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2010-22 4
CONTRACTOR AGREEMENT
THIS AGREEMENT, made and entered into thiso2'_ day of Apr 2010,
A.D., by and between the City of Clermont 685 West Montrose Street, Clermont, Florida
(hereinafter referred to as "OWNER "), and UTILITY SERVICES, CO., 535 Courtney
Hodges Blvd., Perry, GA 31069 (hereinafter referred to as "CONTRACTOR ").
WITNESSETH: That the parties hereto, for the consideration hereinafter set forth,
mutually agree as follows:
ARTICLE I - SCOPE OF WORK
The CONTRACTOR shall furnish all labor, materials, equipment, machinery, tools,
apparatus and transportation and perform all of the work described in the specifications
entitled:
RFB NO. 10 -002 Elevated Water Storage Tank Coating and Repairs
as prepared by Owner and its agents shall do everything required by this Contract and the
other Contract Documents contained in the specifications, which are a part of these
Documents.
ARTICLE II - THE CONTRACT SUM
The OWNER shall pay to the CONTRACTOR, for the faithful performance of the
Contract, in lawful tender of the United States, and subject to addition and deductions as
provided in the Contract Documents, the Compensation Schedule,_attached hereto and
incorporated herein as Exhibit "A" and, if applicable, the Unit Price Schedule, attached
hereto and incorporated herein as Exhibit "B." The total contract sum shall not exceed
ONE HUNDRED AND EIGHTY -SEVEN THOUSAND DOLLARS ($187,000).
ARTICLE III - COMMENCEMENT AND COMPLETION OF WORK
1.) The CONTRACTOR shall commence work within 10 calendar days after receipt
of (i) Notice to Proceed, and (ii) receipt of three (3) sets of conformed plans, and
(iii) receipt of all survey data as required to perform construction layout, and (iv)
receipt of all permits required to perform the work, and the CONTRACTOR will
substantially complete the same within one - hundred (120) calendar days, unless
the period for completion is extended otherwise by the CONTRACT
DOCUMENTS. Substantial Completion as provided herein shall be the day the
project or designated portion thereof is certified by the Architect /Engineer when
construction is sufficiently complete, in accordance with the Contract Documents,
so the OWNER can occupy or utilize the work or designated portion thereof for
the use for which it is intended.
2.) The CONTRACTOR shall prosecute the work with faithfulness and diligence.
3.) The CONTRACTOR further declares he has examined the site of the work and
that from personal knowledge and experience or that he has made sufficient
investigations to fully satisfy himself that such site is correct and suitable for the
work and he assumes full responsibility therefore. The provisions of this Contract
shall control any inconsistent provisions contained in the specifications. All
Drawings and Specifications have been read and carefully considered by the
CONTRACTOR, who understands the same and agrees to their sufficiency for the
work to be done. It is expressly agreed that under no circumstances, conditions or
situations shall this Contract be more strongly construed against the OWNER than
against the CONTRACTOR and his Surety.
Any ambiguity or uncertainty in the Plans, Drawings or Specifications shall be
interpreted and construed by the Project Architect/Engineer, and his decision shall
be final and binding upon all parties, provided the OWNER agrees.
It is distinctly understood and agreed that the passing, approval and /or acceptance
of any part of the work or material by the OWNER or by any agent or
representative as in compliance with the terms of this Contract and /or of the
Drawings, Plans and Specifications covering said work shall not operate as a
waiver by the OWNER of strict compliance with the terms of this Contract and /or
the Drawings and Specifications covering said work; and the OWNER may
require the CONTRACTOR and /or his Surety to repair, replace, restore and /or
make to comply strictly and in all things with this Contract and the Drawings and
Specifications any and all of said work and /or materials which within a period of
one year from and after the date of the passing, approval, and or acceptance of
any such work or material, are found to be defective or to fail and in any way to
comply with this Contract or with the Drawings and Specifications. This
provision shall not apply to materials or equipment normally expected to
deteriorate or wear out and become subject to normal repair and replacement
before their condition is discovered. The CONTRACTOR shall not be required to
do normal maintenance work under the guarantee provisions. Failure on the part
of the CONTRACTOR and /or his Surety, immediately after Notice to either, to
repair or replace any such defective materials and workmanship shall entitle the
OWNER, if it sees fit, to replace or repair the same and recover the reasonable
cost of such replacement and /or repair from the CONTRACTOR and /or his
Surety, who shall in any event be jointly and severally liable to the OWNER for
all damages, loss and expense caused to the OWNER by reason of the
CONTRACTOR'S breach of this Contract and /or his failure to comply strictly and
in all things with this Contract and /or his failure to comply strictly and in all
things with this Contract and with the Drawings and Specifications.
4.) If required, As -built drawings and warranties acceptable to OWNER must be
submitted to the OWNER before final payment will be made to the
CONTRACTOR.
ARTICLE IV - LIQUIDATED DAMAGES
1.) It is mutually agreed that time is of the essence in regard to this Contract.
Therefore, notwithstanding any other provision contained in the Contract
Documents, should the CONTRACTOR fail to complete the work within the
specified time as set by the Notice to Proceed, or any authorized extension
thereof, CONTRACTOR shall pay to OWNER the sum of TWO HUNDRED
AND FIFTY DOLLARS ($250.00) per calendar day as fixed, agreed and
liquidated damages for each calendar day elapsing beyond the specified time date;
which sum shall represent the damages sustained by the OWNER, and shall be
considered not as a penalty, but in liquidation of damages sustained. Contractor
shall pay the liquidated damages amount contained herein to Owner within fifteen
(15) days of receipt of Owner's written demand for such payment.
2.) For the purposes of this Article, the day of final acceptance of the work shall be
considered a day of delay, and the scheduled day of completion of the work shall
be considered a day schedule for protection.
ARTICLE V - PARTIAL AND FINAL PAYMENTS
In accordance with the provisions fully set forth in the General Conditions, and subject to
additions and deductions as provided, the OWNER shall pay the CONTRACTOR as
follows:
1.) CONTRACTOR shall submit a progress payment request by the third (3rd) day of
each calendar month for work performed during the preceding calendar month.
Upon CONTRACTOR's signature accepting the PARTIAL PAYMENT
AUTHORIZATION, the Owner shall make a partial payment to the Contractor,
within thirty (30) calendar days, on the basis of a duly certified and approved
estimate by the OWNER and the Engineer, for work performed during the
preceding calendar month under the Contract. To insure proper performance of
the Contract, the OWNER shall retain ten percent (10 %) of the amount of each
estimate until final completion and acceptance of all work covered by the
Contract.
2.) Upon submission by the CONTRACTOR of evidence satisfactory to the OWNER
that all payrolls, material bills and other costs incurred by the CONTRACTOR in
connection with the construction of the work have been paid in full, and also, after
all guarantees that may be required in the Specifications have been furnished and
are found acceptable by the OWNER, final payment on account of this
Agreement shall be made within thirty (30) calendar days after completion of all
work by the CONTRACTOR covered by this Agreement and acceptance of such
work by the OWNER.
ARTICLE VI - ADDITIONAL BONDS
It is further mutually agreed between the parties hereto that if, at any time after the
execution of this Agreement and the Surety Bonds hereto attached for its faithful
performance and payment of labor and materials, the OWNER shall deem the Surety or
Sureties upon such bonds to be unsatisfactory, or if, for any reason, such bonds cease to
be adequate to cover the performance and payments of the work, the CONTRACTOR
shall, at his expense, and within seven (7) days after receipt of Notice from the OWNER
to do so, furnish additional bonds, in such form and amounts, and with such Sureties as
shall be satisfactory to the OWNER. In such event, no further payment to the
CONTRACTOR shall be deemed due under this Agreement until such new or additional
security for the faithful performance and for payment of labor and materials of the work
shall be furnished in manner and form satisfactory to the OWNER.
ARTICLE VII — DISPUTE RESOLUTION - MEDIATION
1.) Any claim, dispute or other matter in question arising out of or related to this
Agreement shall be subject to mediation as a condition precedent to voluntary arbitration
or the institution of legal or equitable proceedings by either party.
2.) The Owner and Contractor shall endeavor to resolve claims, disputes and other
matters in question between them by mediation.
3.) The parties shall share the mediator's fee and any filing fees equally. The mediation
shall be held in the place where the Project is located, unless another location is mutually
agreed upon. Agreements reached in mediation shall be enforceable as settlement
agreements in any court having jurisdiction thereof.
ARTICLE VIII — INSURANCE AND INDEMNIFICATION RIDER
1.) Worker's Compensation Insurance - The Contractor shall take out and
maintain during the life of this Agreement Worker's Compensation Insurance for all his
employees connected with the work of this Project and, in case any work is sublet, the
Contractor shall require the subcontractor similarly to provide Worker's Compensation
Insurance for all of the latter's employees unless such employees are covered by the
protection afforded by the Contractor. Such insurance shall comply with the Florida
Worker's Compensation Law. In case any class of employees engaged in hazardous work
under this contract at the site of the Project is not protected under the Worker's
Compensation statute, the Contractor shall provide adequate insurance, satisfactory to the
Owner, for the protection of employees not otherwise protected.
2.) Contractor's Public Liability and Property Damage Insurance - The
Contactor shall take out and maintain during the life of this Agreement Comprehensive
General Liability and Comprehensive Automobile Liability Insurance as shall protect it
from claims for damage for personal injury, including accidental death, as well as claims
for property damages which may arise from operating under this Agreement whether
such operations are by itself or by anyone directly or indirectly employed by it, and the
amount of such insurance shall be minimum limits as follows:
(a) Contractor's Comprehensive General, $1,000,000 Each
($2,000,000 aggregate)
Liability Coverages, Bodily Injury Occurrence, & Property Damage
Combined Single Limit
(b) Automobile Liability Coverages, $1,000,000 Each
Bodily Injury & Property Damage Occurrence,
Combined Single Limit
(c) Excess Liability, Umbrella Form $2,000,000
Each Occurrence, Combined Single Limit
Insurance clause for both BODILY INJURY AND PROPERTY
DAMAGE shall be amended to provide coverage on an occurrence basis.
3.) Subcontractor's Public Liability and Property Damage Insurance - The
Contractor shall require each of his subcontractors to procure and maintain during the life
of this subcontract, insurance of the type specified above or insure the activities of his
subcontractors in his policy, as specified above.
4.) Owner's and Constractor's Protective Liability Insurance - The Owner
shall procure and furnish an Owner's and Constractor's Protective Liability Insurance
Policy with the following minimum limits:
(a) Bodily Injury Liability & $1,000,000 Each ($2,000,000 aggregate)
Property Damage Liability Occurrence
Combined Single Limit
5.) "XCU" (Explosion, Collapse, Underground Damage) - The Contractor's
Liability Policy shall provide "XCU" coverage for those classifications in which they are
excluded.
6.) Broad Form Property Damage Coverage, Products & Completed
Operations Coverages - The Constractor's Liability Policy shall include Broad Form
Property Damage Coverage, Products and Completed Operations Coverages.
7.) Contractual Liability Work Contracts - The Constractor's Liability Policy
shall include Contractual Liability Coverage designed to protect the Contractor for
contractual liabilities assumed by the Contractor in the performance of this Agreement.
8.) Indemnification Rider
(a) To cover to the fullest extent permitted by law, the Contractor shall
indemnify and hold harmless the Owner and its agents and employees
from and against all claims, damages, losses and expenses, including
but not limited to attorney's fees, arising out of or resulting from the
performance of the Work, provided that any such claim, damage, loss
or expense (1) is attributable to bodily injury, sickness, disease or
death, or to injury to or destruction of tangible property (other than the
Work itself) , and (2) is caused in whole or in part by any negligent act
or omission of the Contractor, any subcontractor, anyone directly or
indirectly employed by any of them or anyone for whose acts any of
them may be liable, regardless of whether or not it is caused in part by
a party indemnified hereunder. Such obligation shall not be construed
to negate, abridge, or otherwise reduce any other right to obligation of
indemnity which would otherwise exist as to any party or person
described in this Article.
(b) In any and all claims against the Owner or any of its agents or
employees by any employee of the Contractor, any subcontractor,
anyone directly or indirectly employed by any of them or anyone for
whose acts any of them may be liable, the indemnification obligations
under this Paragraph shall not be limited in any way by any limitation
on the amount or type of damages, compensation or benefits payable
by or for the Contractor or any subcontractor under workers' or
workmen's compensation acts, disability benefit acts or other
employee benefit acts.
(c) The Contractor hereby acknowledges receipt of ten dollars and other
good and valuable consideration from the Owner for the
indemnification provided herein.
9.) Builder's Risk Coverage - The Contractor shall take out and maintain
during the life of this Agreement a "Builder's Risk Policy" completed value form, issued
to provide coverages on an "all risk" basis including theft. This coverage shall not be
lapsed or canceled because of partial occupancy by the Owner prior to final acceptance of
the Project. The Owner may elect to take out and maintain this insurance coverage.
Should the Owner purchase said insurance, the insurance policy shall have a deductible
for each occurrence of $5,000.00. The Contractor shall be responsible for losses up to the
amount of the deductible.
ARTICLE IX - NOTICES
All notices shall be in writing and sent by United States mail, certified or registered, with
return receipt requested and postage prepaid, or by nationally recognized overnight
courier service to the address of the party set forth below. Any such notice shall be
deemed given when received by the party to whom it is intended.
CONTRACTOR: Utility Service Co., Tnc.
535 Courtney Hodges Blvd
Perry, Georgia 31069
OWNER: City of Clermont
Attn: Wayne Saunders, City Manager
685 W. Montrose Street
Clermont, FL 34711
ARTICLE X — MISCELLANEOUS
1) Attorneys' Fees. In the event a suit or action is instituted to enforce or interpret
any provision of this agreement, the prevailing party shall be entitled to recover
such sum as the Court may adjudge reasonable as attorneys' fees at trial or on any
appeal, in addition to all other sums provided by law.
2) Waiver. The waiver by city of breach of any provision of this agreement shall not
be construed or operate as a waiver of any subsequent breach of such provision or
of such provision itself and shall in no way affect the enforcement of any other
provisions of this agreement.
3) Severability. If any provision of this agreement or the application thereof to any
person or circumstance is to any extent invalid or unenforceable, such provision,
or part thereof, shall be deleted or modified in such a manner as to make the
agreement valid and enforceable under applicable law, the remainder of this
agreement and the application of such a provision to other persons or
circumstances shall be unaffected, and this agreement shall be valid and
enforceable to the fullest extent permitted by applicable law.
4) Amendment. Except for as otherwise provided herein, this agreement may not be
modified or amended except by an agreement in writing signed by both parties.
5) Entire Agreement. This agreement including the documents incorporated by
reference contains the entire understanding of the parties hereto and supersedes all
prior and contemporaneous agreements between the parties with respect to the
performance of services by contractor.
6) Assignment. This agreement is personal to the parties hereto and may not be
assigned by contractor, in whole or in part, without the prior written consent of
city.
7) Venue. The parties agree that the sole and exclusive venue for any cause of
action arising out of this agreement shall be Lake County, Florida.
8) Applicable Law. This agreement and any amendments hereto are executed and
delivered in the State of Florida and shall be governed, interpreted, construed and
enforced in accordance with the laws of the State of Florida.
9) Records. Contractor expressly understands and acknowledges that any and all
documents related to the services provided herein, may be considered records that
are subject to examination and production in accordance with Florida's Public
Records Law. Contractor expressly agrees that it will comply with all
requirements related to said law and that it will hold city harmless for any such
disclosure related to Florida's Public Records Law.
ARTICLE XI - CONTRACT DOCUMENTS
The Contract Documents, as stated in the Instructions to Bidders and herein made a part,
are as fully a part of this Contract as if herein repeated.
Document Precedence:
1) Contract Agreement
2) Technical Plan and Specifications
3) All documents contained in RFP No.: 10 -002 Elevated Water Storage Tank
Coating and Repairs and CONTRACTOR'S response thereto.
4) General Requirements
4) Instructions to Bidders
6) Drawings
7) Payment and Performance Bonds
8) Proposal Guaranty
[signatures on next page]
IN WITNESS WHEREOF, the parties hereto have executed this Agreement
on this /7 day of f f) i . '• x
City of C - u ont �
40110
arold S. Turville, Jr., Mayor
Att %st: / i '
racy A kroyd, Cit Clerk
Utility Service Co., Inc.
By: 1/,6‘;1
Signature
Hal Black President General Manager
(Name /Title Printed or Typed)
535 Courtney Hodges Blvd
Address
Perry, Georgi1
478- 987 -0303
(Telephone Number)
If a corporation, affix corporate
seal and have corporate secretary
attest. Attest:
Corporate Secretary
Shane Albritton, Assistant Secretary
(Name Printed or Typed)
PERFORMANCE TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
BOND Hartford, Connecticut 06183
Bond No.: 105412349
KNOW ALL MEN BY THESE PRESENTS: that Utility Service Co., Inc., 535 Courtney Hodges Blvd.,
Post Office Box 1350, Perry, GA 31069,
(Here insert full name and address or legal title of Contractor)
as Principal, hereinafter called Contractor, and, Travelers Casualty and Surety Company of America,
Travelers Bond & Financial Products, Construction Services, One Tower Square, Hartford, CT 06183
(Here insert full name and address or legal title of Surety)
as Surety, hereinafter called Surety, are held and firmly bound unto City of Clermont, 685 West
Montrose Street, Clermont, FL 34711
(Here insert full name and address or legal title of Owner)
as Obligee, hereinafter called Owner, in the amount of One Hundred Eighty Seven Thousand &
00/100 Dollars ($187,000.00),
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS,
Contractor has by written agreement dated , entered into a contract with
Owner for RFB No. 10 -002, Elevated Water Storage Tank Coating and Repairs
(Here insert full name, address and description of project)
in accordance with Drawings and Specifications prepared by
(Here insert full name, address and legal title to Architect)
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
•
The American Institute of Architects has withdraw from distribution the AIA A311 bond forms, February 1970 edition. The
Company executing this bond vouches that this document conforms to American Institute of Architects Document A311, February
1970 edition.
1
PERFORMANCE BOND
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall
promptly
and faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain
in full force and effect.
The Surety hereby waives notice of any contract or contracts of completion arranged
alteration or extension of time made by the under this paragraph) sufficient funds to pay the
Owner. cost of completion less the balance of the
contract price; but not exceeding, including
Whenever Contractor shall be, and declared by other costs and damages for which the Surety
Owner to be in default under the Contract, the may be liable hereunder, the amount set forth in
Owner having performed Owner's obligations the first paragraph hereof. The term "balance of
thereunder, the Surety may promptly remedy the the contract price," as used in this paragraph,
default, or shall promptly shall mean the total amount payable by Owner
to Contractor under the Contract and any
1) Complete the Contract in accordance amendments thereto, less the amount properly
with its terms and conditions, or paid by Owner to Contractor.
2) Obtain a bid or bids for completing the Any suit under this bond must be instituted
Contract in accordance with its terms and before the expiration of two (2) years from the
conditions, and upon determination by Surety of date on which final payment under the Contract
the lowest responsible bidder, or, if the Owner falls due.
elects, upon determination by the Owner and
the Surety jointly of the lowest responsible No right of action shall accrue on this bond to or
bidder, arrange for a contract between such for the use of any person or corporation other
bidder and Owner, and make available as Work than the Owner named herein or the heirs,
progresses (even though there should be a executors, administrators or successors of the
default or a succession of defaults under the Owner.
�
, L Utility Service Co., Inc.
`c�"' � . 7 h , � (PrincipaQ
(Witness)
Hal Black, General Manag -r (Title)
Travelers Casualty and Surety Company of America
) (Surety) (Seal)
(2,
Brenda E. Gray (Witness) Anne B. Theodore, Attorney -In -Fact (Title)
The American Institute of Architects has withdraw from distribution the AIA A311 bond forms, February 1970 edition. The
Company executing this bond vouches that this document conforms to American Institute of Architects Document A311, February
1970 edition.
2
LABOR AND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
MATERIAL Hartford, Connecticut 06183
PAYMENT
BOND
Bond No.: 105412349
THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE
OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT
KNOW ALL MEN BY THESE PRESENTS: that Utility Service Co., Inc, 535 Courtney Hodges Blvd., Post Office Box
1350, Perry, GA 31069,
(Here insert full name and address or legal title of Contractor)
as Principal, hereinafter called Principal, and, Travelers Casualty and Surety Company of America,
Travelers Bond & Financial Products, Construction Servcies, One Tower Square, Hartford, CT 06183,
(Here insert full name and address or legal title of Surety)
as Surety, hereinafter called Surety, are held and firmly bound unto City of Clermont, 685 W. Montrose
Street, Clermont, FL 34711
(Here insert full name and address or legal title of Owner)
as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the
amount of One Hundred Eighty Seven Thousand Dollars ($187,000.00)
(Here insert a sum equal to at least one -half of the contract price)
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS,
Principal has by written agreement dated 20 , entered into a contract with
Owner for (here insert full name, address and description of project) RFB no 10 -002, Elevated Water Storage Tank Coating and Repairs
in accordance with Drawings and Specifications prepared by
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
•
The American Institute of Architects has withdraw from distribution the AIA A311 bond forms, February 1970 edition. The Company
executing this bond vouches that this document conforms to American Institute of Architects Document A311, February 1970 edition.
3
' . . LABOR AND MATERIAL PAYMENT BOND
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall promptly
make payment to all claimants as hereinafter defined, for all labor and material used or reasonably
required for use in the performance of the Contract, then this obligation shall be void; otherwise it shall
remain in full force and effect, subject, however, to the following conditions:
performed. Such notice shall be served by mailing the
1. A claimant is defined as one having a direct same by registered mail or certified mail, postage
contract with the Principal or with a Subcontractor of prepaid, in an envelope addressed to the Principal,
the Principal for labor, material, or both, used or Owner or Surety, at any place where an office is
reasonably required for use in the performance of the regularly maintained for the transaction of business, or
Contract, labor and material being construed to include served in any manner in which legal process may be
that part of water, gas, power, light, heat, oil, gasoline, served in the state in which the aforesaid project is
telephone service or rental of equipment directly located, save that such service need not be made by a
applicable to the Contract. public officer.
2. The above named Principal and Surety b) After the expiration of one (1) year following
hereby jointly and severally agree with the Owner that the date on which Principal ceased Work on said
every claimant as herein defined, who has not been Contract, it being understood, however, that if any
paid in full before the expiration of a period of ninety limitation embodied in this bond is prohibited by any
(90) days after the date on which the last of such law controlling the construction hereof such limitation
claimant's work or labor was done or performed, or shall be deemed to be amended so as to be equal to
materials were furnished by such claimant, may sue the minimum period of limitation permitted by such
on this bond for the use of such claimant, prosecute law.
the suit to final judgment for such sum or sums as may
be justly due claimant, and have execution thereon. c) Other than in a state court of competent
The Owner shall not be liable for the payment of any jurisdiction in and for the county or other political
costs or expenses of any such suit. subdivision of the state in which the Project, or any
part thereof, is situated, or in the United States District
3. No suit or action shall be commenced Court for the district in which the Project, or any part
hereunder by any claimant: thereof, is situated, and not elsewhere.
a) Unless claimant, other than one having a 4 The amount of this bond shall be reduced by
direct contract with the Principal, shall have given and to the extent of any payment or payments made in
written notice to any two of the following: the Principal, good faith hereunder, inclusive of the payment by
the Owner, or the Surety above named, within ninety Surety of mechanics' liens which may be filed of record
(90) days after such claimant did or performed the last against said improvement, whether or not claim for the
of the work or labor, or furnished the last of the amount of such lien be presented under and against
materials for which said claim is made, stating with this bond.
substantial accuracy the amount claimed and the
name of the party to whom the materials were
furnished, or for whom the work or labor was done or
Signed and sealed this day of , 20 .
Utility Service Co., Inc.
, ./ i- J t C (Principal)
(Witness) ix
Hal Black, General Mana r (Title)
- 7:70 1 C 1 - 41 - geL i • ,/ity Travelers Casualty and Surety Company of America
(Surety) (Seal)
Brenda E. Gray (Witness) Anne B. Theodore, Attorney -In -Fact (Title)
The American Institute of Architects has withdraw from distribution the AIA A311 bond forms, February 1970 edition. The Company
executing this bond vouches that this document conforms to American Institute of Architects Document A311, February 1970 edition.
4
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
POWER OF ATTORNEY
TRAVELERe Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
Attorney -In Fact No. 221237 Certificate No. 0 0 3 5 9 4 3 1 4
KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance
Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and
Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty
Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under
the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin
(herein collectively called the "Companies "), and that the Companies do hereby make, constitute and appoint
Larry B. Roland, Timothy B. Templeton, Gray McCaskill, Anne B. Theodore, Glyda E. Meredith, Patsy B. Lewis, Kelly Whitener, and
Chavonne C. Hill
of the City of Greensboro , State of North Carolina , their true and lawful Attomey(s) -in -Fact,
each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 18th
day of May 2009
Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
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State of Connecticut By: Areer
City of Hartford ss. Georg=J Thompson, 'enior ice President
On this the 18th day of May 2009 before me personally appeared George W. Thompson, who acknowledged
himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,
Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety
Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. -rt In Witness Whereof, I hereunto set my hand and official seal. "TAR �W �' C. '
My Commission expires the 30th day of June, 2011. * P UMA A* Marie C. Tetreault, Notary Public
Cl*
58440 -4 -09 Printed in U.S.A.
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
�--, CSR: AT
ACC /\ UQ' DATE (MM /DD/YYYY)
EVIDENCE OF PROPERTY INSURANCE 05/12/2010
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
AGENCY PHONE
(A/C, No, Ext): 336 - 272 -7161 COMPANY
Senn Dunn - GSO Phoenix Insurance Company
3625 N. Elm St. C/O Travelers Ins Companies
P 0 Box 9375 P.O. Box 105801
Greensboro, NC 27429 -0375 Atlanta, GA 30348
tarry B Roland, CPCU, ARPJLC:IC
x 3 36- 346 -1397
(A/C, No). ADDRESS:
CODE: OF6344 SUB CODE:
AGENCY UTIL -01
CUSTOMER ID #:
INSURED Utility Service Co., Inc. LOAN NUMBER POLICY NUMBER
P. O. Box 1350 QT660274D2581PHX10
Perry, GA 31069 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL
01/01/10 01/01/11 TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION /DESCRIPTION
RFB NO. 10 -002: elevated water
storage tank coating and repairs
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
EVIDENCE OF PROPERTY INSURANCE 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.
COVERAGE INFORMATION
COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE
Installation Floater 187,000 25,00C
REMARKS (Including Special Conditions)
*10 days notice of cancellation due to non - payment of premium.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO
MAIL 30* DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
ADDITIONAL INTEREST
NAME AND ADDRESS MORTGAGEE X ADDITIONAL INSURED
LOSS PAYEE
LOAN #
City of Clermont
685 W. Montrose Street AUTHORIZED REPRESENTATIVE
Clermont, FL 34711
ACORD 27 (2006/07) © ACORD CORPORATION 1993 -2006. All rights reserved.
The ACORD name and logo are registered marks of ACORD
am`
ACORD CERTIFICATE O F LIABILITY INSURANCE MIDD/YYYY)
04 /23 /
04/23/2010
PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
"MARSH USA, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
44 WHIPPANY ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO BOX 1966 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MORRISTOWN, NJ 07962
Attn: Morristown .certrequest @Marsh.com /Fax: 212- 948 -0979
100055 - USG- GAW -10 -11 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Travelers Prop. Casualty Co. Of America 25674
UTILITY SERVICE CO., INC. —_
P.O. BOX 1350 INSURER B: N/A N/A
PERRY, GA 31069 INSURER C: Travelers Indemnity Co 25658
INSURER D:
L INSURER E:
COVERAGES 2
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I NSR A00'L TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR INSRC DATE(MM/DD/YYYY) DATE(MMIDDIYYYY)
A GENERAL LIABILITY TC2J- GLSA- 650G2458 -10 03/01/2010 03/01/2011 EACH OCCURRENCE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 2,000,000
_ PREMISES(Ea occurrence) $
CLAIMS MADE [ X 1 OCCUR MED EXP (Any one person) $ 5,000
PERSONAL & AOV INJURY $ 2,000,000
GENERAL AGGREGATE $ 3,000,000
GENERAL AGGREGATEE APPLIES PER PRODUCTS - COMP /OP AGG $ 3,000,000
30 POLICY n JECT n LOC
AUTOMOBILE LIABILITY TC2J- CAP- 752G2989- TIL -10 03/01/2010 03/01/2011
A COMBINED SINGLE LIMIT $ 2,000,000
X
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
_ BODILY INJURY $
NON -OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident) $
! GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: $
• AGG
EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $ -
i
DEDUCTIBLE -- - -- - -_ - -- $ _ - - -- -I
$
RETENTION $
A WORKERS COMPENSATION AND TC2J- UB- 116D8243 -TIL - 10 (AOS) 03/01/2010 03/01/2011 X WC STATU- OTH-
EMPLOYERS' LIABILITY TORY I WITS FR
C TRJ- UB- 116D8255 IND 10 (WI) 03/01/2010 03/01/2011
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 5.L. EACH ACCIDENT $ 2,000,000
OFFICER/MEMBER EXCLUDED?
N L. DISEASE - EA EMPLOYEE $ 2,000,000
(Mandatory in NH) If yes, describe under -
SPECIAL PROVISIONS below �.L. DISEASE - POLICY LIMIT $ 2,000,000
OTHER
( i
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
RE: RFB NO. 10 -002: ELEVATED WATER STORAGE TANK COATING AND REPAIRS.
CITY OF CLERMONT IS INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT. ;
CERTIFICATE HOLDER NYC - 004166394 -01 CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
l CITY OF CLERMONT EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
685 W. MONTROSE STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CLERMONT. FL 34711
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
A f Mars EU S Inc NTATIVE '170141
of Marsh U Inc
Mary Radaszewski
ACORD 25 (2009/01) © 1998 -2009 ACORD CORPORATION. All Rights Reserved
The ACORD name and logo are registered marks of ACORD
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized
representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend or alter the coverage afforded by the policies listed thereon.
Acord 25 (2009101)