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HomeMy WebLinkAboutExhibit15Exhibit C Insurance, Bonding Requirements, Corporate Resolution CORPORATE RESOLUTION WHEREAS, desires to enter into a First Amendment ("First Amendment") to the Contract for Citywide Sidewalk Repair Project, Phase 29, 2nd Bidding, B-43114A, dated November 16, 2006, but effective as of January 3, 2007 after a Notice to Proceed was issued by the Department Director, (the "Contract") with the City of Miami for the purposes of amending the Contract for performing the work as described in the First Amendment to the Contract to which this resolution is attached; and WHEREAS, the Board of Directors at a duly held corporate meeting has considered the matter in accordance with the By -Laws of the corporation; Now, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS that the (type title of officer) , is hereby authorized (type name of officer) and instructed to enter into the First Amendment to the Contract, in the name and on behalf of this corporation, with the City of Miami upon the terms and conditions contained in the proposed First Amendment to the Contract to which this resolution is attached, to update the insurance requirements, and to execute the corresponding performance bond. DATED this day of , 20 Corporate Secretary Chairperson of the Board of Directors (Corporate Seal) Ht. L/f LJ,,,, A.,GINS 1 Ii1S,/-i, 1 L 5„/6- L.IPi.L)PLI @ I III aTRJF P91Y4✓L- MHO-Li-1 01/08/08 RODUCER 1ROWN & BROWN OF FLORIDA INC 1000 GOVERNORS SQUARE BIND 400 IIAMI LAKES FL 33016-15 8 ?hone: 305-364-7800 Fax:3b5-822-5687 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAJCtt vSURED- MEF CONSTRUCTION INC ANA 782NN WI42EAVE L C#640 MIAMI FL 33126 INSURER A: PCCI C04e'zLRCIAL INSURANCE co 33472 - INSURERS: eruDGerzew mrLOYERS INS co 10701 INSURERC: FOCI INSURANCE COMPANY INSURER 0: w FEDERAL INSURANCE COMPANY INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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 'ISA -TR)NSRE AOD1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIOD/YY) LIMITS A X GENERAL LIABILITY GL0002023 5 08/08/07 08/08/08 EACH OCCURRENCE s 1, 000,000 X COMMERCIAL GENERALLIABILITY UAMAGt tU HtN tLU PREMISES (EaDccurence) S 100,000 j jCLAIMS MADE IX 1 OCCUR MEDEXP (Any ono person) S 5, 000 PERSONALS ADV INJURY S 1 , 000 , 000 GENERAL AGGREGATE S 2 , 000, 000 GENT, AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO S 2 , 000, 000 7 POLICY ! 1 ;Ile,: F LOC C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA0003270 5 Il 08/08/07 r r- ` 08/08/08 COMBINED SINGLE LIMIT (Es accident) S 1000000 X BODILY INJURY (Per person) 8ODlLY1NJURY (Per accident) PROPERTY DAMAGE (Per accident) S GARAGE LIABIUTY ANY AUTO rr\\ D LJ U }� \' D �p`✓I �.�:� - AUTO ONLY - EA ACCIDENT S EA ACC OTHER THAN S AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITYisEACH I CLAIMS MADE DEDUCTIBLE RETENTION S / OCCURRENCE S 71OCCUR AGGREGATE S S 71 S 3 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Syyes, describe under SPECIAL PROVISIONS below 83026156 01/01/08 TORY LIMI S I ER- 01/01/09 E.L. EACH ACCIDENT 5 500000 E.L. DISEASE - EA EMPLOYEE 3 500000 EL DISEASE -POLICY LIMIT S 500000 D OTHER Equipment Floater 45462590TPA 08/08/07 08/08/08 LEASED/ $200,000 RENTED $1000 DED OESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH REGARD TO GENERAL LIABILITY AND AUTOMOBILE WHEN REQUIRED BY WRITTEN CONTRACT. RE: CITYWIDE SIDEWALK REPAIR PROJECT - PHASE 29, B-43114A *10 DAYS CANCELLATION APPLIES FOR NON PAYMENT CERTIFICATE HOLDER CANCELLATION CIT-130 CITY OF MIAMI DEPT OF PUBLIC WORKS 444 SW 2ND AVENUE MIAMI FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BE FORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *3 0 DAYS WRITTEN NOTICE 10 THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU ,n ZED REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does It affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. %CORD 25 (2001/08)