UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE CERTIFICATE OF LIABILITY INSURANCE MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ EACH OCCURRENCE $ AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC DED RETENTION $ $ A WORKERS COMPENSATION WCPEO0000001 11 6/1/2015 6/1/2016 PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D under such reinsurance. DATE (MM/DD/YYYY) 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 INSURED SUNZ Insurance Solutions, LLC. c/o TLR of Bonita, Inc 700 Central Ave, Suite 500 St. Petersburg, FL 33701 TLR of Bonita, Inc EnterpriseHR 700 Central Avenue Suite 500 St. Petersburg FL 33701 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 ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS ID: (TLR) CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : Aimee Gray INSURER(S) AFFORDING COVERAGE COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) FAX (A/C, No): $ $ $ $ $ $ 10/9/2015 727-520-7676 x 222 727-525-3862 NAIC # SUNZ Insurance Company 34762 Aspen Re - London - Best Rating "A" Catlin Syndicate - Lloyds - Best Rating "A" Brit Syndicate - Lloyds - Best Rating "A" 1,000,000 1,000,000 1,000,000 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 City of Stuart Department of Financial Services Procurement & Contracting Services Division 121 SW Flagler Ave. Stuart FL 34994 CANCELLATION 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 ACORD 25 (2014/01) Glen J Distefano 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 Telephone (772) 288-5308 Procurement Manager Fax: (772) 600-0134 ldarden@ci.stuart.fl.us www.cityofstuart.us October 8, 2015 Via: Email transmission: drjett@live.com 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 ldarden@ci.stuart.fl.us or call me at (772) 288-5308. Sincerely, Lenora Darden Procurement Manager City of Stuart, Florida Cc: 2015-295 ITB File Fire Rescue Staff