HomeMy WebLinkAboutCity of Tamarac Resolution R-2008-152Temp. Reso. #11494 - September 29, 2008
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CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2008- `6-;
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA, AUTHORIZING THE
APPROPRIATE CITY OFFICIALS TO APPROVE THE
PURCHASE OF PYRAMID SHADES FOR TAMARAC
COMMONS PARK AT A COST NOT TO EXCEED
$16,590.36, FROM SHADE SYSTEMS, INC., UTILIZING
THE CITY OF JACKSONVILLE, FLORIDA BID #SC-
0511-06 PRICE AGREEMENT CONTRACT FOR PARK
AND PLAYGROUND EQUIPMENT; PROVIDING FOR
FUNDING THROUGH THE CURRENT CAPITAL
IMPROVEMENT PROGRAM FUND BALANCE;
PROVIDING FOR CONFLICTS; PROVIDING FOR
SEVERABILITY; AND PROVIDING AN EFFECTIVE
DATE.
WHEREAS, Tamarac Commons Park officially opened to the public on October 3,
2005; and
WHEREAS, Tamarac Commons Park has the potential to become a very popular
facility; and
WHEREAS, a great concern of the patrons at Tamarac Commons Park is the lack
of shade; and
WHEREAS, with the many environmental issues facing us today, including
depleting ozone layer, the dangers of exposure to the sun's U.V. rays, and an increase in
the incidence of skin cancer, people are increasingly seeking shaded areas in public
gathering places; and
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Temp. Reso. #1 1494 - September 29, 2008
Page 2
WHEREAS, a good solution to the lack of shade at Tamarac Commons Park, is the
installation of shade pyramids to shelter our patrons from the harmful effects of the sun's
dangerous U.V. rays; and
WHEREAS, City Code Section 6-155 allows the Purchasing and Contracts
Manager the authority to procure supplies, material and equipment, which are the subject
of contracts with other governmental agencies without following purchasing procedures,
as set forth in Section 6-149; and
WHEREAS, the City Commission of the City of Tamarac, pursuant to Section
166.241, Florida Statutes, desires to budget and appropriate an amount not to exceed
$16,590.36 from the Capital Improvement Program Fund balance; and
WHEREAS, the Parks and Recreation Director and Purchasing and Contracts
Manager recommend the purchase of shade pyramids for Tamarac Commons Park for a
price not to exceed, $16,590.36, from Shade Systems, Inc., utilizing the City of
Jacksonville, Florida Bid #SC-0511-06 Price Agreement Contract for Park and Playground
Equipment; and
WHEREAS, the City Commission of the City of Tamarac, Florida, deems it to be in
the best interest of the citizens and residents of the City of Tamarac to approve the
purchase of shade pyramids for Tamarac Commons Park for a price not to exceed
$16,590.36, from Shade Systems, Inc., utilizing the City of Jacksonville, Florida Bid #SC-
0511-06 Price Agreement Contract for Park and Playground Equipment.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF
TAMARAC, FLORIDA:
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Temp. Reso. #1 1494 - September 29, 2008
1 Page 3
SECTION 1: That the foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this
Resolution.
SECTION 2: The purchase of shade pyramids for Tamarac Commons Park for a
price not to exceed $16,590.36, from Shade Systems, Inc., said quote attached hereto as
Exhibit 1, utilizing the City of Jacksonville, Florida Bid #SC-0511-06 Price Agreement
Contract for Park and Playground Equipment, attached hereto as E�hibit 2, is hereby
approved.
SECTION 3: It is hereby found and determined that the proposed funds pursuant to
Section 166.241, Florida Statutes, the City Commission hereby budgets and appropriates
an amount not to exceed $16,590.36 from the Capital Improvement Program Fund
balance.
SECTION 4: All resolutions or parts of resolutions in conflict herewith are hereby
repealed to the extent of such conflict.
SECTION 5: If any clause, section, other part or application of this Resolution is
held by any court of competent jurisdiction to be unconstitutional or invalid, in part or
application, it shall not affect the validity of the remaining portions or applications of this
Resolution.
1-1
Temp. Reso. #11494 - September 29, 2008
Page 4
SECTION 6: This Resolution shall become effective immediately upon adoption.
PASSED, ADOPTED AND APPROVED this �� day of A! '- ;' 2008.
BETH FLAN BALIM- ALABISCO
ATTEST: MAYOR
MARION SWENSON, CIVIC
CITY CLERK
I HEREBY CERTIFY that
I have approved this
RESOLUTION as to form.
W/
SAMUEL S. GgrftN
CITY ATT EY
RECORD OF COMMISSION VOTE:
MAYOR FLANSBAUM-TALABISCO
DIST 1: COMM PORTNER
DIST 2: COMM GRA15-
DIST 3: V/M SULTANOF
DIST 4: COMM. DRESSLE
1
09/24/ 006 09:34 95497112OG SHADE SYSTEMS INC PAGE 0
Temp. Reso. #11494 — Exhibit 1
Shade—Ak. 4150 S_W, 19 St. • Ocala, FL 34474 SAES
IN1-800 609-6066 • FAX' 352-237-2256
� E-mail: info@sha,desystemsinc.00m
Web: www.shadesystemsinc.com ORDER
G.
TO: Mr. Lance Moll
City of Tamarac
r' Ilmarac Com ons EArk
Email: lancom@tamam.org
Tel__ 954-597-3634
FAX: 954-597-3640
?`hank you for your interest in Shade Systems,
0TX DESCRIPTION
3 10' x 10' x 8' hi Sin le offset Post
Less: _3% City of Jacksonville ode
EROW Alan Bayman.
Cell: 954-260-5339
DATE: September 23, 2008
PAGE: 1 of 1
We are happy to quote the following product(s):
Pyramid Shade
contract discount
Delivery and Installation, including permitting with
rp ofessional engineer -sealed drawings
COLORS: Fabric:
Metals:
EACH TOTAL.
$ 2 796.00 $ 8,388.00
- 251.64
8,454.00 8,454.00
IMPQRTANT TE tIviS & +C DI\1DITIQNS: TOTAL S X6,590.36
• All products quoted are per standard Shade Systems specifications (and attached ho-to with
p )
ground bury pasts and including our easy -to -use Turn-N-Slider" fabric removal god re-
attachment 1f0stenin$ system factory -installed at each corner.
• Includes polyester powder -coat finish on metal components in choice of standard colors shown on
Page 33 of our brochure. Please indicate your color choices in the spaces above.
• While we take care to protect property, no site work, concrete cutting, landscaping, or replacement
of damaged hardscaping is included.. We are not responsible for any damages to underground
utilities or irrigation lines, nor for replenishment of any damaged sod or landscaping due to heavy
equipment access. Customer is responsible for identifying any underground utilities, and capping
or re-routing same ahead of time. Customer must provide clear access to site for heavy machinery,
including possible removal of certain) fence sections. Customer to provide a current survey of the
site for permitting purposes. .
• Permitting submittals to include our standard professional engineer .sealed drawings and
calculations only. Any additional building department requests which require the services of a
professional engineer will be charged at said engineer's normal hourly rates. Permitting does not
include any "community appearance board" or other zoning requirements, nor does it include any
soil testing. If the building department has such requirements, we will quote additional charge to
comply with same.
• Prices quoted are valid until October 31, 2008. Current shipping schedule is estimated at 3 to 4
weeks after issuance of permit. Terms are net 30 days with municipal purchase order.
ABOVE APPROVED AND ACCEPTED:
By signing below, Buyer accepts the terms and oonditions of this Sales Order and directs Shade Systems to provide
the products listed for the amounts shown. Buyer agrees to pay to the seller interest on accounts past due at a rate
of 1.5M per month or the maximum allowed interest rate by applicable law, whichever is lower, all collection costs
including attorney's fees, and other costs involved in the collection of any accounts pest due. Buyer agrees this
order is not cancelable.
BY: TITLE: DATE:
Temp. Reso. #11494 -Exhibit 2 �V,�r Ak �W
DEPARTMENT OF PUBLIC'WORKS
Ic
0 In, It
Where Floes& Begins.
April 8, 2008
Shnde systems, Inc.
Attn: Alan Bayman
4150 SW 19th Street RGPoa--- More . r,lp.rJ A .
Ocala, FL 34474
Bic: OSC-051 1-06 Contract Renewal Agreement
Second Option P nowal
Price Agreen-lE:nt Contract for Park and Playground Equipment
The undersigned authorized representative of the company above agrees [V
/dogs riot agre(:,, 0 to exercise a renewal option of SC-051 1-06 for the period of
June 1, 2008 through May 31, 2009, understanding that no other terms of the
C': rlliact Chang , including discount percentages submitted for the original bid -
If the renewal option is exercised, the undersigned further agrees to rnaintcain
insurance coverage as set forth in the original bid and to submit a Workman's
Compensation insurance certificate showing the city as additional insured with
this renewal document.
Return this signed option renewal and the C.atolog/pricing information for the:
ret)e.wal pe iiod no Inter, than May 9, 2008 to:
City of Jacksonville
Ann Brackin
214 N Mogan St
IOt', Floor
Jacksonville, i'L 32202
Printed Name.
Signature: ._._..._.
' i 1 `ollh 1 lo12-:11 >trczt J''Awi wi11C. 1 1.:322QG 11hnw: 904.255.9797 1'ax: 90-1.255.8920 �tiw� .cnj.nrl
BI.1.) F()ItM
1)A F. 4 ...2.4/200-6 City of.lacksonville {ZEQLAE:ti'I'•IO RID Nt). tit.'-I1511-.06
{)f (71e tl Tlf IlI A Prtw mk l)will
111E 1,ORM MUST BE SIGNED AND 1,IV(. t,1I1?te,t) tN till) �titlMt�s°�t1;1i�3
CONI NA1'r'I14" AN1) A1.)1)RV'SS Stll3MIT lull) IN t)UI'l..l('A`t E
Shane Systems, Inc.
4"350 N.W. 19 Ave. Unit G r'Illnttll)WII.I.IiI t)Ir:N{.�►(IN t�tl t� latta�
2M) P.M. IN C ONFVRENCE,, ROOM C, 1.11IR{) FLOOR, t I'T'Y IIAI.I-
Pompano Beach, P1., 33064 RES (:)NSE.(S)•TC)ttlr)MOSTOF LN INK f:DRTYPPWR1'I"IEN
1-11 ISSNrt BUYk It SaalttlY Aver cl{ PHONE (904) 630 t 98
_....,........ ._.. _.... .........----- --
I1I1>._Y I�N.RM OF t�():VY14a `]
NONE 01her
SUI'rply COTItr:141 from Jrtne 1, 2000 thm May 31, 2007, wtih two (2) ow(1) year rcntwtal optionti.
_.. _.... ..... .,.m................__
4iI�11 N { I Ef}{IN{tF {'ERF�t){d�'1r�NC""�: IfiOND
Lite i3ati,m- 1Ce<lrtircd 'cW''ith Bid None Re µ actl
.... ........
I ItS V 11 i [ ro F"t)f t.I11W{d, hl. 1'dQ11112.1{ ti 1c (it*d l A'_
(Jlr rntilie's Indicated cc:Ikesct the 1piwomin w (1wrt6mes to bra purc:ha%ed throughout coraraac t N yrlar'e tialls�ver
pcnwt and me ;uhj(ct to 11ul.tct,arions in ,actM:cardxwe wick ncimil wgmre-,ments. 11 (e904) 630 3595
At FM.`Y: Parks, Reercatiun and Entertainment Department
PRICT A(;1tI+MI(H I CON]RACT FOR 1'tr+RK AND P1..,lYGRC11.1ND EQUIVNIENY, Af,rr{{ t N4I1..N"1 W1lA, lily IN AC (,,'()1C1)AN('I.' W1"111
A] 1'ACI II I) fk'-1i.Iti S &, t.°£)N1:1I"1'I()I i a, 1'1 (; t1 {('A"f1C)N5 AND 611) {'1{t)POI Al. 101 MIS..
IWO,'; (A AWARD MUTA IPLE AWARD TO ALL (;)I.IAI..IFIFI), RFSPONSITJL V NOORS.
'I'1 rtMS C.)t PAYIWIt NTI N1OR %DISCOUNTt DAYS
(PS OVIYO 01111 R I) / Y11V!1Ik101>`O1fSYIAN 30 DAYSWILL NOT IIP V.IV MAK.RV('f ifi11a P
Bidder's "extlficasion Mattrial bi V,O-W1)cliveiali�._waricarxa{)nark,Ice,rticerrsthruu�(luitlrc.kaoeav„a[Ic,,t,l„
Cie live t') roa'tNl he nr.adc in 45 tuasltresx days frofe t receipt of plircl)ase ()relit'.
(rr !
C
Wr imve° ece ujvcvl,a(Menda l larulwlivela tiat.,rtalerre° cyf"Ant ri .cd Othctir rlf I irr'n Dude
011a,nrpth Alan Rayman, President 954/9 71 --6066 x1 01 9:54 Jf� 71 -
Prim tmfivkhml'; Name &- "rifle I'hunc Nurrd.Ier 1^stc Natsrrle@ s� (1
1`0101 Coro-102, I&Yesed 6/1998
PROPOSAL, li'[)RM
PRICE
PA" AND PLA'k"(.rltt:)l_lND EQtJlll'°AENT
RID NO. SC--051 1 -06
flDI)FIR ..... Shade Sy.t", fno.. _.__...__..
Nf;)l.)Rf ISS 4350 N.W. 1_��..._ Avenue, .__.Unit ._...._.__. .
::ITY, STATE, ZIP CODE' Pompano Leach, FL 33064
'Il()N 954%971-6066 x101 F11.);# 42--1571783
I:; MAIL, st.iadcs,ys tenis@corracast . net
NJ'AC;"1" ICI, Mf::^,( i)... _ :.. _n Baymay)
t. 13:tC:) : ER CA"C'ALOC'.: Hixe(l I)ercet►t,,ige ttisc43tirrt
111ticic;r Shad Systems, Inc.
Discount off` list f.ar'icc.,..,....... 3
hist.zall3atitan. Fixed percentage of -cost (after discounts) 1 20
2_ >' I Nt.Jt+'AC'I°tJtt.C,1 (."A'I'A[,O(,S: 1;'ixet.l pci-cent;i a disec'tarwt
�fraratafarc;tarry Shade Systems, Inc.
Fixed Percerrt:rge Discoulit off MSIU, '!4
----.___..................................�... �._.. �._..._...... ....... .... .._.... ..................._......._�. }
lrastrallat-tow Fixed percentage of cost (afler discounts) of eclariprarc.rrt 1,211..Q `%>
Manatf aclurcr.
Fixed Ilermit ag;e Discount off MSR.1'
Inste.allatiorr: Fixed percerrtal,e of cast (*after disc:ourrrs) ofcquiprraertt "ro
2. MANUI,AC°I`C.JRE' CATAl.O .S: Fixed perc.entager discoutrt (C.ON°l'INUFD)
1¢ PA .Z 14.1NT O F Fitt ICAJ R F M F,NT
tC")TJ(,.'A'F10N c:)Ia AW. RI) AND RE:LA'.1 I'li AC"I,IONS
I):VVE: 6/14/200 r
ADDRESS, SHADE SYSTEMS, INC
ATTN: ALAN BAYMAN
4350 N.W. 19 AVE., UNIT G
POMPANO BEACH, FL 33064
I#II)#1 SC-0511-06
PRIG AGREEMENT CONTRACT FOR PARK AND PLAYGROUND EQUIPMENT
I . Idica Y rcnt Ic,rlacrl:
You Tali' c1 Nuc:c:csslul hic.del oil iht: above refs rcriccc:I bid. Rid is Icc:cptc:d
sublec't to tile: Mills, conditions and stilnalc Molls in our spc°citic 111 an1:,
I'ei tot•Int:Inc:'i: Bond III the tlrtxrclnt Of $ (os r c'gmr'c / in 1/1"
rrri�rirurl f;r°r0i,rrc°%rrr,: } artist ke retttr`trc:d within 10 clays lr.a>rrr rc•c•c°il)l 0i
this nolii is at:ioll. (Plea -se include hid nurither on pe ifin'tnerrrce hond remilrcrrrc r)
(..'ON I'I2M°T W.K. (INIU'N'I'S OR I'1.*C1IA1-k' ^; ORDER TO F<)I LO'kV.
7.111S 18 ;V(17'AN (11d1M'R,
AS PER ATTACHED AWARD DOCUMENTATION. PLEASE PROVIDE COPY OF
INSURANCE CERTIFICATE AS REQUIRED IN BID PACKAGE.
�incc�rcIti.
ei
SANDY AVERELL
You arc. not I Suciessllll hic.Icl;cr. Bids are aN.allablc 1,or inspection ill the
00partment of' Illoctrrcnunt.
Btd securilN is hcrcwth rchinicd: t..heck ii AIxlmrni
tit. ,lames (Aly 11,01, 117 West Diavael street, suila° 115
Jacicrrmr ilic, Flirridaa .42202
1'timier (904)(00-1184 I a x: (904)030-2.151.
I t.IRNI (M, 110, Ito ked 11200.'
SUBJEC.-T: PRICE AGREEMENT CONTRACT FOR PARK AND PLAYGROUND EQUIPMENT
BID# SC-0511-06 OPEN DATE: 4126/2006
GENERAL GOVERNMENT AWARDS COMMITTEE
KIND AND BASIS OF CONTRACT:
SUPPLY CONTRACT- EFFECTIVE JUNE 1, 2006 THROUGH MAY 31, 2007 WITH TWO (21 ONE (1 ) YEAR RENEWAL
OPTIONS
FOR: RECREATION
BASIS OF AWARD- MULTIPLE AWARD TO ALL QUALIFIED BIDDERS
NUMBER OF BIDS INVITED 35 NUMBER RECEIVED 35 0-1-HER 4
.�lli�iii5►y�7'IN w N i• 11 i1 1 s •
R1t: OMMEND APPROVAL TO AMEND THE CONTRAC T TC) IN(I LJf::)f ('00PI,' RATIVE PURCHASING I..ANGAJAG11
Vtrl ICiI WILL Al. -LOW OTHER GOVERNMENTAL. AGENCIES TO UTII,. /E "IHE CONTRACT,
UPON CONCURRENCE I: ROM THE VENDOR, ALL PRODUCTS AND/OR SERVICES UNDER I'HIC CON] IRACT (soiAL.I..
IN::: MAf:}I::: AVAII...ABL F TO ANY MUNICIPALITY, COUNTY OR SIAff GOVI=RNNIFNT; PUBLIC LTHI...I I Y; NON PROFI-f
1A)SPI'IAL; FOUC:;AI IONAI INS I I I U1 L.; OR SPECIAL, GOVERNMENTAL AGENCY, UNDER rHE SAME IF RMS,
C ONDI I1()NS, AND PRI(:INC:=,.
A'F i A(.:fiML:N f: ORIGINAL.. AWARD
BUYER:
RESPECTFULLY SUBMITT; ID:
SANDY VEREL,L. Devil) _1. fired, Direutcyr'
CONCURRENCE BY: ROBERT WICKER CONTRACT COMPLIANCE
................
{ALL AWARD ACTIONS SUBJECT TO AVAILABILITY OF FUt�11SI"'
...
ACTION OF AWARDS COMMITTEE ON RECOMMENDATI0W'A iOVE;
MEMBERS APPROVING MEMBERS DISAPPROVING TE:.
...
C"itill"' /..
t OTIT
...... .�.
ACT OF AWARDING; AUTHORITY DATE:
Ar'1yROVf::: D DISAPPROVED
..............
C) FII .R �.
f
�,,'A ..,NA I UP1 OF AUTHENICATION
Roslyn M. Phillips
Deputy Chief Operating Officer FORM e-1nt3, Revised lzrzno t
For: Mayor John Peyton
Urer,f,,r- A,athority of:
Executive 0rder No. 06-03
III;,It C I': I'IZU I; A(.RF.I,.NJ EN l (,:()N'l i{ i(; I I;OR P,,XRK :ANI) IT AA (,I{()(.IN1) 1:()1IIPi -11. N 1
............. .
ii5t I - II(, C:)P1: N D A 1 1,:. 4/261200(i
GENERAL GOVERNMENT AWARDS COMMITTEE
IxI;ND. kN D It,NSlS (:;)I°"t:C)N I'R A("I:
'-AJI'1 LY CONTRA('] Ulf VC}'IVI-'..IL1NF 1, 2000 ` HR()11C ll NI AN' 31. 21007 \\ I'll I'TIVO12) ON V( I ) 1 VA It RU,N1:\VAl:
OPTIONS
1,"OR: )'. KJOl , RIJ RFATION, 1!,14`I LIt,'1'rAINMFNT & CC)N,SF.RVA"I ION DtTAR1'N. lF'iNT
WNS'lS ()1- AA %ARD: NIHA ll'I,I°: ANVAR}) TO All (. U A1,11-'II'D 1tll)DVIZS
Nl';NIBU 1{ ()I, 13lDk, INdVI'I'LW 35 NUNi lItF'R kFC'I't\ I:I): 35 C)1"111 R: I)
\1:\14 V ()1° It1l)ti AN1) ItI":(.'()I\Itil1� N1)1:1) ,1t• TI(. NS.
RECOMMEND APfIRO"VAI., O AWARD ALIT, VFNDORS :LISTED ON THE ATTACHED TABULATION SHEP.,',1:' (f�.'XIII;=iIT ;I )
VOR A SOITRC;F OF SUPPLY TO PI;IRNISII, DELIVER, AND THE :INSTAI.(.A'I.':ION OF PARK ANY) I:'I..AYt",;i C)17tI1}
EQUIPMENT AS h I `iTlo:i) IN `L`HF; (",;A'I°F? I.,OGS SuI 5..I:,1ED I;3Y THE VFNI')(')RS AT DI S(' 0L.7N'I"S I'F(O IDEDON. r3 l T').
'P(.)l'Al, E S,,'1' 1:M S.7 -::1) AMOUNT OF EXPENDITURE,
A'. -VAC HMEN': S : 1.) I: tI<;C:C)MME.NI:}AT1014
2) SCOPE
3) TAD
4-1
..............
"rrANI)1,, VI'.I{IA'l,
t
RII'I^:C 1'I IiI.I.Y til'1;111"1"I'1y,})
.. .... .. .....
De in ,1. Reed. Director
I"r'()a: it i cirr�)rr t. I )r1r:i rtnr� it t
(:"C)N(TRRI:;M. V I:li`: 11111.11',}: B1tUC , DIVISION ('1111lPARK DV l i3OPM1 `d I' DI\ I51()N
(All, ANVARDN A(,'I I(.:);' S SUILII;(,.t t'0 AVAILABILI"1'Y 01 F(.)til)h)
:A(.. I'ION OV AWARDS C'OVIM11 1 .V ON C'I'(1 1{1:C"(14f \'11: VI);A'I'I(.)N.!; rIISC)VU
IA11 4 ,1 1 Itti �t I'ICC)\ IN(Y I\'1I:;111i A6 DISAPPROVING td
I' I I I:; R
�...
........... ...... .................... ......... _..
f / (
;ACA ION OF AWARPIN(v AI!THORI I'l I;lA 1'I: � f�
t �. "
.... „ ..
OTIIER:
AGN,A'1 (flit ()I,AI AlI N°I'Ifi';i I1ON
..... ............... ....... .. .....
Roslyn M. Phillips
t)eputy Chief Operating Officer
For: Mayor John Peytolr
Under Authority of:
Executive Order No. 06-03
FORM GB-108, Revir,,(Al2J2003
Client#., 18071 SHAPESYS
'ACORUM CERTIFICATE OF LIABILITY INSURANCE 05/20/Zoos ""'
PRODUCER THIS CERTIFICATE IS ISSUE6 AS A MATTER OF INFORMATION
Cypress Insurance Group BO-CL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Drawer 9328 HOLDER. THIS CERTIFICATEDOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Lauderdale, FL 33310-9328
954 771-0300
INSURED
Shade Systems Inc, Fabmasters Indust.
Products Inc&Recreation Innovations Inc
4150SW19St.
Ocala, FL 34474
P•Al\/CDArFC
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: FCC[ Insurance Group Inc,
INSURER B; FL Retail Federation Self Insurers F
INSURER C:
INSURER D:
INSURER E:
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INII
LTIi
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM(DD
POLICY EXPIRATION
DATE MM/DDlYY
LIMITS
A
GENERAL LIABILITY
GL00027835
05/13/08
05/13/09
EACH OCCURRENCE
$1 000 000
DAMAGES ( RENTEp
$100 Q00
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
I MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1 000 000
X PD Ded:500
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2 000 000
POLICY 7 z LOG
A
AUTOMOBILE
LIABILITY
ANY AUTO
CA00045615
05/13/08
05/13/09
COMBINED SINGLE LIMIT
(Ea accident)
$1 000 000
> >
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
_
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
-
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR ❑ CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
C
WORKERS COMPENSATION AND
52032040
11104/07
11/04/08
X WCy L MIUG OTH-
E.L. EACH ACCIDENT
$1,000,000
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$1,000,000
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$1,000 000
OTHER
U5 CYO
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS fir►
Workers Compensation applies to Florida employees and operations only. F
Project: Providing Shade Products. City of Tamarac is named additional
insured as respects liability when required by written contract subject to
p,ilicy terms, conditions and exclusions on work performed on the above i 171
project. i9
CERTIFICATE HOLDER CANCELLATION I, -
City of Tamarac Purchasing
Dept-, Attn: Steve Beamsderfer
7525 NW 88th Ave., Room 100
Tamarac, FL 33321
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH,WPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL JA DA-IlORITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
)6&X4 A 4007dl
ACORD 25 (2001108) 1 of 2 #M71928 SM 0 ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5 (2001/08) 2 of 2 #M71928
Florida Retail Federation Self Insurers Fund
t0Pt;F.iS ' (.'l: 1' S N"1 JUST" 1STrUKAWE.,AT'4 ikN INV,STMRNTINTHE FUTUREOF YOUR COMPANY
Since its cstabli hnterit in 1979, the Florida Retail F? ,der.at:ion SelfSn targnx k Farad has been at the
NOforefront of prov).cling outstanding worker;,' compensation solutions for thousands of Florida retailers.
Sponsored by the Florida Rel:ail Federation and prudently rnanaged by third -party adrninistrator Surnni t.
.. € „rlc;ir,l;, Inc_ ,'The N ople Who Know V1 of #ac:"x.s' Cc nip' " the Fund provides a strong and stable work.
s j` mmil cis' comp option for a variety of retail and service related Florida businesses. The following Questions and
„ �,,:
K,.:,.,,,,,H,•,• Answers give, a quit' < overvrrvr of the. program and its benefits.
A: Fecause Fb...nd ?e.Mbc'r',� are self irzsurCd,
they share in the rewards of ket,wrzg, their
wnrkplar.r's safe. aiie Fund h,,rc rr:r r,'ded $99
Million in prerniurn credits and returns to
qualified rnembers over its 28 year history as
well as $154 million in advance discounts. Um
like most traditional workers' canrpenscitinn
insurance coverage, the Fund offers a working
partnership with its imureds to help keep
claims low, costs down and savzr>gs high.
Qeta°'.r i.. °'S8.A9'i: ,
A: Summit, founded m Lakeland, Flar'ida,
over 30 years• uyo, has• managed the Fh) r id;a
Retail Federation `r:lf Insurr:r;; Furrci ;trice
its inception. Suer mit. haadlcs al! day I(' d tv
Operations for the Fl,md our of it., Lakeland
offzcc natbyur?oot oj,stulu;c'rv'iceir'rrtrr
raid each phone rah' to (/1,, cc ntr'r ir; ansv?ered
bl' a pe r;;nn, not a rro(:/i ze. 5lonmit f,: ruses
solely on workers' comp, which is a di ff °rence
business owners recognize and appreciate.
Summit helps hz.zsine,eses piomote a cultive
where' their employees value safety and under
stand its impact on theni and their company.
Summit provides a full support staff of loss
control consultants that works proactively
with Fund members to provide education and
training materials, and assist with drag -free
workplace certification and other programs
that help keep the workplace soft:. Among
other value: added benefits are. aggressive
r1cRms management, f rarad inues'tigation; and
the Back)Work" program designed to help
business owners establish a return -to -work
cialrure.
A: All claims management services are per
fcrrmr'd by Summit wWjf urld include:
■ lts own ronrrcrcterl prcnridr. r net work built
solely for worker.,` corn p---not a leased
health care network and certified by the
Florida Agency for Healthcare Adminis-
tration. Summit has the largest workers'
compeiisanorz network itiFlorida with
more than 6,000 io state prol:,iders, who
are fully crcdent.ioled, boaz-d ce?rt.ified and
focused on getting injured workers back on
their feet and bark to work;
■ On staff medical processionals two
licensed medical doctors and 25 nurse case
managers on staf f ro review claims and
oversee injured worker mt°dirril treatment;
and
• Agency liaisons who work with Fund mem
hers and their insurance. agents to discuss
r r ! 1.%,1!r'r: le: ir.ioi : and r, lr,•l, <,a
it ,: Ii:; .. II n.,^a,!' t h f I'. P. r, erlrf ...S
'v In; €I It '.\'t t :.,:df I ,1 dlw lL IU•r; quit,
r,i `.ti' : Ii , ,l it at.
ri;, , !,... I .,.,in,,, ri N I Ira':.;
f rj,;ace- II?
1 ....ni,;, L.., ,.,..... ill,, Pl..;
claims and to develop workable claims
resolution plans fur t he Fund member',s
carnp(.1rty.
Plus, the average caseload of each Summit
adjustor is just .100 to .120 claims, which is
below industry average. And lower caseloads
mean more personal attention for the insureds
and their injured workers.
()l:.b)w s:rr.r:r fiaaviracw wens join 0)l ;, Florida
R-to l S eder;aOon Self Insurers Frond?
A. 'The Fund is marketed through more than
3,000 independent insurance agents across
the state. Florida business operators should
ask their insurance representative or call Sum-
mit at .1.800.282.7648 or 1.863.665.6060
for a list of agents in their area.
i4 :r „i i, Sr li h... I ,!, F 1,,:c l:, ,a , :aCd . t- ,Ir.. na:. n .4,r r•. •: rrcer�'
r c, f,r.! M1ia I etarlsis ccr here !h�u Jt r,•.:. r. I ., ,nett:
i nit. ie, nr,ll.. i61v,idrrnn';I,r,.lu::i, re i rr..a,,.in.I ,.(.;..lri.c+.
..r�.€ ha, .,, ir•:'. .t , !f•rr ..il n (;, u,i .,�.te'r:
r r.c�:. .din:'t!i,NJ.!ro
i .rr f .,id ingY,1 ,le, r; nrr,I
...... W. "Hill" Rued r,t.. .lr., CAE, Chairman
Florida RSA- l FF'eednration Self Incarerc Punk 'trustees, Sun City Center, Fl,