HomeMy WebLinkAboutMBV Engineering, Inc. - Engineer Consultant-2012CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -10
Project Identification: Sebastian Airport Administration Building Environmental Inspection
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will conduct Limited Phase I Environmental Quality & Compliance
Inspection Services. The project will include:
Visual Inspection of Airport Administration Building
Basic In-house Biological Testing and Analysis
Photographs
Written Results Letter
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -10 will be performed for the
lump sum fee amount of $1,700.
AGREED:
ENGINEJUA4LNG CONSULTANT: CITY OF SEBASTIAN:
ate: �l L �f /�"�' Date:
Aaron eowles, P.E. roe riffi
MBV Engineering, Inc.
Attest:
Sally A. Mai , MMC, City Clerk
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, City Attorney
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -9
Project Identification: Tulip Drive Final Stormwater Design and Permitting Assistance
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will evaluate the proposed stormwater pond's size to ensure SJRWMD
and the City of Sebastian storrawater criteria are met for the Tulip Drive roadway/ parking
improvements, located on Tulip Drive, west of Barber Street. The project will include:
I. Stormwater analysis and pond design to meet the treatment and attenuation criteria for St.
John's River Water Management District and City of Sebastian. Signing and Sealing of
calculations to be provided for inclusion with the City's submittal to SJRWMD.
2. Provide plan mark-ups reflecting the proposed detention pond and drainage details, to be
provided and incorporated into the City's master set of plans.
3. Assistance with responses to St. John's River Water Management District throughout the
permitting process.
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -9 will be performed for the
lump sum fee amount of $3,500.
AGREED:
ENGINEERING CONSULTANT: CITY OF SEBASTIAN:
49
Date: /"'-- Date: 171148
Aaron Bowles, P.E. Joe
MBV Engineering, Inc.
Attest:
Sally A. M' , MMC, City Clerk
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, City Attorney
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -8
Project Identification: Topographic Survey of existing Golf Course on Brush Foot Drive
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will perform a topographic survey of the existing Golf Course on Brush
Foot Drive (E. Airport Road). The project will include:
Task I
• Set two control points with benchmark information NAVD88.
• Locate parking islands and drives as depicted in attached sketch with elevations.
• Locate drainage ditch depicted on east side of attached sketch with cross section
elevations.
• Locate approximate high and low points in parking area including elevations.
• Locate the southern edge of the Club House and Maintenance Building shown on the
attached sketch with Floor Elevations.
• Locate all drainage structures and culverts with size, material and invert, within
highlighted area on attached sketch (exhibit A).
• Establish property line on southern boundary only.
• Locate north edge of pavement for Brush foot Drive and drives at two entrances to
parking lot with elevations and extending along the north edge of
• Brush foot drive to Airport drive as specified by Engineer.
• Provide CAD drawing including all of the above information.
• Provide 6 certified copies of the topographic survey if requested.
Task 2
• Locate sidewalk on the north side of Main Street from Fig Street to Fleming Street.
• Topographic survey along Main Street right of way corridor from Fig Street to Fleming
Street.
• Topographic survey along Fleming Street right of way corridor from Main Street to
Orange Avenue.
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -7
Project Identification: Survey of Sebastian Cemetery
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will perform a survey of Sebastian Cemetery. The project will include:
• Establish all boundaries for 9.06 Acre Cemetery
• Locate all fixed improvements
• Locate all roads existing roads within site
• Site specific topo abutting N. Central Avenue to first row of headstones (see attached
aerial)
• Locate all fixed improvements within specified area
• Locate all visible above ground utilities within specified area with elevations if applicable
• Locate desirable trees as requested, within specified area
• Establish right of way line for N. Central Avenue abutting site
• Provide 6 certified copies including all of the above
• Provide CAD File upon request
Basis of Compensation/ Period of Services:
The above referenced Professional Engineering Services for CSA -7 will be performed for the
lump sum fee amount of $10,500.
AGREED:
ENGINEERING CONSULTANT:
6"��e
Date: z s
Aaron Bowles, P.E.
MBV Engineering, Inc.
Attest:
Sally A. Maio C, City Clerk
CITY OF SEBASTIAN:
/ Date:
Joe Griffin
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, City Attorney
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -8 will be performed for the
lump sum fee amount of $5,500.
AGREED:
ENGI ERING CONSULTANT:
( /1'
��O�Date:
Aaron Bowles, P.E.
MBV Engineering, Inc.
Attest:
Sally A. Maio, C, City Clerk
CITY OF EBASTIAN:
Date:
Joe ffin
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, City Attorney
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -J( lk�
Project Identification: CavCorp Parking Lot Dry Stormwater Design and Analysis
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will evaluate the proposed dry stormwater pond's size to ensure
SJRWMD and the City of Sebastian stormwater criteria are met for CavCorp Parking Lot,
located on the northwest corner of Sebastian Blvd and Indian River Drive. The project will
include:
1. Stormwater analysis and pond design to meet the treatment and attenuation criteria for St.
John's River Water Management District and City of Sebastian. Signing and Sealing of
calculations to be provided for inclusion with the City's submittal to SJRWMD.
2. Provide plan mark-ups reflecting the proposed dry retention/ detention pond and drainage
details, to be provided and incorporated into the City's master set of plans.
3. Assistance with responses to St. John's River Water Management District throughout the
permitting process.
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -4A will be performed for the
lump sum fee amount of $2,500.
AGREED:
ENG ERING CONSULTANT:
6A7__Z_Date: � 4 15
Aaron Bowles, P.E.
MBV Engineering, Inc.
Attest:
Sally A. M
'0, City Clerk
CITY OF SEBASTIAN:
V
Date: / a 'd./L/ fA
Joe Gralm
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, Ci Attomey
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -5
Project Identification: Main Street Railroad Survey
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will provide survey services for the FEC / Main Street / Louisiana
Avenue for the existing sidewalk connections. The project will include:
1. Topographic survey only at the intersection of FEC Railway and Main Street, including
all visible above ground improvements within apparent route along both sides of Main
Street including and extending 25 feet beyond existing sidewalks, east and west of FEC.
2. Provide (2) cross sections at existing sidewalks. Including sidewalk, centerline and edge
of pavement.
3. Additional cross sections along apparent route, including pavement, existing ground and
any visible obstructions at stations not to exceed 50 feet.
4. Provide CAD drawing of topographic survey.
5. Provide electronic CAD file upon request.
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -5 will be performed for the
lump sum fee amount of $1,000.
AGREED:
E _G, INEEPING_G, CONSULTANT:
Date:
Rodolfo Vi lamizar, P.E.
MBV Engineering, Inc.
Attest:
Sally A. Mai , MMC, City Clerk
CITY OF SEBASTIAN:
Date:
Joe Griffin
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, City ttorney
01OW -533300
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -4
Project Identification: CavCorp Parking Lot Stormwater Pond Drainage Sizing
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will evaluate the proposed stormwater pond's size to ensure SJRWMD
and the City of Sebastian stormwater criteria are met for the CavCorp Lots. The proiect will
include:
1, Stormwater modeling, analysis and pond design to meet the treatment and attenuation
criteria for St. John's River Water Management District and City of Sebastian.
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -4 will be performed for the
lump sum fee amount of $2,000.
AGREED:
ENGI EERIN ONSULTANT:
014
G Date:
Rodolfo Ville z , P.E.
MBV Engineering, Inc.
Attest:
Sally A. M 'o, MMC, City Clerk
CITY OF EBASTIAN:
�--- Date: J
oe Griffi
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, City A omey
311 - 60&g05 41532 -
IN
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. 4 CSA -3A
Project Identification: Culvert Survey Along Autumn Terrace, Carnation Drive and Vine
Avenue.
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON-EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated September 4, 2012.
Description of Assignment:
MBV Engineering, Inc. will have a survey prepared for a drainage study. The project will
include:
1. Collect type, size and invert of all driveway culverts along both sides of Carnation Drive
from Autumn Terrace to Vine Avenue.
2. Collect type, size and invert of all crossover drainage pipes at the intersection of Autumn
Terrace and Carnation Drive and extending to the structure on the east side of George Street
at the front of lot 27, Block 181.
3. Collect type, size and invert of all driveway culverts along the south side of Autumn
Terrace from Carnation Drive to Crown Street.
4. Collect type, size and invert of all crossover drainage pipes crossing Crown Street along
the south side of Autumn Terrace.
5. Collect type, size and invert of all crossover drainage pipes at the North side of the
intersection of Carnation Drive and Vine Avenue.
6. Collect elevations along the edge of pavement coinciding with each culvert invert
measured.
7. Provide data sheet in the form of an aerial view depicting address, culvert and crossover
pipe approximate location, invert, type and size of pipe and coinciding pavement
elevations.
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -3A will be performed for the
lump sum fee amount of $1,500.
AGREED:
ENGINEERING CONSULTANT:
7 2 -all
02---L.
Date:
Aaron Bowles, P.E.
MBV Engineering, Inc.
Attest:
Sally A. M#'
, MMC, City Clerk
CITY OF SEBASTIAN:
L.
Date:
Joe'Gritfin
City Manager
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
, � &,,-, I , _
Robert A. Ginsburg, City ttorney
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -2
Project Identification: Tulip Lane Stormwater Analysis
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NON—EXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated July 8, 2014.
Description of Assignment:
MBV Engineering, Inc. will evaluate the proposed stormwater pond's size to ensure SJRWMD
and the City of Sebastian stormwater criteria are met. The project will include:
1. Provide stormwater analysis of the collection system and pond's treatment / attenuation
to meet local and state criteria.
2. Stormwater calculations and plan mark-ups to be provided.
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -2 will be performed for the
lump sum fee amount of $2,900.
AGREED:
ENG ERING CONSULTANT: CITY OF SEBASTIAN:
ENG
7 ��`^ Date:
Aaron Bowles, P.E. Joe Griffin
MBV Engineering, Inc. City Manager
Attest:
Sally A. Mai , MMC, City Clerk
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
%ll
Robert A. Ginsburg, City Attorney
CITY OF SEBASTIAN, FLORIDA
WORK AUTHORIZATION FORM
CONSULTANT SERVICE AGREEMENT (CSA)
Work Authorization No. # CSA -1
Project Identification: Washington Street Stormwater Analysis
IT IS AGREED to undertake the following work in accordance with the provisions of the MBV
Engineering, Inc. Master Agreement entitled NONEXCLUSIVE CONTINUING
PROFESSIONAL SERVICES AGREEMENT FOR ENGINEERING dated June 26, 2014.
Description of Assignment:
MBV Engineering, Inc. will evaluate the proposed stormwater pond's size to ensure SJRWMD
and the City of Sebastian stormwater criteria are met. The project will include:
1. Provide stormwater analysis of the collection system and pond's treatment / attenuation
to meet local and state criteria.
2. Stormwater calculations and plan mark-ups to be provided.
Basis of Compensation / Period of Services:
The above referenced Professional Engineering Services for CSA -1 will be performed for the
lump sum fee amount of $3,000.
AGREED:
ENGINEERING CONSULTANT: CITY OF SEBASTIAN:
fv Z(o /,w./�
Date: Date.
Aaron Bowles, P.E. Joe Griffin
MBV Engineering, Inc. City Manager
Attest:
c
Sally A. Ma' , MMC, City Clerk
Approved as to Form and Content for
Reliance by the City of Sebastian Only:
Robert A. Ginsburg, City ttorney
v 06
NON-EXCLUSIVE AGREEMENT
for
CONTINUING PROFESSIONAL ENGINEERING CONSULTING SERVICES
THIS AGREEMENT, entered into this 'f day of , 2012 by and between CITY OF
SEBASTIAN, a Florida municipal corporation, hereinafter referred to as the "CITY", and MBV
ENGINEERING, INC., 1835 20TH Street, Vero Beach, FL 32960 hereinafter referred to as the
"ENGINEER CONSULTANT" and also known herein as one of the "Continuing Consulting
Services Firms".
WITNESSETH
That the CITY and the ENGINEER CONSULTANT, in consideration of their mutual
covenants, herein agree with respect to the performance of professional engineering services by
the ENGINEER CONSULTANT, and the payment for those services by the CITY, as set forth
below and in individual Work Orders. This agreement shall be referred to as the "MASTER
AGREEMENT" under which future Work Orders will apply.
The ENGINEER CONSULTANT shall provide the CITY with professional engineering
services and such other related services as defined in specific Work Orders, in all phases of each
project unless specified otherwise. The ENGINEER CONSULTANT shall serve as the CITY'S
professional representative for the project(s) as set forth in each Work Order, and shall give
professional advice to the CITY during the performance of the services to be rendered and as to
the fulfillment of project requirements. The ENGINEER CONSULTANT is retained by the
CITY to perform these consulting services under this non-exclusive continuing contract with the
CITY.
SECTION I — SCOPE OF SERVICES
The Scope of Services shall be identified in individual Work Orders prepared by the
ENGINEER CONSULTANT and approved by the CITY. Each Work Order will be sequentially
numbered and initiation of work thereunder shall be subject to a Notice -to -Proceed being issued
by CITY.
Basic services required of the ENGINEER CONSULTANT for the project will be
described in other appropriate sections of this Agreement and in individual Work Orders.
SECTION II - CITY OBLIGATIONS
The CITY agrees to provide the following material, data, or services as required in
connection with the work to be performed under this Agreement:
A. Provide the ENGINEER CONSULTANT with a copy of any pertinent
preliminary data or reports available to the CITY.
B. Provide the ENGINEER CONSULTANT with all available drawings, surveys,
right-of-way maps, and other documents in the possession of the CITY that are pertinent to the
project.
C. The CITY shall be responsible for obtaining only those permits delineated in the
individual Work Orders, or those required to complete the project only if such permit
requirements are made into law and established by regulatory agencies after the effective date of
the Work Order.
D. The CITY shall make all provisions for the ENGINEER CONSULTANT to enter
upon public or private property as reasonably required for the ENGINEER CONSULTANT to
perform its services.
E. The CITY will promptly execute all completed permit applications necessary to
expedite the acquisition of any local, state or federal permits made necessary by the project.
SECTION III - CITY'S ALLOTMENT OF PROJECT WORKLOAD
TO THE SELECTED CONTINUING CONSULTING SERVICE FIRMS
The CITY shall, in its sole discretion, distribute the project workload among the selected
Continuing Consulting Services Firms as the CITY sees fit. The CITY'S decision may be based
on project type, project continuity, available man-hours assigned to CITY projects by the
selected Continuing Consulting Services Firms, and/or special expertise or knowledge possessed
by one of the Continuing Consulting Services Firm that may be pertinent to the particular
project, inter alia. ENGINEER CONSULTANT shall have no right to appeal or challenge the
CITY'S decision(s) regarding distribution of work.
SECTION IV - SCOPE OF SERVICES
The ENGINEER CONSULTANT agrees to perform all necessary professional
engineering services, project design services, construction phase services, design -build services,
and/or other services in connection with the assigned project(s) as required and as set forth in the
following:
A. General
1. The ENGINEER CONSULTANT will endeavor not to duplicate any previous work
done on any project. Before issuance of a Work Order and written authorization to proceed, the
ENGINEER CONSULTANT shall consult with the CITY to clarify and define the CITY'S
requirements for the project(s) and review all available data.
2. The ENGINEER CONSULTANT shall attend conferences with the CITY and its
representatives, upon request.
3. In order to accomplish the work described under this Agreement under the time
frames and conditions set forth in this Agreement, the ENGINEER CONSULTANT shall
observe the following requirements:
a. The ENGINEER CONSULTANT shall complete its work on the project(s)
within the time allowed by maintaining an adequate staff of registered
engineers, certified operators, draft person(s), and other employees and/or
sub consultants on the work at all times.
b. The ENGINEER CONSULTANT shall comply with all federal, state, and
local laws applicable to the project(s). The ENGINEER CONSULTANT'S
work product shall conform with all applicable federal, state and local laws
applicable to the project(s).
C. The ENGINEER CONSULTANT shall prepare and complete all necessary
sketches, permit application drawings, calculations, and application forms
to accompany the CITY'S applications for any required federal, state, or
local permits. The ENGINEER CONSULTANT shall reply to all
permitting agency's requests for additional information related to a permit
application.
d. The ENGINEER CONSULTANT shall cooperate fully with the CITY in
order that all phases of the work may be properly scheduled and
coordinated.
e. The ENGINEER CONSULTANT shall provide the appropriate quantities
of complete preliminary sets of construction plans to any city, county, state
or federal regulatory agency from which a permit or other approval is
required, prior to final approval of the design by the CITY MANAGER or
his/her designate, and shall coordinate the project design with all agencies.
f. The ENGINEER CONSULTANT shall contact all utility companies
having installations in the vicinity of the proposed work to determine
accurate locations and consider relocation of utilities, if necessary. The
ENGINEER CONSULTANT shall provide the CITY with all known
information relative to any required utility adjustments, relocations and
installations, and shall show all known above and below ground utilities on
the final design plans.
g. The ENGINEER CONSULTANT shall report the status of the project(s)
to the CITY MANAGER or his/her designee upon request and hold all
drawings, calculations, and related work open to the inspection of the
CITY MANAGER or his/her authorized agent at any time, upon
reasonable request.
h. Unless otherwise specified, the ENGINEER CONSULTANT shall be
considered the Engineer -of -Record for the project(s) in accordance with all
legal and administrative requirements and criteria
4. The ENGINEER CONSULTANT shall furnish additional copies of reports, drawings,
specifications, bidding and construction contract documents, and other pertinent items as
required by federal, state and local agencies from which approval of the project(s) must be
obtained, prospective bidders, material suppliers, and other interested parties, but may charge
only for the actual cost of providing such copies. The ENGINEER CONSULTANT shall furnish
to the CITY the necessary number of sets of the drawings, bidding and construction contract
documents, specifications, reports, and other pertinent items as set forth in individual Work
Orders. The cost of these sets of documents are not included in the basic compensation paid to
the ENGINEER CONSULTANT, but will be paid as a direct expense. All original documents,
survey notes, field books, tracings, and the like, including all items furnished to the ENGINEER
CONSULTANT by the CITY pursuant to this Agreement, are and shall remain the property of
the CITY, and shall be delivered to the CITY upon completion of the work or at any time upon
request. All items prepared by the ENGINEER shall be created, maintained, updated, and
provided in the format as specified by the CITY.
5. All construction drawings prepared by the ENGINEER CONSULTANT shall be of
sufficient detail to permit the actual location of the proposed improvements on the ground by a
third party (i.e. the third party shall be able to accurately locate the proposed improvements on
the ground using only the information contained in the ENGINEER CONSULTANT'S
drawings).
6. The ENGINEER CONSULTANT acknowledges that preparation of all applicable
permits for the CITY'S submittal to governmental regulatory agencies, and the ENGINEER
CONSULTANT'S written responses to all regulatory agencies' questions, are included within
the scope of basic compensation in each particular Work Order. Any additional work required by
regulatory agencies which establish such regulations after the effective date of the particular
Work Order, shall be an additional service, and the CITY shall compensate the ENGINEER
CONSULTANT in accordance with Section VII - "Additional Work," of this Agreement, and in
accordance with the fee schedule in an approved Work Order. Approval by the CITY shall be
required prior to commencement of any additional work.
7. If the CITY proposes to construct the improvements in a phased manner, the
ENGINEER CONSULTANT shall prepare detailed master plan drawings as required by the
applicable Work Order.
8. Compensation to the ENGINEER CONSULTANT for basic services shall be in
accordance with each Work Order, as mutually agreed upon by the ENGINEER CONSULTANT
and the CITY. A schedule of approved hourly billing rates is included in "Exhibit A" attached,
and will be included as part of each Work Order when approved.
SECTION V - TIME FOR COMPLETION
The time for completion of each project shall be defined in the Work Order.
SECTION VI — COMPENSATION
The CITY agrees to pay, and the ENGINEER CONSULTANT agrees to accept, for
services rendered pursuant to this Agreement, fees in accordance with the following:
A. Professional Services Fee
The basic compensation shall be mutually agreed upon by the ENGINEER
CONSULTANT and the CITY prior to issuance of each Work Order and the amount shall be
included in the Work Order to be formally approved by the CITY.
B. Direct Payment for Additional Services
The CITY agrees to pay on a direct basis for services or goods provided by others
working in conjunction with the ENGINEER CONSULTANT, as follows:
1. Printing and Reproduction. The CITY shall make direct payment to the ENGINEER
CONSULTANT for the cost of printing project plan sheets required for utility coordination. The
maximum cost allowed per blueprint, mylar, sepia, and/or other media utilized for this purpose
shall be set forth in the Work Order.
2. CITY does not foresee nor intend paying ENGINEER CONSULTANT any travel
expenses under this Agreement. Any such payment shall not be made except as specifically
authorized in extraordinary circumstances by prior approval of the CITY and, in any such case,
bills for any travel expenses shall be submitted in accordance with the CITY travel policy as
adopted by Resolution.
SECTION VII - ADDITIONAL WORK
Additional work occurs when the CITY requests changes after it has formally approved a
Work Order. Additional work shall not commence until a further Work Order for the additional
work has been formally issued by the CITY, and the additional work shall be performed in
accordance with the fee schedule set forth in that Work Order.
SECTION VIII — PAYMENTS
The CITY shall make monthly partial payments to the ENGINEER CONSULTANT as
provided for in the Work Order. Unless otherwise stated in the Work Order, the ENGINEER
CONSULTANT shall submit duly certified monthly invoices to the CITY MANAGER or his/her
designee or such City Staff or City Representative as designated by the CITY MANAGER.
The Agreement shall be divided into units of deliverables, which shall include, but not be
limited to, reports, findings, drawings, and drafts, that must be received and accepted by the
CITY MANAGER or his/her designee prior to payment.
SECTION IX - RIGHT OF DECISIONS
All services shall be performed by the ENGINEER CONSULTANT to the satisfaction of
the CITY MANAGER or his/her designee who shall decide all questions, difficulties, and
disputes of whatever nature which may arise under or by reason of this Agreement, according to
the prosecution and fulfillment of the service hereunder, and the character, quality, amount and
value thereof. The CITY MANAGER or his/her designee's decision upon all claims, questions,
and disputes shall be final, conclusive, and binding.
Adjustments of compensation and contract time because of any major changes in the
work that might become necessary or be deemed desirable as the work progresses shall be
reviewed by the CITY MANAGER or his/her designee, and require that a Change Order (a
further Work Order) be processed in accordance with the CITY'S legal and administrative
procedures. If the ENGINEER CONSULTANT does not concur in the judgment of the CITY
MANAGER or his/her designee as to any decisions made by him/her, it shall present written
objections to the City Manager, who shall make a decision, and the ENGINEER
CONSULTANT shall abide by the City Manager's decision.
SECTION X - OWNERSHIP AND REUSE OF DOCUMENTS
A. Ownership and Copyright
Ownership and copyright of all reports, tracings, plans, specifications, field books, survey
information, maps, contract documents, and other data developed by the ENGINEER
CONSULTANT pursuant to this Agreement, shall be vested in the CITY. Said materials shall be
made available by the ENGINEER CONSULTANT at any time upon request of the CITY. On or
before the tenth day after all work contemplated under a Work Order is complete, all of the
above materials shall be delivered to the CITY MANAGER or his/her designee.
B. Reuse of Documents
All documents, including but not limited to reports, drawings and specifications, prepared
by the ENGINEER CONSULTANT pursuant to this Agreement, are related exclusively to the
services described herein. They are not intended or represented to be suitable for reuse by the
CITY or others on extensions of this project or on any other project. The CITY'S reuse of any
document or drawing shall be at the CITY'S own risk.
SECTION XI - NOTICES
Any notices, reports or other written communications from the ENGINEER
CONSULTANT to the CITY shall be considered delivered when posted by certified mail or
delivered in person to the CITY MANAGER or his/her designee. Any notices, reports or other
communications from the CITY to the ENGINEER CONSULTANT, shall be considered
delivered when posted by certified mail to the ENGINEER CONSULTANT at the last address
left on file with the CITY or delivered in-person to said ENGINEER CONSULTANT or its
authorized representative. Any notices in either direction made by email transmittal shall be
considered delivered as of the time of transmittal upon confirmation of the receipt of such email
transmittal.
SECTION XII — TERMINATION
Either party may terminate this agreement upon seven (7) days' written notice to the other
party, except that in the event ENGINEER CONSULTANT terminates this agreement such
termination shall not be effective, absent the CITY'S consent, until ENGINEER
CONSULTANT'S completion, to the CITY'S satisfaction, of any pending Work Order.
SECTION XIII - AUDIT RIGHTS
The CITY reserves the right to audit the records of the ENGINEER CONSULTANT
related to this Agreement at any time during the prosecution of the work included herein and for
a period of three years after final payment is made.
SECTION XIV — SUBLETTING / OUTSOURCING / TRANSFER
The ENGINEER CONSULTANT shall not sublet, assign, outsource or transfer any work
under this Agreement without the written consent of the CITY. When applicable and upon
receipt of such consent in writing, the ENGINEER CONSULTANT shall cause the names of the
engineering and/or surveying firms responsible for the major portions of each separate specialty
of the work to be inserted on the reports or other data. Any such assignment / outsourcing shall
not release the ENGINEER CONSULTANT from its role, duties, responsibilities, and
obligations as Engineer -of -Record for the project work performed.
SETION XV — WARRANTY
The ENGINEER CONSULTANT warrants that it has not employed or retained any
company or person other than a bona fide employee working solely for the ENGINEER
CONSULTANT, to solicit or secure this Agreement, and that it has not paid or agreed to pay any
company or person other than a bona fide employee working solely for the ENGINEER
CONSULTANT any fee, commission, percentage fee, gift(s) or any other consideration(s),
contingent upon or resulting from the award or making of this Agreement. For the ENGINEER
CONSULTANT'S breach / violation of this warranty, the CITY shall have the right to annul this
Agreement without liability.
SECTION XVI - DURATION OF AGREEMENT
This Agreement shall remain in full force and effect for a period of three years after the
date of execution thereof, or until completion of all project phases as defined by the CITY
MANAGER or his/her designee, whichever occurs first, or unless otherwise terminated by
mutual consent of the parties hereto, or terminated pursuant to Section XII. This Agreement may
be extended for a period of two additional years at the discretion of the CITY.
SECTION XVII — INSURANCE
At least ten days prior to commencement of the first work authorization, ENGINEER
CONSULTANT shall provide the CITY with a certificate of insurance from a company rated A+
VII or better, per the Best's Key Rating Guide for the following:
1) Worker's Compensation — Coverage to apply to all employees for Statutory
Limits in compliance with the applicable state and federal laws. In addition, the policy
must include Employer's liability with a limit of $1,000,000 each accident and disease.
2) Commercial General Liability — Coverage must be afforded on a form no
more restrictive than the latest edition of the Commercial General Liability Policy, on an
occurrence basis, filed by the Insurance Services Office and must include:
Minimum limits of $1,000,000 per occurrence combined single limit for Bodily Injury
Liability and Property Damage Liability.
Premises and Operations.
Independent Contractors
Products and completed Operations — Consultant shall maintain in force until at least five
(5) years after completion of all services required under the Contract, coverage for
products and completed operation.
Broad Form Contractual Coverage applicable to this specific Contract, including any hold
harmless and/or indemnification agreement.
3) Business Auto Policy — Coverage must be afforded on a form no more restrictive
than the latest edition of the Business Auto Policy filed by the Insurance Services Office
and must include:
Minimum limits of $1,000,000 per occurrence combined single limit for Bodily Injury
Liability and Property Damage Liability.
Owner Vehicles
Hired and Non -Owned Vehicles.
4) Professional Liability — The Consultant shall maintain a professional liability
insurance policy in the amount $1,000,000 during the term of this Contract. Such
coverage shall be maintained for a period of five (5) years following completion and
acceptance of any work performed under this agreement. In the event the Consultant
fails to secure and maintain such coverage, Consultant shall be deemed the insurer of
such professional liability insurance and shall be responsible for all damages suffered by
the City as a result thereof, including attorney's fees and costs. In the event an atypical
large-scale project is proposed, the individual work order for the project may designate
that a higher liability policy be obtained.
5) Additional Insured — The City is to be specifically included as an additional
insured. Consultant's insurance including that applicable to the City as an Additional
Insured shall apply on a primary basis and any other insurance maintained by the City
shall be in excess of and shall not contribute with Consultant's insurance. Consultant's
insurance shall contain a severability of interest provision, providing that, except with
respect to the total limits of liability, the insurance shall apply to each Insured or
Additional Insured in the same manner as if separate policies had been issued to each.
6) Notice of Cancellation and/or Restriction — Each policy must be endorsed to
provide the City with a minimum of forty-five (45) days notice of cancellation and/or
restriction.
7) Certificates of Insurance — Certificates of insurance evidencing the Insurance
coverage specified in this section shall be filled with the City before operations are
begun. The required certificates of insurance shall name the types of policies provided. If
the initial insurance expires prior to the completion of the work, renewal certificates of
insurance and required copies of policies shall be furnished thirty (30) days prior to the
date of their expiration.
SECTION XVIII — INDEMNIFICATION
The ENGINEER CONSULTANT shall Indemnify and hold harmless the CITY, and the
CITY'S officers and employees, from liabilities, damages, losses, and costs, including, but not
limited to, reasonable attorneys' fees, to the extent caused by the negligence, recklessness, or
intentionally wrongful conduct of the ENGINEER CONSULTANT and other persons employed
or utilized by the ENGINEER CONSULTANT in the performance of this contract agreement.
The CITY shall Indemnify and hold harmless the ENGINEER CONSULTANT, and the
ENGINEER CONSULTANT'S officers and employees, from liabilities, damages, losses, and
costs, including, but not limited to, reasonable attorneys' fees, to the extent caused by the active
negligence, recklessness, or intentionally wrongful conduct of the CITY and other persons
employed or utilized by the CITY in the performance of this contract.
SECTION XIX — SAFETY
The ENGINEER CONSULTANT is responsible for safety training for the ENGINEER
CONSULTANT'S employees and their activities on the CITY'S property and construction sites.
However, in accordance with generally accepted practices, the ENGINEER CONSULTANT
may report any observed job site safety violations to the CITY.
SECTION XX - CHOICE OF LAW AND VENUE
This Agreement shall be governed by the laws of the State of Florida. Venue for any
lawsuit brought by either party against the other party or otherwise arising out of this Contract
Agreement shall be in Indian River County, Florida, or in the event of a federal jurisdiction, in
the United States District Court for the Southern District of Florida. The parties hereto
specifically waive any and all rights to trial by jury.
SECTION XXI - ENTIRETY OF AGREEMENT
This writing embodies the entire Agreement and understanding between the parties
hereto, and there are no other Agreements and understandings, oral or written, with reference to
the subject matter hereof that are not merged herein and superseded hereby. No alteration,
change, or modification of the terms of this Agreement shall be valid unless made in writing and
signed by both parties hereto.
SECTION XXII — SEVERABILITY
In the event any provision, section, or paragraph of this agreement is determined by a
court of competent jurisdiction to be void, illegal, or unenforceable, the remaining portions not
found to be void, illegal, or unenforceable, shall remain in full force and effect.
W TNESS WHEREOF the parties hereto have executed these presents this d14—day of
2012.
AT ST SEAL): THE IVFSEBASTL4,N
_"_� d BySal yA. Maio CMC Anager
City Clerl
Approved as to form and legality for
reliance by the City of Sebastian only:
Robert A. Ginsburg, City ttorney
FOR ENGINEER CONSULTANT: MBV Engineering, Inc.
Attest:
(seal)
By:
Title: ,�'
DRUG-FREE WORKPLACE FORM
The undersigned Contractor, in accordance with Florida Statute 287.087 hereby certifies
that MBV Engineering, Inc.
does:
1. Publish a statement notifying employeeis that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace
and specifying the actions that will be taken against employees for violations of such
prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy
of maintaining a drug free workplace, any available drug counseling, rehabilitation,
employee assistance programs and the penalties that may be imposed upon employees
for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that
are under bid a copy of the statement specified in Paragraph 1.
4. In the statement specified in Paragraph 1, notify the employees that, as a condition of
working on the commodities or contractual services that the employee will abide by the
terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to any violation of Chapter 1893 or of any controlled substance law of
the United States or any state, for a violation occurring in the workplace no later than five
(5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee's community, by any
employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug free workplace through
implementation of Paragraph 1 through 5.
As the person authorized to sign this statement, I certify that this firm complies fully with
the above requirements.
Date:— )( 2
Signature
PUBLIC ENTITY CRIMES FORM
Any person submitting a quote, bid, or proposal in response to this invitation or
Agreement, must execute the enclosed form sworn statement under section 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES, including proper check(s), in the space(s)
provided, and enclose it with his quote, bid, or proposal. If you are submitting a quote, bid or
proposal on behalf of dealers or suppliers who will ship commodities and receive payment from
the resulting Agreement, it is your responsibility to see that copy(ies) of the form are executed by
them and are included with your quote, bid, or proposal. Corrections to the form will not be
allowed after the quote, bid, or proposal opening time and date. Failure to complete this form in
every detail and submit it with your quote, bid, or proposal may result in immediate
disqualification of your bid or proposal.
The 1989 Florida Legislature passed Senate Bill 458 creating Sections 287.132 - 133,
Florida Statutes, effective July 1, 1989. Section 287.132(3)(d), Florida Statutes, requires the
Florida Department of General Services to maintain and make available to other political entities
a "convicted vendor" list consisting of persons and affiliates who are disqualified from public and
purchasing process because they have been found guilty of a public entity crime. A public entity
crime is described by Section 287.133, Florida Statutes, as a violation of any State or Federal law
by a person with respect to and directly related to the transaction of business with any public
entity in Florida or with an agency or political subdivision of any other state or with the United
States, including, but not limited to, any bid or Agreement for goods or services to be provided to
any public entity or with an agency or political subdivision and involving antitrust, fraud, theft,
bribery, collusion, racketeering, conspiracy, or material misrepresentation.
By law no public entity shall accept any bid from, award any Agreement to, or transact
any business in excess of the threshold amount provided in Section 287.017, Florida Statutes, for
category two (currently $10,000) with any person or affiliate on the convicted vendor list for a
period of 36 months from the date that person or affiliate was placed on the convicted vendor list
unless that person or affiliate has been removed from the list pursuant to Section 287.133(3)(f),
Florida Statutes.
Therefore, effective October 1, 1990, prior to entering into an Agreement (formal
Agreement or purchase order) in excess of the threshold amount for category two, to provide
goods or services to THE CITY OF SEBASTIAN, a person shall file a sworn statement with the
Contract/Agreement officer or Purchasing Director, as applicable. The attached statement or
affidavit will be the form to be utilized and must be properly signed in the presence of a notary
public or other officer authorized to administer oaths and properly executed.
SWORN STATEMENT UNDER SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER
AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with Bid, Proposal or Agreement No. RFO 12-06 for
THE CITY OF SEBASTIAN.
2. This sworn statement Is submitted by MBV Engineering, Inc.
(name of entity submitting sworn
statement) whose business address is
1835 20th Street; Vero Beach, FL 32960 and (if applicable) its
Federal Employer Identification (FEIN) is 592309095 (If the entity has no FEIN,
include the Social Security Number of the individual signing this sworn statement:
3. My name is Aaron J. Bowles, P.E. (please print name of individual
signing) and my relationship to the entity named above is
Vice President
4. 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes,
means a violation of any state or federal law by a person with respect to and directly related to the
transaction of business with any public entity or with an agency or political subdivision of any other
state or with the United States, including, but not limited to, any bid or Agreement for goods or
services to be provided to any public entity or an agency or political subdivision of any other state
or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering,
conspiracy, or material misrepresentation.
5. 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida
Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an
adjudication of guilt, in any federal or state trial court of record relating to charges brought by
indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a
plea of guilty or nolo contendere.
6. 1 understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
(1) A predecessor or successor of a person convicted of a public entity crime; or
(2) An entity under the control of any natural person who is active in the management of the
entity and who has been convicted of a public entity crime. The term "affiliate" includes those
officers, directors, executives, partners, shareholders, employees, members, and agents who are
active in the management of an affiliate. The ownership by one person of shares constituting a
controlling interest in another person, or a pooling of equipment or income among persons when
not for fair market value under an arm's length agreement, shall be a prima facie case that one
person controls another person. A person who knowingly enters into a joint venture with a person
who has been convicted of a public entity crime in Florida during the preceding 36 months shall be
considered an affiliate.
I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any
natural person or entity organized under the laws of any state or of the United States with the legal
power to enter into a binding Agreement and which bids or applies to bid on Agreements for the
provision of goods or services let by a public entity, or which otherwise transacts or applies to
transact business with a public entity. The term "person" includes those officers, directors,
executives, partners, shareholders, employees, members, and agents who are active in
management of an entity.
8. Based on information and belief, the statement which I have marked below is true in relation to the
entity submitting this sworn statement. (Please Indicate which statement applies.)
X Neither the entity submitting this sworn statement, nor any officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in management of the
entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime
subsequent to July 1, 1989.
The entity submitting this sworn statement, or one or more of the officers, directors,
executives, partners, shareholders, employees, members or agents who are active in management
of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime
subsequent to July 1, 1989, AND (Please indicate which additional statement applies.)
There has been a proceeding concerning the conviction before a hearing officer of the State
of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did
not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final
order.)
The person or affiliate was placed on the convicted vendor list.
There has been a subsequent proceeding before a hearing officer of the State of Florida, Division
of Administrative Hearings. The final order entered by the hearing officer determined that it was in
the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a
copy of the final order.)
X The person or affiliate has not been placed on the convicted vendor list. (Please describe
any action taken by or pending with the Department o7!z�-
(Signature) Services
Date: - 12
STATE OF FLORIDA
COUNTY OF Indian River
The foregoing instrument was acknowledged before me this 8th day of Jules_ , 2012 by
Aaron J. Bowles, P.E. Vice President (title) on behalf of
MBV Englneerin-, nc. (name of partnership), a partnership. He/she is personally know to me or has
produced as identification and did N did not ( ) take an oath.
JESSICA HAWKINS
MY COMMISSION # EE 003307
EXPIRES: October 22, 2014
Bonded Thru Notary Public Underwriters
Nime: �SI (C
My Commission Expires:
Commission Number.
Page 1 of 1
Jean Tarbell
From:
Aaron Bowles [aaronb@mbveng.com]
Sent:
Wednesday, August 08, 2012 9:41 AM
To:
Jean Tarbell
Cc:
'Joan Barcus'; 'Todd Howder'
Subject: MBV rates
Jean,
As per our discussion, please see below for our hourly rates. Should you have any questions, please let me
know.
Principal / Sr. Engineer II
Sr. Engineer I
Jr. Engineer
Sr. Technician/ Sr. Inspector
Jr. Technician/ Jr. Inspector
Administrative II
Administrative I
Thank you.
Aaron
Aaron Bowles, P.E.
Vice President I MBV Engineering, Inc.
1835 20th Street I Vero Beach, Florida 32960
P: 772.569.0035 xl 13 F: 772.778.3617
aaronb@mbveng.com www.mbveng.com
Ini
M13V
ENGINEERING, INC
Florida
Environmentral
Consulting, Inc.
8/8/2012
j INDIAN RIVI-Ai SURVI'v, INC.
Oki
r`
$150 Per Hour
$135 Per Hour
$120 Per Hour
$105 Per Hour
$ 80 Per Hour
$ 70 Per Hour
$ 55 Per Hour
/Ata R 7 CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDl
�CERTIFICATE
8/3/20121
THIS 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 poilcy(les) 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).
PRODUCERE
T Rebekah Swann
Closson Insurance Agency, LLC
PHONE (407)89B-2211 FAX taoT)ese-lase,
P.O. Box 547275
ADDREg:rswann@clossoninsurance.com
INSURE S AFFORDING COVERAGE NAIC M
Orlando FL 32854-7275
INSURERA:Landmark American 33138
INSURED
INSURER B.Brid efield Employers 10701
MBV Engineering, Inc.,Indian River Survey Inc.
INSURERC: Lloyds of London.
Florida Environmental Consulting, Inc.
INSURER D:
1835 20th Street
INSURER E:
Vero Beach FL 32960
INSURER F:
COVERAGES C;tRT IFICATE NLIMBER:2U1Z-2013 Master REVISION Nt IIIIIRGb•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANDING 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
TYPE OF INSURANCE
ADDLSUBR
AUTHORIZED REPRESENTATIVE
POLICY NUMBER
POLICY EFF
MMIDDNYYY)
POLICY EXP
fMMfDDIYYYn
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE g 1,000,000
X CED
OMMERCIAL GENERAL LIABILITY
DAMAGE TO
PREM oNT e c $ 100, 000
A
CLAIMS -MADE OCCUR
BA171438
6/14/2012
6/14/2013
MED EXP(Any one son) $ 5,000
PERSONAL&ADV INJURY E 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG t 2,000,000
X POLICY JFQT PRO- LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ee accident)
ANY AUTO
BODILY INJURY (Par person) E
ALL OWNED SCHEDULED
BODILY INJURY Per accident S
( )
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS(Per
PROPERTY DAMAGE
S
acciden1
S
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE $
EXCESS LIAR
CLAIMS -MADE
AGGREGATE $
DED RETENTI N $
$
B
WORKERS COMPENSATION
VJCSTATU- OTH-
X
AND EMPLOYERS' LIABILITY YIN
Y LIMIT,ER
E.L. EACH ACCIDENT $ 100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N I A
(Mandatory In NH)
30-42309
6/14/2012
6/14/2013
E.L. DISEASE - EA EMPLOYE $ 100,000
It yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT 1 E 500,000
C
Professional Liability
PGIARKOIBB200
04/16/2012
4/16/2013
Each Claim $1,000,000
Aggregate $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required)
/�C�TILI/�I�TG IJAI t��ef
-------, � i VUU-2010 ACORD CORPORATION. All rights reserved.
INS02F omni,) m Tho Ar.nRn name, anrt Inn^ aro r -1—}—A mark, of Arnpn
vl-,1 � V G.LLM 1 1 V fY
City of Sebastian
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1225 Main Street
Sebastian, FL 32958
AUTHORIZED REPRESENTATIVE
Lenise Zika/RLSit'-
ACnPn 95 19n1 n1rim
_
-------, � i VUU-2010 ACORD CORPORATION. All rights reserved.
INS02F omni,) m Tho Ar.nRn name, anrt Inn^ aro r -1—}—A mark, of Arnpn