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2015-102 -7n.,
IPAIE
�� -1�0*, ) Proposal and
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Acceptance
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Ashley Goodson
AshleyG@greeneryproductlons corn
Phone.407-363-9151 ext 320
Fax:407-363-9501
PROPOSAL SUBMITTED TO• PHONE 352-394-3500 DATE August 26,2015
CITY OF CLERMONT CELL
STREET ADDRESS FAX 352-3942900
3700 S HWY 27 E-MAIL CDUDECKACLERMONTFL ORG
CITY,STATE ZIP JOB LOCATION:
CLERMONT, FL 34711 CITY HALL-685 W.MONTROSE ST&REC CENTER-
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR
Holiday Purchase Decor 2014
Area Qty. Description Price Each Total
CITY HALL:
18'ARTIFICIAL OLYMPIA PINE TOWER TREE WITH 5300
WARM WHITE LED LIGHTS FULL DECORATED IN A TBD
COURTYARD 1 COLOR PALLET TO BE PLACED ON A CUSTOM BASE $60"ARTIFICIAL EVERGREEN WREATH WITH WARM WHITE
LED LIGHTS FULLY DECORATED WITH COORDINATING
WINDOWS 3 COLOR PALLET $ -
I I �
' I
I I
Total Lease Decor $ 9,980.00
SUMMARY
Lease New Decor 2015 $ 9.980 00
Sales tax Rate 6.50% TBD
Lease New Decor 2016 $ 9,980 00
Lease New Decor 2017 $ 9,980 00
Happy Holidays! Thank Y•u
All material is guaranteed to be as specified and all work is to be completed in a workmanlike manner according to ,401,
standard practices Any alteration or deviation from this proposal may incur additional charges and will be executed �/I.,
only upon written authorization Excessive service visits will incur additional labor charges All rental items remain the A r; ign-lure
property of Greenery Productions,client assumes full responsibility In the event of loss or damage N• his proposal may be withdrawn by Greenery
Acceptance of proposal 'The above prices,specifications,end conditions are satisfactory and we hereby Product ate 1 t J ten(10)da
accept the terms and conditions of this proposal Greenery Productions and their associates are authorized to
do the work as specified Greenery Productions MUST receive a signed copy of this proposal within ten(10) Acceptance Signa ate
days of execution to reserve your installation date and secure pricing Greenery Productions will provide rental decor for
3 years and will automatically renew on each 3rd anniversary date This contract shall be governed by and construed
according to the laws of the Slate of Florida If any legal action Is necessary to enforce the terms of this agreement 'FQ_-t 1211 SOA(Z %
the prevailing party shall be entitled to recover alt cost and reasonatfeattoney fees including costs and fees on appeal Pnnt Name
1
ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmYY)
11/4/2015
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 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 NAME CT Angie Desormeaux
Bowen,Miclette&Britt of Florida,LLC (p/C"Ne Fit) 407-647-1616 F� Noy 407-628-1635
1020 N Orlando Avenue
E-MAIL
Suite#200 E-MAILADDRESS certificates@bmbinc corn
Maitland FL 32751 INSURERS)AFFORDING COVERAGE NAIL A
INSURER A FCCI Insurance Company 10178
INSURED GREENERYPR2 INSURER B National Trust Insurance Company 20141
Greenery Productions, Inc INSURER C
Jayne Dough,LLC
Weddings Unique, Inc INSURER D
1751 Directors Row INSURER E
Orlando FL 32809 INSURER F
COVERAGES CERTIFICATE NUMBER:70962688 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 ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A x COMMERCIAL GENERAL LIABILITY Y Y CPP0021352 11/1/2015 11/1/2016 EACH OCCURRENCE $1,000,000
GE TO RENTED
CLAIMS-MADE X OCCUR PRA M SES(Ea occurrence) $100,000
MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000
GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000
POLICY X JEC LOC PRODUCTS-COMP/OP AGG $Included
OTHER $
B AUTOMOBILE LIABILITY Y Y CA0031123 11/1/2015 11/1/2016 COMBINED-SINGLE LIMIT $
(Ea accident) 1,000,000
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
X HIRED AUTOS X NTOS O OWNED PROPERTY DAMAGE
AUTOS (Per accident)
$
B X UMBRELLA LIAR X OCCUR Y Y UMB0022181 11/1/2015 11/1/2016 EACH OCCURRENCE $1,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000
DED X RETENTION$10,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/NSTATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory In NH) E L DISEASE-EA EMPLOYEE $
If yes,descnbe under
DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance The
terms contained in the policies and/or endorsements supersede the representations made herein Electronic copies of the policy provisions
and/or endorsements listed below are available by emailing certificates@bmbinc corn
When required by written contract,those parties listed in said contract,including the Certificate Holder,are added as an additional insured
with respect to the General Liability,Auto Liability,and Umbrella Liability as afforded by the policy and/or endorsements
See Attached
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Clermont ACCORDANCE WITH THE POLICY PROVISIONS
685 West Montrose Street
Clermont FL 34711 AUTHORIZEDELLED BEFORE
THgifj:„
©1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
GREEN26 OP ID: LM
ACORO DATE(MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 11/04/2015
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 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 NAMEACT Chris Fulton
Brown&Brown of Florida,Inc PHONE386-252-9601 FAX 386-239-5729
Daytona Beach Office (A/C.No.Ext) (NC,No)
P O.Box 2412 E-MAIL
Daytona Beach,FL 32115-2412 ADDRESS
Chris Fulton INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A FFVA Mutual Ins Co 10385
INSURED GREENERY PRODUCTIONS,INC. INSURER B
Dave Correia
1751 DIRECTORS ROW#750 D INSURER C
ORLANDO,FL 32809 INSURER D
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 EFF POLICY EXP LIMITS
LTRJpSW
D VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES(Ea occurrence) $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GE AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $
POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS
NON-OWNED (Peri accident)
DAMAGE
UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION X Mum EMPLOYERS'LIABILITY STATUTE ER
A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC84000301602015A 01/18/2015 01/18/2016 E L EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED'? n N/A
(Mandatory In NH) E L DISEASE-EA EMPLOYEE $ 1,000,000
If Yes,describe under
DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY UMIT $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
CTYCL01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF CLERMONT ACCORDANCE WITH THE POLICY PROVISIONS
685 WEST MONTROSE ST
CLERMONT,FL 34711 AUTHORIZED REPRESENTATIVE
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: GREENERYPR2
LOC#:
ACCPREP ADDITIONAL REMARKS SCHEDULE Page 1 of 1
AGENCY NAMED INSURED
Bowen,Miclette&Britt of Florida, LLC Greenery Productions, Inc
Jayne Dough,LLC
POLICY NUMBER Weddings Unique, Inc
1751 Directors Row
CARRIER NAIC CODE Orlando FL 32809
EFFECTIVE DATE
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
When required by written contract,waiver of subrogation is granted with respect to the General Liability,Auto Liability,and Umbrella Liability
to those parties listed in said contract,including the Certificate Holder
The General Liability certified herein is primary and non-contributory to other insurance available,but only to the extent required by written
contract
ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Greenery Productions, Inc.
Jayne Dough, LLC
Weddings Unique, Inc.
CPP0021352 COMMERCIAL GENERAL LIABILITY
11/01/2015 CGL ozs(11 08)
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION
AGREEMENT WITH YOU - LIABILITY FOR ACTIONS OF NAMED INSURED
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
This endorsement is subject to the terms, conditions, exclusions and any other provisions of the COMMERCIAL
GENERAL LIABILITY COVERAGE FORM or any endorsement attached thereto unless changes or additions are
indicated below
Section II -Who Is an Insured Is amended to Include as an insured any person or organization for whom you are
performing operations when you and such person or organization have agreed in writing In a contract or
agreement that such person or organization be added as an additional insured on your policy Such person or
organization is an insured but only with respect to your negligent actions,which cause liability to be imposed on
such person or organization without fault on the part of said person or organization,caused by°your work"
performed for that insured
All policy exclusions relating to you in the Commercial General Liability Coverage Form, including any exclusions
added by endorsement,shall apply to any additional Insureds herein
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 the failure to render,any professional architectural,engineering or surveying services,
including
1 The preparing,approving,or failing to prepare or approve,maps, shop drawings, opinions, reports, surveys,
field orders,change orders or drawings and specifications,or
2 Supervisory,inspection, architectural or engineering activities
This endorsement does not apply to any Additional Insureds scheduled on the CG 20 10, CG 20 37,CGL 005 or
CGL 021 endorsements,when any of those endorsements are also attached to the Commercial General Liability
Coverage Form.
CGL 026(11 08) Includes copyrighted material of the Insurance Services Office,Inc,wtth its permission Page 1 of 1
Copyright 2008 FCCI Insurance Group