installation 3 Cloudbank Vstack and I single (aoudbank appliance, Director 2 archivers, 208 cameras, 112 dcx►rs Melissa Oprandy Osceola County Corrections Dcparttnent — Osceola County, FL Main Control, B and C Pocl Control Room Conversions _ Archivers, 150+ cameras in Project Manager Genetec SN stem, 200+ cameras in ViconNet system 317 Northlake Bhd City of Lakeland — Lakeland, FL suite 1020 Complete conversion of all the City's access control to Genetec, as well as maintauung and Altamonte Springs, FL servicing their video and access control. 2 Directories, 8 archivers, 4 access Managers, 683 cameras, (00+ access control doors Tel: 407- 328 -5220 mo mady &tesecure.com Lakeland Linder Regional Airport — Lakeland, FL Conversion of the Niq)ort's access control and hates to Genetec, as well as ser ice and maintenance 'i+ access Control Doors CWW T7AAf Ca+oidt mdan City of St. Cloud — St. Cloud, FL oo) Install, configure, and troubleshoot both video recording and access contat,l %% stems 1 aadS ls(AQOU� Directon•, 208 cameras, 200+ access control doors CctD&4 symm Geaetec OuoalawtLenel O2 1 aad OT1C2 CM WW S71C dST'C2 Ads Cammanicadow Ac W%=y Vetwvg* Video Fimd:meatrels V-S SiteSecure 1s a Systems Engineer, fir. Bangs is responsible for assisting the field technicians in implementing the as designed .Access Control and Video Systems. He coordinates with end customers to dcsi., i and implement Access Control rules and procedures. \Ir. Bates also assists the customer in integrating state of the art ll' based systems into their existing net\ corks. I le also provides technical support after the installation. EXPERIENCE Sanford Public Safety Complex - Sanford, FL Umnicast 4. / Security Center 4.0. initial installation T wo Directory servers ;Omni /S\ - n), BG cameras, 90 doors. (Subsequently joined with Cite of Sanford; t� St. Lco University — St. Lco, FL Gary cgs access Control '%figrtpon . 3500 cardholders migrated from GL Security System. Systems Engineer & Orlando Executive Airport Wireless — Orlando, FL IT Support Wireless s) upgrade. Replaced outdated Axis -wireless system with ne-w L biquitw units, support nine camera, single server. Onuticast 4.8 system 317 Northlake Blvd Suite 1020 Osceola County Courthouse — Kissimmee, FL Altamonte Springs, FL Piw0t3 /Plan Manager / Security Center 5.1 Installation 3 — Cloudbank Vstack and 1- single Cloudbank Appliance; Director•, t-wo Archiwers, Plan Manager. 20 cameras, 112 Teh 407-328- doors. tCatmp 77AA+ Torn of Palm Beach — Palm Beach, FL aim Security Center 3.2 Autowuc Installation Security Center system with four 10MNIS Srvers, two mist servers; Director• Server, four Archiyers, Mobile Server, 15 Autowue eettttQqaatneatt DOD se SeCtlet (Imedle) _ Fixed units, 3 autocue mobile units, 97 video cameras. Genewc Owntait47 University of Florida Continuum Campus — Gainesville, FL Adwhifirt0o dba Security Center 5.0 Installation. Single serer system, access control system Bmcq TeehavAM&& Ceadged Teclknicia West Palm Beach Juvenile Correction Facility — West Palm Beach, FL Am Comm oafadowt I:xacq \'ision Installation Seven 1-1. Hybrid NVR units, 85 cameras. Amd=yNetnrtt & Mdeo Indian River State College —Fort Pierce, FL Security Center 5? New Installation -with existing migration from 5.0 Sendook State C A4& \luldple campuses, servers, cameras doors, and cardholders. Cow &Amo t r- Campus l.txkdo-rn add -in. GM Test Track Conference Center — Disney /Epcot Kissimmee, FL SV -Pro / Sccuriry Center 5.0 imtallation Single serer system. I tour cameras. City of Sanford — Sanford, FL ( )mnicast 4.1 / Security (:enter 4.() Installation. 'I'-yo director seven (( hnni. Synl, IUG cameras, 112 doors. SiteSecure \fr. l ,r{al entered the indusm in 2006 as a System Support Six- cialist installing, Danllo Borial configuring, and troubleshooting network video recordin- systems bath analog and IP- Field Engineer based. In addition, he has installed, configured, and troubleshot state of the art I- lomcland Security Systems. \fr. liorial is currently a Field Engineer at SiteSCCUre po nyered by \filler 317 Northlake Blvd Electric. Suite 1020 flltamonte Springs, FL EXPERIENCE Tel: 407- 328 -220 Deerfield Beach Water Plant - Deerfield Beach, FL ( )mnicast 4.6 Installation. One Directory, 16 cameras Caasp 7 Zl d+ C 7Ate Sanford Burnham Institute of Medical Research - Orlando, FL Security Center 4.41 - 5? Installation and Up;�rade One Directon 72 door%, 14 cameras Geaetee oAma "t ( ) W d Ski Converge Worldwide — Orlando, FL ( Can J780 Securiry (:enter 4.(► — 5? Installation and Upgrade One Direerory, 25 dmrs, 33 cameras - Pb BwAJteadyIi!e^ (dCiot=Cemtot4 Seminole County Sheriff's Office - Sanford, FL Bow AR SGnPand c )mnicast 4.7 Installation Bosch ReadyKeyPro Installation One Director 489 carneras, anumarmDemembo 183 doors G 2ftW AAUUk L09d Marion County Facilities —Ocala, FL 02'ChdOTC2 Omnicast 4.4 Installation Bosch ReadyheyPro Installation One Director 1'1 cameras, rme wS L and I S(1 doors S2V I and SM2 Uw TECO (Tampa Electric) - Tampa, FL Ontnicast 4.3 Installation One Directory, 93 cameras CatdSatfm - Indian River State College — Fort Pierce, FL Seeuritw Center 5.0 Installation multiple campuses, servers, doors, and cardholders City of St. Cloud, City Hall — St. Cloud, FL Security (:enter 4.(1— 52 Installation and 17pgradc Two Directories (One Failoverj, 11 chars, 182 cameras Health First — Rockledge, FL Omnicast 4.3 — 4.' Installation and Upgrade One Directory, 522 cameras Rollins College — Rockledge, FL SV -16, Sceurity ('enter 3.1 - 5? Installation and L pgrade T w(i Directories tSVI6 and GSQ, 8' cameras Seminole Country Environmental Services - Various Locations Onmicast 4.3 — 4. Installation and Upgrade Security Center 3.0 4.0 htstallationn anti Upgrade "Three Dircctarics (( )mnicast, ( )nttticast F0, Scctmn (:enter), 16o cameras, 1 38 do N ors RFP- 164469-TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday, November 5, 2015 Procurement Analyst Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 54741 Email: tph4l owcoola.org Phone: 1407) 742 -0900 Fax: (407) 742 -0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades ATTACHMENT "G" PROPOSED SCHEDULE OF SUBCONTRACTOR PARTICIPATION (WITH MWBE, SDVBE, and LSBE DESIGNATION) Subcontractors will not be utilized for this project. Name of Contractor /Consultant: Project Title: Video Surveillance and Access Project Number: RFP -16- 4469 -TP Control Security System Repairs, Installation, Maintenance and Upgrades Date: Total Pro ect Amount: Subcontractor Name Subcontrac Phone Scope of Work to be Dollar ' Percentag Certifying for Minority number Subcontracted Value a of Total Agency Code Project (if Amount applicable 14 /A Minority Code Code Description Minority Code Code Descripion AA African American W Woman A Asian/Pacific Islander SDVBE Service Disabled Veteran H Hispanic LSBE Local Small Business Enterprise NA Native American Total Dollar Value Percentage of Total Project Amount TOTAL N/A Minority Participation N/A The Proposer, N / A will enter into a formal agreement with the subcontractors identified herein for work listed in this schedule conditioned upon execution of a contract with Osceola County. I declare that I have read the terms and conditions of the solicitation and the statement in this bid submission are true to the best of my knowledge. Signature: (; Zs Date: 11/20/15 Print Name: Da St allings Title: Vice President Page 29 of 34 Rev 02 -2D15 North Florida Commercial Banking MAC 23094.250 '.,•:ells Fargo Cen:e: One Independent (hive, 25;h rlrrx Jx4sonville, FL 32202 May 1, 2014 RE: Miller Electric Company To Whom It May Concern: This letter is to advise you of the credit worthiness of the above referenced company. Miller Electric Company has banked with Wells Fargo Bank, NA (formerly known as Wachovia Bank) for over 50 years. The relationship consists of cash management services and deposits with an average balance the low seven - figure range. Currently, their loan balance is in the low seven - figure range, with a credit limit in the low eight- figure range. Miller Electric Company has always handled their arrangements as agreed and is a valued client of Wells Fargo Bank. If you should have further questions or need additional information, please do not hesitate to contact me, Sin; I Luke Posson AVP, North Florida Commercial Banking Group Wells Fargo Bank, NA Together we'll flo fm RFP. 16.4469-TP Due Dale & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday, November S. 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphi@oscoola.org Phone: (407) 742 -0900 Fax: (407) 742 -0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "B" Insurance Requirements A. Insurance. The successful Proposer /Contractor shall not commence any work in connection with an agreement until it has obtained all of the required types of insurance and has provided proof of same to the County, in the form of a certificate prior to the start of any work, nor shall the successful Proposer /Contractor allow any subcontractor to commence work on its subcontract until all similar insurance required of the subcontractor has been so obtained and approved. All insurance policies shall be with insurers qualified and doing business in Florida. B. Umits. The successful Proposer /Contractor and/or subcontractor shall maintain the following types of insurance, with the following respective minimum limits: 1. AUTOMOBIIE PUBLIC LIABILITY. One Million Dollars ($1,000,000) Combined Single Limit, All Automobiles; 2. GENERAL LIABILITY - One Million Dollars ($1,000,000) any single occurrence; a. Damage to Rented Premises —Fifty Thousand Dollars ($50,000) any single occurrence; b. Medical Expense — Five Thousand Dollars ($5.000) Any one person; c. Personal b Advertising Injury — One Million Dollars ($1,000,000) 3. GENERAL AGGREGATE — One Million Dollars ($1,000,000); 4. EXCESS/UMBRELLA COVERAGE — One Million Dollars ($1,000,000); S. PRODUCTS - COMPLETED OPERATIONS LIABILITY AGGREGATE — Two Million Dollars ($2,000,000); and, 6 WORKER'S COMPENSATION — covering the statutory obligation for all persons engaged in the performance of the Work required hereunder and Employers' Liability insurance with limits not less than $1,000,000 per occurrence. Evidence of qualified self - insurance status will suffice for this subsection. In case any class of employees engaged in hazardous work under an agreement at the site of the project is not protected under the Worker's Compensation statute, the successful Bidder /Contractor shall provide, and cause each subcontractor to provide, adequate insurance, satisfactory to the COUNTY, for the protection of its employees not otherwise protected. C. Certificates of Insurance. The successful Proposer /Contractor and /or subcontractor shall provide the County's Procurement Services Office with a Certificate of Insurance evidencing such coverage for the duration of this Agreement Said Certificate of Insurance shall be dated and show; 1. The name of the insured Contractor, 2. The specified job by name and job number, 3. The name of the insurer, 4. The number of the policy. 5. The effective date, 6. The termination date, 7. A statement that the insurer will mail notice to the County at least thirty (30) days prior to any material changes in the provisions or cancellation of the policy, and; 8. The Certificate Holders Box must read as follows: Osceola County Board of County Commissioners c/o Director of Human Resources 1 Courthouse Square, Suite 4200 Kissimmee, Florida 34741 Page 21 of 34 Rev 02.2015 i RFP -16- 4469 -TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 6, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email: tphi@osceola.org Phone: (407) 742.0900 Fax: (407) 742.0901 Title . Video Surveillance and Access Control Securlry System Repairs, Installation, Maintenance and Upgrades Any other wordina in the Certificate Holders Box shall not be acceptable. Non - conforming certificates will be returned for correction 'NOTE — FOR CONTRACTING PURPOSES THE CERTIFICATE OF INSURANCE MUST BE DELIVERED TO OSCEOLA COUNTY PROCUREMENT SERVICES, 1 COURTHOUSE SO., SUITE 2300, KISSIMMEE, FL 34741 D. County as Additional Insured. The successful Proposer /Contractor and/or subcontractor shall name the 'Osceola County Board of County Commissioners and Osceola County' as an Additional Insured, to the extent of the services to be provided hereunder, on all required insurance policies, and provide the County with proof of same. E. Waiver. Receipt of certificates or other documentation of insurance or policies or copies of policies by the County, or by any of its representatives. which indicates less coverage than is required, does not constitute a waiver of the successful Proposer's/Contractor's obligation to fulfill the insurance requirements specified herein. F. Subcontractors. The successful Proposer /Contractor shall ensure that any sub- contractor(s), hired to perform any of the duties contained in the Scope of Services of an Agreement, maintain the same insurance requirements set forth herein. In addition, the successful Proposer /Contractor shall maintain proof of same on file and make readily available upon request by the County. G. Loss Deductible Clause. The County shall be exempt from, and in no way liable for, any sums of money which may represent a deductible In any insurance policy. The payment of such deductible shall be the sole responsibility of the successful ProposerlContractor and/or subcontractor providing such insurance. H. Additional Requirements: All insurance carriers shall have an AM Best Rating of at least A- and a size of VII or larger. The General Liability and Workers' Compensation policies shall have a waiver of subrogation in favor of Osceola County. The liability policies shall be Primary/Non- Contributory. Initials of Signatory Date: 11/20/15 The County reserves the unilateral right to modify the insurance mqukemerds set lorfh of any Um during the process of sokkab w or subsequent thomfo. >>>Failure to submit this form may be grounds for disqualification of your submittal <<< Page 22 of 34 Rev 02 -2015 MILLELE -01 DPARATORE CERTIFICATE OF LIABILITY INSURANCE 1 D ATE 9/2no 11201Y5 15 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 cartlHcah holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. B 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 endorsemen s)_ PRODUCER CONTACT Dora A Pastore Cecil W. Powell 6 Company PHONE 904 353.3181 A,c N, ; 904 353 -5722 219 N. Newnan Street Jacksonville, FL 32202 dpwMore@cwpowe INSUIWAM AFFORDING COVERAGE NAIL a wsuRERA.Zurich An3wrican Ins Co 16535 INSURED wsuRER s: St Paul Fire & Marine 24767 SkeSecure LLC INsuRmc,XL Insurance America Inc 24554 A wholly owned subsidiary of Miller Electric Company INSURER o P.O. Box 1799 Jacksonville, FL 32201 INSURER E - INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE itilift POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,0 CLAI,IS -MADE © OCCUR X X L0038137500 07/011'0 S 07/01/2016 s $ 500, ME rXUrrenc _ MED EXP (Ary we person $ 10,0 PERSONAL A ADV INJURY S 1,000,0 GENt AGGREGATE LMNT APPLES PER GENERAL AGGREGATE $ 2,000,0 JECT POLICY a PRO. F LOC PRODUCTS - COMPdOP AGG S 2,000,0 ROTHER $ AUTOMOBILE COMBINED SINGLE LIMIT $ 1,000,0 A X ANY AUTO X X BAP038137600 07/01/2015 07/0112016 BODILY INJURY Met Derson) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acclderN) S HIRED AU70S NON•ONMEO E $ AUTOS 1per acodem I S X UMBRELLA LIAS X OCCUR EACH OCCURR=ENCE s 10,000,0 S EXCESS LIM CLMMr. MADE X X UP15P202831 SNF 07/01/2015 07/01/2016 AGGREGATE S 10,000, DIED I X I RETENTION S 10,000 S wORKERS COMPENSATION X DIM AND EMPLOYERS' LIABILITY STATUTE ER A ANY PROPRIETORIPARTNEIi,'F-XECUTIVE YIN X ( .038137400 07/0112015 07/01/2016 E EACHACCIOENT $ 1,000,0 OFFICERMEMBER EXCLUDED N / A IMandAmy is I" E L DISEASE - EA EMPLOYE S 1,000, d S RIP�TI OF KO OPERATIONS Felon E.L. DISEASE - POLICY LIMIT S 1.000,0 C rased/Rented Equip UM00040936MAISA 07/0112015 07/0112016 Any One Item: 1,000,0 OESCRIPTWN OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, AddilwW Remarks Schedule, may to adsched N two space is requited) Project: All work performed by SNeSecure LLC Certificate holder is included as additional insured as respects general liability and auto liability on a primary and non - contributory basis per the attached e ndorsements. A waiver of subrogation is granted In favor of the additional Insured as respects general liability, auto liability, and workers compensation per M attached endorsements. Umbrella liability applies excess to general liability. auto Nobility, and employers liability (workers compensation). 30 days notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE "SAMPLE FOR INFORMATION ONLY" THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Miller Electric Company Addendum to Certificate of Insurance Additional Description of Operations: Auto Liability Includes: Hired and Non -Owned Liability Hired and Non -Owned Physical Damage - Deductibles as follows: $250 Comprehensive; $500 Collision Professional and Contractors Pollution Legal Liability Policy # CPL7420321 Effective 0710112015; Expiration 07/01/2016 Insurer: Indian Harbor insurance Company Policy Aggregate Limit of Liability: $5,000,000 Coverage A - Professional Liability Limit of Liability Each Act, Error, or Omission: $5,000.000 Aggregate Limit of Liability: $5,000,000 Retention: $100,000 Professional Liability Coverage Is Claims Made. Retroactive date: 1 210 312 01 0 Coverage B - Contractors Pollution Legal Liability Each Pollution Condition: $5,000,000 Aggregate Limit of Liability: $5,000,000 Retention: $100,000 Pollution Coverage Is occurrence based Installation Floater - Policy # UM00040936MA15A Effective 07101/2015 - 07101/2016 Insurer. XL Specialty Insurance Company Basic Limit: $5,000,000 Maximum Amount of Payment: 510,000,000 Temporary Location: $1,000,000 In Transit: $750,000 Deductible: $2,500 Separate Named Storm deductible applies - 2% of the completed value subject to 510,000 minimum for listed coastal counties. Excludes Flood and Earth Movement Crime Coverage - Policy # 169804990 Carrier: Continental Casualty Company Effective: 0710112015.0710112016 Coverage A - Employee Theft - S1,000,000 - Per Occurrence Coverage Al - Client Property - $1,000,000 - Per Occurrence Deductible - S25,000 - Per Occurrence i Additional Insured — Automatic — Owners, Lessees Or ZURICH' Contractors Policy No. Ed. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. Addl. Prep Return Prem. GL0038137500 07/01 /2015 07/01/2016 07/01/2015 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products - completed operations hazard ", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury". "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage ". or the offense which caused the "personal and advertising injury involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U- GL- 1175 -F CW (04113) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission C. The following is added to Paragraph 2. Duties In The Event Of Occurrence. Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. . This Pr ovision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non - contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over; An of the other insurance. whether primary, excess, contingent or n n Any p ry, x g o an other bans, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement: or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL- 1175 -F CW (04!13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., nth its permission. i Blanket Notification to Others of Cancellation ZURICH or Non - Renewal Policy No. Err. Date of Pd. I Exp. Date of Pd. I Eff. Date of End. I Pr No. Add'I. Preen Return Preen. GL0038137500 07/01/2015 07/0112016 07/01/2015 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non - renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such fist: 1. Must be provided to us prior to cancellation or non - renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non - renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non - renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non - payment of premium or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non - renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non - renewal date: 2. Negate the cancellation or non - renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U- GL- 1521•A CW (10t 12) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. i (Iv) If the loss arises out of the maintenance or use of aircraft. "autos" or watercraft to the extent not subject to Exclusion g. of Section I - Coverage A - Bodily Injury And Property Damage Liability, or (v) That is property insurance (including any deductible or self insurance portion thereof) purchased by you to cover damage to: Equipment you borrow from others; or Property loaned to you or personal property in the care. custody or control of the insured arising out of the use of an elevator at premises you own, rent or occupy. (b) Any other primary insurance (including any deductible or self insurance portion thereof) available to the insured covering liability for damages arising out of the premises, operations, products, work or services for which the insured has been granted additional insured status either by policy provision or attachment of any endorsement. Other primary insurance includes any type of self insurance or other mechanism by which an insured arranges for funding of its legal liabilities. (c) Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non - contributory basis. W. Unintentional Failure to Disclose All Hazards Paragraph 6. Representations of Section IV - Commercial General Liability Conditions is replaced by the following: 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. Coverage will continue to apply if you unintentionally: a. Fail to disclose all hazards existing at the inception of this policy; or b. Make an error, omission or improper description of premises or other statement of information stated in this policy. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to Inception of this Coverage Part. X. Waiver of Right of Subrogation > Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Commercial General Liability Conditions is replaced by the following: 8. Transfer Of Rights Of Recovery Against Others To Us a. If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. b. If the insured waives its right to recover payments for injury or damage from another person or organization in a written contract executed prior to a loss, we waive any right of recovery we may have against such person or organization because of any payment we have made under this Coverage Part. The written contract will be considered executed when the insured's performance begins, or when it is signed, whichever happens first. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U- GL- 1345 -8 CW (04113) Page 11 of 12 Includes copyrighted material of Insurance Services Office, Inc., wth its permission. i I WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed. 04 -84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 07/01/2015 Policy No. WCO38137400 Endorsement No. Insured Miller Electric Company Premium S Insurance Company: Zurich American Insurance Company Countersigned by WC124 (4-84) Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform Forms"' I I WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non -renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non - renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list. a. Must be provided to us prior to cancellation or non - renewal: b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non- renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non - renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non - payment of premium: or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non - renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non - renewal date; b. Negate the cancellation or non - renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07101/2015 Policy No. WCO38137400 Endorsement No. Insured Miller Electric Company Premium S Insurance Company Zurich American Insurance Company WC 99 06 43 Page 1 of 1 (Ed. 01 -13) Includes copyright material of the National Council on Compensation Insurance. Inc. used with its pernrssion 0 2012 Copyright National Council on Compensation insurance, Inc. All Rights Reserved. Amendment Of Limits Of Insurance And Other Insurance Clause For Described Persons Or Organizations 1. The: following rcpku= section IV. Definitions J. Insured, Paragraphs 2. and S., but only with respect to any person or organization listed in the Schedule below: Any person or organization shat is listed in thu Schedule below is an Insured but only: a. evith respect to liability for Bodily Injury or Property Damage caused, in whole or in part, by your aeta or ornissioM or the acts or omissions of those acting on your behalf, in the performance of Your Work to which the mitten contract requiring insurance applies for such Insured; and b. if such person or organization is included as an Insured under any Scheduled Underlying tusurnuce or Scheduled Retained Limit. 2. The following is added to section VTt. Conditions L. Other Insurance: L. Other Insurance Nor will we apply this provision to any person or organization listed in the Schedule below if. I. such person or organization qualifies as an Insured under section IV. Definitions J. Insured 2. or 5. ofthis agreement; 2. you have agreed in a written contract or agreement with such person or organization that this policy will apply befora an Other Insurance; and 3. the Scheduled Undc �in Insurance or Scheduled Retained Limit lies to such person � g �P p or organbmtkm on a primary and noncontributory basis. If these: condilious are mct, them this policy will apply to such person or organization before any Other Insurance, but only to the extent that the minimum limits of liability rcyuircd by suO written contract or agrcenrcnt exceed the applicable limits of such Scheduled Underlying Insurance or Scheduled Retained Limit, subject to the Limits of insurance stated in Itcm 3. of the Ihsclarations of this policy. 3. The following is added to section III. Limits of Insurance B.: However, with respect to any person or urpnivation listed below in the Schedule, the most we will pay for all damages covered under insuring Agreement 1. Coverage shall be the lesser of the following to the extent they exceed the applicable limits of the Scheduled Underlying Insurance or Scheduled Retained Limit: 1. the minimum limits of insumnec required in the contract or agreement between you and such person or organization; or 2. the limits of insurance; stated in ltcm 3. of the Declarations. Schedule of Described Persons or Organizations Any person or organization for whore you have agreed in a written contract, agreement, or permit issued by a state or political subdivision that this policy shall apply to them before any Other Insurance. Schedule of Designated Locations Only those locations designated In the written contract, agreement, or permit issued by a state or political subdivision referenced directly above. All other terms of) our policy remain the same. S11334 Ed. 7-11 • 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 i Waiver of Rights of Recovery Endorsement The following s a t n V wiug dried o section 11. Conditions, Y. Transfer of 1tiLhts of Recovery to Us: IL prior to an Occurrence, covered by this policy, you have agreed in a written contract, to waive your rights to ,movory ofpayment rur damages for Bodily injury, Property Damage, Personal injury or Advertising injury caused by that Occurrence, then we agree to waive our right of recovery for such payment. All other teems of your policy remain the same. SU085 Ed. 10-02 ® 2002 The St. Paul Travelers Companies, Inc. All Rights Reserved Page I of I Notice of Cancellation Provided By us I The following is added to section VII. D. Cancellation of this insuring agreement and to any applicable state amendatory endorsement forming a part of this policy that contains a provision that replaces section VII. D. Canceuation: if we cancel this policy for any statutorily permitted reason other than nonpayment of premium, we will mail notice of cancellation to any person or organization to whom you have agreed in a written contract that notice of cancellation of this policy will be given, but only if 1. the first Named Insured sends us a written request m provide srch notice, including the name and address of such person or organization, aRcr you rrceivc notice from us of the cancellation of this policy; and 2. we receive such written request at least 14 days before the beginning of the appbcable number of days shown in the below schedule. We will mail such notice at least the number of days shown for cancellation in the below schedule before the effective date of cancellation. Scbedule Number of days notice of cancellation 30 Days Notice All other terms of your policy remain the same SLJ331 Pd. I I -10 0 2011 The Travelers Mdemuity Company. All rights r wrvcd. Page I of i Coverage Extension Endorsement ZURICH Policy No. EH. Date of Pol. I Up. Date of Pol. I Eff. Date of End. Producer No. Add'l. Prem Retum Prem. P038137600 107/01/2015 07/0112016 07/01/2015 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II — Covered Autos Liability Coverage: The following are also insureds ": a. Any "employee' of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the s of employment . An l i I pert Dope by you y *employee* of yours s also an 'insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced In Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organizations) where required by written contract or written agreement with you executed prior to any 'accident', including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident, will apply on a primary and non - contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment — Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section 11 — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to fumish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U -CA -424 -F CW (04114) Page 1 of 6 Includes copyrighted material of Insurance Services Office. Inc.. with its permission. I I I I 'l l C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section 11— Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II — Covered Autos Liability Coverage: This exclusion d not I covered u i does o apply to co ere "autos" participating In a driver safety program event, such as. but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as. but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss' to a covered "auto ", we will pay any unpaid amount due on the lease or loan for a covered "auto ", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any. (1) Overdue lease or loan payments at the time of the "loss ", (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage: (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry -over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to S75 for towing and labor costs incurred each time a covered "auto' of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage — Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage. we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U -CA -424 -F CW (04114) Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc.. with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto "; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto "; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto ". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. 1. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for "loss" to personal effects which are: (1) Personal property owned by an "insured "; and (2) In or on a covered "auto ". b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto ". No deductible applies to this coverage. However, we will not pay for 'loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi- precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment - Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss ". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.e. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an 'insured"; and (b) Are in a covered "auto" at the time of "loss ". The most we will pay for such "loss" to tapes, records, discs or other similar devices is 5500. The Physical Damage Coverage Deductible Provision does not apply to such "loss ". U- CA424 -F CW (04114) Page 3 of 6 Includes copyrighted material of Insurance Services Office. Inc„ wth its permission. r K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph BA.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to Y ou by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. M. Physical Damage — Comprehensive Coverage — Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered 'autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos — Physical Damage 1. The following is added to Section I — Covered Autos: Temporary Substitute Autos — Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos ", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any 'auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair, 3. Servicing; 4. "Loss "; or S. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos — Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owners rights against any other parry. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of 'accident ", claim. 'suit" or "loss ", you must give us or our authorized representative prompt notice of the "accident ", claim, "suit" or "loss ". However, these duties only apply when the "accident ", claim, "suit" or "loss' is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U -CA -424 -F CW (04114) Page 4 of 6 Includes copyrighted material of Insurance services Office, Inc„ wth its permission. agent, servant or employee of the "insured" to notify us of any "accident ", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written including, "suit notice of the claim or "suit Including, but not limited to, the date and details of such claim or (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident ", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss ", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos — Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form: or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto— World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: 'Bodily injury" means bodily injury. sickness or disease, sustained by a person including death or mental anguish. resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U -CA -424 -F CW (04114) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc.. with its permission. r U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured ". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage — Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section 111 — Physical Damage Coverage is replaced by the Wowing: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you cant' either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss ". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of 52500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an altematve fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto ", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. I U- CA- 424 -F CW (04114) Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc., wrath its permission. i i Blanket Notification to Others of Cancellation ZURICH" U RICH or Non - Renewal Policy No. Eff. Date of Pol. Exp. Date of Pd_ Eff. Date of End. Producer No. Addl. Prem Return Prem. AP038137600 07/01/2015 07/01/2016 0710112015 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non - renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such fist: 1. Must be provided to us prior to cancellation or non - renewal: 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non- renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non - renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non - payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non - renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non - renewal date; 2. Negate the cancellation or non - renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement_ D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U -CA -832 -A CW (01113) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., wth its permission, State of Florida Department of State I certify from the records of this office that MILLER ELECTRIC COMPANY is a corporation organized tinder the laws of the State of Florida, filed on December 29, 1953. The document number of this corporation is 176698. 1 further certify that said corporation has paid all fees due this office through December 31, 2015, that its most recent annual report/tiniform business report was filed on January 7, 2015, and its status is active. I further certify that said corporation has not tiled Articles of Dissolution. �I Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Seventh day of January; 2015 ja Secretary of State Authentication ID: CCO3 1 061 8829 To authenticate this certiricate,visit the rwooing site,enter chic ID, and then rollow the instructions displayed. htips://crile.sunbiz.org/certauthver.htmi I MILLER ELECTRIC COMPANY CORPORATE OFFICERS: Ind. Exp. Since: ' Ronald A. Autrey ............... Chairman ..................... . ........ . ................................................................ 1974 ` Henry K. Brown, CPA........ Chief Executive Officer ............... ............................... ...........................1995 T. David Long .................... President ........................... ---................--------- ......................... - - - - -- ........1975 Susan A. Walden ..............Executive Vice President, Secretary- Treasurer, CFO ..........................1969 Daniel A. Brown ...................Chief Operations Officer ....................................................................... 2005 Edward E. Witt, Jr ...............Sr. Vice President, Construction ........................................................... 1987 Russell W. Oden ..................Uice President, Roadway & Utilities ...................................................... 1975 Michael W. Brannen . ........... Vice President, Industrial ............ ............................... ...........................1987 James B. Seay .................. ...Vice, President, Healthcare ........ ............................... ...........................1990 David Stallings .....................Vice President, Integrated Systems. ............................... ..........1987 James MacDonald ...............Vice President, Corporate Services ...................................................... 1988 Donnie Smith ....................... Vice President, Corporate Services ...................................................... 1989 Robert Tesney .....................Vice President, Project Executive ......................................................... 1988 Eddie O'Halloran ..................Vice President, Project Executive ......................................................... 1984 Kevin Hebert ........................ Vice President, Atlantic Coast Region ....................... ...........................1994 James A. Creel .................... Vice President, Texas Region ............................................................... 1996 Mariellie R. Mundy ...............Asst. Secretary- Treasurer Corporate Controller ................................... 2001 * Designates Board of Directors i RFP- 16.4469-TP Due Date & Time: December 1, 2015 at I Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Emalk tphMoscoola.org Phone: (407) 742.0900 Fax: (407) 742.0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "1" Articles of Incorporation / Corporate Documents Bidder/Proposer must include a copy of their State Certificate of Good Standing /Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents the Bidder/Proposer must include necessary information to verify the individual signing this proposallbid and or any contract document has been authorized to bind the corporation. Examples include: 1. A copy of the Articles of Incorporation listing the approved signatories of the corporation. 2. A copy of a resolution listing the members of staff as authorized signatories for the company. 3. A letter from a corporate officer listing the members of staff that are authorized signatories for the company. Complete the information below and submit with the bid or proposal: Type of Organization: X Corporation Partnership Non - Profit Joint Venture Sole Proprietorship State of Incorporation: Florida Principal Place of Business: Jacksonville, Duval, Florida City /County /State Federal I.D. or Social Security number: 59- 0361850 >>>Failure to submit this form may disqualify your response<<< Page 31 of 34 Rev 02 2015 i i RFP�16�469 TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 200 PM Local Time 2015 and Thursday, November 5, 2015 Procurornent Analyst: Ted Phillips Respond to. 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email* tphi@osceols.org Phone: (407) 742.0900 Fax: (4071742.0901 Title : Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "C" Public Entity Crimes Statement SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS 1. This sworn statement is submitted with Bid, Proposal, ITN, or Contract Number RFP- 16- 4469 -TP, titled *Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades' 2. This swom statement is submitted by SiteSecure/Miler Electric Company whose business address is [Name of entity submitting sworn statement) 317 Northlake Blvd. Suite 1020, Altamonte Springs, FL 32701 and (if applicable) its Federal Employer Identification Number (FEIN) is 59- 0361850 (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 3. My name is David Stallings and my relationship to the above is [Please print name of individual signing) Vice President 4. 1 understand that a "public entity crime" as defined in section 287.133(l)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity in Florida or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 5. 1 understand that "convicted" or "conviction" as defined in section 287.133(1) (b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdic non -jury trial, or entry of a plea of guilty or nolo contenders. 6. 1 understand that " affiiate" as defined in section 287.133(1) (a), Florida Statutes, means: a. A predecessor or successor of a person convicted of a public entity crime; or b. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate' includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a ccntrolling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a pubic entity crime in Florida during the preceding thirty - six (36) months shall be considered an affiliate. 7. 1 understand that a "person" as defined in section 287.133(1) (e), Florida Statutes, means any natural person or entity organized under the laws of any stale or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 8. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting this sworn statement. [Please indicate which statement applies). X Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who is active in the management of the entity, nor any affiliate of the Page 23 of 34 Rev 02.2015 i RFP -16. 4469-TP Due Date a Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 1 2015 and Thursday, November S. 2015 Procurement Analyst: Ted Phillips Respond to. 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Email. tph"osceola.org Phone: (4071742 -0900 Fax: (407) 742.0901 Title : Video Surveillance and Access Control Security System Repaks, Installation, Maintenance and Upgrades entity have been convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this swan statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND [Please indicate which additional statement applies]. There has been a proceeding concerning the conviction before a judge or hearing officer of the State of Florida. Division of Administrative Hearings, or a court of law having proper jurisdiction. The final order entered by the hearing officer or judge did not place the person or affiliate on the convicted contractor list. [Please attach a copy of the final order.] The person or affiliate was placed on the convicted contractor list. There has been a subsequent proceeding before a court of law having proper jurisdiction or a judge or hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the judge or hearing officer determined that is was in the public interest to remove the person or affiliate from the convicted contractor list. [Please attach a copy of the final order.) The person or affiliate has not been placed on any convicted vendor list. [Please describe any action taken by or pending with the State of Florida, Department of Management Services.) By the signature(s) below. Itwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment 'C', Public Entity Crimes, is truthful and correct at the time of submission. AFFIANT -- _ David Stallings Typed Name of AFFIANT Vi Pres ident Title STATE OF Florida COUNTY OF Duval Th5J foregoing insti a was executed before me th e day of J• • ✓ ZM �i�-�' 20 by +>cv�d- �-• .t s as VIc '7l vct;le(&4,F of !tv 6G L4. , who personalty swore or affirmed that he/she is authorized to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced as identification. 4'L'L�t+ti NOTI PUBLIC, Stat of �- (stamp) CHARtFEN M. SHERIFF Notary Public. Sots 01 Floats My Comm. Expims Apr 19. 2019 Commisslon No. FF MW PLEASE COMPLETE AND SUBMIT WITH RFP » »Failure to submit this form with your RFP response may disqualify your submittal. «« Page 24 of 34 Rev. 02.2015 Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, RFP -16 4499•TP 2:00 PM Local Time 1 2015 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 94741 Email: tphQosceola.org Phone: (4071 7420900 Fax: (407) 742.0901 Title: Video Surveillance and Accoss Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "D" STATE OF Florida Conflict of Interest Statement COUNTY OF Duv 3 Before me, the undersigned authority, personally appeared David Stallings , who was duly sworn, deposes, and states: A. I am the Vice President Of SiteSecure/Miller Electric Company with a local office (Insert Title) (Insert Company Name) in Altamonte Springs and principal office in Jacksonville, FL B. Said entity is submitting this proposalloffer to RFP - 16-4469 -TP, titled'Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades ". C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full knowledge. D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby. E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters required by this solicitation. F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from participation in this solicitation or any contract to follow thereafter by any government entity. G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to any other clients, contracts, or property interests in this solicitation or the resulting project. H. I hereby also certify that no member of the entity's ownership or management or staff has a vested interest in any County Office or Department. I. 1 certify that no member of the entity's ownership or management is presently applying, actively seeking, or has been selected for an elected position within Osceola County government. J. In the event that a conflict of interest is identified in the provision of services, 1, the undersigned will immediately nofifif the - o in 'ling. AFFIANT David Stallings Typed Name of AFFIANT Vi ce P res i den t Title STATE OF Florida COUNTY OF Duva The� g �fQpregoing �(nnstruppffit��n��, was executed before me this �F day of NOVtM L �^' 201< by q(J 44,44 r V •{1t�1 n S as v i u /'ACS AW of m illiew s LG / r. who personally swore or affirmed that he/she is authorized to execute this document and thereby bind the Corporation, and who is persona known to me OR has produced as identification. e40,10l to S"ERiFF Notatll Public, Ste" o(Pooa Syoka MV Umn W 19, 2019 1 v v (stamp) coinowon No. Ff 20W NOTA PUBLIC. State f r- ` PLEASE COMPLETE AND SUBMIT WITH PROPOSAL » »Failure to submit this form with your PROPOSAL may disqualify your response. «« Page 25 or 34 Rev. 02 -2015 Form W-a9 Request for Taxpayer Ghre F to th (Rev August 2 013' Identification Number and Certification requester. Do not Oe;a� mare d pna Trsasrry send to the IRS. htenef Rsvenue Sennce Name in shown on your Income tax return) Miller Electric Compan r4 Business nomerdWegarded Wily name, a dNtarent from above 9 Check appropnste lox for ledera) lax classification: Exemp!wm Isee Ixtructions): ❑ Vv*MuaVsole proprietor ❑ C Coraorad Q S Corporation ❑ Partnership ❑ TmalAostate c 0 Exempt Wee Code H any) ❑ LWIleaWN company, Enter the tax ciassllleation (C+C corp"lon, S.S ccr; oWstlen, P.panrwWlp) ► d P Exemption from FATCA repatirg e � sod. fd any) fi � ❑Other (sae irnstruetiorhs) 0 'u Add-ass (m~. street, and opt, or suite no.) Requesters nano and address (optional) Post Office Box 1799 City. state. and ZIP code Jacksonville FL 32201 -1799 list accckrt number(a) here (optlpnaq T a er Identification Number IN Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name' line SoeiN "Cult n I t I� I I TI I I � T I I � avoid backup withhold for individuals, this is your social security number Howe re ver, for a - - L1.1�LJ resident alien, sob proprieto r, or disregarded Why, see the Part 1 Instructions on page 3. For other entities, it is your employer identification number (EIN). It you do riot have a ntmtber, see How to get a 77N on page 3. Note. It the account is in more than one name, see the chat on page 4 for guidelines on whose Employer b"'tiftau nub number to enter. M59 - 0 1 3 1 6 1 1 8 5 0 Certification Under penalties of perjury, 1 certify that 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a ntrnbor to be Issued to me), and 2. 1 am not subject to backup withholding because. (a) I am exempt from backup wHhhoiding, or (b) have not been notitled by the internal Revenue Service (IRS) that 1 am subject to backup withholding as a result of a failure to report all Interest or dividends, or (a) the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. parson (defined below). and 4. The FATCA code(s) entered on this form Of any) Indicating that I am exempt from FATCA reporting is correct. Certification katructlons. You must cross out Hem 2 above if you have been notified by the IRS that you are curronIty subject to backup withholding because you Have felled to report all Interest and dividends on your tax return. For real estate transactions. item 2 does not apply. For mort hleest paid, acquisition or abandonment of secured property, cancellation of debt. contributions to an individual retirement arrangement OPAL arid generally, payments other than Interost and dividends, you are not required to sign the certlticatlon, but you must. provide your correct TIN. See the Instructions on page 3. Sign signature of March 31, 2Qt5 Here U.S. pe k -'� vC � e�� Gate I- General Instructions wahltdkAng tax an foraigm partisan' warn of e flecirvey coeeded ",come, and Section references are to the internal Revenue Code unless otherwise noted. 4• CgnN)r OW FATCA code(y entered on the form of any) Indicating Bet you are exempt from the FATCA reporting, It correct. Future developments. The IRS has created a page an IRS gov for ink mnati -n Note. if you we a U.S. Demon and a requester ghee you a loan other than Form about Form W -9. at wvwks govhv9. Information about any future devotoprrenls W - 9 to request your TIN, you m use the rooAver's torn If 11 b substantially affecting Form VIA (such as legislation enacted after we release it) will be posted t;m,'tar to this Form W-9. on that page. Deanitlon of a U.S. person. For faderd tax Purooaea. you are considered a U.S. Purpose of Form person 9 you are: A person who Is required to lee an information return with the IRS must oblain your - An ir'ct''Idual who Is a U.S. c4lten or U.S. resident aeon, correcl taxpsyw Identification number (TIM to report, for example, biome paid to - A partnership, corporation, comparry, or assoeiston veiled or organ zed in the you, payments made to you In settlement of payrnant card and third party network Jn ded Slates or under the laws of IM LW*d Slates, transactions. real estate transactions, mortgage vterast you paid, acq $s4ion or - An estate the than a foreign txeign estate), or to adonment a soCUrod property, cancona ton of debt, p contributions you mods . A domestic trust (as defined In R 7). loan IFtA. egtrlel'wns section 301.7701 - Use Form W - 9 only if you we a U.S. arson (including a resident afien), to Special rules for parblershlps. Ponnamhds that conduct a 1nado Or b suwss in prowde your correct TIN to the person mques; i g N pho requester) and, when the United Slates are generally required to pay a wtlgroldkg tax under section applicable, b: 1448 on any foreign partners' dery of effe th" corrected fixable Income from 1. Certify that the TIN you are giving le correct (p you we waiting for a numbs suck business. Further, In certain cam where a Fpm W-9 has rot been receked, to loo issued). the rules u'kdar soCWn 1448 +aglrre a partnership to presume that a panne is a foreign person. and pay the section 1448 %%V**k lrg lair. Therefore. N you are a 2, Certify that you are mot subject to backup withhonding, or U.S. person that is a partner In a partnership conducting a trade or bvs:ness in the 3. Clain exemption from backup with) - ak ng r you are a U.S. exempt pa)we. if United States, prate Fpm W9 to tha partnership 10 establish your U.S. status applicable, you we also certifying that as a U.S. -arson, you allocable share of and ovoid soctlen 1448 withhokIng on your share of pertrership Imconv . any partnership Income from a U.S trade or busnoas Is not subject t the Cat. No. 1023 t x Form W -9 (Rev. 8 -2013) Form W-9 (R 8 ev. -20t3) pap 2 In the cases below, t he tobwinp person mat give Form W -9 to the partnership Updating Your Information for purposes of establishing its U.S. status end avoiding withholding on as allocable share of net intone from the pwtrwshq cW4'0hg a trade or business You must provide updated Information to ary parson to whom you claimed to be In tie United States: an exempt payee R you are no twger an exempt payee and anticipate recdving • tr the case d e dlsre9aded entity whin a U.S. owner. the U.S owner d the reportable paymef ie In the More from this person. For example, you may need to d the case o f ay and not Be h empty, provide updated Irdorm iten a you we a C corporation fled elects to be an S • In the cage nit nter t te with a U.S. corpulent, or it you no larger are tax exempt. In addition, you mist lurrrsh a new grantor grantor or other U.S. owner. generally. Form W -9 If the r mw a TIN charges for the wxc nt. for example. If the grantor the U.S. grantor or other U.S. owner of the grantor that and not the that, are d a grantor that des. • In the case of a U.S. teat (other than a grew" truce. the Us. cost (other then a Penalties grantor trust) and not the beneficiaries d the trust. Foreign pereon. If you are s torofpn person or Re U.S. branch d a foreign bank Folkae to punish TOL If you fall to furnish you tempt TIN to a requester, you we that has elected to be treated as a U.S. person, do not use Form W -9. Ir stead, use subject to a penalty d $53 for each such laikre uNOss your failure is due to the appropriate Form W-8 or Form 8233 (see Pubaeatan 515, Withholift of Tax reasonable Cause and no: to w1w neglect. on Nonresident Alms and Foreign Entities). CM psnslb for Islas kNornutbn with respect to vAlhholdiag If you make s Nonresident alien who btnornes a resident Wish. Generally. only a renreskleM false slabment wlan no reasonable basis that results In no bec:atp withhotfrmg. alien IndNldud may use the term of a tax treaty to recluse or etkntrmte U.S. tat on you are subim 10 a 5500 penalty. certain types of hcom s. However, most tax insoles contain a provision known as a ' savkg clause.' Exceptions specified in the saving clause may permit an Cdo" perratfr Ior blell"M Information. Willfully IaWOV carpi atoms or exemptin Morn lax to continue for corlain typos of Income even after the payee of mmatgfm may subloct you to crim" pawYies i4kidirg firm WWor has othemviso become a U.S. resident alien for tax purposes. imprisonment R you are a U.S. resident alien who Is relying on an exception contained in the Mlsuse of flNs. It the requester dadoses or uses TINS In violation of federal law, saving clause of a tax meaty to claim an exemption from U.S. lax an camas typos the requester may the subiso to civil and crhthnal Dennim of - income. you must attach a statement to Form W -9 that &pacifies the fol Ming thre items: Specific Instructions 1. The treaty county. Generally, this must be IM same treaty under which you cWnW exemption from tax sit a nonresident alien. Name 2. The treaty afticle addressing the Income. a you are an hdviduat you must generdy enter the name shown on yow income 3. The article numter (et location) In the tax treaty that contains the saving tax ro61m. Howww. it you have charged your last norm for know n e. due to clause and is excep8orm. manlags Mtltoha irhfarmirg the Social Scanty Admntatrafloo of the mute change. 4. The type and amount of Income that qu alaes tot the exemption Iran tax. ~ )'ow fast ne ne, the IWSI norm shown on your social 3ectnty card, and your new lest norm. S. Sufficient facts to prctify the exemption from tax under the terms of the treaty 0 the actin Is h Joint names, het firel, and then cirda, Pm mane of the person amcte. Example. Mlle 20 of the U.S. -Chine Income tax treaty allows an exemption or entry piM .Ente yarn entered h Part 1 s 81e form fran fax for scholarship Income mealved by a Chine student lenperaray present Sole prop►letw. Enter your indvidtral narA as shoonn on yap anoarre tax return in the United States. Under U.S. low, this student wel become a resident alien for on the'NwW area. You may enter your business, trades or'dohg business as tax purposes if his or her any in the United States exceeds S caw Kim yeas. JCW name on the'Budriess namwldlerapwded array nano' ins. However, paragraph 2 of the fast Protocol to the U.S. - China treaty (dated April 30. Perbwrship, C Corporaow% or S Corporation. Enter the entity's none on the 1964) allows the povisbns of Mick 20 to continue to apply even after the 'Mama' he and any Iwsnam trade, or 'dokg business es 0SA) nerre' on the Chrese student becomes a resider alien of the United &lees. A Chinese atudem 'BEs4mess nome/deregorded entity name" One- who taMYlos for this exception (under paragraph 2 of the fast protocoll and is Disregarded entity. For U.S. federal lax purposes. an artily that Is disregarded as W#V on this exception to Balm an exemption from tax on his or her wt4brehip an entity separate hem as owner is treated as a'dbrag rded wdk See or follows* Income world attach to Form W -9 a statement that hclidos the geguletien section 301.7701.WKR. Enter the owner's norne on the 'Name' hfOMmticn described above to support that exemption. t rre. The ramp d die entity ehtaed on the'Nane' itne should never boa If you are a nonresident alien or a foreign entity. give the ►oggtestar the disregarded entity. The rams on the "Nsrre" ice mast be the -am shah on the approprkte completed Form W-6 or Form 8233. '%= to tare rstrn on of lid the intone should be reported. For example, it a What Is backup wlthhd ? Persons making certain payments to you must f p owner W e Is s S U.S a r r ax re quired se be pryer nts. T co►xc "belo wit hh o ld w coq pay to the err a me ra Out may b age of such pairhdw an the "Name' line. 0 the died owner of the edify le also a dsrogarded bt mnts. Tale Y caned •backup kliwlding.• Parrta WW r ken t end lo entity. antar tine last owner till Is riot dmegaf l d for federal MK purposes. Enter bat" change isa s .ereet, royatt «.pt ka raet. pa msni and half exchange transactions. rents, royaniea. norempbysa per. t�Y^w'fs m+ack mm dfefegarAd amayrs nharrme on the enekess rmmefdsmeprded enter recite" in Who and of asyrnrtt cod and It" party network transactions, and wham Vve• M the owner of fine dWregrded entity Is a foreign person, ihe owner must payments from RMnaq bast operators. Rat estate hapactlorts are not vA*d to On l omig p rson has Form W$ instead d a Form W 9. Tina Is the case even It backup withholding. tone foreign pennon het • U.S. Tai. You will not be sub)ed to backup whWwWIng on payments you receive 9 you Nob, Check the appropriate box for the U.S. I a de rat lax classification of the 9" the requester your correct TIN, make tD proper collieoNons. and report all person whose creme is entered on the'Narw' fine PidivldueWsde Wopreto•. your taxable imerest a^d dwidands on your tax return. Partnership, C CorporMian. S Corporation. Trust/"WA. Untied Lkblltfy Company 01CS 0 the person ident8led on the "Name' Ike Is on Payments you receive will be subject to backup LLC, deck the "Limited asnwty cornpany boot only and era the appr3pale vAthhokling If: code lore the U.S. (edeml err classification In the space provided. R you are an LLC that to tfesled Ws a premrertltb for US. federal tax prposes, wNer'P' for 1 You do not furnish TIN to Ihe requester, Motu patrterthip. M you are an LLC that has Nod a Fen. 8632 or a Form 2553 to be 2. You do not certify your TIN when required (sae the Pam h Instructions on page taxed m a corporation. enter'C' for C corparafion or "S' for S corporatism. w 3 to details). aapooprials. R you are an LLC that is olare9aded as an entity separate korr is 3. The Ire$ teas the requester that you furnished a Incorrect TN, owner coder when 301.7MI -3 (except for afpbymart and exclso tax). do not chat* the LLC box unless the owner of the LLC Inol road to be 4. The IRS tolls you that you ass sLkIW to backup w ilhholdag because you dd Wwttkd on the "Name" erne) Is artier LLC that is rwt dingo d m fa U.S. not report all your Interest and dMdends on Vow tax return (Ior reportable interest federst tax purposes. a the LLC Is dhe egonded as in enlay separate from its and dividends only), or owner, entor the appropriate tax classification cf the owner klantlrrad O'er the 5. You do not comity to the requester that you are not ttubNct to bacicup 'Nam" we. vnthhddhg under 4 above (for reportable Interest and dividend &=curds opm'ned Other enttlka. Enter your budness norm as shown on required U.S. federal tax after 1983 only)• docmnwtts on the 'Name* Ise. This name should match the name shown an the Certain payees and payments ere exempt from backup withihokimg. See Exempt deafer or other legal doarmeru creating the er+cttr. You may enter any tom ess, parse code on page 3 and the separate hsteicfons for the Requester of Form hods, or CBA narns on the "Buakross nineldistogwi eat entity name' line W9 for more Information Also see Speciat ndes for partrershtps on page 1. Exemptions What is FATCA reporting? The Foreign Account Tax Compliance Ad ( FATCA) N you am exempt Mom backup withholdng amYor FATCA mpomag, enter In the requires a participating Woo firarolal hsatutlerh to report as United States Evemrptions box, any codes) that may apply to you. See Exerlpr pays* code and accamt hokftm that are specified United States poisons. Certain payees are ' barn FATCA mpanry code on page 3. exempt from FATCA reporti -g. See ExenpCon rrom FATCA ►epatiV code on pogo 3 and lino Instructions for the Aequester of Form W-9 for more Intormallon. I I I I Four W -9 ptev. 6 -20131 page 3 Exempt payee code. Generally. individuals (wch,ding sole proprietors) are not G —A reel estate hwestmem trim exempt from backup withholding. Corporations are exempt Morn backup Mr for certain H —A regulated i s d trrerN company as defined in vast n 851 or an y Ay withholding paymerds, such as Interest and dividends. Corporations ao rlgy310rod at dl rimes during the lax year under Vie Ixraslrrwnl Company Act of not exempt from backup wklVtoldng ter payments made In settlement of payment 1940 card or thrd party network transactions Note. It you are exempt from backup withholding. you should still complete this 1 —A Common thief lurid as defined b section 564(al form to avoid possible anoneous backup witnhok*kg. J —A bank as deined in section 6111 The following codes kdersfy payees Thal are exempt Mom backup wlitft d V K —A broker 1 —An organization exempt f•.om tax under section 501 is). any IRA, or a L —A tent exempt Mom tax under section 664 or described in secllon 4947(aHT l custodial account under section 403(bx7} a the account satiaaes the requirements M —A tax exempt trust under a section 403MI Plan or section 457(g) plan of season 401(1x71 2 —The United states or any of Is agencies or rduumo taous Part 1. Taxpayer Identification Number (TIN) 3 —A state. this District of Cok+mbla, a possession of the united States, or any of Enter your TIN In flit appropriate box. If you are a resident ales and you do not ther poitil" "bovissons or irotrumenlollias have and are not eligible to pat an SSN. your TIN is your IRS idlviduel taxpayer 4 —A loreign government or any of Is ppfdical subdvnbns, agencies, or be tiMCetio1 number (IT W Emir it In the social seen ty number box. It you do not wl3vumeNamiae have an ITIN, ace Now b pat a TAN below. 5 — corporation 0 you are a sob p"wistor and you he" an EIN. you may enter other yoar SSN 6 —A desisr in securities or commodities required to ragistar In Ve Un.led or EIN. However, the IRS prefers that you use your SSN. States. the District a' Columbia. or a possession of the United Stales tf You are a single merrbw LLC titat Is disregarded as an amity separate from Ps merchant 7 —A futures comm "= eoas%en nti repl.tered with the Commodity Futures EIN. (we LMrYled Lbbfay Company 1LLQ on paps a enter the owner's SSN (or Trading Com res co EIN. it the owner has one). Do not enter the dsregaroed rinlity's EN. It Ye LLC is Cos %W as a corporation or partnership, enter the entity's EN. 8 —A red estate irnostment trust None. See the chart an papa 4 for further clarkleaeon of name and TIN 9 —An entity registered at all times du" the tax year twmfer the Invest v e cunbindbns. Company Act of 1940 How to got a TIN. If you do not have a TN. apply for one lmmodlelety. To apply 10 —A common trust fund operated by a bank :ands section 5340) fo an SSN, gel Form SS-5. Applcalk r for a Social Security Cad from yore local 11 —A thencid institution Soc Se curity Administration offic or get tinier form od I ei el www ua.gov. You runM as a nominee or � htdkdauW t his town � rya � 7 to the Form W7,. or Form to 12 —A middleman known In the Investment com y ehhpeyer apply for an tint, or Form S•4. Cuslodlan Application ter Employer WerpMkAtion Number, to apply for an EIN. You can npply 13 —A trust exempt Yom tax under section S64 or described in section 4947 for an EN onin , by accessig the IRS wrebske at wwwJr9.govftakwisses and The following chart shows types of payments that may be exernpt from backup cackling F Em ployer W.? and f the b v gor by calling s.1YOW wnlMOld rg. The chart applies to the exempt payees Istod above. 1 ttnrough 13. TAX -FORM (i- 800.829.3674 iF the psymsM Is for ... THFA ite peymeed in exempt for... If you aria askad to complete Form W-8 but do not love a TW, apply for a TN and wrla'Appied For In the space for the TIN. sign and dote the form. and 9" M to tine requester. For I I i - st and dividend payrramts, and Certain payments made Interest and dividend payments AN exempt payees except with respect to madly tradable iks1rurnerns, generally you will have 80 days to gel for 7 a TN and give l to the requester Oetene you are subject to tndtup wtOMnotdrtp on psymer ts. The 60-day rule does not apply to dye types of ptyrnents. You will be Broker tranzoelkxls Exempt payees i through 4 and 6 subject to backup w ilhitc" on al such payments until you provkJo your TIN to through 1 t and s0 C coroorriorm S the requester. corporations mum not enter an exempt Note. Entering 'Applied For' means that you have Wready applied for a TIN or Thal payee code because they are exempl you intend 10 apply ton one som W" for wes Of acquired paw noro . W ` Caution: A dpoparded U.S. entity Ihol has a fors'pn owner must use tin aRWroodi le Form INA Bahr exchange transactions and Exempt payees 1 through 4 patronage dividends Part 11. Certification Payments over 5800 required to bs To establish b tit withholding aped that you are a U.S. parson. or resident alien, t ( sign Farm W9. You may be requested to sign by the withholding agent eva n lt reported and duct aalea over 55.00p l ieealy. exempt payees tleouph 5 tomes 1. 4. or 5 below Indicate othenrlss. For a )o1M account. only Ito person whose TiN is shown kh Pad 1 shafd sign Payments made In settlemait of Exempt payees 1 through 4 ',when requir is in tree can of a disregarded erdhy, the Femon kkr*Oed on the payment card or third party network Wsnw• Wte nerd sign. Exempt payee,. we fserpf payso oodr asrflr. transactions Slprsattn rpuherrnemta. Commdme the oxAiO:ation as kndmcalod in Reins 1 See Form 1099 -MISC. Miscellaneous Income. and its instructions trwouph 5 below. r However. the blowing, payments made to a corporation and reportable on Form 1. Interest, d ildend, and barter exchange accounts opened before 1984 1099 -MISC are not exempt horn backup %iwwIzIng: medical and health care and broker scomets considered active during 1981. You must m7Ve your payrnonls. attorneys' foss, gross proceeds paid to an attorney, and payments for ,erect TN, but you do not have to sign the Certification. services paid ty a lederel executive agency. 2. intanno, dMilend, broker. and barter exchange accounts opened after Exemption from FATCA reporttrg code. The following codes Identify payees 1963 and broker accounts considered Insed a during 1099. You meat Slpn the that are exempt from reporting wrier FATCA. Those codes apply to persons certification a backup Mdhholdxup Wall apply. If you are zf` 1 to backup submitting this form for accounts maintained u "- of the United States by withholding and you roe merely providing yaw correct TIN b the requester, you certain foreign financial Inslttullom Therefore, a you are only subr ntltiog this term must cross out am 2 in the certification before so & the loran. for an account you hob In the United! States, you may leave this field ty.ank, l Real estate transactions. You must sign the cantiicalto. i. You may cross out Consul with the person requesting this tern It you are uncertain Y. the f nanctal item 2 of the certification. Institution Is sutlject to tress roqulrements. 4. Other payments. You must gko yam correct Tint, but you do not have to sign A — ofgaN2ati,m exempt from tax under w-tion 501µa or emf indn+o.tel the coAKncaWn unless you have been notiROd pot you have pravlously ptvat an witemerd plan as defined In section 7701(a$37) irncomad TN. "Other paymonte include payments Made in the couso of the B —The United States or any of Its agencies or tKtnrfnenlaatlea requester's treads or Wolni s for rents, royalties. goods (dher than felts for merchan6se), medical and health care services (including payments to C —A stale, ltd 01—strict of Cokxnda, a possession of the Unted States, or any corporations). payments to a nonempbyee for services, oayme is made in of their polhlcal subdivielons or Instrumwnla os sogfemenl of pap, nl card and third party network transactions, payments to C —A corporation the stock of which Is r*7Arfy traood on ono or ?tore certai-i fisting boat crew mambas and f$herrmen. and gross proceeds paid to rntaNisred securities markets, as described In Reg, section 1.1472- 1(cxt)M Attorneys fi ncluft payments 10 oonporadwal. E —A eorooralon that is a member of the same expanded affiliated Group as a S. Mortgage Interest paid by you, sogwsition or abartdonrnent of secured corporation described in Reg. section 1,1472- 1(cxt)() property. cancellation of debt. qualtiled tuition program payments Wnder F —A fleeter in aaarlties, commodities. or derivative fiwncrial hshttrrr+a hies section SM IRA. Cov~ ESA, Archer MSA or HM contributions or (intludvg notional principal contracts. futures, fonvads, and optkxms) that is do riot v have t and pension dl You nrrsl give you correct t TtN, twl you re2vared as such uxk+ the taws of the United States a any state do fob 10 sign the certific i i I Fo w -9 (Rev. 8 -20131 Page 4 What Name and Number To Give the Requester Note. If no nerve Is drraed when mote man one home is listed, the number will be For 1109 type of account Oka norm and SSN of coWdered to be that of tnm first name listed. I Wtd The i+di101" Secure Your Tax Records from Identity Theft 2. Two or more Individuals COW The Ltual owner of the account or. Idar" theft Occurs when sorneonm Wes you► personal information such as your account) it combined funds, the fret rams. sods! security number (SSM, or other identifying Inlormel1w, wNhoyt your individual on The occowl perm »ion, to commit fraud at other alms. An ken•Jty thief may use your SSN to 3 C ustodktn eocovtt of a mite lie a lob or may tam a tax return using your SSN to me" a refund (Uniform Gft to Minors Act) The rnrgr' 7o radios your risk: 4. a. The tool revocable savings The grantor - trustee ' - Prow you SSN, trust (grantor Is also 11"Alad - Ensure your employer is orotecting your SSN, and b. So - called trust account that is The actual owner' -lie careful when dvn3l ug a tax prepare.. not low or valid candor stat 11 tax records are affected � kfentily theft and you raceive a notice from s. Sole p alelorship or disregarded The okra' the t respond glut away to t MM and phone number printed an :he IRS notice or letter. entity owned by an Individual 6. Grantor trust OV under Optional The gratltoP H your tan records are not cunernffy affected by identify then but you Think you Form 1099 Fill Method 1 laeo are as risk due to a lost or stolen purse or wallet. atestbneble credit card acNvlty a crate report. contact the IRS Identity Theft Hotline at 1.80011IM -4490 or submit Regulaton section 1.671.6(b)(Y) l Fern 14039. For this type of account (Mve name and EM of: Fo- store information, see Publication 4535. Identity Theft Prevention and Victim 7. Disregarded entity not owned by an The cwmo Assistance Individual 1YuctMM of Identity theft who we expelondng ecoirornle harm or a system 8 A valid trust, estate, or pension trust Legal entity problem, or am seeking help in rssobkg tax problenn that have not been resoh ed 9. Corporation or LLC electing The corporation through normal ehennets, may be ohgibls for Taxpayer Advocate Service (TAS) corporate status on Form 8832 or assistance. You can reach TAS by calft the TAS toll -fret caw intake Ins at Form 2653 1.677- 777.4778 orM/W t -8W- 629 -4051 IM Association, dub. religious. The orgsrftation Protect yourself Irom suspiclous ornafs w phisldng schema Phis" is the charitable. edu cal kraal, or other creation and use of email and webeiles designed to manic "Waste business fax -exa npt aosi-Anson emals and websitea. The most common art Is si ndi g an email to a user fakery Partnership a multi member LLC The pstr�ersnio darning to be an established legitimate enterprise In an attempt to scam the user 11. Partnership 12. A broker i regina9d ember U The wr brok tit oomknee Into surrendering Private Information that that will be used for Identify theft. The IRS does not Initiate contacts w-th taxpayers via emW3. Also. the IRS does 13. Account with the Department of The pWac snilty not request personal detailed information through emll cr esk taxpayers for the Agriculture M ft name of a public PIN nurobas, passwords. or sinrar secret access Wormallon for their cnxM Cad, entity (each as a state or local bank or ottw financial a="U. government, school district, or if you recmime an unsolicited small claiming to be from the IRS, forward this prison) :hot receives agr"ural message to phbhNlgaFs.gov. You may also report nt m of fro IRS name, logo. program payments or other IRS properfj to the Treasury Inspoidw General for Tax Administration at 14. Grantor bug; sang under the Form The Vusl 1- 800-368. 6484. You cm forward suspkb.q emiefts to the federal Tracts 1041 FYing Method or the optional Con isbn 7' mpgor tit comact them at www,Ne.porMlffort or 1.877• Form t 089 Fring Method 2 I>m Regulation section 1.671-4M )MM)) Visa IRS gov to learn more about klentlty theft and tow to reduce your risk. ' List emst and cnrde br name of the person Nhese nur w boa famlert x an we pwsw an a Ids' am" non an lisp, drt portion - s ran no to man be hfrisMd. �Crde err n+wn's rums and humtahfr ~s SSN. Y ANN show yell IndlIA" r0 - std you fry 4160 — IF yam buFNss or - 09A - Mart. on tM'6uWom P~d u - I I entiy" mart* ens You nW use ~ yes SSN ar EON (r yoi hen one), but In IRS encourspn you to use your SSH. ' Usl first end drda On rums d rim truce, estate. o pension Wst. Carat hr-sh the TMvl the Pagomal npris" nuswe N wun mess an Npsl ererfy two is rrt dMkrrNd Finer WaXW t Wte.y Ago sea Sgciar Met for nunr4rshbson page n. NON. Granto ego must prowde a Ferro w - 9 to trustee N t At Privacy Act Notice Sedion 6109 of the Internal Revenue Code requres you to provide your coned TIN to persons pnckfdhg federal agencies) who ail requt ad to file Information returns with the IRS to report Interest. dkvidends, or c~ oths income paid b you. mortgage Interest you pelt the soctulsition or abandonment of secured property. the cancellation of oebt. or contrcbutixo you made to an IRA. At" MSA. or HSA, The person collecting this form. vase the Information on the form 10 Me information returns with the IRS, resorting the above information. Routine Wes of this Information Iocrude ghrl+g it to the Department of Justice for crA and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwaahhe and po3s99sions for use In admmhlstaft their lays. The Information also may be disclosed to other countres undo a treaty. to federal and state agencies to enforce dv9 and crintnal inns, or to federal law enforcement and Intelligence agencies to combat lerneriven. You roust provide your TIN whether or not you are required to I'M a tax retort Under section 3406, payers rrwst generally withhold a percentage ou taxable Interest, dividend. and certain other peyments to a ""a who door sal give a TIN to the payer. Certain wallies may atao apply for providing false or frauduenrt Information. I � - , s 000�' - 9 Similar Projects i Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades TAB 2 SIMILAR PROJECTS City of St. Cloud Security Systems Construction, Conversion and Expansion of Security Systems SiteSecure's first project with the City was the construction of the security systems for a new water treatment facility (Plant #4) back in late 2006 through early 2008. The system was designed by a 3rd party consultant, and required significant revisions to provide a more operator - friendly environment. The original system, which included Genetec Omnicast VMS, Gallagher non - lethal electric fencing and GE access control, has been expanded throughout the years. It now encompasses Southside Wastewater Facility (2008 -09), Northeast Repump Facility (2009), and Water Plant #1 (2012). During that time, the City standardized on the Security Center Omnicast for all of their video surveillance applications and expanded the system to retrofit existing CCTV installs in other locations. The CCTV system was expanded to include City Hall, the Police Department, East Lake Marina, Joint Use Facility, and other parks locations. Currently, the City is moving forward with the migration from GE Facility Commander access control to Genetec's Synergis platform, in order to provide a` more seamless integration through Security Center. SiteSecure is currently supporting the City with several conversions, starting with City Hall. To date, SiteSecure has performed over two million dollars in contract work with the City. Our service department also provides break -fix repair work and on -call service to aid the City in ongoing support. The City leveraged the SiteSecure - Hillsborough Community College contract to create their own Continuing Services Contract for future work. It is anticipated that the City will continue to replace the existing GE access control system to expand the Synergis solution throughout the remaining facilities. System Total to Date: Approximately $2.1 million Period of Performance: 2006 to present Client Contact: Howard DeYoung Director, City of St. Cloud Information Services 1300 Ninth Street St. Cloud, Florida 34769 (407) 957 -7332 Phone (407) 460 -7561 Mobile Celebrating Small Town Life hdeyoung @stcloud.org SiteSec® 9 Osceola County Video Suneillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades Hillsborough County Sheriffs Office (HCSO) LPR, CCTV, Access Control, Federated Systems This project was awarded as a Design -Build agreement for the design and construction of a wireless overt surveillance system for the District One (University Area) of Tampa. The overall cost of the project (Design and Construction) was approximately $900,000. Originally advertised with a request for 38 cameras, the design of the system was intended to include a wireless network of cameras mounted to TECO utility poles with un- metered power that transmit live full frame rate, high resolution video to the District One office. Deputies and/or detectives assigned to this District would be tasked with live monitoring of the cameras for crime prevention purposes. Due to changes in agreements with TECO the project devolved to 20 cameras mounted to new concrete utility poles installed within the County Right of Way. Each camera required a new metered electrical service from TECO. Both of these requirements drove the cost per- camera much higher than originally budgeted and greatly reduced the scope of the intended solicitation. Since that project, other initiatives have expanded the Genetec Omnicast platform to include more than 850 cameras throughout the HCSO network including Automatic License Plate Recognition (ALPR) cameras. The ALPR system had a Hotlist hit within 30 seconds after deployment. The ALPR system installed at the HCSO continues to be one of the most coveted and accurate systems to date and is a benchmark system for successful Automatic License Plate Recognition deployment. Covered facilities include the County Courthouse (holding areas), the Evidence Storage Facility, District Offices, Orient Road Jail and others. Annual Contract Amount: Approximately $450,000.00 Period of Performance: 2006 to present Client Contact: Craig McEntyre Project Manager, HCSO Information Services Division 10140 Windhorst Rd. Tampa, FL 33601 (813) 290 -2222 Phone (813) 476 -2030 Mobile cmcentyr @hcso.tampa.fl.us SileSecure .00. 6 0 Osceola County Video Surveillance & Access Control Securitv System Repair, Installation, Maintenance, and Upgrades City of Lakeland Access Control & CCTV Installation The City of Lakeland had a small Genetec Omnicast system that was started in 2010 by another integrator. As the system grew, they needed a more experienced integrator to help with the growing pains of such a large system. SiteSecure was selected as the most qualified, most responsive of the bidders and was awarded this contract as a continuing services agreement in 2013. The first major task was converting all of their Archivers to virtual servers and upgrading the system to Security Desk 5.2. After this was completed, we repurposed their physical servers to create a Failover Directory. We then began the next phase of the project, the conversion of their Pinnacle Access Control System over to the Genetec Security System platform. This was completed in July of 2015. The City renewed their continuing services agreement in August of 2015 and SiteSecure continues to maintain their unified system, which has approximately 680 cameras and over 600 access controlled doors and 9 ates on over 30 different locations within the City. Their infrastructure includes 1 main Directory, 1 Failover Directory, 8 Archivers, and 4 Access Managers. Total System Value to Date: Approximately $1 Million Period of Performance: 2013 to present Client Contact: Alan Lee Security and Safety Systems Supervisor City of Lakeland Public Works Facilities CITY OF (863) 834 -2380 Laketand alan.lee @lakelandgov.net w w w . l a k e t a n d g o v. n e t Seminole County Environmental Services Security Construction, Maintenance and Expansion of Security Measures Seminole County Environmental Services (SCES) has been one of SiteSecure's clients since the company was split off from Wharton -Smith in 2003. The work began as a physical security contract with upgraded fencing and facility access modifications at all of the County's water and wastewater facilities. That contract continued in future phases with the addition of electronic card access control and hybrid analog -IP CCTV throughout the same facilities. Since the completion of the first project in 2004, SiteSecure has completed more than $2.5 Million in continuing services with SCES including preventative maintenance programs, break -fix repair and system modifications. In late 2007, SiteSecure upgraded the CCTV system to Genetec SkeSe � 7 i i Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades Omnicast, including new server and storage hardware. In 2009, SiteSecure performed General Contractor and Integrator services for the complete renovation of the SCADA and Security Control Room at the Southeast Regional WTP. This project included physical renovations to the room (electrical, HVAC, computer room floor, furnishings) as well as new computer workstations, monitors and security monitoring furniture. In 2011, the access control system was converted to Genetec Synergis, and ultimately merged together with Omnicast under the Security Center platform later that same year. The current system is comprised of over 90 reader connections and more than 200 camera licenses on a private fiber optic Cisco network. The system is spread across 13 water, two wastewater and one administrative office facility throughout the County. Today, SiteSecure still maintains a relationship as the County's only design -build maintenance contractor /engineer for the Environmental Services department. This relationship has grown over the years to include Seminole County Facilities as well as the Sherifrs Office. Both of these entities also have their own contracts with SiteSecure to provide similar services. Client Contact: Tom Owens, Sr. Coordinator Seminole County Environmental Services 3300 Dike Road Winter Park, FL 32792 (407) 665 -2021 (407) 665 -2740 Fax CSEAMINTO O�IN'TY TOwens0 2 @seminolecountyfl.gov AL CHOICE Annual Contract Amount: Approximately $600,000.00 Period of Performance: 2003 to present City of Tampa CCTV, Access Control & Storage Appliances This project was originally advertised as a Qualifications Only selection of a Design -Build contractor in June 2008. Following the award of the project, design began in January 2009. 100% Design Documents were completed in September 2009 following a number of lengthy review cycles. The Construction Agreement took several months to execute following a number of funding issues, but was signed in May of 2010 for a value of $1.5 Million. This project is complete and includes a number of physical and electronic improvements to the City's existing security systems. The aging analog CCTV system and DVRs will be upgraded to Genetec Omnicast with a number of new IP cameras being installed to supplement current coverage. The CCTV system SiteSecure 8 Osceola County Video Surveillance & Access Control Securitv Svstem Repair, Installation, Maintenance, and Upgrades will interface with the existing Access Control System, Verex Director, using a unique Plugln utility developed by Genetec. Highlights for this project include a completely new CCTV and Access Control System for the Moms Bridge Pump Station in New Tampa using a new Gigabit fiber optic redundant ring architecture. i Annual Contract Amount: Approximately $250,000.00 Period of Performance: 2010 to present Client Contact: Rory Jones Project Manager, Tampa Water Department David L. Tippin Water Treatment Plant 7125 N 30th St. Florida Tampa, FL 33610 (813) 231 -1391 Phone (813) 3234220 Mobile Rory.Jones @ci.tampa.fl.us S eSe �e 9 iFp s : ,t _ f Project Approach i Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades TAB 3 PROJECT APPROACH SiteSecure will work in conjunction with the County to complete and fulfill the scope of this project. We will do this by maintaining each of the existing systems and working to upgrade to one central security platform, countywide. Each new project will be met with the same approach, to eliminate confusion during the implementation and to establish a base -line expectation by both parties upon project inception. The approach can be described as follows: t. Project Kick -off: • Meet with the Owner's representatives to accurately assess the goals and objectives of the project. • Establish the project contacts for the owners, contractors and subcontractors • Establish the project schedule and identify any major milestones or completion dates • Establish the shop drawing and submittal review process • Walk- through and page -turn of the project drawings (if applicable) to confirm base bid scope and any add alternates (if applicable) • Confirm pay application procedures • Confirm working hours and site access requirements • Submit FDLE background check applications and review badging requirements for facility (if applicable) 2. Submittals & Shop Drawings: Draft shop drawings to include a IP Camera schedule and typical installation details for all applicable hardware. Locate all cameras on a site plan or building diagram to show intended installation location and field of view (if applicable) • Complete permit drawings, if required by Authority Having Jurisdiction • Submit hardware catalog sheets for all contractor - provided equipment to confirm suitability for the intended application, color preferences (where applicable), and mounting styles • Draft IP schema for IP cameras, network hardware, servers and workstations (or as -built existing schema) SiteSe cure 10 Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades • Draft storage calculations for expected video retention volume • Draft mapping schema and graphical layouts for Plan Manager implementation of city -wide camera locations 3. Design Review and Technical Coordination: • Conduct review meeting with Owner and Consultant (where applicable) to review and approve submittals • Revise and re- submit documents, if necessary • Conduct IT coordination meeting with Owner's IT administrators to coordinate software and network hardware preferences 4. Pre - configuration & Staging: • Conduct preliminary software training for system administrators and users. This allows end users to be familiar with the application once the installation has begun • All IP cameras and contractor - furnished equipment will be pre - configured at the SiteSecure office prior to installation on site. This enures zero out -of -box failures on site and speeds camera deployment • Install and configure the Gentetec server and client software applications on all PC and server hardware. Some of this may be done off site, the remainder will be done at the customer's facility in conjunction with the City's IT resources. 5. Construction & Installation • Conduct weekly or bi- weekly coordination meetings to ensure proper scheduling, compliance and issues resolution • Monthly review of work progress and pay applications • Contractor and sub - contractor activities will be run concurrently to ensure maximum use of contract schedule SiteSeSe ure l l i i Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades 6. Testing, Demonstration & Closeout • Ensure all connected devices are programmed, connected, displayed and recording properly • Ensure workstation and server configurations are validated against the project requirements • Update IP device schedule to ensure that all MAC and IP addresses are recorded and documented with the camera install locations • Conduct user and administrator training for end users (typically 8 hours) and turn -over as -built documentation for system Upon award of this RFP, a project manager (Melissa Oprandy) and an application engineer (Danilo BorJal) will be assigned to the project. Our project managers "own" the client and advocate on their behalf with our team. Because the project manager will be in constant contact with a county designated liaison, she will become the single point of contact for everything the county needs, including design, construction, maintenance and service. Our application engineers work directly with our install and service team to troubleshoot systems remotely, as well as perform onsite programming of new systems. Because these AE's perform advanced troubleshooting support to all types of systems, their skill set is dedicated to the programming and service of the software and devices exclusively. Since they do not perform physical installation, the majority of their time is spent using the software, keeping their skills fresh and relevant. They also have an advanced knowledge of workstations, servers, networks, storage solutions and related application software. They will work together with our software partners to complete any advanced troubleshooting problems that may arise on any of the county systems. Our service and installation technicians operate in both capacities so that available resources can respond more quickly to service requests. Because the installers also perform service, the quality of installation is improved because of the accountability to their peers and the possible need to service the equipment in the future. When service requests are placed by the customer, the email address notifies the entire service team so that the first available technician can respond. Our service technicians are on -call 24x7 so emergency issues can be met in a timely manner. The county currently has several software platforms being used for security at its different locations. SiteSecure will evaluate each location to create a full inventory of the hardware and a separate preventative maintenance plan for each site. Bar codes will be placed on each piece of hardware so that the full inventory list can be maintained and inspected, with full reports provided SiteSe 1, I i 0 Osceola County Video Surveillance & Access Control Security System Repair, Installation, Maintenance, and Upgrades to the county. Upon award of the RFP, the hardware inventory will be completed within 120 days, as well as a proposal for the preventative maintenance. SiteSecure will also create a migration strategy to move the County to a unified security platform. We will reuse as much as the existing hardware as possible, while also providing recommendations on hardware replacements and upgrade possibilities. Moving into a unified security platform will make maintaining and troubleshooting the systems easier and more effective, as well as allowing for less hardware failures. SiteSe cure 13 i F J -40 _ Fee Schedule RFP•16- 4469 -TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday. November 1, 2:00 PM Local Time 2015 and Thursday, November 6, 2015 Procuroment Analyst Ted Phillips Respond lo: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Emall: tphl@osceola.org Phone: (407) 742.0900 Fax: (407) 742.0901 Tide: video Surveillance and Access Control Security System Repairs, Installation. Maintenance and Upgrades Attachment "F" Price Proposal and Acceptance of Proposal Terms and Conditions Certification Parts and Sub - Contractor Mark -up •bescriptloh '%.1116rk -up (Maximum %) II Materials and Parts Invoice plus 15 % ub- Contractors Invoice plus 15 % I 'quipment Rentals Invoice plus 15 % Labor Hours Price Schedule Description Rate Units Project Management $ 125 Per Hour Installation Technician S 105 Per Hour Installation Technician (Helper) S 95 Per Hour Application Engineer S 115 Per Hour DraflsmardCADD Technician $ 95 Per Hour Clerical (O&M Documentation) $ 75 Per Hour Other (Please explain) $ Per Hour Emerg Services Multiplier Emergency Services/Critical Response Rate will be calculated at value 1 5 times the hourly labor times the hourly rate for the necessary labor categories utilized. rate Itwe, the undersigned, as authorized signatory to commit the firm, do hereby accept in total all the terms and conditions stipulated and referenced in this RFP document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the RFP document or as negotiated pursuant thereto. The undersigned, having familiarized him /herself with the terms of the RFP documents, local conditions, and the cost of the work at the place(s) where the work is to be done, hereby proposes and agrees to perform within the time stipulated, all work required in accordance with the scope of services and other documents including Addenda, if any, on file at the Procurement Services Office for the price set forth herein in Attachment 'F ". The signature(s) below are an acknowledgment of my /our full understanding and acceptance of all the terms and conditions set forth in this RFP dot or s W ise agreed to between the parties in writing. — � David Stallings Authorized Signatory Printed Name Page 27 of 34 Rev. 02.2015 RFP- 16.4469.TP Due Date 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM local Time 2016 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Ktsslmmoe, Florida 34741 Email: tphl @osceola.org Phone: (407) 742 -0900 Fax. (407) 742 -0901 Title: Video Surveillance and Access Control Security System Repairs, Installation, Mainlenanco and Upgrades Vice President 11/20/15 Title Date Mailing Address: 317 Northlake Blvd. Suite 1020, Altamonte Springs, FL 32701 Phone/Fax/E Mail Address: p rone: 407.326.5220 Fax: 407.328.8346 Email: dstallingsomeco7ax.com NOTARY: STATE OF Florida COUNTY OF Duval Sworn and Subscribed before me this 20 day of Nov 20 15 Personally knovvn: Or Produced Identification: Notary Public - State of: r/„ Commission Expires: Authorized Signature:_ te: � /V >>>Failu to submit W form y Isqualify your , poose<<< CHARLEEN Ilk SHOW NOW Pubic. Sts» 01 Ronda My Comla. G*w Apr to 2019 Come don No. FF MR Page 28 of 34 Rev, 02-2015 Additional Information i G Genet thorized 1De ale r SiteSecure Inc At 627 (Progress Wa Sanford; -xI. Is promo ified [Elite flanxer -for the i support and service of. video Surveirlance Solution (9 enter, Synergis Access Control Solution. a28,2010 1 StephaN Kaiser, ,sates Director VS,4 i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 4 �0.,•�'`` 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 LONG. THOMAS DAVID MILLER ELECTRIC COMPANY 4156 RAINTREE DRIVE MACCLENNY FL 32063 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range ` � STATE OF FLORIDA from architects to yacht brokers, from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION 1 L Every day we work to improve the way we do business in order to EC0003112 ISSUED: 06/03 12014 serve you better, For Information about our services, please log onto www.myfloridalicanse.com. There you can find more information about our divisions and the regulations that impact you, subscribe CERTIFIED ELECTRICAL CONTRACTOR to department newsletters and learn more about the Department's LONG, THOMAS DAVID initiatives. MILLER ELECTRIC COMPANY Our mission at the Department is: License Efficiently, Regulate Fairy. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida IS CERTIFIED under the provisions of CA 439 FS. and congratulations on your new license! e,pmKon dw AUG 31 2010 1.140603001133 DETACH HERE RICK SCOTT, GOVERNOR KEN tAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD i EC0003112 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 LONG, THOMAS DAVID •� MILLER ELECTRIC COMPANY 2251 ROSSELLE STREET JACKSONVILLE FL 32204 ISSUED, 06/0312014 DISPLAY AS REQUIRED BY LAW SEa s L1406030001133 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 "�•..�`` 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 WITT, EDWARD EUGENE JR MILLER ELECTRIC COMPANY 2251 ROSSELLE STREET JACKSONVILLE FL 32204 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE.OF FLORIDA from architects to yacht brokers, from boxers to barbeque restaurants, DEPARTME BUSINESS AND and they keep Florida economy strong. - PROF ULATION Every day we work to improve the way we do business in order to CGC049951 6/16/2014 serve you better. For information about our services, please log onto www.myfloridallcense.com. There you can find more information CERTIFIED about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's tIVITTL.EOVIIAA E initiatives. IgILLER Et Our mission at the Department is: License Efficiently, Regulate Fairly. We constant)y strive to serve you better so that you can serve your customers. Thank you for doing business in Florida is CERT1FaeD unosr the provisions of Ch.494.ES. and congratulations on your new license! F vw, _" - Ai,o V1 2WS t i 4t1B+4�OC+o�a DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE..OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION _ - - CONSTRUCTION IN00$TRY LICENSING BOARD TFje :GENERALCONTRACTOR - , - - `'`'' 7+la rt d below ISCER . ' Undgr-tt"te provisions_ of 489 FS. - - _ExpCratiorl date: AUG 31, 2016 %MTT, EDWARD EUGENE: ELECT --t- - MILLE�i k2tC.COMP X51- ROSSELLE S. JACKSOl4V,ILLE - ' -- Ft! - M04_ ISSUED 06/16/2014 DISPLAY AS REQUIRED BY LAW SEQ s L1406160001064 Consulting Ser -V - ski ��� 17 N�� THE PROFESSIONAL DESIGNATION OF �� 1111q REGISTERED COMMUNICATIONS � DISTRIBUTION DESIGNER IS AWARDED TO David W Obi, Jr by BICSI in recognition of having successfully completed BICSI's registration and examination requirements. Designation Number: 172422R • ^`'' Registration Start Date: U12015 / RCOD \ r i / Since Registration End Date: 12/31/2017 1 1 Af X 1 1 6/152002 � /i Chair, Registrations & Credentials Sup rvision Committee Director of Credentialing Security This certificate is hereby presented to: Melissa O'Prand to certify the completion of: Security Center - Omnicast Technical Certification SC- OTC - 001 -5.3 Vdio: ling! Jan. —i 31.7917 2(VI'IC' July ;1, �0!S Pierre Racz, President i i Security'. This certificate is hereby presented to: Danilo Borjal to certify the completion of: Security Center - Omnicast Technical Certification SC- OTC - 001 -5.3 onr�. 3 2016 •',l - Xj 1 N..r d>t' 4QI.'1 I June- iii. ?' ^.15 Pierre Racz, President Ge;)Mee Security This certificate is hereby presented to: Danilo Borjal to certify the completion of: Security Center - Synergis Technical Certification SC -STC- 001 -5.3 Vdha u,) t.! Dcc_cn'bc 3' 2016 7,1,, ,!one N..,,L, , di70:'ll iurw 30.2215 Pierre Racz, President coemw ExtMSys MIKE SCHOOLEY SENIOR CONSULTANT CCIE #8127 Core Strengths Strategic Network Planning Thorough Understanding of Core Network Protocols :- Network Design and Implementation Wide Area Network Engineering r Layer 7 Load Balancing Firewall, Router & LAN Switch Configuration, Deployment & Support Complex local -area and wide -area network design Video Surveillance Nlulticasting Quality of Service (QOS) Voice and multimedia Requirements detennination and analysis Network diagnosis and troubleshooting Wireless Professional Experience \Ir. SchoolcY has enjoyed a 19 -year career in the Computer Networking industry. During this time he has varied his engagements enough to continuously expand his area of espcnisc while at the same time enhancing his core competence in network design and troubleshooting. Notable Assignments VA Hospital - Deplo %ed Cisco wireless solution using; Cisco .wireless controllers, approximately 400 LWAPP access points, using; F1PS compliant security with air fortress and 802.11i. During this engagement he also opdmizcd the LAN infrastructure through the implementation of Cisco best practices. Mach - Responsible for implementation of 1000 user N'OIP solution using 'I'rixlx,x CE.'17iis solution spanned G countries 8 locations over Verizon \IPLS backbone with (20S implemented. Developed RCP's for nox three: site Metro- Ethernet backbone in the US. Negotiated with vendors for hardware and circuits. Ucsis;ncd and implennnted redundant XXt%_N using BGl' and ()SPF for sites in India. Provided project plan within specified budget requirements. Computer Science Corporation - Architected the move of over 700 users to a new location. This included working with other business functions like Facilities, Security, Engineering, etc. to manage the move of entire site with minimal to no downtime. Implemented Cisco wireless to support over 3(k),10 i sel ft, and a new Call Ntanager V011 system for the +1K► users including Cisco Elnicrgcncv Responder for L911, and crx:)rdinating this function with the carrier. Anixter, Inc., SBC Datacont - Technolog) specialist responsible for the implementation of larg;c - scale networks and integration proKcts. Responsibilities included contract negotiations, detailed design presentations, resource and perumnel manag;emcnt, as w0l as consulting and installation crcice%. <<) Pew A,c �.r.� Bkfg N. i.�hwA B.- ;;art, raw— rk Cdr: M +ry-�,v� nJ f..n4.4mW i 1 Sighftogix 7 45 Alexander Road Primvttm. NJ 08540 160) 951.Ows SightLogia, Inc. Reseller Agreement No. 0007 Date: 1/10/2007 1.0 APPOINTMENT Under this Reseller Agreement (the Agreement), SightLogix (SELLER) appoints Site Secure, Inc., (RESELLER or Site Secure) as an authorized reseller of the products listed in attachment (A) for the term of this Agreement. The Agreement is effective %when signed by a duly authorized representative for both parties. 1.1 SELLER hereby appoints RESELLER non - exclusive rights to market, distribute, sell, license, service, and to integrate the Products in attachment (A) into systems, installations, and other finished products for certain end - users. 2.0 OBLIGATIONS SELLER ?. I SELLER will sell products to RESELLER in accordance with the term and conditions of this agreement. 2.2 SELLER will maintain a staff to market and support the products sold to the RESELLER. 2.3 SELLER will provide reasonable notice concerning the release of a new product or updated products. 2.4 Maintain adequate inventory and make best efforts to meet delivery date in order to provide the highest level of customer satisfaction. RESELLER 2.5 RESELLER will maintain qualified staff to promote, sell, and support products during the term of this agreement. 2.6 RESELLER will provide warranty service for the product,% sold to end user. 2.7 RESELLER will sell products under SELLER's original packaging without removing, defacing, concealing or altering markings. 3.0 PERIOD OF PERFORNIANCF. The term of this agreement is (1) one year from signed, unlew terminated in ;accordance with the terms in section 10.0. 4.0 WARRANTY All products are sold to RESELLER %%ith the standard %warranty that is published by SELLER for the products identified in attachment (A). This warranty will be passed onto end user, and SELLER is only responsible for the standard warranty terms. SIGNT1.0GIX Reeller Agrecrnctll i 5.0 TRADEMARK 5.1 SELLER agrees to grant RESELLER with the non -exclusive rights and license to use the SELLER's trademarks to identify the distribution of their products. The RESELLER will not transfer this right to any other parties. 5.2 Upon expiration or termination of this Agreement, RESELLER will discontinue the use of the SELLER's trademark and the rights to the trademark will cease. 6.0 ORDERS All orders for the products under this Agreement will be issued by the RESELLER to the SELLER via a purchase order which will be subject to the terms and conditions of this Agreement. '� 7.0 PA1 � 1ENTS Payments for the purchase orders will be subject to the term NET 30. Payments will be made to SELLER (30) thirty days after a valid invoice is received by the RESELLER. All original invoices must be sent to: SiteSecurc, Inc. 627 Progress way Sanford. FI 32771 407- 328 -5220 Invoices should include, at a minimum, the part number, item description, unit price, quantity and PO line item number. 8.0 CONFIDENTIAL INFORMATION Both Parties will have entered into a Proprietary Information Exchange Agreement thereby permitting necessary exchanges of confidential information under this agreement. 9.0 TERMINATION The term of this Agreement is in accordance with section 3.0 unless terminated. 9.1 Either party may terminate this Agreement by giving 30 days written notice to the other party. 9.2 Either parry may terminate immediately if: (a) Either party ceases to conduct operations in a normal course of business, or files for bankruptcy. (b) Either party violates the terns of this Agreement SIGHTLOGIN Reseller Agreemenr 10.0 LIMITATION OF LIABILITY In no event will either Party be liable to the other for special, incidental, or indirect damages or for any economic consequential damages (including lost profits or savings), even if informed of such possibility. 11.0 TAXES Unless otherwise specified, prices include all applicable federal, state. and local taxes, duties, tariffs. and similar fees imposed by any government, all of which shall be listed separately on the invoice. RESELLER will provide SELLER with a tax exemption certificate acceptable to the applicable taxing authority 12.0 NOTICES Any notice required to be given hereunder shall be in writing and delivered via mail to the notice address as indicated below. SITESECURE, INC. SightLogix c/o Andrew Bowman c/o Gary Singer 627 Progress Way 745 Alexander Rd. Sanford, Fl 32771 Princeton, NJ 08540 (407) 328 -5220 (609) 951 -0008 abowman ai itesecure.com gsinge a,'sightlogix.com 13.0 AMENDMENTS No addition to, deletion from, or modification to any of the provisions of this Agreement shall be binding upon the parties unless made in writing and signed by a duly authorized representative of each party. 14.0 WAIVERS Failure by either patty to enforce any term of condition of this Agreement will not be deemed a waiver of future enforcement of that or any other term or condition 15.0 SEVERABILITY Each paragraph and provision of this Contract is severable, and if one or more paragraphs or provisions are declared invalid, the remaining paragraphs and provisions of this Contract will remain in full force and effect. 16.0 GOVERNING LAWS This Agreement shall be governed by and construed in accordance with the laws ofthc State of Maryland, without reference to its Conflicts of Law's provisions. 17.0 ORDER OF PRECEDENCE 7) The Face of this Rcscller Agreement and its attachments 2) Subsequent Purchase Orders under this Agreement SIGHTLOGIX Rcsellcr Agreement 111.0 GENERAL TERMS LEGAL RELATIONSHIP Nothing in this Agreement including. but not limited to, references to the Parties acting as "RESELLER "and "SELLER" or collectively shall create a joint venture, partnership or outer formal business organization of any kind. The Parties shall remain independent contractors throughout the performance of all obligations herein. Nothing in this agreement shall be construed to give one Party the authority to bind the other Party except as expressly provided for herein. INDUSTRIAL FUNDING FEE SELLER shall be responsible for paying any IFF to GSA for the products.'services delivered pursuant to this agreement, where applicable. DISPUTES All disputes wider this Contract which are not disposed of by mutual agreement may be decided by recourse to an action at law or in equity. Until final resolution of any dispute hereunder, SELLER shall diligently proceed with the performance of this Contract as directed by RESELLER. PUBLICITY Any news releases, public announcements or publicity of any type with retard to this Agreement and the participation of the Panics by or on behalf of one Party shall not be released without prior approval of the other. FORCE MAJEURE Neither Party shall be liable for its failure to perform its obligations under this Agreement where such failure is due to causes beyond the control and without the fault or negligence of the Patty concerned including but not limited to Acts of God, Acts of the Government, fires, floods, riots, labor difficulties, embargo, and civil commotion ( Force Majeure). Partial failure of performance due to any of the aforementioned causes shall not in itself terminate this Agreement or excuse any failure by either Patty to resume all obligations as promptly as possible. In the event either Party is affected in the performance of its obligations by any of the aforementioned causes, it shall give the other Party prompt written notice of the fact, together with satisfactory evidence substantiating that said cause prevents performance. as well as a declaration specifying the steps being taken by the Party to remove the relevant causes) and shall continue the performance of its other obligations under this Agreement. If Force Majeurr remains in effect for a period longer than fourteen (14) days, then the other Party. notwithstanding any other provision of this Agreement to the contrary. may terminate this Agreement by notice to the Party suffering such delay. In the event the Parties do not tenninate this Agreement due to Force Majeure. the time for performance or cure will be extended for a period equal in duration of the Force Majeure. FREEDOM TO MARKET It is understood that this Agreement shall not preclude either Party. their affiliates and or subsidiaries from its normal marketing cfforts in connection %% ith the sale of their goods or services, including sales ell' rts to organizations submitting proposals competitive to that contemplated by this Agreement. SIGHTLOGIN Re tiller Aenrnreni i GRATUITIESIYJCKBACKS (a) No gratuities (in the form of entertainment, gifts, or otherwise) or kickbacks shall be offered or given by SELLER, to any employee of SiteSecure for the purpose of obtaining or rewarding favorable treatment as a supplier. (b) By accepting this Contract. SELLER certifies and represents that it has not made or solicited and will not make or solicit kickbacks in violation of FAR 522 -7 or the Anti - Kickback Act of 1986 (41 USC 51 -58), both of which arc incorporated herein by this specific reference, except that paragraph (c)(1) of FAR 52.203 -7 shall not apply. PACKING AND SHiPMENT (a) Unless otherwise specified, all Work is to be packed in accordance with good commercial practice. (b) A complete packing list shall be enclosed with all shipments. SELLER shall mark containers or packages with necessary lifting, loading, and shipping information, including the RESELLER'S purchase order number, item number. dates of shipment, and the names and addresses of consignor and consignee. Bills of lading shall include this Contract number. (c) Unless otherwise specified, delivery shall be FOB Place of Shipment. 19.0 ATTACHMENTS (A) SELLERS Approved Product and Pricing List 20.0 ACCEPTANCE This Reseller Agreement is the entire agreement between RESELLER and SELLER. it supersedes all prior agreements, oral or written and all other communications relating to the subject matter of this Agreement. Any terms contained in SELLERS invoices, acknowledgments, shipping instructions or other forms that are inconsistent with or different from this Agreement shall be void and of no effect. Please sign and return this Agreement to SELLER within ten (10) working days after receipt. SiteSecure, Inc. SightLogix Sign — Sign Print R. Andrew Bowman Print Patrick Merchant Title Vice President - Engineering Title Director of Sales Date January 25, 2007 Date January 25, 2007 SIGHTLOGIN Resellcr Agreement W AXIS R COMMUNICATIONS is pleased to recognize SiteSecu re, Inc. as an AXIS- COMMUNICATIONS SOLUTION GOLD • A• • Solution Gold Partner in the Axis Channel Partner Program on this 1st day of July, 2008 Larry Newman Director of Sales *M FIED PRO Robert Bowman YA7 DTT50 E B Valid through: 04116 •www��un�u J Ali. 228 C City of Lakeland ( Floridian City Standardizes on P Genetec Security Center for Expansive Surveillance and Access Control Upgrades Business Challenge I is I tO U000 1, Summary Clent namat.- �. i o I L, j Organbotioni shw4000 j Products: S,- : .6t y Center 0 tl S InChntrf. C -y-%-Vide Sl ar,Ce Location: L.,,kelarid, Flu,!d.-- '-;S,% ih Partners: S� Axis Corr; cations III I Vw!�.i n 't it, I I- 'k 00l) 1:',. '-',0— '!'1 :,. 'wil -l" 1,11J Ilhi." 1-1 xld ollcr :1 0 liin L III 11 1 7011t!`�A s% t I I: ti I I I k I: I it I, r, a rc it I �I :I a n (it d I III (I - at ra I d I c, i I.)!) ide A 1 1 111c"CalLibilm anddex.b h ". ,it Iwi: Lira Vlk : xL!. h.1N ! .Xi:4 - 1 I'M 011—'; I,! ALun I s% k tut., I A it I .t'41-- I,! tIh If), A' 1: j".1!7 x! 111:11 IIIJIlli— "ILI 'Ut". killLitll— �uIgLt IkLdil 1111 a I Ww r• I T 7 Security Center Enables Massive Savings and Gradual Growth j— Solutions Segmented for Easier Management but Centralized for Support L I. - I _ , il.. • '_ 1't � 1 . � � .. I .. I � L. ,. ! � .. . I1 �I II .., I ... • t t�l [ 1 . l _ I t ; II � Security Center Sets the Stage for Even Greater Expansion I �,t . II•_ _ 1e 1 I.rt� .�,r :!It _. >_�.. .., I � _ n_ .. - .. - I .,In -) I :_� ..,. . ,I I•. l i ,, , . .,I r _ _ n� : 1 I 4 ,,.. . I' r I It ' f t . , i! I t 1 . .' [!. __nt'. 1111!. I a !u11 .1.,. 1 . I; I 11 . \ . I I u n, 1 ! I L; 'A 1 .11[r 111 il r!,,d '. v. 11] r'. IT* ^il'.:•Itl r: :; I`1 .1 , -1 .. ,\•, [' Ii.l\t' `�. ':1': ..'ll' ,I .. x . Iir\ ,. • I.:, ..I _ .. ",ii • I• •. .. .• "\ .!tltl li ,.. :. f' a r,. AL al c:!.n[.: _i!1, t 1.. .[ ',r all 1urk.1l._.,: li It Illy i1 1.1'[ �., .'t �.: I1. 1 ',f .dl 'I�': r fl - IC.11 n,1. t ... ,:,i•, •tr \ \1;t't t.�'Lit; do `.t'll!1 tl:_ •1 •tl•11 ,Lill! `. ,.!I tI'l 'l! U1'l .11It I. '\ 1\ _ .1, I ,I i .. 1 \ „Lrld Itl 11t '1. ., J! h! Ihlll[I•r.. I Ilk :•. 1 ' III' It °ai!\ _! , 1 .a'! ll:n r `c antr t C �C u1 the ticclhilitA to achicic �'II. IL 1: •I r,,! •_..1'L ,('I, ut .. ni ,'I.SJ I I:i Standardization Helps Improve City Living �. •1 ! ;!It ,:IIr tl'.. ... ., II•..•.:! l:•,Cc_' hu;`111:; '. •.':• h.l [. •r,.. r,.. �! r ncr•• . ,. t h.. . \rn;!nc.i'r,1nt h'tut ,y t lr,tr�i.... !I•, �trm - 1:,1t ,....- 'r1n1 -AIL.. ! . t � •.��i� [. I. ...nn: •.. .t .:'•n: nl'I - . �•.;r'r, :,r , h.l'I Ill•[ i:,''. ,\ .it'll' ..I'l I .i , • . 1 I!" I'I: :,'.' li �: ". ��„1 1: l ,i ht.lLli•; 1 [:t ::, ;. :: 1- L[� Ill ln� s_tr.• 111 h \. ,f'LI -lu .1 I ..L'il.:.i ,.I 1 !h' dl1'Ia:i— — w.,r !li'r , tl' .,., alc:111 - d" .ul!er . _ a '.n, the 1111\•, tl ;�: '. :!'.�i'I 1 :!:!'.[ I '.\, I, .I C,i .. .1 i t ..I l, t'^ • It rt.um r n ?I d.'111 V thr fl 11 ! Ii C in nr Genetec .Z Sanford Public Safety Complex Sanford Expands City -Wide Installation of Genetec Solution to Manage and Protect Newly -Built Public Safety Complex \,1 ♦1•„ , i ;u ,; l ht �1[ ? � 1,1 Il {, I . i�U... .c � „(ail Ir„ lhdll III.,C :klfthC,L t � l I I.illc,al ,lilt{ ,:I 1 C-1 III hlL: , cwt tlt �CII11l1U;C < OUMV. li I” " "'CH ol'cl' 130 Vc,ffs ltl illli II0111C i1) ,l 11iVC1'1L j'U Plll,l(1,111 (t JJSt O V c1' 5 `,000, Thk• citt i ,I 1111{ 1(tl' ra:I. <<,itcr and ;lir trai)�port ttion ,Ind 1, .l p,tiv14Cr o , c, 11t tilitc_' Lllihtic> tt) lal(1111'l(a!(:i III Nlricmbk:r _'o!(l tlii';ill, ,I11wili1 {,l :h:` `t.l(1(1 ill .11'CIUt�t I )at�tl' C:t ll}'Ic� htxl•in h,tth `an(��r�i', f in arni Poll.", }.�',I�,tluartr: >. I I , t,tt: the 111 huil.ltn, i, cUll`tI U t l 11 itII""'tll ph lk II)J ', It 11 11r[` `: I IIII�sllc' tllll'a1. l : t'�IJI�tllcc ,II 1'VC, ,I, IIIL' CltV c'I11CI'k' 111 a }It'T;it1(t11, Cll;cr. Business Challenge 1 ,.. "After evaluating the available 1 options and considering the .. I city's existing infrastructure and federation capabilities, Mr. Grocke ,, . , !, , ! , , , 1 J_I decided that Genetec's Security - Center unified security platform .. would be best suited to meet the facility's high-level needs. •U' -i :I:d t'• „ .-t:tt,t -[,,i. nL , It It ii_ 1_Iti ,: =; Solutions Ion ., nsnFOb "Of all the advantages afford by Security Center, the great quality it has provided Sanfo its extreme flexibility, while AV providing a highly robust sr. i ., r. -�Ir i . .. - _. I:. •, ,.' . I. � ....!, ., r.:l i' ��•._ _.. ..I I'. ..., ,11 - _ . -�.. t.i.l n it 1 -:w1l ...,:, . _.. i L«:: rir Pi :_ 1 , 11 II I..,, 'r„m11, .., . Id I!:n ::, It n; 10 a a,ual: -I. ,,• li'r: I1 ar„I: - - ., :,Ir,'t• Icr 111 1 lc r • a�il.tt "In a critical facility like this with „h. ' ,:. ;`11'1111 , :,t, ilin,rnt.,r,' .Jb'ha�il >P,,.r,.,l�r, +t, ....,. .an,'.. <I�art\ „1th, such complex security needs, it's .,L i .1111.! Inir,.i. "r „iwr,t, ha, great to be able to quickly add a ar I i.. 1 , atcr'.Itat t ,c .l; a r unl,•�F., it 11 it " • ,i,l new piece of hardware without IL - urilct :ntcr. ipla: toriirh, .; n;idJre,•a11o: N- ,-nuir,i, having to reconfigure or rewire I >. :, ..,1111 1 J. ,, iJ Iz't,t t1:;::,', the whole system:' n�•'a7„itn rir_ 'n.ilnPlrnt,t'K ;.i :��ru:;it�.re'c'`;atm:i> �i m.,� the ::, - .l • .J I UrJ u,. 11 xar�:\ , tic•A [:u' ln: atzd ivartiY. t to ., ,Jih, �,t;':,,1 :..:•.+ � n�.utit.ii�.•Ir•. ` ui.1 \'i�i;�ia. �'.i'..:;_ . -etec T :,l .:1': 1 I', .T .. , i'. lc -1PIi -_.,-�.,, 31• i C.9 S I r J Seminole State College of Florida Multi-Campus College Makes Affordable Upgrade to Genetec IP Access Control R Business Challenge Oki, i- Summary Client name: Se rif'U 2 51;,' L- c_11 •-I, ftanintion size: 1.600 e-� Industry: -!'qhcr Educa-ior, Location: a LISA Products: Sec-Lir ty Conter C S•rer,)is J 1 1; It 11 jiIj I i , I:.I 1 Paruwm S;•eS=Z:,j 'k Global t'L J I k. 1 -J It I ,r l %,"'Ild 'I- :I .,i !i �­ were ::Oil!IL, 1W 11 t he ji w. rile 'tLt (it 1;, (10,11 •i It .3 lid V c1lb (1) tihi4• 11 ncrgi` L I ct :7 If, %h r [he � 1, ' .) (.ilu�lal to A,' veil I Ill) >jljd "o: $65,000 Savings Becomes Catalyst to Access I' !"I k2" '01 .11 Control Upgrade , , I, - - - : , t- ; I ; L: i t k. I . T T ; :r- ! 1 : t 7 1 I L I t I I r, r I I t , d I I 111 A P t VIII „111' Z J!"L 10 :h . :l'11 t. 1.' I I I ILI : I L 1 .1 S% L r"' 1 h.1. 1 t I I It j r - A t 1 0 j I I I- - I Ili T! !k A J � �Vt A I "t ik I Centralized Management Simplifies Multi-Campus l til, :;t Security , ; : ;t : I . q . , - I , I T !� , !" , ' I., I ;•; Tilt ,'. 1 7 Solutions Expanding Efficiency with Additional Functionality "Upon project completion, the savings on door hardware using the Synergis Master Controller is estimated at approximately $65,000." d, tit .. .I, I': I - r. , :.t,1: , ..., - - t:r.! cL�.. ., 1 'r_7t.i:..:..... i�. .. ri •I - ..• !„ �, 1 I r _ .. - .. .;i. ".. - . I't h ll l 1 1 11 t IA t, `.ttl Ili ,. �'rn .n1.r,t t•, , c:�th r•1! ",t'lul.,, .� , � � ,r.. I,,,, 4 ,, i „ ,I:,. .. _ t lien, ! r, ,rl ��• ,. — k- �j�n =tyC �6t n 71111, Z- - R Town of Palm Beach Palm Beach Police Department Secures Lead in 99 / Leads o of Cases with Security Center { ic"Iit'Iou I lorida [t)1 A N Icjcit 1 :1SL11 Business Challenge 11, .I lilt Summary Clien 1i,i - n.: l,i'ula:. I•. ,I I,; .. t name:Tow ofP31m Clien 3vs_ Organization size: 70, S'.•:•,,r- ors x Pdln i'••_,.. • :Lt.r.' .. I'I,I'[ A`. ?S Nin- S.:n -n t-- nployees .,Cl�rt; rll:. .,I- „ �t;,, '..1: ..I�,Ir . .l. l'�•.. ..h' Pro Secs-"y Ce ^ter, C — Last ,Auto \•,;�' .�_rf._t . - :.. 1, I.1. I•. •t.: ! -': t,:_. _ ....�,Iu. =' - :_ �. _.,.._..,I Lt� TPI 1 - Industry: Ctp W�'de Surved!,mce u: 11 PI., Location: •, _:e.,ch, iJ1:, l!"', 11,E I : l nl nl! 5 - I,,.J.,•,.{ Partners , _ti , - sol Controk. S!eSecure. anasc Iv 111 L. , 1 ,.•I,e t `c. lu - L• - . l'- .,__ I, t hl l)':,> t,ullcr•: r.:L ii ,j it, ,•t .lt,p cr rh;l and •l +l ilr•.I 1, - R - c11 -.. .. 'i.•,; ,I `.i, to ll.F n - ��, ;,Icy thl l'.,1:':.c;h +1111 :4.0 t`;n hi: cli nluiit r.,l.11h., ___ r urnl.n� t;ll_:n ( ,.h,.utc tat :h,1'.t nl?:._ P:•h. an'” hla'c tc,.1 _ i ,, - .k n - ur :.Ic ac >I t;I Il t , ti .,,, 1 rl:, ".."n `1 %tr; , chi li r. `,:nto our sl,r,! i hclt> rccordc�'_ it a ln. GI.., .I::t.11: u :B::i.u,•1'.t .ua.lua:I, Il,rr nl•L Ila,har:l.u'r.niu•,•,[. „cciclt. ha rvun,i,('t , 1,{cl cl IJLnci s,inn.1(tat L.- ii. l: s n�:c,:btillE ll;LlL, f7tlml <, _ .I1 ':t,:.'I.. 1._ .....I^ I'kI•n''I' .. .•il”; t'.i,, .I. rtrl.:;r,t„Itht:,n ur: Iliad rl•, urtnl`u (ctnt{ ,t- alsrhlalrrrrc.!• I�rtlrlrlint:rinitt'a .. II';1 � , 1 '., {, 1('1 ',. I', ,, "1:1, .IIII "„!I'. I'Ill':1 ,•'IYII �.:•I.r�� :ttl` , L'l I? :, C1 '' I , )ri,.t :1L.'.'7'c. : :tr :'tll nlll t,.t ^.t :(.init t,i'. t.l, :nnrc ' . •I:,tI n m li_.,,I I". kccel— t thar ille. :aic,l [o.R,lefl r. itlt, :.1: .I `I.:I, .1 .:. :t _ ti:l t•,..1 �.�..,` .11': t a �I.: �.1 : :.� '1 i, liii l..rl ., Cj1, .. I..lr-�ha•.; _ril: :uTo t,- Security Center Video and ALPR Used in 90% of "' t' 't ;,, tl- -!, :il ,•�1 -; I. r : xt,1,,,4 Apprehensions = :11 • .t�ul' ,. 'ICII''�III,� �_f -. •. � l.c�.: it..,:.'`'• ... .1 :1i; ,_.. .. i�_ ..,. _ .:hn'.li 1 . � .. 1• ... - Ilt� 1[` 11.11. .,I� il.:.. .� ... � ii' .. ..'I ... I•I'. - '.- ... -. r. • :I. I i -.V �I .. .,r , �,if :. t!..,!',. _ �' .. t•• ;11..1 �r•ar ., _. ,Ir,I,. � • I.. .. � _ � 'k � rL�.'•' .. .,.� ,!der „tr•. t•I ,art I. :It ,o *, 1 k, t, ,L: ..I _ hc^ �c 1. ._.I„ I 11 I 5.'; f: X 11 ti {1.:i ' .t .. !�.. hit �5 H :I: _ Ir rr }` 7tl •.•e Solutions Working with the Community to Expand Surveillance Efforts ll.l .- '.t.l.71,1,..t I.,. .:c n: iI:I t..:•I It .� ❑IL Op, I1 _, • Growing the Unified Platform over Time ntl •h. ,.t ,r. th.,r: .. � .... , 1 :,•• ,: vt.l t • ' •I •l e'a .'e 11 ,1. _ I c .-- .Inla, 1 � 1 �. , 1 , ttl le. ")..At:' 'U c ,c :r 't trr. .1:ur.Il ..I n, .0 '.,nl .: :, , ..! 1111 c'r.d._ l!1l': I t "Ct: I•' t •ta: I1; '1,1 "_,'t1 •'i 1.. IIItV :Ili .! _t ,I! th.':.., _ _. I ,lI•.t .• _ _ I. . i ,. 17, ?I'1i .1 .: +.. . ,.. N t It: t' + "171,.1 1'•c ��- ,:r 1 ."itr ,.I I. .. ,r,. ,i _ i I:Lin •t. a �..! I ,1.. ,r 1 a. .AI u71 ,,,'t tl •t h,. , nn ... u' a lu; I; . .•i•, I III, h n urr-t t :III.: r.,.• t!:i,I:;ICh t•..n . I,,I.. atutuhlu'I 4>. nt ;l•clh•.Iac•I.,n,cIILIn,:. ..t;nl;aiilicn 'it . :c 111.. ca _nunnt.utJ:r n,. .•;!vt nt ;n t`,.�!i:t chili!, � ..,; .!1.3. 'h c. \' I'.' i,lc: •. r 7'117,1 �n t, •• L1t �'1 a.:1 .. ,�,,I •I,.., t 3t 1 IcU ; I i l +tut ..- ctt — rll.) I 1 1, ., u; ll I h, 1 '1.1 with t'.:_t:ntt rlt 'Ip 1717•,::;: ", ,.I .., I +�. ..''I. Ih:•, I. �. n'. •.i C' Ud nl;.rt,'rc.la.�nL; ari11'in -t1 ,.'., i'c, ) +rC iI:2: ^�c yUaht,. t cr ... ,• :tr: t1 „I 1'.t ,l L`,tti I" I) J ,•.r %pil . 11JI11 , .cn,t id, ..: . a fI'i. •t .1.. , • •.1. ,I'..1,•,I -„ - .1 n1 C,•,., II ,'.1''. l 7111.17 .art.::I _t) tttt t' .._:Ii. `1.0171" L Cllti':..,> htr'l +CJ U, X OV1P Sh All ,C U i, .. . ;Iitl,clt r �• .... - rtt ,1717 +t�icr:h r_ 1; a_ c.. "t l t:t, .'i. , ,, : n.l , t.. I_ a,Irl 1 :!_1 il (1.11 ,u... ..� I,I: tftcl,•,: ,I; ...1,1,1171, .t,` . .;iaili . G,nc-tec i L s Cambium Networks Ca pacity •. Sp for -o Surveiflance Challenge VIDEO SURVEILLANCE TECHNOLOGY PROVIDES THE BEST LEVERAGE TO IMPROVE PUBLIC safety while staying with n budget While ,t is not feaslble to put a police officer or every corner, video surveillance In effect puts a vigilant watc'i on every corner around the clock. The The older Hillsborough County Sher fn's Office (HCSO) In Tampa FIonda had Instal ed video cameras communications several years ago that were connected by a mesh -base : ommunicatiDrs nfrastructure Over technology was time, as more (ard higher HDTV resolutiOr) Cameras were added to the network, the ;),stem was at the end of life unable to provide the perfo -manse requireo and we were HCSO's Eye on Crime project enables de ;ut es to keep an eye on trouble spots monitor streets vastly expanding for emergency situations and provide residents an increased feeling of safety. Fundeo In part by a federai grant, the more sophisticated cameras Include pan. tilt. zoom capabilities and morntor the number of a 360 - degree field of view Multiple cameras are installed at an intersection. giving officers the cameras beyond ability to view traffic Inte-sections and parking lots and to Integrate i nformation with Automatic - 1Cer '`e Plate Recogn tlen (ALPR) systerrl; and - shot sp- Otter" sy °.tem t! a' trlanaula'a gunshot the original scope sounds to deterrnlne'he exact location cf an Inciden'. and radio capacity. The Cambium "Our o need ready access to information in real rime.` solution meets says Captain David Fleet. HCSO Deputy District Commander. "The elder communic it-ons technology did not have the our needs and band:: ;;tti to support multiple cameras and multiple -system is a more cost Last year. vid surVelllance Maras a part of 1.400 case_, and effective solution." • we need a system that supports high- der)slty, high - capacity tamer.: - a l the time' - CAPTAIN DAVID P FLEET. DEPUTY DISTRICT COMMANDER, Solution HILL SBOROUGH HCSO LOOKED AT SEVERAL DIFFERENT COUNTY SHERIFF'S ^I,R nr); .9 ^r1 fnt:ntl rhlr provided 'he hlc,h thro, ;nr;.,t 'hey nc ..,^ C.. In OFFICE add ti on t,i the :nrL, �h` �y�..: 'T .. �;�ntlnU•. lit r; \iJ!. 1'i� _.. - „iii. IlC'i' � -. Conn -? .It, n_-ded ~� Our cep -tn — pion tc, t ^e . is C•O and ne. - o- able rc -r - -0oir •he - ,trora•_, ;•:hen she•. 1 sen a crime is abc'ut to happen '.t +e needed a highly reliable, high - capac 'y low , section to have the camera =r,ond i mmediitely, and .ve now have that says Captain Flee: The Eye on Crime project prioritized the reed for surveillance in'v:o areas: a neighborhood bordering the University of Soutn F'.;noa campus and another major urban area to the 5ou:+) SiteSecure ; ."ww. --. Corn). arid Kiler Critical infr2�truCtLire. SOI ;,ti WS (V.1V0v rm�?C0iaX.COm) speCla iyt� rn UCiign. Con and rn iinten, -nCC CJf IP - bdSCd c Solution;. worked v:lth HCSO a%J Cairibiuin Network to desigr an all - wireless connectivity mfras,ructure for the project. In the�Ee situation, image quality ic ahsolu *ely e ,;ertlal " :ay" Craig Bo:: man, Senior Project Manager from SteSecure "Fra+me loss, I tter, and latency - any of these can result in poor- quaity mages.. With a Quality of Service (OoS) enabled System such as the Cambium Networks solution. }z= the system reduces frame loss and operates at ccnsistently low latency. it is designed to provide ccnsistently high quality images. SiteSecure used the PMP 450 wireless broadband technology. The communications Infrastructure for this f rst phase of the prolec' connects 83 video surveillance cameras. About HCSO Tampa PMP • and 450 orn�ta iax�" " '�GPncaiiiatttan` wr Results THE NETWORK WAS INSTALLED WITH NO PROBLEMS AND HAS performed without e -ror through heavy late surnmer storms WI)ere there were multiple cameras and license plate readers at an intersection, deputies at the control facility were able to zoom m and identify Sutipects and key vl:tnesses effective'y. Why • Tampa cho Cam bium • They pilot project in the Eye on Crane initiative is considered a success for improving public safety and is being eKpandecl to ether priority Io::ahons in the HCSO area of responsibility. High qLJJl;tY Of S�-rViCe "Our deputies are abler to ge` on the -)et anc , t'le infc"rmat :;n , rg ht away. sa_;- Cacta n F get b andwidth This information helps them i repare for -7rid make the best de:j -10 h to Je�l ...- a Low Latericy 4;itU•9t +on -ho p.,bl- ipnr9c 3 the System the }. :-= tnor ;;a t'l— their ofuty - ,urio,c : ,)nil %% r<<,,non,,1 . 2 `r • 1 Additional Attachments RFP- 16- 4489 -TP Ous Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2-00 PM Local Time 1 201 $ and Thursday. November 5, 2013 Procurement Analyst: Ted Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Emall: tphl@osceola.org Phone: (407) 742 -0800 Fax: (407) 7424MI Title: Vldeo Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "E" Drug -Free Workplace Certification The drug -free certification form below must be signed and returned with the RFP response. In order to have a drug -free workplace program, a business shall: 1 Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug -free workplace. any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in the first paragraph. 4. In the statement specified in the first paragraph, notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893, Florida Statutes, or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than fire (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in, a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of the foregoing provisions. By the signature(s) below, Uwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment E, Drug -Free Workplace Certification, is truthful and correct at the time of submission. — \�� QZ_ zzz��� AFF T Dav Sta llings Typed Name of AFFIANT Vice President Tile STATE OF Florida COUNTY OF Duval �,// Thq foregoing in gn was executed before me thi °t om y of N 20 f by `bla.�ceL h• �4S as tl. l �eaede4 of ee 1G _o who personally swore or affirmed that he/she is authorized to execute this document and thereby bind the Corporation, and who is personally known o me OR ha§ Woduced as identification. ---- UL'I - _ I NOT Y PUBLIC, Stat o (stamp) PLEASE COMPLETE AND SUBMIT WITH RFP RESPONSE — IF APPUCABLE CHARLEEN M. SHERIFF NoarY PObtio. State of Florida MY Comm 6rpwu Apr. it 2019 COMWWOR W. FF 200 2 Page 26 of 34 Rev 02.2015 I RfP•16�408•TP Due Date & Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2016 and Thursday, November 5, 2015 Procurement Analyst: Ted Phillips Respond to. 1 Courthouse Square, Suite 2300, Kissimmee, Florida 34741 Emalh. tphllosceobLorg Phone: (407) 74240800 Fax: (407) 742-0901 Title : Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "H" Addendum Acknowledgment A cknowledgment is hereby made of receipt of Addend # 1 through # 2 addenda issued during the solicitation period. Initial: 4q I Date: 25 S Company Name Company Address SiteSecure /Miller Electric Company 317 Northlake Blvd. Suite 1020, Altamonte Springs, FL 32701 uthoriz e — S � R. � Signatory (Signature): Printed Name: L tle* David Stallings e President >>>Failure to submit this form may disqualify your response <<< Page 30 of 34 Rev 02.2015 RFP•18�4ti9 -TP Due Data 3 Time: December 1, 2015 at Advertised Date: Sunday, November 1, 2:00 PM Local Time 2015 and Thursday, November 5, 2015 Procurement Analyst: Tod Phillips Respond to: 1 Courthouse Square, Suite 2300, Kissimmee, Florida 54741 Email: tphl@osceola.org Phone: (407) 742.0900 Fax: (407) 742.0901 Title : Video Surveillance and Access Control Security System Repairs, Installation, Maintenance and Upgrades Attachment "J" Vendor Demographics Survey Company Name: SiteSecure /Miller Electric Company Company Address: 317 Northlake Blvd. Suite 1020 City, State, and Zip: Altamonte Sp rings, FL 32701 Telephone: 407-328-5220 Fax: 407.328.8346 Email: dstallln s meco ax.com 1. How many people comprise your workforce? 1113 2. Based on your current workforce, how many employees are residents of Osceola County? 7 3. Is your company currently certified as a Local Small Business Enterprise, minority, woman, or service- disabled veteran owned business (MWBE or SDVBE) with Osceola County? (For more info, call (407) 742 -0900 prior to RFP due date.) Yes X No If yes, please enclose a copy of your Certificate with your RFP submission. 4. Based on your total workforce, please provide the number of workers your company employees by the ethnic affiliations listed in the chart below. Male Female Hispanic 1 Latino 55 2 Caucasian / White 854 62 African American/Black 122 3 Asian / Pacific Islander 8 1 American Indian / Native American 6 0 Thank you for participating in this survey. Preparer's Name (print please): Helga Christoforatos Preparer's Signature �`— Date. 11/20/15 Rev. June 2011 Page 32 of 34 Rev. 02 -2015 AGREEMENT THIS AGREEMENT is made by and between OSCEOLA COUNTY, a political subdivision of the State of Florida, 1 Courthouse Square, Kissimmee, Florida 34741, hereinafter referred to as the "COUNTY", and Miller Electric Company, 2251 Rosselle Street, Jacksonville, Florida 32204, hereinafter referred to as the "CONTRACTOR ". W! TNESSE TH. WHEREAS, the COUNTY has competitively solicited for Video Surveillance and Access Control Repair, Maintenance, Upgrades and New Installation, pursuant to RFP- 164469 -TP; and WHEREAS, the CONTRACTOR has exhibited by its response to the solicitation that it is capable of providing the required services; and WHEREAS, the parties hereto have agreed to the terms and conditions cited herein based on said solicitation. NOW, THEREFORE, in consideration of the mutual covenants, terms, and provisions contained herein, the parties agree as follows: SECTION 1 TERM. The term of this Agreement shall begin on April 19, 2016 and continue through April 18, 2019, and may be extended when in the best interest of the County. SECTION 2 SCOPE OF SERVICES. The CONTRACTOR will furnish and install all necessary labor, materials, and equipment to complete the services set forth in Exhibit "A" which is attached hereto and incorporated herein. SECTION 3. OBLIGATIONS OF THE CONTRACTOR. Obligations of the CONTRACTOR shall include, but not be limited to, the following: A. It is understood that the CONTRACTOR shall provide and pay for all labor, tools, materials, permits, equipment, transportation, supervision, and any and all other items or services, of any type whatsoever, which are necessary to fully complete and deliver the services requested by the COUNTY, and shall not have the authority to create, or cause to be filed, any liens for labor and/or materials on, or against, the COUNTY, or any property owned by the COUNTY. Such lien, attachment, or encumbrance, until it is removed, shall preclude any and all claims or demands for any payment expected by virtue of this Agreement. B. The CONTRACTOR will ensure that all of its employees, agents, sub - contractors, representatives, volunteers, and the like, fully comply with all of the terms and conditions set herein, when providing services for the COUNTY in accordance herewith. C. The CONTRACTOR shall be solely responsible for the means, methods, techniques, sequences, safety programs, and procedures necessary to properly and fully complete the work set forth in the Scope of Services. D. The CONTRACTOR will maintain an adequate and competent staff, and remain authorized to do business within the State of Florida. The CONTRACTOR may subcontract the services requested by the COUNTY; however, the CONTRACTOR is fully responsible for the satisfactory completion of all subcontracted work. SECTION 4 STANDARD OF CARE. A. The CONTRACTOR has represented to the COUNTY that it possesses a level of knowledge, experience, and expertise that is commensurate with firms in the areas of practice required for the services to be provided. By executing this Agreement, the CONTRACTOR agrees that the CONTRACTOR will exercise that degree of care, knowledge, skill, and ability as any other similarly situated contractor possessing the degree of skill, knowledge, experience, and expertise within the local area, working on similar activities. The CONTRACTOR shall perform the services requested in an efficient manner, consistent with the COUNTY's stated scope of services and industry standards. B. The CONTRACTOR covenants and agrees that it and its employees, agents, sub- contractors, representatives, volunteers, and the like, shall be bound by the same standards of conduct as stated above. SECTION 5. COMPENSATION. A. The amount to be paid under this Agreement for services rendered will not exceed One Million Eight Hundred Thousand and 00 /100 Dollars (S 1,800,000.00) for the term of this Agreement, in accordance with the pricing schedule set forth in Exhibit "B" which is attached hereto and made a binding part hereof. B. Compensation for services completed by the CONTRACTOR will be paid in accordance with section 2l 8.70, Florida Statutes, Florida's Prompt Payment Act. C. Services to be performed in accordance with this Agreement are subject to the annual appropriation of funds by the COUNTY. In its sole discretion, the COUNTY reserves the right to forego use of the CONTRACTOR for any project 2 Rey- 1215 which may fall within the Scope of Services listed herein. In the event the COUNTY is not satisfied with the services provided by the CONTRACTOR, the COUNTY will hold any amounts due until such time as the CONTRACTOR has appropriately addressed the problem. SECTION 6. TERMINATION. Either party may terminate this Agreement, with or without cause, given sixty (60) days written notice to the other party. SECTION 7. PAYMENT WHEN SERVICES ARE TERMINATED. A. In the event of termination of this Agreement by the COUNTY, and not due to the fault of the CONTRACTOR, the COUNTY shall compensate the CONTRACTOR for all services performed prior to the effective date of termination. B. In the event of termination of this Agreement due to the fault of the CONTRACTOR, or at the written request of the CONTRACTOR, the COUNTY shall compensate the CONTRACTOR for all services completed, prior to the effective date of termination, which have resulted in a usable product, or otherwise tangible benefit to the COUNTY. All such payments shall be subject to an off -set for any damages incurred by the COUNTY resulting from any delay occasioned by early termination. This provision shall in no way be construed as the sole remedy available to the COUNTY in the event of breach by the CONTRACTOR. SECTION 8. INSURANCE. A. The CONTRACTOR shall maintain the following types of insurance, with the respective limits, and shall provide proof of same to the COUNTY, in the form of a Certificate of Insurance prior to the start of any work hereunder: I. AUTOMOBILE LIABILITY: One Million Dollars ($1,000,000.00) Combined Single Limit, All Automobiles; 2. GENERAL LIABILITY: One Million Dollars ($1,000,000.00) each occurrence; a. Damage to Rented Premises — Fifty Thousand Dollars ($50,000) any single occurrence; b. Medical Expense — Five Thousand Dollars ($5,000) Any one person; C. Personal & Advertising Injury — One Million Dollars (51,000,000) 3. GENERAL AGGREGATE: Onc Million Dollars (51,000,000.00); 4. EXCESS/UMBRELLA COVERAGE: One Million Dollars ($1,000,000.00); 3 Rev 12 13 5. PRODUCTS — COMPLETED OPERATIONS AGGREGATE: Two Million Dollars ($2,000,000.00); and, 6. WORKERS' COMPENSATION: Employers' liability insurance which covers the statutory obligation for all persons engaged in the performance of the work required hereunder with limits not less than $1,000,000.00 per occurrence. Evidence of qualified self - insurance status will suffice for this subsection. The CONTRACTOR understands and acknowledges that it shall be solely responsible for any and all medical and liability costs associated with an injury to itself and/or to its employees, sub - contractors, volunteers, and the like, including the costs to defend the COUNTY in the event of litigation against same. B. The CONTRACTOR shall name the "Osceola County Board of County Commissioners" as a certificate holder and/or as additional insured, to the extent of the services to be provided hereunder, on all required insurance policies, and provide the COUNTY with proof of same. C. The CONTRACTOR shall provide the COUNTY's Procurement Services with a Certificate of Insurance evidencing such coverage for the duration of this Agreement. Said Certificate of Insurance shall be dated and show: I . The name of the insured CONTRACTOR, 2. The specified job by name and job number, 3. The name of the insurer, 4. The number of the policy, 5. The effective date, 6. The termination date, 7. A statement that the insurer will mail notice to the COUNTY at least thirty (30) days prior to any material changes in the provisions or cancellation of the policy. D. Receipt of certificates or other documentation of insurance or policies or copies of policies by the COUNTY, or by any of its representatives, which indicates less coverage than is required, does not constitute a waiver of the CONTRACTOR's obligation to fulfill the insurance requirements specified herein. E. The CONTRACTOR shall ensure that any sub- contractor(s), hired to perform any of the duties contained in the Scope of Services of this Agreement, maintain the same insurance requirements set forth herein. In addition, the CONTRACTOR shall maintain roof of same on file and made readily available upon request b III P Y P � Y the COUNTY. 4 Rev 12:15 SECTION 9. COUNTY OBLIGATIONS. At the CONTRACTOR's request, the COUNTY agrees to provide, at no cost, all pertinent information known to be available to the COUNTY to assist the CONTRACTOR in providing and performing the required services. SECTION 10. ENTIRE AGREEMENT. This Agreement, including referenced exhibits and attachments hereto, constitutes the entire agreement between the parties and shall supersede, replace and nullify any and all prior agreements or understandings, written or oral, relating to the matters set forth herein, and any such prior agreements or understandings shall have no force or effect whatsoever on this Agreement. SECTION 11. APPLICABLE LAW, VENUE, JURY TRIAL. The laws of the State of Florida shall govern all aspects of this Agreement. In the event it is necessary for either party to initiate legal action regarding this Agreement, venue shall lie in Osceola County, Florida. The parties hereby waive their right to trial by jury in any action, proceeding or claim, arising out of this Agreement, which may be brought by either of the parties hereto. SECTION 12. PUBLIC RECORDS. The CONTRACTOR understands that by virtue of this Agreement all of its documents, records and materials of any kind, relating to the relationship created hereby, shall be open to the public for inspection in accordance with Florida law. If CONTRACTOR will act on behalf of the COUNTY, as provided under section l 19.011(2), Florida Statutes, the CONTRACTOR, subject to the terms of section 287.058(1)(c), Florida Statutes, and any other applicable legal and equitable remedies, shall: A. Keep and maintain public records that ordinarily and necessarily would be required by the COUNTY in order to perform the service; and B. Provide the public with access to public records on the same terms and conditions that the COUNTY would provide the records and at a cost that does not exceed the cost provided by Florida law; and C. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law; and D. Meet all requirements for retaining public records and transfer, at no cost, to the COUNTY all public records in possession of the contractor upon termination of the contract and destroy any duplicate public records that are exempt or confidential 5 Rev 1115 and exempt from public records disclosure requirement. All records stored electronically must be provided to the COUNTY in a format that is compatible with the information technology systems of the county. E. If the CONTRACTOR does not comply with a public records request, the COUNTY shall enforce the contract provisions in accordance with the contract. SECTION 13. INDEPENDENT CONTRACTOR. This Agreement does not create an employee /employer relationship between the parties. It is the parties' intention that the CONTRACTOR, its employees, sub - contractors, representatives, volunteers, and the like, will be an independent contractor and not an employee of the COUNTY for all purposes, including, but not limited to, the application of the following, as amended: the Fair Labor Standards Act minimum wage and overtime payments, the Federal Insurance Contribution Act, the Social Security Act, the Federal Unemployment Tax Act, the provisions of the Internal Revenue Code, the State of Florida revenue and taxation laws, the State of Florida workers' compensation laws, the State of Florida unemployment insurance laws, and the Florida Retirement System benefits. The CONTRACTOR will retain sole and absolute discretion in the judgment of the manner and means of carrying out the CONTRACTOR's activities and responsibilities hereunder. SECTION 14. APPLICABLE LICENSING. The CONTRACTOR, at its sole expense, shall obtain all required federal, state, and local licenses, occupational and otherwise, required to successfully provide the services set forth herein. SECTION 15. COMPLIANCE WITH ALL LAWS. The CONTRACTOR, at its sole expense, shall comply with all laws, ordinances, judicial decisions, orders, and regulations of federal, state, county, and municipal governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following the execution of this Agreement. SECTION 16. INDEMNIFICATION. The CONTRACTOR agrees to be liable for any and all damages, losses, and expenses incurred, by the COUNTY, caused by the acts and/or omissions of the CONTRACTOR, or any of its employees, agents, sub - contractors, representatives, volunteers, or the like. The CONTRACTOR agrees to indemnify, defend and hold the COUNTY harmless for any and all claims, suits, judgments or damages, losses and expenses, including but not limited to, court costs, expert witnesses, consultation services and attorney's fees, arising from any and all acts and/or omissions of the CONTRACTOR, or any of its employees, agents, sub - contractors, 6 Rev 12:15 representatives, volunteers, or the like. Said indemnification, defense, and hold harmless actions shall not be limited by any insurance amounts required hereunder. SECTION 17. SOVEREIGN IMMUNITY. The COUNTY expressly retains all rights, benefits and immunities of sovereign immunity in accordance with Section 768.28, Florida Statutes. Notwithstanding anything set forth in any section, article or paragraph of this Agreement to the contrary, nothing in this Agreement shall be deemed as a waiver of sovereign immunity or limits of liability which may have been adopted by the Florida Legislature or may be adopted by the Florida Legislature, and the cap on the amount and liability of COUNTY for damages, attorney fees and costs, regardless of the number or nature of claims in tort, equity or contract, shall not exceed the dollar amount set by the Florida Legislature for tort. Nothing in this Agreement shall inure to the benefit of any third party for the purpose of allowing any claim against the COUNTY which would otherwise be barred under the Doctrine of Sovereign Immunity or operation of law. SECTION 18. BANKRUPTCY OR INSOLVENCY. If the CONTRACTOR shall file a Petition in Bankruptcy, or if the same shall be adjudged bankrupt or insolvent by any Court, or if a receiver of the property of the CONTRACTOR shall be appointed in any proceeding brought by or against the CONTRACTOR, or if the CONTRACTOR shall make an assignment for the benefit of creditors, or proceedings shall be commenced on or against the CONTRACTOR's operations of the premises, the COUNTY may terminate this Agreement immediately notwithstanding the notice requirements of Section 6 hereof. SECTION 19. BINDING EFFECT This Agreement shall be binding upon and ensure to the benefit of the parties hereto, their heirs, personal representatives, successors, and/or assigns. SECTION 20, ASSIGNMENT. This Agreement shall only be assignable by the CONTRACTOR upon the express written consent of the COUNTY. SECTION 21. SEVERABILITY All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on any other provision of this Agreement. It is understood by the parties hereto that if any part, term, or provision of this Agreement is by the courts held to be illegal or in conflict with any law of the State of Florida or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations 7 Rev 12 I S of the parties shall be construed and enforced as if the Agreement did not contain the particular part, term, or provision held to be invalid. SECTION 22. WAIVER. Failure of the parties to insist upon strict performance of any of the covenants, terms, provisions, or conditions of this Agreement, or to exercise any right or option herein contained, shall not be construed as a waiver or a relinquishment for the future of any such covenant, term, provision, condition, or right of election, but same shall remain in full force and effect. SECTION 23. NOTICE. The parties hereto agree and understand that written notice, mailed or delivered to the last known mailing address, shall constitute sufficient notice to the COUNTY and the CONTRACTOR. All notices required and/or made pursuant to this Agreement to be given to the COUNTY and the CONTRACTOR shall be in writing and given by way of the United States Postal Service, first class mail, postage prepaid, addressed to the following addresses of record: COUNTY: Osceola County Attention: Procurement Services 1 Courthouse Square, Suite 2300 Kissimmee, Florida 34741 CONTRACTOR: Miller Electric Company 2251 Rosselle Street Jacksonville, Florida 32204 SECTION 24. MODIFICATION. The covenants, terms, and provisions of this Agreement may be modified by way of a written instrument, mutually accepted by the parties hereto. In the event of a conflict between the covenants, terms, and/or provisions of this Agreement and any written Amendment(s) hereto, the provisions of the latest executed instrument shall take precedence. SECTION 25. HEADINGS. All headings of the sections, exhibits, and attachments contained in this Agreement are for the purpose of convenience only and shall not be deemed to expand, limit or change the provisions contained in such sections, exhibits, and attachments. SECTION 26. ADMINISTRATIVE PROVISIONS. In the event the COUNTY issues a purchase order, memorandum, letter, or any other instrument addressing the services, work, and materials to be provided and performed pursuant to 8 Rev 12: 15 this Agreement, it is hereby specifically agreed and understood that any such purchase order, memorandum, letter, or other instrument is for the COUNTY's internal purposes only, and any and all terms, provisions, and conditions contained therein, whether printed or written, shall in no way modify the covenants, terms, and provisions of this Agreement and shall have no force or effect thereon. SECTION 27. CONFLICT OF INTEREST. The CONTRACTOR warrants that the CONTRACTOR has not employed or retained any company or person, other than a bona fide employee working solely for the CONTRACTOR, to solicit or secure this Agreement, and that the CONTRACTOR has not paid or agreed to pay any person, company, corporation, individual, or firm any fee, commission, percentage, gift, or any other consideration, contingent upon or resulting from the award or making of this Agreement. For the breach or violation of this Paragraph, the COUNTY shall have the right to terminate this Agreement immediately, without liability and without regard to the notice requirements of Section 6 hereof. SECTION 28. PUBLIC ENTITY CRIMES. As required by section 287.133, Florida Statutes, the CONTRACTOR warrants that it is not on the convicted contractor list for a public entity crime committed within the past thirty six (36) months. The CONTRACTOR further warrants that it will neither utilize the services of, nor contract with, any supplier, sub - contractor, or consultant in connection with this Agreement for a period of thirty six (36) months from the date of being placed on the convicted contractor list. SECTION 29. EMPLOYMENT ELIGIBILITY VERIFICATION (E- VERIFY) In accordance with State of Florida, Office of the Governor, Executive Order 11 -116 (superseding Executive Order 11 -02; Verification of Employment Status), in the event performance of this Agreement is or will be funded using state or federal funds, the CONTRACTOR must comply with the Employment Eligibility Verification Program ( "E -Verify Program ") developed by the federal government to verify the eligibility of individuals to work in the United States and 48 CFR 52.222 -54 (as amended) is incorporated herein by reference. If applicable, in accordance with Subpart 22.18 of the Federal Acquisition Register, the CONTRACTOR must (1) enroll in the E -Verify Program, (2) use E -Verify to verify the employment eligibility of all new hires working in the United States, except if the CONTRACTOR is a state or local goverment, the CONTRACTOR may choose to verify only new hires assigned to the Agreement; (3) use E -Verify to verify the employment eligibility of all employees assigned to the Agreement; and (4) include these requirement in certain subcontract, such as construction. Information on registration for and use of the E -Verify Program can be obtained via the internet at the Department of Homeland Security Web site: hqp: / /www.dhs.gov /E- Verify 9 Re% 12!15 SECTION 30. JOINT AUTHORSHIP. This Agreement shall be construed as resulting from joint negotiation and authorship. No part of this Agreement shall be construed as the product of any one of the parties hereto. SECTION 31. EQUAL OPPORTUNITY EMPLOYER. The CONTRACTOR is an Equal Opportunity Employer and will comply with all equal opportunity employment laws. The CONTRACTOR will further ensure that all sub - contractors it utilizes in providing the services required hereunder will comply with all equal opportunity employment laws. SECTION 32. AUDITING. RECORDS, AND INSPECTION. In the performance of this Agreement, the CONTRACTOR shall keep books, records, and accounts of all activities, related to the Agreement, in compliance with generally accepted accounting procedures. Throughout the term of this Agreement, books, records, and accounts related to the performance of this Agreement shall be open to inspection during regular business hours by an authorized representative of the COUNTY, and shall be retained by the CONTRACTOR for a period of three years after termination or completion of the Agreement, or until the full County audit is complete, whichever comes first. The COUNTY shall retain the right to audit the books during the three -year retention period. All books, records, and accounts related to the performance of this Agreement shall be subject to the applicable provisions of the Florida Public Records Act, chapter 119, Florida Statutes. The COUNTY also has the right to conduct an audit within sixty (60) days from the effective date of this Agreement to determine whether the CONTRACTOR has the ability to fulfill its contractual obligations to the satisfaction of the COUNTY. The COUNTY has the right to terminate this Agreement based upon its findings in this audit without regard to the termination provision set forth herein. SECTION 33. PROJECT MANAGERS. The COUNTY and the CONTRACTOR have identified individuals as Project Managers, listed below, who shall have the responsibility for managing the work performed under this Agreement. The person or individual identified by the CONTRACTOR to serve as its Project Manager for this Agreement, or any replacement thereof, is subject to prior written approval and acceptance of the COUNTY. If the COUNTY or CONTRACTOR replace their current Project Manager with another individual, an amendment to this agreement shall not be required. The COUNTY will notify the CONTRACTOR, in writing, if the current COUNTY Project Manager is replaced by another individual. A. The COUNTY Project Manager's contact information is as follows: 10 Rev 12-15 David Owens, Assistant Information Technology Director Osceola County Information Technology 1 Courthouse Square, Suite 2200 Kissimmee, Florida 34741 Telephone: 407 - 742 -2900 Email: david.owens(a)osceola ore B. The CONTRACTOR Project Manager's contact information is as follows: Melissa Haynie, Project Manager Miller Electric Company 317 Northlake Boulevard, Suite 1020 Altamonte Springs, Florida 32701 Telephone: 407 - 328 -5220 Email: mhaynie(uci)sitesecure.com SECTION 34. PUBLIC EMERGENCIES. It is hereby made a part of this Agreement that before, during, and after a public emergency, disaster, hurricane, tornado, flood, or other acts of God, Osceola County shall require a "First Priority" for goods and services. It is vital and imperative that the health, safety, and welfare of the citizens of Osceola County are protected from any emergency situation that threatens public health and safety as determined by the COUNTY. The CONTRACTOR agrees to rent/sell / lease all goods and services to the COUNTY or governmental entities on a "first priority" basis. The COUNTY expects to pay contractual prices for all products and/or services under this Agreement in the event of a disaster, emergency, hurricane, tornado, flood, or other acts of God. Should the CONTRACTOR provide the COUNTY with products and/or services not under this Agreement, the COUNTY expects to pay a fair and reasonable price for all products and/or services rendered or contracted in the event of a disaster, emergency, hurricane, tornado, flood, or other acts of God. SIGNATURE PAGE TO FOLLOW I 1 Rev 12:15 IN WITNESS WHEREOF, the parties hereto, by their duly authorized representatives, have executed this Agreement effective the _ day of , 2016. BOARD OF COUNTY COMMISSIONERS OF OSCEOLA COUNTY, FLORIDA By: Chairwoman/Vice Chairwoman ATTEST: OSCEOLA COUNTY CLERK OF THE BOARD By: Clerk/ Deputy Clerk of the Board As authorized for execution at the Board of County Commissioners meeting o£ MILLER ELECTRIC COMPANY By: Print: ' oL... l Title: V 4' cjL Or e. S t STATE OF FLORIDA COUNTY OF 65ft t I ND The foregoing instrument was executed before n me thi. day of A 2016, by ,bw i d � . ((j rtq t as i U 7 Y''�..c I d tom } of Miller Electric Company, who personally swore ot that he/she is authorized to execute this Agreement and thereby bind the Corporation, and who is personally known tome OR has produced as identification. NOTARY UBLIC, State of Flonda e naw w (gyp) j ° M!"�" ' w,�.,,� rr 174M 12 Rev 12/15 i Exhibit "A" Scope of Services and Technical Requirements A. Purpose: 1. It is the intent of Osceola County to contract with a qualified Contractor for the purpose of awarding various maintenance, install, repair, refurbishment, construction and equipment replacement of physical security systems associated with Osceola County facilities. The successful bidder shall furnish all parts, materials, equipment, labor and supervision as necessary to calibrate, maintain, construct and install the assigned repair, refurbishment and I or replacement of security systems. 2. The successful bidder shall supply technical and programming services for the purpose of maintaining and optimizing various security databases and systems within Osceola County facilities. B. Special Conditions: 1. All bidders shall be required to submit proof of current licenses or certifications as required below: a. The Contractor shall be an authorized Genetec Unified Elite partner. b. The Contractor shall be a Florida Certified Electrical Contractor (Electrical Fire, EF or Electrical Contractor, EC Minimum). c. The Contractor shall be a Florida Certified General Contractor (GC) and have a minimum of 5 years' experience in performing physical security improvements to structures, walls, fences and other apparatuses needed to secure facilities. d. The Contractor shall maintain, on staff, a minimum of one employee that is BISCI Registered Communications Distribution Designer (RCDD), or Axis Certified Professional. e. The Contractor shall maintain, on staff, a minimum of one employee that is Genetec Certified. f. The Contractor shall maintain, on staff, or utilize, a Cisco CCNP Certified professional when interacting with the security communications network. g. The Contractor shall utilize "like- for - like" parts for all existing systems which may affect the security communications network. h. For all new systems and system enhancements, all parts shall be new (non- refurbished). For all network switches, all items must be supplied by a Cisco certified reseller. 2. All bidders shall submit references for the following: a. The Contractor must have completed the installation of a minimum of one (1) Genetec digital video surveillance system within the last two (2) years. Contractor must show four (4) years of experience in the maintenance of Genetec digital video surveillance systems. b. References shall include the name and locations of projects, contact person name, title and telephone number. 13 Rev 12.15 C. Response Time: 1. For all Contractor installed systems the Contractor must maintain an inventory of commonly used or restricted availability parts and provide delivery within two (2) hours for inoperable systems or within 5 business days for non - emergency needs. Any exceptions must be approved and agreed upon with the County. 2. For all non - Contractor installed systems the Contractor must provide evidence of part order placement and an ETA on delivery of the parts within forty -eight (48) hours after receiving the Purchase Order. After delivery of parts, installation must be completed within two (2) hours for inoperable systems or within 5 business days for non- emergency needs. 3. The Contractor must provide service twenty -four (24) hours per day, including weekends and holidays. The Contractor must be able to respond with a knowledgeable trained technician to Osceola County sites within two (2) hours of notification for critical emergency service and within two (2) business days of notification for non- critical non - emergency service. 4. The Contractor shall provide the services of a professional answering service or dispatcher service for non - normal business hours contact. D. Project Assignment and Pricing: For each project, the Contractor shall submit a complete written estimate prior to initiation of any work. The project requestor shall evaluate the estimates and, if found acceptable, shall provide written authorization in the form of a Purchase Order prior to the Contractor proceeding with the work. The County shall not honor any unauthorized charges. E. Sub - Contractors. Permits and Parts: 1. Sub - contractors shall only be utilized after receiving written approval by the County. Charges for sub - contractors shall be marked -up per the bid schedule (to be included in the bid) and the Contractor shall be required to provide supporting documentation of sub - contractors charges. 2. The Contractor shall be responsible to apply for and obtain all permits required to complete the assigned projects. Charges for permits fees shall not be marked up and the Contractor shall provide supporting documentation of all permit fee charges. 3. All parts necessary to complete the assigned projects shall be marked up at rate no greater than the maximum mark up as shown on the bid schedule form (to be included in the bid). No additional delivery costs will be paid. The Contractor will be required to provide supporting documentation of actual parts costs for every invoice submitted. F. Scope of Work: 1. Repairs / Corrective Maintenance: In the event of equipment failure, the Contractor will provide the supervision, labor, and equipment necessary to return the affected system(s) to normal operation. The Contractor will also provide the necessary replacement materials and parts. The Contractor is expected to respond 24 hours a day, 14 Rev 1215 seven days a week, and to be on -site with a trained technician within two (2) hours after being notified of emergency need or within two (2) business days for non - emergency needs in accordance with the terms of this Contract. 2. Preventive Maintenance: The Contractor will perform inspections, cleaning, performance checks, and consumable replenishment or replacement, and system calibrations. The Contractor will provide a breakdown of recommended preventive maintenance activities and schedule for Osceola County approval. 3. Renewal and Replacement: If as a result of either corrective or preventive maintenance the Contractor discovers deficiencies, and the correction or resolution of such deficiencies requires a level of effort or expenditure beyond the tasks specified and authorized in the Purchase Order Form, the Contractor shall submit to the County a proposal for the additional work necessary. 4. Provision of Material and Parts: The Contractor is expected to provide the necessary materials and replacement parts for both corrective and preventive maintenance. Osceola County may at its option provide parts and consumables from its own inventory for Contractor installation. 5. Asset Inventory and Database: The Contractor will create and maintain, in a format acceptable to Osceola County, a database of all equipment (including recommended spare parts) covered by this Contract. Definitions, identification conventions, and an initial list of security system components will be provided to Osceola County, the Contractor will verify all asset data provided to Osceola County and confirm its accuracy. The Contractor is also expected to add to, delete from, or modify any security system asset data provided by Osceola County. All replaced equipment will be entered into the database. The database will remain the property of Osceola County. 6. The Contractor shall assist in design, document review, construct, furnish and install all security control and associated equipment as specified to perform the intended function on an as- required basis. Work shall include the following: all labor, materials and equipment to complete the specifications; manufacturing and factory tests; delivery to the site; programming; interfacing with all existing alarm, access control, video and security systems; calibration; installation; system start-up services; training; and incidentals required to completely furnish and install security equipment at Osceola County facilities as designated. 7. The Contractor shall supply technical and programming services as required to troubleshoot and optimize Osceola County's existing alarm, access control, and video surveillance systems. These services shall be charged on an hourly basis per the bid schedule. 8. The Contractor shall provide detailed documentation and diagrams to the County when installing a new system or significantly altering an existing one. The documentation requirements will be agreed upon with the County per project. 9. Programming services shall include alarm, access control, and video surveillance equipment and systems programming, software maintenance and data backups. The hourly rates for these services shall include all application and documentation files being supplied to Osceola County on electronic media. All Contractor supplied 15 Rev 12 15 programming services and applications turned over to or installed in Osceola County systems shall become property of Osceola County. 10. The Contractor shall provide technical support such as cost estimates, recommend actions of repair versus replacement, life expectancy, and maintenance recommendations at no additional costs to the County. 11. The Contractor shall supply 24x7x365 technical telephone support services as required. At the start of each telephone support session, the Contractor shall assign a "Case Number" and log the start time and completion time. 12. The Contractor shall provide Vulnerability Assessments on new and existing facilities per Homeland Security and EPA Guidelines. These services shall be provided as Security Consultant Services. G. Quantities: The estimated quantities are given only as a guideline for preparing the bid and should not be construed as representing actual quantities to be purchased under this contract. The County makes no covenant or promise as to the number of available projects, or quantity of hours, or amount of work that the Contractor will perform on any project for the County during the life of this Agreement. H. Emergency Services: 1. Emergency Services are those services initiated during non - normal business hours and/or requiring priority response. Emergency Service shall be billed at the scheduled hourly rates plus emergency service multiplier. Planned or scheduled work during non- business hours shall not be considered emergency service and shall be invoiced at the normal scheduled rates. 2. Normal Business Hours under this agreement are Monday through Friday, 0600 through 1800 hours, excluding published County holidays. 3. The Contractor shall maintain a 24 hour, 365 day answering service for incoming service calls. All service calls shall be logged and the log shall be submitted to Osceola County on a monthly basis. 4. Repeated failure to meet established response times will be considered as grounds to terminate this agreement. I. Obligations of the Contractor: During the performance of work pursuant to this Contract, the Contractor will: I . Provide Osceola County with a monthly schedule for all planned work, and reschedule such work when notified by Osceola County that the work cannot be performed at that time. The Contractor will not be compensated if work cannot be performed due to foreseeable circumstances. 2. Employ professional, qualified, and responsible service technicians to perform the work. The Contractor is expected to employ service technicians trained in the maintenance and installation of the specific types of equipment used in the Osceola County video and security systems. 16 Rcv 12!15 3. Maintain a neat and clean workspace both during and after the performance of work. All trash will be removed from the site and deposited as appropriate. Any fireproofing, caulking or other materials that must be removed for the installation or performance of maintenance will be re- installed or repaired as appropriate. Ensure that necessary markings are installed where appropriate to identify new circuits, cables, or equipment as applicable. 4. Observe all Osceola County site access and security procedures. As these procedures are subject to change, the Contractor is responsible for familiarizing the service technicians with current requirements; violation of site access and security procedures is a serious breach of the terns of this Contract. Failure to personally and properly notify Osceola County as required is a violation of the terms of this Contract. For each on -site visit to an Osceola County facility the Contractor's service technicians will, at a minimum: a. Site visits must be coordinated in advance with County personnel. b. Where relevant, upon entry to a secured location, document the date, time of arrival, name of all personnel, and reason for the visit into the facility's log book. c. Document into the facility's log book completion of the work prior to exiting the facility and notify Osceola County. d. Upon request the contractor must present a Contractor photo ID badge and/or Government issued Photo. 5. Maintain documentation of all work performed under this Contract on forms provided - or approved by Osceola County. All such documentation will become the property of Osceola County upon termination of this Contract. Invoices submitted by the Contractor will not be approved for payment unless written documentation of all work for which the Contractor seeks payment are attached. At the minimum, documentation will include: a. Contractor name, complete address, and contact information b. Date, time, and location of site visit c. Reason for site visit d. Brief description of work performed or accomplished e. Any observed deficiencies or operational issues and recommendations for resolution f. Required or recommended follow -up g. Parts and/or consumables used h. Labor hours i. Participating Contractor personnel j. Osceola County Purchase Order number k. Approval by Contractor Operations Manager All work performed will be certified as complete by the project requestor or delegated evaluator prior to payment of the invoice. J. Warmn All projects and work performed under this agreement shall have a minimum 24 month parts and labor warranty. Should the manufacturer's warranties exceed 24 months, the 17 Rev 12.15 manufacturers' warranty shall prevail with only the Contractor's normal labor rates being charged after the initial 24 month period. THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK 18 Rev 12 .15 Exhibit "B" Pricing Schedule Parts and Sub - Contractor Mark -up Description % Mark -up (Maximum %) All Materials and Parts Invoice plus 15 % Sub - Contractors Invoice plus 15 % Equipment Rentals Invoice plus 15 % Labor Hours Price Schedule Description Rate Units Project Management $ 125.00 Per Hour Installation Technician $ 105.00 Per Hour Installation Technician (Helper) $ 95.00 Per Hour Application Engineer $ 115.00 Per Hour Draftsman /CADD Technician $ 95.00 Per Hour Clerical (OW Documentation) S 75.00 Per Hour Other (Please explain) $ Per Hour Emergency Services Multi lier Emergency Services /Critical Response Rate will be calculated at value times the hourly rate for the necessary labor categories 1.5 times the hourly labor rate utilized. I) Ro 1' 1, OSCEOLA COUNTY Evaluation Matrix Procurement Services Solicitation Number: RFP- 164469.TP 1 Courthouse Square, Suite 2300 Solicitation Title Video Surveillance and Access Control Security System Repairs.. Kissimmee, FL 34741 ERC Meeting Date: January 8, 2016 Phone: ( 407) 742 -0900 Presentation Date: WA Fax: (407) 742-0901 VENDOR NAME4 Max SiteSecure /Miller Points Electric Company Evaluation Criteria Combined vera a ERC Scores A Firm Qualifications and Experience 25 B. Similar Projects 30 C. Project Approach 20 0 D. Price Proposal / Fee Schedule (Attachment F) 25 25 E. Additional Information 0 0 Average Totals 100 25 Combined Total EC Score for Vendor 400 100 Rankin At the December 8. 2015 evaluation committee meeting, the evaluation committee unanimously agreed to select the top scoring vendor Ellis Total Lawn Care as their recornmended awardee. i -- .......... OSCEOLA COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST - �ICiI Y: INFORMATION TECHNOLOGY ML'EnNG DATE 4/11/2016 D COUNTY ADMINISTRATION MEETING TYPE.: BCC REGULAR DiREcT. OR/hIANACCR: RICHARD VAN NA'ITA REQUEST TYPE: CONSEINY AGENDA REQUEST Approval and authorization for the Ch imomanNice Chairwoman to sign a service agreement with Miller I leetric Company of Jacksonville, f�larida, for the award to provide video surveillance and access control repairs, maintenance, upgrades and new installation Count wide on an as needed basis for the period beginning April .19.2016, and continuing through April 18, 2019 (RFP #.164469 -TP); estimated expenditures !half not exceed $1.,800,000. STRATEGIC PLAN GOAL. °#4 Ensui e-Cost- ctive and Hi .=Perf'prtnin Coun!X Government RPM STRATEGIC PLAN .ACTION I TEM FINANCIAL INFOI1MATION TO' rAL REQues- reDAmouN:r: $1,800,000 'Funds -are- appropriated in various department budgets countywide for this purpose. Verification of fluid 4 will be confirmed prior to thc,placemcnt of the order With the supplier: This is a multi -year agreement. Appropriations beyond Fiscal Year 20 are subject to future Board approval. APPROVING DEPARTMENTS- OMB Amanda Clavijci BACKGROUND INFORMATION • This agreement peovkles:for repaiis,iaWthance, upgrades and new installations tathe County's video surveillance and physical access control security systems at various•Cdunty facilities including but not limited to Corrections, County Courthouse Complex, County warehouse storage. facilities, Emergency Operations Center, Fire Stations, Libraries, and Osceola Heritage Park. This will provide for needed.impmvements and enhancements to existing systems, as well as greater standardization of the ac cess control systems in use throughout the County, thereby reducing the cost of maintaining and administering aging and disparate systems, Hhile also.incteasing di -tw6perability and overall security of the facilities- • For FY 2016 the estimated expenditures are $435,000 for services at the County Administration Building, Corrections, County Courthouse, Fire Logistics Wii iehouse, and Parking Garage. • Annual maintenartceAs approximately 5240,000 and is included in the total contract value- In addition to the FY16 projects and ongoing annual maintenance, the contract allows for additional projects at various County facilities including.Corrections, the Government Center and Heritage Park. All anticipated ptvieets are designed to improve security and create greater standardization and efficiencies. • All fi"0 ro' is are sgNect'.to tho Board's ation and approval. of total A vil and oxkxAinn of this agreement does not mean all oifthe requested cbntnwt authorization will be spent. Aid1kitatioliw issued on November.. 1, 20.15 with a due date 6(Deceftiber 1., 2015. • T-be- gqj#t advertised in the legal notices section of the Orl . ando on November 1, 2015, and in ft Osceola f4ws ou Novgmbcr 5, 2015. Thilpro _lect was uploaded for broadc" Osceola into the County VendorLink -bid ifotifica*ion system from which a to 1',555notifkadons were sent, rmiultin& a1d.tal of 58 plan holders downloading-the solicitation - documents. .. . The legal advcrtism& anti dWILiploading into VendorLink resulted in a total of I responses revived by the due date and time, with no submittals from Osceola Cbunty'vbndors. On January 4, 201 6, the Evaluation Cm (EQ met and disc ussed -the-proposal. The EC reached a consensus and Osceola "t.., r s datr and P e th*ewdcU.wm:inedd= the response received ftm.Mitter EkLh-k Company of iaclksonvillv, Florida was both a responsive and responsible proposal 9= met the services required by tho Canty. On October 1, 2014, Site-Seetu'b, LLCewas fully acquirmi by Miller Electric Company and now operates under the Miller EIleectrlc Company organization. • The Projo& Manger for this agmemerit is David Owens. • Staff rccbmr=nds=val and award. AGREEMENT THIS AGREEMENT, is made by and between OSC£OLA COUNTY, a - political subdivision of the State of'F1 - brida,.1 Courthouse Square, Kissimmee, Florida 34741, hereinafter referred -to as - the "COUN l'Y" and Miller Electric Company, 22S Rosselle Street, Jacksonville, Florida 32204, hereinafter referred to -as the `CONTRACTOR". WITNESSETH. WHEREAS, the COUNTY:has competitively solicited for Video Surveillance and Accem Control Repair, Maintenance, Upgrades and New installation, parsjml.to RFP -16- 44159 -TP; and WHEREAS, the CONTRACTOR has exhibited by its response to the solicitation that it is capable of providing the regdM scrvibes; and WHEREAS, the parties hereto have agreed to the terms and conditions cited herein based on said solicitation. NOW, THEREFORE, .in. consideration of the mutual covenauts, terms, and provisions contained herein, the parties agree as follows: SECTION 1 TERM: The term of this Agreement shall begin on April 19, 2016 and continue through April 18, 2019, and may be extended when in the best interest of the County: SECTION .2 SCOPE OF SERVICES. The CONTRACTOR will furnish and install all necessary. Libor, materials, and equipment to complete the services set forth in.Exhibit "A" which is allacbed hereto and incorporated herein_ SECTION 3. OBLIGATIONS OF THE CONTRACT..OIL Obligations of the CONTRACTOR shall include, but not be limited to, the following: A_ It is understood that.the CONTRACTOR shall provide and p4y for all labor, tools, materials, permits, equipment, transportation, supervision, and any and all other items or se vices,. of any type whatsoever, which are necessary to fully complete and deliver the services requested bythc COUNTY, and shall not have the authority to create, or cause to be filed, any lions for labor and/or materials on, or against, the COUNTY, or any property owned by the COUNTY. Such lien, attachment, or encumbrance, until it is removed, shall preclude -any and ail claims or demands for arty payment expected by virtue of flog Agreement. B. The CONTRACTOR will ensure that sill or its ensployees, agents, sub - contractors, representateves, volunteers, and the like, fully cbrnpry with all of the terms and conditions set herein, 'when providing services for the COUNTY in accordance herewith. C. The CONTRACTOR shall be solely responsible for the rneans, methods, techniques, sequences, safety programs, and procedures necessary to properly and fully complete the Work.set forth in the Scope of Services. D. The CONTRACTOR will maintain an adequate and competent staff, and main authorized'to do business within the State of Florida. The CONTRACTOR may subcontract the services requested by the COUNTY; however, the CONTRACTOR is fully respowsible for the satisfactory completion of all subcontracted work. SEC'T'ION 4 STANDARD OF CARE. A_ The CONTRACTOR has represented to the COUNTY that it possesses a level of knowledge, experience, and expertise that is commensurate with firms in the areas of practice required for. services to be provided_ By executing this Agreement, the CONTRACTOR agrees that the CONTRACTOR.will exercise that degree of care, knowledge skill, and ability as any other similarly situated contractor possessing the degree of skill, knowledge, experience, and expertise within the local area, working on similar activities. The CONTRACTOR shall perform the services requested iri an efficient manner, consistent with the COUNTY's stated scope of services and. industry standards. B. The CONTRACTOR covenants and agrees that it and its employees, agents, sub - contractors, representatives. voiunteers, and The like, shall be bound by the same standards of conduct as stated above. SECTTON S. COMPENSATION. A. The amount to be,paid under this Agreement for services rendered will not- exceed One Million Light Hundred Thousand and 00/ 100 Do:1][M. ($1,800,400.00) for the term ofthis Agreement, in accordance with the pricing schedule set.forth iii Exhibit "B" which is attached hereto and made a binding pan hereof. B. Compensation for services completed by the CONTRACTOR will be paid in accordance -with section 218.70, Florida Statutes, f loriida's Prompt Payment Act. C. Services to be performed in accordance with this Agreement are subject to the annual appropriation of funds by the COUNTY. In its sole discretion, the COUNTY reserves the right to forego use of the CONTRACTOR for any project 2 Rev 12115 which may fall within the Scope of Services listed hmin. In the event the COUNTY is nat.'sadsfied with the servim provided by the CONTRACTOR, the COUNTY will hold. any amounts due until such time as the CONTRACTOR has appropriately addressed the problem. SECTION 6. TFRNIINATION; Either party tnay terminate this Agreement, with or without cause, given sixty (60.) days written notice to the other-party. SECTION T. PAYMENT WHEN SERVW S ARE TE9WNATED. A. In the. event. of termination of this Agreement by the COUNTY, and not due to the fault of the- 0ONTRACTOR, the COUNTY shall compensate the CONTRACTOR for all services peffoimed prior to the effective date of termination. B. In the event. -of termination of this Agreement due to the fault of the CONTRACTOR,, or A the Written request of the CONTRACTOR, the COUNTY shall compensate the 'CONTRACTOR for all services completed, prior to the effective date of termination, which have resulted in a usable product, or otherwise tangible benefit to:thc COUNTY. All such payments shall be subject to an off -set for any damages incurred by the COUNTY resulting from any delay occasioned by early termination. This provision shall in noway be -construed as the sole remedy available to the COUNTY in the event of breach by the CONTRACT OR. SECTION a. IKSURAN.CE; A. The CONTRACTOR shall maintain the following types. of insurance, with the respective limi% and shall provide proof of same to - the COUNTY, in the form of a Certificate of Insurance - prior to the start of any worts hereunder: 1. AUTOMOBIL. F... LIABILITY: One. Million Dollars ($1,000,000.00) Combined Single Limit, All Automobiles; 2: GENERAL- :LIABILITY: One Million Dollars ($1,000,000.00) each occurrence; a. Damage to Rented Premises — Fifty Thousand Dollars ($50,000) any single occunence; b.. 11+ bdic al Expense - Five Thousand Dollars (55,000) Any one person; C. Personal & Advertising Injury One IVl llion Dollars ($1,000,000) 3. GENERAL AGGREGATE: One Million Dollars (51,000,000.00); 4. E3CCESS/UMBRELLA COVERAGE: One Million Dollars ($1,000,000.00); 3 Rai 12115 5. PRODUCTS. — COMPLETED OPERA ?IONS AGGREGATE?: Two MiMen Dollars ($2,040,000.00); and, 6. 'WORKERS' COMPENSATTON: Employers' IiabW insurance which cavern the statutory obligation for all persdns engaged in the performance of the werk_required hereunder with limits not less than $ 1,000,000.00 per occurrence. Evidence of qualified self- fiisurance status will .suffiice for this subsection. The CONTRACTOR understands and acknowledges that it shall be. :solely responsible for any and all. inedical and liability costs associated with an injury to itself and/or to its employees, sub- contractors, volunteers, and. the like, including the costs to defend the COUNTY in the event o €.litigation against same. B. The CONTRACTOR shall name the "Osceola County Board of County Commissioners" as a certificate holder and/or as additional insured, to the extent of the services to be provided hereunder, on -all .regtiiied insurance policies, and provide the COUNTY with proof of same. C. The CONTRACTOR shall provide the COUNTY's Procurement Services with a Certificate of Insurance evidencing such coverage for the duration of this Agreement. Said Certificate of Insurance shall be dated and show: I. The name of the insured CONTRACTOR, 2. The specified job by name and job number, 3. The name 6r.thc insurer, 4. The number of the policy, 5. The .effect ye. date, 6. The termination •date, 7. A statement that the insurer will mail notiec to the COUNTY at least thirty (30) days prior to any material changes in the provision or cancellation of the policy. D. Receipt of ceitiificatm or other documentation of insurance or policies or copies of policies by the COUNTY, or by airy of its representative;, which indicates less coverage than is -requiired, does not constitute a waiver of the CONTRACTOR'S obligation to fulfill the insurance requirements specified herein. K The CONTRACTOR shall enure that any sub- conowtor(s), hired to pezforin any of duties: contained in the Scope of Services of this Agreement, maintain the same insurshee requirements set forth herein. In addition,. the CONTRACTOR shall maintain proof of same on file and made readily available upon request by the COUNTY. 4 Rev 12115 SECTION 9. COUNTY OBLIGATIONS. At the CONTRACTOWs,request, the COUNTY -agrees to'provide; at no cost, all pertinent information known to be available t6 the COUNTY to mist the CONTRACTOR ACTOR in providing and performing the required services.. SECTION 18. ENTIRE AGREEMENT. This Agreement,. including referenced exhibits and attachments hereto, constitutes the entire agreement between the patties and shall supersede, replwc and nullify -any and all prior agreements or understandings, written or -oral, relating to the natters set forth herein, and any such prior agreements or understandings -shall have no force or effect Whatsoever on this Agreement. SECTION 11. APPLICABLE LAW L, JURY TRUIL, VENUI The laws of the State. of Florida shall govern all aspects. Of. this Agreement. Tn the event it is necessary for either patty to ii4fte legal action re t i regarding this Agreement, venue shall in I' Osceola County, Florida.. The parties hereby waive their- right. to - trial by jury in any action, proceeding or claim, arising out of this Agreement, which may -be brought by either of the parties hereto. SECTION 12. PUBLIC RECORDS. The CONTRACTORva&rnadds that by virtue of this Agreement all of its documents, records and materials of any - kind, hi 'hereby, relating to the relationship created shall be open to the T public for inspection in accordance ce with Florida law. If CON TRACI'OR will act on behalf of the COUNTY, as provided tmider s6cf-ton 119.011(2), Florida'Sta=4, the -CONTRACTOR, subject to the term of section 281. - )(c), Florida Statutes, and any other applicable legal and equitable remedies, shall: A. ",and maintain W-n public records that ordinarily and necessarily would be required by the COUNTY in order to perform the service, and B. Provide the publievith access to public rccords .on the same terms and conditions that the COUNTY would provide the records and at a cost that does not exceed the cost provided by Florida law; and C. Ensure that-public records that are exempt or confidential and exempt from public records, disclosure•requirements are not disclosed except as authorized by law; and D. Meet all - requirements for retaining public records and transfer, at no cost, to the COUNTY all publit.records in possession of the contractor-upon termination of the contract and destroy any duplicate public records that are exempt or confidential 5 Rev L 2A 5 and exempt from public records disclosure requirement. All reCOT& stored electronically inust.b.c provided tothe COUNTY:in &.formal tha.ig compatible with the infMidation technology system of the county. E. If die CONTRACTOR does not comply with a public records request, the COUNTY shall enforce the contract provisions in accordance with the contract. SECTION 13. INOEPENDENT CONTRACTOR. This Agreement does not create an empleyedernployer relations* between the parties. It is the partie6' intention that the CONTRACTOR, its employees,, sub-contractors, representatives, volunteers, and the tike, will be an :independent contractor and not-an employcc of the COUNTY for all purposes, including; ut net limited to the application 6f the ffillowin & , & as amended the Fair Labor Standards Act. mihitnwn wage and overtfinc pqytneats, the Federal Insurance Contribution Act, the Social Security. Act, - the Federal Unemployment Tax Act, the Provisions of the Internal Revenue Code, the State of Florida revenue and tocation laws, the State of Florida workers" compensation laws, the State of Florida unemployment -ingwance laws, and the Florida Retirement System bcnc%. - the CONTRACTOR will retain sate: and absolute discretion in the judgment of the manner and means of carrying out the CONTRACTOR's activities and responsibilities hereunder. SECTION 14. APPLICABLE LICENSING. The CONTRACTOR,, at its sole expense, shall obtain all fequired federal, state, and IoUW licenses, occupational and othdrwisc, required to succc&&Wly ptovide-the services set forth herein. I SECTION 15. CQBV CE MTM ALL. LAWS.. The CONTRACTOR, at its sole expense, shall comply with all laws, ordinances, judicial decisions, orders, and regulation! offeder-al, state, county, and municipal govemnw ts, as well as their respective departments, commissions, boards, and offica-,, winob are in e.fiect at the time of execution of this Agreemcnt;or are adopted at any time following the execution of this AgrcemenL SECTION 16. INDEMNIFICATION. The CONW-ACTOR agrees to be liable for any and all damages, losses, and expenses incurred, by the COUNTY., caused. by the acts and/or omissions of the COMM-ACTOR, or any of its employ =*, agents zub-contractors, representatives, volunteers, or the like. The CONTRACTOR agrees to indemnify, defend and hold the COUNTY harmless for any and all claims, suits, ju4gMcnts. dauhaggs, losses and expenses, including but not limited to, court costs, expert witnesses, consultation -services and attorney's fees, arising rzom airy and all acts and/or omissions of the CONTRNCTOR, or any of its employees, agents, sub - contractors, 6 Rev- 121I 5 represcatativcs, volunteers, or the like. Said indemnification, defense, and hold harmless actions shatf net be limited by any =insurance amounts required hereunder. SECTION 17. SOV REIGN IlIOHUMM The COUNTY cacpressly Pctains all rights, benefits and immunities of sovereign immunity in accordance with Section 76828, Florida Statutes. Notwithstanding anything set forth in any section, article or paragraph ..o €this.Agrecment to the contrary,.nolhing in this Agreement shall be deemed as a waiver of sovere gn'inimumty or limits of liability *hieh may have been adopted by the Florida Legislature or may be adopted by the Florida Legislature, and the cap on the amount and liability of COUNTY fur damages, attorney fees and costs,.regardless of the mzmber or nature of claims in tort, equity or - contract, shall not exceed the dollar amount act by the Florida Legislature for tort. Nothing. in ihis,Agrieernent shall inure to the benefit of any third party for the purpose ofAlowing any claim against the COUNTY whiob otherwise be barred under the Doctrine of Sovereign Lkniuunity or operation of law. SECTION 18. BANKRUPTCY OR INSOLVENCY. If the CONTRACTOR Aall.file a Petition in Bankruptcy, or.if the same shall be adjudged bankrupt or'insolvent by any Court, :or if a receiver of the property -of the CONTRACTOR shall be appointed in any proceeding brought by or against the. CONTRACTOR, or if the CONTRACTOR shall make an assignment for the benefit of'creditons, or proceedings shah be commenced on or against the CQ 4TRACTOR's operations pEthe premises, the COUNTY may terminate this Agreement immediately notwithstanding the notice requirements of Section 6 hereof. SECTION 19. BINDING EFFECT This Agreement shall. be binding upon and ensure to the benefit -of the parties hereto, their heirs,.personal representatives,. succemom, and/or assigns. SECTION 2Q. ASSiGhiMMNT. This. Agreement shall only be assignable by the CONTRACTOR upon the express written consent of the COUNTY, SECT 2t. SEVER All elauses found herein shall act independently of each other. If"a clause-is,found to be illegal or unenforceable, it. shall• have no effect on any other provision of this Agreement. It is understood by the parties.hereto that if any part, term, or provision of this Agreement is by the courts held to be illegal or. in coMlict with any law of the State of Florida or the United States, the validity of the remaining portions or provisions shall not be affected, andthe rights and obligations 7 Rev LUIS of the parties shall be copsisucd and enforced as if the Agreetnew did -not contain the particular part, term, or provision Md.—to be invalid. SE�"I. ON 22. WADER. Failure of the parties to insist upon strict performance of any of the covenants, terms, Provisions, or conditions of thin Agreement, or to -exercise any right• or option herein contained, shall not be construed .as a waiver or a relinquishment for the futtwe of any such covenant, term, provision, condition, or rigtit of election, but same shall remain in M force and effect. SECTION 23. NOTICE. The parties hereto agree and understand that written notice, hailed or delivered to the last /mown mailing addreas shall constitute sufficient notice to the COUNTY and the CONTRACTOR. All Odom requited and/or made pursuant to - this Agrzcment to be given to the COUNTY and the CONTRACTOR shall be in writing and given by way of the United States Postal Service, first class mail, postage prepaid, addressed to the following addresses of record: COUNTY: Osceola County Attention: Procurement Services 1 Courthouse Square, Suite 2300 Kissimmee, Florida 34741 CONTRACTOR: Miller Elec:tiic Company 2251 Rosselle Street Jacksonville, Florida 32244 SECTION 24. MODIFICATION. The covenants, terms, and provisions of this Agreement may be modified by way of a written• instrument:, mutua11yaccepted by the parties hereto_ In the event of a conflict between the covenants, term% and/or piovisiow'of t1ti.'s Agreement and any writen Arnandriment(s) hereto, the provisions of'tho latest execated- instrument shall take prededende- SECTION 25. 'HEADIN.GS. All headings of the sections, exhibits, and attachments contained in this Agreement are for the purpose of convenience only. and shall not be deemed to expand, limit or change the provisions contained in such.sectiens, eXhib4s, and attachments. SECTION. 26. ADMINISTRATIVE PROVISIONS. In the- event' the. COUNTY issues a purchase order, memorandum, letter, or any outer instnHnent addressing the services, work, and materiaLS to be provided and performed pursuant to $ Rev 12115 this Agreement, :it is:creby .spccifcally agreed and understood that any such purchase order, Mtcmorandurn, Tefter,.or for the COUNTY's iriterad purgoses-only, and Way aad all. terms, provisions, and. conditions contained therein, whether printed or written, shall in no way modify the covenants terms, and provisions of this Agreement and shall have no force. or effect thereon. SECTION - 27. - CONFLICT OF INTEREST. The CONTRACTOR warrants that the CONTRACTOR has not.employed or retained any company or person, ofber than a bona fide employee working • solely for the CONTRACTOR, to solicit or secure this Agreement, and that the CONTRACTOR has .not paid or agreed to pay any person, company, corporation,_- individtial, or firm any fee eoitlifiis$ ion, percentage, gift, or any other consideration, contingent upotl - of resulting from the award. of making of this Agreement. For the breach or violation. of this Paragraph, the COUNTY shall have the right to terminate this Agreement immediately, without'liability and without regard to the notice-requirements of Section 6 hereof. SEMON - 28. PUBLIC ENTITY CRIIIIES. As. required by sec tioii. 287. 1 Florida Statutes, the CONTRACTOR warrants that it is not on the convicted contractor:list for a public entity crime 4ommitted.within the past thirty six (36) months. The CONTRACTOR fnrther warrants that it will neither utilize the se'nvices of. nor contract with, any supplier, sub- comtractor-, or consultant in connection with this Agreement for a period of thirty six (36) aidiltliv-frorn the date of being placed on the convicted contractor list. SECTION 29. F.MPLO.YMENT ELIGIBILITY VER[F1CATIO (E- VERfFY) In accordance with State: of Florida,. Office of -the Governor, Executive Order 11 -116 (superseding Executive Order 1.1 =02; Verification of Emplhyriient States), in the event performance of this Agreement is or will be funded using state or federal funds, the CONTRACTOR.must comply with. the Employment Eligibility Verification Program CT- Verify Program.'I developed.by the federal government to verify the eligibility of individuals to work in the United States an'd. C"FR 52.222 -54 (as amended) is incorporated herein by refewnee. If applicable, 'in accordance with Subpart 22.18 of the Federal Acquisition Register, the CONTRACTOR. must (1) enroll in the E -Verify Program, (2j use E- Verify to verify the empioyn►ent.eligibil?tyof�aJtnew hires working in the United States,. except ifthe.CONTRACTOR is *a sbic local.govetbtneiit, the CONTRACTOR may choose to. verify only. new hires. assigned to the Agreement;: (3) use E- Verify to verify the employment. etigibirity of all. employees assigned to the Agreement; and - (4) include; these requirement in certain subcontract, Inch at construction. Infoftnation on registradon:for;and:use of the E- Verify Program can be obtained via. the internet at the Department of-Homeland S bcuirity Web site: h=-//www.dhs.gqv 1E -Veri" 9 Rev 12115 ; SECTION 30. J0TKT Air HOR►SAM. This Agreement 'shall be waskued as resulting from joint negotiation and. authorship. No part of this Ag+eerrient shall be cowfived as the product of an one of the parties hereto. SECTION 31. EQUAL UAL OPPORTUNITY EMPLOYER. The CONTRACTOR is Tan .equal Opportunity 'Employer and will comply with all equal opportunity employment. laws.. The CONTRACTOR will further eresurie that all sub - contractors it utilizes in _providing the services required hereunder will comply with all equal opportunity employment laves. SECTION-32. AUDI'17NG,,RECORDS. A,ND_L'NSP.ECTION. In the performance! ofthis Agreement, the CON'T'RACTOR shall keep books, records, and accounts of all activities, related to the Agreement,. in compliance with generally accepted accounting procedures. Throughout the term of this Agreement, books, records, and accounts related to the peifort aance ofthis. Agreement shall be open to iaspectien during regular business hours by an authorized representative of the COUNTY, . mod. shall be retained by the CONTRACTOR for a period of three years after termination. or completion of the Agreement, or until the: fall County:audit'is.complete, whichever comes first. The COUNTY WWI -retain the right to audit the books during.iheAhree -year retention period. All gooks records, and accounts related to the performance. of this Agreement shall be subject to the applicable provisions of the Florida Public Records Act, chapter 11.9f, Florida Statutes. The COUNTY -also has the right to conduct an audit within. sixty (60) days from the effective date of this Agreement. to determine whether the CONTRACTOR has the ability 'to fulfill im contractual obligations to the satisfaction of the COUNTY. The COUNTY has .the -right to terminate this Agreement based upon its .findings in this audit without regard to the termination provision set forth herein. SECIT -ON 33. PRLME£T MANAGERS. The COUNTY and the CONTRACTOR have identified individuals as Project Managers, ks.iod below; who. shall have the responsibility for managing the work performed under this Agreement 'fhc person' or 'individual idmtifted by the CONTRACTOR to seine as its Project Manager for this Agreement, or any replacement thereof, is subject prior-written approval and aeccptance of. the COMITY. If the COUNTY or CON RACT OR replace their current Project Manager with another- individual,. an amendment to this agreement shall not be required. The COUNTY will notify the COlTRACTOR, in writing, if the current COUNTY Project Manager is replaced by another individual. A. The COUNTY Project Manager's contact information is as follows: 1 Rtv i?JIS David Owens; Assistant Information Technology -TYrector Osmgla County Infonnatian Technology. 1 Courthouse SquaFe, Suite 2200 Kis&flunee, Florida 34741 Telephone: 407 - 742 - 2900 Email: devid.owens(dosceola.= B. The CONTRACTOR.Pmject Manager's contact information is follows: Melissa flaynie, Project Manager Miller Ele.ewc Company 3'ITNorth4akc I3.oulcvwd, Suite 102.0 Altamonte Springs, Florida 32701 `TeleQhone: 407=32S -5220 Enmd -. -.. mha m e(agitcsccurc.com SECTION 34. PMIC.. EMERGENCIES. It is hereby madc.a:part of'ths A.Veement that before, during; and a public emergency, disaster, hurricane, - tornado, fle4A or other acts of God, Osceola. County shall require a "First Priority for goods and services. it- is vital and imperative that• the. health, safety, and welfare of the citizens of Osceola, County : are- protected from any emergency - situation that threatens public health and safety as determined by 'the COUNTY. The CONTRACTOR agrees to. rent/sell/lease all goods and services to -Ac COMY or governmental. entities on a "first priority" basis. The COUNTY expects to pay contractual prices for all products and/or services under this Agreement in the event of a disaster, emergency hurricane, tornado, flood, or : other acts of God. Should the CONTRACTOR provide the COUNTY with products and/or services nbt under this Agreement, the COUNTY expects - to pay a fairand reasonable pries for all products and/or services rendered or contracted in the event of �a. disaster, emergency, hurricane, tomadn, food, or other acts of God. SIGNATURE PAGE TO FOLLOW l 1 agv 12/1 IN 'WITNESS WHERWOF, tfie parties hereto, by their daily authmized representativics, have executed this Agreement cffrctivr, the day of - _ _ , 2016. ti BOARD OF COrN - TY COMMISSIONERS OF OSCEOLA LrNW, FLORIDA Chairwo ATTEST: OSCEOLA COUNTY CLERK OF THE BOARD Deputy Clerk of.'the Board As authorized for -execution -at 'the Board of County Cow missioners meeting -of: 1 �� ad7160 MILLER ELMCMC COMPANY By: Print: 1 �..�� L Titic: \ j �A C.R, STATE OF FLQR IDA _ COUNTY Ole' I MD L� The - -foregoing instrument was executed before me t1�is day of 201 by (,�.j.nA_Z as V� _ of Miller Electric Company, who pvwna1 1y .suture • ied that Wshc is authorized to execute this Agreement and thereby bind the Corporation, and who is personally known to me OR has produced as identification. NOTARY &Claieofflo�fida :� • ROhry.rwe9,li1.•a11�d. 0"d "d FOR Etii1N >�11iY101i ]2 Rev IV15 �.I)�lblt "A Scope -of Services and Technical Requirements A. Purpose: L. It is the. intent ofisee ola County to contract with a gaalificd Contractor for the purpose of awarding vgnow .maintenance, install, .repair, refurbishment, construction and equipment replacement of physical smaiily systems associated with Osceola County facilities. The successful bidder shall furnish all parts, materials, equipment, labor and supervision as necessary to calibrate, maintain, eani9MWt and install the assigned repair, reivrbishn nt and I or replacement of security systems. 2. The successful biddershall.sUppiytechnical andpwgramming services for the purpose of maintainigg.aiid dptifnizing various security databases- and systems within Osceola County €acili6ps, B. S - -Perot Conditions: 1. All bidders shall he- required to submit proof of current licenses or certifications as t+equiredbelow: a. The C.ontracter. be. an authorized Gcnetcc Unified) lite partner. b: The Contractor shall be a Florida Certified Electrical Contractor (Electrical Fire, EF or Eleetrical.Contractor, EC Minimum). c. The Contractor shall. be a Florida Certified General Contractor (GC) and have a minimum. of 5 years' experience in perfornring physical - security improvements to structures, walls, fences and other apparatuses needed to secure facilities. d. The Contractor shall maintain, on staff, - a.minimum, of one- employee that is BISCI Registered Communications Distribution Designer (RCDD), or Axis Certified Professional. e. The Contractor shall maintain, on staff, a minimum of one employee that is Genetec Cerdffcc L f. The Contractor shaff maintain, on staff or ut-fte, .a Cisco CCNT Certified professional when interacting with the secru*�c network. g. The Contractor shall utilize "like- for - like" patty for all ezisting.systems which may affect the security communications network. h. ;Far gall new systems and system enhancements, .all parts shall be new (non - r0>zb4he0. Far all network switches, all items most be supplied by a Cisco .certified �reseller. 2. .Ail. bidders shall submit references for the following: a. The Contractor inust have completed the installatien of a .minimum of one (1) Gepetec digs video surveillance system within the last two (2) years. Contractor must<show four•(4) years -of experience in the maintenance of Genetec digital video surveillance systems: b. .References shall include the name and locations of projects, contact person nan e, title and telephone number. 13 acv 1 2115 C. Resnonse 1. For all Conondtor installed systems the Contractor must maintain an inventory of commonly used or restricted availability parts and provide - delivery within two (2) hours for inoperable sy- gems.or within 5 business days. for non. - emergency needs. Any exceptions must be approved and agreed upon with the County. 2. For all noa- Conbactor installed systems the Contractor must provide evidence of part order place ment and an ETA on delivery of the parts wifhinforty -eight (48) hours alter receiving the: Pukkasc .order. After delivery of pails, installation must be completed within two (2) hours for inoperable systems or within 5 business days for non - emergency needs. 3. The Contractor mitst provide service twenty -four (24) hours per day, inchkling weekends andholidays. The Contractor must be able t6 respond with a knowledgeable trained technician to Osceola County sites within two (2) hours. of notification for critical emergency scr_vice and within two (2) business days of notification for non - critical non- cnwtgency service. 4. The Contractor shall provide the services of a professional answering service or dispatcher ser -vice for - non- normal business hours contact. D. Proiect Assi mutbat Add:lirriciue: For each project, the Contractor shall submit a complete -written estimate prior to initiation of any work. The project, requestor shall evaluate the -estimates and, if found acceptable, shall provide written authorization in the form of a Purchase Order prior to the Contractor proceeding with the work. The County shall not honor any unauthorized charges. E. Sub-Contractors, Permits: and Parts: 1. Sub-contractors Shall only be utilized after receiving°written approval by the County. Charges, for sub- oantractots shall be marked -up per the bd:schedule (to be included in the bid) and the - Contractor shall be required to provide supporting documentation of . sub - contractors charges. 2. The Contractor shill be responsible to apply for and obtain all permits required to complete the - assigned projects. Charges for permits. fees shall not be marked up and the Cbntiacter shall provide supporting documentation of all permit fee charges. 3. All We necessary to - complete the assigned projects shall be marked up at rate no snealerthan- the:maximum mark up as shown on the bid schedule form (to be included in the bi,d).'No additional delivery costs will be paid. The Contractor will be required to provide- supporting.documemation of actual parts costs for every invoice submitted. F. Seope of Work: 1. :Rvpa rs / Corrective Maintenance: In the event of equipment failure, the Contractor will provide the supervision, labor, and equipment necessary to return the affected system(s) to normal operation. The Contractor will also provide the necessary replacement materials and parts. The Contractor is expected to respond 24 hours a day, 14 Ray 17J 15 seven d'ay"week -owd io be-on -site with a trained technician within two (2) hours aftzr being modfied of emergency need or within two (2) business days fof non - emergency needs in.accardance with the terms of this Contract. 2. Preventive Mtenance: The Contractor will perform inspections, cloning, performance chcclta, and conmmrablc replenishtnent or replacement, and system calibrations. The. Contractor will provide a breakdown of recommended preventive maintenance acUvities and schedule for Osceola County approval. 3. Renewal and Replacement: If a result of either connective or preventive rrraintmance the Contractor disce:!ers deficiencies, and the cormction or resolution of such deficiencies - requires a level of effort or expeendiftft bcyend the tasks specified and authorized in the Purchase Order Form, the Contractor shall submit to the County a proposal for the -additional work necessary. 4. Provision. of Matetial>and Parts: The Contractor is expected to provide the necessary materials. and replacement parts for both corrective and preventive maintenance. Osceola County may at its option provide parts and consumables fimm its own inventory for Coutractor installation. S. Asset Inventory and. Database: The Contractor will create and maintain, in a format acceptable to 0' sceola. County, a database of all equipment (including recommended spare parts) covcred'by this Contract. Definitions, idenit ication conventions, and an initial list of seco ity system components will. be provided to Osceola County, the Contractor will verify all asset data provided to Osceola County and confirm its accuracy. The.Contiractor.is also expected to add to delete from, or modify any security system asset data °provided by Osceola County. All replaced equipment will be entered into the database. The database will remain the property- of County. fi. The Contractor shall assist in design, document re-View, construct, furnish and install all security control' and associated equipment as specified to perform the intended function on an .as- ;required basis. Work shall include the Fallow ng: all labnr, materials, and equipmcat#o coumlewthc specifications; manufacturing and factory tests; delivery to the site; prpgrammin'g; inter - facing with all existing:alarm, access control, video and security systems,- calibration; installation; system start -up services; training, and 'incidentals required to .completely furnish and install security equipment at Osceola Canty facilities as designated_ 7. The Contnactor shall supply technical and programming services as required to - troabieshoot. and optimize Osceola County's existing alarni, access control, and video survOlIxom. These services shall be charged -on an hourly basis per the bid schedule. 8. The Cot t+Dr. shall provide detailed documentation and diaghims to the County when it... . ng..a- new. system or sigrciftcantly altering an existing one. The documentation requirements . wit! be agreed upon with the County per project. 4. Ptograffibiing services shaft include alarm, access control, and video surveillance equipment and systems programming, software maintenance and data backups. The hourly rates for these services shall include all application and documentation files being supplied to Osceola County on electronic media. All Contractor supplied t5 [rev IZIS ; programming services and applications turned over to or installed in Osceola County systems shall become property of Osceola County. 10. The Contractor shall provide technical support such as cost estimates, recommend actions of repair versus replacement, life expectancy, and maintenance recommendations arno.additional costs to the County. 11. The Contractor shall supply24x7x365 technical telephone.support services as required. At the start of each teleplione support session, the .Contractor shall assign a "Cage Number" and log the start time and completion time. 12. The Contractor shall. provide Vulnerability Assessments on new and existing facilities per Homeland Security and EPA Guidelines. These services shall be provided as Security Consultant: Services. G. The estintated gganti0es. are- given only as a guideline for pr.q%u g . the bid and should not be construed. as representing actual quantities to be purchased under this contract. The County makes no covenant or promise as to the number of available projects, or quantity of hours, or amount :•of work that the Contractor will perform on any project for the County during the life -of this. Agreenent. R. Emeraency Serviaese. 1. Emergency Services are those services initiated during non - normal business hours and/or requiring y response. Emergency Scivice'-shall be billed at the scheduled hourly rates plus emergency service multiplier. Planned or-scheduled work during non - business hours shall not .be considered emergency seivic a and shall be invoiced at the normal scheduled rates_ 2. Noanal Business Hnum under this agreement are Monday through Friday, 0600 through 11300 hours, cacluding published County holidays. 3. The Contractor: ,shall maintain a 24 hour, 365 day answering service for incoming service calls. All service calls shall be logged and the log shall be submitted to Osceola County on a Ynoinfhly basis. 4_ Repeated failure td meet established response times will be considered as grounds to terminate this agreement. 1. 299iflons.oftheCon M-etoin During the performance of work pursuant to dus Contract, the Contractor will: 1. Provide psceolaCounty with a monthly schedule for. all planned work,, and reschedule such work-whetn.nofified.by Osceola County that thewoik cannot be performed at that time. The Contractor will not be compensated if 'work cannot be performed due to foreseeable circumstances. 2. Employ professional. qualified, and responsible service technicians to perform the work, The. Contractor is expected to employ service technicians trained in the maintenance and. installation of the specific types of equipment used in the Osceola County video and.security systems. Ili Rev 12/15 3. Maintain a neat -and clean workspace both during affer the performance of work. All trash wilLbexemoved fromthc-site and deposited as appropriate. AnyfirgwooCmg, caulking. or othcr - nWerials that must be removed for the installation •or. performance of maintenance -vall be re- installed or mired as appropriate. Ensure that necessary markings are installed where appropriate to identify circuits, cables, or equipment as applicable. 4.. Observe all Q- .sceela County site access and security procedures. As these proeedums am subject to change, - the Contractor is responsible for familiarizing the service tccbWeians Wixh.cWtent;requwcmcnts; violation of siteiccess° and security prtxvdures is a serious breach of lhe terms or this Contract. Failure to personally and properly notify Osceola County as•required is a violation of the terms of this Contract. For each on-site visirto an Osceola- County facility the Contractor's- service technicians will, at a minimum: a. Site visits musthe coordinated in advance with Cduatypersonnet. b. Where relevant; upon entry to a secured. location, document the date, time of arrival, name o_f all personnel, and reasen fvr the vt%itinto the fadlity's log book. c. Document ice: the facihW.s log book completion of the work prior to exiting the facility and "notify Osceola County. d. Upon request the contractor must present a Contractor photo ID badge and/or Goverctmcat- issued : Photo. S. Maintain docrune9tation of all work perfonned under this, Contract on farms provided or approved by Osceola County. All such documentation will become the property of Osceola County upon - termination of this Contract. Invoices submitted by the Contractor w tnot.becapproved for payment unless written documentation of all work for which the Contractor seeks payment are attached, At.the minimum, documentation will include: a. Contractor ftme, coinplete address, and contact information b. Date, time, andJocation of site visit c. Reason for site. visit d. Brief description :of work performed or accomplished e. Any observed deficiencies or operational issues and recatnmendations for resolution E Required or recommended follow -up g. Parts- and/or congatuables used h. Labor hours i. Participating Contractor personnel J: Oscedla.;Coemty Purchase Order number k. Approval by Contractor Operations Manager All work performme& will be certified as complete by the project requestor or delegated evahWorprior to payment of the invoice. J. Warranty All projects and work performed under this agreement shall have a minimum 24 month parts and labor warranty. Should the manufacturer's warranties exceed 24 months, the 17 Rev 12115 r- manufacturers' warranty shall prevail with only the Contractor's nomW labor rakes being charged after the. initial 24 month period. THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK l a Rev 12115 Li4lUIl K D� Pricing Schedule PartsA d SubGoq ictor Marc Descdption % F&rk -up .(Maxdmuun %) All Materials and Parts Invoice plus 15 % Sub- Contractors Invoice plus 15 % Equipment Rentals. Invoice plus 15 % F taW boP-t�kce. Schedule. Description Units. anagement $ 125.00 Per'Hour on Technician $ 105.00 Per Hour on Technician (Helper) $ 95.00 Per Hour Application Engineer $ 115.00 Per Hour Draftsman/CADD Technician $ 95.00 Per Hour Clerical (OW Documentation) $ 75.00 Per Hour Other (Please explain) $ Per, Hour F 7 - Eme ' en Se►ices iMilttfti I : ` ' • �, rg Seraices/Critical Response. Rate WR be calculated at he hotirrj/ rate.f arthe necessary labor 1.5 times the hourly labor rate 19 kry izn 5 . . .. �,-. ,�p D��i� by.�;n'tit��.i�*a�e. . Page 1 of 4 . � �� ., . . . De�ail �by �n��� �I:ame� _ � � , . FJoriaa Pro�f comoration . • • � 'MILL'ER ELEET�RIC COAAP.ANY . . . . Flins�'Irifarm,,,�,� . .�� � . �ocumwi��.Number 176698 . � .� �FEVEIN;�N{��l1�' . � ����-0361:850 �Dufe.�iled � �12129??.953 , .. ��� FL _ . . Status� ACT-111E . _ . Lss�E�iec�t � . . NA�+I��.CHANGE AM�IVDMENT , ' �_ F�ient�D.ata Fi�e_d � :Q��l•1�J1;9B9 �Er►.eri�Eff�ctive Date , NQNE � .Pri ciiial Address , ��?3�1 R0.SS�ELLE STR�ET. ' �.JACKSO.IVUII.L�, FL 32204 � � . �C.frd_nge,d::02117l1893 � . ' � • �7in�•Addrass � . 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C��tT1E[C�ITE OF l..iABILlTY i.NSURANCE ��16 THS C9ETIF1Cll7E:.IS �J1S�A�IAk�ER CP-RIFORMATIOM ONLY IiNb.COI�ERS)!G'�llGlf FS UPON'TNE CERT1FIGw7�MGLDER 7t� �Ca�71�CIkTE.oGEg IIOT AF`FlR�iA1n►ELY OR.IIEc�tsnrtLY AIElID, �tD OR AL7ER THE�CO�ERIIGE.AFFORD� BY 7FE POIiqES .sEWMY T,1R5.�F.I.GA7E {lE;IIiIQUR11� Qd6.S_N8T COMSTITCITE A CONTRACT BEt7M[Bd THE t$sli1NG MISUi�(5f.AIJTHORRED '�I TA7iYE OR A�ti��,•�IiQ'THE CBiTrFJCA�E I�sOLDER �Poitr+��:.� i� n�. c.r�cae: no�a.r �s an�oo�t��n:�.pou�yp.�}.�..c p..eaor:.d. a�au�oc�ira+�is�w�,.rr�.a m KMi i�ns.ana'oard�lo ns�of�th.poYc7..c.rtat+P�eBcrs�wy nqr Ir�an•idoe�..nt:.A.la�...�t.oa d�is.wrtlNraU do�s not oonNr rl�lrts to tM �t..�hoiair la Ilsu d36eb ahdorsifri�nf�k � �� � �qt� i T D�Ori A�PilitOf! C�dI�Y.r Po�we 3 COn1pi]y PIIONE _ �� g�j�r �� 219.1}.,r�:ri�,an.sirroi. .���il04�.�7�M . :li8ksoil'v�a,Fk.322�2 --- -dpae"a�wpowollit�edo � � � wareeas}�s�n�m.poo�aae ,_ ._ wue. ��`_ ._ � . . _ rsu�.�:Ziurkll A m�rlcan Ins Co _ _16515 _ „�,g:st�P.w:Einr3ilarine z.7�7 I �iq�rEf�ctr�co�arr .�c:XL�N�itu�ric.�Mw�cica Inc 24�4 _. + P anwi Q»9 �i�n: -- - - - -- — . I JaeksonwiM,FL�22tl1-1•799 � I E: INbYRlRl: ' ---� ._! ..— ..» COHERAdES . (�R7'IFICtii��M�ER' REV�.S.IOJ�1 kU�R' 7MS�15 Yd CER7�Y 1fMT�1�E P.OLICIES OF,INStIRANGE�l'iSTED BELOW HAVE BEEN ASSl1EG 1'Q THE7qSUft�.NAMED ABOM1IE FOR 1HE POLICY PQtl00 IND�.�ITED. 'M�7YYI?M5TANOING ANY REOVIR�Nt. ?ER�A:CR.CONd7101A CF ANY GONTRACT Olt DT!l�Fi DOCUMEMT NA1N R�SPEGT T'Q WH�CN TlNS CEitl�tG�E FA�Y BE 1S51�D OI{.YAX PERTANi,'TF:IE<NISURNIEE AFFOF�ED er iME POLICIF�D_ESCRIBED HEREpI IS SUBlE�T TU ALL TFE 7EliAS, EXf.lUS101�t3 AbO�CONBF7iON5 OF SU�l9 F�OI'If'•IHS,.L'A�T,S:S?qYN¢MAY HAVE�EN REDLIEED 8Y PAD CUIIIl15: ._^ .� • 117l0/MIl1�IICE ' �0.1C1'IRJIIAli! ` IIIrT! A� X aar�e�ao�e�►ui�w�m � I ` -- ena+�oeciauErrtE s �,�. j I cwksar�os C oCc.�a I X I X '�737500 `07101J2�'li 07l�1�016� �ny� ' as+a�. s 500 i �r— Mm El(P[ arn i �0� - � PER4QMN.i I�BII W.MtY f ��Opa�O cewt���E�wrt nvr��s�w• � cer�wu.�oo�owre : ��000,. NS � ` POLICN���� �LOC I I PRODUCTS-OONPIOOIIG(3 S ?,OOO. I ��. I ' I � 1--�- � �+wtoMoe.,�u�.�urr � � u s �,000, I A . x�M+r..tiUTO �X '. X.B'�PQ�t'137�00 071�5l2416.•QT1911241i BOonT'MV�uRYi�w�s�.1 t N�ir�� rx�c�� ! � eoq�r iruatr�p�r�np s I Ir�o�uros '_ +�uras _. � s 7I u�ei�a���ws X p�� . - EwcHocapaENce s 1G.000 � g exee'sswe cuuws.w�nr X � �X.211P1'fiP2026s1� i 07f0'1fl01.5: O7�V�07i �cc�cu� s �4.Oap� eEo X �E+ur�s �0.004� I k � s w�aiseo��►�w X. s,�nm e°n' A*10 tMP,L0Y015'IJAiL•11' A :����utl o�� ��Ir��• X MMC0�1E1374�D I 0710tl201.6 07l011t0'16 E�F,�cN/YCCroe�cr � s 1.000.0 tINM�NMrl1�fIM1 E.LOI5EASE-EAEMPl07 f ���Or :O�RIP'-�ION�OPERA'lOk3lekW � E:L dSEJISE'.�POLILY IIYR i �,�0. � . ' . � I ' ... .. . . . . f ' �7�D1fYC1� �1 Orn It�w: 1,000 C �I.�D+��nErd Eq�IP l�+1 OJJf11�id . • i � �scirnw.o�v�14�?�',s,!�oc���iir�eirs Micdw:+:�:�.r id�rw aen.+w�■rr w wrew•�i�n..'...w+�y : � ' 'via�w S►�rdracr�s woc�.Contrw.R*a�F,��ir..anca,upgria.s snd NrWlnsbN.ron � Co�ty•eoar+•ol�Courlt,Y•CanllnbsioNfs M Mcl[deA is�dditio��1 insured as rrq�ecb qsllra)Ii�biMly�swd wto I�bNky`on�a prMilry'aM •. _ bw�1r tiqis vK�Ehe aC.e,j+edenen:sem.�: A w.Niaro�wbrogawn ia,yr.eM.a in•tworot•tne s�altlonseu+sw:e..nsp.Ca.gm»'raPlfa6iNty.+ula .;nd wwkers.co.pw�s.ion p�ine ailacMea«iae�e...iaL umbr�r u:oxNr+vplies e�eess W�si�ara��iai6i��r.svw N.eillt�r.aad e.vtoy.�s UMillt�r ��eivaisitlen� 30 di�s�olkr.of�caneeCatlo�applie� C£RT�ICATE HOLDER • CANGELLJ►TW�I � sHOULp.A11Y OF 1fE A�O�VE•DFSGRIBBa rOL,10Ei YE CANCE�t�YEF4Ri OsorolxCcanh�,Bowol.Coldity.CoiruM�onNs � E7�A�ON owr6 n�reEos, Nor�E tiau ee oe�n►ERED MF I►CCOROAIICE 1YITN THE POClCY PR0415�ON5. 1�CaxtFousi Sq'wr� KisaMnm!a.'�L 347a1 - AtlZHO�EP II@�ITIITYE .�fwfr;'. .�. ._. _. �... ' .I m 1�Es-T014 ACORD CORPORATIpN, AB righb ra�erMed. /ICOREl�25{20t4�D1} 7hs�4CORQ nartK snd logv are regeslered m�ks o1ACORD �y it � � ' �� 1 .� i � � � � �Miller Eaectric Con�pany � ' Addend�m to Certificate o#�li�surance � . � A�dltional Dessription af��pecatla�s: i � AI�Eo L�abl�ty krclntl�r Wiod aad Non-OMmed l.MblNry •�• kliied ilxl NOe-OwMd PftysiCil�arisge-Dld4Ctbl!!b fOM0lnrs: 5250 Co�oprehonsl+ne;,f�oo Co�tisb� . j . PrafsssFnnal and Corrtra�ars.P.oilukion Le��l.iaSiGty ' Po�iCr#CPL74420321 'e. �fkcti+ne OTl.Wl�MS;Expie�llon:07l01r2G�6 � Inaurcr.ardian Flarbar liisuranet Compa!tiY I P�h�A49�Umlt ofL�}ibirilY.t svr,w��O:QDa ' I Cov�e A:Prok�slo�'iil L-i�bifity Umd.of LiabiMy Ea��Atl�'�rtor,or Ontrsslan:55.00�,000 ,� Apgi�fa Lhnit cftiihiNtji:'f6,00Q,000 ' ReEsntion;s100�,QOQ ; Pr�o�fes�lonal UabN{ty'Coire►a�:b Clafau Made. � Rf*osat�v.�dati:�1YI�Z0'f0 Cawrag�B-Coiit'ricfors'Palluqo�L�gal Liabilily Eacl�Ponu#bn C�ncykioR:,i5.OQ0,000 A�gra�ple Lhrtk of'UabiNty:36.000.000 I2etention:.Slao,Ooo , Poflufton Coveraghis�oocun�encs bssad . hsb�lation Rpst�:Policy:��l'•IMBOOr0936MA15A E4lective 0T�011�iS-O�A1730f6. N�x�er:XL Speetaly I�uranas•.Company � Btak LiMtit:i�5:000;000 i 14�dmt�n As�owrt•af P:Ymeri��,10;O�D�,Qt?0 ' Tinaporary Locafion:¢1,d0o;Ob0 . N Yt'anslk=750,000 D�de�s�bl�:�2,600 Sepsrade Hamad Sto�m d�ductitiN applies-2%pf the complel�d value subject to f10,000�for Ifsbd codstal countib's. . EscM�de�ilood and Es�Movemenl Crim�Co�r�erage-•Policy:*1d9�0i890 Grrisr:Co�rtina�i'Casutlq�'�omWnY . �tr.e�s:o�a1no�s�o�ro'u�a� Cov�rags.A�6r�ploy�e 7'fi�It:�i1.0Y0.000-P�r Occn�eu • Covlrsg�At�-Cfieiit,PhopKly-'�1,400,OOQ-Prr Occursnce Dedt�tbk:at�000-Rer Oecuerdnc�# ] .� . t � _ �� � ! � � � YI t 'Y �� . � F ' r I. I # � I � � Addi�ional In�ured��Antom�atic — Qwners,�.L�ssees �r �.URiC�-I� . I � Can�#rac�o�s , .; I Pofw�+ i+a Ett DaZc;a!?bi: � Exo_ oste of Pol. ER.Uate oE F�rd_ P-roducer No. AGa'I.�rem• Rednr�F'ran_ GkQ038�37500 �7101r201:5 j0,7.1.01l24'l$ 07101�015 , .. _ _ 1 � ; ; t TH1S ENt)QR�EIiAE1�tT CHANG�3 THE PpL1CY. PLEASE:READ IT CARE�ILLY. � N�q7ed Insw�ed: Addnss{Includ[ng DP Codey: ..�� • � T11is andorsement modiFies insurance�,provided under the: .� � Gammerclal Gener�l.Liabillty Coverage P$r� I A. Se�t[on II—Who 1s Aq Insured'is,-arnended to.include as an additional Insured sny person or orgsnizafion wham you are reguired Ua add as an addidonal insured on this po�cy under a varitten cant�act or ra�itten agre�nerd.Sach person or organizatian i��additicnel irisured only vail'h resped to liaability fio�"badity injury" "proparty damage„or"personal and ad+re�tising injuryl"caused,�in�whole or in pa�t,by: 1. Your acts or omiss9ons;or • _ :� Z. The acts or omissions of those acting on your behalf, m the perFonnanoe of j/our. ongang operations or "your work" as included in the "products-completed operatbons hszarc!",which is the st�ject of�fhe�wrilieei co�trad or wr•itten agreement. � � Ho�ver,the ins�rance afiorded to such addi6onal insured: � � Z. On1y applies t0�the.exterY�ermitfed by 12w;and ; .; 2. Wi� not be broade�than�th�tHvtiicfi�you ase reauirecf by the written cpntr�ct or w�itten agreement ta Rrovide far .. su�h aiidfior�i irtsureCE. B. With respecttothe insurant��aHurcled�bothese additional insureds,t��fol'Ioi�ving�dit�an�l exclusion applies: This insuranca does rwt•aPP�Y�:' I "Bod�h►�1�+","proF�KY damag�e"'or''personal and�dvrrtisir�g innrr�r"ansing out aF the rendering of, or failune to I re�der.,ar�yprpfessional.architeceur�.er�9ii�ee�rx►9 oF suiveying ser.vices inclu�i[�g: s. The preparing,,:�rp�'nng'or�failing ta prepgre or approve roaps, sk�op drawings. op'iryons, re�pOrts, survoys, field orders..cha�nge orders or drawings and.speafic�tions;ar b. 5upervisniy, inspection,aich�tectural�or engineeryng acti�ities. 7his exc�us�n appGes �ev�en if the claims 8g�i�st e�y insured allege� ne�ligenee or other wr•bngdoing in the supervision,'hvin,9=e�plcyrrient,trainirag armonitaring af others Dy ttiat in'sured, if'the"occuRence"+ahich ca�sed the "bodily i�NrY"o�"P�Re'tY tlama�". or the offense which csused!he"persenal and adve�tising injury" immfved the � rendering of orthe f�f�re tn.r�endersny professiortal arahitectwal, enpir�eering or Sur►r�ying s�er�ice5- ._ .` , : � i .; •� u-Gi-��ts-F Cw(asn a� :� P�1 O�2 lndudes�opyrigM�r�[i maleriaf o�Inwrance Servires flfficr,Inr..,wFth if5 peimis�bn. • � . . �: . .� � '� �T ' I !. I' i �. C. �he�Fol � is �dded!o Par � � �,h 2 Duties tn The E►renE Oi Qccurrence, 'Offense, CMaim pr Suit CF Sectipn IY— I �+9 �!�P i# Commercial C,�n�ral Uab11kyConditfions: � . i� Thead..ditionalin�ured;rnusksee�.to�t�that: . �}. 1. �fe�a�e r�atif�ed as.sa.on.as practicable o!aa"oc�c�rrence"or�Fense that m�y result in a ctairn; ;2: .We.recaive written notioe of a�a�im or"su�"as s�n as pradicable:and, . 3. A c�quest for defense�and indemni4y of the cl�im or"su�' wi piomptly,•be biarght against eny PolicY iss�te�d bY � sr►ather k�aurer�lnder rN�iich:tbe add�ional insurod rrtay 4e an insv�iFl any capaCity. This provision does not � .app 'to inSurBnce.on which'the ad'di�one��insured is a Nained�rtsured'�F'the written caritract or wriiten t � � � , i requires t'hat this ca�+.eraqe:De pr�ary"��d nan�onfibutory�. � I ? . D. For the oi the cove this endorsement: Pv�$ +�9�I���Y . , � � � �' _ 4: The folbwing is added to, tlie Qther InSurance Condition of Sectron ,IV Commercial 6eneral Liabil'it�r Cai�d�tior�s: � ' Prii��ry.and No��oontr,lbutory�insurdrice 1 �� This insurance is primary to su�d will not seek contribution irc►m a�y, other insurance awailable ta an additional ! insured provided that: ' ; a_ The acfditior�al insur�i�a,Named Insured uredersuch otherinsuranEx;.�d ' ' i b. Yflu ar� racjui�d k►y v±+fitte.n EontraCt or written � '� agreeme� that�this �surance be primary and not seek aantr�utian frcm any other ms�rance syailabk ta the addti�al insurie.d: � ' � 2, The fo�owing p�ragtaph:is•added fa�Paragraph�.b.af the Other�nsirrar�ce Conditi�n of�Section�V—Commerci�f C�oneral�iabili�r Catdit[o�� Thfs insurance+�excess o�ver: My�af the ather�ins�a�ce,�yvliether primary, excess, contingent�a'on any,other basis,a+rai{abte to an additional . insured, in which the�additional insured on pur policy is alsc cov.er�d as�an additional ins�red ora another policy providing owerage inr,the.s3►ne."oGCurrence",ofbense.Claim or"sud". Ttiis prav�sian doEs rrot�apply to anY pdicy in whiCh the 8dditipr�l inSured is-a Named Insured on s�h other polioy and'wliene our policy is r�quired by a wriften cor�trect or written .agreenient to provide cavera$e to the addfior•�I' insured on a pr►mary and nora cAntributory b�is. E. This endasemenl doe�s.rwt apply, to a� additivnal insured wh�h fias been added to lh�s pblicy by an endorsernent . showing the a�d� insured in a�Scheduk� of add�ional insureds,.and wfiidi endorsement applies spec�icaNy �o that iderd�ied additiw�al insuTed, F. Witd respect to ttie•�su�s�e affvrded'to the additi�orra! msureds undEr tfiis eridorsemeni !he ieUowiux� is added lo Seaion Id—Lirttits Of Insura�'ce: The rnost we wilf Fay ort�behalf oi��tlie ad�t�tional insured is the amourd ef insurance: 1. Required by the written conlraet��written agreement referenced in ParagrapF�A.af Ihis ertdorsemerrt;or 2..AvaiiabEe un�e applicable.Lmnits:of Ir�suranoe sha,�m in the Dedarations, � whicf�eti�er is tess. Thi�enclprserr.ment�II ncat increase the applicable Limits of lnsuranoe shown in the D�eClarations. AR otJ�er�#er.'ir�s and corrditions,oi�thi's po�icy rsrnaiir�u�char►ged. � � � ;; : ., ru r�..�,��-F cw cou+3f :]: Ps�z of z � Inc:ludes�oo�ightld m2lerol of kisurarrac 5cM0�S Offloe,inC.,Wllh ItS p���93iQn. '3. .3� :�' � I � .;„� �,. . � B��nket 1�lotrfica�ion�to_�t�ers of tya ncel�a-�io� �'����H` orliToa��ten.ewal � F'.v�cy No, EN. aa$e ot Pd . .E� O�h�of Pd, Elf,Data of End. Produ�oer I�b. Add'1.ffiam FtaEu�n Pra.r�_ � GL043.8-1,3�500.D7�i12�1'5 ' 07/01120t6 O7I01/2U15 � ' THfS�NDORSEMEMT;CHAHGES THE PpLICY. PLEASF READ 1T CAREFULLIf. .i Thi's endorsement mOdf�es.insurance p�o�rid'ed under the� ; Com'mercia!Genecal liab�ity�averaga.Part . A. If we canoel or n�rene�w fl�is Cov�age Part by wr.it�en notice b the Bist Named �nsur�ed,we wil� rr+ai! or deliver r►otifiqlion that suc�i �ov�rage P�it:has been canae�ed or non-c�enerved'to each person ar or�anization shown in a � �s�-prorided to us tiy t�e frs€Naiit��lnsuced iF�you are required.by.wciCte� ooNact or writ�en agreement tio Qrcvlde such aotif�cation. Ha�►aver,such r�atificakion wit�not be mailed or deliuered if a conditional notiee of renewal has been sent M!he firSt Kgmed�InS.ur�:,•S.uCh.liS;: 1�. Must be prov�detl ta us�rioc.fo rar�ceqatbn or non-renewal: , 2. M�st cantai►� the names,,ai�1 addresses af only the persons or organrzeaons requiring notiFication that swch Co�rerage Part has beert cance�ed.or non-renewed; and � 3. Me�st b�ir►an electron ic format,:that is�acceptable to us. S. Our r�tificstior�as described.in Aardgraph A.af this endorsement w�l be 6ased on the rr�ost recent lisk i�our r�evords as ,a.F the-dete ihe r�at4ce�.of canceN�i�n or'rtan-�enewal is mailed.or dcliver.ed:{o ttte fi�st Named.Insu�ed. We vhll mail or delnr�er such naRifficatfon to each person:ar agaruzation shawn in the 1ist� � 4, UUithi�seven days'of the eflecti�e date.o#the notice of cancellaotio�,ff w�e cance4 fpr nan-paymer�of premium;or 2. At least 3Q days prio�r to tf�e efiechve date afi a. CanceNa�n,iicance�ed for.�any reason ather than nonpayrnertt�aF.premium;dr b. Non-r+enewal,,but not inck�ding�cond�tio�al nat�ce oF renewal. . � � C. 4urmailir�g or del'rre.ry�of nodification ciescribed in Paragraptis A.ard B.'af this�endorserx�ent is irrtended as a cour�esy orily. Out f�ilure to proviiie�such mail�ig ar detiv►�y will not 1. Extend the Coverage i�art cance�atimi ci non-renewat dete; Z. TVegate.the cancewation oG•noo-renewal;or 3: �P:mvide�a�y addition�:insura�e t�t w.ouki not hawe been pro�nded�in the�absence o3 t�is.endorsement � D. 1�/e�not:r�espon's:ible far,the aceuraCy.'iritegrity,f'rcneliness ar�d valici�ly ot informatior�contained i�the Gsf,pmv�l to us�as•des�ribed in ParagraQFis:A.and�B.of this e�dorserr�nt.' ' ,4E�other temrs acrd'cond'+tions qf'tk�is poicy rerrsain.unchanged- � u-��-tsz�-a cw��a�z� P�ge 1 C(1 Includes.�o{:yri9fded.ma!erial oF InsuranCe�ervir,es{Mtc,e,Inc:;.with its permissipn. F � ' � • _ 'i� I � � . [iv.}Tf'lhe Ioss arises out of ti�e m�iMenan�e or use of aircraft, .autos°or watarcraft to the exte.nt not 5uhjett't0£zdu,Sion g_vF S�ciion 1—C�rage A—Bocilly'Injury Antl�F?Ko�7erty Darrlaqe�.�y; pr � � (�� XFrat is�PraPe�+'insurance (inck�dmg arry deductible or�self insiir�ce po�fan thereof�purd,ased �y You to c�over dama�ge to: Eqiipir�ei)t�,bor.rovM-from ottrers; or � PropeTiy ICar�ed b you or personal property in the care, cus�ady or contrn!oF the insured arisirg oul of•the uSe of'an elevator at premises you awn,:reiit or occupy. fb) +4+�Y�r�I��Y �ur�nce.(includin�any detluctible ar self ihsura�e pertion thrr�of}avaiiabie b the�insur.ed cov.ei�g �¢ilitq.for damages �ising eut�of the premese5, oper2�tions, Products,wFx1c or services forwhi�#��ttie�suzd h�s been grdnted�dddioc�l a�sured sfatus e�her�rY P��Y P�� adtachr�ent of�any er.idorsemen!_ Other primary insurance includes arry type�setf insurance or o�r � ' meChanism by wtiich an in�[red ar.ranges iorftx�ng a'f�iEs•legal liabilities. � [c� Any of the ather'msur2nce,whelher primary,exoess: corrfingent or on any etF�er basis,av�ifaWe to ar� additional insur�, �i which th.e addilional insu�ed on our pslicy � also cov�ered � an additi�l � ir�yured on ano'ther pplicp provid�g coverage fa�the s.�ne "ovcurrence", da�'n ar "suit". 7'his proVision does not,aQ�ljr�io any Qolicy in �ruhiah the addition�l insured is a M�rned Insured on such � otl�er palicy a�d wher� ar�r poticy is requ�ed by wrftten oor.dract or written agreemenL to prwide sroverage to the:additiai@I insured on a pr�mary and non�onfribuiary aasis, W. Unintentio�al �ail�ae to Disc�ose�Ail Hszs�ds P�agra�h 6. Representatli�ns of Sect9on tY — Cam�nercial Q�neral Liabiqty CQnditions is replac�d by the frrllawing: . i fi. .RCpresentsdons By aGCe�ting thi5 policy,Y�a9� a, The st2Rements•in the�DeClBratiCn9�e s�xur�e and camplete;. b. Those sf�emenEs are based upon r�pre5e�tatr4rtS yar made ta us;and C_ �We haVe issued�this.paTicy in oe�anCe up�ya�represeritatlons. j � Cavsrage w�f cront+nu�te app[y if y.au uninteMiorraNy, � ' �� a. Fa�to disclas�all�hazards existing�t the incepiiorr of this policy;or .� b_ Al�eke an �ror, omiss9on'or improper desCrip�ion.of premises or other.-statement of ir�ormSdion st8ted n this policy. ��' Yeu must no�ify us as soprt ss passible after the disocvery vfi arty haxardz or any other iaiom�ation that was�ot prp,�ided lo us prior to inceplion of ti�is Coverage Part_ . x. 1Naiver of F�ght of Su6rngatien Parag��ph$.j�r Oi Ri jhts Of Raco.rary Agai�st Others Ta Us of Sec,tion IV—Commercial General Llabiit�t Conditiorls is replaoed by:the foRowing: 8. Trai�sfer•Of,6tiphts.OF Recor+er3t Against Other's T9 Us �� . a. If the irisured'has righls tn recaver alt ar part af any paymer�t we have made•unciei't�iis Caverage Part, � �ri�tits�are'transfeaed to us, The ins�ed ng,st do rtothing after loss ta�r them. A#our request, � the insured MriM bring°S+iit".ot transfer those rigt�ts ta us artaJ'+elp us enFarGe them. b. If ihe irisy'r�d waives is Fight ta recover payrnents iqr iryu.ry or d�nage from anot.E�er person a � organ�stion in�wrRten cbntract executed pricr to a bss,we w�++e�rry 7ipFit of reooirery we may have f �ain'st su�ch persoo or organ¢a�ion bPcause of•anY Da!►meM we have.made under tbis Cov�erage Part. 1 The written�mntracst wiN�b�considered'executed when the insired`s pert�rmar�e Fiegins.orwfien it is � sig�ed,�vhiche+�erhappens first. This wan►er of rights sha�nof be:c�strued to be a�waiverwith respeat to anyother aperations in�which the insur�d has no contractu�l interest. u�c�.•,�.eso•cw ta+ta} Pege 11 of 12 InGU�ea GOpyTlgh6eU materi8l Of tnsurarnrt SeMCei df6Ce,�nC_.wilh 1!S��issipn. � �,r • �, . WORICERS�COMP�NS�TION AI+D.EYPLOYEF�S LWBI�tTY INSUFiA1+ICE•RflLICY WC Qp Q313 (Ed.04-841 � tAtA1�lER �F QUR RI�M�'TO RECOVER FRORI� DT.HERS �NDORSEII��NT We fia►�e the right to-recover our payrnerits•from anyone fia�e for an ir�u.ry'cover�d by this paEicy.. We wiN not erifar.ce our right agairist�t4ie:per3on or organiiaGon �med in the Schedule_ (.This agreernent app�'�es onfy bo the • �exfen�tt�t ypu pertonn w$rk u�der a�writtten c�or�tr.act lhat requires.you!o obRain th�s a.greerr�er�t frotn us.y Th�ii agreement shall not operate�ly or ind'ire�ly to beneflt anyone noi named in tfie Schedule. . � Sche�u�e AN.Y P�'�SON QR ORGAN�I2ATION ��R WH4M YOU AR� 'RE�UIFcfiD BY `�7RITTEN CQNTRACT QR AG�'�EMENT TO OB'F'AI1� THIS WAIVE'R O�' RIGHTS FROM US I i � � Th�ar.dorsernerttchanges�lhe poliCy to.i�vF,uch it�is 8qache4 a�d is effeCOire on the date,ssued unless otherwir.�e s�d. {Ti�s�iniarn+alfa�be�or.;s•reai+Nvtl onlr wf�m�is enaorsemsne is iuiN►d�.aab:squeAYto prapsraeFon or u�.poqq.) Er�dorsert�erd Flfecbu.e-ONU,112C15 PolicY�1a. IMCU�137400 �ndorsemsnt No Ins�xed li�liker�lectric Cor�pBny Premium$ insuranoe�Cor•ipany: 7�xir,hAm�ic�n lnsurance Company Couf+teTsigned Qy ����f Page i of 1 WC Op 03 13 ;,opyrighl�gR3 Nada�al CounGl on Com�nsa�ion��s��rance,Ir� Un�tom,FonnST" ; � . �� . YI1�i(��tS E4MP�NSI[TTK3N At�Ee1PL0YERS UA�UTY II+�SURAAICE PpUEY WC 99 06 43 K BL•,ANKE7 NOTIFICATION TO'OTHERS OF CANC�LA�ION OR NOF�tEMEWAL ENDORSE�iIENT This e�xiorsement adds tF�e foxiwirg tb Part Six d the policy. PART SI X COHDtTI�N.S , � � Slanket Not�ication to Others�of�Cancellation ar Nonre�ewal '1, ff we�c�ncel ar non-r.ene��.�t1'tis policy by rniritten natice to you, tiwe wili mait a� deliver riot��catian tteat su�ch 1 pflli�y has been cancelled cjr:n'or�ren�wed ta each persar►or c�rga�atio� shown in a�ist provided to us bY � � you if.yau are reguked.b,y writt�n c�arrtraat ar writtrn agreemern to prQvide such�notification. Hv�wever, su�h notificafion wTll not be ma�Ted br�de�'niered i�9 cand�tFor�al rtotice af reneriral has been sert to ya�. Suah fi5t: a. Must be pr�avided to us pric�to c-antelbtion a r�n�+enewal; b. Must cor�tain ihe n�nes and:sd'dre'sses af only t�e per� or ort�an¢ations requiring not"fiicati� tF►at :�. such poficy has heen car�celled or.non-renewed;and e, Must h�in ae electronic format l�at is aoceptabk to us- 3_ Our nvtific�tion as described�io�Paragraph 1. abo�e will�be b�ed�on'the most�.cenl list in our necords as of tlie.date the not�e of cancellatron e�nan�enewal is m�iled ar deli'vered'to y+au_ Vtif�will mai!or ddi�er suCh nch'd�catio�to each perscn or oryan¢ation shown in ih�list: ' a. Within seven days af the e(fective date ot the �otice of cancellaticn, if we.cancel for non-payr�r�t of premium,or b. At leasr 30 day�s p,r,ior.to t#�e e}fecG�+e d�of: 3 (1) Cancel�On, if ca�.c�ed.for�any r�aso�other than nonpayment of premiurn;or a (2y Non-renetiral,but nof ir�ckidu�g conditional notice of re�ewal. 3. Our maiing or de+ivery�of.r�bt�icaticn described in Paragraphs 1,and 2, abcve is irxentfed as a courtesy oniy. Our failure to proYide such ma�ing ordeliv�ry will not: a. Exlend t�e policy cancsfbUon or.ncn-renewa�alate� � b. Negate the canceliatioo or�on-renew�or c_ Prn�ide any additlo�sl insurance that'would not have heen providpd in fhe absence of tt�is endorsernent. 4, We are �vt r�sponsitlk'TOr•lhe��cd�racy, integrity, timeliness and val'idily Of�rrforrnatian cenfained in the list ' pro�ded io us•as desa r�ed•tn Par�r�hs 1. and 2. arove. ' � AM ether°ter.ms and oondiUons of ttrs po6cy remain unchar�d. '�, TTis endarsemtaR c�anges�fie poYCy�tD whi�it'is�tect►ed and is e�an the da�issued'tmless olhenwese s�a1c�• (The•in�oiir�t�•!flfow is 1+eqWnd walr trhen.tbis�ndorsameM is•iss�d stibsequsnt'to P�ration of the poGey.] � EntlersemE�nt E(feCpue 0710•112Q15 Pal�.y No.b'UC098137400 En�ts�mern No. hisured Mi�P.�Ele'r�r.ic Company Premium S InsurarpQ Gompany Z�ich iqrneriC�n Ir�t�2no�Corrlp3ny WC+!!0613 PM,�!1 of 1 `� (�f.ai-13y Includes copyrlgl►t materinl riftfie N�ional Ca�wicil on CornpenaaL'on Insurarr�e.Inc.us�ed wit�i:s�ertr�. �+•7012 CoPprighl Nalianal Cflv�l a�Curnpensatio�ins�Kanoe,inc.IVI Fi�gl,ts Resened. �• . '�. , � Y � . Ameodx�at Uf Lisit9•��Eii■ra�ce Aed Ofher hu�huce Classe �'or Beecsfbed Pasoas Ur (h�anitatioaa _ ' 1. Tbe feUovring nplecee:soaina�I.Y:DeCiaitioaa J.Luor�d.Pan�rspba 2. ood 5,. but onky witk � w �r person or arganizatio� li�ted ia the SeYs�l�k belarv: �� A�pecson ar uraanization dmt�u 1'isled•ia d�o Sehednle below ia.aa Insared b■t ooly: i. with ne:p�ct 1�.:liapilit� foc�editx'IajNry or!'roperh' Damage cuised. in vrEwlc 6r in part. b7 Youe �aro�orb, a��i�e.a'tEs'6r•oaus� oFthoae actmg oe yau be1�iH', ia the perWrntaace a�Yaur Wa�ic tn whiclf il� writlom conhaet.coqaai�tg �sa�x �pNes 5or sue:q [mrred,i ai�d b, ifmd+ persoa ar•ar�ion is:idchWed as us IasYred uoda.aay ScYedKled L'uderyiq �ee or � Reaiaed.Lirit. 2, Tise tollowi� is�dded to scction VII..Goa�tions T..(?ther Tmnr�uee: i�. Olhe��n�ur�ncc Nor wi11 vre apply this pmvis�n ta amr prrsa� or o�gaaia,�tioe lated ia ide�&ieduk btloa i� I. such petso� «tngsnaatid�' quali�ies as an Cntured m�der �ctioa lY.lle�finithiu�I�uied 2.a 3 oFthis a�ro�oon� 2 you 6a+re a�,�scd'in a writ�e caatract vr;�r� wXh such persqi or arg�izetmn thet t�s �;��n ��y r�ro� .�r ee���.�.��;�a 3. vu 9c6eduled U�r.d�rl�i+e� �sanraoct or 5c6edukJ lirfamed l;imif�►tics t� aqGf► per�oa � er otgs�t'rvtion on a pt�inary sod r,umcaotribuAory hqsia. If.tl�ae ooadii�ons mc me� fhea tl�is:policy wi11 a�Ey lo s��ch per�on ar agaRization bc6wr e�y Otleer Ce'sar�ee,but anly to She e�denit.�Il+�t thc :�inimum 13enit� olG:�'1'rty rEqinred by saah wrNtcn oonQaat or ag�cEowt exceed thc aipplicatili :,limits �f'�5c�ednkd �Taderl�►� Fn.smmeee ar 9ebalnkd Kstakeed L•nr:t,subje�t w �he J,iniita of�o�ur$n� st�ed in Itcm 3.of tkc Ucc��pias oF this po liey , 3. 'i7ie fnUo�wing is eddsd �•seccion.Ill L:inits of lrsararcc �.: � TibWEv�er, with tr.�oat to �aY.Pasq6 or org�ialion tiltsd b�fovr u1 We �he�iile,.thc.�t wc vriiJ psy [or alE d�nages �w�aod nnder L�suring A�cmcnt t. Co�v�ra(�e shati 6e�he feacer ofthe [dlow�e to tbe extent :hey exceed tlw ap{ltic�e'iimifx af tl�e°$chada4�d CJ.der�yb+g [nsurann�Schedaled'Ret�ed t.imit- l. tLe �inirown Iynits of iaaanncc requirad � ihe �rtnc� or agruein�:�t betwten yas+ md �ueh per�n Ar�rganiation: or 2. tbe limits of in.a�canc� stai�d ia lbdp 3.oPthe 17eclarstione. ' ScYedul�of Dacribed Pe�sows or Qrg�r[rrttiomc . Any pecsa�or c�xgenl�ion�tor:whom you have.ayreed ln a written r.anVact'ragreer.�,or permit issuad by a slate a politiCal subdivisian thatthis poli�y shaU epply to tltiem before arry Othef�nturance. Sehedak ot[ksi�ated I,oca6ars Only fnOse loc.afiona il�slgnatod it1 tha w�en cArttrdCt, 2preernera, or pertnil iss�d by a stat� a pol�ical subd'wi�ion ret�nced-di�ctly aba+�a, Atl other�ms of ywr polity rm�ain the sama SLJ314 F.c�. 7-11 ° ZOl!'Cbo Tius+elers [ndr�+siry. Co�ep�y. All rigMs r�acrved. Paas L of 7 � � � .�, � . �i i Vf�afver of It1��ta of RecOvc�+ �nl�o.rsement � Tbe[oIIa�+r"mg a$dded b sa�ion vR.Condifloia,P.'�ransrer u!R¢�S oF[tewrsry eu I3K: [�prio� tb aa Ooc�eemce, cova+ed"b9�P���Y.Y�h�ve aaroed in•i writt,cn oontrict, �a•waive]'q+r iig�ts e� • recovery of paymcnt .fqr damager:foc�Bodtly.In�ary,PTv fert7'Daoa�e, Perienl lD�ury or Adve�ay inj�ry ea�d'�,r�si Octrrre�ee,.�isc .ire �ee to.v�aive our riQM cf rocoray fior s�xti p�yrn�ek A�il otber twvts ofymr pnlicy rRt�aiM dx � i �: 'I i �� , �R1�5 Ed. i4-4Z m 2Q42'I'IK.St, I'�aui Travck�5 Contpar,ie,s., Inc, hli R.ights Reaer.ved P'�gC � of f � � � � 1 � Natiee af Cansetin#:i�Provtd+e�k�y�I� 'Che folbwin6�addeal to:sectio�VIL D.G�aea�stiop of thi�a�snrit��ree.r�er►r end w eny appricabte atate � a�nendsfory crnlorsemait fqrmiag�a put ofthis policy thaL eo�ains•a pravi�ioa tceit•ivplooas sectioo VIL D. C�rceO�tian: If'.re ancel this poli�cy for.5try.stattrion7y permitxd remon ot�ier than'non paym eot of prtmiurtf,.rc wi ll mail aotica of caacetletion to,a�y�petso�:or:organir.�tian m w6om ypn•hsve qgreed i�t a writtea aatraat that notic.�of cancetl�ion of th�,s i�ali�y wi0 be:giVieet,bqt•�ly i�- 1_the Fint N�aad'iK'sur,;d'�senbs us a writoen wqu��to praviala suclt notice...ineluding thc aa�c�d �I�Ss'of such pason or orgiuu�ibn,.�a.you.receiv�notica fru�a ua.cf�he:c�ceUsliqu o�Lhi�polisy;u� 2.we rec�ive such written.feque�Sa�.leaxt 14 days b�Wre the tieginn�g•of tfu agpCu�b]e numbe�of days yh4wn � ' in the�lovr s�dulc: Wc wi{I wtail suc�notice af,leaat.th�in�mber of days shown fot cr�ell�ibu'in the bclow scl�edule befL� the e�Cliva date nf cmicdlafiori '� Schedule dtu�rtbrr of days reoli�e'of�cancclB'sti�n 301�IYatice All oll�erterrns of yoarpcilic"y i�eimaia tfee�5ame. . SV311 Ed I;I-7D 0'2Q.1 l Tbe Tis+ickis'lntlptln't'ty Campany. All reghls res�ved. Pige 1 oF i � � � , , � . . � Coverage Egtensioo �n:dorsement z tI RICIsI� Por�q Fio. �s oale af Pa� �xp_ oaoe d � dE oate o�r�,a. Proeurix No_ �ea��.Pner, Rr�um Pr�em. 37b'tl0 07�0'U2015 07/01/2016 07101/2015 �� THIS ENDORSEMENT CHANGES'YHE POLICY. PLEASE READ IT CAREFULLY. TFtis endorse.rr�ent modifies-ir�rance pravided underthe: Busin�ss Au�COverage Fonn , �lqtor Carrier Coverage�Fonn � A. An�ded VYha Is An Insured , 1. The io�w+ng is added b the Wha IS An lns�ed Provision�n SeCtipn�I—Co�rened Auios LiaWNty Coveroge: � The foBawving are alsa'�insureds": : a. Any"employEe"of yours is an"insured"while using a cave�ed "a�o"you don't own, hll� Of�7pROw #Qr aCIS perfo� withim the scope of employment by you. Any 'empioyee' of�yours is also an "i�sured' v�le operating an 'auta hired o� rerrted under a coMract or agree�nt irt an 'employee's' name, v�h your � perrnission,whde�erforming:duties relat�ia the con�ct of yaur business. . b. Arryor�e volunteering services to y0u is an insured" wh�le using a coYered "auta" yau'dan'R own, hire or borrow to fransport�your cEients or other pe►sons in acti+rities neeessary to your ausiness. � c. Anyone else wha fumishes an"auta"referenced in Paragraphs A.1_a.and A.1.b.in lhis errdarsement. � d. Where a�d to the extent•permitbed by law,any persoR{sy or orgenizaticn(Sy where requir�ed by writt�n corrtract or w�rR6en agreement wkh yai exec�ted prior to aay"accident",�indudmg thase person{s) or oryanizalion{s) . tireCting ycxr woAc p�s�t to.such wr�ten cortitract or wr�ten agr.eemmt w�h yau, Provit�d the"accider�t" arises avt of operations�gbvemed by such contract or. sgreement and mily u�ta the fimits required i� t�e � wrilten contract or writt�agreement,or the Limits of I�surance shown'rn the Declar�ions,whichever is less_ �. The toAowing is added t�the OThe�Insurance Condition in the Business Auta Co►rersge Form and the Other . Ir�svrs�ce—Pri�ry and Eicc�ss Insuranee Provisions Condition in the 1Aotof�arrier Cover�ge Forrn: � C.overage far any person(s) or orc�aeization{s), where requir�eci by vrri8en contract or wririer� a�reement wilh y�u execu�ed prior ta gny"accidenY',w�l apply on a prirnary and non�onir�autay basis and any:�surance maintained by tFie additional ir.�sured"�wiN apply�an an ex�ess tras�. However. in•no event vYill t�is wverage extend heyond the temes and c�nditior�s o�the Ga►+erage Form_ B. Amaxlment—Suppbmeertary�Payments Paragraphs a.(2� and a.(4� of the Coverage Extensions Provision in Section 11 — Covered AuM9 L1a6Rity Goversge are r.eple�d by t�follawing. tZ� UEs to i5,00d for the cost af bai(bonds ('mduding bor�ds fior related tra�ffic I$w vio�tians) required because of an 'accident"we cover. We do�ncR•have t�fumish these I�onds. {4} All reasonable expenses,int.urned by the"irtsured"at our request, includ�g ad�al l�ss of eamir►gs up M 1►,�i00 a day becau5e of tune off from work, � U-GA�?�-F CW(04l14) PdAe 1 0(9 Indudes oopyrighted malerial of fnaurmrca Senrices OlFice.Inc..wkh its permisala�_ j �. _ ... C. Fe�bw.Emplo�tee GaYer� . The Fe'I,forrL�rnployez.ExChrsion cer�ed im9ettlon If�CevHed.Auta:LFabi�ity Goverage�ces not apply. 0.• DriYer3a�et�/Prbgr+m Uabr7fty and Ph�►ska�Damat�e Coverage . ?. T.he idlewing is�added to�the:.Radng E:ck�sion in Sectbn IJ—Cover.�d Ai�tos LiabNity Co�ierage: �h.ii�exc�us�on dees rrar a�y�ac�oHere�au6as"�artici�ating in a driver•safery progrdrrt e�+ent, s�ch as, but not liriwl�d ta,auto or truck rodeos a��attier auto or trucR•ag�ity demonsfi�tions, • 2 �The foNawin� is added to Parag-aph 2.in tfie Exdusians of Section t1E—Physical Damage Coverage af the Business AutO Coverage ��or�n.�anq Paragr8ph Z.b, in ihe Exr,luoinria cf •Section N — PhYsfcal aemage COverage�ot tk►e Mator Carrier Cc+rerageForm: ; This ex�us�ion daes rrot��ply�to covered "autos" part�ipating in a driver.s�ety progrdm e++e�t, such as. but not T�rnRed to,auto or truck rodeos and•ather auto w truck ag�lity demanstraflons. 'E Lease or Lnan Gap Caverage Tl�e fiolfowing is added.•t�tF►e Govsragg'Praws�n of the Physica�l CJamage Coverage Section: Lease Or Lo�n Gap Coyerage . In the event of a ta�tal"loss"fo a.c�ov�ered"auto",w�e wiN pay a�y unpaid amount due on the lease or loan far a covered "auto", less; ' � a. Any amaunt paid uncier•the.P�ysical Damage Co�erage Secti�o(the Goverage Form;and . b. A ny� . t�) OvBrclue�eas6 Or fOa�payrn.erlts.at the tur�e of th�"�035"; tZ) Finsnci$��penalti�imposed,under��se for ex�esseve ase,abnorma!we2�r��d tear w ttigh rnile8�e; t3J 5eCur.iry deposits nat re�tur.rted by:the lessor; {4) Cosfs for extended�warra�ties,cr,�ed9t�fe irtsurance,health,8ccident Qr disabilityy insurance puschased with the lo�n or fease; and' (6) Gafry-aver balsnces:from previaus leases�loaris- . �. Taw nd l.a � Mg� bor Paragraph A.2.of the Physkal p��ge CoY�rage Sedipn is rep�cgd by tF�e falbwing: VV�wiA pay up to�75 f.or'toa►iing and I�bor�costs incumeq e�ch time'$covered``auto"of the pcivate passenger type is disabled. However,the labor rriust.6e perfoirned at fhe place of disabl�itent. G. Ente�ded Glass Caverage • 7he fellowi�g i�added to Paragraph�1i3:a.,af the�hysical DaMage CoYerage S.ectian_ , If glass must be�,'tFre�d�deR.�tibl�shown in the declarations w�1 apply_ Haaever, if.glass can be r.ep�alred�d is�adaaMy �epaired �then:replaced, th� deductitile will be waived. You t�ve the aption of�aving the�glass r�rced �a�.tliari rep�c�. ' H. F�red Auto Phys�cal:Damage—:I'ncroas�d Lass of�Use Expenses . The.Cdwarage�Extension,for k.oss Of�CIs6�Expenses in the Physie�pats�age Co�er�ge Seo4fon is repl�ced by the folbwirtg; ' �oss Of Use E7tpenses , F���fiir�Auto�Physicaf Damag�e,�we wip.Aay expenses far which an '�rrsured"becomes legally resporislble to pay for bss af use of a rehicle:rented�or,hired'wittiout a driver under a wtitten rental contract�ar wr�len rental agreeme�nt. Y1�e wi l l�pay far loss of u�oxpen ses[f'caused by: .1 t,r�-az�-F cw roana� Pagr 2 p18 McliWes cqay►iQMa4 matertal ot Insurrnca Senr.cea OfAce.Inc_.witn i1s permiasr�n. . _ �, if� Other� oolbsion only ff the dedarabions ir�dicate'that Camprehensive Co++�erage is prflv�ided �or any ooMered MP��� i2f Specified Causes Of Lass onl�r�the Qeclaratio� indir.�te that Specified Gauses Of Loss Coti+erage�s pr�o�rided for any r.oMered"auto";or (3! Gdl4i0+t O�y if the Declaratiorts indicate that�o0ision Csvetage is proaided fa arry covered"auto". 1�oyveqer,the nmst we w�l pay for any expenses for lass oF use is 3i0D per day,to a maxirtNxn of 53000, f. Pcrsa�al Effects Coverage Th�e foN.oa�ing�added to the Cor�erage Pro�ision o�tha Ptyrsical Damaga Cnveragc Secfion: Personal Eff�Cove�ge a We vwl!pay�to S�50 far''I�s"to persanal ef�ecls which are: {7') Persorwl praperty owned by an'insured";and {2) M or on a co�ered."auto". , 6, S�fect to Paragraph a.abov�e.[he amount to be paid for"loss"to pe�s�onal effects will be based ort the lesser of: ('1 y T(ne reesonab�cast•ta replace;or (2� The actua!cash vaiue. c. The Coverage pran+ided i� Psragraphs-�a. and b. above, or�ly applies in�the event of a totaad theR of a cowered "a�o". No ded�tible aPplies�to this coverage, Haw+�ver, we will not pay for"loss"to personal effeds of any ad the folla�Ming: (1� Acoour�ts, biqs, currency, de�da; evidence of debt, money, r�tes, sec�rities, or cvmmercial paper or other documerfts af value. (2� Buqion, gold, silver,. platinum. or other precious ailoys or metals; furs or fur g�rtnents: lewelry, watches, precious or semi-precious stones_ (3� Painfings,statua.ry end other+nrorks of art. (4� Cantraband or property in the course of illegel tra nsportaHon or trade. (5} Tapes, records,disr,s or otAer similardevices used with sudio,vlsual or d�ta ele�troni�equipment_ . Any coverege pr4vided by this Pro�isiQn is excess over aay other insurance c�verage a+rail�ble forthe same'Yoss", .�. rapes,Reoords and aiscs Carscags 1. The Exclusion in Paragraph 8.4.a.of SeCtiofl Ili—Physic�� baafage Cowera�e ir1 tlie BuSin4s8 Aut4 GGv�erage �orm ancE the Exclusion:in Paragraph B.2.c. of Sectioa IV— Phyaicai D�nzge Caverage in the Motor C�roer Covergge Form does not apply. ' 2. The fd��ng is added to Paraqraph 1.a. Comp�henslve Coverage under the Coverage PrpWisron af the Physica�Da�mage Cwa�gs Sectian. We wil[pay for"bss° to•tapes, records, discs or other similar devices used with audio, visual or data electronic equipmerif, We Hnll pay qnly if the�tapes,records,discs or�her simi�r audip;�ieual or dafa eleEtronic dehces: (af Ar�tt�e property of an"'trtsured`;and � {b) Are in a c.o�r,e'red"aufo"st the tirr�e of"loss"_ The rn�1 We wilt pay for such "loss" �o tapes. records, discs or aN�er slm3lar de�ices �s $500. TTae Pi�ysir.al DB�ge Coverage Daductibla Proa�lon does not apply to such"bss". U-CA�24F CW(09114) Paqe 3 of 8 �nctudes copyrlgh4ed materiaJ ot lnswer�ce 5erv�cas O�ce,inc.,wi�h as permession, . I k \ K- �1��CQ���e The�xch�sioa in Parag�aph�6.3.a.oF Secffon NI—Physical Damage Corerage in the�usiness Auto Cov�er-aqe Form and the ExGusio�ire Paragraph BA.a. d Seation IV— PAysicai Duna�e Corerage in the IYbtor Garrier Cvver�ge Forrrt does not apply M the accider�tal discharge af an airbag. L. Two or.Moro Oeduct+bles The�oAowing is aclded to the Deductible Provision d the Physical Da�age Coverage S$c0ion_ tt ar�.accadient is covered both by this po�cy�or Coverage Form and by arwther paliry ar Cavera�e Form isseied to yor� by us,the folbwtng epplies•fOre�ach c0�r.eted"•auto"On 8 per vehide I�is: 1. !f the deductible on this.Pot'cY or Coverage Form ia the ama�er(or smalleat)deduct�, it wib be waived:or 2. If the dedudble o�this polu,y or Coverage FcKm is not the smaNer(or sma�lest)deductible, it will be reduced�y the amount of the smaller(or smal�st)ded�xstible. dl. Physica)Damage—Compnehensive Co�erage—Ikductible 1he fol�awing is added to the Deductitile Provision of the Physical Qa�rtage Coverage Sedion: Reg��of the number of.co►�!e�ed'autos"damaged�stolen_the rnaximurn dedudibie.th�t will be 2pplied to Comprehensive Cov�erage for alf"loss"t�om any one cause is 35,QQ0 or the deductlb[e shown in tfie Declarafions, whichetire�r is greater. N. Temporary Subs�itu�e Autos—Pt�ysical Qamage 1. The foilawiru,��s adcled to Section t—covered Autas, Temporary Substitut�Autos—ifiysical Da�»age If Physical Damage Coverage,is pro+rided by th�s Coverag�e Farrn on you�owned coYe�ed 'autos", the Folbawirrg types of vehides are�iso covered"autos"for Physical Damage Caverage: Any"auta" y�ou do not awn when �sed witfi the pe�rnission of its a�mer as•e ternporary sut�adtute for a oavered 'auta"you da aNvn but es wt ot service because of its: � 1. Breakdown; 2. Repair, 3. Servicing; �. 'Y�oss";or 5. Destruc�ian. �. The fa[larwing is added to-ihe Paragraph A.Coverage Provision of the P�y�l+ca1 Damage Coverage Secliora: Temporary Substltute Au�os—�ph'ysical Dama�e 1Me w�l pay the rn�rti'ef for'7oss"to�th�terrrporary�ubstitute"auto"un�ess the"loss"resuas fr�r+fraudWent ads or a�nssions on your part. If we make any paymenl to tt�e awner,we w�obtain t�e awner's rigMs aga�nst arry a4her P�Y• . Tfie dedud�ble for t}�e tempor8ry substitute "auto"wiU be the same �s the deductible fior the covered "aueo" it replaoes. O. Amended Duties In The Event Ot/kccident�Glai�,Suit Or Loss Paragraph a�.d the Duties ln The Event Of Accfder�t,Cla3�n,5uit Or Lass Condition is repfaced by th�fo�bvrir�_ a. 1'n the event cf"aocidenC',daim,"suiC'�''loss",you rnUst give us or ow authotized rep�ese�tatnre prompt natice of t�e '�cident"� daim,;"suit"ar"�Oss", Ho�+e�rer. these d+�ties on�y apply when the"accideirt"'. Gaim, •�suii"ar •ioss"is known to yau{if you:arc an in�ividua�), a paRner tif you.are a p�rtnersh�)', a member(i�ya,are a�imi�ed fi�bi)ityy compgny) or an e�ecutiv� officer or insur� marc►ager (if you are a carporation). The failure of any U-GAj24-F CW(W�t4} Page 4 of 6 McJudea�o�rrighted malerial of Irxuranoe Serv[�oee OfAoe.Inc.,wl�h Rs perrNsston. p •• '1 agerit,servant or err�plbyee ef tF.i�"insured"to notify us of any"accident",clainn,"suit"ar'"lass"sh�l r�ct�valida�e tF�e insurar�ce afforded by thi�poli�y, Inc�ude.as soon as practicable: ;1.} iiow, when and where the "accidertt' or"bss" occurred and if a claim is made or "s�it" is br+ougf�t, wr+tten • nOlice of�he C�m Gr"sui�'inciuding,but nOt t�rttited to,the cfate and details of such dairrt or"su�"; {21 The"insured's"nante�d address; �nd (3� To the extent�ib�e,the names and addres.ses af arry er�red persorts and witnesses. (f.you repart an "accid�nt", claim, "si#"or"loss"'to anot�ec i�swer when you should h�ve reparrted to us, your faiure to report to us+,vill nol be seen as a viofstian of these smertde.d duties provid�d ycw give us nabce as'soon . as practicabke after#�e facf di the delay becomes known�you, �� P_ Waiver Of Trans�er Of Rigi�ts Of'Reco�ery Agais�st Otf�ers To Us The foqawing is added to fhe Transfar df Rights�f Recovery dgainst Others To Us Con�ifiar�; This Condition doPs nok appl�ta the•extent required of you by a writte�ConNaCt,executed prior to any"avcidenC'or "loss", pro�+ided tl�t the�"accidenY ar"lass"aiiises out of operaRions wnlemplated hy such conuact. This waiyer oniy appties to the per5on or organization designaled in the Gonlrsct_ Q. Employae FNred Autos—Physical Damage �raph b.of the Other Isssurance Condition in the Susiness f�uto Co+nerage Famn and P�ragrap�h f, oF the Other .lnsunnce—Primary and Excess Insurar�ce Prorisians Ca�dition in the Mator Carrier Caverage Form arc replaced by the foQowing: For Hired Auto Physical flaFnage Caverage,the fdtovuing are deert,ed ta De novered"au�os"you awn: t1� Any covered"auta"you lease, hir.e,rent or borrow;and I (� Any covered"auto"hi�i�rentetl u�der a+ardten cantract or wr.ilt�n.agreement entered ir�ta by an"emp�oyee"or � elected or appo�ted a�ficial with you� pertnission while being operat�d wRhin the course and scope af that "employe�'s"employment by-you or that ebcted or appointed off�cial's duties as respect their obligatior�.s to you. Ho+�aer,any"auto"that�is leased,hired, rented or borrowed with a driv�r is not a covered"auto". R. Ut�intentional Feilure to Discbse�Haurds The follawing�added to the Conce�lmeat,Misnsp�a�entation Or Fraud Cond�ian: Howe�er,we wiM not deny cove�age�w�der this Cov�rage Furrn �you unintenEiona!!y: (1) Fail to disctose any hazards existing�at the inceptian date of fhis Coverage Form;or t2) Matce an erm�,omission,enproper�descripti�ot"aufa6"or other misstatement of inform�tion. Ya� nwst r�otify us as soort as poss�e �ter the disvauery af any hazards or any oiher ir,iormatior� t!�# uras not provided to us prior•to the aCoeptance�of tl�is policy. S. Hired Auoo—allrorld 11111de Gai►arage ' Para�rapi�7at5)�ihe Polir.ry Period,Caveraga Tertitory Cond�tion is reptaCed by the foflowing: (5J Ariywhere in the w�arld�if a cavetad"auto"is leased, hir+ed, r�nted or borrowred for a period ot$0 days or less, T. Bod�y Irpury Reciefinecl The�e�tPort af"bodi�Y m!'nY"in�e Definitions Sectidn is replaced bY 1t►e foiow�n9: "eodily injury+" means bodtly injury�, sicknees or dsease, sust�ined by a persar� including deaith or mer�tal anguish, resulting from any d these a�any ta�. Mentaf anguish maans a�y type of inerttal or emct�anal ilJness pr dis�ase_ U-C��42�-F CW{04.14) Page 5 af B InePue�s eopyrig��cd matar�ad Ineura r;oa Servioes�fice,lrc.,wilh its permisslon. . , •� ' �. Expecfed Or Iritended Injury The�Expected Or Iritended.Injury Exclusion in Paragraph B.Exdusioris ur�er Sectivr�1—Corered Auta Liabiity �o'v�rage i8 rep�ced by t1�e fol�owing:. Expected Or Interrded lnjury hBodily injur�" a"property damage"expected or intended from the Standpoint of#he "insured"_ This ex�k�sion does rrot .appl�+ �o "tapdily ir�wy' or 'braperty d�nage" result'ng irom the u� af reasQnable iorix to pratect persons or pr�Y• V_ PhysiCal Damage—Addit�anal TetinpOr.dry T�napqrtation��n�Carsrage Paragraph A.4.a,a#Section UI•—physical Dansgs Caverage is replaosd by the following: . 4. Corerage Ex�tens.ions a. Transportatioa Expens�es We wiff pay u�p tc$5d per day"to s rr�ximum af 51,ppQ forlempor.ary�tr�spoctatipn exp�nse inCurred by you because of the total tFieft aF a cQver�ed "auta" of the private pa�seng� tyrpe. We wiN pay only tor those covered"autos" for which you carry either Com�ehensiae or Sp.ecified Causes of Lqss Cov�er.age. V1�e v�r�l ��y for tempora.ry transponatioa ezpenses incurred during the period beg+�ning 49 iiours�after t�e theR�d errding, regardless of the potiay's expiratian, when the covered "auto" is returned to use �we pay for �ts .���� . W. Reptacem�M of�Private Passenger Auto wdh a Hybrid cr Alternative Fu�l Sour�ce Autp The foNaiving i5 9dded 4o P�ragrdph A,co�►erage of the Physical Oamage Goverage Section: In the e�er�t of a tofal"loss"to a�od�rered"aufo"of the private passenger iype�that is re�►laced wdh a hybrid"auto"or "au0a"power+ed�y an anernati++�e#ueF sour+oe�of the private psssenger type, we w�l pay an additior�al 7 Q°�ai t?�e cast af the r�placerr�M "auto", excluding tax,.title, license, other fees �rd ariy atlerma�icet v�ehic� upgrades, e� to a rr�ximum pF�2500, The cavered"auto'must be repl�Ced 6y a hyk�rid "aaDo'or�"auia"powe�ed by�n alternative fuel sauroe.within 6D calendar days of�the payment of the"ioss"and evir�enced by a bill of sale or new veh�le lease t� agre�err�nt. To quatify as a hybrid"au6o",.the"autn"must be pvwered.by a con�erttiona�gasa�ne engir�e and another sour+�e of pr�pulsion pa�rar. The other source.of�propulsion pawer must be electriC, hydr.ogen,, prc�p�ne, s�F�r or n�ttur�l gas, either campressed or 6queFied. To qualify as an "auto po�w�ered by an altematwe fuel source, the "auto' rnust be powered by a sourrx ofi prnpu�sion power other than a conventionad gasoline engine� An "aub" solely propelled by biofuel, gasof�e or diesel tuel or arry bl�end:triefeaF is not an"auta"powered by an altemati��fuel source. K. Retum of S�o1en Auttimobile The fdlowing is added to the Conrerage Ex�nsion Rravision of the Physical Qamage'Coirerage Section: If a coyered"auto'is:stolen.anil reoo�vered;we wir pay it�e cosi of iransport b retum t�ie'auto"to y�u. We w�pay �ly for those co+rered'aufos"for which you carry either Con�p�►e cr Specified Causes of Lass Co�erage. All otF�r terms,condi;ions,provisions and exc�sions of this policy rernain the same. uca�za F cw�n.� P3gC 6 oi 6 Indudes onpyrighEed.matortai al Inswance Servioes d�la.lnc.,w�E��ts permission. � - '� . � B�an�cet Noti�cation �to Q�hers of Cance��tion ZllRICH# o�r A[on-ReQew�a�l ��►�a. �tc a�te or�Par. �. Dale of Pol. EIE Qate o�End. ?toducar Nv. AdG'l.F'lern rte�,Pr.r�. a3a�a7goo o�ro�no�s � o��rzo�s 07l01l2015 rr�s e�no�M�HT GHAHGES THE POL.ICY. Pl.�se R�R cA�Fuu,.Y. This endorsemPnt modifies insur�ance provided under Uie: Car�nerCia�Automobile Covetage PaR A. If we cancef or nai-renew th�s Coverage Part by wri6ten nopce to the first Narr�ed lr�sured, we wiu rriaiJ or dedver n�tior�that such Goverage Pa�t has�been carr�elled or non-cer�euwed to each person ar cxganization shoMm in a ist provided to�us by tFie frat Named Insured if yai are requirad by written cantract or wr+tten agreement to pnayide sueh notification. Howe�er,such no�ifcai'ion vriN nol be mailed or deliver�ed'#a c4nditio�aE rroti�e of renewal has been sent to the fir:�Named Insun3d. Such fisi: t. Must be prnvided to us�►r.ior tacar�ellatior�w nan-r+enewal; 2. Must tantain the .names and 'addriesses of only the persons or organeations r�equiring rrotificaban that stich , .Ca�++erage Part has been canc�elled or non-renewed;and •; 3. I�Aust�be u��electronic fiormffi•that is acceQtabfe to us_ B. Our na�tion as described in Pa.ragr�h A.oi this endorsement will be tiased on the most receni list in ow recards • as of the date the notice of canoell�aon or non-renewal is mailed or del�vered to fie first Named I�sured, W�vril mail or delker such nvti�cati�to�each person or organi¢ation shawn in the iis� 1. V�$h�sev�en ci�ys�f t�e e�eCtive d8te oPihe noiice af cancellation,if we carrcel for nan-�aymerrt of premnan:or 2. At�asi 30 days prior b the eifective d�te of: � a. Canc�lha�ion,if cancelied fiprany�eason ather than n�yment oi�remiurn;or b. Non-r�enevvai,but not inchi�ng c�ditional r�otice of rer�ewal. � �. Qur rr�'ing nr de�iv�ery of nati��ti6n clescribed in Paaragrephs A.anii S.of tfiis er�dasemerrt is i�tended as a courbesy onFy, pur failure to provide 8eich rr�ailing.or de�ivery will npt: ' 1. E�dtenQ the CoMerage Pad canceYation ar no�-renewaE date; 2. M�gate the•canoellatio�or npn-�newa�;or 3. P�vvide arry additianallnsurA�Ce d�at would r�ot have been prnvided iri the a�sence af this endorsement. Q. We are riat responaible.f�U�e accuracy, integriRy, t6nefinass and�aC�ty of information cantained in the��st provided to us as descr�e�d'm Par2graphs A.and B.of tFris endorsement, A!I ather terms and cor�ditions af lhis poliry remain unchange�_ u-c�eaz-�cv,r�o�ns� P�e ti of 1 Jnduasa copyr�phled maleri�l o!Ensurance Services O�ioe,Ini:.,with its pemtission. . . � F[ille�r E'lectric Company � � General L'iabi�it3r Su.�plemental Coverage Endorsement ZCTRICH� , � Polky Nlo. E� bst� of Pol, Exp. �ate of Pol. ER.Da1�d End. Produmr No.� Adc1'L Pr�m. ReYrn Prcm. crroo�az�e�s �/1/2oi� . ��/i/?oi6 �/�!ZozS THIS END'ORS�MENT CNAIQGES THE POk.ICY. PLEAS�R�AQ IT CAREFULLY. 7his�emern modifies insurance provided under the; Commerc.iai General liability Covar.age Part The fp►Ipwing Chdnges 8pply to thls Coverage Part. Nowevar, endprsernents sltached to this Ca�erage PeA will supersede �ny provisians to the -con.tr�.ry In this G¢ner�l leabBity Supplemental Coverage Er�arsement A. Sroadened Named Insured 1. The fo�owing ts added ta Seclion II—Who la M Inaured: Any organization flf yours,ctherihan a partnership ar jant venture.,which.is rwt shown in the Declaretions,and over afiich you maintain an ownership�terest oi more than 50°/0 of such argani"za�ion as of tfie effe��ve date af this Caverage Part,will quaity as a Named Insured. However,su�h orgar�zation wi�l not qua�fy as a Named Insured under ihis provision if'it: a. fs newly acquired or farmed durtng•!he policy period; b. ls a}so an insured under another poGcy,other lhan a policy written to apply spec'�'icaNy i�excess af ihis Goverage Part;or c. Wa�ld be an insured�[nder another poli�y but For itss termination or the ezhaust�an o[its fimits el insur8nce, Each such organization�remainsqual�ed as a Named Insured only while you maintain an owner�Ftip"r�lerest af rnore d�SQ9G ia ih8 or$anization d uring the P�Y Aer�od. 2. The N�st paragraph of'Section N—ilVho Is M Insured does nat apply to this provision to the extent if�at such paragr8ph would cortllid w9ih 1hi,s pravisio�. g. Ftewly Acquirad ar Pormed Organir.atlons as Na�Insurads 1. Paragraph 3.af Section 11—.Who•Is An Insured is replaced by the folbwin� 3. Any orgonisation you newly atquire ar fom�duri�g the paicy period,other than a paRnersftip or pint venture,.ancf over whicfa you'mainiain an owneBhip interest of mora�han SU96 d surh r�rganizatian,w�lf , quaC�iy as a Named lnstred',d there is na ou�er simiiar ins�rante aVailable to t1�at organization. Howe�er: � a. Cvve�age'under this prrnris;on is afforded oMy unti 4he 180'"day a!tcr you acquir�or iorrn tf,e I organization.or!he end of the p'olicy pe�iod.whictic'ver es aarlier; � b. Coverage A�does nol apply to'bodily ir�r�'or"property dem8ge"lhat oc�xx�ed belore you acquired ; or{ormed the organizalion;and � c. Coversge B does not aPply to'persona!and advertisit�g ir�jur�'ari.sin5 ou1 of an offense rnmm�ted befare you'a�quired or formed the organization. . An additio�!pnemwm will apply in accordartce with our ruks and rates in effed on thc date you�cqulrcd or f�med the wganization. - E I 3 U-GL-1345-8 CW(Wl13� i Page 1 a�f l2 Induou coFyri�hted rtwlalal 01 fnsurancc Sav,ce�s Cithce,lnc.,wi7�ib permisyrt+n. • _ , �, . 2. The last p8rdg�aph.of Section II—Who Is Ar� Insured does not apply ta this pravision to the extent that such . �ara�aph w�ould cai�lrc.l viith tfi+s�ovisian. . C. Ins�bed Status—Emplopees . Paragraph 2 a,(1)d Setiinn Il—Who Is An Insurvd is reptaced by the fa9rnving: 2. Eack�of the foho�wirg is•alsa an irisur�d; a. Y.our`voi�nteer ar.orker,s"on�y while performirx,�du?ies reFateci to tha-condur,t o!your b�siness.or your "ernployees`,other than either your"exeartive office�s'(if you are an organizatiw�other than a partnership,joint•�e�ire or,lirn�ed I'rebility companyj�your inanagers•tit you are a limited liabdity canpany),bul only fpr s�ts wjthin the scope o�their ertr,�loym�nt by ynu or whtle perfprrnir�j duties telated to the co►xiuci of�yaur business. Hvwever,rqne�f these'`�nployees"a'volunteer wurkers'are insuneds for: (�f ���Y*�7�+�"1'"a"1�rsor.ral and adve.rt�sing ir�ury": {ay Ta you,to yoir partners or members{if ya�u are a partnership or pint ventune},to your members (lf•you are a•Amited•IiahAi.lycorrapanyj,!a a co-'empbyee"wfiile in.ths course of his or her empbymaM•or perfarming d�kias'related to the•canduct of paur business,or to ydvr oE�er � "volurrteer workers"''while perfarming duties related to.the conduct of your business; (b} To the spouse,child,parent,brother of sister of that co-"emp�yee"or'vol�,nteer worke�'as a conseque�e ot Paragraph�1Kay above; . (c) For which there is�ny obl�n to share damages with or repay sarneo�e else vrho must pay damages,because df�the injury descx�ed in Paragraphs(1}(a)or'�b)abave;or {d] Arish�g out of his�or lier providing or failing to pro�ide professi�al health care services_ Fbwea►ef: Paragraphs(SK�a)and�13('d)do nflt apply to your"empbysae'or`'volunteer workers",who are nat ernploy�ed by yau or�alunteer.img for yau as he8lth care prafession�ls,for"badily inji�y"arising aut af 'Good Sam�kan.Ads"while the"employee"or"volunb�ar w�rker"is performing duties rel�ted to the . conduct d your l�uslness, `Good Samaritan,Acts"mean�ny�sslsl�nce of a medical nature'rendered or pravidetE lit an emergency situatian for whicfi no remuneratibn is demanded or received. � Pard�raphs [ixa�, (b) and(�} do nqt apply tn any "err�oyee" designaEed as a supeav�sor ar higher in rank,with resp�ct�o'hod�y iryury"lo co-"employees". As used in tfus pravlsfon,"empbyees'designated as a supervlsor or tdgherti rank'rr�eans only"ernptoyees"who are autharizetl by yeu tp exercfse direct or indirect superwision or�control aver"empbyess'or"volu�teer workers"and the manner in which work is performed. D. Addltional lns�—Lessees of Premises �_ Sedion II—Who Is An Ihsured is amended b inGude as an adddio�al insured any person(s}or arganization(s) who leases nr rents a�art of he pnem:ses y.ou aam or manage wtro you are reqWred t�a�ld as an addRional insured on this poµcy under a written writr�d or written agr�,but only with r�espett to iabiGty zrcising c�ut ot yotK ownership,mainlenan�e or[epaar pf lhat part of the aremises which is rrot reserved for the exchlsive use or occupan�y o(such pers�on �r onganirali'on or any other tenant or iessee. This provision doe�.not appJy afterti�e person nr organizatia�c�eses to lease�tenf premises from yoLL However,the rc�surance aft`orda�i to such.add�tional insured; a Only a�iies to.the exter.ii•permitted by law;a-,d b_ Wil1 not be broader than that afiich you are requirecf by the written corrtraat or writlen agreemenl to provide For such additional insu.'rsd, 2 With resped to the,i�surar�ce afforded�a the additional ins�eds urtder this endnrsement,the folbwing 9s added to SetOioro I�—Limits Of Insurance: � u..cx-,sa�cw{oan3� � PaQe 2 of 12 1:lcludes copyrightea ma0eri�l of 1n^��rancr.Serv�ces��ce,lra.,wdt�ds pi:fm�E5i0n� « •i� y . Tbe mas!we.will pay oh,beh�lf'oftMe.additionsl insured is the a�r�ounf�f insurane.e: � �: Reqwred by ihe wr:itten contract�or written agreemeni reierepced 'in�SubParagraph D.1. above (of Rris endorsement);� 4: .Av8labie un�er the appfiqble Lim�ts oF Insuranoe 4havm m tt�e Decfaratians. whk�everis less. Ths Paragraph R:shail not incrrease ti�e app�cable�kstits of lnsurance show:�in the Dedaratiors. E. AadflianaF Msuc�et!—Yendors 1. Thsfo�awing c��an9e appl"res i(itiis Cove�age Part prbvi�es insurance ta�Ya fa"bo�lY i�lurY"a�°P��rh' �amage'ineluded m i�e"�pleted�operatrons har.erci": S�ion�—Who Is M;lrisur�ed,�s�amend�d to inc�de as a�additiona)yns.ured any peBon or organization (re�ed to throughotit this P�agPaph�E:.as•vendof)who you have agr.eed in a+ivriEtan contract or wrilten agreemeM,prior.ta toss,to name�as.an additional insured,but orrly wnh.respe�t to"bod�ly injury"ot'pro�erty - d'am�ge"arfsirx,�outof"y�r.prvducts'which 2�'e��stdbuted or soJd In th�-regular course of the vendor's business: However,�e irwsuranae a�for.ded�io such ve�dor. �. Only a�&es ta tkie extent permit�eri by Isiw;and b. Will nat be broader 4han lhat whfchyou are r�;quired by the written contrad w wriiien agreement ta proaride for such�- . 2. With respec;t to the.insuranoe:affo�d ro�h��e�c�,do�s,lhe foE�owing addilional exclusions apply; a. The insurarx�.e a#orded the.v,endor doas not apply to� (1) "Ba1�y injcuy"or''prapeiTy d�amage"�r which fhe vend�,r i�obligated to pay dama�es by reasvn of the assumption af liabilily in�a'caatract or agreement. This exclusion d,'oes°not ep�y to iabi�ty for damages that the vendor wou�;have ir�1he absenoe of�he cnntrac�ar agree�L (zy -Any express warFanty unautt�arized by you; (3} Any physical or cherrve.91 cbange irt the product made�te►�tivnall.y by•th��er�dn�r; (4j Repackaging.except:when unpacked solely far the purpose of inspectPon�demanstraticr+,testing,or the si�stitution of parts rinde�insf��hor�s from Ihe manafacturer,and�en r�hackaged in the driginsl cor�tainer, {S� Arry failure to make such�i�spBclians,adjustme�ts,tests or sen�icing as tlieven�r has agreed ta make ar nortnal�y under:t�ke's to make in Ihe usual course of business,in conneclion with!he dislribution or sal� � of�products; ' (8) Qernonstr�tion,'Frt�t�atPon,.servicing or repair aperatioris,except sa�ah r�ier�finns pertofined at the vartdvr's pneinise:s f�connection wilh tt►e sale of ihe producl; (7y Producls whicM;af��stiilxution or sale by yoo,hanie been labeled�or.rel�tieled ar used as a con�ainer, . part or ingredent qf arty oqher lhing or substance Dy or for tktie vendor;or � (8� "Badity mji,."ry"os"propertY damage"arising out of the sole negligence r�f[he vendar fpt ils awr.�acts or omisswns ar those af•its.ernployees or anyone etse acting on its behalf. How.�ver,thrs exck+sfort daes not apply to: (a� The excepiions contatrred in Subparag�raphs(4�cr(B�,or (b) Suah inspactiarss,adjustmen#s;tests ar serv�cing as the�endor has agreed ta.make or n�rmakly � undertakes'to make in.the usual course of business, in cortnecNo+i witli the�dstr9butia�or sale of the producis. b. Th45•insuranoe does npt apply to any�fosured person or a�gar�zatian,fram wham ybu have acqulred su�h products,w any irigredrent.,Par1 or cont��rrer,er�eri�ng irtto, aocorRpanyirrg bi�t�Rg 5uch Praducts. c. This•i�sura�e cioes nat.applj/to any vf"your praducts"for which coverage Is excl�ded under this Coverage Part. � U-GL-t3A5�C�I04J13] PagE 3 of SQ ln�JtedCs topydghtOd m2�Crial Of I�earlce Senrices CJt�ic�.lnc..�xith.its p�rr'n6::ian. i •� '� , 3, 4YIh respect to the insurance affbrded lo the�er�dor under this cndors�ment,ihe Fallowinr�is added td Seatidn fll —LiniitS�Of Insurance: TFre�mast we will pay on behalf of the vendor is the amount oi insurance: a. Required by •ttie wrPtten contract ar written agreement rcferen�cd 'm Subpasagraph E.1. abo�c (of this endwsernent);or b. AvailaMe under the apPlicab�e I.imils of Insurance shawn in the Decl�ra�ians, tivhwct�aer is less. This P�aph E shall not increase the appf'icable�imits a(Insurance shawn in the Ueciarations. F. Atlditianal Insured—Wlanagers, �essors a'Governmcntal EMity 1.. Secrion�—Who Is�In Instred is amended to indude as an insured any person cr crganizaHw,who 7s a marrdger,lessa or governmental•entity who you�e required ta add-as an add�ional insured an this popcy •under a written cantr8ct,written agreemer�t or permlt, but or�y with respeCt to Aability fix"bodily injury', "pro�per[y damage'or"�sona!and advertising injury'caused,in whole or in part, by. a. Your acls or amissions;or b. The ac:ts or omis�ion of those acting an your behal(;and rasulUng directly irom: a. Operations perfarmed by you or an yaur behalf for which the stale or political subdivision�as issued a permPt; ' b. Ovvnership,maintenance,occupancy w use of premises hy yau;or c. Malntenance,aperatlon or�use by you af equipment leased to yau by such person or organizalbpn. Howev�,the insu�anoa afforded la such a�ianal insured� , a On�y applies to the eictent permitted by�aw;and b. Will r�ot be broader than that which}rou are requ�re�by the wrFtten cont�act or writUen agreement ta provkfe for such additional insured. 2. This pravision does �at apply; a. Unless the writter�contract or rvFitlen a�reemen!has been executed,Qr the permtt has been issued,prior to the'bodiy injury",'property damage'or offense tttal caused 'parsona�and advertising injury"; b, Tq eny persan a organize:ion included as an insured uncor Paragraph 3.af$ecllon II—Whe Is An Insured; c. To any lessor of equlpment I�'Ihe"occurre�e"or offense takes p}ace after the equipment lease expfres; d. To any. (1) Owners orother int$rests irom+nrtiom land has bee�leased by y�ou;or (2� Nlanagers or lessors of premis�es,if_ (aJ The"occurren'ce"nr aft�nse tekes plac�after the expira6an af th�lease or you ceaae t4 be a tenant in Ihat premises; . (b) The�"badilyr�jticy',"prope�tydamage"or"person�and edver5sing injur�'arises aut of;he strudur+�t alleratbns,+�w cnnstrudlen or demo�tion operati�s pa�fiarm�d by or on behal[�ithe manag�ar lessor,or (e) T�e prerriises:ar�exdudea t,rrader lhis Coverage F'art, 3. With respecl to the insurance afforcfed to the addi!ional insureds under Shis endorsement, the fallowing Is added tn Sectaon lli—Lirnits�It�sEuance: TF�e most we wiY pay on behalf.of the addit�l insured'es Ihe arraun[oF insurar�ce: � a. Required by the written contrac! ar written agreement referenced in Subparagraph F.1. above (of lhis endorserr�nt};or ;/-GL-1345-9 C1N{oAl13) Page 4 of 12 hreludes cor,yr�hkd meteriiN pE lr�uranre Sen+i�es Olfice.�nc.,wi[n;t5�n"nlss�on_ . � . ., b. Available�u�der.the•appticabfe limits of Insivance shown in the C)eclarations, whidiever is le�. This Paragraph F.Sh2�not inr,rease the�pliCaWe limils of lnsur•an�e st�rnirtt in�lFle DeCkaralionb. (3. �nage to Premises Rertited or Ocaipied br You a. The�tasf paragraph undeF Paragiapk� t.E�cclusions oi Sectlan I- Cov�rage A- 8adil�r lnjury Md �op�ty Damage.Liabtlit�r is replaoed by�e fdlowi�: � EXGh�sIOnS C.th(OUgh 11.d071d appl)I fQ•daf118g@ b�"Sp@CIfiC p@f1�S'to premises while rerrte�d to you or terr�orahly oxuQied by you wilh permission oi the_ awrt�. A separate Damage Ta Prcmises Rer�tcd Tfl You Limii nt Insuranoe appbes to this coverage as descxibed in Section I�—Limifs Of Ir�rance_ Z. Para�raph 6.d Sectlon ql—L�nits Of Inswance is r�placcd by tdc fo�ovuing: • B. Subject to Pa[agraph•S.above, the Dama�e To Pr�smisc�s Rented To You Limi1 is!he most we will pay under Covcrage A for damac�es ba;a�use af.'property damage'to any one pr�emise.s while �ented b you, ar in thc qse o! damage by o�e ar more "specific perds' ta aoy one premises, wh�le rer�ted !o you or tert�orarity axupied by yvu•with permission�of'the awn�. H. Breadened CorKractuat�iability The insured contract"definition unde�fhe Der+nitions Secllon is replaceC by the following; 'Ir�.sured cvntract'rneans: a, A contract far a Irase of pr•ernises•, However,thst porlion of the cantract for a �ease of pre.r�ises that indemnifies any persQn or organization for damage by'speafic perils'to prem�es while rented to pu a�emporaray occupied by yau with permission of't�e onrneri's no4 an insured corNract"; b. A s:delrack agre�xnent; c. Any easement a acense agreerr�nt; d. An obligatian, as required by ardln�nce, ta indemnify a municipakity, excepi 9n cen�ecti�n with work f� a municq�aC�ty; e. An elevator rrraintenanve agreerr+eM; . f. That part of.any oEher cantract or agreement perlaining to yvur business {iFldudinp an indemnific�ion of a munic�ty in connection with work perfarraed for� rr�unicipaiiy) ur�er which,you assume the tort Nabilitr of anC�Mx party UD pay for"bodiY�1��, �P��Y damage"� or"personal a[ld �dvertising aijur�'�'i�ng out of the offenses of false arrest,.detentio�or imprisqnrnerit,to a�ird pe�san or 4rgar�atian_ Tort�iability means a ia6�ity that w�uki be irr�ed by law ir�the absence of any co�act ar agreement Paragraph f,doe5 not inele�de�that part of aoy contract or ac,�reemertt: (1) That indemnifies an ac�chiiect,engineer or sun+eyor for injury or da�aye ansing out af: . (a) Preparing, a�r+uving. or tailing lfl prepare ar apprrn+e, maps. sh�p drawings, opir�ians, reports, survcys, 6eld arders,change orders,or•drawings and specifica5oru:or (b? Giving d�s or inst�uCtions. o� faiing to gkve them, iT lhat Is ihe pFirrtary c.�use of the injury or darnage;or I {2f Ui�der whiCh the insurad, ii an architect, enginee� or sun+eyor.: assun�s �iaG'dty Tar an injtry or d�ntege arisirx3 aut af Hie i�sureds cendering or failure to mnder prdess�onal services, inctuding those fisted in Paragraph(1�above and suPeryisory;inspecYon,architecQra!or engineering activities. 1. Oefmition—5pecitic Pttils The fWowing definition�is added to qic Ret'initions Sectidr►: 'Spec�c perils"rneans; a. �ire; b- U9htnn9; �. c. E�cplasian; u-r,�-taas-e cw{oan 3; �jeso��a lncludes copyrigh0et!rt�alCrpl of Iree4rs�c�Se*vices O�fice.Inc..with�pefR�Ksla�. � 1 1 • d, W�ctsia�m or haiJ; e- Smo�e; f. Air,craft ar vetiictes: . g. Vandalism; h,. VYeight of snow,ice or sleef L Leakag.e from fire extinguishiny equipmeM�indud"n9 sPrinklers;or ' j. �tst disct�arge ar leakage d water dr steam hnm arry part of a syslem or ap�iarxe containi�g wraler or steam. J. LLr,itied Contractual Liabflity Coverage=Personal and Advertising Injury 1�. Ezdu.Sion e.of Section I—Coverage 8—Pa�sonal And Ad+�ertising lnjury Lfabiity is replaced by the falbwing: �. �accktsions ThFs Insuranoe does not.apply to: ' a. Contracte►al L�abNJty � "Psrsonal a�d ad�ertisEng injury"forwhich ihe insured h85 assumed Ilability in a contract or�eement This exdusian does nat apply to: I (1) Liab�ity t�damages that the ins�xed wvuld ha�►o i�the absence of the contrad or agreement;or �I {7} LiabO�y tor'pe'sonai and adverdsing i�jury"i�: (a) The "personal, and advertisin$ injury" arises oui of the of�enses ot lalse arrest, detenilan or imprisonment; (b} '1`he kabiliiy pectairts:to your business and is assurnsd i��written contract vr written agreement i� which you assume tf+e tort liability of a�dher. �`o:t liability means a Ilability lhat would be imposed bylaw m the absence ct any corttract or agreement;and (c} The "persortal a�d advertising injury"axurs sut75equent to the execution of the written cQr�ract t or written agreement: � Solefy for p�poses of liabiliry 90 assumed in such writ�en contract or wrttten agreemenl, �easonable at�omey fees and'necessary IitigaUon expenses Incuned by or fo�a oarty other than an insured are � deemed 1a be damages 6ecause af "personal and �iertising irijury" descr'�ed in Paragraph (a) abWe.P.rWided: {i� �iab�lity to s uch party f�, or for tt�e cost of, that pa rty's �efe rtse h a s aLso bee n ass umed in the same writ�en oonlrad�ar written agreement;a�d ' (uy Srxah 8t[orney feeS and ktigatioro expenses are for defense of Ihet party agair�st a ciVil or ' alternative�dlspule resolut�on proceeding i� wFiich damages to whlch tAis Insurance applies are � �. � 2. Paragraph 2.d.d Section 1—Supplemarttary Payrnents—Coverages A and B is replaeed by the following= . d. Tha allegations in ihe.'suil'and Ihe infarmetion vre know about the"occurrence"ar offet�se are such that na cflnl�icl appears to eici'st,between.�tFtie interests d the fr�ured and the interesks of Ihe indertriitea; I ' 3. The foliowin$ is added ta the paregraph directly fdlawing Paragraph 2.f, of Section 1 — St�plamenfary P�yrr�snts—Govsrages A and B: . ' tVo�rudhstaMing the pro�sions d Paragraph 2�.[2)af Sedion I—Coverage B—Personal Md Ad�+erlising Injury . Liab�7ity, Suoh payinenls.will aoi be deemed to be damages ior "persanal an� advertising.injury' and wi nol reduce the Gmifs of ir�surcance. K. Supplemet�tary Payments The fo�ow�g d�anges apply to Supplementary Payments—Coverages A and B: Paragraphs 1.b.and 1.d.arc r�lace�d by the folbwing: � .I i u-c�•,��-g cw toansl �ayes��z kiCluOrs Cop)Irigh�eA rnalerial rf Ins��ra�ra ServitCs OfFtE.InC..wiFn its�rtnissio�n. . T a : :�• i►, C � • ti I , Ib. tilp to 52;�590�forthe�cosl af�tiail boads req�ired becpuse of acci�entsar traff►c{aw�++iolatians arising out of�he use �• of ari�r vehicEe to which�t?he:•8'edily In1u.ry Liabilily Eo+�erage ap.plies. '�'le do not hawe,to fimish these boads. ; . � d i�.reason�We expcnses;i�cur.r.ed by the insured at odr request�to assist us�in the i�►�estiyation or dcfer�c oi lhe • claim or"su�',+�cluding aduaE:loss af eamings up to$5C0•a ifay because af tirne oH Irom work. ; . � �. pGoadened Propsrly Damag� �. Property Damage to C.�nt�nl;.ot P�ert�ises Rvnt�d Short Term ; � The P�!9�Ph d��h��9 Para9�a�h R� in Exclusivn j. d Seclion I — Cowrage A—Bodly Injtry And i property Ramagp Lia.bi�i�i is re�laced by the foAow"s�g. ; �aragraphs ('1), (3).a.'nd('4�•af.this.e'xcfusion�o not applY to"propei�y darn�ge" lp premises (obt�er than damage � �y •specif'�c per�s•), including •property darnage'to the con�nts af siir�.pi�emis�s, �enFed to you undar a rental aqrsert�er�t fvr a period of T4 a iexyer consewlive days. A sepaiate tirit of 7ns�xance appies to Dam�ge � � l�remises Ftented to You as described in Sedion III—L�nits Qf Insurance, � 2. �letrator PropeFEy Damsye . � a The foibwing is added�to �icdosian j. of Sedion I — CoYarage A , Bod�y 1nJury Md Property Damage I �bility I Para�aphs (3� •and:�(4j�of this exqu�ian rlo not apply la "properiy' damage" �arising nut of the use ofi an elevator at premi.ses ya,vwn•,reM.o�ocr.upy. � b, Ttle fpyo+ving is added ia�Sedion[I I—�imiK QE lnsuranCe: � 5u ec#to Pa h S. above the mvst we wil! under Covers A for da s because d ,; b) �P , P�Y � �9e "P�P�Y ; damage'to propc�iy baned�to,y.ou or�ersvnal praperljr in the c�e,•cuslody b'r control af ihe a7sured aris�g ari of l�+e use af�e[eva'tor•at•pr•emiset�yau awn,rent or ocdipy is$25,UUO�per"occurrence"- 3. Property Damage to Bor•row�ed.Equipmerrt a. The foqawing is added to EiccEi�sion j. of Section I —CovQrage A— Bodily Injury And Property Damage � Llability: . �� f'aagraph�4)of this exclwioa�does nd apply to"praperty ctamage"ta ec�ipment you borrow frorn�thers at a � !�e• . � b. The following is added to Section dY.—Lrtnits af Insuranee: . � Subject to Paragraph 5:,above, the'rnost wE wi0 pay under Caverage A.ior damages because of'property ; damage"ta�equipment you horroviw han athers is$25,D00 per"ovcurrence`. : iN. Ei�pected or Intendcd Injury•6r D�nage . �,cc�us;a,a.�see�,ti=cov�.ra�A—Boddy Injury And Property Damage�Llability is re�IdCed by tF�fobwing: a. Expected Or�tended injury OP D.amage 'Bodily iFljury'a"property damage'�expected or intend�ad frvm lhe standpoinl o�the insured_ TFtis ex�sion does not apply tn'bodtly injury"'or'property damage"resu�ing fivm the use of'reasonable fiorce to protect persans or : Pr�Y• . N. Detir�ftlons—Bod�y'1^J'ury � The'bod�ly in�uy�defi�itiort urKler the Deffnitfons 5�tion is�place�bythe fdkrwing: `Bod'rly:�jury"`rneaQS•bOdly i�t�rxyt�;siGlUless�Or dISeBS@ SuStai�ed by a person, indUcfirl�menEaJ aiguish,Ir1E71tal inj�xy,shod�,fri�t or dealh s�stained b.y:that persan whieh results from that ba��r injury,sickoess cx dfse�e_ Q. Ensured Sbt�—Ama�e�i4thletic•ParUcfpants SecUvn q•—�Who Is•An Ir�s�ae�! is amended to ir�dc as an irLwrec! any peGsen yEw�spansor while parCicipaw7g in araateur atk�letic activi��_ li�we�+er,no such perso�is an insured far: ' s. Boaiy injucy"to; (1) Ya�r"er�lOYee". "Yoluntser-worker" or any person you spansor whie participating u, such am3teur athletic adivities;ar u-ci.�?45.R CW ROdf13) Page l of t2 I�CIudC3 C�pyrigh�cd m]tc►fal c�Insul7lnce SemCCs 4��•Inc. wi!-i i1s permlSsiGn. r . � �� � f2) You, any pariner or member('d yvu�are a partnersMp or joint venturey, ar any member�if you are a Fmited •fi�ii'ity campanyj•while.paiticipating m�such amateur atNetic activities;or b. "Ptnpecty dart�age"ta proper'ty awned by. �cupied or used by. rented ta, in�the care, custody or c�ntrd d, or o+rer which tt�e physacal c�ntrd is beirng exer�cised for any purpose by: �(1) Yo�r"e+nployee'.'vdunteer workeP'or any persor�you spotisor;ar (2} You,-any parbner or member ('�f yau ate a partr�ership or joint ventura), or any rteember (if yau are a �mited �ability company). P. Nbn-Owned Aircra�t,Auto and Watc�aft �xdusian g.d Setlion 1—Caverege A—Sodiiy InJury Md Property Danwge Liability i5 replaced by the foNowi�g: g. Aircratt,l4uto Ur Wutsrcra(t `Bod�y injury'or"prepeny demage' arising out of the ownership, rr�nlenance, use or enUustmenl to others of ar�y aircrak,"aut�"orwaterEraft awnad or operated by or rented ar loaned to any insured, Use indudes operatron ; and"ioadir�g or unloading'_ This exdusiai appfies even if the clairns against any insured allege negNgence or dher wrongddn� In the s�ion, hiring,ernployment,training or monitaring of others by that i�sured, ��e"accurcence'whtch c�au.sed . the'bodily injw�'ar"property damege"imol�+ed ihe awnership,malnfenanCe, use or entrustment to others of any aircraft,"auto"or watercraft that is aM+ned oroperated by o�rented or loaned tn any insured. This exclusinn doe5 nDt apply to: � (1) A watercrafl wh91e ashpre en premises you aan or reM; (2j A waterc�aft you do not oam:that is. (a) Less lhan 51 feet bng;and {b} Not being used to.cacr.y per.sons for a charge; (3} Parking an'auto"on, pr on ihe ways nezt to, premises you own or rent, pro�ided the"au�" is nat owned by or rented or loaned to yrbu or the insured; ' (�t) Lia�ility assumed under any'insured centract"br the owncrship,r.'raer�ance or use�T airerait or watercra�t; (5) An atreraft that is hired or chartered by yoa or loaned ta you,with a paid.and Iicensed crr,w,a�is nd awned in whpte ar in part by an.u�sured;or (&1 "B�day a,jury"ar'praperty damage"arising out of: (a) The operati�ofi rttachine�y�r equipment that is attached to, vr part of, a land'velwqle lhat waukl quaify under the d�finibion pf"motiile equipment"if it were not subject to a.cornpulsoy'or fmancial responsibility 1aw ar other rx►otor aehicle insurance law v+rhere it is Iroensed or prinrrpaly garaged; or (bf The nperation of any af the r.rlachinery or equipmerrt fisted in Paregraph f.��)or f.�3}of the defirsi�on of 'mobiie equipment". .Q. Definitfona—Leased Workar,Tempora�r Worker and L�or Leasing Flrm 1. The 'lease� warlcer" and "femporary worker deflnitions under the Dsfinitions Sectlon are repiated by tt�a followri ng: "Leased worket"iineans a person leased to you by a'i�Dor leaging firrn" undec a written agreernent belween yvu ana the"labor laasing Tirm"�,to perfflrm duties relalgd to the conduct of your business_ "Leased worker"does not irtcJi.ide a'temporary worker". "TempbFa.ry warJcer'.means a peCSnn who is fumished to you to support ar supplemer�t your wa'rk face during "errrploy�ee'absenees,tempora•ry s'k�ill shortages, uptums o�downtums in business�to mee� �essonal or shdrt- teRn workload oondNions. 'Temporary wwke�"does nat induda a"leased worke�". 2. The folla�wing de�initlon is added to the D�fr'ntdons Section: "Labor leas{ng firm"means any pers�n ar arganizatbo�who hires out workers to others,including any: a Employment agency,conVactflr or sarvices; . � b, Prnfessionat empbyer or8anization;or • �►-c�ti3as-a cw toar,3y P�80�12 Includes tApyrighled matr.rial af Inwranca Sanrices Of�ia:_Int..wi�i1s pertnisaion. � : . ;� . c. �emporaayr help service. R. DQflnitio�—.1Mobde Equlpntent Paragraph;i:of the•mobile e.quipment"definiti�on under the Definitions Section is replaced by lhe idlowing: t. Vehicles not described in ParaQraph a., b., c. or d. abwe m-rintained primariy !or purpases other tt�an tt�e transpcj�tatian ot persons or ca►go. HaMever, se�-propelle.d vehicies ►�h the foRwving typcs d permane�tly aEtached equipmenl, exoeeding a oort�bined grass vehiclo r�reight of 1000 pounds,Are nat"mobile equiprr�er,ii"but w�E be•Considered'aulos"_ (f] Equiprt�ent tfcsigned primariiy for, {a) Snow removal; (b) Road mair�tenanoe,bul nat constnx:tion or rasurfacin�;or (cf Slreet deaning; (2) Cherry pickers and similar devices maunted on autam�bile or truck chassis and used to raise or lawer wor.kers;and (3) Air compressors, pumps and generators, Mcluding spraying, wekiing, building cleaning, geophysical �xploration.lighling and weY servicing e�uipment S. Definit"tons—Your Praduct and Your Work The'yar product'and'your work'definitions under the D�finfitians 5ecttan are replaced by the tolf�owing: 'Your pcoducY' � a. Means: ��} Any goods or prpducls,other lhaq real property,manuFactured,sold,h�dled, dislributed or dispo�ed af by: (a� You; (b) dthers trading under yaur narne;or (c) A persa�or organization whose business or assets you hava acqusred;and (2� Containers (ather than�ehicles}, materials, par� or equiprr�ent fumished In connettlon with such goods or products. b. kidudes: ' (1) Warranties or represeMatlons made at �y Nme wnh respect to the fitaess, quality, durabirity, performance. usa,handling,inaintenance,aperation or satety of"ya�product";and (2} The pro�lding of ar faiture fo provide wamings or iresiniations. c. Does nnt Indude vending mecFunes�other pnoperly reoted lo a�r located fflr the use of others but not sold. 'Your worlc': s. Mea�s: (i) Wo�lc,servic�s or operatians perf.ormed by you or on your t�ehelf;and (� Materials,parts cr equip�r�ent furni'she4 fn cannection with s�ch work,servkes or operatior�s. b. Inctudes: - (1) Wsrrantles or cepresentations made af any lirr�wNh respect lo the fitness, quality, durabilRy, perFormance, use,ha�dFng,maintenance,operatlon nr safety of"your work";and (2j The pravidirg ai�ar iaili�re to provide wemings or instrucCions, T. Prlority Condition The tdlowing paragraph is added to Secti�IN—Limlts Of Insurar�ce: • U-Gl.-134.°�$C�N[44113) Paga 8�of 12 IncAides wpyrighced rnatucial�N Insuran CC Sf•�Ces afitC.I�C.,with us psrmissian. d' f .� �� �n fhe euent a daim is r»sd'e ar'suit'is brought;againsl•rnorA than�ne 4nsured seelcing damages because of"bodly �njury"o►"'pno�ertY dam�age'ca�,sed by the sam�'ocarrence"or"persanaf and advertising inju�y"Gaused by the same offense,we wip�apply p,e Cimits of Insurance;n w,e fdlawing ordar. . � {a) You; {b} Y�ur"execudve oificers',��t�is,directors,stockholders,members,managers(if ynu arc a limi�ed Gability �oort�panY)or"emplayees";ar�d �c� My other insured in any order that are choose. U. Duties in the Enent of Occurr�nce,�ifcrrse,Claim or Svit Condition The foflawiny p�ragraphs are added to Paragraph 2 Duties In The E�rent Of'Occwrence,Offerise,Clairim Or Suk of Sedio�IV—Canrnerraal General l�ab�pty ConditiQns; Nntic�of an "oc�urrenCe" ar•ofi an offease irrhich may �esuk i� a daun under this insurance or naTce of a daim or "suil' shaN be gi� ta us a's soan as.practFcable aRer Irnowledge of the 'ocEurrenca", �ffensc, daim or"suit" has been neported la ar�+ins�ued 4s�d under Raragrap� 1.of Sea-tinn 11—Who is An Ir�sUred or an"ernplayee"sufhorized by you t4 give�reccive sud� natfce_ Knvwledc�e by other"e.�npk�yees" of an "occurrence", offense, daim or "suiY ds�s ru�t imply thai ycw also have such knawkdge. In Ihe�nt tt�t a� insured repoRs an 'oc�urrence'to the w�rkers compensatian carrier of the Narned Insured and ihis "occurrence'latcr deve[ops inro a C,eneral Liahilitty claim, covered b.y this Coverage Part,the insu►ed's fa�ura�n r�port such "otcurrence"to us at Ihe time of the"occ.vrr�enoe"shall not�deeri+ed�lo be a vidatian of Ihis Condition_ You must,- hawever, g've us not�ce as soan as praclicabiA aftQr being made aware that fhe particular �laim is a General Liability rat�er than a W orkers Comperesation claim. Y. Qther Ins�ance Conditipn Paragraphs 4.a. and 4.b.(1) of the Other (�surance Cnndition of Section IV — Commercial Genera! Llability CQndniar�s are replaced by the inlForiiing: 4, Other Inswance If olher valid �d colle�etible ins��rance is•available to the insured for a los5 we cover under Coverages A or 6 of this GoUerage Part,ou�abl"egations are limited as follows- a. Primary fnsurance Triis ins�ance is primary eiccept� whe� Paragraph b. beaaw applies. ti thfs insvrance is primary, our obhgations are ook affected unless any of tt�e other insurance i�also primary. Then.ws w�share with aA that other instxance by ihe rnettiod ti�scribed In Paragraph a below. Howe�er. this insurance Is primary#o and wl�not sedc contribuEion from any other Insur�e available•10 an addttiorrdl Insured �rovlded that (7� Trie add�ivnal insured is a Narned Insured u�der such other insurance;and �� {2� You are required by written crn�tract or written agreement that this insurance be prunary and not seek oontnbutlon fram any other insarance available ta the add'itional insured. �ther insuanae includes any typ�e aF setf Insurance or other mechanism by whbch an insured arranges ior funding nf its leg�!kabililies_ . b, Excoss In�uranr•e {1} TJ�s.uuirence is eicEess over: - (a}.Any ofi the other ins�ance,whQtfier primary,excess, contir�gent or cn any other basis: {i� That is pr�aperty i�surans;e,Builder s Risk, Instaqation Risk or simifar correrags for'yaur wvrk"; {Ny Tfiat'is property iresurance psuchased by you (induding any ded�tible ar self insurance portion thereaf) tc coYer premisas rsrNed to you or temporarily occupied by yvu with pennlssion of the owner; - (iiiy That is ir�5uraue QurGFiased by you{including arry deductlble or se�f inswrance p�ortion ther�f}tu oovef your �bilily as a tenant f� "Qroperty �ge" to premises rented to you of t�mporarity oocupied by you+nhth permission oF the o+nmer; 11�L-1l45-B C1A+(44J73) • p�1�1 af 12 Inoludes:apyrigh;ed r.,etarial�i Insurancu SriYces O�ce,Inc.,with i�s peRnissian. •� • � � . (iw)M the bss aiia�s ait.at the maintenan�x a�se of aircra(t, 'auEos""or wateraatt lo lhe exter�not subjed�tfl Exdusion 9-of 5ec�ion I—Coverage A—B'odily Inj��ry And�Pro�erty Dan�age !_iability; er (vy That is property insurance(inciudir�any deductible or self ins�rance pnrtion tF�ereoi}purchased by you ta oover damag e.to: � Equipment yat barow�Tram o{hers;or }'raperty loaned 1c you ar persenal prop2rty in the �are, cistody or c�onVol o!the insired arising out nf t�e use af an.eletiratar al premises you own,rent or accupy. (bj My other primary insura� (in��dmg any deductible or self insurance por�on tr�ereof} avaiCable to the insur�d [�o�r,elin�6�bi6ly for clarr�ages arisirlg aut of lhe premises, operations, produ�ts, work or serv'K:es for which lhe insured t�as been granted additional iis�ired status eiNxir by PorrcY�ovision or a4tadwnent of any endasgrnent OtTier primary insurance incaudes any t.ype of sdf ins�nce or othnr +riecf'ianism by which an insured arranges ivr fur�ing of its Regal liabifities. �c} Any o�the other i�sr�rance,whetrter primary,excess,contingerrt or on�y other basis, availsble to an addtional ins�ued, i'n wl�ich thP addiUonal insured an our pdicy is alsa cov�ed as � additionai insured an anott�er paficy providing coverage for the same '�currence", Gaim or "suit'. This pravision does iiot apply to any policy � which �e addltionaf insured is a Named Ir►sured o� s�eh ' c7thef poGcy and �e oen �cy is requirPd hy written opnlract or written agreamenl to provide r.ov�rage Lo the additional ins�ed on a primarp and non-contri6uk�[y basis_ W. •Uninttntional Failure to Dis�losc All Hazands Paragrap� 6. Representatio�s of Sectian N — Comrnerdal General L��y Conditions is replaced by the fdlowing: 6. Represerttations By ac�e�ing this policy,you agree: a The stal�ments in the Declara6ons•are accurate and camplete; b. Tfase statemenls are based upon representations yau made to us; a� � We have issued this policy in r+efi�nce upon yax�epresentations. , • Coveraga wiB r�tinue ta apply�f-you uninienlionaly� a. FaN to disdase aJl hazards ezisting at the incep�ian of th�s poficy;or b. Make an emor,omission or improper description of p�es or oiher statement of information stated in this pd�cy. Yau must notify us as �on as passible after the dsaovery of any hazerds or arry other information f#�at was not provided lo us prior to inceptian�f this Cav�srage Part_ X. Wsi+rar of RigM of SuMvgation Paragraph S.Yransier Of Riyhts Of Recovvry Against Others To Us of 5ectlon N—Cornmercvl Genara� Liability Conditia�u is ceplaced by lhe fotlawing: a. TransfierO.f Rights Of Recoirtry Against Othe�s Ta Us �a. H the insured has rights io.reoover aN or part of any payme�t we have rnade�der this Caverage Part, those righls ara'tr�nsfeRed tv us. 7hs i�sued must do na�ivng aRer loss to impair them. At our req�st, the insured w�bring'suiC"or Vans(er those righ�s to us and help us anforce them. b. (f ttte insured wahres ity rfyht 10 reo�wer payments f�injury or damage fram anolher person ar �ntzalbn ir�,a w�itten contrsct executed prior to a loss,v�re waive any right of'recavery we may have against such persori c5r organiial�on bec�use of any payment we have made under this�Coverage Part. � The wrilteri contractwri0 be�considered executed wlren the insured's per(orr�nsnce begins,or when�t is signed,wi�ichever happens fir.si. This waiver af rights sfiai not b�construed to be a waiver with respect to�y other operation5�which Ihe insured has na co�t�actual ic�terest U-GL-7345-8 CW(WJ13) Page 11 of 12 Inc�s c.opyrfgh[c0 malul�l of Insura�e 5erviras OtFice,Inc.,wi17�i1s pannisya+, _r�r w;� . Y.. Liberaiization Conditio� T?ie fol.,lowiiig cc�i�tion is.addcd'to Sec>t+ora�FY-Coinmefcial�G�rteraf Liability Conditior�s: Ubi�alizaticn Clause � � � 1f'we fevise this Gwerage Pa.r.t�io tiroaden eflverage w�trai+t an�addit+onsl prerniym�harge,yauc poli�y.,� �automs6c�#y provkle ffie��add�bnal•coverage as of the day the revision is effective in the stsle sho+�m in the r�aiing addr�S.oF y�eur paicy- .All o0�er terrns and oaru�itbns of t�is poTccy rernain unchanged. ' � U-G1-1345-8 CYV(04113} page.t2 d 12 InC4xles wpyrighEed ma�ial d I�uranCa SeNiCCs OffiCC.Inc.,wiMs i!s pam iseian. . �