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HomeMy WebLinkAboutCity of Tamarac Resolution R-2003-268Temp Reso #10270-October 8, 2003 Revision: October 15, 2003 Revision: October 16, 2003 Page 1 1 CITY OF TAMARAC, FLORIDA RESOLUTION NO. R-2003- A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA, AUTHORIZING THE APPROPRIATE CITY OFFICIALS TO AWARD RFP 03-26R, "UNDERWRITING AND FINANCIAL ADVISORY SERVICES", TO AND TO EXECUTE AN AGREEMENT WITH WILLIAM R. HOUGH & CO., FOR UNDERWRITING SERVICES, IN AN AMOUNT NOT TO EXCEED FOUR DOLLARS AND FIFTY-FIVE CENTS ($4.55) PER ONE THOUSAND DOLLAR ($1,000) BOND ISSUED, IN CONJUNCTION WITH THE PROPOSED ISSUANCE OF UTILITIES REVENUE BONDS; PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City has determined a need for underwriting services for the proposed issuance of Utilities Revenue Bonds; and WHEREAS, the City of Tamarac publicly advertised RFP 03-26R, "Underwriting and Financial Advisory Services" on Sept. 9 and Sept. 14, 2003, a copy of said RFP is attached hereto as Exhibit 1; and WHEREAS, eleven (11) firms were solicited, and six (6) responses were received, from the following firms: 1. Dunlap & Associates, Inc. 2. First Southwest Company 3. Kirkpatrick Pettis Smith & Polian, Inc. 4. Public Financial Management 5. Wachovia Bank, N.A. 6. William R. Hough & Company; and ' WHEREAS, an Evaluation and Selection Committee, consisting of the Assistant City Manager, Director of Finance, and the Finance and Policy Officer Temp Reso #10270-October 8, 2003 Revision: October 15, 2003 Revision: October 16, 2003 Page 2 ' conducted an extensive evaluation of each proposal to determine each firm's responsiveness to the City's requirements; and WHEREAS, the Evaluation and Selection Committee determined that Kirkpatrick Pettis Smith & Polian, Inc., and William R. Hough & Company were ranked as the top two (2) firms on the basis of experience, including experience with Florida financings, capital position, marketing strategy, innovative technique and cost of services, a copy of said evaluation total ranking is attached hereto as Exhibit 2; and WHEREAS, the Municipal Securities Rulemaking Board (MSRB) Rule G- 23(d) does not allow the same firm to provide both financial advisory and underwriting services, thereby necessitating a separate award and contract for I each service; and WHEREAS, William R. Hough & Company provided the lowest cost for underwriting services; and WHEREAS, the Evaluation and Selection Committee entered into the contract negotiation phase with William R. Hough & Co.; and WHEREAS, a mutually acceptable agreement has been negotiated between the City and William R. Hough & Co., a copy of said agreement is attached hereto as Exhibit 3; and WHEREAS, the Director of Finance and the Purchasing and Contracts Manager recommend that RFP 03-26R, "Underwriting and Financial Advisory Services" be awarded to, and an agreement executed with, William R. Hough & , Temp Reso #10270-October 8, 2003 Revision: October 15, 2003 Revision: October 16, 2003 Page 3 Co. for Underwriting services in an amount not to exceed Four Dollars and fifty- five cents ($4.55) per one thousand dollar ($1,000) bond issued, in conjunction with the proposed issuance of Utilities Revenue Bonds; 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 award RFP-03-26R to, and execute an Agreement with, William R. Hough & Co. in an amount not to exceed Four Dollars and fifty-five cents ($4.55) per one thousand dollar ($1,000) bond issued to provide Underwriting services for the proposed issuance of Utilities Revenue Bonds. 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: The award of RFP 03-26R, "Underwriting and Financial Advisory Services", to and the execution of an agreement with William R. Hough & Co. in an amount not to exceed Four Dollars and fifty-five cents ($4.55) per one thousand dollar ($1,000) bond issued for providing Underwriting services in the issuance of Utilities Revenue Bonds is hereby approved. 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 Temp Reso #10270-October 8, 2003 Revision: October 15, 2003 Revision: October 16, 2003 Page 4 invalid, in part or application, it shall not affect the validity of the remaining portions or applications of this Resolution. SECTION 5: This Resolution shall become effective immediately upon its passage and adoption. PASSED, ADOPTED AND APPROVED this 261h day of November, 2003. ATTEST: -�J MARION SWENSON, CMC CITY CLERK I HEREBY CERTIFY that I have approved this RESOLUTION as to form. T Alt-CHELL S. CITY ATrOI JOE SCHREIBER, MAYOR RECORD OF COMMISSION VOTE: Z MAYOR SCHREIBER DIST 1: COMM. PORTNER DIST 2: COMM. FLANSBAUM-TALABISCO DIST 3: COMM. SULTANOF / DIST 4: VIM ROBERTS ! J �I F � � 9 1. t..}x� � O'r' f3c f��`��r U arid �: � ., ft �r lf7 AGREEMENT FOR PROFESSIONAL SERVICES THIS AGREEMENT made and entered into this 2 day of ltJor'emh e.i- 20 G by and between the City of Tamarac, a municipal corporation of the State of Florida with principal offices located at 7525 NW 88th Avenue, Tamarac FL 33321, hereinafter referred to as CITY, and William R. Hough & Co., a Florida corporation with principal offices located at 100 Second Avenue South, Suite 800, St. Petersburg FL 33701, hereinafter referred to as CONSULTANT: WHEREAS, the CITY intends to utilize an Underwriter to oversee the issuance of Utilities Revenue Bonds, Series 2003; and, WHEREAS, the CITY requires certain professional services in connection with said Underwriting services; and, WHEREAS, the CONSULTANT represents that it is capable and prepared to provide such Services. - NOW THEREFORE, in consideration of the promises contained herein, the parties hereto agree as follows. - ARTICLE 1 - EFFECTIVE DATE The effective date of this Agreement shall be upon notice to proceed and is transaction -specific, as contained in the scope of Request for Proposals (RFP) 03-26R. ARTICLE 2 - SERVICE TO BE PERFORMED BY CONSULTANT The CONSULTANT shall perform the services in accordance with the provisions contained in the request for proposals as specifically stated in the general Scope of Services, including the additional services required of the Underwriter as referenced in RFP 03-26R, and as may be specifically designated and additionally authorized by the CITY. Such additional authorizations will be in the form of a Purchase Order. Each Purchase Order will set forth a specific Scope of Services, amount of compensation and completion date. ARTICLE 3 - COMPENSATION The CITY shall pay CONSULTANT in accordance with the provisions contained in RFP 03-26R as specifically stated in the Fee Proposal, Underwriter's Compensation, which is attached hereto and incorporated by reference as part of this Agreement. ARTICLE 4 - STANDARD OF CARE CONSULTANT shall exercise the same degree of care, skill, and diligence in the performance of the Services as is ordinarily provided by a professional under similar circumstances and CONSULTANT shall, at no additional cost to the CITY, re -perform services which fail to satisfy the foregoing standard of care. ARTICLE 5 - 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 (including economic losses), costs arising out of any actual or alleged: A nz ay x °9 t r� { =cir"r, <<,:, ___. ........ ..... _.. __.. C t-£?:�iFdyF to ?%� ='•C r #F ): `S UfbF 3iz;i7 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 subconsultant, 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 subconsultant 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. 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. ARTICLE 6 - INDEPENDENT CONTRACTOR CONSULTANT undertakes performance of the Services as an independent contractor and shall be wholly responsible for the methods of performance. The CITY shall have no right to supervise the methods used, but the CITY shall have the right to observe such performance. CONSULTANT shall work closely with the CITY in performing Services under this Agreement. ARTICLE 7 - COMPLIANCE WITH LAWS In performance of the Services, CONSULTANT will comply with applicable regulatory requirements including federal, state, and local laws, rules regulations, orders, codes, criteria and standards. ARTICLE 8 - INSURANCE During the performance of the Services under this Agreement, CONSULTANT shall maintain the following insurance polices, and provide originals or certified copies of all policies, and shall be written by an insurance company authorized to do business in Florida. 1. Worker's Compensation Insurance: The CONSULTANT shall procure and maintain for the life of this Agreement, Workers' Compensation Insurance covering all employees with limits meeting all applicable state and federal laws. This coverage shall include Employer's Liability with limits meeting all applicable state and federal laws. This coverage must extend to any subconsultant that does not have their own Workers' Compensation and Employer's Liability Insurance. The policy must contain a waiver of subrogation in favor of the City of Tamarac, executed by the insurance company. Sixty-(60) days notice of cancellation is required and must be provided to the City of Tamarac via Certified Mail. 2. Comprehensive General Liability: The CONSULTANT shall procure and maintain, for the life of this Agreement, Comprehensive General Liability Insurance. This coverage shall be on an "Occurrence" basis. Coverage shall include Premises and Operations; Independent Contractors' Products eo", 4. > iJ''?r AL�7.as YY am."Di ision and Completed Operations and Contractual Liability with specific reference of Article 5 of this Agreement. This policy shall provide coverage for death, personal injury or property damage that could arise directly or indirectly from the performance of this Agreement. The Minimum Limits of Coverage shall be $1,000,000 per occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability. The CITY must be named as an additional insured unless Owners and Contractors' Protective Coverage is also provided, or required. Sixty (60) days written notice must be provided to the CITY via Certified Mail in the event of cancellation. 3. Business Automobile Liability: The CONSULTANT shall procure and maintain, for the life of the Agreement, Business Automobile Liability Insurance. 4. Professional Liability (Errors and Omissions) Insurance: $1,000,000 The minimum limits of coverage shall be $1,000,000 per Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability. This coverage shall be an "Any Auto" type policy. The CITY must be listed as an Additional Insured under the Policy. Sixty-(60) days written notice must be provided to the CITY via Certified Mail in the event of cancellation. In the event that subconsultants used by the CONSULTANT do not have insurance, or do not meet the insurance limits, CONSULTANT shall indemnify and hold harmless the CITY for any claim in excess of the subconsultants' insurance coverage, arising out of negligent acts, errors or omissions of the subconsultants. CONSULTANT shall not commence work under this Agreement until all insurance required as stated herein has been obtained and such insurance has been approved by the CITY. ARTICLE 9 - CITY'S RESPONSIBILITIES The CITY shall be responsible for providing access to all project sites, and providing information on hand that are available in the files of the CITY the exception of the City Attorney's files that are subject to confidentiality. ARTICLE 10 -TERMINATION OF AGREEMENT The obligation to continue Services under this Agreement may be terminated for cause by either party upon seven (7) days' written notice of substantial failure by the other party to perform in accordance with the terms hereof through no fault of the terminating party. CITY shall have the right to terminate this Agreement or suspend performance thereof without cause for the CITY's convenience upon written notice to CONSULTANT, and CONSULTANT shall terminate or suspend performance of Services on a schedule acceptable to CITY. In the event of termination or suspension for CITY's convenience, CITY shall pay CONSULTANT for all Services performed through the date of notice of termination or suspension. 4.i[� ,�?ui YJUiFiiL £iY;C.' C.i it a 1S i.%WSK)'O ARTICLE 11 -NONDISCLOSURE OF PROPRIETARY INFORMATION CONSULTANT shall consider all information provided by CITY and all reports, studies, calculations, and other documentation resulting from the CONSULTANT's performance of the Services to be proprietary unless such information is available from public sources. CONSULTANT shall not publish or disclose proprietary information for any purpose other than the performance of the Services without the prior written authorization of CITY or in response to legal process. ARTICLE 12 - UNCONTROLLABLE FORCES Neither the CITY nor CONSULTANT shall be considered to be in default of this Agreement if delays in or failure of performance shall be due to Uncontrollable Forces, the effect of which, by the exercise of reasonable diligence, the non -performing party could not avoid. The term "Uncontrollable Forces" shall mean any event which results in the prevention or delay of performance by a party of its obligations under this Agreement and which is beyond the reasonable control of the nonperforming party. It includes, but is not limited to fire, flood, earthquakes, storms, lightning, epidemic, war, riot, civil disturbance, sabotage, and governmental actions. Neither party shall, however, be excused from performance if nonperformance is due to forces, which are preventable, removable, or remediable, and which the nonperforming party could have, with the exercise of reasonable diligence, prevented, removed, or remedied with reasonable dispatch. The nonperforming party shall, within a reasonable time of being prevented or delayed from performance by an uncontrollable force, give written notice to the other party describing the circumstances and uncontrollable forces preventing continued performance of the obligations of this Agreement. ARTICLE 13 - GOVERNING LAW AND VENUE This Agreement shall be governed by the laws of the State of Florida. Any and all legal action necessary to enforce the Agreement will be held in Broward County and the Agreement will be interpreted according to the laws of Florida. ARTICLE 14 - MISCELLANEOUS 14.1 Nonwaiver A waiver by either CITY or CONSULTANT of any breach of this Agreement shall not be binding upon the waiving party unless such waiver is in writing. In the event of a written waiver, such a waiver shall not affect the waiving party's rights with respect to any other or further breach. The making or acceptance of a payment by either party with knowledge of the existence of a default or breach shall not operate or be construed to operate as a waiver of any subsequent default or breach. 14.2 Severability 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 nonenforcement 4 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. The provisions of this section shall not prevent the entire Agreement from being void should a provision, which is of the essence of the Agreement, be determined to be void. ARTICLE 15 - INTEGRATION AND MODIFICATION This Agreement is adopted by the CITY and CONSULTANT as a complete and exclusive statement of the terms of the Agreement between the CITY and CONSULTANT. This Agreement supersedes all prior agreements, contracts, proposals, representations, negotiations, letters or other communications between the CITY and CONSULTANT pertaining to the Services, whether written or oral. The Agreement may not be modified unless such modifications are evidenced in writing signed by both the CITY and CONSULTANT. ARTICLE 16 - SUCCESSORS AND ASSIGNS The CITY and CONSULTANT each binds itself and its director, officers, partners, successors, executors, administrators, assigns and legal representatives to the other party to this Agreement and to the partners, successors, executors, administrators, assigns, and legal representatives. ARTICLE 17 - CONTINGENT FEES The CONSULTANT warrants that it has not employed or retained any company or person, other than a bona fide employee working solely for the CONSULTANT to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual or firm, other than a bona fide employee working solely for the CONSULTANT, any fee, commission, percentage, gift or any other consideration contingent upon or resulting from the award or making of this Agreement. /_1iiilffaF:m 114 Execution of this Agreement by the CONSULTANT shall act as the execution of a truth -in -negotiation certificate certifying that the wage rates and costs used to determine the compensation provided for in this Agreement are accurate, complete and current as of the date of the Agreement and no higher than those charged the CONSULTANTS most favored customer for the same or substantially similar service. The said rates and cost shall be adjusted to exclude any significant sums should the CITY determine that the rates and costs were increased due to inaccurate, incomplete or noncurrent wage rates or due to inaccurate representations of fees paid to outside consultants. The CITY shall exercise its rights under this "Certificate" within one (1) year following payment. ARTICLE 19 - OWNERSHIP OF DOCUMENTS CONSULTANT shall be required to work in harmony with other consultants relative to providing information requested in a timely manner and in the specified form. Any and all documents, records, disks, original drawings, or other information shall become the property of the CITY upon completion for it's use and distribution as may be deemed appropriate by the CITY. ARTICLE 20 - NOTICE Any notice, demand, communication, or request required or permitted hereunder shall be in writing and delivered in person or sent by certified mail, postage prepaid as follows: CITY City Manager City of Tamarac 7525 NW 88th Avenue Tamarac, Florida 33321-2401 With a copy to the City Attorney at the same address. CONSULTANT: Kevin M. Conitz, Senior Vice President William R. Hough & Co. 100 Second Avenue South, Suite 800 St. Petersburg, FL 33701 PH: 727-895-8853 Notices shall be effective when received at the address specified above. Changes in the respective addresses to which such notice may be directed may be made from time to time by any party by written notice to the other party. Facsimile is acceptable notice effective when received, however, facsimiles received (i.e.; printed) after 5:00 p.m. or on weekends or holidays, will be deemed received on the next business day. The original of the notice must additionally be mailed as required herein. Nothing contained in this Article shall be construed to restrict the transmission of routine communications between representatives of CONSULTANT and CITY. 1 pf iq� �U p Vl4r/�.2i3 n Hed IN WITNESS WHEREOF, the parties hereby have made and executed this Amendment to Agreement on the respective dates under each signature, the City of Tamarac signing by and through its Mayor and City Manager, and William R. Hough & Co., signing by and through its Senior Vice President, duly authorized to execute same. ATTEST: Marion Swenson, CMC City Clerk 4 Date ATTEST: 1 (Corporat6 S retary) Type/Print Name of Corporate Secy. (CORPORATE SEAL) CITY OF TAMEf ARAC J Joe Schreiber, Mayor Date Jeffrey L. ille , City Manager j//'�-6,/0.;3 Date Approved as to form and/,egal sufficiency: Mitchell S. Kraft, City/Attorney Date William R. Houah & Co. Company,Name Signature of Senior Vice Prest rlt --,/ Kevin M. Conitz Type/Print Name of Senior Vice President Date wl 99 I` P� Di1 ,f a`am-75f: Pu haS' tU and Cf 3ftu..Y f .3; Jf`t 1 q,9 s CORPORATE ACKNOWLEDGEMENT STATE OF FLORIDA SS COUNTY OF a , ,, - : 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 Kevin M. Conitz, Senior Vice President of William R. Hough & Co., 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. WITNESS my hand and official seal this. / day of 20 - ate--- ^-- `- - — HELEN M. EWIN (Z MY COMMISSION s DD 049692 EXPIRES:Augu8113,2005 14XO,%WTAFiY R. Notary SeMm a Bonchn Nc. Signature of Notary Public State of Florida at Large Print, Type or Stamp Name of Notary Public ❑- Personally known to me or ❑ Produced Identification Type of I.D. Produced ❑ DID take an oath, or Ej DID NOT take an oath. of Tamarac William R. Hough & Co. REQUEST FOR PROPOSALS RFP 03-26R Underwriting and Financial Advisory Services, Utilities Revenue Bonds, Series 2003 Fee Proposal: Underwriters' Compensation Underwriter's Discount (per $1000 bonds) $ 4.55 (1) Reimbursable Expenses* not to exceed $ 0.00 *List what is included in reimbursable expenses: Underwriter's Counsel Fees and Expenses $0.00 and Contracts Division It is our understanding that the firm of Akerman, Senterfitt has been engaged by the city to art as disclosure counsel If that is true and if the firm is willing to process the bond purchase agreement and offer a 10-b-5 opinion, there would be no fee for underwriter's counsel. (1) Includes expenses listed below Financial Advisor Compensation Flat Fee $ 30, 000 Reimbursable Expenses* not to exceed $ 2 , 000 *List what is included in reimbursable expenses: Travel and out-of-pocket expenses federal express or other delivery charges teleconferencing fees This Fee Proposal is to be enclosed in a sealed envelope with your submittal. 0 AMERICAN INTERNATIONAL SPECIALTY LINES INSURANCE COMPANY A Member Company of American International Group, Inc. POLICY NUMBER: 295-53-50 A Capital Stock Insurance Company 175 Water Street New York, N.Y. 10038 REPLACEMENT OF POLICY NUMBER: 279-63-82 SECURITIES BROKERMEALER'S PROFESSIONAL LIABILITY INSURANCE NOTICE: THIS INSURER IS NOT LICENSED IN THE STATE OF NEW YORK AND IS NOT SUBJECT TO ITS SUPERVISION. NOTICE: EXCEPT TO SUCH EXTENT AS MAY OTHERWISE BE PROVIDED HEREIN, THE COVERAGE OF THIS POLICY IS GENERALLY LIMITED TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE FIRST MADE AGAINST THE INSUREDS DURING THE POLICY PERIOD AND REPORTED IN WRITING TO THE INSURER PURSUANT TO THE TERMS HEREIN. PLEASE READ THE POLICY CAREFULLY AND DISCUSS THE COVERAGE THEREUNDER WITH YOUR INSURANCE AGENT OR BROKER. ---NOTICE- THE LIMIT OF LIABILITY AVAILABLE TO PAY JUDGMENTS OR SETTLEMENTS - - - SHALL BE REDUCED BY AMOUNTS INCURRED FOR LEGAL DEFENSE. AMOUNTS INCURRED FOR LEGAL DEFENSE SHALL BE APPLIED AGAINST THE�FN$gtO?.A_ MOUNT. DECLARATIONS Surplus Lines Agent FiUL#LA125683 ITEM 1. BROKER/DEALER: WILLIAN R. NOUGN & CO. Wallace, Welch & Producing Agent Address St. Petersburg FL MAILING ADDRESS: 100 SECOND AVENUE SOUTH This insurance is issued pursuant to SAINT PETERSBURG, FL 33701-4337he Florida Surplus Lines Law ITEM 2. POLICY PERIOD: From: Apri 7 30, 2003 To: April 30, 2004 (12:01 A.M. standard time at the address stated in Item 1) Persons insured By Surplus Lines Carriers do not have the protection of the Florida Insurance Guaranty Act to the ITEM 3. LIMIT OF LIABILITY extent of any Right of Recovery for the obligation of an IpSQIve tt Unlicensed Insurer. A. Coverage A. 3.: S1,(/00,0�0 each Loss (including Defense Costs) $1,000,000 aggregate for all Loss (including Defense Costs) B. All other coverages: $1,000,000 each Loss (including Defense Costs) $1,000,000 aggregate for all Loss (including Defense Costs) C. Policy Aggregate: $1,000,000 for all Loss (including Defense Costs) arising from all Claims under this policy in the aggregate ITEM 4. COINSURANCE (paid by Broker/Dealer) Coverage A. 3. FLAT CANCELLATION 85% 7191374 All other coverages Not Permitted None 67800 (3/97) Page 1 ITEM 5. RETENTION: (each Loss including Defense Costs) A. $100,000 Broker/Dealer Retention B. $5,000 Registered Representative Retention C. $'5,000 Registered Representative Life Products Retention (partially reduced under Insuring Agreement C. 2. under some circumstances) ITEM 6. RETROACTIVE DATE: January 30, 1998 ITEM 7. PREMIUM: $47,200 + Policy Fee 35.00 + .3% Service Fee 141.71 + 5% State Tax 2,361.75 = $49,738.46 Total Premium for Certified Acts of Terrorism Coverage under Terrorism, Risk Insurance Act 2002: Not applicable, coverage rejected by insured. Any coverage provided for Icsses c81j-_,F i t} an 2,1. of +..f rG i3ma7 Pefined by TRIA (TRIA Losses) may be pa r '^ ;;.. ;I ; h ri,cd : `:: n _ _ fe, �;!,v ti ! e U <'� -:r,ui2 established by TRIA as I: 'j o c:c 'w; iii2niated by TRIA, the deduch:,;e 0 r c,; diieci earned-pffiffi+ates f0F the yea, pm, + , A co;,y c, t :, , . _ _ - ..- :;j hereto ITEM 8. BROKER: NULL & CO 2150 SOUTH ANDREWS AVENUE FORT LAUDERDALE, FL 33316 7191374 BY— Authorize'd Representative or Countersignature (in states where applicable) 67800 (3/97) Page 2 No Text 4&3 FOR PROFIT CORPORATION FILED UNIFORM BUSINESS REPORT (UBR) Mar 05, 2003 8:00 an DOCUMENT # G09785 Secretary of State I._Entity.Name_,_ _ 03-05-2003 90047 027 `**158.75 iWILUAM R. HOUGH & CO., INC.} w Principal Place of Business Mailing Address 10D 2ND AVE S. STE 800 100 2ND AVE S. STE 800 P.O. DRAWER 1051 P.O. DRAWER 1051 T �M�� s�RBU�FL 0� ( + ! J I IIIIIII �f I (II�� IIII� IIIII IIIII III �I��I I�III IIIII I I I �I�I Iil�l ��I� 2Principal Place of Bunn sMaiAdd ❑ CHECK HERE IF MAKING CHANGES Suite, Apt. R, etc. Suite, Apt. N, etc. City 8 tate City & State 4. FEI Number STLL�Ls^�O `460 0 Applied Fcr Not Applicabb Zip Country Zip Country 5. Certificate of Status Desired $8.75 Additional Fee Required 6. Name and Address of Current Registered Agent 7. Name and Address of New Registered Agent Name WAECHTER, JOHN W Street Address (P.O. Box Number is Not Acceptable) 100 2ND AVE SO SUITE 800 ST PETERSBURG FL 33701 City FL 1 Zip Code 8. The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the Stale of Florioa. I am familiar with, and accept the obligations of registered agent. SIGNATURE spnen+a, "d W xii n N reglelxed ageru and wr A apperabie. (NOTE: Registered AgeM signmura req d ~ rwncrneng) DATE FILE NOWIII FEE IS$750.00 9. Election Campaign Financing $5.00 May Be After May 1, 2003 Fee will be 5550.00 Trust Fund Cowrlbution. ❑ Added to Fees Make Check Payable to Florida Department o1 State 10. OFFICERS AND DIRECTORS 11. ADDITIONSICHANGES TO OFFICERS AND DIRECTORS IN 11 TITLE C [51 Delete ❑ Change ❑ Additior I NAME HOUGH, WiLLIAM R _TITLE NAME STREET ADDRESS 100 2ND AVE S, STE 800 STREETADDRESS-^ — _- CITy-ST.ZIP ST PETERSBURG FL 33701.4008 CITY-ST-Zip TITLE PC ❑ Delete TITLE - . • . _ _ - -_ []Charge `, 1 Addilior NAME HOUGH, ROBB W JR NAME STREET ADDRESS 100 2ND AVE S, STE 80D STREETADDRESS CITY-ST-ZIP ST PETERSBURG FL 337014M CITY-ST-ZIP TITLE EjJ jD ❑ Delete TITLE ❑ Change ❑ Addilion NAME WAECHTER, JOHN IN NAME STREET ADDRESS 100 2ND AVE S, STE 800 STREETAODRESS CITY-ST-ZIP ST PETERSBURG FL 33701-4008 Dm-sT-➢P TITLE VSGC ❑ Delete TITLE ❑ Change ❑ Addition NAME BERTOUNO, BONNIE G NAME STREETADDRESS 100 2ND AVE S, STE NO STREET ADDRESS CITY-ST ZIP ST PETERSBURG FL 33701-M CITY-ST-ZIP TILE SYPD ❑ Delete TITLE ❑ Change ❑ Addilion NAME FEINBERG, HELEN H NAME STREET ADDRESS 100 2ND AVE S, STE SW STREET ADDRESS CITY-ST-ZIP ST PETERSBURG FL 33701-M CITY-ST-ZIP TITLE SYPD ❑ Delete TITLE ❑ Change ❑ Additicn NAME JOHNSTON, SCOTT G NAME STREET ADDRESS 100 2ND AVE S, STE NO STREET ADDRESS CITY-ST-ZIP ST PETERSBURG FL 3370140M CITY-Sli 12. 1 hereby certify that the information supplied with this filing does not qualify for the exemption stated �.n Section 119.07(3)(iJ, Florida Statcles. I further certify that the information indicated on this report or supplemental report is true and accurate and that my signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execujF this reporl as required by Chapter 607, Florida Statutes; and that my name appears in Block 10 or Block i t if changed, or on an attachment with an address,with all Cher lik empowered. - ��pp r 9/9r./r1't 797/ROK_R01.A A xxxxxxxnnnnnnnnn��t�t�t��tm o i�n :_N°l�'-8rvD"��, �mo'w-o`O "nt.$, �ffo, n"`� r�m83�g . y°S3:�mp'O:no+' ?nu ew +�rn ?naA"�n7•. ��n^�°oA,. amro�. afeo. s"<• :��"N��? ' -"r�_ -`°�n�_Fi. 35n�n 3w��o nSF o��n on �rmFill 1 mmsmm�_ m3o� '• lia a Iv � � � ^o .o d f', 3 N _ d o. N � e..$ � 7C �' I � o�, � m 3. o �• 3 � � d S :: � a m m � n o°� �'e d e cn ' � tOi I l_ I y I O m y I� 3 •'� �� m m 3 �. 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