DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
10/9/2015 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
SUNZ Insurance Solutions, LLC. c/o TLR of Bonita, Inc 700 Central Ave, Suite 500 St. Petersburg, FL 33701
ID: (TLR)
CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS:
Aimee Gray 727-520-7676 x 222
FAX (A/C, No):
727-525-3862
INSURER(S) AFFORDING COVERAGE INSURER A : INSURED
INSURER B :
TLR of Bonita, Inc EnterpriseHR 700 Central Avenue Suite 500 St. Petersburg FL 33701
INSURER C : INSURER D :
NAIC #
SUNZ Insurance Company Aspen Re - London - Best Rating "A" Catlin Syndicate - Lloyds - Best Rating "A" Brit Syndicate - Lloyds - Best Rating "A"
34762
INSURER E : INSURER F :
COVERAGES
CERTIFICATE NUMBER: 26879146
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 LTR
ADDL SUBR INSD WVD
TYPE OF INSURANCE
POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)
POLICY NUMBER
COMMERCIAL GENERAL LIABILITY CLAIMS-MADE
OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY LOC JECT
LIMITS
EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person)
AUTOMOBILE LIABILITY
HIRED AUTOS
$ $
OTHER:
ANY AUTO ALL OWNED AUTOS
$
SCHEDULED AUTOS NON-OWNED AUTOS
$ $
BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident)
$ $
A
B C D
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$
DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
$
WCPEO0000001 11
6/1/2015
6/1/2016
✓
Y/N
PER STATUTE
OTHER
E.L. EACH ACCIDENT
N/A
$
E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT
Workers Compensation Excess Coverage
$
1,000,000 1,000,000 1,000,000
This is for informational purposes and nothing shall create any right under such reinsurance.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Coverage Provided for all leased employees but not subcontractors of: Customer's Choice Garage Doors & Openers, Inc Client Effective: 1/13/2014 Re: ITB #2015-295, Annual Contract for Service and Repair of Overhead Doors.
CERTIFICATE HOLDER 7452
CANCELLATION
City of Stuart Department of Financial Services Procurement & Contracting Services Division 121 SW Flagler Ave. Stuart FL 34994
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE
Glen J Distefano
ACORD 25 (2014/01)
© 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
26879146 | Master Certificate | Aimee Gray | 10/9/2015 12:38:08 PM (CDT) | Page 1 of 1
City of Stuart 121 SW Flagler Avenue • Stuart • Florida 34994 Department of Financial Services Procurement and Contracting Services Division
Lenora Darden, CPPB Procurement Manager
[email protected]
October 8, 2015
Telephone (772) 288-5308 Fax: (772) 600-0134 www.cityofstuart.us
Via: Email transmission:
[email protected]
Customer’s Choice Garage Doors & Openers, Inc. Attn: Donald Jett, Owner 706 NW Buck Hendry Way Stuart, FL 34994 Subject:
Notice of Intent to Award ITB No. 2015-295: Purchase and Installation, Service and Repair of Overhead Doors
Dear Mr. Jett, Please accept this letter of intent on behalf of the City of Stuart for ITB No. 2015-295, Purchase and Installation, Service and Repair of Overhead Doors for Group1 and Group 2 for an annual amount not to exceed $6,837.50. As discussed, the door your firm specified for Group 3 has been determined not an equivalent to the DAB Door Series 1200. In preparation of award, The City of Stuart requests that you provide all necessary insurance requirements within 10 days (October 18, 2015) as listed below: A “Certificate of Insurance” which reflects all types and levels of coverage as noted in the Invitation to Bid. The insurance certificate must also have printed in the “Remarks” box, words to the effect: “The City of Stuart is an additional insured”. The City requests that the insurance certificate lists the project number and the project name, ITB #2015-295, Annual Contract for Service and Repair of Overhead Doors. Upon receipt of insurance requirements, the initial contract period will be for one year, effective on November 1, 2015 through October 31, 2015, with two one-year renewal options. The City reserves the right to exercise the option to renew annually, if mutually agreed upon in writing by both parties subject to the same terms and conditions of the original agreement. Annual renewals shall be subject to the appropriation of funds, vendor’s satisfactory performance and determination that the contract renewal is in the best interest of the City. All services shall be coordinated with the City Project Manager, as identified on the purchase order, which will serve as your notice to proceed. The City of Stuart looks forward to a mutually beneficial business relationship. If you have any questions, please feel free to contact me by email at
[email protected] or call me at (772) 288-5308. Sincerely,
Lenora Darden Procurement Manager City of Stuart, Florida Cc:
2015-295 ITB File Fire Rescue Staff