JOC Agreement with Chuck's Painting, Inc.n~,~- /~
JOB ORDER CONTRACTING AGREEMENT
BETWEEN
CITY OF MIAMI BEACH, FLORIDA
AND
CHUCK'S PAINTING, INC.
FOR
WATERPROOFING/PAINTING PROJECTS
FOR THE CITY OF MIAMI BEACH, FLORIDA
INVITATION TO BID NO. 26-08/09
Project Manual
00800 CONTRACT
CONTRACT
THIS CONTRACT is entered into this ~ day of ~~~~ 2009
(Effective Date), by and between the CITY OF MIAMI BEACH, a political
subdivision of the State of Florida, hereinafter referred to as CITY, and
CHUCK'S PAINTING, INC., hereinafter referred to as CONTRACTOR.
W I T N E S S E T H, that CONTRACTOR and CITY, for the
considerations hereinafter named, agree as follows:
ARTICLE 1
SCOPE OF WORK
1.1. The scope of work under this Contract shall be determined by individual
Job Orders issued hereunder. Upon receipt of a Notice to Proceed, the
CONTRACTOR shall furnish any and all labor, materials, equipment,
services and incidentals necessary to perform all of the work for the
Project described in the Job Order.
ARTICLE 2
CONTRACT TIME
2.1. This Contract shall be for an initial term of one (1) year, commencing upon
the Effective Date. The Contract may be renewed, at the City's option, for
four (4) additional twelve (12) month terms, subject to the requirements of
Section 3 of the JOC Supplemental Conditions. The Maximum Contract
Duration shall be no more than five (5) years, or when the Maximum Not
to Exceed Contract Value is reached, whichever is first
2.1.1. Once the Contract is in place, individual Job Orders will be issued
through Blanket Purchase Orders and Notices to Proceed, issued
by the Contract Administrator. The time for completion of
individual Job Orders will be contained in the Notice to Proceed.
CONTRACTOR shall not begin work without a signed Blanket
Purchase Order and Notice to Proceed.
2.2. Time is of the essence throughout this Contract. Job Orders shall be
substantially completed within the specified calendar days listed on each
individual Notice to Proceed, and completed and ready for final payment in
accordance with Article 5 hereof within the time specified on each
individual Notice to Proceed.
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2.3. Liquidated Damages may be applied to individual Job Orders at the
discretion of the CITY. The dollar amount(s) relative to Liquidated
Damages are not intended to be applied as penalties, but rather to be
applied as damages to the CITY for its inability to obtain full beneficial
occupancy and/or use of the Project. Liquidated Damages on construction
projects other than streetscape or utility aroiects are hereby fixed at
$1,000 per day and agreed upon between the parties, recognizing the
impossibility of precisely ascertaining the amount of damages that will be
sustained by the CITY as a consequence of such delay, and both parties
desiring to obviate any question of dispute concerning the amount of said
damages and the cost and effect of the failure of the CONTRACTOR to
complete the Project on time.
2.3.1 Liquidated Damages relative to a streetscape or utility
project. The additional cost realized by the CITY consists of the
following components:
Additional construction administration by CITY, Program
Manager, and/or Consultant.
Additional resident observation by CITY and/or Program
Manager.
Loss of use of facilities, including, without limitation, loss of
parking revenue, sidewalk cafe fees, etc.
The cost realized by the CITY for extended Project milestone completion
consists of the sum of the Program Management (PM) fee; the City
Construction Management (CM) cost; additional Consultant fees that
would be incurred by the CITY for each day that the Project completion is
delayed; and those costs realized by the CITY for loss of facility use.
It is estimated that the PM component of CITY incurred expense could
reasonably consist of one resident observer ($75 per hour for 8 hours per
day = $600), one Project Coordinator ($125 per hour for 4 hour per day =
$500), and one Project Administrator ($50 per hour for 4 hours per day =
$200). Hence, the estimated PM component of the liquidated damage
value to be used on streetscape or utility projects would be $1,300
per day.
It is estimated that the Construction Management component of CITY
incurred expense would be based on the recognized rate of 4% of total
Project cost. Hence, a $5,000,000 Project that has construction duration of
300 working days would result in a CM cost component of $800 per day.
This value will vary by Project.
Loss of Parking Revenue: If applicable, will be incorporated in the Job
Order/Notice to Proceed.
Contract
2.4. CITY is authorized to deduct liquidated damages from monies due to
CONTRACTOR for the Work under the Job Order or as much thereof as
CITY may, in its sole discretion, deem just and reasonable.
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2.5. CONTRACTOR shall be responsible for reimbursing CITY, in addition to
liquidated damages, for all costs incurred by the CITY in administering the
construction of the Project beyond the completion date specified in the
Notice to Proceed, plus approved time extensions. All such costs shall be
deducted from the monies due CONTRACTOR for performance of Work
under the Job Order by means of unilateral credit change orders issued by
CITY as costs are incurred.
ARTICLE 3
THE CONTRACT SUM AND ADJUSTMENT FACTORS
3.1. The Contract is an indefinite-quantity contract with no minimum values.
The Estimated Contract Term Value for ITB No. 26-08/09 -
WATERPROOFING/PAINTING is One Million Dollars ($1,000,000) per
term. The Maximum Not To Exceed Contract Value for ITB No. 26-08/09 -
WATERPROOFING/PAINTING is Five Million Dollars ($5,000,000).
3.2. Payment shall be at the lump sum price stated in the Notice to Proceed for
each Job Order. This price shall be full compensation for all costs,
including overhead and profit, associated with completion of all Work in full
conformity with the requirements as stated or shown (or both) in the
Contract Documents using the following Adjustment Factors:
3.2.1. Normal Working Hours Construction: CONTRACTOR shall
perform any or all functions called for in the Contract Documents
and the Detailed Scope of Work, scheduled during Normal
Working Hours, in the quantities specified in individual Job Orders
against this Contract, for the unit price sum specified in the
Construction Task Catalog® multiplied times the Adjustment
Factor of:
~1~0 3 5 0
3.2.2. Other Than Normal Working Hours Construction: CONTRACTOR
shall perform any or all functions called for in the Contract
Documents and the Detailed Scope of Work, scheduled during
Normal Working Hours in the quantities specified in individual Job
Orders against this Contract, for the unit price sum specified in
the Construction Task Catalog® multiplied times the Adjustment
Factor of:
Contract
1 0 4 0 0
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3.2.3. Non Pre-priced Work Tasks: CONTRACTOR shall perform any or
all functions called for in the Contract Documents and the
Detailed Scope of Work that are Non Prepriced Tasks multiplied
times the Adjustment Factor of:
1 0 4 0 0
ARTICLE 4
PROGRESS PAYMENTS
4.1. For Job Orders intended to have a duration of thirty (30) days or less,
CITY will make only one final payment. For Job Orders intended to have a
duration of more than thirty (30) days the CONTRACTOR may make
Application for Payment for Work completed during the Project at intervals
of not more than once a month. CONTRACTOR'S application shall show a
complete breakdown of the Project components; the quantities completed
and the amount due; and such other supporting evidence as may be
required by CITY. CONTRACTOR shall include with each Application for
Payment, an updated Progress Schedule acceptable to CITY (and as
required by the Contract Documents), and a release of liens and consent
of surety relative to the Work which is the subject of the Application. Each
Application for Payment shall be submitted in triplicate. CITY shall make
payment to CONTRACTOR within thirty (30) days after approval by CITY
of CONTRACTOR'S Application for Payment and submission of an
acceptable updated Progress Schedule.
4.2. Ten percent (10%) of all monies earned by CONTRACTOR shall be
retained by CITY until Final Completion and acceptance by CITY, in
accordance with Article 5 hereof, except that after ninety percent (90%) of
the Work has been completed, the Contract Administrator may reduce the
retainage to five percent (5%) of all monies previously earned and all
monies earned thereafter. Any reduction in retainage shall be in the sole
discretion of the CITY and shall be recommended by the Contract
Administrator. CONTRACTOR shall have no entitlement to a reduction.
Any interest earned on retainage shall accrue to the benefit of CITY. All
requests for retainage reduction shall be in writing in a separate stand-
alone document.
4.3. CITY may withhold, in whole or in part, payment to such extent as may be
necessary to protect itself from loss on account of:
4.3.1. Defective work not remedied.
4.3.2. Claims filed, or reasonable evidence indicating probable filing of
claims by other parties, against CONTRACTOR or CITY because
of CONTRACTOR'S performance.
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4.3.3. Failure of CONTRACTOR to make payments properly to
subcontractors, or other failure to pay materials or labor.
4.3.4. Damage to another contractor not remedied.
4.3.5. Liquidated damages and costs incurred by CITY, as noted in
Section 2.3.
4.3.6 Failure of CONTRACTOR to provide any and all documents
required by the Contract Documents.
ARTICLE 5
ACCEPTANCE AND FINAL PAYMENT
5.1. Upon receipt of written notice from CONTRACTOR that the Project is
ready for final inspection and acceptance, CITY shall, within ten (10)
calendar days, make an inspection thereof. If the CITY finds that the Work
is acceptable; the requisite documents have been submitted; the
requirements of the Contract Documents have been fully satisfied; and all
conditions of the permits and regulatory agencies have been met, a Final
Certificate of Payment (Form 00922) shall be issued by CITY stating that
the requirements of the Contract Documents have been performed and
the Work is ready for acceptance under the terms and conditions thereof.
5.2. Before issuance of the Final Certificate for Payment, CONTRACTOR shall
deliver to the CITY a complete release of all liens arising out of the Job
Order (or at the CITY's sole discretion, receipts in full in lieu thereof); an
affidavit certifying that all suppliers and subcontractors have been paid in
full and that all other indebtedness connected with the Work has been
paid; a consent of the surety to final payment; the final corrected as-built
drawings; and a final invoice.
5.3. If, after the Work has been substantially completed, full completion thereof
is materially delayed through no fault of CONTRACTOR, and the CITY so
certifies, CITY shall, upon certification of the CITY and without terminating
the Job Order, make payment of the balance due for that portion of the
Work fully completed and accepted. Such payment shall be made under
the terms and conditions governing final payment, except that it shall not
constitute a waiver of claims.
5.4. Final payment shall be made only after the City Manager or his designee
has reviewed a written evaluation of the performance of CONTRACTOR
(prepared by the Contract Administrator) and approved final payment. The
acceptance of final payment by CONTRACTOR shall constitute a waiver
of all claims by CONTRACTOR, except those previously made in strict
accordance with the provisions of the General Conditions and identified by
CONTRACTOR as unsettled at the time of application for final payment.
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Project Manual
ARTICLE 6
MISCELLANEOUS
6.1. This Contract is part of, and incorporated into, the Contract Documents, as
defined herein. Accordingly, all of the documents incorporated into the
Contract Documents shall govern this Project.
6.2. Where there is a conflict between any provision set forth within the
Contract Documents and a more stringent State or federal provision which
is applicable to the Project, the more stringent State or federal provision
shall prevail.
6.3. Public Entity Crimes:
6.3.1. In accordance with the Public Crimes Act, Section 287.133,
Florida Statutes, a person or affiliate who is a contractor,
consultant or other provider, who has been placed on the
convicted vendor list following a conviction for a public entity
crime may not submit a bid on a contract to provide any goods or
services to the CITY, may not submit a bid on a contract with the
CITY for the construction or repair of a public building or public
work, may not submit bids on leases of real property to the CITY,
may not be awarded or perform work as a contractor, supplier,
subcontractor, or consultant under a contract with the CITY, and
may not transact any business with the CITY in excess of the
threshold amount provided in Section 287.017, Florida Statutes,
for category two purchases for a period of 36 months from the
date of being placed on the convicted vendor list. Violation of this
section by CONTRACTOR shall result in cancellation of the CITY
purchase and may result in CONTRACTOR debarment.
6.4. Independent Contractor:
6.4.1. CONTRACTOR is an independent contractor under this Contract.
Any and all work and/or services provided by CONTRACTOR
pursuant to this Contract shall be subject to the supervision of
CONTRACTOR. In providing such work and/or services, neither
CONTRACTOR nor its officials, employees, contractors and/or
agents shall act, or purport to act, as officers, employees,
contractors and/or agents of the CITY. This Contract shall not
constitute or make the parties a partnership or joint venture.
6.5. Third Party Beneficiaries:
6.5.1. Neither CONTRACTOR nor CITY intends to directly or
substantially benefit a third party by this Contract. Therefore, the
parties agree that there are no third party beneficiaries to this
Contract and that no third party shall be entitled to assert a claim
against either of them based upon this Contract. The parties
expressly acknowledge that it is not their intent to create any.
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Project Manual
rights or obligations in any third person or entity under this
Contract.
6.6. Notices:
6.6.1. Whenever either party desires to give notice to the other, such
notice must be in writing, sent by certified United States Mail,
postage prepaid, return receipt requested, or by hand-delivery
with a request for a written receipt of acknowledgment of delivery,
addressed to the party for whom it is intended at the place last
specified. The place for giving notice shall remain the same as set
forth herein until changed in writing in the manner provided in this
section. For the present, the parties designate the following:
For CITY:
City of Miami Beach
Procurement Division
Attn: Gus Lopez, Procurement Director
1700 Convention Center Drive
Miami Beach, Florida 33139
With copies to:
City Attorney
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
For CONTRACTOR:
Chuck's Painting, Inc.
Attn: Alex Manganiello
1531 Grant Street
Hollywood, Florida 33020
6.7. Assignment and Performance:
6.7.1. Neither this Contract nor any interest herein shall be assigned,
transferred, or encumbered by either party. In addition,
CONTRACTOR shall not subcontract any portion of the work or
services required by this Contract except as authorized by
Section 18 of the General Conditions. CONTRACTOR represents
that all persons delivering any work and/or services required by
this Contract have the knowledge and skills, either by training,
experience, education, or a combination thereof, to adequately
and competently perform the duties, obligations, and services set
forth in the scope of work for the particular Job Order, and to
provide and perform such work and/or services, to CITY'S
satisfaction, for the agreed compensation.
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Project Manual
6.7.2. CONTRACTOR shall perform its duties, obligations, and any work
and services under this Contract, in a skillful and respectable
manner. The quality of CONTRACTOR'S performance and all
interim and final product(s) provided to or on behalf of CITY shall
be comparable to the best local and national standards.
6.8 Materiality and Waiver of Breach:
6.8.1. CITY and CONTRACTOR agree that each requirement, duty, and
obligation set forth in the Contract Documents is substantial and
important to the formation of this Contract and, therefore, is a
material term hereof.
6.8.2. CITY'S failure to enforce any provision of this Contract shall not
be deemed a waiver of such provision or modification of this
Contract. A waiver of any breach of a provision of this Contract
shall not be deemed a waiver of any subsequent breach and shall
not be construed to be a modification of the terms of this Contract.
6.9. Severance:
6.9.1. In the event a portion of this Contract is found by a court of
competent jurisdiction to be invalid, the remaining provisions shall
continue to be effective unless CITY or CONTRACTOR elects to
terminate this Contract. An election to terminate this Contract
based upon this provision shall be made within seven (7) days
after the finding by the court becomes final.
6.10. Applicable Law and Venue:
6.10.1. This Contract shall be enforceable in Miami-Dade County, Florida,
and if legal action is necessary by either party with respect to the
enforcement of any or all of the terms or conditions herein
exclusive venue for the enforcement of same shall lie in Miami-
Dade County, Florida. By entering into this Contract,
CONTRACTOR and CITY hereby expressly waive any rights
either party may have to a trial by jury of any civil litigation
related to, or arising out of, the Contract.
6.11. CONTRACTOR shall specifically bind its sub-contractors to the
provisions of this Contract.
6.12. Amendments:
6.12.1. No modification, amendment, or alteration in the terms or
conditions contained herein shall be effective unless contained in
a written document prepared with the same or similar formality as
this Contract and executed by CITY and CONTRACTOR.
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6.13. Prior Agreements:
6.13.1. This document inc.;rporates and includes all prior negotiations,
correspondence, conversations, agreements, and understandings
applicable to the matters contained herein and the parties agree
that there are no commitments, agreements or understandings
concerning the subject matter of this Contract that are not
contained in this document. Accordingly, the parties agree that no
deviation from the terms hereof shall be predicated upon any prior
representations or agreements, whether oral or written. It is
further agreed that no modification, amendment or alteration in
the terms or conditions contained herein shall be effective unless
set forth in writing in accordance with Section 6.12 above.
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[REMAINDER OF THIS PAGE LEFT INTENTIONALLY BLANK]
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IN WITNESS WHEREOF, the parties have set their hands and seals the
day and year first above written.
Contract
ATT ST: CITY OF MIAMI BEAC , FLO IDA
A~
~, ~ ~ ~~
Robert Parcher, City Clerk Matti errera Bower, Mayor
CONTRACTOR MUST EXECUTE THIS CONTRACT AS INDICATED BELOW.
USE CORPORATION OR NON-CORPORATION FORMAT, AS APPLICABLE.
[If incorporated sign below.]
ATTEST:
( ec to
Corporate Seal)
CONTRACTOR/CHUCK'
PAINTING, INC.
By
( ignat a and Title}
~~~z r"la~ldrt X11 e ~ ~~ ~Ce/"/'eSl~-e~1 ~"
(Type NamelTitle Signed Above)
~~ day of~~~l1.~f-, 20~
[If not incorporated sign below.]
CONTRACTOR
WITNESSES:
(Name)
By
(Signature)
(Type Name Signed Above)
day of , 20
CITY REQUIRES FIVE (5) FULLY-EXECUTED CONTRACT~~VEDASTO
DISTRIBUTION. b L~-NGUAGE
~ FOR. CUTION
~ i~ ®a
EXHIBIT 6
PERFORMANCE AND PAYMENT
GUARANTY FORM /UNCONDITIONAL
LETTER OF CREDIT
Project Manual
Performance and Payment Guaranty Form /Unconditional Letter of Credit
00918 PERFORMANCE AND PAYMENT GUARANTY FORM /
UNCONDITIONAL LETTER OF CREDIT
Date of Issue July 28, 2009
Issuing Bank's No. 57034380
Beneficiary: Applicant:
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
Amount: $500,000.00
in United States Funds
Expiry: July 23, 2010
(Date)
Bid/Contract Number ITB No-26-08/09
We hereby authorize you to draw on Bank Atlantic
(Bank, Issuer name)
at 4351 Hollywood Blvd, Hollywood, Florida 33021 by order of and
(branch address)
for the account of Chuck's Paintin
(contractor, applicant, customer)
agreed upon by and between the City of Miami Beach, Florida and
Chuck's Painting up to an aggregate (contractor),
amount, in United States Funds, of $500,000.00 available by your drafts at
sight, accompanied by:
A signed statement from the City Manager or his authorized designee, that the
drawing is due to default in performance of certain obligations on the part,
Chuck's Painting : (contractor, applicant, customer) pursuant to the
(applicant, customer) Bid/Contract No. ITB No 26-08/08 for
(Waterproofing/Painting) and Section 255.05, Florida Statutes.
March 2009 City of Miami Beach Page 169 of 185
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Performance and Payment Guaranty Form /Unconditional Letter of Credit
Drafts must be drawn and negotiated not later than July 23, 2010
(expiration date)
Drafts must bear the clause: "Drawn under Letter of Credit No 57034380
(number)
of Bank Atlantic dated July 28 2009_.
(Bank name)
This Letter of Credit shall be renewed for successive periods of one (1) year each unless
we provide the City of Miami Beach with written notice of our intent to terminate the credit
herein extended, which notice must be provided at least thirty (30) days prior to the
expiration date of the original term hereof or any renewed one (1) year term. Notification to
the City that this Letter of Credit will expire prior to performance of the contractor's
obligations will be deemed a default.
This Letter of Credit sets forth in full the terms of our undertaking, and such undertaking
shall not in any way be modified, or amplified by reference to any documents, instrument,
or agreement referred to herein or to which this Letter of Credit is referred or this Letter of
Credit relates, and any such reference shall not be deemed to incorporate herein by
reference any document, instrument, or agreement.
We hereby agree with the drawers, endorsers, and bona fide holders of all drafts drawn
under and in compliance with the terms of this credit that such drafts will be duly honored
upon presentation to the drawee.
Obligations under this Letter of Credit shall be released one (1) year after the Final
Completion of the Project by the Chuck's Painting
(contractor, applicant, customer)
This Credit is subject to the "Uniform Customs and Practice for Documentary Credits,"
International Chamber of Commerce (1993 revision), Publication No. 500 and to the
provisions of Florida law. If a conflict between the Uniform Customs and Practice for
Documentary Credits and Florida law should arise, Florida law shall prevail. If a conflict
between the law of another state or country and Florida law should arise, Florida law shall
prevail. , ~J
Auth9fized Signature
March 2009 City of Miami Beach Page 170 of 185
EXHIBIT 7
INSURANCE CERTIFICATE
CERTIFICATE OF INSURANCE
The company indicated below certifies that the insurance afforded by the policy or policies numbered and
described below is in force as of the effective date of this certificate. This Certificate of Insurance
does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any
policy numbered and described below.
CERTIFICATE HOLDER:
CITY OF MIAMI BEACH
1700 CONVENTION CENTER PARKWAY
MIAMI BEACH, FL 33139
INSURED:
A-1 CHUCK'S PAINTING INC
1531 GRANT ST
HOLLYWOOD, FL 33020-3752
__
~ ~
POLICY NUMBER ~ POLICY
~ POLICY ~ LIMITS OF LIABILITY
~
~ TYPE OF INSURANCE ~ & ISSUING CO. JEFF. DATE EXP. DATE ( (*LIMITS AT INCEPT ION) ~
~ LIABILITY ! 77-AC-702897-3002 ~ 04-02-Q9 ~ 04-02-10 ' ~
~ [X] Liability and ~ NATIONWIDE ~ ~ ~ Any One Occurrence........ S 1,000,000 ~
~ Medical Expense ( MUTUAL FIRE ~ ~ ~ ~
~ (X] Personal and ~ INSURANCE CO. ~ ~ ~ Any One Person/Org ....... S 1.000.000 ~
~ Advertising Injury ~ ~ ~ ~
~ [X7 Medical Expenses ~ ~ ~ ~ ANY ONE PERSON ........... S 5,D00 ~
~ [X] Fire Legal ~ ~ ~ ~ Any One Fire or Explosion S 100,000 ~
~ Liability ~ ~ ~ ~ ~
~ ~ ~ ~ ~ General Aggregate* ....... f 2,000,000 ~
~ ( ~ ~ ~ Prod/Comp Ops Aggregate* S 1,000,000 ~
~ C] Other Liability ( ~ ~ ~ ~
AUTOMOBILE LIABILITY
[X] BUSINESS AUTO
[X] Owned
[ 3 Hired
[ ] Non-Owned
77-BA-702897-3001 ~ 08-23-~ ~ 08-23-09
NATIONWIDE ~ ~ ~ Bodily Injury
MUTUAL ~ ~ ~ tEach Person) ._........ S
INSURANCE CO. ~ ~ ~ tEach Accident) ........ S
~ ~ Property Damage
O ~ ~ (Each Accident) ........ S
~,~ ~ ~ Combined Single Limit ....E 1,OD0,000
EXCESS LIABILITY ~ ~~
'~ ~gi
[ ] Umbrella Form I
~ ~ ~ ~
[ ] Workers' ~ ( ~
~ Compensation ~ ~ ~
~ and ~ ~ ~
~ [ ] Employers' ~ ~
~ Liability I I i
Should any of the above described policies be cancelled before the
expiration date, the insurance company will mail 30 days
written notice to the above named certificate holder.
~ Each Occurrence .......... S
~ Prod/Comp Ops/Disease
~ A99regate* ............. S
~ STATUTORY LIMITS
~ BODiLY INJURY/ACCIDENT ... S
J Bodily Injury by Disease
J EACH EMPLOYEE ......_... S
~ Bodily Injury by Disease
~ POLICY LIMIT ........... S
DESCRIPTION OF OPERATIONS/LOCATIONS
VEHICLES/RESTRICTIONS/SPECIAL ITEMS
CITY OF MIAMI BEACH IS LISTED
AS ADDITIONAL INSURED
Effective Date of Certificate: 04-02-2009 Authorized Representative:
Date Certificate Issued: 08-05-2009 Countersigned at:
~~dd~ e~~
RANOALL ITEN
1231 N State Road 7
Hollywood, FL 33021
CERTIFICATE QF INSURANCE
.. This certfies #hat ^ STATE FARM FIRE ANO CASUALTY COMPANY, Bloomington, Illinois
^ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
~~....~~ ^ STATE FARM FIRE AND CASUALTY COMPANY, Aurora, Ontario
® STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
^ STATE FARM LLOYDS, Da11as, Texas
insures the following policyholder for the coverages indicated below:
Policyholder A-1 CHCICK' S PAINTING
Address of policyholder
Location of operations
Description of operations
1531 GRANT STREET, HOLLYWOOD, FL 33020
PRINTING
The poC~ies listed below have been issued m the policyholder for the policy periods Shown. The ir~ttrar~e described m these
to a!I the temps, exclusions, and conditions of fhose ~~ ~ ~~
__ __ policies. The limits of liabifilY shown may have been r~l„ry±r1 by nnv nairt ,dsi,.,e
POLICY NUMBER
TYPE OF INSURANCE -
POLICY PERIOD
Effective Date ;Expiration Date - - - - - - ---- -s -.., r_.-....-........
UINtTS OF LIABILITY
(at beginning of policy period}
Comprehensive BODILY INJURY AND
_ _
This insurance includes: Business Liability
^ Products -Completed Operations PROPERTY DAMAGE
^ Contractual Liability Each OccaJrrenoe $
^ Personal Injury
^ Advertising Injury /~~
o ~
l/°~ General A99re9~e $
~ Products -- Completed $
. ~ operations A
EXCESS LIABILITY POLICY PERI00 BODILY INJURY AND PROPERTY DAMAGE
Effeective ~~ ; ~~ Datie (Combined Single Limit)
^ Umbrella
~ Each Ocx~nenoe $
^ Other Aggregate $
POLICY PERIOD Part I -Workers Compensation -Statutory
Effective Date :Expiration Date
98BBE551-OF Workers' Compensation 05/22/2009 05/22/2010 Part II -Employers Liability
and Employers Liability Each Accident $100000.00
Disease -Each Employee $100000.00
Disease -Policy Limit $ 500000.00
POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD
Effective Dabs ; Expiration Date LIMITS OF LIABILITY
(at beginning of policy period}
,
THE CERTIFlCATE OF ENSURANCE IS NOT A CONTR ACT OF INSURANCE AND NEITH ER AFFIRMIATIVELY N
AMENDS, EXTENDS OR ALTERS THE COVERAGE A
PPROVED BY ANY POLICY DESC OR NEGATIVELY
RIBED HEREIN_
Name and Address of Certificate Holder
City Of Miami Beach
1700 Convention Center Drive
Miami Beach, FL 33139
Rttn: Theo Currasco
55&984 a.6 Pri~rted !n U.S.A. Rev. OS-09-2D08
ff any of the described policies ape canceled before
tt>eir expiration date, State Fann will try to mail a
written notice to the oertfic~le holder 30 days beforr~e
canoeilation. If hoaYever, we fail to mail such notice,
no obligation or wfil be 'unposed on State Farm
or its agents or representatives.
Pascal der_
Signatu of Re n
08/05/09
r~tle p~
Kay Riordan _
Agent Name
Telephone Number 459-936-1717
Agent's Code Starn>a
Aged code ~ i60RDA11 ~ AGV INC 59.2695
AFO code CFO BROMMRQ SOURI F603