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HomeMy WebLinkAbout2010-319d Design, Sustainable Engineering obi Consulting Civil Engineers AGREEMENT FOR ENGINEERING SERVICES SUSTAINABLE ENGINEERING & DESIGN, LLC. EGRET MARSH INDIAN RIVER COUNTY SED -10-062 /a/.� I) 10 0 �► v bftn AW CWWc/ FL o ai7�^l"f1 ��� :nro ��v, 5 0/o -31 SED -10-062 THIS AGREEMENT for Engineering Services ("Agreement") is made and entered into between INDIAN RIVER COUNTY hereinafter designated as the "CLIENT" and SUSTAINABLE ENGINEERING & DESIGN, LLC (SED) as the "ENGINEER", and the parties agree to services and conditions hereinafter stated. I. DESCRIPTION OF THE PROJECT The PROJECT shall generally be defined and described as providing Civil Engineering & Surveying services for the final completion of the Egret Marsh Stormwater Management Project. Sustainable Engineering & Design, LLC (SED) will subcontract to R. Wayne Richmond, PSM to complete the necessary survey work effort that will assist the County in closing out the project as substantially complete. ll. SERVICES BY THE ENGINEER The services provided by the ENGINEER under this Agreement shall be as set forth in Appendix D, attached hereto and hereby made part of this Agreement by reference. III. ADDITIONAL SERVICES At the written request of the CLIENT, and upon consent of the ENGINEER, the ENGINEER shall perform such additional services as the CLIENT may desire, which services are not included within the scope of Section lI of this Agreement. Such additional services may include: a. Modifications of development plans as necessary to conform to changes required by the CLIENT or regulation and policy changes implemented by various Local, State, and Federal jurisdictional agencies. (This section excludes those responses and revisions related to non -nal permit review.) b. Any other services not expressly stated in Appendix D or E. IV. DIRECT AND REIMBURSABLE EXPENSES As used hereinafter the ENGINEER'S direct and reimbursable expenses shall mean: a. The cost of employing persons or firms as outside consultants that shall perform professional services such as surveying, soils and subsurface investigations, tests, reports, and recommendations required for design of the work in the PROJECT. P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 `TCS ji r � �tq kdvk fxcrnw q4fr, it mrjzw+i.o uq) Sustainable .;, g Consulting Civil Engineers 9JK9R G ni oygf SED -10-062 b. Internal costs incurred in making prints during the design, permitting, construction, and certification phases of the PROJECT and any other outside reproduction costs incurred by the ENGINEER in performance of his project responsibilities. c. Expense for transportation and lodging related to the PROJECT outside of Indian River, St. Lucie, Brevard, Okeechobee, and Martin Counties, including airplane travel, private airline fares, and automobiles as approved in writing by the CLIENT. d. Such other direct outside expenses as incurred by ENGINEER in perfonnance of his project responsibilities. V. EXTENT OF AGREEMENT This Agreement represents the entire and integrated Agreement between the CLIENT and the ENGINEER and supersedes all prior negotiations, representations and/or agreements, either written or oral. There shall be no modifications or changes to this Agreement except those made in writing and signed by both CLIENT and ENGINEER. Vl. ACCEPTANCE The CLIENT and the ENGINEER agree to the terms of this Agreement as outlined. The ENGINEER'S receipt of a copy of this Agreement signed by the CLIENT and Record Title Holder, if different from CLIENT, shall constitute Notice to Proceed to the ENGINEER. Vila RETAINER/OBLIGATION TO PROCEED Vlll, RECORD TITLE HOLDER If the Record title Holder of the Property is other than the CLIENT, then the Record Title Holder by his/its execution of this Agreement hereby acknowledges that the services being provided by ENGINEER pursuant to this Agreement will be of benefit to the Property and hereby agrees that the Property shall stand as security for any amounts owed to ENGINEER by CLIENT and further agrees that ENGINEER shall have the right to file such liens as may be appropriate against the Property and to proceed to foreclosure upon said liens in the event that CLIENT fails to pay the amounts due to ENGINEER pursuant to this Agreement. P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 o u D- o of U ; WM D - o o rL �cl� ._ , FA _ iTIT i r .. _ as NAVA.. 11011 rd a KTIVE AN AN AN AN .. MARANON Vlll, RECORD TITLE HOLDER If the Record title Holder of the Property is other than the CLIENT, then the Record Title Holder by his/its execution of this Agreement hereby acknowledges that the services being provided by ENGINEER pursuant to this Agreement will be of benefit to the Property and hereby agrees that the Property shall stand as security for any amounts owed to ENGINEER by CLIENT and further agrees that ENGINEER shall have the right to file such liens as may be appropriate against the Property and to proceed to foreclosure upon said liens in the event that CLIENT fails to pay the amounts due to ENGINEER pursuant to this Agreement. P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 o u D- o of U ; WM D - o o rL �cl� 9 ., I l l l .i i l l ..t �!1 (-� Engineering iR�' Design, LLI Consulting Civil Engineers SED -i0 -o62 ACKNOWLEDGED AND ACCEPTED BY TELE CLIENT: ACCEPTED BY: INDIAN RIVER COUNTY NAML Bob Solari, Chairman BYTHE ENGINEER: ACCEPTED BY: SUSTAINABLE ENGINEERING & DESIGN, LLC, NAME David L. Phillips, P.E. LE;ED AP Chairman President TITLE TITLE December 21 2010 d?. " o S DATE DATE 1801 27t1i Street. Bldg. "A" P.O. Box 2247 ® MAILING ADDRESS MATLING ADDRESS Vero Beach, (= f. 32960-3388 Vero Beach, H. 32961 Ica PH: (772) 226-3478 PF.I.: (772)257-.')0')2 �1=4 0 FX: (772) 226-3481 FX: (772) 257-3033 bsolari@ircgov.com ENTAIL ADDRESS RECORD TITLE HOLDER: ff6/7fCTenl fPom entilV e.Xecauti7g'Contrcict obove: NAME TITLE DATE MAILING ADDRESS CITY/STATE/ZIP dp@SED-eng.com EMAIL ADDRESS PHONE FAX EMA IL ADDRESS P.O. Box 2247 NMwqu MY .col mG`Cw� C 11 c�rx ccs 1/�nx,�s n• %stainable Engineering Design, LLC Consulting Civil Engineers APPENDIX A f1WM ° yd 0 R yo m "SCHEDULE OF HOURLY CHARGES FOR ENGINEERING SERVICES" Principal, P.E. or P.L.S. Project Engineer, P.E. Project Surveyor, P.L.S. Project Manager, Engineer Interns (EIT) CADD Operators, CADD Technicians, or Specialists Construction Inspector Clerical or Administrative Assistance Four -Man Survey Crew Three -Man Survey Crew Two -Man Survey Crew 125$/hr 90$/hr 95$/hr 70$/hr 55$/hr 50$/hr 35$/hr 150$/hr 1 10$/hr 95$/hr SED40-062 Note: (1) All hourly rates include all necessary routine electronic supplies and equipment utilized by staff to accomplish work. This equipment and supplies include but are not limited to computer design systems (CADD), electronic modular survey equipment (total stations), geographic information systems (GIS), and global positioning systems (GPS). APPENDIX B "SCHEDULE OF SUPPLEMENTAL CHARGES FOR ENGINEERING SERVICES" Blackline prints (24"06") Mylars (24"06") Compact Disc Xerox Copy (8-1/2"x 11 " or 8-1/2"x 14") Color Copy (8-1/2"x I 1 ") Xerox Copy (I I"x17") Color Copy (l l "x 17") Special Order Copies & Services Federal Express, US Priority Mail, or Regular US Mail Fees Fax Charges Aerials / Plats / Tax Maps Permit Fees Delivery & Courier Fees Outside Services Testing Environmental Studies Surveying Soils & Subsurface Investigation P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 $ 1.50/Each $10.00/Each $ 10.00/Each $ .25/Each $ 1.50/Each $ .50/Each $ 2.00/Each At Cost + 20% At Cost Long Distance Fees Only At Cost + 20% At Cost + 20% $0.45 per mile At Cost + 20% Wj o a D- 0 0 oQ�jj�"� � m D- o o � y l 4 Sustainable Engineering & Design, LLC Consulting Civil Engineers APPENDIX C TO AGREEMENT FOR ENGINEERING SERVICES "TERMS AND CONDITIONS" SUSTAINABLE ENGINEERING & DESIGN, LLC. o. n rfDNW C o MWO FL The ENGINEER shall perform the services outlined in this agreement for the stated fee arrangement. ACCESS TO SITE: SED -10-062 Unless otherwise stated, the ENGINEER will have access to the site for activities necessary for the performance of the services. The ENGINEER will take precautions to minimize damage due to these activities, but has not included in the fee the cost of restoration of any resulting damage. DISPUTE RESOLUTION: Any claims or disputes made during design, construction, or post -construction between the CLIENT and ENGINEER shall be submitted to non-binding mediation. CLIENT and ENGINEER agree to include a similar mediation agreement with all contractors, subcontractors, subconsultants, suppliers, and fabricators thereby providing for mediation as the primary method for dispute resolution between all parties. BILLINGS / PAYMENTS: Invoices for the ENGINEER'S services shall be submitted, at the ENGINEER'S option, either upon completion of such services or on a monthly basis. Invoices shall be payable within 45 days after the invoice date. For services under Section III: "Additional Services," the amount due to the ENGINEER shall be an amount equal to the hours properly charged to the services, multiplied by the employee's rate as established in Appendix A. For services under Section IV: "Direct and Reimbursable Expenses" the ENGINEER is entitled to reimbursement at the direct cost incurred by ENGINEER as indicated in Appendix B. Retainers shall be credited on the final invoice. Based on a written request from the CLIENT, and at the ENGINEER'S option, a 2% discount may be provided if CLIENT pays invoice within (7) days after invoice date. In order for CLIENT to receive potential discount, ENGINEER must receive payment within (7) days after invoice date. Discount, if received, will be credited on the final invoice. All monies received, as payment on the PROJECT, will be applied to the oldest outstanding amount due the ENGINEER. P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 0 o D - � D o o r•" ffk p4f�T9kmpw g1r(oxr�x0)9?-x M Sustainable Engineering & Design, LLC Consulting Civil Engineers LATE PAYMENTS: s n r° Vii, � } SED -10-062 Any unpaid balances in excess of 45 days past due will be charged interest at the rate of 1-1/2% per month. If the invoice is not paid within 45 days, ENGINEER may without waiving any claim or right against the CLIENT, and without liability whatsoever to the CLIENT, terminate the performance of the service. In the event any portion or all of an account remains unpaid 90 days after billing, the CLIENT shall pay all costs of collection, including reasonable attorney's fees. INDEMNIFICATION: The CLIENT shall, to the fullest extent permitted by law, indemnify and hold harmless the ENGINEER, his or her officers, directors, employees, agents, and subconsultants from and against all damage, liability, and cost. Indemnity includes any reasonable attorney's fees and defense costs, arising out of or in any wav connected with the performance by any of the parties above named of the services under this agreement, excepting only those damages, liabilities or costs attributable to the sole negligence or willful misconduct of the ENGINEER. CERTIFICATIONS / GUARANTEES / WARRANTIES: The ENGINEER shall not be required to execute any document that would result in its certifying, guaranteeing, or warranting the existence of conditions whose existence the ENGINEER cannot ascertain. LIMITATION OF LIABILITY: In recognition of the relative risks and benefits of the Project to both the CLIENT and the ENGINEER, the risks have been allocated such that the CLIENT agrees, to the fullest extent permitted by law, to limit the liability of the ENGINEER and ENGINEER's officers, directors, partners, employees, shareholders, owners and subconsultants for any and all claims, losses, costs, damages of any nature whatsoever or claims expenses from any cause or causes, including attorneys' fees and costs and expert -witness fees and costs, so that the total aggregate liability of the ENGINEER and ENGINEER's officers, directors, partners, employees, shareholders, owners and subconsultants shall not exceed $100,000, or the ENGINEER's total fee for services rendered on this Project, whichever is greater. It is intended that this limitation apply to any and all liability or cause of action however alleged or arising, unless otherwise prohibited by law. TERMINATION OF SERVICES: This agreement may be terminated by the CLIENT or the ENGINEER should the other fail to perform its obligations hereunder. In the event of tennination, the CLIENT shall pay the ENGINEER for all services rendered to the date of termination, all reimbursable expenses, and reimbursable termination expenses. OWNERSHIP OF DOCUMENTS: All documents produced by the ENGINEER, under this agreement, shall remain the property of the ENGINEER and may not be used by the CLIENT for any other endeavor without the written consent of the ENGINEER. P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 o n D - o oC�fUt� Sustainable gr. & Design, Consuking Civil Engineers APPENDIX D TO AGREEMENT FOR ENGINEERING SERVICES "SCOPE OF SERVICES" SUSTAINABLE ENGINEERING & DESIGN, LLC. EGRET MARSH INDIAN RIVER COUNTY SED -10-062 0 a In frl�yrl = rrnr;� QTY SED -10-062 The PROJECT shall generally be defined and described as providing Civil Engineering & Surveying services for the final completion of the Egret Marsh Stormwater Management Project. Sustainable Engineering & Design, LLC (SED) will subcontract to R. Wayne Richmond, PSM to complete the necessary survey work effort that will assist the County in closing out the project as substantially complete. CONSTRUCTION SERVICES: 30-11 Sketch & Description. ENGINEER will subcontract to R. Wayne Richmond, PSM to provide a sketch & description for the 24" stormwater force main from the pump station to the head works pursuant to the approved plans. 60-19 Aerial Photographic Survey. ENGINEER will subcontract to R. Wayne Richmond, PSM to obtain the Aerial Photographic Survey background data as necessary from the Aerial Photographic consultant that was previously coordinated with the County as part of the original field work effort. 60-21 Survey Field Work. ENGINEER will subcontract to R. Wayne Richmond, PSM to provide additional field work to obtain field data to verify the work effort performed pursuant to the approved design plans and in accordance with Section 01720. 60-43 Record Drawing Survey. ENGINEER will subcontract to R. Wayne Richmond, PSM to provide record drawing survey to verify the work effort performed pursuant to the approved design plans and in accordance with Section 01720. Record Drawing Survey is intended to be used by the County to justify that the project has been constructed in substantial conformance. The above proposal and Scope of Services are hereby qualified by the following: 1. Other services (engineering, surveying, testing, etc...), not specifically referenced above, are not included herein. P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 o u D aQ�jo� D o @gM ° • ° - CP �l'=ial l ex j C /7"u Ay n E V7 ?Ar„xax�r a�rr Consulting Engineers APPENDIX E TO AGREEMENT FOR ENGINEERING SERVICES SUSTAINABLE ENGINEERING & DESIGN, LLC. EGRET MARSH INDIAN RIVER COUNTY SED -10-062 uz'g R. DAM R1w C�'o wo FL SED -10-062 For the services set forth in Appendix A, Scope of Services, the fee compensation to the ENGINEER shall be as set forth herein. The term "L.S.” indicates a. Lump Sum fee for the tasks specified and is intended to be a fixed fee not subject to change without the agreement of both parties. The term "T&E" indicates that the tasks specified will be performed on a time and expense basis per the hourly rate in accordance with the fee schedule set forth in Appendix "A", and the fee shown is an estimated budget figure only. ENGINEER will obtain approval, in writing from the CLIENT, prior to moving forward beyond estimated budget figure. CONSTRUCTION SERVICES: 30-11 Sketch & Description 60-19 Aerial Photographic Survey 60-21 Survey Field Work 60-43 Record Drawing Survey CONSTRUCTION SERVICES TOTAL TOTAL (INCLUDES REIMBURSA BLES) $19800 L.S. $69500 L.S. $69000 L.S. $5,550 L.S. $19,850 $19,850 a Reimbursables/Producibles include (2) 24 "x36" signed & sealed record drawings supplied by R. Wayne Richmond, PSM, (1) 24 "x 36 copy of record drawing mylars (upon final approval), and a CD with record drawings in a PDF and AutoCAD R2009 DWG format. P.O. Box 2247 Vero Beach, FL 32961-2247 Office: 772-257-3032 / Fax: 772-257-3033 Client#: 12662 SUSTENG3 AC®RD� CERTIFICATE OF LIABILITY INSURANCE INSRE DATE (MMIDD 9/21/2010mYY, PRODUCER ISU Suncoast Insurance Assoc P.O. Box 22668 THIS CERTIFICATE IS ISSUED AS A MATTER ONLY AND CONFERS NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE OF INFORMATION CERTIFICATE EXTEND OR POLICIES BELOW. Tampa, FL 33622-2668 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR 813 289-5200 INSURERS AFFORDING COVERAGE NAIC # INSURED Sustainable Engineering & Design, LLC PO Box 2247 Vero Beach, FL 32961 INSURER A: XL Specialty Insurance Company $ 37885 INSURER B: PERSONAL & ADV INJURY $ INSURER C: $ INSURER D: PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT INSURER E: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COVERAGES 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. LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occ; rrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR 1 CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- _ _EEL E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ A OTHER professional Liability DPS9685954 07/03/10 07/03/11 $1,000,000 per claim $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Professional Liability is written on a claims made and reported basis, For Proposal Purposes ACORD 25 (2001/08) 1 of 2 #S2729761M259366 CANCELLATION 10 Days for Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 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 NLH © ACORD CORPORATION 1988 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-S (2001108) 2 of 2 #S272976/M259366 � r A� ® CERTIFICATE OF LIABILITY INSURANCE DATE 8/30/2010 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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). PRODUCER CONTACT Ann Watters NAME: Brown and Brown Insurance of Brevard _ n ONE tet). (321) 757-8686 FAX A •Not: (szl) 797-8687 7341 Office Park Place ADDR1ESS:awatters@bbbrevard.com Suite 202A PRODUCER 90020646 TAMER ID #. Melbourne FL 32940 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A :Hartford Sustainable Engineering & Design, LLC PO Box 2247 Vero Beach FL 32961 INSI COVERAGES CERTIFICATE NUMBER:CL1083008615 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR 1SBMUG7031 6/18/2010 6/18/2011 EACH OCCURRENCE $ 2 , 000 , 000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ 4 , 000 , 000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 1SBMUG7031 6/18/2010 6/18/2011 COMBINED SINGLE LIMIT (Ea accident) $ 21000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WC STATU- TQRYLIMI OTH- E E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) TE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN INSURED' S COPY ONLY ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Todd Piersol/ANN ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD