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HomeMy WebLinkAbout24596AGREEMENT INFORMATION AGREEMENT NUMBER 24596 NAME/TYPE OF AGREEMENT VALASH EVENT DESIGN DESCRIPTION EVENT AGREEMENT/50TH ANNIVERSARY GALA - SANDRA DELUCCA DEVELOPMENTAL CENTER/MATTER ID: 23-1521 EFFECTIVE DATE ATTESTED BY TODD B. HANNON ATTESTED DATE 9/11/2023 DATE RECEIVED FROM ISSUING DEPT. 9/11/2023 NOTE DOCUSIGN AGREEMENT BY EMAIL CITY OF MIAMI DOCUMENT ROUTING FORM Department of Procurement ORIGINATING DEPARTMENT: DEPT. CONTACT PERSON: Aimee Gandarilla EXT. 1906 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Valash Event Inc. IS THIS AGREEMENT A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? I TOTAL CONTRACT AMOUNT: $ FUNDING INVOLVED? r TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ❑ GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT OTHER: (PLEASE SPECIFY) YES NO ES ❑ NO ❑ PUBLIC WORKS AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT PURPOSE OF ITEM (BRIEF SUMMARY): Event agreement - 50th Anniversary Gala for October 5, 2023 at Jungle Island with Valash Event Inc. COMMISSION APPROVAL DATE: FILE ID: ENACTMENT NO.: IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: ROUTING INFORMATION Date PLEASE PRINT AND SIGN DIRECTOR OF PROCUREMENT/CHIEF PROCUREMENT September 5, Annie Perez, 2023 I 13:04:27bnc�spbTdby: SIGNATURE: CPPO - - RISK MANAGEMENT September 5, 2023 Ann -Marie Sharpe I 13: 36 : 4-1—DEFFnedbY: SIGNATURE: �:%SaUt B75CHC4'GB... tuns (4,04,6 CITY ATTORNEY Matter 23-1521 September 7, Vi toria Mendez 202�3 I 13:5 SIGNATURE: �55349B495F254B0... D'Efih39edbyo 4° F, EF�AEFFEo�7 ASSISTANT CITY MANAGER, CHIEF FINANCIAL OFFICER September 11, Larry Spring.{ CPA 2023 I 09: 34 SIGNATURE:1 31 ED dby: Seri ASSISTANT CITY MANAGER, CHIEF OF OPERATIONS '-C9D2602B97F54D4 Natasha Colebrook -Williams SIGNATURE: DEPUTY CITY MANAGER Nzeribe Ihekwaba, Ph.D., PE SIGNATURE: CITY MANAGER September 11, Arthur Noriega 2023 I 10:39: SIGNATURE: V a6 Docusfnedby: a Nbviuda 850CF6C372DD42A... CITY CLERK Todd Hannon SIGNATURE: PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER IAFI I{SPAT 1 I City of Miami Office of the City Attorney Legal Services Request To: Office of the City Attorney From: Victoria Giraldo Contact Person Procurement Contracting Officer Title 9/5/2023 Date: Procurement Requesting Client (305) 416-1916 Telephone Legal Service Requested: Matter 23-1521: Event agreement - 50th Anniversary Gala for October 5, 2023 at Jungle Island with Valash Event Inc. Complete form and forward to the Office of the City Attorney or e-mail to Legal Services. Do not assume that the Office of the City Attorney knows the background of the question and/or issue, such as opinions on the same or similar issues, the existence of relevant memos, correspondence, etc. Please attach to this form and/or e-mail all pertinent information relating to the subject. Once your request has been assigned, an e-mail will be sent to you with the Assigned Attorney's name and the issued matter identification number. All attorneys in the Office of the City Attorney shall fully comply with the Rules Regulating the Florida Bar. For Legal Services requesting an opinion from the Office of the City Attorney: nlssue opinion in writing. Publish opinion after issuance. Authorized by: Annie Perez Date response requested by: BELOW PORTION TO BE COMPLETED BY THE OFFICE OF THE CITY ATTORNEY Assigned Attorney: Date: File No. Approved by: Ultimate Client: Comments: D / R Date: Copy returned to Requesting Client Type: Matrix: Category: Copy to Ultimate Client rev. 04/14/2017 VALASH NTDF-CN Client Name: City of Miami, Sandra Delucca Developmental Center (Nadia Arguelles) Event Type: 50th Anniversary Gala Event Date: Thursday, October 5, 2023 Event Time: TBD Event Theme: Tropical Location: Jungle Island 1111 Parrot Jungle Trail Miami, DL 33132 # of Guests: 250 Guests Event Styling / Full Planning Service - Initial consultation to discuss theme, design direction and client wish list. - Site visit to venue to analyze the space, take photos and measurements to begin event design and layout. - Unlimited correspondence via phone and email from event hire date - Prepare design, event layout, floor plans, catering assistance to stay on theme, activations and entertainment for the event within the design concept. - Provide client with a detailed customized event budget based on design concept. - Creative concept of theme (Tropical) - Help with finding, negotiating and booking suitable vendors - Create detailed timeline, production schedule, and itinerary of the event - Ongoing updates and consultation with clients about vendors' services/products - Handle every detail of the planning & coordinating for a flawless event - Follow-up and confirm with all vendors before event & pending dues - Handle final payments & gratuities to all vendors Day of On site Management - On site management & supervision of all vendors during set up & deliveries - Coordinator to stay during event to handle timeline and event schedule. Any changes will have to be requested 14 days prior to event. After 14 days planner will try their best to accommodate without any guarantees. Agreement This Agreement is entered into between the City of Miami, Florida, a municipal corporation ("City"), and Valash Events Inc., a Florida profit corporation, located at 1870 SW 155th Avenue, Miramar, Florida 33027 ("Valash") collectively referred to as "parties." The Parties hereto agree to the terms and conditions attached hereto as Appendix A. 1870 SW 155th aye' Miramar I FL 33027 I t. 754.423.4557 I valashevents@gmail.com Appendix A — Terms and Conditions 1. TERMS OF PAYMENT. The City shall make payments in the following amounts, which shall become due at the times indicated below. a. Thirty percent (30%) of the total fee to be paid within forty five (45) days of the event date. This amount shall be included in the calculation of fees to be paid should the event be cancelled due to a Force Majeure Event as indicated below. b. The remaining amount of the total fee to be paid the day following the event. Credit card payments shall be subject to a 3.5% processing fee. 2. INSURANCE. Valash shall, at all times during the performance of this agreement, maintain such insurance coverage(s) as may be required by the City. The insurance requirements for this agreement are included below. Valash shall add the City of Miami as an additional insured to its commercial general liability, business automobile, and workers' compensation policies, and as a named certificate holder on all policies. Valash shall correct any insurance certificates as requested by the City's Director of Risk Management. Valash shall include a provision in its subcontracts requiring its subcontractors to comply with the insurance requirements in this section of the agreement. Prior to the performance of any services, Valash shall provide certificates of insurance evidencing the necessary coverage and in accordance with all other requirements contained in this section. Commercial General Liability ■ Limits of Liability: ■ Bodily Injury and Property Damage Liability ■ Each Occurrence $1,000,000.00 ■ General Aggregate Limit $2,000,000.00 ■ Personal and Adv. Injury $1,000,000.00 ■ Products/Completed Operations $1,000,000.00 ■ Endorsements Required: ■ City of Miami listed as additional insured ■ Contingent & Contractual Liability ■ Premises and Operations Liability ■ Primary Insurance Clause Endorsement II. Business Automobile Liability ■ Limits of Liability: ■ Bodily Injury and Personal Property Damage Liability ■ Combined Single Limit ■ Owned/Scheduled Autos ■ Including Hired, Borrowed or Non -Owned Autos ■ Any one accident $1,000,000.00 ■ Endorsements Required: ■ City of Miami listed as additional insured III. Workers' Compensation ■ Statutory State of Florida ■ Waiver of Subrogation ■ Company Employees Only ■ Limits of Liability: ■ $100,000.00 for bodily injury caused by an accident, each accident • $100,000.00 for bodily injury caused by disease, each employee • $500,000.00 for bodily injury caused by disease, policy limit IV. Umbrella Liability • Each Occurrence $2,000,000.00 • Policy Aggregate $2,000,000.00 • City of Miami listed as additional insured. Excess follow form over all applicable liability policies contained herein. 3. FORCE MAJEURE. A Force Majeure Event shall mean an act of God, act of governmental body or military authority, fire, explosion, power failure, flood, storm, hurricane, sink hole, other natural disasters, epidemic, riot or civil disturbance, war or terrorism, sabotage, insurrection, blockade, or embargo. In the event that either party is delayed in the performance of any act or obligation pursuant to or required by the agreement by reason of a Force Majeure Event, the time for required completion of such act or obligation shall be extended by the number of days equal to the total number of days, if any, that such party is actually delayed by such Force Majeure Event. 4. CANCELLATION. In the event that a Force Majeure Event occurs as defined herein, and it affects the ability of Valash to perform the services as stated herein, the City agrees to the following: a. Seventy-two (72) hours prior to the commencement of the event, the City shall have the right to postpone and/or cancel said event. If a cancellation is effectuated, the City will pay Valash fifty percent (50%) of Valash's City -approved expenses incurred regarding the event. If a postponement is effectuated, the City will pay Valash fifty percent (50%) of Valash's City -approved expenses incurred to postpone the event. For purposes of this section, the thirty percent (30%) payment shall be included in the City's contribution toward costs and lost profits or opportunity costs shall not be considered in cancellation or postponement expenses or costs. The City may cancel the event for convenience anytime prior to seventy-two (72) hours prior to commencement of the event. If the City cancels for convenience within forty five (45) days of the event, then the City shall forfeit the thirty percent (30%) payment as described in Section 1 above. In the event that the City postpones or cancels pursuant to a Force Majeure Event as stipulated herein, Valash shall provide a breakdown of all expenses and costs incurred in writing with supporting backup for the City's review and approval. If the event is postponed, Valash and the City will negotiate an additional fee to reschedule and reconfirm all vendors. Should Valash terminate this agreement, all monies paid by City will be refunded, including any prior payments. 5. INDEMNIFICATION. Valash shall indemnify, defend, and hold harmless the City and its officers, officials, and employees (collectively referred to as "Indemnitees") and each of them from and against all claims, losses, costs, penalties, fines, damages, expenses (including attorney's fees) or liabilities (collectively referred to as "Liabilities") by reason of any injury to or death of any person or damage to or destrcution or loss of any property arising out of, resulting from, or in connection with (i) the performance or non-performance of the services contemplated herein (whether active or passive) of Valash or its employees or subcontractors (collectively referred to as "Valash") or (ii) the failure of Valash to conform to statutes, ordinances, or other regulations or requirements of any governmental authority, local, federal, or state in connection with the performance or non- performance of the services contemplated herein, even if it is alleged that the Indemnitees were negligent. Valash further agrees to indemnify, defend, and hold harmless the Indemnitees from and against any and all Liabilities which may be asserted by an employee or former employee of Valash, or any of its subcontractors, for nonpayment or workers' compensation. Valash shall include a provision in its subcontracts requiring its subcontractors to comply with the indemnification requirements of this section of the agreement. The duties in this section shall survive the cancellation or termination of this agreement. Nothing herein shall be construed to act as a waiver of the City's sovereign immunity beyond the limitations set forth in s. 768.28, Florida Statutes. 6. CHOICE OF LAW/VENUE. This agreement shall be governed by and construed in accordance with the laws of the State of Florida. In the event of litigation, the place of venue shall be in the federal and state courts located in Miami -Dade County, Florida. 7. ENTIRE AGREEMENT. This agreement contains the entire understanding and agreements between the parties hereto with respect to its subject matter and there are no representations, agreements, arrangements, or understandings, oral or written, between and among the parties relating to the subject matter of this agreement. 8. INDEPENDENT CONTRACTOR. Nothing in this agreement shall in any way be construed to render Valash to be or to be construed as an agent, employee, or representative of the City. Valash is and will perform the services hereunder as an independent contractor. Valash acknowledges and agrees that neither it, nor its employees or any of its subcontractors, shall be entitled to any employee benefits and expressly waives such entitlement to such benefits. 9. USE OF NAME/SEAL. Valash may, within the limited scope of normal and customary marketing and promotion of its work, to use the general results or images taken during the event. Notwithstanding, Valash will not use the City seal without the prior written approval of the City in accordance with s. 1-16 of the Code of the City of Miami, Florida, as amended. 10. SURVIVAL. All obligations (including, but not limited to, indemnification obligations) and rights of any party arising during or attributable to the period prior to expiration or earlier termination of this agreement shall survive such expiration or earlier termination. 11. COUNTERPARTS AND ELECTRONIC SIGNATURES. This agreement may be executed in any number of counterparts, each of which so executed shall be deemed to be an original, and such counterparts shall together constitute but one and the same agreement. The parties shall be entitled to sign and transmit an electronic signature of this agreement (whether by facsimile, PDF, or other email transmission), which signature shall be binding on the party whose name is contained therein. Any party providing an electronic signature agrees to promptly execute and deliver to the other parties an original signed agreement upon request. IN WITNESS WHEREOF, the parties hereto have cause this instrument to be executed by their respective officials thereunto duly authorized this 30th day of August, 2023. ATTEST: BY: DocuSigned by: peDe Todd B. Hannon City Clerk DocuSigned by: VALASH EVENTS I , C. BY: Valerie Rodrigu President THE CITY OF MIAMI, A MUNICIPAL CORPORATION OF THE STATE OF FLORIDA BY: Nitta CDocuSigned by a 85OC'Ff3C 72flf147A Arthur Noriega City Manager APPROVED AS TO LEGAL FORM AND APPROVED AS TO INSURANCE CORRECTNESS: DS 1'"y, BY:� BY: [iYYC uuado @kF&FEov,7... 544g@4g6F2648Victoria Mendez 23-1521 Ann -Marie Sharpe City Attorney Director of Risk Management REQUIREMENTS: ocuSigned by: DocuSigned by: Sandra Delucca Developmental Center October 2023 VALASH FVFNIT DFSIGN 19-0111C: Jungle island LASH DESIGN 11 cutoi r)-44V VALASH FVFNT DESIGN VALASH I VI ii DESIGN 0 OevALAIN-1 1js': Style 1 ''100 VALASH I VI iN DESIGN fjt,: Style 2 0 300VALASH 9,144' vituTiwict Style 3 O. VA LAS DESIGN OJ 3001-/A!1-1 6A, VALASH I VI N 1 DESIGN c"4911Me '6-V'e9 0 OeVAOSH City of Miami Devolnprnental Cente, 0 O. VA LAS H I( DESIGN Valash Events Inc. 1870 SW 155th Ave Miramar, FL 33027 US +1 7544234557 valashevents@gmail.com Estimate VALASH EVENT D f- S I G N ESTIMATE 1010 Nadia Arguelles DATE 04/05/2023 Sandra Delucca Developmental Center 4560 NW 4th terr Miami, FL 33126 USa ACTIVITY DESCRIPTION 10/05/2023 Entrance Decor Green Draping with gold elements and 1 2,800.00 2,800.00 accents of greenery, signage 10/05/2023 Seating Chart 8x8 Backdrop with logo and names 1 1,800.00 1,800.00 10/05/2023 Linens 132" Specialty blk/wht- INK 10 85.00 850.00 10/05/2023 Linens 132" Blk Dupioni 7 40.00 280.00 10/05/2023 Linens 132" White Dupioni 8 40.00 320.00 10/05/2023 Chairs Gold/Green Cushion 250 8.00 2,000.00 10/05/2023 Centerpieces Tropical on Gold Vase 8 225.00 1,800.00 10/05/2023 Centerpieces Tropical Low with candles 10 175.00 1,750.00 10/05/2023 Centerpieces Tropical high 7 275.00 1,925.00 10/05/2023 Centerpieces Lounge Area Florals 1 250.00 250.00 10/05/2023 Centerpieces BarArragement and bar back greenery 1 900.00 900.00 Florals (2) 10/05/2023 Tableware Chargers and Napkins 250 6.00 1,500.00 10/05/2023 Lounge Area Furnishing 11 piece Lounge Area 1 2,000.00 2,000.00 10/05/2023 Bar 8ft Bar and Barback 2 850.00 1,700.00 10/05/2023 MISC Awards Display- greenery -Sign 1 1,650.00 1,650.00 10/05/2023 Stage Decor Truss structure covered in black 16ft 1 3,000.00 3,000.00 Wide -Green accents, banner with logo 10/05/2023 Entertainment DJ Services 1 1,500.00 1,500.00 10/05/2023 Entertainment Hora Loca 1 1,600.00 1,600.00 10/05/2023 Entertainment 360 booth 1 800.00 800.00 10/05/2023 Delivery ALL VENDORS 1 1,700.00 1,700.00 10/05/2023 Design, Coordination, Staff Day of 1 6,500.00 6,500.00 SetUp/Breakdown Services Estimate based on 250 guests. Amount subject to change based on additions SUBTOTAL 36,625.00 requested by client or guest increase. Accepted By Accepted Date TAX 0.00 TOTAL $36,625.00 Page 2 of 2 ACORD DATE (MMIDDIYYYY) 08/22/2023 IFICATE OF LIABILITY INSURANCE 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 AQUA INSURANCE GROUP 1000 W. Pembroke Rd. Ste 108 Hallandale FL 33009 CONTACT NAME: 9 In rid Rivers PHONE INC No EXIT: INC.(954) 241-2782 I FAXINC 954 241-2783 Nok noo"IaEss- ingridr.aquains@9mail.Com INSURERS) AFFORDING COVERAGE NAICN INSURER A: Nautilus Insurance Group INSURED Valash Events 1870 SW 155 Ave Miramar FL 33021 INSURER B: INSURER C: INSURER D : INSURER E: INSURERF: estileinki Mr raaCCO. COVERAGES L:LK I IrIaA I C mumocrc. 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. INS LIR TYPE OF INSURANCE ADDL INFO SUER wvn POLICY NUMBER POLICY EFF IMM/DDIYYYYI 10/04/2022 POLICY EXP IMMIDDIYYYYI 10/04/2023 LIMITS EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X X NC542808 DAMAGE TO RENTED PREMISES (EaoccuRmce) $ 100,000 . CLAIMS -MADE ��r OCCUR MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:. PRO- I WCPRODUCTS- POLICY 1 1 JECT OTHER: COMP/OP AGG $ 1,000,000 Ded. $ 500 AUTOMOBILE — LU1BIUTY ANY AUTO OWNED _ SCHEDULED AUTOS NON-OWNEDO AUTOS ONLY /(-' COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLAUMBRELIAB EXCESS LIAB OCCUR CLAIMS -MADE _ EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION$ AND AND ANY OFFICER/MEMBER (Mandatory EMPL EMPLOYERS' COMPENSATION / ARTNnY Y (N PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? In NH) under OF OPERATIONS below NIA - //�� 4 L v GO ! I A+ (� J O V I STATUTE I I ER E.L. EACH ACCIDENT $ E.L DISEASE- EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ O vV \O`TJ •Slchedule, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1p�/Ie al Ramada may be attached H more space la required) City of Miami is included as Additional Insured in ccordance with the policy provisions of the General Liability Policy with respect to claims arising out of the Named Insured. General Liability evidenced herein primary & non-contributory to other insurance available to an additional insured but only in accordance with the policy's provisions. Liquor Liability is included under the General Liability coverage and limits. CERTIFICATE HOLDER City of Miami 444 SW 2nd Ave Miami, FL 33130 A 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo a e registered marks of ACORD VALASH EVENT DESIGN September 4, 2023 City of Miami Parks Sandra Delucca Developmental Center Therapeutic Recreation and Inclusion Miami, FL Re: Event @ Jungle Island October 5`h, 2023 OO J(</ O (<. 1 (0 , V Regarding the above referenced even la veo nts Inc. hereby certifies that there will be no auto exposure associated with this evens Sincerely ValeriiR.1710Fg7e, President JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * NON -CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 7/11/2023 PERSON: VALERIE R RODRIGUEZ FEIN: 462418978 BUSINESS NAME AND ADDRESS: VALASH EVENTS INC 1870 SW 155TH AVE HOLLYWOOD, FL 33027 EXPIRATION DATE: 7/10/2025 EMAIL: VALASHEVENTS@GMAIL.COM This certificate of election to be exempt is NOT a license iss Regulation. To determine if the certificate holder is required license of the certificate holder, go to www.myfloridalic om l_i O O J((/ tfi0epartment of Business and Professional v�- (i�ense to perform work or to verify the IMPORTANT: Pursuant to subsection 440.05(13), F.S., an officer of a r ratio Ilects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chat urso subsection 440.05(11), F.S., Certificates of election to be exempt issued under subsection (3) apply only to the corporate officer named on the ice of e c ion to be exempt. Pursuant to subsection 440.05(12), F.S., notices of election to be exempt and certificates of election to be exempt hall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no I Or meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person nart. n the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT RULE 69L-6.012, F.A.C. REVISED 01/2023 E01752050 QUESTIONS? (850) 413-1609 ADVANCED INS FIN SVC 12240 SW 53RD ST #501 COOPER CITY, FL 33330 PAUL JONES 2558 FLETCHER CT HOLLYWOOD, FL 33020 Auto Insurance Coverage Summary This is your Declarations Page Your policy information has changed PROORAUTOEll/UE® Policy Number: 964305862 Underwritten by: Progressive American Insurance Co May 10, 2023 Policy Period: Dec 17, 2022 -Jun 17, 2023 Page 1 of 4 1-954-436-4027 ADVANCED INS FIN SVC Contact your agent for personalized service. agent. grog ressive. com Online Service Make payments, check billing activity, update policy information or check status of a claim. 1-800-274-4499 To report a claim. Your coverage began on December 17, 2022 at the later of 12:01 a.m. o ,Qctive time shown on your application. This policy period ends on June 17, 2023 at 12:01 a.m. `` This coverage summary replaces your prior one. Your insurance �i d any policy endorsements contain a full explanation of your t? coverage. The policy limits shown for a vehicle may not be co b with the limits for the same coverage on another vehicle, unless the policy contract or endorsements indicate otherwise. Tli cy ct t is form 9611 A FL (07/17). The contract is modified by forms A264 (10/18), A261 FL (08/21) and A340 (01/22 . Policy changes effective May 10, 2023 Changes requested on: _() ( 1ay10, 2023 10:17 a.m. Requested by: Premium change: Changes: Valerie Rodriguez $288.82 The 2010 GMC SAVANA G3500 has been added. Maximo E Rodriguez has been added to the policy. The Three -Year Safe Driving discount has been removed from your policy. The changes take effect as of the date and time requested shown above. Drivers and household residents Paul Jones Additional information: Named insured Valerie Rodriguez Maximo E Rodriguez Form 6489 FL(05/21) Continued Policy Number: 964305862 Paul Jones Page2 of 4 Outline of coverage 2021 CHEVROLET CORVETTE STINGRAY 2 DOOR SEDAN VIN: 1 G1 YA2 D49M5125380 Garaging ZIP Code: 33020 Primary use of the vehicle: Pleasure/Personal Annual miles: 0 - 3,999 Length of vehicle ownership when policy started or vehicle added: At least 1 year but less than 3 years Limits Deductible Premium Liability To Others Bodily Injury Liability $10,000 each person/$20,000 each accident $215 Property Damage Liability $10,000 each accident 171 Personal Injury Protection $10,000 $500/person 199 Deductible applies to You and Dependent Relatives Uninsured Motorist Rejected Comprehensive Actual Cash Value $1,000 283 Collision Actual Cash Value $1,000 627 Roadside Assistance 5 Total premium for 2021 CHEVROLET OCS $1,500 2019 LAND ROVER RANGE ROVER VELAR 4 DOOR WAGON !' VIN: SALYL2FV6KA216403 V\`(/ Garaging ZIP Code: 33020 ` Primary use of the vehicle: Pleasure/Personal �� Annual miles: 4,000 - 5,999 Length of vehicle ownership when policy started or leadreast 1 year but less than 3 years imi Deductible Premium Liability To Others _` �((�� Bodily Injury Liability OV $►1'6'000 each person/$20,000 each accident $170 Property Damage Liability O�'$10,000 each accident 164 Personal Injury Protection N $10,000 $500/person 175 Deductible applies to You and dent Relatives Uninsured Motorist Rejected Comprehensive Actual Cash Value $1,000 121 Collision Actual Cash Value $1,000 322 Total premium for 2019 LAND ROVER $952 Form 6489 FL (05/21) Continued Policy Number: 964305862 Paul Jones Page3 of 4 2010 GMC SAVANA G3500 EXT CARGO VAN VI N: 1 GT2GUBA3A1901408 Garaging ZIP Code: 33020 Primary use of the vehicle: Pleasure/Personal Annual miles: 6,000 - 7,999 Length of vehicle ownership when policy started or vehicle added: 5 years or more Limits Deductible Premium Liability To Others Bodily Injury Liability Property Damage Liability $10,000 each person/$20,000 each accident $10,000 each accident $267 214 Personal Injury Protection $10,000 Deductible applies to You and Dependent Relatives $500/person 198 Uninsured Motorist Rejected Comprehensive Actual Cash Value $1,000 62 Collision Actual Cash Value $1,000 108 Total premium for 2010 GMC $849 Total 6 month policy premium Premium discounts Policy 964305862 Vehicle 2021 CHEVROLET CORVETTE STINGRAY 2019 LAND ROVER RANGE ROVER VELAR 2010 GMC SAVANA G3500 Smart Technology Discount $3,301.00 OO Multi-Poli �E4tr nic Funds Transfer (EFT), Home Owner, Multi -Car, Continu�rance: Platinum and Paperless et Qk k river and Passenger -side Airbag and Passive Anti -theft cpevice tk Brakes, Driver and Passenger -side Airbag, Passive Anti -theft Device .a mart Technology Discount O,nti-Lock Brakes, Driver and Passenger -side Airbag and Passive Anti -theft Device a service mark of Progressive Casualty Ins. Co. Lienholder and additional interest information Vehicle Lienholder Additional interest 2021 CHEVROLET CORVETTE STINGRAY 1 G1YA2D49M5125380 Truist Bank Truist Bank Wilmington, OH 45177 Wilmington, OH 45177 2019 LAND ROVER RANGE ROVER VELAR SALYL2FV6KA216403 CHASE AUTO FINANCE FT WORTH, TX 76101 Policyholder inquiries You may call your agent at 1-954-436-4027 to present inquiries or obtain information about coverage, and to obtain assistance with any complaints. Agent signature 01a4412eZ Form 6489 FL (05/21) Continued Policy Number: 964305862 Paul Jones Page4 of 4 Company officers ez,,,..e. Secreta ry Form 6489 FL (05/21) From: To: Cc: Subject: Date: Attachments: Ouevedo, Terry Carbonell, Aileen; Gomez Jr., Francisco (Frank) Aviles. Yesenia; Giraldo, Victoria RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI Tuesday, September 5, 2023 9:01:50 AM image001.pnq image002.pnq image003.pnq Alleen The certificates are adequate. Thanks, City of Miami Risk Management Department 9th Floor 444 SW 2nd Avenue Miami, Florida 33130 (305) 416-1641 Office (305) 416-1710 Fax TquevedoPmiamigov.com -Servo y, S raaccary, aad 714001rithv ata From: Carbonell, Aileen <ACarb Sent: Tuesday, September 5, 21 40tmiaml ov.com> •3 8:32 AM To: Gomez Jr., Francisco (Frank) <FGomez@miamigov.com> Cc: Quevedo, Terry <TQuevedo@miamigov.com>; Aviles, Yesenia <YAviles@miamigov.com>; Giraldo, Victoria <VictoriaGiraldo@miamigov.com> Subject: RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI Importance: High Good morning Frank, Please see revised certificate as requested. Thank you. Should you have any questions or concerns, please do not hesitate to contact me at information listed below. Kind regards, Aileen Carbonell, MPA Procurement Assistant Department of Procurement 444 SW 2nd Avenue, 6th Floor Miami, Florida 33130 Office: (305) 416-1922 Facsimile: (305) 416-1925 Email: acarbonellPmiamigov.com Website: https://www.miamigov.com/Government/Departments-Organizations/Procurement OO "Serving, Enhancing, and Transforming our Community" `N/ Mission: The City of Miami Department of ProcurertE's mission is to ethically procure quality goods and services, design, construction and con t u&io agement services at the best value for the City, while providing excellent custom sel�vic cess efficiency, transparency, fairness, competition, accountability, and maintaini li tr��ii t. Click on or scan the QR Code to re a6Ob'ew vendor for the City of Miami. `p Please consider the environment before printing this e-mail. CONFIDENTIAL COMMUNICATION The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please immediately contact the sender by reply e-mail and destroy all copies of the original message. Thank you. *Please Note: Due to Florida's very broad public records law, most written communications to or from City of Miami employees regarding City business are public records, available to the public and media upon request. Therefore, this e-mail communication may be subject to public disclosure. From: Gomez Jr., Francisco (Frank) <FGomezPmiamigov.com> Sent: Wednesday, August 30, 2023 11:01 AM To: Carbonell, Aileen <ACarbonellPmiamigov.com> Cc: Quevedo, Terry <TQuevedo(1miamigov.com>; Aviles, Yesenia <YAvilesPmiamigov.com>; Giraldo, Victoria <VictoriaGiraldo(a1miamigov.com> Subject: RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI Hi Aileen, 0 The GL should be amended to include coverage for non own ,ito exposures. Thanks, (</J 'c Q\• Frank Gomez, PIAM, CPI I VO !,� Property & Casualty Manager rJ City of Miami OJ i0 Risk Management QQ (305) 416-174o Office QQ (305) 416-176o Fax Q` fgomez@miamigov.com "Serving, Enhancing, and Transforming our Community" From: Carbonell, Aileen <ACarbonellPmiamigov.com> Sent: Wednesday, August 30, 2023 10:55 AM To: Gomez Jr., Francisco (Frank) <FGomezPmiamigov.com> Cc: Quevedo, Terry <TQuevedo(1miamigov.com>; Aviles, Yesenia <YAviles(1miamigov.com>; Giraldo, Victoria <VictoriaGiraldol@miamigov.com> Subject: RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI Frank, Would you be able to review these insurance documents for completion? This vendor will be catering an event for Parks one week before the event for Procurement at Jungle Island. They are using the same agreement for Jungle Island but this vendor was hired for inclusion activities since they are celebrating the therapeutic program at Sandra DeLucca Center. Attached is the Auto declaration page for the private transportation. Should you have any questions or concerns, please do not hesitate to contact me at information listed below. Kind regards, Aileen Carbonell, MPA Procurement Assistant Department of Procurement 444 SW 2nd Avenue, 6th Floor Miami, Florida 33130 Office: (305) 416-1922 Facsimile: (305) 416-1925 Email: acarboneMmiamigov.com Website: https://www.miamigov.com "NO O , V� l�Prra�Zrf/Departments-Organizations/Procurement "Serving, Enhancing, and Transforming our Community" Mission: The City of Miami Department of Procurement's mission is to ethically procure quality goods and services, design, construction and construction management services at the best value for the City, while providing excellent customer service, process efficiency, transparency, fairness, competition, accountability, and maintaining public trust. Click on or scan the QR Code to register as a new vendor for the City of Miami. bpp Please consider the environment before printing this e-mail. CONFIDENTIAL COMMUNICATION The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please immediately contact the sender by reply e-mail and destroy all copies of the original message. Thank you. *Please Note: O Due to Florida's very broad public records law, most written commun regarding City business are public records, available to the public communication may be subject to public disclosure. J o From: Carbonell, Aileen k/O < " 2 r Sent: Wednesday, August 30, 2023 10(R"M,��O To: Gomez Jr., Francisco (Frank) <z(aiigov.com> Cc: Quevedo, Terry <TQueved.:+•amigov.com>; Aviles, Yesenia <YAviles(@miamigov.com>; Giraldo, Victoria <VictoriaGiramiamigov.com> Subject: RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI s to or from City of Miami employees edia upon request. Therefore, this e-mail Great, thank you so much! Should you have any questions or concerns, please do not hesitate to contact me at information listed below. Kind regards, Aileen Carbonell, MPA Procurement Assistant Department of Procurement 444 SW 2nd Avenue, 6th Floor Miami, Florida 33130 Office: (305) 416-1922 Facsimile: (305) 416-1925 Email: acarboneMmiamigov.com Website: https://www.miamigov.com/Government/Departments-Organizations/Procurement "Serving, Enhancing, and Transforming our Community" Mission: The City of Miami Department of Procurement's mission is to ethically procure quality goods and services, design, construction and construction management services at the best value for the City, while providing excellent customer service, procesficiency, transparency, fairness, competition, accountability, and maintaining public trust. o Click on or scan the QR Code to register as a new ve. t V or the City of Miami. ELF •:1:414ill .ill•! Q4q •O , VO �. o�o 01, `p Please consider the environment before printing this e-mail. CONFIDENTIAL COMMUNICATION The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please immediately contact the sender by reply e-mail and destroy all copies of the original message. Thank you. *Please Note: Due to Florida's very broad public records law, most written communications to or from City of Miami employees regarding City business are public records, available to the public and media upon request. Therefore, this e-mail communication may be subject to public disclosure. From: Gomez Jr., Francisco (Frank) <FGomezl@miamigov.com> Sent: Wednesday, August 30, 2023 9:54 AM To: Carbonell, Aileen <ACarbonell(@miamigov.com> Cc: Quevedo, Terry <TQuevedo(Wmiamigov.com>; Aviles, Yesenia <YAvilesl@miamigov.com>; Giraldo, Victoria <VictoriaGiraldol@miamigov.com> Subject: RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI Hi Aileen, Just included you in an email to Yadissa in connection with these types of events. The COI provided is adequate. Thanks, Frank Gomez, PIAM, CPI I Property & Casualty Manager City of Miami Risk Management (305) 416-1740 Office (305) 416-176o Fax fgomez@miamigov.com Q4q "Serving, Enhancing, and Transforming our Community" From: Carbonell, Aileen <ACarboneMmiamigov.com> Sent: Wednesday, August 30, 2023 8:51 AM To: Gomez Jr., Francisco (Frank) <FGomez( miamigov.com> Cc: Quevedo, Terry <TQuevedol@miamigov.com>; Aviles, Yesenia <YAvilesl@miamigov.com>; Giraldo, Victoria <VictoriaGiraldol@miamigov.com> Subject: RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI Sounds good, thank you. Should you have any questions or concerns, please do not hesitate to contact me at information listed below. Kind regards, Aileen Carbonell, MPA Procurement Assistant Department of Procurement 444 SW 2nd Avenue, 6th Floor Miami, Florida 33130 Office: (305) 416-1922 Facsimile: (305) 416-1925 Email: acarbonellPmiamigov.com Website: https://www.miamigov.com/Government/Departments-Organizations/Procurement OO O ;L'2 J� o� p ff, "Serving, Enhancing, and Tranfifg ring our Community" Mission: The City of Miami Department of Procurement's mission is to ethically procure quality goods and services, design, construction and construction management services at the best value for the City, while providing excellent customer service, process efficiency, transparency, fairness, competition, accountability, and maintaining public trust. Click on or scan the QR Code to register as a new vendor for the City of Miami. `p Please consider the environment before printing this e-mail. CONFIDENTIAL COMMUNICATION The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please immediately contact the sender by reply e-mail and destroy all copies of the original message. Thank you. *Please Note: Due to Florida's very broad public records law, most written communications to or from City of Miami employees regarding City business are public records, available to the public and media upon request. Therefore, this e-mail communication may be subject to public disclosure. From: Gomez Jr., Francisco (Frank) <FGomezPmiamigov.com> Sent: Wednesday, August 30, 2023 8:49 AM To: Carbonell, Aileen <ACarbonellPmiamigov.com> Cc: Quevedo, Terry <TQuevedoPmiamigov.com>; Aviles, Yesenia <YAvilesPmiamigov.com> Subject: RE: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI (</J o$• (<45)4(/)(/ Good morning Aileen, OV Q Oa- Will call you later this morning 4RscSs. Thanks, Frank Gomez, PIAM, CPI I Property & Casualty Manager City of Miami Risk Management (305) 416-174o Office (305) 416-176o Fax fgomez@miamigov.com "Serving, Enhancing, and Transforming our Community" From: Carbonell, Aileen <ACarboneMmiamigov.com> Sent: Wednesday, August 30, 2023 8:21 AM To: Gomez Jr., Francisco (Frank) <FGomezPmiamigov.com> Cc: Quevedo, Terry <TQuevedo(@miamigov.com>; Aviles, Yesenia <YAviles(Wmiamigov.com> Subject: PROCUREMENT INSURANCE REVIEW FOR VALESH EVENTS COI Importance: High Good morning, Please review the insurance attached to insurance requirements contained Kind regards, Aileen Carbonell, MPA Procurement Assistant Department of Procurement 444 SW 2nd Avenue, 6th Floor Miami, Florida 33130 Office: (305) 416-1922 Facsimile: (305) 416-1925 Email: acarboneWmiamigov.com Remit W9 to: PurchasingSupplier Website: https://beta.miamig_o orn at your earliest convenience and advise if adequate according therein. Thank you! ns@ igov.com Govern ment/Departments-Organizations/Procurement "Serving, Enhancing, and Transforming our Community" CONFIDENTIAL COMMUNICATION The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please immediately contact the sender by reply e-mail and destroy all copies of the original message. Thank you. *Please Note: Due to Florida's very broad public records law, most written communications to or from City of Miami employees regarding City business are public records, available to the public and media upon request. Therefore, this e-mail communication may be subject to public disclosure. Olivera, Rosemary From: Gandarilla, Aimee Sent: Monday, September 11, 2023 2:29 PM To: Hannon, Todd Cc: Lee, Denise; Olivera, Rosemary; Brown, Sadie; Roberts, Frankeetha Subject: Matter 23-1521: Event agreement - 50th Anniversary Gala with Valash Event Inc. Attachments: Valash Event Agreement.pdf Good afternoon Todd, Please find attached the fully executed copy of an agreement from DocuSign that is to be considered an original agreement for your records. Thank you, airnee garcdwriaa Procurement Assistant City of Miami Department of Procurement 444 SW 2' Avenue, 6th floor, Miami, FL 33130 P(305) 416-1906 F(305) 400-5338 Eagandarilla@miamigov.com https://miamigov.com/Government/Departments-Organizations/Procurement , cap. 1 ti -},png, Enhancing, and Transforming our Community" 1