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NONNER TREE SERVICENonner Tree Service Miami, 7/7/2012 5831 SW 86 ST Miami, FL 33143 Licensed and insured Workers comp and Liability License #675675 Nonner Tree Service proposes to provide and install 50 oak trees and maintain such trees for a one year period within the City of South Miami City limits. Cost per tree - $675 Cost for 50 trees - $33,750. I'm looking forward to do business with you. Clemens Nonner owner/operator ISA Certified Arborist FL-63238A Proposal Accepted Name: Date: CITY OF SOUTH MIAMI South miarni / PUBLIC WORKS AND CENTRAL SERVICES u. • INVITATION TO QUOTE • LUMP SUM PROPOSAL SUBMITTED TO: City Clerk NAME: Maria Menendez, CMC ADDRESS: 6130 Sunset Drive CITY /STATE: Miami, Florida 33134 PHONE: 305- 663 -6339 MANDATORY PRE -QUOTE MEETING: N/A QUOTE SUBMISSION REQUIREMENTS: PROJECT: Tree Planting Initiative ADDRESS: Various City Addresses CITY /STATE: South Miami, Fl 3143 ISSUE DATE: Monday July 2, 2012 E -MAIL: skulick @southmiamifl.gov DUE DATE: Monday July 9 2012 12:00 PM All bidders must attend Mandatory Pre -bid Meeting (if Applicable) to submit a quote. Quotes submitted after 12:00 PM on the due date will not be accepted unless otherwise specified in the quote document of a time change. All quotes will be submitted to the City Clerks Office in a sealed envelope. The label on the envelope needs to read as follows: City of South Miami Maria M. Menendez, CIVIC 6130 Sunset Drive South Miami, Fl. 33143 Project Name: Must input project name. If label does not have all information above your quote will not be accepted. INSURANCE REQUIREMENTS: The CITY'S insurance requirements are attached (Exhibit 1). As a condition of award, the awarded vendor must provide a certificate of insurance naming the city as additional insured. SCOPE OF WORK DESCRIPTION (TO BE COMPLETED BY CITY): The City of South Miami is seeking quotations from experienced and capable parties to provide and install oak trees and maintain such trees for a one -year period within the City of South Miami City limits. The estimated quantity of oak trees to be planted within a one -year period is fifty (50). Quantity of oak trees are estimated and should be used for planning purposes only and is not a firm commitment. NOTE: SEE ATTACED SCOPE OF SERVICES FOR FURTHER INFORMATION DESCRIPTION OF WORK TO BE PERFORMED BY CONTRACTOR: Contractor shall furnish all materials and equipment necessary to secure completion of the work. Contractor shall be compensated according to the quote submitted. Field meeting shall be conducted at the site on , 10 a.m.Contractor is responsible to secure all permits and reflected in the Lump Sum quote. Contractor may choose to submit a quote on company letterhead but must be attached with this form. Deadline to submit is Monday July 9, 2010 at 12:00 PM - Clerk's office at 6130 Sunset Drive, South Miami, F133143 Name: (I C -, AA ' A / r)1 A iA 1,r Phone: Signature: Date: E- mail: X1. rs s t t 4 r1 .rya (DW4 Fax: Firm Name: tyr ( t ft"er1` G F.E.I.N. No.: Address: i City: State: 's THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL NON - RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE PROPOSER TO THE TERMS OF ITS OFFER. THE CITY'S REQUEST FOR QUOTES IS FOR THE LOWEST AND MOST RESPONSIVE PRICE. THE CITY RESERVES THE RIGHT TO AWARD THE PROJECT TO THE FIRM CONSIDERED THE BEST TO SERVE THE CITY'S INTEREST. 11 LjvMMt:Hk;IAL LINES POLICY 9A Western World POLICY NUMBER: NPP1334439 XN0 I N S U R A N C E G R Q U P Prior Policy Number: NEW X WESTERN WORLD INSURANCE COMPANY COMMON POLICY DECLARATIONS Named Insured and Mailing Address: NONNER TREE SERVICE INC 5831 SW 86 STREET MIAMI, FL 33143 Producer: SOTOINSURANCE 2030 S DOUGLAS RD STE 113 MIAMI, FL 33134 Policy Period: (Mo. /Day /Yr.) From: 05/07/2012 To: 05/07/2013 TUDOR INSURANCE COMPANY 0 STRATFORD INSURANCE COMPANY SLA #A206695 Agent /Broker # 7103 Virginia C. Phillips TAPCO Underwriters, Inc. 13577 Feathersound Drive Clearwater, FL 33762 Jff 12:01 AM, standard time at your mailing address shown above. IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGES FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. Commercial Property Coverage Part Commercial General Liability Coverage Part Commercial Auto Coverage Part $ NOT COVERED $ 600.00 Other Coverages: Terrorism Risk Insurance Act $NOT COVERED II $ SURPLUS LINES INSURERS' TOTAL ADVANCE PREMIUM $ 600.00 POLICY RATES AND FORMS ARE Policy Fee $ 35.00 NOT APPROVED BY ANY FLORIDA. Tax REGULATORY AGENCY. $ 31.74 Service /Underwriting Fee $ 0.00 Forms and endorsements applying to this policy and FSLSO Fee $ 0.64 attached at time of issue: CPICA Fee $ See Applicable Schedule Of Forms And Endorsements FHCF Fee $ 8.26 GRAND TOTAL $ 675.64 I Ch Ii r'4 n The Named Insured is: ❑ Individual ❑ Other COMMON POLICY DECLARATIONS (continued) ❑ Partnership ❑ Limited Liability Company Location of Business: 5831 SW 86 STREET, MIAMI, FL 33143 POLICY NUMBER: NPP1334439 ® Organization /Corporation ❑ Trust Business Description: TREE SERVICE AND LANDSCAPE GARDENING THESE DECLARATIONS TOGETHER WITH THE COVERAGE PART DECLARATIONS, THE COMMON POLICY CONDITIONS, COVERAGE FORM(S), AND FORMS AND ENDORSEMENTS, IF ANY, COMPLETE THE ABOVE NUMBERED POLICY. WESTERN WORLD INSURANCE GROUP Western World Insurance Company Tudor Insurance Company Stratford Insurance Company Administrative Office 400 Parson's Pond Drive Franklin Lakes, New Jersey 07417 -2600 We will provide the insurance described in this policy in return for the premium and compliance with all applicable provisions of this policy. If required by state law, this policy shall not be valid unless countersigned by our authorized representative. Secretary Countersigned: TAPCO Underwriters, Inc. Clearwater, FL 05/10/12 JENIF184 m President Authorized Representative Page 2 of 2 WW230 (08/11) COMMERCIAL LIABILITY COVERAGE PART DECLARATIONS Effective Date: 05/07/2012 Policy Number: NPP1334439 12:01 AM, Standard Time General Aggregate Limit (Other Than Products - Completed Operations) $ 2,000,000 Products - Completed Operations Aggregate Limit $ Included t Personal and Advertising Injury Limit $.1,000,000 Any One Person or Organization Each Occurrence Limit $ f0001000 Damage to Premises Rented to You $ 100,000 Any One Premises Medical Expense Limit $ 51000 Any One Person Each Professional Incident Limit (if applicable) $ NOT COVERED t If the Limit is shown as Included, Products - Completed Operations are subject to the General Aggregate Limit. Premium Classification Code No. Basis Landscape Gardening. 97047 p Payroll Products - completed operations are 33,020 subject to the General Aggregate Limit. Tree Pruning, Dusting or spraying, 99777 p Payroll Repairing, Trimming or Fumigating. INCLUDED Products - completed operations are subject to the General Aggregate Limit_ a Rate I Advance Premium Pr /Co All Other F Pr /Co I All Other INCL 14.940 INCL 600.00 NP INCL 24.820 INCL INCL Total Advance Premium $ 600.00 Forms and Endorsements applying to this coverage part and made part of policy at time of issue: See Schedule of Forms and Endorsements THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. IN 1; 111112u12 1?;:tpN TO: FROM: DATE RE: Lion Insurance LION INSURANCE COMPANY- .Nonner Tree Service, Inc LION INSURANCE COMPANY 2739 US HWY 19 NORTH HOLIDAY, FLORIDA 34691 PHONE: (727)938-5562/(800)966-5562 FAX (727) 937 -2138 Whom It May Concern: Glen Bean, Controller, Lion Insurance Company January 11, 2012 Workers' Compensation Insurance Coverage This is to certify that effective April 4, 2011 Nonner Tree Serves became a client of South East Personnel Leasing, Inc. The employees of the above client who are leased employees of South East Personnel Leasing, Inc. are covered under the South East Workers' Compensation Policy T1 WC 71949. Enclosed please find the Policy Declaration page for this coverage. Please do not hesitate to call with any questions. Sincerely, Glen Bean Controller Enclosure JAN -11 -2012 07:17PM From: ID:UM PHYSIOL /BIOPHYS Pa9e:001 R =92% * 1/11/2012 18:58 Lion Insurance LION INSURANCE COMPANY- >Nonner Tree Service, Inc. 2/2 LION INSURANCE COMPANY 2739 U.S. Highway 19 North Holiday, Florida 34691 t Named Insured and Address: Southeast Personnel Leasing Services Inc and Subsidiaries 2739 US Highway 19 N IIoliday, FL 34691 Workers Compensation and Employers Liability Insurance Policy POLICY DECLARATION Agent Plymouth Insurance Agency 2739 US Highway 19 N IIoliday, FL 34691 Policy Period: 01/D1/12 to D1/01/13 Policy Number: WC71949 12:ot a.m. Standard Tune at the address Renewal of WC71949 of the insured as stated herein NCCI Carrier No.: 56529 FEIN No.: 59- 329819' Risk ID No.: 918051236 Entity of Insured: Corp. 2 The Policy Period is from 01/01112 to 01/01/13 12.01 a.m. Standmd Time al the htswed's mailiny address. 3 A. Workers Compensation Insurance: Part ONE of the policy applies to the Workers' Compensation Law of the state listed here: FL, GA, MD.. MS, NC, NV B. Employers Liability Insurance: Part TWO of the policy applies to work in each state listed in Item 3A. The limits of our liability under Part TWO are: Disease $1,0001000.00 Bodily Injury by Accident $1,0001000.00 each accident Bodily Injury by Disease $1,0001000.00 policy limit Bodily Injury by Disease $11000,000.00 each employee C. Other States Insurance: Part THREE of the policy applies to the states. if any, listed here: None D. This policyincludes these endorsements and schedules: See attached schedule. 4 The premium for this policy will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All information required below is subject toverification and charge by audit. Adjustment of premium shall be made: At Policy Expiration Estimated Classification Estimated Annual Rate Per Annual Location Class Of Operations Remuneration $100 Premium See Attached Issued Date: Issuing Office WC 00 00 01A (Ed. 05/1988) Total Estimated Annual Premium 01/01/12 Lion Insurance Company V Authorized Representative $8,110,066 JAN -11 -2012 07:17PM From: ID:UM PHYSIOL /BIOPHYS Pa9e:002 R =94%