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2010-67 FIRST AMENDMENT TO AGREEMENT FOR JANITORIAL SERVICES This Amendment is to that certain agreement of August 29, 2007 (the Agreement) between the City of Clermont, hereinafter referred to as "CITY" and H&H Cleanmg Services, Inc , heremaler referred to as "CONTRACTOR" The parties, m exchange for the mutual covenants contamed herein and m the Agreement, agree as follows 1 This Amendment expressly modifies the Agreement and m the event of a conflict, the terms and conditions of this Amendment shall prevail 2 Term The term of the Agreement is hereby extended for one year effective September 30, 2010 and shall expire on September 30, 2011, unless otherwise extended by a written subsequent amendment hereto 3 Services CONTRACTOR shall perform all services and shall be compensated as set forth m the Agreement except as described m Exhibit "A" attached hereto and incorporated herem 4 All other terms and conditions set forth m the Agreement shall remain in full force and effect and unchanged as agreed to by the parties IN WITNESS WHEREOF, the parties hereto have executed this Agreement this\ L day of (CA DI 2010 Attest The City of Clermont, / 11—% By k 2`' , i�..�.I 13 /0. :01 , Tracy Ackro •, City Cler nor arold Turville, Jr Date I I -SD RO“O Attest H & H Cleaning Services, Inc By ..a. ��...�.� - By /I� / /��, , Title Vv,4, a.,tc.L(4c,jut Rita S Harshman President Date /2 /5. /a 111009 1 . , CONTRACT SCHEDULE FACILITY ADDRESS AMOUNT MONTHLY 1 City Hall, 685 West Montrose Street, Clermont, FL 34711 $3.288.42 2. Chamber of Commerce, 691 West Montrose Street, FL 34711 $1.531.28 3 Public Services, 400 12 Street, Clermont, FL 34711 $682.55 4 HIGHLANDER HUT SITE WILL NOT BE INCLUDED AT THIS TIME, BUT WILL BE ADDED AFTER NEW CONSTRUCTION 5. Bishop Field, 950 East Avenue, Clermont, FL 34711 $396 51 6 Boat Ramp, 938 West Lake Minneola Dnve, Clermont, FL 34711 $ 229 17 7 McKinney Park, 801 Bloxam Avenue, Clermont, FL 34711 $229 13 8 Waterfront Park Restrooms, 100 3' Street, Clermont, FL 34711 $396.51 9 West Beach Restrooms, 215 12 Street, Clermont, FL 34711 $252.60 10. Trail Head, 797 West Minneola Avenue, Clennont, FL 34711 $257.60 11 WEST PARK, WILL NOT BE INCLUDED AT THIS TIME, BUT WILL BE ADDED AFTER NEW CONSTRUCTION 12 Palatlakaha Park, 1250 12` Street, Clermont, FL 34711 > Concession Stand Restrooms $463 47 > Playground Restrooms $ -0- 13. Hancock Park, 3301 South Hancock Road, Clermont, FL 34711 Y Ball Field Restrooms $231 68 > Pavilion Restrooms $ -0- 14. Lake Felter Park, 1750 Johns Lake Road, Clermont, FL 34711 $329.56 15 Depot Pavilion Restrooms, 490 W Avenue, Clermont, FL 34711 $231 68 16 Public Services, 1201 Osceola Street, Clermont, FL 34711 $294.92 17 Police Station, 865 West Montrose Street, Clermont, FL 34711 $796.40 18 Fire Station #1, 439 West Hwy 50, Clermont, FL 34711 $678 62 19 Fire Station #2, 2200 Hartwood Marsh Road, Clermont, FL 34711 $443.30 20. Fire Station #3, 2180 Legends Way, Clermont, FL 34711 $578 82 21. Fire Department Administration Building 428 Chestnut Street, Clermont, FL 34711 $875.00 Total Monthly Pnce $12,187 22 NOTICE OF AWARD PAGE THREE ACCEPTANCE OF NOTICE Receipt of the above NOTICE OF AWARD is hereby acknowledged by r te' e /c/9/)1i4vG Sai2vi c 5, /''C. Name of Corporation, Partnership, or Individual this the /J` day of 11- c°F/ eY2 2010 By Title . 4eAct . c 2)- 7`/�F 4 G (./<5'' i r < ate' • a cc x `b ri � • �YaYSai ��' �� 'llrrpll/9dd7�M+� --� r 7 i ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/15/2010 PRODUCER Phone (407)647 -8000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MacLeish Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 634 Virginia Drive HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Orlando, FL 32803 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW License # A161813 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER Nationwide Insurance 02513 H&H Cleaning Services, Inc INSURER Hartford Fire Insurance Co Rita Harshaman B 8615 Commodity Circle Ste#11 INSURER C Orlando, FL 32819 INSURER D INSURER E COVERAGES 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 INSR 4DDL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INI URANCF POLICY NUMBER DATE (MMIDWYYI DATE (MMlDDIW) LIMITS A Y GENERAL LIABILITY 77 -PR- 854 - 128 -3001 02/1212010 0211212011 EACH OCCURRENCE $ 1,000,000 X DAMAGE FORENIED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $ 1,000,000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE OMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HI RED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per acadent) PROPERTY DAMAGE (Per acadent) GARAGE LIABILITY AUTO ONLY EA ACCDENT $ ANY AUTO EA OTHER THAN ACC $ AUTO ONLY AGG $ A EXCESS/UMBRELLA LIABILITY 77-CU- 854 - 128-3002 02112!2010 0211212011 EACH OCCURRENCE $ 5,000,000 OCCUR X l CLAMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE —$ RETENTION $ — $ WORKERS COMPENSATION AND WC STATLL 0TH EMPLOYERS' LIABIUTY TORY LIMITS ER ANY PROPRIETOR/PARTNER/ECUTIVE E L EACH ACCIDENT DC $ OFFICER /MEMBER EXCLUDED? If yes describe under E L DISEASE EA EMPLOYEE $ SPECIAL PROVISIONS below E L DISEASE POLICY LIMIT $ OTHER B BondlEmployee Theft 33BDDFJ0281 03!3012010 03!30!2011 $500,000 $5,000 Ded DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS The certificate holder is included as an additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Clermont DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSINRITTEN NOTICE TO THE Attn Purchasing Manager 685 W Montrose St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Clermont, FL 34711 REPRESENTATIVES AUTHORIZED REPRESENTATIVE QffC 00 (DLS) ACORD 25 (2001108) © ACORD CORPORATION 1988 Pnnted by DLS on December 15, 2010 at 02 43PM 05 (Policy Provisions WC 00 00 00 A) 70 ZV INFORMATION PAGE WEG WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INSURER TWIN CITY FIRE INSURANCE COMPANY HARTFORD PLAZA, HARTFORD, CONNECTICUT 06115 NCCI Company Number 14974 I � Company Code 7 THE H ARTFORD N 10 SUM( `-1 LARS RENEWAL POLICY NUMBER 76 WEG ZV7005 I 1 00 Previous Policy Number NEW HOUSING CODE. 76 1 Named Insured and Mailing Address H & H CLEANING SERVICES INC (No , Street, Town, State, Zip Code) N 5728 MAJOR BLVD , SUITE 611 11 ' FEIN Number 592099445 ORLANDO, FL 32819 4, State Identification Number(s) UIN The Named Insured is CORPORATION Business of Named Insured JANITORIAL SERVICES - COMMERCI Other workplaces not shown above 5728 MAJOR BLVD ORLANDO FL 32819 2 Policy Period From 04/30/10 T 03/01/11 SHORT TERM 12 01 a m , Standard time at the insured's mailing address Producer's Name EMIA /EXPRESSWAY PO BOX 33015 SAN ANTONIO, TX 78265 Producer's Code 250803 Issuing Office THE HARTFORD 55 FARMINGTON AVE , SUITE 301 HARTFORD CT 06115 (877) 287 -1316 Total Estimated Annual Premium $24,183 Deposit Premium N/A Policy Minimum Premium $427 FL Audit Period ANNUAL Installment Term The policy is not binding unless countersigned by our authorized representative Countersigned by 05/04/10 Authorized Representative Date Form WC 00 00 01 A (1) Printed in U S A Page 1 (Continued on next page) Process Date 05 /04 /10 Policy Expiration Date 03 /01 /11 ORIGINAL