HomeMy WebLinkAboutCity of Tamarac Resolution R-2006-200Temp Reso #11069
September 22, 2006
Revision #1 October 11, 2006
Page 1 of 4
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2006-,Q0
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF TAMARAC, FLORIDA, AUTHORIZING THE
APPROPRIATE CITY OFFICIALS TO EXECUTE AN
AGREEMENT BETWEEN THE CITY OF TAMARAC AND
MICHELE MELLGREN & ASSOCIATES, INC. TO COMPLETE
THE EVALUATION AND APPRAISAL REPORT (EAR) BASED
AMENDMENTS AND UPDATE TO THE CITY OF TAMARAC
COMPREHENSIVE PLAN (CASE NO.16-MI-06); PROVIDING
FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, on April 27, 2005 the City of Tamarac City Commission approved
Resolution No. R-2005-75 authorizing the award of LOI 00-06L (incorporated by reference
and on file in the office of the City Clerk) to Michele Mellgren & Associates, Inc. to complete
the Evaluation and Appraisal Report ('EAR'); and
WHEREAS, the 'EAR' evaluated how successful the City was in addressing major
land use planning issues through implementation of its Comprehensive Plan; and
WHEREAS, the 'EAR' was found sufficient by the Florida Department of Community
Affairs on June 23, 2006; and
WHEREAS, the 'EAR' evaluated how successful the City had been in addressing
major City land use planning issues through implementation of its Comprehensive Plan
through inclusion of a community profile, an inventory of resources, and funding strategies
for improvements to give staff and City Commission members needed data to formulate a
thoughtful and progressive direction for future action; and
Temp Reso #11069
September 22, 2006
Revision #1 October 11, 2006
Page 2 of 4
WHEREAS, due to statutory requirements, the City of Tamarac intends to
implement the recommendations of the 'EAR' and the City of Tamarac Comprehensive
Plan, and this requires certain professional services; and
WHEREAS, the firm of Michele Mellgren & Associates, Inc. prepared the original
City of Tamarac 'EAR' in 2005 and has a high degree of familiarity with the 'EAR'; and
WHEREAS, City Code Section 6-151 provides that the City may enter into
agreements for professional services without public competitive bidding or proposals; and
WHEREAS, the City of Tamarac received a proposal (attached hereto as Exhibit
" 1 ") from the firm, Michele Mellgren & Associates, Inc. for a scope of services regarding
the 'EAR' based amendments; and
WHEREAS, it is the recommendation of the Interim Director of Community
Development and the Purchasing and Contracts Manager that the appropriate City Officials
execute an Agreement between the City of Tamarac and Michele Mellgren & Associates,
Inc. for the 'EAR' based amendments for a total cost not to exceed $125,000.00 (attached
hereto as Exhibit "2"); and
WHEREAS, the City Commission of the City of Tamarac, Florida deems it to be in
the best interests of the citizens and residents of the City of Tamarac to authorize the
appropriate City Officials to execute an Agreement between the City of Tamarac and
Michele Mellgren & Associates, Inc. to complete the'EAR' based amendments and update
to the City of Tamarac Comprehensive Plan.
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1
1
Temp Reso #11069
September 22, 2006
Revision #1 October 11, 2006
Page 3 of 4
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA:
SECTION 1: 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: That approval for the appropriate City Officials to execute an
Agreement between the City of Tamarac and Michele Mellgren & Associates, Inc. to
complete the 'EAR' based amendments and update to the City of Tamarac Comprehensive
Plan for a total cost not to exceed $125,000.00, is HEREBY GRANTED.
SECTION 3: All resolutions or parts of resolutions in conflict herewith are
hereby repealed to the extent of such conflict.
SECTION 4: 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 in
application, it shall not affect the validity of the remaining portions or applications of this
Resolution.
Temp Reso #11069
September 22, 2006
Revision #1 October 11, 2006
Page 4 of 4
SECTION 5: This Resolution shall become effective immediately upon its
adoption.
PASSED, ADOPTED AND APPROVED this day of n�bej�: , 2006.
RECORD OF COMMISSION VOTE:
MARION SW SON, CMC MAYOR FLANSBAUM-TALABISCO
CITY CLERK DIST 1: V/M PORTNER
DIST 2: COMM ATKINS-GRAD
DIST 3: COMM. SULTANOF _
DIST 4: COMM. DRESSLER
I HEREBY CERTIFY that
I have approved this
RESOLUTION as to form.
1
EXHIBIT "J}' TEMP RESO #11069
�ELE MELLGREN
SSOCIATES, INC.
Professional Planning, Zoning
and Land Use Consulting Services
September 11, 2006
Deborah Ross, AICP
Planning & Zoning Manager
Community Development Department
7525 NW 88`" Avenue
Tamarac, Florida 33321
Re: EAR -Based Amendments
Dear Ms. Ross:
,0t1mt1i,! Tr PF_vEI.0PME14,.
T
S'�--P 1 6: 4 ii MICHELE C. MELLGREN, AICP
1'resident
In follow up to our successful completion of the EAR for the City of Tamarac, I am
pleased to provide you with this scope of services and related fee. Our approach
to updating the Comprehensive Plan consists of five broad steps. We will
consistently work closely with City staff to ensure that the final product reflects
the general direction and policies of the City. The five steps are as follows:
The first step in updating the plan includes updating all of the data and analyses.
Next, we will coordinate with the City to update all applicable maps.
In the third step of the process, we will amend the Comprehensive Plan to reflect
changes that have occurred in other governing regulations and plans. This
includes changes to Ch. 163 of the Florida Statutes; Rule 9J-5; the State
Comprehensive Plan; the Regional Policy Plan; and, because of our unique
charter form of government, the Broward County Comprehensive Plan.
The next step we take in preparing the EAR -based amendments is to make all of
the changes recommended as a result of the EAR.
Finally, we will update all of the goals, objectives and policies to ensure that the
Plan provides a current and relevant guide to the City for future growth and
development.
Through this process, we will work with the City to determine that the
Comprehensive Plan is financially feasible as required by SB 360. We will also
incorporate the capital improvement plan which must be updated by the City by
the end of this year, as well as address water supply planning.
6555 Nova Drive ♦ Suite 305 ♦ Fort Lauderdale, FL 33317 ♦ 954-475-3070 ♦ Fax: 954-475-9550 ♦ www.mmaplanniiig.com
Florida statutes provides that local government have 18 months from the time the
EAR is found sufficient to adopt all of the EAR -based amendments. Tamarac's
EAR that we prepared was found sufficient by the Department of Community
Affairs (DCA) on June 23, 2006. The EAR -based amendments, therefore, are
due December 23, 2007.
While a year and a half appears to be ample time to complete the task, note that
the amount of time available to the City is actually far less because the draft
document must be received by the DCA 235 days before the adoption date in
order to meet the adoption deadline. The 235 days is comprised of 70 days for
DCA to review the draft and provide comments; 120 days for the City to address
the comments; and, then 45 days for DCA to find the document "in compliance".
Note that the 235 days does not even include public hearings at the City. Since
the City's EAR was found sufficient in June of this year, we now have less than
six months to complete the EAR based amendments.
As with the EAR, we will undertake this work on an hourly -not -to -exceed basis for
a maximum amount of $125,000. 1 am hopeful that, like the EAR, we will be able
to realize a cost savings for the City.
We look forward to working on this project for the City of Tamarac, and will
commence work as soon as we receive a written authorization to proceed. In the
interim, if you have any questions or need additional information, please do not
hesitate to contact me.
Sincerely,
y
t
Michele C. Mellgren, AIC
Y. .
EXHIBIT 112" TEMP RESO #11069
City of Tamarac Purchasing & Contracts Division
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I1W.-T LT t 4M
BETWEEN THE CITY OF TAMARAC
AND
MICHELE MELLGREN & ASSOCIATES, INC.
THIS AGREEMENT is made and entered into this Z day of Oc' o 3e ,
2006, by and between the City of Tamarac, a municipal corporation with principal offices
located at 7525 N.W. 88th Ave., Tamarac, FL 33321 (the "City") and Michele Mellgren &
Associates, Inc., a Florida corporation with principal offices located at 6555 Nova Drive,
Suite 305, Davie, FL 33317 (the "Consultant") to provide for an update to the City's
Comprehensive Plan in response to the results of the Evaluation and Appraisal Report
(EAR) for the City of Tamarac found to sufficient by the State Department of Community
Affairs.
Now therefore, in consideration of the mutual covenants hereinafter set forth, the
City and Consultant agree as follows:
1. The Contract Documents
The contract documents shall consist of this Agreement and the Proposal Letter
dated September 11, 2006 from Michele Mellgren & Associates, Inc. attached hereto as
Exhibit A, including all conditions therein, (including any General Terms and Conditions,
Statement of Work or any other provisions contained with the document), any and all
addenda, Proposal executed and submitted by the Consultant, specifications, bond(s) (if
applicable), and insurance certificate(s), the City Resolution awarding the project, and all
modifications issued after execution of this Agreement. These documents form the
Agreement, and all are as fully a part of the Agreement as if attached to this Agreement or
repeated therein.
2. The Work
2.1. The Consultant shall perform all work for the City required by the contract
documents as set forth below:
2.1.1 Consultant shall furnish all labor, materials, and equipment necessary
to complete the work as described in the Scope of Services delineated
in Exhibit A required to integrate the results of the recent Evaluation
and Appraisal Report (EAR) in to the City of Tamarac Comprehensive
Plan.
2.1.2 Consultant shall provide the Deliverables as specified in Exhibit A
according to the terms and conditions therein.
2.1.3 Consultant shall comply with any and all Federal, State, and local laws
and regulations now in effect, or hereinafter enacted during the term
of this Agreement, which are applicable to the Consultant, its
employees, agents or subconsultants, if any, with respect to the work
F T
cll y of T�arnarac Purchasing & C ntr�ids Division
and services described herein.
3. Insurance
3.1. Consultant shall obtain at Consultant's expense all necessary insurance in
such form and amount as specified in the original Request for Letters of
Interest document or as required by the City's Risk and Safety Officer before
beginning work under this Agreement including, but not limited to, Workers'
Compensation, Commercial General Liability, and all other insurance as
required by the City, including Professional Liability when appropriate.
Consultant shall maintain such insurance in full force and effect during the life
of this Agreement. Consultant shall provide to the City's Risk and Safety
Officer certificates of all insurances required under this section prior to
beginning any work under this Agreement. The Consultant will ensure that all
subconsultants comply with the above guidelines and will retain all necessary
insurance in force throughout the term of this agreement.
3.2. Consultant shall indemnify and hold the City harmless for any damages
resulting from failure of the Consultant to take out and maintain such
insurance. Consultant's Liability Insurance policies shall be endorsed to add
the City as an additional insured. Consultant shall be responsible for
payment of all deductibles and self-insurance retentions on Consultant's
Liability Insurance policies.
4. Schedule
The work to be performed under this Agreement shall be commenced after City
execution of this Agreement. The Amendments to the Comprehensive Plan shall be
completed by December 23, 2007.
5. Contract Sum
The Contract Sum for the above work shall not exceed One Hundred Twenty -
Five Thousand Dollars ($125,000.00), as delineated in Exhibit A.
6. Payments
The Consultant shall submit to City written invoices for services provided on a
monthly basis, and shall submit the work products produced as backup for the invoices.
The City shall pay the Consultant for work performed subject to the specifications of the job
and subject to any additions and deductions by a written change order. All payments shall
be governed by the Florida Prompt Payment Act, F.S., Part VI I, Chapter 218.
7. Indemnification
7.1. GENERAL INDEMNIFICATION: Consultant shall, in addition to any other
obligation to indemnify the City and to the fullest extent permitted by law,
protect, defend, indemnify and hold harmless the City, their agents, elected
officials and employees from and against all claims, actions, liabilities, losses
f i
City of Tamarac Purchasing & Contracts Division
(including economic losses), costs arising out of any actual or alleged: a).
Bodily injury, sickness, disease or death, or injury to or destruction of tangible
property including the loss of use resulting therefrom, or any other damage or
loss arising out of or resulting, or claimed to have resulted in whole or in part
from any actual or alleged act or omission of the Consultant, any sub -
Consultant, anyone directly or indirectly employed by any of them, of anyone
for whose acts any of them may be liable in the performance of the Work; or
b). violation of law, statute, ordinance, governmental administration order,
rule, regulation, or infringement of patent rights by Consultant in the
performance of the Work; or c). liens, claims or actions made by the
Consultant or any sub -Consultant under workers compensation acts;
disability benefit acts, other employee benefit acts or any statutory bar. Any
cost of expenses, including attorney's fees, incurred by the City to enforce
this agreement shall be borne by the Consultant.
7.2. Upon completion of all Services, obligations and duties provided for in this
Agreement, or in the event of termination of this Agreement for any reasons,
the terms and conditions of this Article shall survive indefinitely.
7.3. The Consultant shall pay all claims, losses, liens, settlements or judgments of
any nature whatsoever in connection with the foregoing indemnifications
including, but not limited to, reasonable attorney's fees (including appellate
attorney's fees) and costs.
7.4. City reserves the right to select its own legal counsel to conduct any defense in
any such proceeding and all costs and fees associated therewith shall be the
responsibility of Successful Proposer under the indemnification agreement.
Nothing contained herein is intended nor shall it be construed to waive City's
rights and immunities under the common law or Florida Statute 768.28 as
amended from time to time.
8. Non -Discrimination
During the performance of the Contract, the Contractor shall not discriminate against
any employee or applicant for employment because of race, religion, color, gender, national
origin, sex, age, marital status, political affiliation, familial status, sexual orientation, or
disability if qualified. The Contractor will take affirmative action to ensure that employees
are treated during employment, without regard to their race, religion, color, gender, national
origin, sex, age, marital status, political affiliation, familial status, sexual orientation, or
disability if qualified. Such actions must include, but not be limited to, the following:
employment, promotion; demotion or transfer; recruitment or recruitment advertising, layoff
or termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship. The Contractor shall agree to post in conspicuous places,
available to employees and applicants for employment, notices to be provided by the
contracting officer setting forth the provisions of this nondiscrimination clause. The
Contractor further agrees that he/she will ensure that Subcontractors, if any, will be made
aware of and will comply with this nondiscrimination clause.
City of 7xriarac
9. Independent Contractor
& Contracts Division
Consultant is an independent contractor under this Agreement. Personal services
provided by the Consultant shall be by employees of the Consultant and subject to
supervision by the Consultant, and not as officers, employees, or agents of the City.
Personnel policies, tax responsibilities, social security and health insurance, employee
benefits, purchasing policies and other similar administrative procedures applicable to
services rendered under this Agreement shall be those of the Consultant.
10. Assignment and Subcontracting
Consultant shall not transfer or assign the performance required by this Agreement
without the prior consent of the City. This Agreement, or any portion thereof, shall not be
subcontracted without the prior written consent of the City.
11. Notice
Whenever either party desires or is required under this Agreement to give notice to
any other party, it must be given by written notice either delivered in person, sent by U.S.
Certified Mail, U.S. Express Mail, air or ground courier services, or by messenger service, as
follows:
CITY
City Manager
City of Tamarac
7525 N.W. 88th Avenue
Tamarac, FL 33321
With a copy to City Attorney at the same address.
CONSULTANT
Michele Mellgren, AICP
Michele Mellgren & Associates, Inc.
6555 Nova Drive, Suite 305
Davie, FL 33317
12. Termination
12.1. Convenience: This Agreement may be terminated by City or Consultant for
cause or by the City for convenience, upon seven (7) days of written notice
by the terminating party to the other party for such termination in which event
the Consultant shall be paid its compensation for services performed to
termination date, including services reasonably related to termination. In the
event that the Consultant abandons this Agreement or causes it to be
terminated, Consultant shall indemnify the city against loss pertaining to this
termination.
12.2. Default by Consultant: In addition to all other remedies available to the City,
this Agreement shall be subject to cancellation by the City for cause, should
z
City of T,i,vn 3rac
Purchasing & Contracts Division
the Consultant neglect or fail to perform or observe any of the terms,
provisions, conditions, or requirements herein contained, if such neglect or
failure shall continue for a period of thirty (30) days after receipt by
Consultant of written notice of such neglect or failure.
13. Agreement Subject to Funding
This Agreement shall remain in full force and effect only as long as the expenditures
provided for in the Agreement have been appropriated by the City Commission of the City
of Tamarac in the annual budget for each fiscal year of this Agreement, and is subject to
termination based on lack of funding.
14. Venue
This Agreement shall be governed by the laws of the State of Florida as now and
hereafter in force. The venue for actions arising out of this Agreement is fixed in Broward
County, Florida.
15. Signatory Authority
The Consultant shall provide the City with copies of requisite documentation
evidencing that the signatory for Consultant has the authority to enter into this Agreement.
16. Severability; Waiver of Provisions
Any provision in this Agreement that is prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition or
unenforceability without invalidating the remaining provisions hereof or affecting the validity
or enforceability of such provisions in any other jurisdiction. The non -enforcement of any
provision by either party shall not constitute a waiver of that provision nor shall it affect the
enforceability of that provision or of the remainder of this Agreement.
17. Merger; Amendment
This Agreement constitutes the entire Agreement between the Consultant and the
City, and negotiations and oral understandings between the parties are merged herein.
This Agreement can be supplemented and/or amended only by a written document
executed by both the Consultant and the City.
Remainder of This Page Left Intentionally Blank
lr
uity of Timartac Pa(chasing & Contracts Division
IN WITNESS WHEREOF, the parties have made and executed this Agreement on
the respective dates under each signature. CITY OF TAMARAC, signing by and through its
Mayor and City Manager, and CONSULTANT, signing by and through its President, duly
authorized to execute same.
ATTEST:
Marion Swenso , CIVIC
City Clerk
'Date
ATTEST:
CITY OF TAMARAC
Beth Flansbaum-Talabisco, Mayor
" 2�4
Dat
. P7
Jeffref E Nfiller, City Manager
1af9& �U6
Date:
Michele Mellaren & Associates. Inc.
Company - .,
(Corporate Secretary) Signature of President
Michele Mellgren
Type/Print Name of Corporate Secy
(CORPORATE SEAL)
Michele Mellgren
Type/Print Name of President
ok n
Date
F T
1
City of Tamarac Purchasing & Contracts Division
.� tOro
CORPORATE ACKNOWLEDGEMENT
STATE OF FLORIDA
SS
COUNTY OF BROWARD:
I HEREBY CERTIFY that on this day, before me, an Officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared
Michele Mellgren, President of Michele Mellgren & Associates, Inc., a Florida Corporation,
to me known to be the person(s) described in and who executed the foregoing instrument
and acknowledged before me that he/she executed the same.
41
WITNESS my hand and official seal this. ay of SP��� 12006.
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Print, Type or Stamp
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Personally known to me or
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Produced Identification
Type of I.D. Produced
❑ DID take an oath, or
[� DID NOT take an oath.
I
•---• %—ru I Q vI" LIHaILI I I II10UKANL►C 10/1/2006
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
iLeader
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO BOX 274126
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, FL 33688
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Professional Employer Plans
INSURERA ran Com nIn
1911 U.S. Highway 301 N. #450
INSURERS:
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Tampa, FL 33619
INSURER
INSURERD:
INSURERS:
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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.
INSRIADDII
POLICY NUMBER
-P0-ucYEFPEC
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LIMITS
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SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT IS kAL PROVISIONS `
FOR THOSE EMPLOYEES LEASED TO MICHELE MELGREN & ASSOCIATES FRO;
PROFESSIONAL EMPLOYER PLANS
TEL: (954) 7241296 1.T
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CERTIFICATE HOLDER CANCELLATION
CITY O F TAMA RAC
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CAN tE0 BtIF1eE THA TtON
RISK OFFICER
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR T�1+lA1L55
090 WRITTEN
7525 NW 88TH AVENUE
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEI i�T FAICME TO4 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
TAMARACFL33321
UPON THE INA ER, ITS AGENTS OR
9547242453
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001148)
CACORD CORPORATION 1988
CERTIFICATE OF INSURANCE
The company indicated below certifies that the insurance afforded by the policy or policies numbered and
described below is in force as of the effective date of this certificate. This Certificate of Insurance
does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any
policy numbered and described below.
CERTIFICATE HOLDER:
CITY OF TAMARAC
ATTN RISK OFFICER
7525 NW 88TH AVE
TAMARAC. FL 33321
INSURED:
MICHELE MELLGREN
& ASSOCIATES INC
6555 NOVA DRIVE
SUITE 305
DAVIE, FL 33317
i
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POLICY NUMBER I POLICY I POLICY
I LIMITS OF LIABILITY I
I TYPE
OF INSURANCE I
& ISSUING CO. IEFF. DATE IEXP. DATE
I (*LIMITS AT INCEPTION) 1
LIABILITY 177-BO-476628-3001
l 11-07-05 i 11-07-06
1 1
I [XI
Liability and I
NATIONWIDE I i
1 Any One Occurrence........ $ 2,000,000 i
Medical Expense I
MUTUAL ( I
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I Included in Above - Any One Person or
Advertising Injuryl
,� 1 I
I Organization I
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Medical Expenses I
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I ANY ONE PERSON ........... $ 5.000Vk
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Fire Legal I
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I Any One Fire or Explosion $ 50,000 I
I
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1
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I General Aggregate* ....... $ 4,000.000 I
1
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177-BA-476628-3001
111-07-05 111-07-06 I
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$ I
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$ I
I [XI Hired
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I [XI Non -Owned
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(Each Accident) ........
$ I
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.... $ 2,000,000 i
I EXCESS LIABILITY I
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$ i
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$
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1. I I BODILY INJURY/ACCIDENT ...
$ l
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$ 1
I[] Employers' i
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I Liability I
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1 i I POLICY LIMIT ...........
$ I
I
Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS
expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS
written notice to the above named certificate holder, but failure to CITY OF TAMARAC IS LSITED AS
mail such notice shall impose no obligation or liability upon the ADDITIONAL INSURED
company, its agents, or representatives. ���/�,_
Effective Date of Certificate: 11-07-2005 Authorized Representative: L RANDALL ITEN
Date Certificate Issued: 08-10-2006 Countersigned at: 5905 S UNIVERSITY DR
DAVIE. FL 33328
LICY NUMBER: 77 BO 476-628-3001
THIS ENDORSEMENT CHANGES THE
PLEASE READ IT
BUSINESSOWNERS
%REFULLY.
BUSINESSOWNERS POLICY CHANGES
THIS ENDORSEMENT FORMS A PART OF THE POLICY NUMBERED BELOW.
POLICY NUMBER
POLICY CHANGES EFFECTIVE
77 BO 476-628-3001
AUGUST 10, 2006
NAMED INSURED
AUTHORIZED REPRESENTATIVE
RANDALL ITEN AGENCY, INC.
0012626-09
MICHELE MELLGREN
& ASSOCIATES INC
6555 NOVA DRIVE
SUITE 305
DAVIE FL 33317
COMPANY
NATIONWIDE MUTUAL INSURANCE COMPANY
CHANGES
SUBJECT TO ALL TERMS AND CONDITIONS OF THE POLICY, IT IS
UNDERSTOOD AND AGREED THAT:
THE FOLLOWING ADDITIONAL INSURED HAS BEEN ADDED:
CITY OF TAMARAC
ATTN RISK OFFICER `" f
vim.,
7525 NW 88TH AVE i
� .--
TAMARAC, FL 33321
INTEREST 01 HAS BEEN ADDED FOR THE PRECEDING ADDITIONAL
INSURED_i
f
AS RESPECTS TO LOCATION 000 BUILDING 01
M
r
ar c
N
C:
G
Cy
POLICY AMOUNT AND PREMIUM ADJUSTMENT
Limits of Insurance
Premiums
Prem.
Bldg.
Coverage
Previous Limit
New Limit
Previous
New
Add'I Prem.
No.
No.
Description
of Insurance
of Insurance
Premium
Premium
Return Prem.
BP 12 01 01 97 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 2
POLICY NUMBER: 77 BO 476-628-3001
BUSINESSOWNERS
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -STATE OR POLITICAL
SUBDIVISIONS- PERMITS RELATING TO PREMISES
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS POLICY
SCHEDULE*
State or Political Subdivision:
CITRUS BOARD OF COUNTY
COMMISSIONERS -PURCHASING
BID 085-05
3600 W SOVEREIGN PATH STE 266
LECANTO FL 34461
The following is added to Paragraph C. WHO IS AN
INSURED in the Businessowners Liability Coverage
Form:
4. Any state or political subdivision shown in the
Schedule is also an insured, subject to the follow-
ing additional provision:
This insurance applies only with respect to the
following hazards for which the state or political
subdivision has issued a permit in connection with
premises you own, rent, or control and to which
this insurance applies:
a. The existence, maintenance, repair, construc-
tion, erection, or removal of advertising signs,
awnings, canopies, cellar entrances, coal
holes, driveways, manholes, marquees, hoist -
away openings, sidewalk vaults, street ban-
ners, or decoration and similar exposures;
b. The construction, erection, or removal of
elevators; or
c. The ownership, maintenance, or use of any
elevators covered by this insurance.
* Information required to completethis Schedule, if not shown on this endorsement, will be shown in the Declarations.
BP 04 07 01 87 Copyright, Insurance Services Office, Inc., 1985
ADDITIONAL INSURED COPY
III
POLICY #: 77 BO 476-628-3001
CITY OF TAMARAC
ATTN RISK OFFICER
7525 NW 88TH AVE
TAMARAC FL 33321
Policy For:
MICHELE MELLGREN
& ASSOCIATES INC
6555 NOVA DRIVE
SUITE 305
DAVIE FL 33317
Cas. 4369
IF -ADDITIONAL INSURED COPY