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2007-37SECTION 00910 NOTICE OF AWARD
A C Schultes of Florida, Inc.
11865 US Highway 41 South
Gibsonton FL 333534
Date: July 24, 2007
Contractor
Project: Well No. 6 at Greater Hills WTP
Date of Bid Opening: May 22, 2007
You are hereby notified that you are the apparent successful
Bidder on the Project noted above. Upon compliance with the
conditions precedent to be fulfilled by you within the time
specified, the Agreement will be executed and delivered to you.
Enclosed are the following:
No. Copies Item
3 Agreement Between Owner and Contractor
3 Performance Bond
3 Payment Bond
3 Certificate of Insurance and Endorsement - Workmen's
Compensation
3 Certificate of Insurance and Endorsement -
Comprehensive General Liability
3 Certificate of Insurance and Endorsement - Builders'
Risk "All Risk"
3 Notice of Award
3 Acknowledgement of Receipt - Consideration for
Indemnification
Please take the following actions:
1. Execute Agreement and seal.
2. Have your insurance company complete bond forms and attach
notarized Acknowledgment of Authorized Representative.
3. Have your insurance company complete Certificates of
Insurance and attach Acknowledgment of Authorized
Representative.
4. Return all 3 copies of Agreement, bonds and insurance
certificates to:
NOTICE OF AWARD 00910-1
20083.00 31 Jul 2007 (GHWE00910.DOC)
Boyle Engineering Corporation
320 East South Street
Orlando, Florida 32801
Attn: Keith C. Rice, PE
We will return a fully executed copy of the Contract Documents to
you along with a Notice to Proceed.
OWNER:
City of Clermont
P.O. Box 120219
Clermont, FL 34712-0219
Acct No.
BY.
._,~c-mom ~~~~
Tamara Richardson, PE
Director of Engineering and
Utilities
NOTICE OF AWARD 00910-2
20083.00 31 Jul 2007 (GHWE00910.DOC)
SECTION 00500 AGREEMENT
THIS AGREEMENT is dated as of the ~O day of3~~ in the year 2007 by and between
City of Clermont (hereinafter called OWNER) and
(hereinafter called CONTRACTOR)
OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as
follows:
Article 1. WORK.
CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is
generally described as follows:
Well No. 6
Greater Hills Water Treatment Plant
The Project for which the Work under the Contract Documents may be the whole or only a part is generally
described as follows: The Work is the whole project.
Article 2. ENGINEER.
The Project has been designed by Boyle Engineering Corporation,
who is hereinafter called ENGINEER and who will assume all duties and responsibilities and will have the rights
and authority assigned to ENGINEER in the Contract Documents in connection with completion of the Work in
accordance with the Contract Documents.
Article 3. CONTRACT TIME.
3.1. The Work will be substantially completed within 100 days after the date when the Contract Time
commences to run as provided in paragraph 2.3 of the General Conditions, and completed and ready for final
payment in accordance with paragraph 14.13 of the General Conditions within 120 days after the date when the
Contract Time commences to run.
3.2. Liquidated Damages. OWNER and CONTRACTOR recognize that time is of the essence of this
Agreement and that OWNER will suffer financial loss if the Work is not substantially complete within the time
specified in paragraph 3.1 above, plus any extensions thereof allowed in accordance with Article 12 of the
General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal or
arbitration proceeding the actual loss suffered by OWNER if the Work is not substantially complete on time.
Accordingly, instead of requiring any such proof, OWNER and CONTRACTOR agree that as liquidated
damages for delay (but not as a penalty) CONTRACTOR shall pay OWNER Three Hundred dollars ($300.00)
for each day that expires after the time specified in paragraph 3.1 for substantial completion until the Work is
substantially complete and Three Hundred dollars ($300.00 for each day that expires after the time specified in
paragraph 3.1 for completion until the Work is complete.
Article 4. CONTRACT PRICE.
4.1. OWNER shall pay CONTRACTOR for performance of the Work in accordance with the Contract
Documents in current funds as set forth in the Bid Form.
Article 5. PAYMENT PROCEDURES.
Contractor shall submit Applications for Payment in accordance with Article 14 of the General Conditions.
Applications for Payment will be processed by ENGINEER as provided in the General Conditions.
AGREEMENT 00500-1
20083.00 31 Jul 2007 (GHWE00500.doc)
5.1. Progress Payments. OWNER shall make progress payments on account of the Contract Price on the
basis of CONTRACTOR's Applications for Payment as recommended by ENGINEER, on or about the LAST
day of each month during construction as provided below. All progress payments will be on the basis of the
progress of the Work measured by the schedule of values provided for in paragraph 14.1 of the General
Conditions.
5.1.1. Prior to Substantial Completion progress payments will be in an amount equal to:
90% of the Work completed, and
90% of materials and equipment not incorporated in the Work but delivered and suitably stored, less in
each case the aggregate of payments previously made.
5.1.2. Upon Substantial Completion, OWNER shall pay an amount sufficient to increase total payments
to CONTRACTOR to 95% of the Contract Price, less such amounts as ENGINEER shall determine in
accordance with paragraph 14.7 of the General Conditions.
5.2. Final Payment. Upon final completion and acceptance of the Work in accordance with paragraph 14.13
of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by
ENGINEER as provided in said paragraph 14.13.
Article 6. INTEREST.
All moneys not paid when due hereunder shall bear interest at the maximum rate allowed by law at the place
of the Project.
Article 7. CONTRACTOR'S REPRESENTATION.
In order to induce OWNER to enter into this Agreement CONTRACTOR makes the following representations:
7.1. CONTRACTOR has familiarized himself with the nature and extent of the Contract Documents, Work,
locality, and with all local conditions and federal, state and local laws, ordinances, rules and regulations that in
any manner may affect cost, progress or performance of the Work.
7.2. CONTRACTOR has studied carefully all reports of investigations and tests of subsurface and latent
physical conditions at the site or otherwise affecting cost, progress or performance of the Work which were
relied upon by ENGINEER in the preparation of the Drawings and Specifications and which have been identified
in the Supplementary Conditions.
7.3. CONTRACTOR has made or caused to be made examinations, investigations and tests and studies of
such reports and related data in addition to those referred to in paragraph 7.2 as he deems necessary for the
performance of the Work at the Contract Price, within the Contract Time and in accordance with the other terms
and conditions of the Contract Documents; and no additional examinations, investigations, tests, reports or
similar data are or will be required by CONTRACTOR for such purposes.
7.4. CONTRACTOR has correlated the results of all such observations, examinations, investigations, tests
reports and data with the terms and conditions of the Contract Documents.
7.5. CONTRACTOR has given ENGINEER written notice of all conflicts, errors or discrepancies that he has
discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to
CONTRACTOR.
AGREEMENT 00500-2
20083.00 31 Jul 2007 (GHWE00500.doc)
Article 8. CONTRACT DOCUMENTS.
The CONTRACT Documents which comprise the entire agreement between OWNER and CONTRACTOR
are attached to this Agreement, made a part hereof and consists of the following in no order of priority:
8.1. This Agreement.
8.3. Performance and Payment Bonds.
8.4. Insurance Certificates and Endorsements.
8.5. Notice of Award and Notice to Proceed.
8.6. General Conditions.
8.7. Supplementary Conditions.
8.8. Specifications as listed in the table of contents.
8.9. Drawings, consisting of sheets numbered 1 through inclusive with each sheet bearing the following
general title: Well No. 6 -Greater Hills Water Treatment Plant..
8.10. Addenda numbers to inclusive.
8.11. CONTRACTOR's Bid.
8.12. Any Modifications, including Change Orders and Field Orders, issued pursuant to paragraphs 3.4 and
3.5 of the General Conditions on or after the Effective Date of the Agreement.
8.13. Invitation to Bid and Instructions to Bidders.
There are no Contract Documents other than those listed above in this Article 8. The Contract Documents may
only be altered, amended or repealed as set forth in the General Conditions.
Article 9. MISCELLANEOUS.
9.1. Terms used in this Agreement which are defined in Article 1 of the General Conditions shall have the
meanings indicated in the General Conditions.
9.2. No assignment by a party hereto of any rights under or interests in the Contract Documents will be
binding on another party hereto without the written consent of the party sought to be bound; and specifically but
without limitation, moneys that may become due and moneys that are due may not be assigned without such
consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically
stated to the contrary in any written consent to an assignment no assignment will release or discharge the
assignor from any duty or responsibility under the Contract Documents.
9.3. OWNER and CONTRACTOR each binds himself, his partners, successors, assigns and legal represen-
tatives to the other party hereto, his partners, successors, assigns and legal representatives in respect to all
covenants, agreements and obligations contained in the Contract Documents.
AGREEMENT 00500-3
20083.00 31 Jul 2007 (GHWE00500.doc)
Article 10. OTHER PROVISIONS.
10.1. In consideration of the CONTRACTOR's Indemnity Agreement as set out in the Contract Documents,
OWNER specifically agrees to give the CONTRACTOR $25.00 and other good and valuable considerations,
which is paid on behalf of all parties indemnified.
IN WITNESS WHEREOF, the parties hereto have signed this Agreement in triplicate. One counterpart each
has been delivered to OWNER, CONTRACTOR and ENGINEER. All portions of the Contract Documents have
been signed or identified by OWNER and CONTRACTOR or by ENGINEER on their behalf.
This Agreement will a effective on ~E_A TL:N~ P~E.~. (~ ('~ , 20~
O1~yN~.R.-,. CONTRACTOR ~ (~ - x h-~>~S (~~ /v~C
_ ~ ~.
(CORPO ATESEA (CORPORATE SEAL)
_ :.,
Attest Attest ~~ ~z ~~~~ "
~~ ~ -
Address for giving notices Address for giving notices
~~5 W..~`~1or~4--c os~ ~-k~e~+ (t des ~ ~ ~ 5
(If OWNER is a public body attach evidence of License No. `(2~~
authority to sign and resolution or other document
authorizing execution of Agreement.)
Agent for service of Process:
AGREEMENT 00500-4
20083.00 31 Jul 2007 (GHWE00500.doc)
SECTION 0061 CERTYFICA'z'E OF INSURANCE
Descr~,ption of Contract: City of Clermont Well No. 6 - Greater
Hills Water Treatment- Plant
Typc of InSUrdilC:e ; WOF~.K.k;,LZ' S COMPENSATION INSURANCE
T~-TIS IS TO CERTIFY that the fol'lc~win~ numbered poXici~s Have been
issued by the below-stated company in conformance with the limits
and requirements as set forth in the Standard General Conditions
and Supplementary Cpndi~ions.
The Company will gi~tre at least 30 days' written notice by cer~.i-
Pied mai~1 to the Owner and Engi.neear prior to any material change,
reduction of coverage or cancellation of said policy.
POLICY NUMBER EXPIRATION DATE LIMITS OF LIABILITY
Statutory Limits
Under the Laws of
WC 7217652 4/15/08 the State of Florida
A.C. Schultes of Florida Inc.
Name Insured (Cor~tractar}
11865 Highway 41 South
Street Number
Gibsonton, Florida 33534
City axed State
Selective Ins. Co. of Southeast
insurance Company
40 WaNTAGE Avenue
Street Number
Branchville, N.J. 07890
City and State
Ay
(Company Rep esentative}
Name• Andrew D. Martin, CIC
TitYe: Agent/Account Executive
(SEE NOTICE PAGE UOb51-3)
CERTIFICATE OF INSURANCE Op651-1
2oos3 . oo ;1 Jul ~oo~ (GHwEa0651.DOC} ,~,._ ,.._ .__
Zi0 ~~~d S'a l -If1N;1~ 'l H f~ 1 T[~ ra. ~ r to ,~•• • •~, ••
State of )
County of )
On this - day of C~
ally came
ss.
f 20~,
to m
duly sworn, did depose and say: that
authorized representative of the
and acknowledged to me that
executed the within instrument on behalf
company and was duly authorized so to do.
before me pGrSOn-
own who being
~ ~ . e.T~....#~
n~f ~s ~d• in~au~ra zee
In wZtne~s whereof, I have signed and affixed my vtficial Seal on
the date in this certificate first above written.
~~~ ~~~~~
Notary PubYic
NOTARY SE~iL
My Commission. Expires : ,,~ ~~' ~Q/~
Insurance Company Agent for Service
of Process in Florida
A.D. Martin Commercial Ins.
Name
P,O. Box 759
Street Number
Mullica Hill, N.J, 08062
City and State
856-478-6600
Telephone Number
A.D. Martin Commercial Ins.
Agency
P.O. Box 759
Street Number
Mullica Hill, N.J. 08062
City aitcl state
856-478-6600
Telephone Number
This certificate or verification of insurance is not an insurance
policy ana does not amend, e~ctend, or alter the coverage afforded
by the,po].icies listed herein. Notwithstanding any requirement,
term, or condition of any contract or other documant with respect
to which this certificate or verification of insurance may be
issued or may pertain, the insurance afforded by the policies
described herein is bubject to all the terms, exclusions, and
conditions of such policies.
CERTIFICA'T'E OF INSURANCE 00651-2
?0083.00 31 ~]'ul ?00~ (GHWE00651.DOC) __ ,__ ,__
r ~~ I ~lrl{-I:l~ 'l H n~ 7 f T a. i r T r, ...... ....... ~ .-.
8 ~J~Jd -
SECTxON 00652 xNSt1RANCE ENDORSEMENT
Description of Contract: City of Clermont We11 No. 6 - Greater
Hills Water Treatment Plant
Type of Insurance : WORKER' S COMPENSATl"UN ZNSUF~.NCE
This endorsement forms a part of Policy Na.
ENDOR fi'F;MEN'I'
WC 7217652
It is agreed that w~.th respect to such insurance as is afforded
by the policy, the Company waitres any right of subrogation it may
acquire against the OWNER, the ENGINEER, and their consultants,
and each of their directors, o£ficere, agezxt$, aura. cmpYoyeeS by
reason of any payment made on account of inaury, including death
resulting therefrom, sustained by any employee of the in~t~red,
arising out of the performance of the,abave referenced contract.
This endorsement does not increaso the Compaxiy's total limits of
liability.
A.C. Schultes of Florida, Inc.
Name Insured (Cantractorl
11865 Highway 41 South
Street Number
Gibsonton, Florida 33534
Selective Ins. Co. of Southeast
2nsurance Company
40 Wantage Avenue
Street Number.
Branchville, N.J.07890
City and ~r..ate
city grid state
By
( ompany epresenta ive)
Name• Andrew D. Martin, CIC
Title: _A gent/Account Executive
(SEE NOTICE ON PAGE 006522)
INSTTRAN'CE ENbORSENiENT q p 6 52 _ 1.
30083.Ot7 31. Jul 2007 (GHWEOU652_doC)
58 ~J~~ .ti"~~-lfll--I:l~ ~ H f]JTC TA..1rTn nn .nn ~-...- .^, ._ .~~
state of )
ss.
County of )
On this 'L~`1 day Of 20~, before me peZSVrl-
ally came ~ to m known who being
duly sworn, di depose .and say: that ~ is an
aut orized representative of tfie
and acknowledged to me that
ecuted the within instrument on behalf of said insurance
eompeu~y and eras duly authorized so to do.
In witness whPrPof, I have Aigned a+nd a.LL-ixed my official seal on
the date in this certificate first above written.
Notary Pubic
,-
NC.?'i'AR1 `SE~:~
My Commissi nn expires : ~°ait~ ~U~
.T~r~-.
No substitution or revision to the ak~ove endorsement form will be
accepted. If the insurance called for is provided by mare than
ane policy a separate endorsement in the exact above form sriall
be provided for each policy.
INSURP.NCE ENDORSEMENT 00652-2
20083.00 31 Jul 2007 {GI-~1E00652_doc)
90 ~~ti'c~ ~'~ I -lfll-I!lS r1 H n ~ rr. T.- ~ ^. ~., __ . _ _ _ _ _
7a , rENLR.AL LTA.BILITX
SECTION 0065u CERTIFICATE OF INSURANCE
Bodily Injury
Description of Contract: City of Clermont Well No. 6 - Greater
Dills Water Treatment Plant
Type of Insurance: COMPREHENSIVE GENERAL LIABILITY' INSURANCE
•
THIS IS TO CEIRTIFY that the following numbered policies ha~re been
issued by the below-stated company in conformance w;th the limit
and requirements as set forth in the Standard Genezal Conditions
and Supplementary Conditions and are in force at this time.
POLICY EXPIRATION
NUMBER DATE
Property Damage
51324516 4/15/08
LINTITS OF LIABILITY
In Thousands (ono)
Each Occurrence Aagreaate
Personal Injury
-or-
Bodily Injury, Per-
sonal Injury, and Pro
perty Damage Comh;ned
B . AT~'TOMOBZLE LIABILITY
Bodily Injury
(Each Person)
S1324516 4/15/08
~'S1730994 4/15/08
Property Damage
(Each occurrence)
-or-
Bodily Injury and
Property Damage
Combined
C. E~C:~aS LIABILITY
$odily Inj»-~y and
Property Damage
Combined
$ $
$ $
$ $
$1,000,000 Y 1,000,000
$ S
"~ $
1,000,000 $
$ 9,000,000 $9,000,000
CERTIFICATE OF INSURANCE 00653-1
20083.00 3i Jul 2ao~ (GHWEOU653_DOC)
.~'i~ l -1flN'l~. '1 H n i Tr r+. i rTn ~-..-...,,-. ~.-._ •-- - -
~e ~~~d
This certificate or verification of insurance is not an insurance
policy and does not amend, extend, or alter the co~trerage afforded
t?y the policies li3ted herein. Nvtwithstaridixlg any requirement,
term, or condition of any contract ox other document with respect
to which this certificate or verification of 5netitrance 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 policiee.
The Company shall give at least 30 days' 'written nc~t.ice by
certified mail to the OWNER and ENGINEER prior to XX~~t%t~I~C~C~I~
4~~~4[g~€XX~~~~~'~~C#~~-X Xi~XD~~b~ir3~~3]~X16~ cancellation of said policy.
A.C. Schultes of Florida, Inc.
Name Iiit3ured (Contractor)
11865 Highway 41 South
Street Number
Selective InsCo. of Southeast
Insurance Company
# Selective WayIns. Co.
40 Wantage Avenue
Street Number
Gibsonton, Florida 33534
Branchville, N.J. 07890
City and State Cit d State
By
(Company epresantat~vc)
Naui~; Andrew D Martin, SIG
Title: A~entfACCO»nt F~XPS,]~i y
(SEE NOTICE ON PAGE 00653-3)
State of _}
ss.
County of )
On thi s day o 2 0 O 7, before me person-
a11y came to m known who being
duly sworn, did depr~sc and say: Lhat ' is art
tzthori e r presentative of
d
k
d
d
l the ~
.
h
an
ac
now
e
ge to me t
at
executed t e within instrument on behalf of said insurance
company and was duly authorized so to do,
CERTIFYCATE OF' INSURANCE 00653-2
20083.00 31 Jul 2007 ^11(C~1WE00653.DOC)
~~ ~ ~1 11'x. 1~ ~ H f] J T f T a. J ~` T n r. ,-. ..-..+ ,.. ~ - _ _ _
28 ~~~d
In witness whereof, I have signed and affixed my official Seal on
the date in this certificate first above written.
~~ ~~
Notary ublic
TvF:'I'~:R~i S~.~L
My Commission Expires : .~~~~ ` -~O~oZ.
,•
_ .'> r:~
IrisurdriCe Company Agent for Sex~ice
of Process in Florida
A.D. Martin Commercial Ins.
Name
P. 0. Box 759
Street Number
A.D, Martin Commercial Ins.
Agency
P,0. BOx 759
Street Number
Mullica Hill, N.J. 08062
City and Stag
856-478-6600
Telephone Number
NOTTC$:
Mullica Hill, N.J. 08062
city and State
856-478-6600
Telephone Number
No substitution or revision to the above certificate form wily be
accepted_ Tf the insurance ca.ll.ed for is provided by more titan
one insurance company, a separate certificate irl the exact above
form shall be provided for each insurance company.
znsurexs must be .authorized to do business and have an agent for
service of process in•~loriAa and have an "A~~ poli.cyholder'rs rat-
ing and a financial rating of at least Class XI in acccardance
'with the most current Best's Rating.
CERTIFICATE OF INSLTFZANCE 00653-3
20083.D~ 31 Jul ?007 (GHN1E00653.DpC)
SECTION 00654 INSURANCE ENDORSEMENT
Description of Contract: City of Clermont Well No. 6 - Greater
Hi11s Water Treatment Plant
'type ref In~ura,nce : COMPREHENSIVE GENERAL L1.9~3ILITY INSURAI~tCE
This endorsement forms a part of Policy No.S1324516
ENDORSEMENT
The Owner, the Engineer, and their consultants and each cf their
directors, officers, agents, and employees are included as
additional insureds under said policies but only while acting in
their capacity as such and only ac re3pects opezati~iis of the
named insured, his contractors, any subcontractor, any supplier,
anyone directly or indirecCly employed by any of them, or anyone
for whose acts any of them may be liable in the performance of
the above-referenced contract. This insurance shall not apply to
the negligent patty if thy? loss or damage is ultiulately
determined to be the result of the sale and exclusive negligence
(including any connected with the prepar~ition or approval of
maps, drawings, opinions, rEports, surveys, designs, or
specifications) of one ox more of the aforesaid additional
insureds, The insurance afforded r.n these additional insureds is
primary insurance. If the additional insureds have other
insurance which might be applicable to any loss, the amount of
this insurance 3ha11 not be Lac9,uced or prorated by the existence
of such other insurance. Sub' ct to B1~nket Add'tio al Forms #CG7202 &
#CG7921 (attached)~as require by a written con~rac~for work performed
~~~X X ~~~4l~X~~~7i~1~.X X ~,,7d.~$.a6~~rX X 7~3h~X~}F-Yal~~ X ~b~ % ~i~ % ~1?~3CiJ~i~~
~~1~3~'~X ~7PK X~~K9~X~C~ X ~~;~ X ]~~ ~ X~~i~#~~~ X X 3f@#x X X ~SJ~'3~~X ~X~3I~K
~~ X X~%~ X ~X I~~~~JC'~~.~~X X X X ~I~~~'I~X X I~Jt~A,X X X~aX~(i~€.7~ X 3a~PX X ~Y X Xa~-
~°~~~~~~~ for them by the named insured.
This endorsement does not increase the Company's total limits of
liability.
A.C. Schultes of Florida, Inc.
Named InSULed (Contractor)
Selective Ins. Co.of Southeast
Insurance Company
11865 Highway 41 South
Street Number
Gibsonton, Florida 33534
City and State
40 Wantage Avenue
Street Number
Branchville, N.J. 07890
City and State
TN'SURANCE ENDORSEMENT 04654-1
20083.00 31 +Tul X007 (GHWL00654.DOC)
ElitePac
General Liability Extension
COMMERCIAL GENERAL LIABILITY
CG 72 02 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies the insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The SECTIONS of the Commercial General Liability Coverage Part identified in this endorsement will be amended as
shown below. But, when two or more Coverage Parts of this policy apply to a loss, only the broadest coverage of this
policy will apply, unless specifically stated otherwise within the particular amendment covering that loss.
COVERAGES -Amendments
COVERAGE A. BODILY INJURY AND PROPERTY
DAMAGE LIABILITY
EXCLUSIONS
Employer's Liability Amendment
The following will be added to the Employer's Liability
exclusion:
This exclusion also does not apply to any "temporary
worker".
Non-Owned Watercraft
The Aircraft, Auto or Watercraft Exclusion is amended
as follows:
This exclusion does not apply to a watercraft you do not
own that is less than 51 feet long, and not being used to
carry persons or property for a charge. Any person is an
insured who uses or is responsible for the use of such
watercraft with your expressed or implied consent. But, if
the insured has any other valid and collectible insurance
for "bodily injury" or "property damage" that would be
covered under this provision, or on any other basis, this
coverage is then excess, and subject to the Other
Insurance provisions of this policy for Excess
Insurance.
• Non-Owned Aircraft
The Aircraft, Auto or Watercraft Exclusion is amended
as follows:
This exclusion does not apply to any aircraft, not owned
or operated by any insured, that is hired, chartered or
loaned with a paid crew. But, if the insured has any other
valid and collectible insurance for "bodily injury" or
"property damage" that would be covered under this
provision, or on any other basis, this coverage is then
excess, and subject to the Other Insurance provisions
of this policy for Excess Insurance.
Product Recall Expense
The exclusion for the Recall of Products, Work or
Impaired Property is replaced by the following:
Damages claimed for any loss, cost or expense incurred
by you or others for the loss of use, withdrawal, recall,
inspection, repair, replacement, adjustment, removal or
disposal of "your product", "your work" or "impaired
property" if such product, work, or property is withdrawn
or recalled from the market or from use by any person or
organization because of a known or suspected defect,
deficiency, inadequacy or dangerous condition in it. But,
this exclusion does not apply to "product recall
expenses" that you incur for the "covered recall" of "your
product".
The following additional exclusions apply to this
amendment:
Failure of any products to accomplish their intended
purpose;
2. Breach of warranties of fitness, quality, durability or
performance;
3. Loss of customer approval, or any cost incurred to
regain customer approval;
4. Redistribution or replacement of "your product"
which has been recalled by like products or
substitutes;
5. Caprice or whim of the insured;
6. A condition likely to cause loss of which any insured
knew or had reason to know at the inception of this
insurance;
7. Asbestos, including loss, damage or clean up
resulting from asbestos or asbestos containing
materials;
8. Recall of "your products" that have no known or
suspected defect solely because a known or
suspected defect in another of "your products" has
been found;
Includes copyrighted material of the Insurance Services Office, Inc., with its permission. CG 72 02 07 04
Page 3 of 8
9. "Bodily Injury" or "Property Damage";
10. Any actual or alleged violation of any copyright,
patent, trade dress, trademark, trade name, trade
secrets, or any other intellectual property right laws;
or
11. "Product Recall Expense" you incur for "your
products" which are excluded from any other
insurance written by this company.
Fire, Lightning Or Explosion Damage
The provision of COVERAGE A dealing with Damage to
premises while rented to you or temporarily occupied by
you with the permission of the owner is amended as
follows:
As used in this extension (only, including its use in
LIMITS OF INSURANCE, the Declarations and the
Other Insurance provisions), the term Damage shall
include fire, lightning or explosion.
The Damage to Premises Rented to You Limit of LIMITS
OF INSURANCE is amended as follows:
The Damage to Premises Rented to You Limit, for
covered fire, lightning or explosion, is the higher of
$100,000, or the amount shown in the Declarations for
the Damage to Premises Rented to You Limit. This limit
is the most we will pay under COVERAGE A for
damages because of "property damage" to any one
premises rented to you or temporarily occupied by you
with permission of the owner, for all such "property
damage" proximately caused by the same event,
whether such damage results from fire, lightning or
explosion or any combination of the three. This Damage
to Premises Rented to You Limit is subject to the Each
Occurrence Limit.
Property Damage - "Golfing Facilities"
If you operate a "golfing facility" COVERAGE A is
extended to "property damage" to any property not
owned by you, caused by golf balls originating from your
premises, regardless of your legal liability for the
damage. The most we will pay under this extension is
$500 per "occurrence" subject to an annual aggregate of
$2,500 per policy term. No deductible applies to loss
under this extension.
COVERAGE B. PERSONAL AND ADVERTISING
INJURY LIABILITY
EXCLUSIONS
The exclusion of relating to liability assumed in a
contract or agreement only applies to damages arising
out of advertisement.
COVERAGE C. MEDICAL PAYMENTS
EXCLUSIONS
Any Insured Amendment
The following is added to this section:
The exclusion applicable to any insured does not apply
to:
1. "Golfing facility" members who are not paid a fee,
salary, or other compensation; or
2. "Not-for-profit members".
Product Amendment
The exclusion applicable to the "products-completed
operations hazard" does not apply to "your products"
sold for use or consumption on your premises, while
such products are still on your premises, if you are anot-
for-profit operation or a "golfing facility".
Recreational Medical Payments -Amateur Golf
If you area "golfing facility", the exclusion applicable to a
person while taking part in athletics does not apply to a
person as a result of their participation in amateur
athletics that are recreational in nature.
SUPPLEMENTARY PAYMENTS - COVERAGES A
AND B
• Expenses For Bail Bonds And Loss Of Earnings
The provisions of SUPPLEMENTARY PAYMENTS -
COVERAGES A AND B are amended as follows:
Subject to all other provisions of this section, the
limitations for expenses for bail bonds and loss of
earnings are increased as follows: we will pay up to
$2,500 for the cost of bail bonds, and up to $500 a day
for loss of earnings because of time off from work.
WHO IS AN INSURED -Amendments
Not-for-Profit Organization Members
If you are an organization other than a partnership, joint
venture, or a limited liability company, and you area not-
for-profit organization, WHO IS AN INSURED is
amended to include as additional insureds your officials,
trustees, board members, insurance managers, and
"not-for-profit members", but only with respect to their
liability for your activities or activities they perform on
your behalf.
Includes copyrighted material of the Insurance Services Office, Inc., with its permission. CG 72 02 07 04
Page 4 of 8
Employees As Insureds Modified
The exclusion relating to injury to a co-"employee" does
not apply to injury to, or property damage to the property
of, a "temporary worker" caused by a co-"employee" who
is not a "temporary worker".
Newly Formed Or Acquired Organizations
The following amendments are made to the insured
provision relating to newly acquired or formed
organizations, as granted under WHO IS AN INSURED:
1. Your ongoing operations performed for that person
or organization, "your product," or premises owned
or used by you; but this provision does not include
any architects, engineers, or surveyors with respect
to any injury or damage arising out of the rendering
or failure to render any professional services by or
for you, including:
a. The preparing, approving, or failing to prepare or
approve, maps, shop drawings, opinions, re-
ports, surveys, field orders, change orders or
drawings and specifications; or
Coverage under this provision is afforded only until the
180th day after you acquire or form the organization or
the end of the policy period, whichever is earlier. But,
COVERAGE A does not apply to "product recall 2.
expense" arising out of any withdrawal or recall that
occurred before you acquired or formed any organization
under this provision.
If you are engaged in the business of construction of
dwellings three stories or less in height, or other
buildings three stories or less in height and less than
25,000 square feet in area, you will also be an insured
with respect to "your work" only, for the period of time
described above, for your liability arising out of the
conduct of any partnership or joint venture of which you
are or were a member, even if that partnership or joint
venture is not shown as a Named Insured. But, this
provision only applies if you maintain or maintained an
interest of at least fifty percent in that partnership or joint
venture for the period of that relationship. This provision
does not apply to any partnership or joint venture that
has been dissolved or otherwise ceased to function for
more than thirty-six months. This coverage extension will
be excess over any other coverage, on any basis,
available to the insured, and will be subject to the Other
Insurance provisions of this policy for Excess Insurance.
(All other provisions of this section continue unchanged.)
Blanket Additional Insureds - Broad Form
Vendors - As Required By Contract
WHO IS AN INSURED is amended to include as an
additional insured any person or organization with whom
you have agreed in writing in a contract, agreement or
permit that such person or organization be added as an
additional insured on your policy. Such person or
organization is an additional insured only with respect to
liability for "bodily injury" or "property damage" caused, in
whole or in part, by:
b. Supervisory, inspection, architectural or engi-
neering activities.
Your maintenance, operation or use of equipment,
other than aircraft, "auto" or watercraft, leased to you
by such person or organization. A person or
organization's status as an additional insured under
this endorsement ends when their contract or
agreement with you for such leased equipment
ends. With respect to the insurance afforded to
these additional insureds, this insurance does not
apply to any "occurrence" which takes place after the
equipment lease expires.
3. "Bodily injury" or "property damage" arising out of
"your products" which are distributed or sold in the
regular course of the vendor's business, but the
insurance afforded the vendor does not apply to:
a. "Bodily injury" or "property damage" for which
the vendor is obligated to pay damages by
reason of the assumption of liability in a contract
or agreement; but this exclusion does not apply
to liability for damages that the vendor would
have in the absence of the contract, agreement;
b. any express warranty unauthorized by you;
c. any physical or chemical change in the product
made intentionally by the vendor;
d. repackaging, unless unpacked solely for the
purpose of inspection, demonstration, testing, or
the substitution of parts under instructions from
the manufacturer, and then repackaged in the
original container;
e. any failure to make such inspections, adjust-
ments, tests or servicing as the vendor has
agreed to make or normally undertakes to make
in the usual course of business in connection
with the sale of the product; or
Includes copyrighted material of the Insurance Services Office, Inc., with its permission. CG 72 02 07 04
Page 5 of 8
f. products which, after distribution or sale by you,
have been labeled or re-labeled or used as a
container, part of ingredient of any other thing or
substance by or for the vendor; but this
insurance does not apply to any insured person
or organization, from who you have acquired
such products, or any ingredient, part or
container, entering into, accompanying or
containing such products.
This coverage shall be excess with respect to the person
or organization included as an additional insured by its
provisions; any other insurance that person or
organization has shall be primary with respect to this
insurance, unless this coverage is required to be primary
and not contributory in the contract, agreement or permit
referred to above.
The provisions of this coverage extension do not apply
unless the written contract or agreement has been
executed (executed means signed by the named insured
and additional insured) or permit issued prior to the
"bodily injury" or "property damage".
Incidental Malpractice
With respect to the section of WHO IS AN INSURED
dealing with employees as insureds, the exclusion
relating to providing or failing to provide professional
health care services does not apply to nurses,
emergency medical technicians or paramedics. But this
exception does not apply if you are in the business or
occupation of providing any such professional services.
"Golfing Facilities" - Golf or Tennis Pros
The following are also additional insureds under WHO IS
AN INSURED:
If you operate a "golfing facility", any golf or tennis pros.
Golf or tennis pros means any person, other than your
"employees", whose primary responsibilities include golf
or tennis instruction or operation of a golf or tennis pro
shop, but only with respect to their liability for your
activities, or activities they perform on your behalf, or
their liability for the maintenance, use or operation of golf
or tennis pro shop premises you lease to them.
LIMITS OF INSURANCE
Product Recall Amendment
The provision relating to the Products-Completed
Operations Aggregate Limit is replaced by the following:
The Products-Completed Operations Aggregate Limit is
the most we will pay for the sum of:
a. Damages under COVERAGE A because of "bodily
injury" and "property damage" included in the
"products-completed operations hazard"; and
b. "Product recall expenses".
The following paragraph is added to this section:
Subject to the application of the Each Occurrence Limit,
as described in this section, $25,000 is the most we will
pay for all "product recall expenses" arising out of the
same defect or deficiency.
Increased Medical Payments
The following is added to LIMITS OF INSURANCE:
The Medical Expense Limit under COVERAGE C will be
$10,000, or the amount shown in the Declarations for
Medical Expense Limit, whichever is higher.
All other terms and conditions of COVERAGE C.
MEDICAL PAYMENTS remain unchanged.
COMMERCIAL GENERAL LIABILITY CONDITIONS -
Amendments
Knowledge Of Occurrence, Claim, Suit Or Loss
The requirements for reporting and sending claim or
"suit" information to us, including provisions related to
the subsequent investigation of such claims or "suits",
under Duties In The Event Of Occurrence, Offense,
Claim Or Suit do not apply until after the "occurrence" or
offense is known to:
1. You, if you are an individual;
2. A partner, if you are a partnership;
3. An "executive officer" or insurance manager, if you
are a corporation;
4. Your members, managers or insurance manager, if
you are a limited liability company; or
5. Your elected or appointed officials, trustees, board
members, or your insurance manager if you are an
organization other than a partnership, joint venture,
or limited liability company.
Includes copyrighted material of the Insurance Services Office, Inc., with its permission. CG 72 02 07 04
Page 6 of 8
Product Recall Amendments
The following is added under Duties In The Event Of
Occurrence, Offense, Claim Or Suit:
You must see to it that the following are done in the
event of an actual or anticipated "covered recall" that
may result in "product recall expense":
(1) Give us prompt notice of any discovery or notification
that "your product" must be withdrawn or recalled.
Include a description of "your product" and the
reason for the withdrawal or recall;
(2) Cease any further release, shipment, consignment
or any other method of distribution of like or similar
products until it has been determined that all such
products are free from defects that could be a cause
of loss under this insurance;
(3) As often as may be reasonably required, permit us
to inspect "your product" and examine your books
and records to prove the loss. Also permit us to take
damaged and undamaged samples of "your product"
for inspection, testing, and analysis, and let us make
copies of your books and records.
(4) Send us a signed, sworn, proof of loss containing
the information we requested to settle the claim. You
must do this within 60 days after our request. We will
supply you with the necessary forms; and
(5) Permit us to examine under oath, away from the
presence of other insureds, at such times as may
reasonably be required, about any matter, relating to
this insurance or your claim, including any insured's
books and records in the event of an examination.
An insured's answers must be signed.
(ti) Cooperate with us in the investigation or settlement
of the claim.
Unintentional Failure To Disclose Hazards
The following is added to Representations:
But, if you should unintentionally fail to disclose any
existing hazards in your representations to us at the
inception date of the policy, or during the policy period in
connection with any additional hazards, we shall not
deny coverage under this Coverage Part based upon
such failure.
Waiver Of Transfer Of Rights Of Recovery
We will amend the Transfer Of Rights Of Recovery
Against Others To Us Condition to waive any right of
recovery we may have against a person or organization
because of payments we make for injury or damage
arising out of your ongoing operations or "your work"
done under a contract with that person or organization
and included in the "products-completed operations
hazard", if:
1. The waiver of such rights is required in a written
contract or agreement with that person or
organization; and
2. The provisions of the Blanket Additional Insureds -
Broad Form Vendors - As Required By Contract
section of this form also apply to that same contract;
and
3. You have assumed the liability of that person or
organization in that same contract, and it is an
"insured contract".
The section above only applies to that person or
organization identified above, and only if the injury or
damage occurs subsequent to the execution of the
written contract, agreement.
If you area "golfing facility", we will also waive any right
of recovery we may have against any of your members
or their guests because of payments we make for injury
or damage arising out of their actions at your premises
to which this Coverage Part applies. But, this provision
does not apply to injury or damage that is expected or
intended by your member or their guest.
Liberalization
If we revise this Coverage Part to provide more coverage
without additional premium charge, subject to our filed
company rules, your policy will automatically provide the
additional coverage as of the day the revision is effective
in your state.
DEFINITIONS
Covered Recall
"Covered recall" means a recall made necessary
because you or a government body has determined that
a known or suspected defect, deficiency, inadequacy, or
dangerous condition in "your product" has resulted or will
result in "bodily injury" or "property damage".
Includes copyrighted material of the Insurance Services Office, Inc., with its permission. CG 72 02 07 04
Page 7 of 8
Discrimination And Humiliation
(This provision does not apply in the state of New York.)
The definition of "personal and advertising injury" is
amended by the addition of the following offense:
Discrimination or humiliation that results in injury to the
feelings or reputation of a natural person, but only if such
discrimination or humiliation is:
1. Not done intentionally by or at the direction of:
a. The insured; or
b. Any "executive officer" director, stockholder,
partner, manager or member of the insured; and
2. Not directly or indirectly related to the employment,
prospective employment or termination of
employment of any person or persons by any
insured.
3. Not arising out of any advertisement by the insured.
Employee Amendment
The definition of "employee" is replaced by the following:
"Employee" includes a "leased worker", or a "temporary
worker".
Incidental Malpractice Amendment
The definition of "bodily injury" is amended to include
injury arising out of the rendering or failure to render
medical or paramedical services to persons by any
physician, dentist, nurse, emergency medical technician
or paramedic who is employed by you to provide these
services.
Golfing Facility
The following definition is added:
"Golfing facility" or "golfing facilities" means a golf
course, golf club, driving range, or miniature golf course.
Mental Anguish Amendment
(This provision does not apply in New York.) The
definition of "bodily injury" is amended to include mental
anguish resulting from any bodily injury, sickness or
disease sustained by a person. (In New York, mental
anguish has been determined to be "bodily injury".)
Mobile Equipment Amendment
(This provision does not apply in the states of New York
or Virginia.) The following is added to the part of the
"mobile equipment" definition dealing with equipment
designed primarily for snow removal, road maintenance,
or street cleaning:
But, this section does not apply to self-propelled vehicles
of less than 1,000 pounds gross vehicle weight.
Not-for-profit Members
"Not-for-profit members" means a person who is a
member of anot-for-profit organization, including clubs
and churches, who receive no financial or other
compensation.
Product Recall Expense
"Product recall expense" means necessary and
reasonable expenses for:
(1) Communications, including radio or television
announcements or printed advertisements including
stationery, envelopes and postage;
(2) Shipping the recalled products from any purchaser,
distributor or user to the place or places designated
by you;
(3) Remuneration paid to your regular "employees" for
necessary overtime;
(4) Hiring additional persons other than your regular
"employees";
(5) Expenses incurred by "employees" including
transportation and accommodations;
(6) Expense to rent additional warehouse or storage
space;
(7) Disposal of "your product", but only to the extent that
specific methods of destruction other than those
employed for trash discarding or disposal are
required to avoid "bodily injury" or "property damage"
as a result of such disposal; you incur exclusively for
the purpose of recalling "your product"; and
(8) Transportation expenses incurred to replace recalled
products.
Includes copyrighted material of the Insurance Services Office, Inc., with its permission. CG 72 02 07 04
Page 8 of 8
ADDITIONAL INSURED -OWNERS, LESSEES OR
CONTRACTORS -COMPLETED OPERATIONS -AUTOMATIC
STATUS WHEN REQUIRED IN CONSTRUCTION
AGREEMENT WITH YOU
COMMERCIAL GENERAL LIABILITY
CG 79 21 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. SECTION II -WHO IS AN INSURED is amended to
include as an additional insured any person or organi-
zation 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 additional insured only with respect to liability for
"bodily injury' or "property damage" caused, in whole or
in part, by "your work" performed for that additional
insured and included in the "products-completed opera-
tions hazard".
B. With respect to the insurance afforded to these
additional insureds, the following additional exclusions
apply:
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 pre-
pare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and specifica-
tions; or
(2) Supervisory, inspection, architectural or
engineering activities.
This coverage shall be excess with respect to
the person or organization included as an
additional insured by its provisions; any other
insurance that person or organization has
shall be primary with respect to this insurance,
unless this coverage is required to be primary
and not contributory in the contract or
agreement referred to above.
Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG 79 21 07 04
8y
(Compar~y Representati~re)
l~ame• Andrew D. Martin CIC
Title: Agent/account Executive
(5EE NOTICE ON' PAGE 0065-3)
State a£ )
ss.
County of )
On this day of
ally came
duly sworn, id depose and say: that
authorised represciltative of the
and acknowledged to m
executed the within instrument on
company and was duly authorized so to
_, ?.0~, befere me pert~c~n-
to me ~.nown o being
i a~ ri
sM
e tha '
behalf of said inAUrance
do.
Tn witness whereof, Z have signed quid affixed my official seal on
the date in this certificate first above written.
Notary public
AT 7TAFtY SCI? S~ ..
My Commission Expires: ,~, z6" a U/~Z
NOTICE:
No substa.tution or re~rision to the above endorsement form will be
accepted. If the lnsurarice call Pd for is provided by mox-e tlleiu
one policy, a separate endorsement in the exact above form shall
be provided for each policy.
Insureds must be authorized to dv business and have an agent for
service of process in Flarzda and have an nAn policyholder s
rating and a financial rating of at least Class XZ in accordance
with the most current Best's Rating.
ZNSTJRANCE ENDORSEMENT
00654-2
20083.OQ 31 Jul 2007 (GHV1E00654.DOC)
SEC~.'lON 00655 CERTIFICATE OF INSURANCE
Description of Contract: City of Clermont Well No. 6 - Greater
Hi11s Water Treatment Plant
Type of Insurance: BU2T.rDERS' RISK "ALL RISK'S INST_TRANCE
THIS IS To c::ERTIFY' that the following numbered policies have been
issued by the below-stated company in conformance with the limits
and requirements as eet forth iii the Standard General ,Conditions
and Supplementary Conditions and is in force at this time.
POLICY' NUMBER EXP2RATION DA~~ LIMITS OF LYAHILITY
$500,000-Single Location
S1730994 4/15/08 $100,008-Temporary Location
$100,000-Transit
(Not Less Than
Contract Amount)
(Not Sooner Than Con-
tract Completion Date}
beductible:
$1,000
$25,000 Flood#
$25,000 Earthquake
(Not More than $25,000)
'This Certificate or verification of insurance is not an insurance
policy and does not amend, extend, or alter the coverage afforded
by Lhe policies listed herein. Notwithstanding any requirement,
term, or condition of any contract or other document with respect
to which this r_ertificatc ox verification of insurance may be
issv.ed yr may pertain, the insurance afforded by the policies
described herein is subject to all the terms, exclusions, and
conditions of such policies.
The Company shall gi~cre at least 3o day5' written notice by
certified mail to the OWNER and ENGINEER prior to ~~~X~~~~~,~1x
~k~~~[~XX~~~'~~~F~~~XI~~X~~~J~~XX~' cancellation of said policy.
##Flood is excluded in zones A & V.
L~:RTIFICATE OF INSURANCE
200$3.00 31 Jul 2007 (GHWEOQ655 ]7OC)
00655-1
~~I~fll-Ili l ki n~TrT..~,~.T(, .,...,-... ,..._._ .__ --
ZT ~J~d
A.C. Schultes of Florida, Inc. Selective Ins. Co. of Southeast
Name Insured (Contractor) Insurance Company
11865 Highway 41 South
street Number
Gibsonton, Florida 33534
City and State
Snare of )
County of
ss.
40 Wantage Avenue
Street Number
Branchville, N.J.
07890
City and State
By
(Company epresentative)
Name:Andrew D. Martin CIC
T1tle: AgPn t/Ar~ni~nt Fvartt l-i ^~o
(SEE NOTICE ON FAGE 00655-3)
On this day of ~ 2047 , before me person-
ally came to m nown who being
duly sworn, did depose and say: that ~~ is an
thori2ed rPpreser~.tativ'e of the
and acknowledged to m t at •
executed the within instrument on behalf of said insurance
compaizy dild was duly authorized 5o to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above written.
~u-n. ~ ~'
Notary public
;g P7C~r2'~ ~ ~~~ ~_
My Commiasi nn Expires . ~ `~ 6 ° ~~ /,Z
~J ~ ~~
~'Oaa ~~"-'~e,.~
F~~
CEx{'1':LFICATE OF INSURANCE 00655-2
20083,00 31 Jt11 2007 (GHWE00655.DOC)
4,3 Qbtain bit3A ar nagOtiate proposals from yua:iflt3d ContraGtars scceptahle to the Owner for a contract for perfopnanee
and mrnpletion of 1118 Consintctian Gorttra :t, arrange tpt a contract th be prepared for execution by th& Owner and
the ~OntractOf selected wiU1 the Owner's CCP,ourrBnee, is rue RACUred Mridt pertormtnao aria payment t,u~n3~
BXP..uted by t; quelifled surety Rqufval8nt to the hon~la icsiiari nn rho C`onetruarien Conlrget, and pay tv tt;a 6wt~Hr
the aptourn of damages ss d~er+bed in Pflragraph 6 in excess of the Balance of the Contract Price incurred by the
Owner resulring from the CantraCtat's defauk; or
4,4 Walve its right !o perform ar+d COmolataa, arranaq for complstlon, qr obtain a new contractor and with rxnsonabia
promptness under the CircuRtsi?.nCes:
1. Alter invsstigafton, dettarminQ the amount tar which It mrt,+ be Gahlw try the bwnor and, se ,con as practice
We after the amount is deterptined, tender payment therefor to ih6 Qwner; or
2. nervy liability in whole or in part and notrfy the fawner citing reasarts therefor.
5. if the Surety does not proceed acs provi9ed in Paragraph 4 with reasonable promplrt6tSS. the 5urary shall ~ aeimod to 4a !n
default on trio Sand flhaen Lays urWr receipt of an addifianel wri3t9n notice frtsrr; ttte Qwner iD the Suroty demanding trial the
Surety perform tit: obig2ttiort6 under this Bond, and the owner shrill be entitled to enforce any remedy avaitabie to the
Owner. it th8 Surety progeads as provided in Subparagraph 4.4, and the Owner refuses ttte payment tP.ntier9d or t-,s Surety
has denied Ilet~ilily, in wttoW Rr Ut part, VWttlCtrt further notice the C1wT1tiY shat) !~ entitled W entcxce any remedy available to
the Owner.
t3. After the Owner hats terminated the Contra+a>aYs rig(tt tq cxtmptete the ConstructJOn Contract, and .f the Surety aartt: m act
under &ubpsragraph 4.t, 4,2, yr 4.3 s~vb, then rite resptxtsibilkfes 4f the Surety Oa fhe primer shat! net he greater than
thosQ Of ftte Corttractar under the Catstruction Contract, and the responsibilities of the Owner to the Surety shah pct be
greater than those of the Owner under the t.onstn-ction Contract. To the limit of the amtwnt of this Band, but subieci to
rxxnmitment by the thvnor of tfte Oatonce of use C,atluact t'noe to mmgation of goats and damages or'• the Construction
t;onteact, the Brusly is obigated without duplicailOn for.
f. f me reaponsibifMies of the Contractor far CofreCtion of defe`~-Bve work end eompletson of the CAnstruclion Contract.
6.2 Arirtitirxtat trapat, d6a8n prpfoaaional and delay uzcls rri5uinng from ttte t;ontractors pefauk, and resultlnG from A'te
aCtlonS Or failure to 8ct of tt18 Suroty t,n'tder Paragraph 4; and
6.3 Llquioated d8rr>agps, or tf no liquidated damages are spooified in the Consiructlan Contract, actual damages caused
by delayed ~firmanca or rtwt-pertnrr»ance a! the Contrac1ut.
7. The Surety Shelf not lte liable to the Owner or others for obligaiiors of the Contractor that eta unrelated to tit® GortstruCtian
Contract, and thq Balance oT the Contract Price st-ati not be reduced pr set cif on account of any such unrelated obligaSenS.
No right Of action shall accnx~ nn this Band to any portion or entity othrrt than the otvn9r or tcs hairs, 6Xecutor6,
administrators, ar SuCCessors.
e. The 5uraty hereby walae5 rxstrce of arty C1lartge, including Changes of tune, to the Ganstruction Contract or to related
subCpltrgcts, purCFtase orders and other nNlgatiortg.
9, Any proceeding, legal or aquttable, under' this Bond rrtay bEa ittstlttrted in any court of competent jurisdiction in the locstlon in
which thta work or part at tf1t3 work ie located and shall be instituted within M~a yaarc after Contractor Default or within two
years after the t;ontrsetor CtidSad woricinp ar ttiifhnn two years after ew Surety refuses ar fetll8 iv Nerform ti8 ebdgaROns
under this Bond, witlchsv6r occurs first if the provisions of this f>arsgrapn aro voki ar prohlbfted by taw, the ntinimtxtt
period of iltttitatigrt tavailebl6 to surptiDt as a defense in the jurisdiction of rho sui# sftali be appliCt3ble.
i C. NoCtce th the Suroty, the OvYnBr or trio ContreChpr Shell bo rnaAatt nr deti+i®rod to tkts addrpea Shown Cm the algrwUure gaga.
t. tNhgn fJtis Bond has t190rt fumistted to comply w~t- a statutory or attter legal requirgltent in the locatlon where rite construc-
t'on was to be performed. arty prov~iOn to this Bond apnfliCting with said statutory ar lager raqulrement shall be deemed
deleted t-erofrom and provisions Cortfomting !o such statutory or other taper raquirrm«n shalt tw docmad tnccrporatcx:
t;ereln. The intent IS iftai this Bond Shell be c~rtptrued as at statutory frond and not as a Compton taw bond,
12. Dpfinitiatt6:
12f Batattoe of ttto Contract Pricer The total arrtotAtt payable by t11e Owner to the Cr'xitr~tor under the Caonotruct;on
Cadr:tct aher aft ptop9r adjustments have been tetade, including .allowance to the Contractor of any amounts
received or to be reeeivgd by the tOwner in Stttltsment of insurance or Omer ctalma for damages m which the
^.orttracta iS entitled, retluced by all valid and proper payments made to ar on behalf of the Cantrr+rrnr under the
t;,~nstyyptiorl CVlttlft~t.
12.2 ConsMrctian Cormact: The agreement between rho Owner and the Contractor identified on the signature page,
intruding aft Contract Documents and changes therein,
t2.3 Contractor ,7efault Fniiure of tttrv cattraotor, which has ne.Kher bean rgltedied nor waived, 'ts parfarm or otharwlt:B
to ccxnpfy with the taints of the Careitruction Camact,
12.4 Owner Oefault: Failure of the Owner, which has nelttter been rempoled nor waived, to pay t!lt3 Carrtractnr as
reQuired by tfio C'orttsiruction Ccuitract rx to peHopn rtra Coptpiete or comply watt the oltter terms mareof.
END OF SECTt{~N
C:UNSTRUCT T OlvT PEFtFOR1+~fAiQCE BOND 0 0 51. Z- 2
20083.00 3Z JuI 2007 (GHWE0061Z.DOC)
~311f7-iOS C t7 OLLELbLSL6 tiLt00 L~OZ!8c~/80
~R 3r'tj~
SECTI(?N 00620 CONSTRUCTION ~'AYMENT BOND ~(FT~ORIL~A FU3LIC
WORKS PROJECTS)
CONTRACTOR: A.C. SCHULTES OF FLORIDA, INC.
Nfl1"`il$65 Highway 41 South
i sonton,
Atxnab
OWNER: Gait (ot Clerl~l n4 c_-
N~m~
P 0 Bo~C 7 2029
Clermont. FL 3471 '19 _.
Mdrass
t^,C1N5TRUCTION CONTRACT
Date:
Amourtt:~ ~4[,~, r r~.vv
Descripttart: Vy„611 No_ 6 - Cyreater Hit! Waier Trcatmen~Plant
b.a+e
Clermont. Florida
w~w~a+
ARCH INSIIRANCE COMPANY
SURETY;__ .__
h~gPO BoS 1787
Paoli, Pa. 19301
P,a,uv+, ruw~, rn SusGiass
Principal P,eca at eus~eee
BOND 2007
Date (Not earlier than Construction Contract Date): August 9, _
Amount: 349 ~ _ 7~_QQ -
Modffioatiorts.to this ©ond Form,:,
None
CONTRACTOR AS PRINCIPAL SURETY ARCH INSIIRANCE COI~ANY
Comppa~n~y: ~ jC~tZrp_ Seal} Company: (Gore. seal}
A.C. SCHIIL~ES OF FLORIDA, l~+G.
t
Signature: Signature: '"
Name: Narr?6: J p ta. o 7r. --
Title: Tide: tonne in Fact
Fumtsh Bond in accCrdattCx With FlruirtA Statute 255.0.5.
t. The Col'rtractor and the Surety, jointly and >cev~alty, bind themselves, their heirs, executors, administrabrs, successors end
assigns to the Owner to pay irx tabor, matertals and equipment tumished for use in the pQrformartce of the Construction
Contract, wiUCh is incorporated her®fn by rpforonca.
~. Will ~ reupect t0 the t;)wtgr, this obligation sh2di be null and void if x1e tAntractar:
2,i Prornpny makes psymant, dueptly or indlr6ptly, for a!{ sums due Gaimznte, and
2.2 Defends, indemnities and (lords harrniess the tT~nwr From a!I clsimt, derna»da, lraro or suits by a+ry ~rscxt or entity
who famished labor, rrtatSteriats or equipment for use in .the performanct of the COi1StrUCtion Gorlhaci, provided the
Owner has promptly notified the Contractor and the Surety fart 211-e addr¢ss shown above} of any claims, demands,
liens or suits and tendered defartse of such claims. demandsx, ligrts ar suits: is tt,e Corvtrador and the Sw~+ty, ono
provided there is no Owner D6fautt.
3. With rtitpeCt io Clelmartts. this oblioatirx, than ho r„~~ .~,d void lF the Centractor p,v,i~NUy ,~aixra payment, directly Or
Indirr~tty, for al sums due.
.s. -rt,e Surety abort nave r!o aWigatbn to Claitnents under this Bond untU:
a. f Claimaests who are employed by or have a direct contract wii» the Contractor havo given notice to the Surety (at the
addrasa shown above) and serrt s Dopy, or notice thereof, th thp Owner, statiltq that a rir~im is being made undor
true 8cr ~J did, with suriat+ant+al eccura~ey, the amount of itle Claim.
4.2 gafnrert~ Who do n~ have a direct contract with the Contrsw^tar:
d. HavB famished wdtron notice Lo the Contractor and sent a espy, or notice iherent, to rho Chvnor; vAthin o0
Jaya attar rk'tYng last pettorrned labor Or lest famished materials rx tjpuipnwnt Included in fhe daim stating,
with sulxrtuntiai accuracy, ttte amount of the daim end the name d the pally to whom the neat®rials were
famished or suppled or for whom the labor w~ done or performed; and
CONSTRUCTION PAXMEI~JT BC]ND O D62 t? -1
20D83.t)o 31 Jul 2Q07 (GHwE00620.DOC}
1~I~S
OLt;=ZtaLcLE3
hZ-3e
Leaz~s~!s9
b0 3J7~ S31 ~-
insurance Company Agent for Service
of Process in Florida
A.D. Martin Commercial Ins.
Name
P.O. Box 759
Street Number
A.D. Martin Commercial Ins.
Agency
P.0. Box 759
Street Number
Mullica Hill, N.J. 08062
City and State
856-478-6600
Telephone Number
NOTICE-
Mullica Hill, N.J. 08062
City and State
856-478-6600
Telephone Number
No substitution or revision to the above certificate form will be
accepted. If the insurance called for is pro^crided by more than
one insurance coirtpany, a separate certificate in the enact above
term shall be provided far each insurance Company.
Insurers must be authorized to do busine~R and have az~ agent £or
service of process iri Florida and have an "A" policyholder's
rating and a financial rating of at least Class XI in accordance
with the mc~sr. curxent Best's Rating.
CERTIFICATE OF INSURANCE 00655-3
20083.00 31 Jul 2Q07 (GI-Ifni~00655.DOC)
b Z ~Jkid ~~ i ~nN~c ~ 4-1 n ~ T r. r i ~ .. r.-. _. _ . _ ~ - - -
BOND# SD 103 1758
SEC~'ION 00612 CONSTR~JCTTON PERFQ~7~iNCE BOi1D
A.C. SCHULTES OF FLORIDA, INC. ARCH INSURANCE COMPANY
COly17RaGTC?Fi, .,..__ -_..._ .~ 5lIFiETY: _
Na 11865 Hi>;hway 41 South ~ ~~~0 Boa 1787 _ _
Gibsonton, FL 33534_ ~ _ Paoli, _Pa. 19301 ~~~
Adtlrpf5 Prk+cgai Pletq o~ Bi.8r~a3y
OWNER: ~" + of Qfermont
H.,~„
~O- Rr3x 120219 -.
1 nt FL ,g~712-C1219 ____
py~yy~s W,nr.VhtA Pl,c. al H.x:nooc
caNsTaucTtoN coNTRACr
Date: -
Ammurrt: _ 2 , _
Description: Well No. 6 - Grater Hills Water Treatment Plant
ctormoM, 1=wridc~ -- - - -
BOND August 9, 2007
Date (Npt earlier than Construction Corttsact Date): ~_ -
Amount: #423,775.00 ____
Maciifir<itionS to tttis 8prt+x Form: one,
CDNTRACTOFt AS PRINCIPAL. Si~R1=T'Y ~~ INSURANCE COMPANY
A.C. S CoCHULTES~ OF FLORIDA, NC(Corp. Seal) Company: (Corp. Seal)
.~- .
5ignature5 ~ ~~`'"``~ Signature:_ s
Name: f ~(~..._ Nam~• Jos [,1. Rolok~ Jr.
Titter ~ Tit1e: At rne~ in Fact
t . Thr. CAx'4raCtor and the suroty~ jointy onci seveaully, tlfnit Gien'180tVes, their heirs, ex8l?utars, adtnlrtist-atdrs, SuCCCSSOrA arfd
as&fgns to tl7a owner tar the pertprmertee of the Corwtruvtiort Contra, whfCh IS irlcorpOraM.ci herein by reLergnCe.
2. ff the Carttractor pprtotnts the Construction Contract, the Surety and the Carttr2tCtor shxA have no dhiigatian under this E+drld,
except to pRr-it•.ipEle n cortfarsnaoc tun provldod in Subyeuxgrapn $- i .
3- H there is ho Owner Oetauh, the Surety's obligation under this Band shall else after.
s.i The Owner floe ratified the Contractor and the Surety at its address desarlbea above, that the f;3wlter is aonsiderind
aidariYftt a Contractor Default and haC rcqusstad ua ariwrwtmd tc arrahge a cartterenCe with the CorttrdCtor rind
tfte Srarery 1n be held not IdtBr then fihsen days after races fri of such notice to discuss; methoCle Of perfom>irag the
COhatruCtlOrt Cantrtct. if the Canter, the ContrdcrAr and the Surety agree, the Cohtrectcr ahyl be alloyed s r6~lfOrt-
able dme b perform the r'mStructian Contract, but such an agr~twrri she>y not waive the Own9r's right, rf any,
subsequently to deCfa:e a Corttractdr Aefault; arxl
3.2 The OwrtEt' has declared a Contractor pefautt and formdfly terminated Lila Contrar.~r'& right to campy itte
carttract Such t;attractar Aeteutt ehpsu not ha cleciarad aarlior tr+ar+twenty ;lays altar Jr® Gonua~cor and the Surety
have rt3caived notice as provided in Subparagraph s.1; and
3.3 The Owner has agreed tQ pMy the t3alartce of the Co.'ttrdct Price to ttte Surety m >lcc4rddnce with the tar5rs of the
Construrfion COrltraCt ar to a Contractor saipeted m perform ifw Conotruotearr Cor+trect in tu:ixxdanCe Vvitt the 1Prms
of tttp Corttraq N•iih the Cwvrter.
a. wnu, n+m pwner t+ao ooNared d,o w~rwnwns ar rardgrapn 3, the Surety shall prornQify anC at the Sure!y's axpensq tak® one
of the 4oflowing actions:
~.7 Arrange tcx the Catiraotor, with consent of th0 Owner, t0 perfOmt and Complaig the Gonstruclion Contract; a
4.2 llndartake to perform anA compute the Cansttuction GantttApt itself, through fro agents or through Intlependerd
COrltreClotS; yr
GCNSTRUCTION PERFORMANCE BOND 041511-1
3fJ083.00 31 Jul- 2007 (GHTr?Eb451.l.DOC3
~.~+ 3n7d S 314"11-{~~S '~ ~,
C. Nava eiMt~ar received a r9jectian in wtlde or in part from the Contractor, Or naS rec8lvetl within SO Lays o1
fum~h,rg t-tz abcva not~a any commuruGalion Earn the Contractor CY vrhict, the Contractor na.; ind~v_~d
the Claim •,e,nll be paid dire~ody or indll~Ctly; Eutd
c:. svat navmg pypn paid within t7e skx~ve 3C days, hat+® sent a writOen notice trr ate Surs^f ;dt the addres.
shown an the signature page) aril sent a copy, or notice thereof, to the Owner, stating that a claim is lysing
made urxle! this Bond and enclosing a Copy of the previous written notice furnished to thA C'nrttret^^t~+r:
s, if n ; ~rtie:r rdautreo »Y Faragrapn 4 is given by the Owner to the GantraCtor or to tr+a Surety, tits'. is suf8eier-t camptianca_
F, VJhon the Gaimartt has satisfied the conditions uF PAr3graph 4, iha Surety shall prampGy and at the Surety's exprnse take
ttre f0ilewing a,;tidls:
t3.+, Ssnq art +3ruwar to the ti:aimsnt, wall a copy t0 ttta Owner, vri'hin 45 da}~s after receipt cf the claim, Stating d1a
amounts that are undisputed and the basis for challenging any 6meunts that era disputed.
5.2 Pay or arrange far payment of any undisputed amounts.
T. T>•,o Sur~y3 toter ob!igatiG~ :'sfHall rwt axcaad the amount at tills Bond, and the arttaurt of this Band shall be credited far any
pdyntenis made in poo,7 faith try the Surely.
8. Amourtt3 awed by the Owner to tfip Contractor under the Construcdon Goniract shall t>o used far the performertCe of the
conetru4tlon Cat\trpet end to Misty t~tilTRi, tf arty, under any iortstruciiari Perrnrmart:e Bond. ey the Contractor fumishtng
and t7a (,lwnsr aor„epdng this Bond, they agree that a1 funds earned by ttte Central or in the parfarmartce of the
Consfirctitxt t; Ontrect ar6 dedicated to safJsiy ObligBtlans of the Corttrector and tl'+e Surety under this 130nd, subject to the
Ck~rtt9t'4 priority to use the tund3 !or the r,OrnFSetivn ;,1 tt w wtxk.
3. The S:M'ety shat) trod be liable t0 the Owner, Claimants or athprti for cbligaifOns of the Contractor drat are unteiatad to the
Constru4D10h Contract. ThE Owner shall nci bE fialtie for payment 5f any aoSt5 ar expanses of arty Claimr~rtt tinder this
Bond, silo Sh3'a nAVR IfrY.{Qr tt1t4 BOrld no abliga0oro to make pnymenrb tv, yiw r,,;rttYBS Ort bANalf at, cu otherwise have
odttigafions to t~simartt5 under this Bond.
lo. The Sorely hereby waives notice of airy change, Including Ct,anges of time, to the Cortstnretion Car>traot or to related
8ul7ecxrttacts, purchase ordeix rand nlh4+r ObiigatiAr/t.
i `. Na suit nr Ar-tion chap be cOmttt9naed by a Claimant under this dufrtJ uU,yr titan m a CaUrt Ot competent jut'is~ilCtian in d18
lacatiorc In whi;,ft the werk or part of thEt work is (posted or after the axpirefaon of ens year from the elate (t; tNt which the
Gaimant gave the notion raqulred by 8ubpsn'apraph a.i or t~arus® 4.E tc), or (2) on wt#h the last itiltu, ur ararvrce Nrat:
psrtORned by artyotte or the laEt rrtateriais or squipmert warn fumiarted by anyone under the t..onstructian Contract,
whichever of (1) ar (~ first occurs. ff the provisions of this Paragraph rue vdd or prohibited by law. the minimu.'r, period of
1in111atirXl avaiabls to sttnaties es a defense in ttt® jurir+dict;an of the sun chaN rte appfic+abic.
t2. Norice to the Surety, ills Owner ar the Contractor shaft be mailed or delivsratl to the address shown on the signature page.
Acttrai racalpt of notice by Surety, xte Owner Or the Contractor, howovrir aCOOmplistupd, shall be suf(1Cienf compNance .rs of
the date reCelvetl at the itdoress shaven an the aignanrrR f+age
t3. 1+Yhen this Bond has tt6en famished to comply with a statutory or ether legal raquirernent rn the Iccation where the
rfittsh„ction .vas to ice pcetormcd, any provision in 1!•tin Bcrrcl wrtHlctlng wtxt said statutory or legal requirement shall ba
deantiul deleae~l tterefrorn and prOVisions conforming b such stattrte+ry ar ~rhar tai raga+rgmor,t shalt >?e doamatl
incorporated herect. The intend is, that this Bond shall be cortsutr9d as a st~ttROry bond and r10t as a aan'~rrton law bond,
th. Upon raqutst by any person ar entity appearing is ba d potential beneficiary of this Band, the Contraetor,thell promptly
fumisr: a copy of this Bond or shall permit s copy Do made.
i g. i7attnlttans:
t5,1 Claimant: An individual or artily having a direst contract wish rite Cottaractar or With a subcontractor pt the
Contractor to famish labor, materials or equipment br use in the perfcrmartce Of the Contract, Tha inlaid nt thin;
t3cxuq snail ba to !ndude wrmout NmitBlion in the temps 'labor, materials of equipmex-t" that part ar water, gas power,
light, heat, atl, gasoline, teiaphone salutes or rental equipment used in the Construction Contract, architectural arw
enginee+ing services [squired for performance of the work Ot the Contractor and the C.ortttt3tctor's suttcotztrmator5.
and ell otbej' itdr„s !or which a moehanic's lien r"tay be a,SSeRetl in the ju^isdiciiort wfWr6 the labor, metarial9 or
equipr, ttxtt were fumist,ed.
t5 t;ansUuction Contract: The agreement between the Owner and the Corttractar idr~ntifisd on the :algrtature paAe,
including ell Contract Dtx:urre>trta and ettertges tftereta.
'• v.3 Owner ,7efault Failure of the Owner, which has neither peen remedied trot waived, to pay the Contractpr as
required by the Construction Contrast ar to perform and complete ar comply with the other tem16 t!tereoi.
END OF 81=C71QN
CONSTRUCTION PAYMENT BOND 00520-2
2DQ83.00 ~1 Ju]. 2007 (GHWE00620.DOC)
~A ~r~yd ~31~~-iH~S '~ h 0~ TEib~ETB 4Z ~00 1.0i3~,'E0/80
POWER OF ATTORNEY
Know All Men By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its
principal office in Kansas City, Missouri (hereinafter referred to as the "Company") does hereby appoint
James L. Hahn, Daniel P. Dunigan, William F. Simkiss, Joseph W. Kolok, Jr., Brian C. Block and Richard J. Decker of Paoli, PA
(EACH)
its true and lawful Attorney(s)-in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and
on its behalf as surety, and as its act and deed:
Any and all bonds and undertakings
EXCEPTION: NO AUTHORITY is granted to make, execute, seal and deliver bonds or undertakings that guarantee the
payment or collection of any promissory note, check, draft or letter of credit.
This authority does not permit the same obligation to be split into two or more bonds in order to bring each such bond
within the dollar limit of authority as set forth herein.
The Company may revoke this appointment at any time.
The execution of such bonds and undertakings in pursuance of these presents shall be as binding upon the said
Company as fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its
regularly elected officers at its principal office in Kansas City,.,1~lissSitiia.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of
the Company on March 3, 2003, true and accurate copies of which are hereinafter set forth and are hereby certified to by
the undersigned Secretary as being in full force and effect:
"VOTED, That the Chaim~an of the Board, the president, or any Vice President, or their appointees designated in writing
and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and aftomeys-in-tact,
and to authorize them to execute on behaff of the Company. and attach the seal of the Company thereto, bonds and
undertakings, reoognizanoes, contracts of indemnity and other writings, obNgatory in the nature thereof, and any such
officers of the Company may appoint agents for acceptance of process."
This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution
adopted by the unanimous consent of the Board of Directors of the Company on March 3, 2003:
VOTED, That the signature of the Chairman of the Board, the President, or any Vice President, or their appointees
designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and
certifications by the Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the
resolution adopted by the Board of Directors on March 3, 2003, and any such power so executed, sealed and certified
with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the Company.
OOML0013 00 03 03
Page 1 of 2 Printed in U.S.A.
In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their
authorized officers, this ath day of October 20~
Attested and Certified
4~ts~e So
1~C COtfORATE
SFAI
//J/~~/J~A /,~+ 1971
Martin J. Nilse ~ ecretary
STATE OF NEW YORK SS
COUNTY OF NEW YORK SS
Arch Insurance Company
Edward M. Ti us ice President
I Peter J. Calleo, a Notary Public, do hereby certify that Edward M. Titus and Martin J. Nilsen personally known to me to
be the same persons whose names are respectively as Vice President and Secretary of the Arch Insurance Company, a
Corporation organized and existing under the laws of the State of Missouri, subscribed to the foregoing instrument,
appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed,
sealed with the corporate seal and delivered the said instrument as the free voluntary act said corporation and as
their own free and voluntary acts for the uses and ppurposes therein set forth.
PETER EI. CALLEO, ESQ.
Notary Pubtlc. State of New York
Na.02CA6108336
rZt• :lifted In New York County Pe r J. No ubl'ic
Commission Expires May 3, 2008 My commis ~ expires 5-03-2008
CERTIFICATION
I, Martin J. Nilsen, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attomey dated
on b2half of the person(s) as listed above is a true and correct copy and that the same has been in full force and effect
since the date thereof and is in full force and effect on the date of this certificate; and I do further certify that the said
Edward M. Titus, who executed the Power of Attorney as Yrce President, was on the date of execution of the attached
Power of Attorney the duty elected Vice President of the Arch Insurance Company.
IN TESTIMONY WHEREOF, I have hereunto sr~scribed my name and a the I of the Arth Insurance
Company on this 9th day of August 20 07.
Martin J. Nils ,Secretary
This-Power of Attorney limits the acts of those named therein to the bonds and undertakings speCifiglly named therein
and they have no authority to bind the Company except in the manner and to the extent herein stated.
PLEASE SEND AI.L CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS:
Arch Contractors 8 Developers Group
135 N. Robles Ave., Ste. 825
Pasadena, CA 91101
OOML0013 00 03 03
Page 2 of 2
~~~
n
~iW~
Printed in U.S.A.