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HomeMy WebLinkAboutBid Response - National Lift Truck Services, Quote: 2216358 (RFQ 616407,2) Page 1 of 12 Requisition Negotiations Quote: 2216358 Sourcing It Navigator 4 Favorites Negotiations Intelligence` > Simple Search > RFQ: 616407,2 > RFQ 616407,2 Title Time Left Quote Style Quote Currency Contact Suppliers' Quote Number Quote Status Note to Buyer Attachments Reuirements Home Logout Preferences Help Award by Quote (RFQ 616407,2) > Actions 'Online Discussions Invitation For Bid for Forklift & Other Hydraulic Lifts Maintenance & Repairs 0 seconds Sealed USD Hauter, Diane 01DH072616 Active contact: dhauter@nitsuperstore.com 'Title Pe LBT ;File 5169511,5169529 LBT 201600191 I `CERTIFICATE OF LIABILITY INSURANCE !CERTIFICATE OF F., WC INSURNACE LOCAL OFFICE V €CERTIFICATION !Show All Details Hide All Details Details Section l Hide General Requirements equirement Description LOCAL BUSINESS TAX RECEIPTS MIAMI DADE COUNTY LOCAL BUSINESS TAX RECEIPT TOWN OF MEDLEY Close Date Ranking Supplier Supplier Site Quote Valid Until Purchase Order Shortlist Status Category !From !Supplier 26-Jul-2016 14:00:00 Price Only National Lift Truck Service Included Last Updated :26-Jul- ''2016 'From 26-Jul- (Supplier 12016 Target' Value From Supplier 26-Jul- 2016 From 26-Jul- Supplier 12016 From 126-JuI- Supplier 12016 Usage One - Time One - Time One - Time One - Time Maximum Score 0! Quote Value UpdateDelete Maximum ii Score' 01 l.. ScoreScore http://imapl.riverside.cmgov.net:8003/OA HTML/OA.jsp?OAFunc=PONRESENQ_VIE... 7/26/2016 , Quote: 2216358 (RFQ 616407,2) Page 2 of 12 'Legal Name of Firm: Entity Type: Partnership, Sole Proprietorship, Corporation, etc. Year Established: Office Location: City of Miami, Miami -Dade County, 'or Other Business Tax Receipt / Occupational License Number: !Business Tax Receipt / Occupational License 'Issuing Agency Business Tax Receipt / Occupational License Expiration Date: Will Subcontractor(s) be used? (Yes or No) llf subcontractor(s) will be utilized, provide their 'name, address and the the portion of the work they€ will be responsible for under this contract (a copy of their license(s) must be submitted with your bid response): Please list and acknowledge all addendum/addenda received. List the addendum/addenda number and !date of receipt (i.e. Addendum No. 1, 7/1/07). If no laddendum/addenda was/were issued, please insert N/A 'If Bidder has a Local Office, as defined under 'Chapter 18/Articlle III, Section 18-73 of the City :Code, has Bidder filled out, notarized, and included with its bid response the "City of Miami Local Office Certification" form? YES OR NO? (The City of Miami Local Office Certification form is located in the Oracle Sourcing system ("iSupplier"), under the Header/Notes and Attachments Section of this :solicitation) !Reference No. 1: Name of Company/Agency for !which bidder is currently providing the :services/goods as described in this solicitation, or 'has provided such services/goods in the past: Reference No. 1: Address, City, State, and Zip for above reference company/agency listed: ;Reference No. 1: Name of Contact Person and 'Telephone Number for above reference no. 1 Reference No. 1: Date of Contract or Sale for above reference no. 1 'Reference No. 2: Name of Company/Agency for #which bidder is currently providing the services/goods as described in this solicitation, or [has provided such services/goods in the past 'Reference No. 2: Address, City, State, and Zip for National Lift Truck Service Inc :Corporation 591589246 11,975 Corporate 2110 N „ 'Andrews Avenue Pompano Beach FI 33069 Broward County Local Office 7200 NW 77th ;Street Medley Florida 33166 Dade County LBT5169511 LBT5169529 LBT201600191 'Miami Dade Miami Dade Town of Medley 30-Sep-2016 1Adendum No.1 7/8/16 Adendum No.2 7/22/16 Local Office Certification 1 7/8/16 ;Yes State Of Florida Bid Award 22101000-15-1 PO Box 5497 Tallahassee 111-11 Florida 32314 Various State Buyers 850-1 891-8055 106/2015 1Broward County Bid Award X1137301B1 115 S Andrews Ave Ft http://imap 1.riverside.cmgov.net:8003/OA_HTML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016 . Quote: 2216358 (RFQ 616407,2) Page 3of12 ;above reference company/agency listed "Reference No. 2: Name of Contact Person and Telephone Number for above reference no. 2 "Reference No. 2: Date of Contract or Sale for above 'reference no. 2 Reference No. 3: Name of Company/Agency for which bidder is currently providing the :services/goods as described in this solicitation, or ihas provided such services/goods in the past: Reference No. 3: Address, City, State, and Zip for 'above reference company/agency listed ;Reference No. 3: Name of Contact Person and 'Telephone Number for above reference no 3 ;Reference No. 3: Date of Contract or Sale for above 'reference no. 3 Total, Contract Terms Variables Details Section No variables found. Deliverables Clause 'Lauderdale Florida 33301 I 'Kevin Cheerangie 954- 357 6066 10'5/-2-016 Miami Dade County Bid Award 5380-0614-OTR 111 NW 1st Street Miami Florida 33128 Marisabel Bermejo 786- 336-3162 06/14 !Variable Description Value Indicates deliverable is overdue < Indicates responsible party failed to perform the deliverable 'Deliverable Name No deliverables found Lines ue Date (TIP All prices are in USD. Quote Total (USD) 4,433.00 Show All Details I Hide All Details 11""PJi 'Details Line %1 Hide 31 Group 1: 'Hourly Labor Rate Weekdays (Monday -Friday, 17AM - 6PM) for !Wiggins, Model 1 .Start,TargetiQuote_ 'Estimated RanklPricel Price Price Unit' uantity 2 1 72 51Hour� Alert Update Previous 1-25 Target Quote Minimum Minimum Release Release Amount Amount http://irnap 1,riverside.cmgov.net:8003/OA HTML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016. Quote: 2216358 (RFQ 616407,2) Page 4 of 12 # W220m2-130,l, Marine Forklift, Repairs Attachments Title [Type [Description No results found. 13 Hide i2Group 1: Hourly Labor Rate Evenings (Monday -Friday, 7PM 6AM), Weekends and Holidays for Wiggins, Model 1# W220m2-130, ;Marine Forklift, 1 'Repairs Attachments Title No results found Category Type !Description Ca ego �...... [ Hide 3 Group 1. 2 Monthly Maintenance / 'Yearly 'Inspection for Wiggins Marine ;Forklift, per Specifications, Section 3.0 Attachments Title o results found. E Hide '4Group 1: Percent Discount Off Parts Catalog for Wiggins Equipment (percent discount 'expressed as 'decimal, i.e. Type ;Description 650Each Last Updated Usage I Update Delete Last Updated Usage 108.75 Update Delete 650.00`2 Category jLast Updated Usage Update Delete http://imap 1.riverside. cmgov.net:8003/OA_HTML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016 , Quote: 2216358 (RFQ 616407,2) Page 5 of 12 Attachments 1 [Title JType !Description Category Last Updated jUsageUpdate Delete 1 INo results found. 13 Hide 5 Group 2: 12 1 72.5Aour 1 1 72.5072 Hourly Labor Rate Weekdays (Monday -Friday, 7AM - 6PM) for Clark, Model # GCS15, Type G, Forklift and Clark, Model # 10500-580, Type ID, Forklift, "Repairs [ Attachments jTitle !Type Description Category Last Updated lUsage 1 Update Delete ! ILlo results found. I r---71 Hide 6 Group 2: 12 1 Hourly Labor 1Rate Evenings 1(Monday-Friday, 7PM - 6AM), I Weekends and 1 Holidays for Clark, Model # IGCS15, Type G, 1Forklift and Clark, Model # C500-580, Type D, Forklift, Repairs Attachments 108.751Hou9 1 i 108.7512 d Title iType Description Category 'Last Updated !Usage Update ‘I Delete 11No results found. I i I 113 Hide 7 Group 2: 12 r 165Eachl I I Monthly Maintenance / 1 Yearly Inspection for Clark Forklifts, 165.0012 http://imapl.riverside.cmgov.net:8003/0A_FITML/OAjsp?0AFunc—PONRESENQ_VIE... 7/26/2016 Quote: 2216358 (RFQ 616407,2) Page 6 of 12 per Specifications, Section 3.0 ................................. Attachments ITitle jTye Description No results found 8 Group 2: Percent :Discount Off ;Parts Catalog for Clark Equipment [(percent 'discount expressed as decimal, i.e. Attachments Category Last Updated Usage Update 2 Title Type Description ;Category 'Last Updated !Usage 1 Update 1 Delete l ,No results found. Hide 9 Group 3: 'Hourly Labor Rate Weekdays (Monday -Friday, 7AM - 6PM) for JLG, Model # 125EL (25AM), Vertical Lift and JLG, Model # 450A, lArticulating Boom Lift, Repairs Attachments 'Title No results found ID Hide 10 Group 3: Hourly Labor Rate Evenings I (Monday -Friday„ 7PM - 6AM), Weekends and pe (Description Catego ILas Updated Usage 108.75'Houri 72,5012 Delete http://imap 1.riverside.cmgov.net: 8'003/OA -ITML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016 Quote: 2216358 (RFQ 616407,2) Page 7 of 12 Holidays for JLG, Model # 25EL (25AM) and JLG, Model # 450A, Articulating Boom Lift, Repairs EAttachments- ;Title Type ;Description Catego No results found. (Hide 11Group 3 Monthly Maintenance / Yearly Inspection for JLG Lifts, per Specifications, :Section 3.0 IL Attachments =Tile No results found. it J Hide 12 Group 3: Percent Discount Off Parts Catalog for JLG Equipment (percent discount expressed as decimal, i.e. 10%0. = .10) I Attachments Description 165IEach Ca ego 0.05=Each= Title ;Type :Description 1Category ,iNo results found I 0 Hide 13Group4: 2 Hourly Labor Rate Weekdays (Monday -Friday, 7AM - 6PM) for Hoist, Model # (Last Updated Last Updated Usage Last Updated ;Usage 72.5 Houq Update { Delete 165.002 Update Delete 0.052 Update Delete 72.50 2 http://imapl .riverside.cmgov.net:8003/OA_HTML/OA.j sp?OAFunc= PONRESENQ_VIE... 7/26/2016 Quote: 2216358 (RFQ 616407,2) Page 8 of 12 M250 Neptune Lift Truck, Repairs Attachments Type Description No results found. 18 Hide 14Group 4: Hourly Labor Rate Evenings (Monday -Friday, 7PM - 6AM), Weekends and iHolidays for Hoist, Model # M250 Neptune Lift Truck, Repairs Attachments Title o results found. Catego 108.75 Last Updated Usage Hour; Type [Description Category rLast Updated Hide 15 Group 4: Monthly Maintenance / Yearly Inspection for Hoist Lifts, per Specifications, Section 3.0 (_Attachments ,;Title No results found. j 16Group 4: Percent Discount Off Parts Catalog for Hoist Equipment (percent discount expressed as decimal, i.e. 10% = .10) i Type Description 650 Eachi Category =Last Updated 'Usage Usage 0.05 Update Delete 108 7511 1-2 Update Delete Update ° Delete 0.052 http ://imap 1.riverside. cmgov.net:8003/OA_HTML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016 Quote: 2216358 (RFQ 616407,2) Page 9 of 12 Attachments Title Type DescriptionCategory 'Last Updated Usage No results found. Ej Hide 17Group 5: ;Hourly Labor Rate Weekdays (Monday -Friday, 7AM - 6PM) for 'Toyota, Model # 8FDU30, 7FDU35, 7FDAU50, 18FDU20, Forklifts, Repairs' Attachments Title No results found Hide 18 Group 5: Hourly Labor 'Rate Evenings (Monday -Friday, 7PM - 6AM), Weekends and Holidays for [Toyota, Model # 8FDU30, 7FDU35, 7FDAU50, ,8FDU20, Forklifts, ,Repairs£ Type Description Attachments ��Title No results found. 43 Hide 19Group 5: Monthly Maintenance / Yea ry Inspection for Toyota Forklifts, per Specifications, Section 3.0 72.5:Houri 1 Category 108.75 Hour Type Description 1Catego 165 Each [Last Updated Update Delete 11 72.502 Usage E Update g Delete Last Updated Usage. 108.7512 Update Delete http://imap 1.riverside.cmgov.net: 8003/OA_HTML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016 Quote: 2216358 (RFQ 616407,2) Page 10 of 12 Attachments =Title INo results found. Hide j20Group 5 Percent Discount Off Parts Catalog for Toyota Equipment (percent discount expressed as decimal, i.e. 10% = .10) Attachments Type Description Catego l'Title Type DescnptionCatego No results found. 1 21 Group 6. 1; Hourly Labor Rate Weekdays (Monday -Friday, ,7AM - 6PM) for Rotary, Model # SP015N310, SPOA10N5G0, SPOA1ON500, Automotive Lifts, Repairs Attachments L 72 5Hour fTitle Type Description Category No results found. 22 Group 6: Hourly Labor Rate Evenings (Monday -Friday, t7PM - 6AM), Weekends and Holidays for Rotary, Model # 1 SP015N310, SPOA1ON5GO, SPOA10N500 Automotive 108.75Hour Last Updated lUsage Update Delete f? Last Updated 0.052 Usage Update? Deletei '_. 72.5012 Last Updated sage { Update Delete 108.75°2 http://imap 1.riverside.cmgov.net:8003/OA_HTML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016 Quote: 2216358 (RFQ 616407,2) Page 11 of 12 'Lifts, Repairs Attachments Title Type 'Description 'Category [Last Updated o results found. El Hide 23 Group 6: Monthly Maintenance / Yearly Inspection for Rotary Automotive Lifts, per Specifications, Section 3.0 Attachments 165Eachl lETitle Type Description [Category it.ast Updated 'No results found. e 24 Group 6: Percent Discount Off Parts Catalog for Rotary Equipment '(percent `discount expressed as decimal, i.e. 10 % .10) , .... _ ..,.. Attachments Title No results found. Hide 125 Group 7: Hourly Labor Rate Weekdays (Monday -Friday, 7AM - 6PM) for =Mohawk, Model # System-1A- 10, Automotive Lift, Repairs .....,., 'Usage I Update Delete [Usage € Update 165.002 t 0.05 12 'TypeIDescription Category Last Updated Usage Update ` Delete E Attachments 72.5012 i� http ://imap I .riverside. cmgov.net: 8003 /OA_HTML/OA.j sp?OAFunc=PONRESENQ_VIE... 7/26/2016 Quote: 2216358 (RFQ 616407,2) Page 12 of 12 "Trype Description Category Last Updated Usage Update I Delete No results found. Return to Award by Quote (RFQ 616407,2) ci) Previous 1-25 Y Next 25 Actions Online Discussions Go Requisitions Negotiations Intelligence Home Logout Preferences Help Privacy Statement Copyright (c) 2006, Oracle. All rights reserved. http://itnapl.riverside.emgov.net:8003/0A J-ITML/OA.jsp?0AFunc=PONRESENQYIE... 7/26/2016 002027 Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT;A BILL - DO NOT PAY. 4951175 BUSINEDS NAME/LOCATION NATIONAL LIFT TRUCK SERVICE INC 7200 NW 77 ST MEDLEY FL 33 166 € WNER NATIONAL LIFT TRUCK SERVICE INC Employee(s) 6 00252E RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2016 Must be displayed at place of business Pursuant to County Code Chapter 8A= Art.9 & 10 5169511 SEC. TYPE OE BUSINES 214 RETAIL SALES PAYMENT RECEIVED BY TAX COLLECTOR $45,00 07/28/2015 CHECK21-15-108275 This Local Business Tax Receipt only confirms payment at the i.00al Business Tax, The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. holder mast comply with any governmental or no itgoveminental regulatory laws and tol oirements which apply to the business. The RECEIPT NO. above most he displayed an all commercial vehicles- Miami -Dodo Code Suo Ea-276.. For more information, visityyyvw,niiamidadeMovitaxcolloetor Local Business Tax Receipt Miami —Dade .County', State of Florida THIS -IS NOTA BILL DO NOT PAY BUSINESS NAME/LOCATION NATIONAL LIFT TRUCK SERVICE INC 7200NW77ST MEDLEY EL 33166 OWNER NATIONAL LIFT TRUCK SERVICE INC Emplayee(s) 6 RECEIPT NO. RENEWAL 5169529 set. tNePE OF I#UsiNESS 213 SERVICE BUSINESS EXPIRES SEPTEMBER 30, 2016 Must be displayed at place of business Pursuant to County Coda Chapter 8A - Art. 9 & 10 PAYMENT RECEIVED EY TAX t;OLLECTOR $45.00 07/28/2015 CHECK21-15-108275 This Local Business Tex Receipt only confirms payment of the local Business Tax. The Receipt is not a license, porn' t, or a certification el dm holder's qualiRcations, to do business. Holder must comply with any governmental or nongovernmental regulatoty laws and requirements which apply to the business. The RECEIPT NO. above most be displayed on all commercial vehicles -Miami -Dade Code Sec 8a-276. For more information, visit www,ntia fdade,00vfcxcoliector Town LOCAL SUSI 0 I 20 NATIONAL LIFT TRUCK SE 7200 NW 77 ST MEDLEY FL 33166 Is hereby is of tax year The iSSL1 violate RESTRI NO LIVI OUTSID MATERI VICE "MISES. NO SPRAY P JUNKED OR DISABLE of Medley NOV 0 9 2015 ESS TAX RECEIPT 600191 6 NAT ' L LIFT TRUCHS 2110 N. 7"*NDSEVTS AVE EXT POMPANO BEACH rL 33069 ance by thpJcant in no this State ou , or any mu ASHING OF EQUIPMEN VEHICLES. NO OUTSIDE STORAG ptember 30 right to . NO TOR This 'local Etzsiness Tax Receipt must be exhibited conspicuously a Your Place of business. 020 rov, b ACORD CERTIFICATE OF LIABILITY INSURANCE THIS CERTIIFICATE 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: It the certificate holder is an ADDITIONAL INSUREIS, the terms and conditions of the policy, Gertaln policies may require a certificate holder in lieu of such endorsement(s). PRODUCER YOLIZZOOM Insurance Services, Inc 6900 College Blvd Ste 1000 Overland Park KS 66211 INSIUR6D National Lift Truck Service Inc 2110 N Andrews Ave Ext Pompano Beach FL 33069 COVERAGES C NATILIF-01 TII=ICATE NUMBER: 8 he pollcyties) must be endorsed, If SUBROGATION IS WAIVED, subject to l endorsement. A statement on this certificate does not confer rights to the cONTACT AME: Nor o.:Es B$8-24fi 8603 iAt dQi £177-035 1 ENAILADDRESSAMServiceCentercLarrowheadgrp,c rn INSURERDI AFFORDING CQVERAGE: INSURER_A Nano National Insurance Company�mm ,INSURER87',; ... .._ _. INSURER C c. INSURERD,: INSURER E IHSURER F REVISION NU ER: 3 NAIC 26433 THIS IS TO CERTIFYTHAT THE POLUCiES OF INSURANCE LISTED BELOW IlAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AN.D CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS, ILiR TYKE OFINSURANCE ADDC MSC SUER WVD POLICY NUMBER P0LICIEFF IMM/DD/YYYYt, POLICY EXP (MMiDDIYYYY) LIMIT$ A C0MMERCIALGENERAL CLAEMS.MADE LIABILITY X OCCUR- - Y 0006701 6/112016 6/1/2017 tACFRoOOLiRRENCE S1 0p0,000 35tEh'AOI TOTOM PIjEhIiS6S,„,(En oceurrencs)_.._.. mm�mm. I kEO EXP YAny ono, person)_ GENI. AGGREGATE LIMIT APPLIES PER' POLICY [ ... a� [ J �LOC OTHERc PIRSONALB.APVINJURY Q5NERAL AGGREGATE S $ PROOUGTS.,COMNOPAGG .$ $ A AU TcsM X 0ILO LIAr III ANY AUTO ALL OWNED AUTOS HIRED AUTOS ... SCHEDULED AUTOS AUTOS Y 0006701 ti11t2a10 6t1/2017 gol el dloDlslldC LE LthtlT ago i 5i,o00;000 ,. BODILY INJURY (Per person) �_.—.. :._._ .µ.me BODILY INJURY (Per accident) $ µ..p.w.�. ,�'.. 5 Per q fiIdTnl A X UMBRELLA UM) EXCESS LIAR RE7feNT X occUR C IM5•MAT3G ON$0 0006 01 _ 6/1/2016 6/1/2017 ........ EACHOCCURtiONCA _ 66t,000,000 9' 5. AGGREGATE _ - WORKERS COMPENSATION AND EMPLOYERS,LIABILITYSTAA ANY PROPRIETORIPARTNER/EXEOUTIVE Y/N OFF CER1rr1EM112R EXCLUDED? (Mtindalary In NH) I1 yes, describe under, DESCRIPTION OF OPERATIONS be kn WfA UT • Er2 E.t EACH ACCIDENT $ E,t. DISS. EA EMPLOYEE 5 E.1, DISEASE POLICY LIMIT S A Garage Denier Liability Customer Goods 0006701 611/2016 611/2017 Each ACG 1,000,000 Limit See Attache Schell DESCRIPTION OP OPERATi0NS / LOCATIONS r MEWL E$ IAGQRO 101, Additional R;omarke $e 1 dula, may bo attacNad Ir more spaep Is requl ad) Certificate Holder is named as an Addit'OnaI Insured. Waiver of Subrogation applies with respect to the negligent acts of the named insurod, 30-day Notice of Cancellation applies. CERTIFICATE HOLDER CITY OF MIAMI CbCi PURCHASING DEPARTMENT 444 SW2NDAVENUE ' 6TH FLOOR M A IAMI CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EV CANCELLED EIEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE: WITH THE POLICY PROVISIONS. AUTHORIZED RCPRESENTAME 01,42°' yen%'r'a"Y1 ACORD 29 (2014/01) The ACOI n e and logo Q 1988.2014 ACO'. realstered (narks of ACORD ORPORATION. AM ris hts reserved, DocuSign Envelope ID: 8C E87-4A2A-9E68-0A95813ADA37 RCO 11411VAA: 4$1044,P0 a4.4,00 CUSTOMER GOODS LIMITS 13EDUc"riBLES PECIFIED CAUSES SPECIFIED OF LOSS PER COLLISION LOC BLIC)G CAIJSES COLLISION AUTO / PER AUTO 1 1 $600,000 2 1 $250,000 3 1 $100,000 4 1 $100,000 $600,000 $250,000 $100,000 $100,000 $1,000/$5,000 $1,000/$5,000 $1,000/$5,000 $1,0001$5,000 Customer Goods Coverage applies on a LegaLegal Liability basis. ADDITIONAL COVERAGES $1,000 $1,000 $1000 $1000 (X)VERAGE LABOR PARTS/ COVERAGE MATERIAL INFORMATION Percentage of Repair 5AM. .03-38,3100000000 Page; 10 100% 100% Customer Autos LEAK WAISH LWALSIVARROWH.fA DOR RQ OM 2007..2016 Harco National insurance Company. All rights reserved.. CERTIFICATE OF LIABILITY INSURANCE DaTE(MMroomml 06/22/16 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Services, Inc of Florida 10o1 Bricke3 Bay Drive, Suite 1F1100 Miami, FL 33131-0937 CONTACT Aon Risk Services, Inc of Florida NAME: PHONE C NI o, Est): 800-743-8130 (A/C, No): 800-522-7514 EMAIL ADDRESS: ADP.COI.Center@Aon.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Illinois National Insurance Co 23817 INSURED ADP TotalSource FL XI, Inc. 10200 Sunset Drive Miami, FL 33173 ALTERNATE EMPLOYER National Lift Truck Service 2110 N Andrews Ave Ext, Pompano Beach, FL 33069 INSURER B INSURER C : INSURER D : INSURER E ; INSURER F : COVERAGES CERTIFICATE NUMBER: 1323862 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 'ERIOD 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. LIMITS SHOWN ARE AS REQUESTED. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVO POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY OCCUR EACH OCCURRENCE. $ 1 CLAIMS -MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEM. AGGREGATE LIMIT APPLIES PER: POLICY PROJECT I I LOC OTHER GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGO $ $ AUTOMOBILE — LIABILITY — SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident), $ — UMBRELLA LIAR EXCESS LIAB ^ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEC I. I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, desafibe under DESCRIPTION OF OPERATIONS below N / A WC 061139701 FL 7/1/2016 7/1/2017 X STATUTEPER OTH- E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may bo attached If morn space is required) All worksite employees working for NATIONAL LIFT TRUCK SERVICE, paid under ADP TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. NATIONAL LIFT TRUCK SERVICE is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI C/O PURCHASING DEPARTMENT 444 SW 2ND AVENUE 6TH FLOOR Miami, FL 33130 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 olt [ AA &trio-0A, grid of p lotLdac © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1012591 CITY O�'<� MANI < OcA O , ON Amick. S *On Typo rr Nu nb Article ;1 trek•:: Iliai shut! 1170.11 v rll r1; l rll• :>: l:rt It t t rt� J 1r 11 litr.t`t Cis ltr'1iti Not lye po I��l laid opig,r r11 > ;;Lii lirc ktr r t �tl; r r1t tl��ati;ttii itlyt rat" yT 7�'t.11t :li t=p l �t➢riii3.a or twelve 0) rnr+tntl n kn miii ty don ;e rr�rr 1 'woo tlrl% Noetiik .of local offi* eC:rtl. rl iediro.K. 1.11Err� klt pdorroll id or pr ��itsEt�lrllik 001.101A:. Addreast b 'boy-(40) er/Propt a tax ;, burg ar ...............__..