p.m. 5:30 (1) external budget amendment - sheriff's …1) external budget amendment -...

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS POST OFFICE BOX 1529 LAKE CITY, FLORIDA 32056-1529 CONSENT AGENDA APRIL 2, 2015 5:30 P.M. (1) External Budget Amendment - Sheriff's Office - BA # 15-42 - Recent Animal Cruelty Case - $27,901.00 (2) External Budget Amendment - Central Communications - BA# 15-43 - Repairs to the Communications Equipment on the Lulu Tower -$11,400.90 (3) Operations Department - Requesting Approval to Enter Private Property - Johnny and Betty McCloud, Property Owner, 281 NE Bonds Street- Removal of Tree on County's Right-of-Way onto Property Owner's Home (4) Tourist Development Council - Requesting Changes to the Columbia County Field Use Agreement for Tournament Play- Sports Authority Board Approved for Recommendation on 3/17/2015 (5) Tourist Development Council - Requesting the Appointment of Cody Gray to Florida's Suwannee River Valley Marketing Board (6) County Extension Department - Requesting Approval of Agreement to Place Honey Bee Demonstration Hives at Fort White Library (7) Operations Department- Requesting Approval to Fence the Property North of the Public Works Facility Due to Petit Thefts and Vandalism (8) Tourism Development Council - Requesting Approval for New Copier, Printer and Fax Machine Lease - Lease Term 48 Months at $181.53 per month (9) Supervisor of Elections - Requesting 2013- 2014 Fixed Asset Inventory Removal (see attached list) (10) Safety Manager- Request to Approve the Donation of Used Office Furniture That Has Been Declared Surplus - Lake City/Columbia County Humane Society

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Page 1: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS POST OFFICE BOX 1529

LAKE CITY, FLORIDA 32056-1529

CONSENT AGENDA

APRIL 2, 2015

5:30 P.M.

(1) External Budget Amendment - Sheriff's Office - BA # 15-42 - Recent Animal Cruelty Case - $27,901.00

(2) External Budget Amendment - Central Communications - BA# 15-43 -Repairs to the Communications Equipment on the Lulu Tower - $11,400.90

(3) Operations Department - Requesting Approval to Enter Private Property -Johnny and Betty McCloud, Property Owner, 281 NE Bonds Street­Removal of Tree on County's Right-of-Way onto Property Owner's Home

(4) Tourist Development Council - Requesting Changes to the Columbia County Field Use Agreement for Tournament Play- Sports Authority Board Approved for Recommendation on 3/17/2015

(5) Tourist Development Council - Requesting the Appointment of Cody Gray to Florida's Suwannee River Valley Marketing Board

(6) County Extension Department - Requesting Approval of Agreement to Place Honey Bee Demonstration Hives at Fort White Library

(7) Operations Department- Requesting Approval to Fence the Property North of the Public Works Facility Due to Petit Thefts and Vandalism

(8) Tourism Development Council - Requesting Approval for New Copier, Printer and Fax Machine Lease - Lease Term 48 Months at $181.53 per month

(9) Supervisor of Elections - Requesting 2013- 2014 Fixed Asset Inventory Removal (see attached list)

(10) Safety Manager- Request to Approve the Donation of Used Office Furniture That Has Been Declared Surplus - Lake City/Columbia County Humane Society

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(11) Safety Manager - Requesting Approval to Declare Homes Purchased Under the HMGP Grant as Junk So They May Be Demolished in Accordance with the Grant Agreement

(12) Purchasing - Requesting Approval of Bid No. 2015-2 - Curt,s Construction - SW Herlong Street-$2,310,266.21

(13) Code Enforcement- Renewal of 2015 Solid Waste Collection Franchise Applications - Norris Containers, LLC

Hambone Enterprises, LLC Waste Pro of Florida

. Johnson & Sons Dumpster & Crane Service, LLC Advanced Disposal Republic Services of Florida, LP R&E Environmental Services, Inc.

(14) Building and Zoning - Requesting Approval for a Special Family Lot Permit - Phillip Toscano· Salvatore Toscano, Property Owner

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: _3_12_31_15 _____ _ Meeting Date: _4_12_11_5 __________ _

Name: Sheriff Mark Hunter Department: Sheriffs Office

Division Manager's Signature:--------------------------

1. Nature and purpose of agenda item: See attached budget amendment request.

I

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? [Z] N/A

D Yes Account No. ---------------

0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number:_B_A_1_5-_42 _____ _

FROM

001-8400-584.90·98

GENFUND/CASHBALANCEFORWARD

TO 001-2400-521.30-52

GEN FUND/ SHERIFF OPERATING

For Use of County Manger Only:

{ ] Consent Item [ ) Discussion Item

AMOUNT

$27,901

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March 20, 2015

Sheriff Mark Hunter COLUMBIA COUNTY SHERIFF'S OFFICE

4917 US Hwy. 90 East• Lake City, Florida 32055-6288 www .columbiasheriff.org

Honorable Rusty Depratter, Chainnan Board of County Commissioners P.O. Drawer 1529 Lake City, FL 32056

Dear Mr. Depratter,

I am submitting this Budget Amendment #2 for the 14-15 fiscal year in the amount of $2 7. 901.00. A recent animal cruelty case involved the care of over thirty horses for approximately six months. This resulted in extraordinary unbudgeted expenditures in our Investigations Division of over $50,000. The above amount is for the FY 14·15 expenses only which are offset by the amount received for the sale of the animals which occurred when the case was eventually adjudicated.

Your full consideration to this request will be greatly appreciated.

Sincerely,

~-J_-~ Mark Hunter Sheriff, Columbia County

cc: Dale Williams, County Coordinator Accounting Department

Administration: (386) 752-9212 • District Two Office: (386) 497-3797 • Detention Facility: (386) 755-7000

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: March 24, 2015

Name: David Kraus, Safety Manager

Meeting Date: _A...:..p_ril_2.;_, 2_0_15 ________ _

epartment: Central Communications

1. Nature and purpose of agenda item: To approve a budget amendmentfor $11,400 for repairs to the

communications equipment on the Lulu Tower.

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? D N/A

D Yes Account No. ---------------0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number: BA 15 · J./ 3 FROM

Cash Balance Forward

001-8400-584.90-98

TO Repairs and Maintenance

001-2620-525.30·46

For Use of County Manger Only:

[ ] Consent Item [ ] Discussion Item

AMOUNT

$11,400.90

Page 6: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

TO: From: Date:

RE:

MEMORANDUM

Columbia County Board of County Commissioners David Kraus, Safety Manager March 24, 2015

Repairs to the Lulu Tower

RCC, during their inspection of the County's communications system, discovered weather related damage to the antennas and radios at the Lulu Tower. Lulu is a receive only tower that provides the ability those in the field to "talk back" to the 911 Center. With the damaged equipment, the tower does not function. This tower is also critical to the Mutual Aid/ Automatic Aid agreement with Union County.

Existing radio equipment used at the Lulu tower is no longer manufactured and cannot be repaired. The replacement equipment requires a different microwave link, so that the repairs will require two separate tower climbs. The total repair cost is $11,400.90:

Antenna Radio Equipment Microwave (2) Tower Climbs

Spare parts $6,885.00 $1,515.90 $6,000.00

Repairing the tower depletes the department's available funds to a point where they are not able to meet current fiscal year obligations. This budget amendment would restore the funding needed for the repairs. The Central Communications Department is requesting the Columbia County Board of County Commissioners to approve a Budget Amendment for $11,400.90 for repairs to the Lulu Tower.

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Date: March 17, 2015

TO: BOCC

Columbia County Central Communications

MEMO

From: Lawrence Wilson, Central Communications Director

Ref: Lightning Repair

BOCC,

This iCEMO is in reference to the Lulu tower microwave link.

Reference: Lulu tower lightning strike.

Justification: Lulu tower houses the equipment that enables connectivity to Columbia County dispatch in the event that Public Safety assets arc needed on the cast side of the county. This tower is a receive only tower that aids in talkback coverage to dispatch. The tower is also the primary tower that provides coverage for Automatic and Mutual Aid with Union County (Resolution No. 2014R-41).

Request: Central Communications is requesting $11400.90 to cover the cost for equipment purchase and for Ross Tower to install the equipment on Lulu and Franklin St. towers.

__ --Ori_~inal Signed- - ______ _ _March 18, 2015 ___ _ Authorized Representative Name / Title Date Lawrence Wilson, Director, Central Communications

CC: David Kraus

Page 1 of1

Page 8: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

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Quotation number: 2575895-031815 GSA

Page : 1 BILL TO: 2575895-0000 SHIP TO: 2575895-0000 Date : 03/18/15

Colwnbia County Florida BC PO Box 1529

Central Communications 263 NW Lake City Ave Lake City, FL 32055

Telephone: 386-719-2028 Name: Lawrence Wilson

Lake City, FL 32056

SKU Unit of Manufacturer part number # measure Description

360670 1 EA 5.25-5 . 85 2' HP Parabolic HPD2-5.2NS

Product currently available in stock.

IT GSA Schedule GS-35F-0548P

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Order qty

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Destination & handling: FL Sales tax:

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0 . 00 0 . 00

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Page 9: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

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r--·-- -- -------··--. -··. t-:" BILL TO ! ! Columbia County Board of County Ct. : i I .

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Page 10: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: March 23, 2015 Meeting Date: _A_p_ri1_2_, 2_0_1s ________ _

Name: Kevin Kirby /

Division Manager's Signature: ___ 7_,,,,/L'-'-;;z:;;;;;-=-------------------

Department: _O...ape._ra_tio_n_s ______ _

1. Nature and purpose of agenda item: _E_nt_en_·n=g_P_riv_a_te_P_ro.:-pe_rty...._ _____________ _

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? IZf N/A

0 Yes Account No. --------------0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

[ ] Consent Item { ] Discussion Item

Page 11: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

District No. 1 - Ronald WIiiiams Disbict No. 2 - Rusty DePratter Dis11ict No. 3 - Bucky Nash District No. 4 - Everett Phillips District No. 5 - Scarlet P. Frisina

MEMORANDUM

TO: Dale Williams, County Manager

FROM: Kevin Kirby, Operations Manag~

DATE: March 23, 2015

SUBJECT: Entering Private Property

I am requesting permission to enter private property for the purpose of tree removal. A very large oak in the county right-of-way has several branches hanging over the property owner's home and need to be removed.

The appropriate Hold Harmless Agreement will be obtained.

Your consideration is appreciated.

BOARD MEETS FIRST THURSDAY AT S:30 P.M. ANO THIRD THURSDAY AT 5:30 P.M.

P. 0. BOX 1529 LAKE CITY, FLORIDA 32056· 1529 PHONE (386) 755·4100

Page 12: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

Print Preview- Columbia County Property Appraiser- Map Printed on 3/23/2015 11:25:1... Pagel of 1

Columbia County Property Appraiser J. Doyle Crews • Lake City. Florida 32055 366· 758-1083

PARCEL: 33-3$-17-06265-000 . MOBILE HOM (000200) LOT SIN N1/20F NE1/4 OF NE1/4REESE SID. WD 1192-1817

Name:MCCLOUD JOHNNY SR & BETIY J 2014 Certified Values Site: 281 NE BONDS ST land

Mail: ~~i~fLS~5 = Sales 4/14/2010 $13,500.00 V /Q Exmpt

$8,639.00 $34,708.00 $44.047.00 $44,047.00

Info 8/1/1985 $4,000.00 VI U Taxbl Cnty: $0 Other. $19,047 1 $dll: $19,047

NOTES:

·s 1mrmat1on.i,pdaled· J/l!l/2015, w"'dlln'ltld 1ro<ndm"'1ichnsCO<nl)iltdt,yv,e~aC<llllttyP!vporty ~ Offioo sole!y!Y lh• ~tlll)lll)Ose oll'f'Ol*1Y-t n,,. allon shllollnotbereiod llpOII byanfll"" as adl-.iionolll,e~ol p,,)!)'lrtyotmnet,aw. No~ uprassodorimpled, nP"M(ledfof lhol ~ol111ednheni,, pa.,,ered ti'.\'

use. or It's ~n. Allhough Ito petbically upclalld. lhis infoona!ion '""1 natrellocl t>S data<UTenlly on 11111 in h Pllll'811 Apprllioats offial. The -vauss a,e NOT oer1illed v•m Grtulylogic..com and lleltfole •• :subject tl change bei..a being fin.tizad !Y ad valonlm .......,,..,11)11)>)!115.

http://g2.columbiafloridapa.com/GIS/Print_Map.asp?pjboiibchhjbnligcafceelbjemnolkjkm... 3/23/2015

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: _3_.2_3_.20_1_5 ____ _ Meeting Date: _4_.2_.2_01_s _________ _

Name: Paula Vann ?rtment: TDC

Division Manager's Signature: --4~"'-~---J'""""-.... ·Uf{___"-""-t--------------------1. Nature and purpose of agenda item: Approve proposed changes to the Columbia County Field Use Agreement

for Tournament Play. The Revised Field Use Agreement was approved by the Sports Advisory board on 3.17.2015

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? [Z] N/A

D Yes Account No. --------------D No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

/(consent Item [ ] Discussion Item

Page 14: P.M. 5:30 (1) External Budget Amendment - Sheriff's …1) External Budget Amendment - Sheriff's Office ... Colwnbia County Florida BC PO Box 1529 ... 360670 1 EA 5.25-5. 85 2' HP Parabolic

COLUMBIA COUNTY. FLORIDA SOUTHSIDE RECREATION COMPLEX FACILITY USE AGREEMENT

**Tournament Play**

COLUMBIA COUNTY, FLORIDA of Post Office Box 1529, Lake City, Florida 32056-1529, telephone 386/754-7095, (herein "Columbia County"), upon the terms and conditions herein agrees that the Organization named herein ("Organization") may use certain portions of the Southside Recreational Facility in Columbia County, Florida, subject to the terms and conditions of this agreement.

Name of Organization: Contact Person: Address: Telephone No.: Tax ID No.:

Date(s): Time: Field(s): Other Facilities:

Nonprofit/501 (c) 3 approved: Yes ___ No

Organization agrees to all Terms and Conditions and Insurance Requirements set forth in Schedule "A" & "B" attached hereto and by reference made a part of this agreement.

Organization acknowledges Columbia County will have agreements with other organizations for the use of the recreational facilities, and Organization will cooperate with Columbia County in scheduling the times and dates of events to be held at the recreational facilities to avoid scheduling conflicts. All scheduling and use of the recreational facilities shall ultimately be at the sole discretion of Columbia County.

The undersigned representative of Organization agrees to all of the terms and conditions of this Facility Use Agreement.

A $500.00 deposit will also be made payable for each tournament to the Board of County Commissioners. This deposit will be used to cover any costs incurred by the County or concession provider. Any unused portion of the deposit may be applied to rental fees. This deposit may only be refunded when:

1) The applicant cancels the event within 30 days of the reservation; 2) The applicant cancels the event and Columbia County rents the facility to another event or tournament

for the time period in question; or 3) The County is responsible for the cancellation,

If the County is responsible for the cancellation, notice will be given as far in advance as possible and a full refund of rental fees and deposits will be issued. ff the applicant is responsible for the cancellation, any refund of fees and deposit will be made less the administration fee of $25.00. No refund will be issued if the applicant cancels the event and the County is unable to rent the facility.

Signature of Organization or Authorized Representative: ----------------

APPROVED BY:

Columbia County Authorized Representative: ----------------

Board of County Commissioners

Date: --------

Date: --------

Page 1 Rev.10/17/13

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INSURANCE AND INDEMNIFICATION:

Organization shall supply a "Certificate of Insurance" reflecting minimum coverage of $1,000,000.00 bodily injury and $100,000.00 property damage. Columbia County shall be named as additional insured which shall be noted on the Certificate. The Certificate shall indicate Organization's policy shall not be canceled without 30 days prior written notice to Columbia County. Organization must provide the Certificate of Insurance to Columbia County no later than 5 working days prior to the event or on an annual basis.

Organization, including its contractor, agents and employees, hereby agree to indemnify and hold harmless Columbia County, and its officers, agents and staff, from and against any and all liability claims, damages, demands, expenses, fees, fines. penalties. suits, proceedings, actions, copyright violations, and other causes, including reasonable attorney fees of any kind and nature arising or growing out of and in any way connected with the Organization's use of the facilities in accordance with this agreement.

Signature of Organization or Authorized Representative: _______________ Date: ----------

APPROVED BY:

Columbia County Authorized Representative: _______________ Date:----------

Payment Date: _________ .Amount: -------

All checks shall be made payable to: Columbia County Board of County Commissioners Remit: Landscape & Parks

341 S.E. Charmont Lane Lake City, FL 32025

CONTACT INFORMATION:

Check No.: _______ _

Columbia County landscape and Parks De~artment Sports Marketing Director Clint Pittman or Jan Smithey Kelly Lowrey Phone: a86171Q 7545 Fax: 386/719 7544 386.719.1453or386.361.0323 Fax: 386.758.1311 Post Office Box ~ 1847 Lake City. Florida 32056~ 184 7 Email: Clint Pi~man@eoh:,mbiaoo~mtyfla.com [email protected]

Board of County Commissioners Page 2 Rev.10/1 7/ 13

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SCHEDULE "A"

Terms and Conditions:

1. Organization has agreed to carefully supervise all activities, and will be responsible for its own equipment, supplies, employees and personnel.

2. Vendors on site during tournaments must provide background check to the Sports Marketing Director 30 days prior to the event.

3. Vendors must provide proof of insurance to the Sports Marketing Director 30 days prior to the event.

4. Vehicles shall be allowed in designated parking areas only.

5. Supervision and control of parents, players, coaches, and other participants is responsibility of Organization.

6. Utility usage must be coordinated and approved through Columbia County Landscaping and Parks Department. Organization is required to use County Landscaping and Parks Department staff for the preparation man maintenance of the fields and associated facilities.

7. Concessions will be provided at all events and games with the appropriate local youth sports licensee having first right of refusal to provide concessions. If the local youth sports licensee waives this right, then concessions will be offered to the other youth sports groups licensed to operate to the recreation facility. If all licensed youth sports groups decline to operate the concessions, concessions may be provided by either the Organization or a County sponsored youth sports group, at the discretion of the Organization.

8. Columbia County reserves the right to reschedule, cancel or change times or dates for Organization's use of the facility due to inclement weather, acts of God or other unforeseeable events which affect the health, safety or welfare of those using the facility.

9. Organization agrees to comply with all terms, conditions, regulations, and restrictions of Columbia County for use of the facilities.

10. Organization is an independent party and not an agent of Columbia County.

11. Organization will inspect the fields and facilities and accepts them in their "as is" condition. Columbia County makes no implied or express warranties as to the condition of the facilities or fitness for Organization's use.

12. Organization shall require all participants (parent/legal guardian for minor) to sign a waiver and release of liability form on behalf of Columbia County. The form will be provided to Organization by Columbia County or Organization's waiver and release form approved by Columbia County.

13. Organization may not assign any interest in this agreement to any other party.

14. Sole and exclusive venue for any dispute regarding this agreement shall be Columbia County, Florida. The prevailing party shall recover reasonable attorney's fees and costs from the defaulting party.

15. Organization will not allow pets to be admitted to the recreation facility except for service animals.

16. All payments for the use of the County recreation facilities shall be submitted to the County's Landscaping and Parks Department, shall be payable by check and shall be made out to Columbia County Board of County Commissioners

Initial by Columbia County Representative

Board of County Commissioners

Initial by Organization Representative

Page3 Rev.10/17/ 13

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SCHEDULE "B"- STANPABP FEES

Terms and Conditions:

The terms and conditions to rent the facilities for tournament play or events are negotiable depending on the size and scope of the tournament. Typically, fees are based upon a luA'lp suA1 or a standard $25.00 per field per game.

When reserving fields and facilities, the organization will have~ 72 hours to execute the Facilities Use Agreement and pay the deposit. After~ 72 hours, unless the Facilities Use Agreement has been executed and all deposits paid in full, the facilities will not be considered reserved and will remain as available dates on the master usage calendar.

A $500.00 deposit will also be made payable for each tournament to the Columbia County Board of County Commissioners. This deposit will be used to cover any costs incurred by the County or concession provider. Any unused portion of the deposit may be applied to rental fees. Deposits are due within 24 hours of reserving the facility.

Organization or Authorized Representative agrees to pay:

for the use of the facility.

Facility

Deposit

No. of Teams

Total Fees Paid

Initial by Columbia County Representative

Board of County Commissioners

Initial by Organization Representative

Page4 Rev.10/17/13

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BOARD OF COUNTY COMMISSIONERS • COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: _3_.2_3_.20_1_5 ____ _ Meeting Date: _4_.2_.2_01_s _________ _

Name: Paula Vann Department: TDC

Division Manager's Signature: __ D._~'------i ......... (,. ..... 'l. .... ~----:::_-_-_-_-_-_-_-_-_-_ -_ -_ -_ -_ -_ -_-_-_-__ _

1. Nature and purpose of agenda item: Appoint Cody Gray to Florida's Suwannee River Valley Marketing Board

of Directors

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? 0 N/A

D Yes Account No. --------------D No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

~ Consent Item [ ] Discussion Item

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM ,,

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: _3_12_31_1_5 _____ _ Meeting Date: _4_12_11_5 __________ _

Name: Derek Barber Department: County Extension

Division Manager's Signature: _ _._~..__;;;__ ......... ____;;;g;;;;.......;Ulztr:=""'w-----------------1. Nature and purpose of agenda item: Place honey bee demonstration hives at Ft White Library. (See attached memo)

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? IZ] N/A

D Yes Account No. --------------

0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

iX['consent Item [ ] Discussion Item

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RECEIVED UF/IFAS Extension Columhia County

MAR 1 7 2015 971 W Duval Street, Suite 170 Lake Cit;. FL 32055-3708

Phone: (386)752-538-1 Fax: (386)758-217 3

Email: [email protected] Wchsitc: http//columhia.ifas.url.cdu

Boanl of County Commissioners Columbia County

To: Columbia County Board of County Commissioners

From: Derek Barber, Livestock & Natural Resources Agent

Re: Honey Bee Demonstration Hives

Date: March I 7, 2015

Dear County Commissioners,

I am writing to ask that you grant the UF/IFAS Extension Columbia County permission to place two educational demonstration honey bee colonies at the Fort White Branch Library Demonstration Garden. This would allow UF/IFAS Extension to hold beekeeping workshops for local beekeepers and also inform the public of the integral part pollinators have in both residential and urban settings. Another educational opportunity would be for the Fort White Middle/High School students, in science and agriculture classes, to learn about the biology, anatomy, nutrition and management of honey bees. These demonstration colonies could also possibly lead to a new 4-H beekeeping club for those youth who are interested in entomology and ncmatology.

I will work with the FDACS Apiary Inspector, Mr. Stephen Cutts, for the compliance agreement on the best management requirements for maintaining European honey bee colonies on non-agricultural land. The extension office has volunteers to help with following the stipulations outlined for a special permit issued by the Division of Plant Industry.

The placement of honey bee colonies on non-agricultural private lands must agree to and adhere to the following stipulations:

• When a colony is situated within 15 feet of a property line, the beekeeper must establish and maintain a fly\.\:ay barrier at lea,;;t 6 feet in height consisting of a solid wall, fence, dense vegetation or combination thereof that is parallel to the property line and extends beyond the colony in each direction. Materials to construct a wooden fence around the colonies are being donated by a volunteer.

• All properties, or portions thereof, where the honey bee colonies are located must be fenced, or have an equivalent barrier to prevent access, and have a gated controlled entrance to help prevent unintended disturbance of the colonies.

• Beekeepers must provide a convenient source of water on the property that is available to the bees at all times so that the bees do not congregate at unintended water sources.

• Beekeepers must visually inspect all honey bee colonies a minimum of once a month w assure reasonable colony health including adequate food and colony strength. If upon inspection honey bees appear to be overly aggressive the beekeeper shall contact their assigned apiary inspector for an assessment.

• Practice reasonable swarm prevention techniques as referenced in University of Florida's Institute of Food and Agricultural Sciences extension document "Swarm Control for Managed Beehives'', ENY 160, published November 2012.

The Foundation for The Gator Nation ,\n l'qu,\I t lppc>rtunit\' ln~tltuh,111

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I ask that you consider this request so that UF/IF AS Extension can continue to improve educational opportunities for our local beekeepers and students.

Sincerely,

Derek Barber

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Columbia County Public Library Fort \Yhitc Branch

March 16, 2015

17700 SW SR 47 Fort White, Florida 32038

386-497-1108 * FAX 386-497-2066

Board of county commissioners Lake City, Florida

Dear commissioners,

Derek Barber, a Columbia County Extension Agent, would like to put a working beehive in the Fort White Branch Library's Demonstration Garden. As the Branch Manager, I think this is a wonderful idea. our garden is made up of native and butterfly plants, various shrubs and small trees. we also have raised beds with seasonal vegetables to demonstrate the various aspects of growing your own food. To have a beehive that demonstrates how to cultivate your own honey will add to this dimension and attract more visitors to our spot.

I have been assured that the hive will be protected from humans and humans will be protected from the bees. This is a win-win situation for our garden.

Sincerely,

Patti Street Branch Manager

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Florida Department of Agriculture and Consumer Services Division of Plant Industry

ADAM H. PUTNAM COMMISSIONER

BEEKEEPER COMPLIANCE AGREEMENT -BEST MANAGEMENT REQUIREMENTS FOR

MAINTAINING EUROPEAN HONEY BEE COLONIES

Chapter 586.10 (1). F.S. / Rule 58-54.0105. F.A. C

1911 SW 34 StreeUP.O. Box 147100, Gainesville. FL 32614-7100 Phone (352) 395-4633 / Fax: (352) 395-4624

l. i',;A\IE &. MAILI \ G ADDRESS Of OWNER OR AGE'.\:T: 2. :\PIARY(IESI LOC \TIO\;S BY COU'.\:TY

3. REGULATED ARTICI.E(S): Honey bee colonies 4. APPLICABLE STA TE QUA RA'.\:TINE(S) OR REGULATIO:-.:S: l 93A61, 570.32, 586.10 {I), Florida Statutes, and Chanter 5B-54, Florida AdministratiH Code.

Signature of this document indicates adherence to the follo"ing requirements and establishes compliance "ith Chapter 586, Florida Statutes. Beekeepers keeping bees in areas that are not classified as agricultural pursuant to Section 193.461, Florida Statutes, must :ldhcre to these guidelines. The guidelines arc recommended, but not required for hcekecpers keeping bees in areas classified as agricultural pursuant to section 193.461, Florida Statutes.

BEST MANAGEMENT REQUIREMENTS FOR MAINTAINING EUROPEAN HONEY BEE COLONIES ON NON-AGRICULTURAL LANDS

The colon: dl!nsit) limits in areas not classified as agricultural pursuant to Section 193.461, Florida Statutes. belO\\, minimi1c potential contlict bcl\,een people and honey bees and beekeepers folio\\ ing the BM Rs outlined in this document. Th.: hone: be~ colon) requirements /densities ma.> not be exceeded except under a special permit issued by the Director of the Di" ision of Plant Industry in accordance with the requirements of Ruic 5B-5-LOI 05(3 ). F.i\.C.

I.

;

The placement of honey bee colonies on non-agricultural prirntc lands must agree to and adhere

to the follov, ing stipulations: A. When a colony is situated\\ ithin 15 feet of a property line. the beekeeper must establish and

maintain a flyway barrier at least 6 feet in height consisting of a solid wall. fence, dense vegetation or combination thereof that is parallel to the property line and extends be)ond the colony in each direction.

B. All properties. or portions thcrcot: where the honey bee colonies are located must be fenced. or have an equivalent barrier to pre\'ent access. and have a gated controlled entrance to help pre\ent unintended disturbance of the colonies.

C. No honey bee colonies may be placed on public lands including schools, parks. and other similar ,cnues except by special permit letter issued by the Director of the Division of Plant Industry and \Hinen consent of the propert) owner.

Honey bee colon;. densities on non-agricultural priYate land are limited to the following property size to colon:, ratios:

A. One quarter acre or less tract size - 3 colonies. Colony numbers ma: be increased up to six colonies as a swarm control measure for not more than a 60 day period of time.

B. More than one-quarter acre. but less than one-half acre tract size - 6 colonies. Colony numbers may be increased up to 12 colonies as a swarm control measure for not more than a 60 da) period ohime.

FDACS-08492 09113 Page 1 of2

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C. More than one-half acre, but less than one acre tract size - IO colonies. Colony numbers may be increased up to 20 colonies as a rnarm control measure for not more than a 60 day period of time.

D. One acre up to 1\\-o and a half acres - I 5 colonies. Colony numbers may be increased up to 30 colonies as a swarm control measure for not more than a 60 day period of time.

E. Two and a half to five acres - 25 colonies. Colony numbers may be increased up to 50

colonies as a swarm control measure for not more than a 60 day period of time. F. Five up to IO acres - 50 colonies. Colony numbers may be increased up to 100 colonies as a

S\vann control measure for not more than a 60 day period of time. G. Ten or more acres - I 00 colonies. The number of colonies shall be unlimited provided al!

colonies are at least 150 teet from property I ines. 3. Beekeepers must provide a convenient source of water on the property that is available to the bees at

all times so that the bees do not congregate at unintended \\ater sources . .i. B~ekecpers must visually inspect all honey bee colonies a minimum of once a month to assure

reasonable colony health including adequate food and colony strength. lf upon inspection honey bees appear to be overly aggressive the beekeeper shall contact their assigned apiary inspector for an assessment.

5. Re-queen collected swarms, nc\\ colonies and maintain colonies with queens or queen cells from EHB queen producer(s).

6. Practice reasonable swarm pre\.ention techniques as referenced in University of Florida's Institute of Food and Agricultural Sciences extension document ··Swarm Control for Managed Beehives", ENY 160. published November 2012.

7. Do not place apiaries \\-ithin 150 feet of tethered or confined animals or public places \\here people frequent. (Examples - day care centers, schools, parks, parking lots, etc.)

8. Do not place colonies in an area that 1,,,ill impede ingress or egress by emergency personnel to entrances to propenies and buildings.

9. Deed restrictions and covenants that prohibit or restrict the allO\\ ance for managed honey bee colonies\\ ithin their established jurisdictions take precedence and as a result supersede the authority and requirements set forth in Chapter 586 Florida Statutes and Rule Chapter 58-5-t Florida Administrative Code.

It shall be presumed for purposes of this article that the beekeeper is the person or persons who own or otherwise have the present right of possession and control of the tract upon \\ hich a colon) or colonies are situated. The presumption may be rebutted by a written agreement authorizing another person to maintain the colon) or colonies upon the tract setting forth the name, address. and telephone number of the other person who is acting as the beekeeper.

5. AL'THORIZED SIG~ ATURE 6. PRINTED NA\IE & TITLE 7. DA TE SIGNED

The affixing of the signatures below -.-,ill validate this agreement, which shall remain in 8. AGREE\.tENT ~UMBER effect until canceled or renev .. ed, but ma} be revised as necessary or revoked for noncompliance. All previous versions of this compliance agreement are superseded 9. DA TE OF AGREE:VIENT and rendered obsolete by this document.

10. OFFICIAL NA\itE & TITLE I l. OFFICIAL ADDRESS

12. OFFICIAL SJGNA TURE

FDACS-08492 09/13 Page 2 of2

Division of Plant Industry Apiary Inspection Section P.O. Box 147100 Gainesville, FL 32614-7100

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BOARD OF COUNTY COMMISSIONERS • COLUMBtA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: March 13, 2015 Meeting Date: _M_a_rc_h_1....;9,_2_01_5 ________ _

Name: Kevin Kirby Department: _O-"pe,__ra_ti_on_s ______ _

Division Manager's Signature:--~~ ~ii---=---------------------~ 1. Nature and purpose of agenda item: _fe_nc_i __ ng,._r_eq..:..u_es_t _________________ _

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? D N/A

D Yes Account No. ---------------0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number:_B_A_1_S. _____ _

FROM

10142605413056

gas and oil

TO 10142705416063

capital improvements

For Use of County Manger Only:

[ ] Consent Item [ J Discussion Item

AMOUNT $85,000

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District No. 1 - Ronald Williams Oisbict No. 2 - Rusty DePratter Distrid No. 3 - Bucky Nash District No. 4 - Everett Phillips District No. 5 - Scarlet P. Frisina

MEMORANDUM

TO: Dale Williams, County Manager

FROM:

DATE:

SUBJECT:

Kevin Kirby, Operations Manage~

March 13, 2015

Fencing

As you know, last fiscal year we purchased property to the north of the existing Public Works facility which we are now using for material stockpiling and equipment storage.

Since utilizing the property we have encountered several petit thetls, vandalism, etc. Therefore, I am requesting pennission to fence the property. Preliminary estimates range from $76,000 to $86,000 depending if existing fencing between the properties can be moved and reused.

This expenditure will have no budgetary impact as I anticipate having excess funds available due to the decrease in gas/diesel costs since the fiscal year 14/ 15 budget was finalized.

I have allowed a 20% margin over the actual costs that have been utilized for the first 5 months of the fiscal year and anticipate an excess of approximately $300,000.

If you should need any additional infonnation, please contact me.

BOARD MEETS FIRST THURSDAY AT 5:30 P.M. AND THIRD THURSDAY AT 5:30 P.M.

P. 0. BOX 1529 LAKE CITY, FLORIDA 32056·1529 .., PHONE (386) 755-4100

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: _3_11_61_20_1_5 ____ _ Meeting Date: _4_121_2_01_5 _________ _

Name: Paula Vann Department: _r_o_c ________ _

Division Manager's Signature: _ ___,_&n......__...__J ........ '-=~~,..._-----------------

1. Nature and purpose of agenda item: Approve new lease for TDC copier, printer, and fax machine.

This machine will print color copies and fill the day to day color copying and printing needs for the entire department as well.

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? D N/A

0 Yes Account No. 107.5200.552.30-57 ---------------0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

i)(consent Item [ ] Discussion Item

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Marcotek DIGITAL OFFICE SOLUTIONS

Current vs Proposed Tourist Development

February l 0, 2015

Current Xerox Machine

Model W5030P • 30 Pages per minute B&W • All supplies , maintenance, parts and labor included • Total Average Monthly Cost $184.95 for this machine at current volumes

Pro12osed New Xerox Machine:

Model W7835PT Color Copier and Printer • Copy, Print, Scan Fax and Staple • 35 Pages per minute B & W and Color • All supplies , maintenance, parts and labor included • Total Average Monthly Cost $191.69 for this machine at current volumes

Total additional average cost for this machine: $6. 75 per month

Benefits • Copy, Print, Scan, Fax and staple • 35 pages per minute Scanning at no additional cost • Color Copies, Prints and Scans • Color tracking and limiting software at no additional cost • Faster state of the art machine • All service and supplies included (except paper and Staples) • Total Satisfaction Guarantee

xerox~~ .di

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Lease Agreement ~,,

xerox~~ customer: COLUMBIA, COUNTY OF

BidTo: COUNTY OF COLUMBIA TOURIST DEVELOPMENT PO BOX 1847

W<E CITY. Fl 32056-1847

Tax ID#:.

1ns1an: COUNTY OF COLUMBIA TOURIST DEVELOPMENT STE 14S 971 W DUVAL ST

LAKE CITY, fl 32055,3737

State or Local Government Negotiated Contracl: 072S33100

1. W7835PT (W7835PT TANDEM)

• 1 Line Fax Lease Term:

• Office Finisher lx Purchase Option: 48 months St.00

• Xerox WC5030P SIN FLB042570 Trade-In as of Payment 62

• Customer Ed • Analyst Services

~---

• Consumable Supplies Included (or all prints • Pricing Fixed for Term

Total $181.53 Minimum Paymenls (Excluding Applicable Taxes)

C

Cu~1ome, adulowledges receipt ol the terms ol Un agreemeol which consists ol l pages ind.1dong ttiis race page

Signer:----------- Phone: O·

Signatufe: ---------- Date:

Thank You ror your business! This Agreement is proudly presented by Xerox and

KeithNoms {386)75S-7969

For in/ormation on your Xerox Accc1111L go to www.xerox.com/Accoon1Ma11a9ement

WS V231Sl 02n2/2015 08:22:56 Confidential· Copyrighto 2008 XEROX CORPORATION. Al rights reseNed. 0 7. ~ 1 4 J O O l O O t O O 3 0

2/26/2015

Page 1 or J

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Introductory Pricing xerox~~ Lease Agreement

You are receiving special Introductory Pricing. Your Minimum Payment for Products identified in the Pricing Detail table below will be adjusted during the Introductory Pricing period as set forth in the Pricing Detail table, and wiU be different from the Minimum Payment during the balance ol this Agreement

The Pricing Detail table illustrates how the Minimum Payment wil l be affected during the lntroduc1ory Pricing period.

-- ----- . --- -·-·------- --- -·---- ·--- - -- ----- --

Product

Total

Item

1. W7USPT

Monthly Minimum Pricing Summary for the item to be installed at this location during the

Month 1 $181.53

$181.53

Month 2 $181.53

S181.5J

3 Month Introductory ~eriod

Month 3 FuU Amount $1 81.53 S181.53

$181.53 S181.53

Introductory Pricing Detail for Each Applicable hem

Contract Product Print Charges Months · •('"m"m Pa1m,m Meler Volume 8Jnd Per Print Ro le

$181.53 --All Prints I I

Maintenance Plan Features

- full Service Maintenance lnclutlad for au prilts

-Consumable Suppries charge only

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Lease Agreement xerox~~ Temr, and Conditions

INTRODUCTION; 1. NEGOTIATED CONTRACT. The Products are s1Jbjet1 solely 10 lhe 1e11ns in the Negotiated Contract idenlilied on lhe race of \his Agreemen1, and. for any option you have seletled that is not addressed in the Negotiated Conttac1. the then.curren1 standard Xero, terms fOf such option. GOVERNMENT TERMS; 2. REPRESENTATIONS & WARRANTIES. This provision is applicable to governmental entities only. You represent and warrant. as of the date of this Agreement. that. (1) you are a Slate ar a fully constituted pofitical subdivision or agency of me State in which you are located and are a1Jthorized to enle< into, amt carry 0111. your obligations under this Agrel!menl and any other documenls required to be delivered in conneclion with this Agreemeni {collectively. lhe ·oocuments·J; (2) lhe D0cume111s have been duly authorized, executed and delivered by you in acc0tdance v.ilh au applicable laws, rules, ordinances and regulations (includilg all applicable laws goveming open meel.ilgs. pubrte bidding and appropriatlons required in connection with lhis Agreement and 1he acquisition of the Equipmenl) and are valid. legal, binding agreements, enforceable in accordance 'Mlh their terms; (3} the person(s} signing the Documents have the authority to do so, are acting with the ful authorization of your governing body and hold the offices indicated below lheir signatures, each or which are genuine; (4) the Equipment is essential to the Immediate performance or a governmental or proprietary funclion by you within the scope of your authority and will be used during lhe Term only by you and only to perform such function; (SJ your payment obligations under lhis Agreement conSlilute a current expense and l\01 a debt under appficable state law and no provision of this Agreement consti1u1es a pledge of your tax or general revenues. and any provision that i~ so construed by a court or competent jurisdiction is void from the inception ol !Ns Agreement and {6) au payments due and to become due unde, this Agreemenl are payable f1om sources oltler than ad valorem taxes. Your payment is due within 45 days of lhe invoice date, 3. FUNDING. This provision is applicable 10 govemmenlill ent~ies only. You intend lo remit and reasonably believe !hat moneys in an amount sufficient to rem~ an payments due and to become due during the Term tan and will lawfully be appropriated and made avaiable to permit yo1J continued utilization of the Products and !hi! perfonnance ol its essential function during the Tem,. The person in chasge of preparing your budget will include in each or your fiscal budgets a request for 1he payments due and to become due under lhis Agreemenl in such fiscal period. You acknowledge that appropriation of moneys for payment ,equired u,,der lhis Agreement is a govemmental function lhat you cannot contt actually commit 10 in advance. and this Agreement does nol constilute: (1) a mullipte riscal year direct 01 lndireel debt or financial obligation; {2) an obligation payal>le in any fiscal year beyond the liscal year for which funds are lawfully appropriated; 01 (3) an obligation creating a pledge of or a fie,, on your tax or geneial revenues. If your governing board does not approve an appropriation ol lunds at any lime during lhe Term for payments due and to t>ecome due for a fiscal year during !he Term, you will have the right teoninate this Agreement on the lasl day of !he

fiscal period for which sufficien1 appropriations were received witllout penally or expense to you. except as 10 the portion or payments required llereuneler for which funds ha~e been appropriale<l and budgeted. If you elect ro terminate lhis Agreemenl, you will retum the Equ'3menL at your expense. 10 a localion designated by Xerox and, when returned, the Equipment will be in good condition and tree of all liens anti encumbrances. You will then be 1e1eased from any fwther pa)'tnl'.?nt obligations beyond lhose payments due for the current fiscal year (with Xerox tetaining all sums paid to dale). At least 30 days prior lo the end of yout fiscal year, your c.llief execulive office, (or legal counsel) wlll certify in wriling that (a) despite reasonable efCorts 10 obtain sufficient appropriations, funds have nat been appiopriated for the ensuing fiscal period. and (b) you have exhausted all funds regally a•Jaitab!e fo1 lhe payment ol amoun1s due and to become due under this Agreement. To the ex1e11t permitled by applicable law. you will not use this non-appropriation p1ovision as a substitute for convenienGe terminalian. PRICING PLAN/OffERING SELECTED: 4. FIXED PRICING. If 'Pricing fixed ror Term· is identified in Maintenance Plan Features, the maintenance compooent of !Ile Minimum Payment anii Print Charges will not increase during the initial Term ol this Agreement GENERAL TERMS I, CONomoNS: 5. REMOTE SERVICES. Certain models ol Equipment are supported and serviced using data that is automatically collecled by Xerox or l/ansmitted ta or from Xerox by the Equipment connec1ed 10 Customers 11e1work ('Remote Data"} via electronic transmission 10 a secure off.site location ('Remote Data Access"). Remote Data Access also enables Xerox to transmit to Customer Releases for Software and to remolely diagnose and modify Equipment to repair and correel malfunctions. Examples of Remote Data include product registration, meter ,ead. sllpply level. Equipment confi91Jralion and 1ettings, software version, and problernlfau!l code data. Remote Data may be used by Xerox for bilfislg. report 9ene1ation. supplies replenishment. suppon services. recommending additional products and services. and product improvemenl/development purposes. Remele Data will be transmilted to and frorn Customer in a secure manner specified by Xerox. Remote Oala Access will not allow Xerox to read, view or download the conten1 or any Customer documenls or other informa1ion ,esidillg on 01 passing lllrough the Equipment or C11slomer's information management systems. Customer grants !he righl to Xero~. wilhou1 charge. to conduCl Remote Data Access for the purposes described above. Upon Xe1oxs request. Customer will p1ovide cont.act intormatioo (or Equipment such as name and address of Customer contacl and IP and physical addressesnocations or Equipment. Cusloml!f will enable Remote Data Access via a method prescribed by Xerox. and Customer wil provide reasonable assistance lo anow Xerox to provide Remote Data Access. Unless Xeio, deems Equipment incapable of Remott' Data Access, Cir.lamer will ensure lhal Remote Data Access is maintained at all times Maintenance Services are being performed.

Financial Information

6. TAX TREATMEftlT. Xerox has accepted this Agreemenl base<! on your representation Iha! Xerox may claim any interest paid by you as exempt rrom federal income tax under Section 103(c) of the lntemal Revenue Code iCodej, You vtill comply with Ille Information reporting requirements of Sec6on t49(e) of lhe Code. Suth compliance includes the eieculion or 8038·G or 8038-GC lnformalion Retums. You appoint Xefox as your agem lo maintain. and Xerox will maintain, or cause ID be maintained, a complete and accurate r~ord of all aisignments of this Agreement in lomi sufficient to comply wilh lhe book entry requirements of Secuon 149(a) or I.he Code and lhe regulations !hereunder from Ume lo ~me. Should Xerox lose the benefit of this exemption as a result or your faih;re to comply with or be covered by Settion 103(c) lhe Code or the regulations there11nde<. lhen. subject to the availability of funds and upon demand by Xerox, you wil pay Xerox an amoonl equal to its lass ii this regard. You shall provide Xerox w~h a properly prepared and executed copy of US Treasury Form 8038 or 8038,GC.

11em finance Aclivity Int.Rate Total Int. Payable

1. W78l5PT . New Xerox Agreement (Govt. 11.75% $1,753.04 FormBOJB)

WS V23151 02112/2015 08:22:56 Confidential· CopyrighlO 2008 XEROX CORPORATION. Al rights reserved. Page Jof3 0 2 5 1 4 1 0 0 1 0 0 1 0 0 3 1

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: _0_31_24_2_01_5 ____ _ Meeting Date: _0_41_021_2_0_1s _________ _

Name: Ben Scott Department: BCC Administration

Division Manager's Signature: ~ J z:cr-_ -----------=--------------------1. Nature and purpose of agenda item: Supervisor of Elections Requesting 2013 • 2014 Fixed Asset Inventory

Removal

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? 0 N/A

D Yes Account No. --------------D No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

[ ] Consent Item [ ] Discussion Item

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Elizabeth P. Horne SUPERVISOR OF ELECTIONS, COLUMBIA COUNTY

To: DALE WlLLAMS

From: LlZ P. HORNE

Date: 3/J 2/2015

Re: 2013 - 2014 Fixed Asset Inventory

Dear Mr. Williams,

RECEIVED

MAR 1 2 2015 Board of County Commissioners

Columbia County

The Supervisor or Elections is declaring the following PROPERTY OF COLUMB[A COUNTY inventory numbers as junk:

00010206

00012294

00012330

00012438

00012-D9

00012440

Also, add to the Fixed Asset Inventory List;

Asset Number Item Description Purchase Cost Acquisition Dnte

11062 Ballot Bo:- $1.200.00 07101 /2000

Respectfully,

x~ /JJI~ Liz P. Horne

Office (386) 758-1026 * Fax (386) 755-7233 971 W. Duval Street, Suite 102 * Lake City, Florida 32055-3734

www.cceofl.com * Email: [email protected]

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

/0 The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: March 24, 2015 Meeting Date: _A...;..p_ril_2_, 2_0_1s ________ _

Name: David Kraus, Safety Manager ~ ~ment: An;m,IConlrol

Division Manager's Signature:--~----=--'/'----------------------

1. Nature and purpose of agenda item: To approve the donation of used office furniture that has been declared

as surplus to the Lake City Columbia County Humane Society

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? IZI N/A

D Yes Account No. --------------0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

[ ] Consent Item [ ] Discussion Item

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TO: From: Date:

RE:

MEMORANDUM

Columbia County Board of County Commissioners David Kraus, Safety Manager March 24, 2015

Request for Surplus Equipment

The Lake City Columbia County Humane Society is in need of some office furniture. The Humane Society requests for the Columbia County Board of County Commissioners to donate used office furniture that has been declared surplus and placed in storage. Specifically, they are asking if the County would donate to the Humane Society 5 wooden chairs, 4 green office chairs, two 4 drawer filing cabinets, 2 desks and 4 waiting room chairs that have been placed in surplus at the Maintenance Department in Watertown.

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: March 24, 2015

Name: David Kraus, Safety Manager

Meeting Date: _A..:..p_ril_2.:...' 2_0_15 ________ _

Department: _H_M_G_P ________ _

1. Nature and purpose of agenda item: To declare the homes purchased under the HMGP grant as junk so that

they may be demolished in accordance with the grant agreement.

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? IZ] N/A

D Yes Account No. --------------

0 No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

[ ] Consent Item [ 1 Discussion Item

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TO: From: Date:

RE:

MEMORANDUM

Columbia County Board of County Commissioners David Kraus, Safety Manager March 25, 2015

HMGP-Declare Property as Junk.

On February 5, 2015, the Columbia County Board of County Commissioners voted to purchase 8 properties under the Hazard Mitigation Grant Program with the knowledge that all structures on these properties would be demolished for flood mitigation. On December 4, 2014, the Columbia County Board of County Commissioners accepted the donation from Wells Fargo Bank of a home at 464 SW Chris Terrace with the intention that, with the parcel being adjacent to the HMGP project, the structure would be demolished due to flood damage.

I have been working with the Clerk of Courts' office on recording these assets and their post demolition value. To comply with County policy and assist the Clerk of Courts' office in accounting for these properties, we are requesting the Columbia County Board of County Commissioners declare the structures and all appurtenances on the following properties as junk and authorize the demolition or disposal of these assets:

336 SW Beth Road 121 NW Tad Place 270 NW Bonita Way 109 NW Tad Place 145 NW Tad Place 464 SW Chris Terrace 209 NW Sparr Lane (vacant parcel but may have fencing, etc) 243 NW Sparr Lane (vacant parcel but may have fencing, etc) 306 NW Austin Way (vacant parcel but may have fencing, etc)

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM 12

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the

Columbia County School Board Administrative Complex Auditorium, 372 West Duval Street, lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

Today's Date: _3_12_s1_1s _____ _ Meeting Date: _4_121_1_5 __________ _

Name: Ray Hill Department: _Pu_rc_h_as_in....;g'--------

Oivision Manager's Signature:---... ~-:::;.....:~-_g~"-''4?/=......,~,.__ _____________ _

1. Nature and purpose of agenda item: Approval of bid and contract for Bid No. 2015·2, SW Herlong St.

Low bid • Curt's Construction

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? D N/A

0 Yes Account No. 30380645416063 --------------, D No Please list the proposed budget amendment to fund this request

Budget Amendment Number: _______ _

FROM TO AMOUNT

For Use of County Manger Only:

,><[consent Item [ ] Discussion Item

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District No. 1 - Ronald Williams District No. 2 - Rusty Oef>rat:rer District No. 3 - Bucky Nash District No. 4 - Everett Phillips District No. 5 - Scarlet P. Fri sf na

Memo

Date: 3/25/15

To: Board of Commissioners

From: Ray Hill, Purchasing Director

RE: Bid Award 2015-2, SW Herlong St.

I have reviewed the bids received for this project along with Kevin Kirby and Chad Williams of the Public Works Department. It is our recommendation that this bid be awarded to the low bidder Curt's Construction.

Attached is the bid tabulation along with the proposed contract for your review.

BOARD MEETS FIRST THURSDAY AT 5:30 P.M. AND THIRD THURSDAY AT 5:30 P.M.

P. 0. BOX 1529 LAKE CITY. FLORIDA 32056-1529 .... PHONE (386) 755·4100

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Bid N

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John C. H

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$2, 758.853.25

$2,310,266.21

$2,739,333.00

$2,567,915.99

$2,654,611.62

$2,432,791.00

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

Gentlemen:

The undersigned. as bidder, hereby declares that he has examined the contract documents and informed himself fully in regard to all conditions pertaining to the wori< to be done; that he has examined the specifications for the work and other contract documents relative thereto; and that he has satisfied himself relative to the work to be performed.

The bidder agrees, if this bid is accepted, to contract with the Columbia County Board of County Commissioners to furnish everything necessary to complete the work covered by this bid and other contract documents for the Columbia County Board of County Commissioners. The Contractor assumes full responsibility for all quantities used in his/her bid. The contractor shall coordinate his construction with all proposed utilities on the site.

102010000 MIJNTEtWICE OF TRJ'FFIC 1 8q~1CC'

104010030 SEDIENT BARRIER 3660 lF 'l·~c:, 110010100 CLEARNG & GRUBBING LS

120010000 REGI.UA EXCAVATION 1 LS

12Cml200 BORROW EXCAVATION 13,71 CY

120040000 Sl.BSOL EXCAVATION 10,21 CY

100010000 C<N.£RCIAI. STASUZN; YATERIAL 500

160040000 STA8UZN3 ~ONJWAY ~ SHOULDER)

285704000 OPTIONAL SASE, BA.SE GROl.f 04

286010000 MNOUT CONSTRUCTION 2,772 SY

334010120 Stf>ERPA~ .-SPH,t.L ~ core. TIWFC B 8,003 TN 71,c, zas 425015210 N.ETS, OT BOT, TYPE C, < 1 O' 11 EA 2.~~·''C zt, Yoo · c,c

430173118 PFE Cll.\lERT ROlN> CONCRETE, 18" CD 664 LF 7·C'CO '-I~ 1./ o·.:c.

4301731~ PPE CIA."91 ROUM> CONCRETE, 24" CD 192 LF f0·'0 I 5'. 3'10 · ''CJ 430174118 PA: Cll\JERT ROUND Ct.P, COATED, 18" SD 1,384 LF S' z, ~ "z .I/Cl

430982125 M'TERED ENO SECT10N, ROLM> CONCRETE, 18" CD 13 EA lo 1sr;-·c~

Ul9821211 MTERED Et() SECTION, ROlN> CONCRETE, 24" CD 4 EA

430!IM125 YTERED END SECllON, ROUN:> CM', 18" SO 60 EA 570010100 PERFORtitWCE TURF 1 LS

570010200 PERFORMNCE TURF, SOD 75,72 SY

700020011 stG.E POST S!GN, Fil, LESS ™AN 12 SF 47 N!, ,~.Q.l 708030000 RETRO-REFLECTIVE PAVEftENT MARKERS 1,052 EA 71000IXXXI PANTE) PAIJB£NT MARKINGS 1 LS 524-1 CONCRETE DITCH PAVEMENT, NON REINFORCED, 4• 200 SY

Page 2 of 10

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----~- ------·--- - ---- - - ·- ·--.. -- ·-

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015..02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

Pay Item Notes:

102010000- Maintenance of Traffic - Includes all elements required for the Traffic Control Plan, construction stakeout, and includes temporary centerline delineation and stop bars placed at all non­working times. 104010030- Sediment Barrier- Includes hay bales. staked silt fence, and other items necessary to minimize erosion and prevent sediment from leaving the project limits as directed by the Engineer. 110010100- Clearing and Grubbing - Includes removal of all pavement, pipe, vegetation, or any other demolition required for the project. 120040000- Subsoil Excavation - Include removal of unsuitable material 24" deep and replace with suitable material compacted in six (6) inch lifts. 160010000- Commercial Stabilizing Material - Apply 2" of material as needed to meet the LBR. May be increased, decreased, or omitted. 160040000- Stabilizing (Roadway and Shoulder)- Includes mixing, compacting, and meeting LBR requirements. 570010100- Performance Turf - Includes all areas disturbed and not sodded. 710000000- Painted Pavement Markings - Includes temporary and permanent pavement markings. 524 - 1 - Concrete ditch pavement shall be in accordance with FOOT Standard Index 281 (Roadway Side Ditch) Quantity based on 300 LF of Concrete Ditch Pavement, to be placed at Engineer's direction.

ADDENDA NUMBER DATE SENT

BID TOTAL FOR SW. HERLONG ST CONSTRUCTION

Page 3 of 10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

ALL ITEMS MAY SE JNCRl;ASEQ, DECREASED AB QNIUEP AS DIBECJEP ey THE ENGINEER.

ALL MATERIALS ANO CONSTRUCTION SHALL CONFORM TO BOTH THE REQUIREMENTS OF THE LATEST FOOT STANDARD SPECIFICATIONS FOR ROAD AND BRIDGE CONSTRUCTION ANO THE LA TEST FOOT DESIGN

STANDARDS.

ALL INCIDENTAL WORK INCLUDED IN THESE ITEMS ALL UNIT PRICE AND TOTAL SPACES MUST BE FILLED IN TO CORRELATE WITH EACH ITEM

Note: contractors shall be in compliance with chapter 489, Florida statutes, licensure requirements.

Florida construction industries licensing board certification.

Watson Civil Construction, Inc. CGC1513429 (name of holder) (certificate no.)

In witness whereof, the bidder has hereunto set his signature and affixed his seal this 24th day of March , A.O. 20 ... 1.;;..5 _

By:

Title:

Type or print name of firm: Watson Civil Construction, Inc.

Address: 3121 Venture Place, Suite 3, Jacksonville, FL 32257

Contact person: John o. Watson. P.E. Telephone No.: (904) 297-1800

Fax no.: (904) 297-1801

Page 4 of 10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140802CCB SW Herlong St - Roadway Construction

Gentlemen:

The undet'ligned, as bidder, het'eby declaree that he hn examined the contract documents and informed himaelf fu"y in regard to all conditions pertaining to the wortc to be done; that he has examined the specifications for the work and other contract doetmems relative thereto; and that he ho satisfied himself relative to the work to be perloffl'led.

The bidder ag,eea, if this bid la accepted, to contract with the Columbia County Soard of County Commissioners to furnish everything necessary to ccimplete the WOf1t CCM!llred by this bid and other contract documents for the Columbia County Board of County Commi11ioner1. The Contractor assumes full responsibility for all quantities used in hislher bid. The contractor shall coordinate his construction with all proposed utilities on the site.

1

102010000 NM41'EfMNCE OF TRAFFIC 1

10401~ SEDIENT BARRER 3880 Lf

110010100 Cl.EAANG & GRUBBING 1 LS

120010000 REGWR EXCAVATION 1

120020200 BORROW EXCAVATION

120040000 SutSOIL EXCAVATION

180010000 COUMERCW. ST~ Ml'TERW..

180040000 STABI..IZKi (ROADWAY NI.> SHOULDER)

285704000 OPTIOfW. BASE, BASE GRO~ 04

288010CXXI Tl.lU«)UT CONSTRUCTION

3340101Jl SlJ>ERPAVE ASPtW..re COfC, TRAFFK; B TN

425015210 N.ETS, OT BOT. TYPE C, <10 11

430173118 PFE Cll.'\IERT RO\H> COM:RETE, 18" CO 864

'30173124 fff Cll.'\IERT ROUtC) CON:RETE, 24" CO 192 lF

430174118 PflE Cll.VERT ROlN> CW, COATED, 18" SO 1,384 Lf

430982125 IITERED Etl> SECTION. ROutl) CONCRETE. 1f' CD 13

430982129 MTEREO EN> SECTION. ROON> CONCRETE. 24" CD 4

430984125 MTERED Ell> SECTION. ROUtl> CW>, 18" SO 80

570010100 PERFORM\NCE ~F

570010200 PERFORM\NCE TURF. SOD

700020011 SNGI.E POST SIGN, F&I, LESS 1lWC 12 SF 718XmOO RETRo-REFl.ECTI\IE PA'\IEliENT MARKERS 710000000 PM(TEO PAVEll:NT MMKl4GS 524-1 CONCRETE DITCH PAVEMENT, NON R8NFORCED, 4•

Page2of 10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Conatn.actlon

Pay Item Notes:

102010000- Maintenance of Traffic- lncfudes all elements required for the Traffic Control Plan, construction stakeout, and includes temporary center11ne delineation and stop bars placed at all non­working times. 104010030- Sediment Barner- Includes hay bales, staked silt fence, and other items necessary to minimize erosion and prevent sediment from leaving the project limits as directed by the Engineer. 110010100- Clearing and Grubbing - Includes removal of all pavement, pfpe, vegetation, or any other demolition required for the project. 120040000- Subsoil Excavation - Include removal of unsuitable material 24• deep and replace with suitable material compacted in six (6) inch lifts. 160010000- Commercial Stabilizing Material - Apply 2" of material as needed to meet the LBR. May be increased, decreased, or omitted. 18004000().. Stabilizing (Roadway and Shoulder) - Includes mixing, compacting. and meeting LBR requirements. 570010100- Performance Turf- Includes all areas disturbed and not sodded. 710000000- Painted Pavement Markings-Includes temporary and permanent pavement mancings. 524-1 - Conaete ditch pavement shall be in accordance with FOOT Standard Index 281(Roadway Side Ditch) Quantity based on 300 LF of Concrete Ditch Pavement. to be placed at Engineer's direction.

ADDENDA NUMBER DATE SENT

BID TOTAL FOR SW. HERLONG ST CONSTRUCTION

Page3of 10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

Abb ITENI MY IE INCB§MEQ, QEQB§AliP, AB ANIUEQ AS PlftECim1 IX THE ENQtN§EB, .ALL MATERIALS AND CONSTRUCTION SHALL CONFORM TO BOTH THE REQUIREMENTS OF THE LATEST FDOT

STANDARD SPECIFICATIONS FOR ROAD ANO BAJDGE CONSTRUCTtON AND THE LATEST FDOT DESIGN STANDARDS.

ALL INCIDENTAL WORK INCLUDED IN THESE ITEMS ALL UNIT PRICE AND TOTAL SPACES MUST BE FILLED IN TO CORRELA.TE WITH EACH ITEM

Note: contractora shall be in compliance with chapter 489, Florida statutes, licensure requirements.

Florida construction industries licensing board certification.

twt\~ <!&\_s~"h'c:nl ~c, ,Wa.t ii C ::s: (.au lSOQ c_ (;( I s ' Q ';) y la

(name of holdef) (cel1iflcate no.)

In witness whereof, the bidder has hereunto set his signature and affixed his seal this a~~ day of f!\<:Lcch , A.O. 20 \ 5

C:oro..~~ By:

Titre: \J i Lt Pees, d1.a+ Type or print name of firm: C \ 1, cf\ s Lem ;tlrue,:f1 ao Tu c

' Address: S 19 NW C,m,, )fu/CJ, t,.)) t 4t ~.-a'o ~, F<, :3Jo9 t,,

Contact peraon: 1)004,. J.l~t1R-S

Page 4of10

Telephone No.: 3 ~ · t"S 8' J q 3.5 Faxno.: ~g{,,t'SS-7lf~~

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.

C. A. Boone Construction

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

Gentlemen:

The undersigned, as bidder, hereby declares that he has examined the contract documents and informed himself fully in regard to all conditions pertaining to the work to be done; that he has examined the specifications for the work and other contract documents relative thereto; and that he has satisfied himself relative to the work to be performed.

The bidder agrees, if this bid is accepted. to contract with the Columbia County Board of County Commissioners to furnish everything necessary to complete the work covered by this bid and other contract documents for the Columbia County Board of County Commissioners. The Contractor assumes full responsibility for all quantities used in his/her bid. The contractor shall coordinate his construction with all proposed utilities on the site.

HERLONG ROAD

102010000 MAINTENANCE OF TRAFFIC LS 125 641.50

104010030 SEDIMENT BARRIER LF 2.50 9.150 ---110010100 CLEARING & GRUBBING LS 70.000 70.000

120010000 REGULAR EXCAVATION 1 LS 93,333 I 93333

120020200 BORROW EXCAVATION I 13.71 CY I 9.00 I I 123 435

120040000 SUBSOIL EXCAVATION 10,21 CY 9.00 91 90

160010000 COM~RCIAL STABILIZING MATERIAL 500 CY 10.00

160040000 STABILIZING (RONJWAY AND SHOULDER) 85.24 SY .so 42623

285704000 OPTIONAL BASE. BASE GROUP 04 (8" limerock} 58.07 SY 1 667839.50

286010000 TURNOUT CONSTRUCTION 2.n2 SY 20. SSHO

334010120 SUPERPAVE ASPHAL TIC co~. TRAFFIC B 8,003 TN 11S.OO 920 345

425015210 1111.ETS, OT BOT, TYPE C, <10' 11 EA 3,000 33000

430173118 PIPE CULVERT ROUND CONCRETE. 18" CD 664 LF 30.00 19,920

430173124 PIPE CULVERT ROUND CONCRETE. 24" CD 192 LF 36.28 6,966

430174118 PIPE CULVERT ROUND CMP, COATEO, 18" SD 1.384 LF 33.00 45672

430982125 MTERED END SECTION, ROUND CONCRETE, 18" CD 13 EA 300.00 3

430982129 MTERED ENO SECTION, ROUND CONCRETE. 24" CD 4 EA 500.00 2000

430984125 MTERED END SECTION, ROUND CMP, 18" SD 60 EA 400.00 2400

570010100 PERFORMANCE TURF LS 39,000

570010200 PERFORMANCE TURF. SOD 75,7 SY 3.00

700020011 SINGLE POST SIGN, F&I, LESS THAN 12 SF 47 AS 706030000 RETRO-REFLECTIVE PAVEM:NT MARKERS 1,052 EA 710000000 PAINTED PAVEMENT MARKINGS 1 LS 35.000

524·1 CONCRETE DITCH PAVEMENT. NON REINFORCED, 4' 200 SY

Page 2 of 10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

Pay Item Notes:

102010000- Maintenance of Traffic- Includes all elements required for the Traffic Control Plan, construction stakeout, and includes temporary centerline delineation and stop bars placed at all non­working times. 104010030- Sediment Barrier- Includes hay bales, staked silt fence, and other items necessary to minimize erosion and prevent sediment from leaving the project limits as directed by the Engineer. 110010100-Clearing and Grubbing- Includes removal of all pavement, pipe, vegetation, or any other demolition required for the project. 120040000- Subsoil Excavation- Include removal of unsuitable material 24" deep and replace with suitable material compacted in six (6) inch lifts. 160010000- Commercial Stabilizing Material-Apply 2" of material as needed to meet the LBR. May be increased, decreased, or omitted. 160040000- Stabilizing (Roadway and Shoulder}- Includes mixing, compacting, and meeting LBR requirements. 570010100- Performance Turf- Includes all areas disturbed and not sodded. 710000000- Painted Pavement Markings - Includes temporary and permanent pavement markings. 524-1 - Concrete ditch pavement shall be in accordance with FOOT Standard Index 281(Roadway Side Ditch) Quantity based on 300 LF of Concrete Ditch Pavement, to be placed at Engineer's direction.

ADDENDA NUMBER DATE SENT

$2,759,333.00

BID TOTAL FOR SW. HERLONG ST CONSTRUCTION

C. A. Boone Construction, Inc

Page 3 of 10

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-- - -- ·- -

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

ALL ITEM$ MAY BE INCREASEQ PECB1;A$EA, AB ANIUEQ AS PIBECIEP PY JHE ENGJNEE&

ALL MATERIALS AND CONSTRUCTION SHALL CONFORM TO BOTH THE REQUIREMENTS OF THE LATEST FOOT STANDARD SPECIFICATIONS FOR ROAD AND BRIDGE CONSTRUCTION AND THE LATEST FOOT DESIGN

STANDARDS.

ALL INCIDENTAL WORK INCLUDED IN THESE ITEMS ALL UNIT PRICE AND TOTAL SPACES MUST BE FILLED IN TO CORRELATE WITH EACH ITEM

Note: contractors shall be in compliance with chapter 489, Florida statutes, licensure requirements.

Florida construction industries licensing board certification .

By:

Title:

Type or print name of firm: C A Boone ConslJ'uclion, Inc

Address: PO Box 3236 Lake City, FL 32056

Contact person: James F, Boone Telephone No.: 386 752-0270

Fax no.: 386-752-1024

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------,-.----=------ ---·-----·-···----··· .. ·- -··-- . ~ .. _ ... _ .

j

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140802CCB SW Herlong St. - Roadway Construction

Gentlemen:

The undersigned, as bidder. hereby declares that he hes examined the contract documents and infonned himseff fully in regard to all conditions pertaining to the work to be done; that he has examined the specifications for the work and o1her contract documents relative thereto: and that he has satisfied himself relative to the WOfk to be performed.

The bidder agrees, If this bid is accepted, to contract with the Columbia County Boaro of County Commissioners to furnish everything necessary to complete the work covered by this bid and other contract documents for the Columbia County Board of County Commissioners. The Contractor assumes full responsibility for all quantities used in his/her bid. The contractor shall coordinate his construction with all proposed utilities on the site.

HERLONG ROAD

104010030 SEOIIENT BARRIER 3660 LF

110010100 CLEARING&GRUBBING LS

120010000 REGULAR EXCAVATION 1 !

LS

120020200,BORROW EXCAVATtON 13,715 CY -------· 120040000 SU6SOL EXCAVATION 10,210 CY - ---160010000 COt.f.ERCIAL STABUZJ«; MATERIAL 500 CY

160040000 'STABI..J2Nj (ROKJWAY AND SHOI.J..DER) 85,247 SY

285704000 OPTIONM. BASE, BASE GROLP 04 58,073 SY 286010000 . TIJRNOUT CONSTRUCTION 2.n2 SY 334010120 , SUPERPAVE ASPHAL TIC CONC, TRAFFIC B 8,003 TN

425015210 N.ETS, OT BOT. TYPE C, <10' 11 EA

430173118 _Pl'E CULVERT ROUN> CONCRETE. 18" CD 664 LF

430173124 PIPE CUI.VERTROUM') CONCRETE. 24• CD 192 LF ---430174118 PIPE CULVERT ROUfl> Ct.fl. COAlED. 1&- SO 1,384 LF

430982125 MTERED END SECTION. ROUND CONCRElE. 18" CD 13 EA

430982129 .MTERED END SECTION, ROUND CONCRElE, 24" CD 4 EA

430984125 MTERED ENO SECTION, ROUND CW, 18" SD 60 EA

570010100 .PERFORMANCE TIJRF 1 LS

570010200 'PERFORMANCE TURF, SOD 75,72.$ SY I

700020011 ,SlNGl.E POST SQ!, F&l U:SS THAN 12 SF 47 AS 706030000 ,Re1Ro-REFU:C111/E PAVEfiENT MARKERS 1,052 EA 710000000 PAINTED PA\91:NT MARKINGS 1 LS I

524-1 CONCRETE DITCH PAVEMENT, NON REINFORCED. 4• 200 S:f

Page 2 of10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Hertong St. - Roadway Construction

Pay Hem Notes:

10201000().. Maintenance of Traffic-Includes all elements required for1he Traffic Control Plan, construction stakeout. and indudes temporary cenlerfine delineation and stop bars placed at au non­working times. 104010030-Sediment Barrier- lndudes hay bales. staked silt fence, and other items necessary to minimize erosion and prevent sediment from leaving the project limits as direct.ed by the Engineer. 110010100-Clearing and Grubbing- Includes removal of au pavement. pipe, vegetation, or any other demolition required for the project. 120040000-Subsoil Excavation - Jndude removal of unsuitable material 2-4• deep and replace with suitable material compacted in six (6) inch lifts. 16001000().. Commercial stabilizing Material-Apply 2'" of material as needed to meet the I.BR. May be increased, deaeased, or omitted. 160040000-Stabilizing (Roadway and Shoulder)-lncludes mixing, compacting, and meeting LBR requirements. 570010100- Pefformance Turf - Includes all areas disb.ubed and not sodded. 710000000-Painted Pavement Maoongs - lndudes temporary and pennanent pavement markings. 524- 1 - Concrete ditch pavement shaft be in accordance with FOOT Standard Index 281 (Roadway Side Ditch) Quantity based on 300 LF of Concrete Ditch Pavement to be placed at Enginee(s direction.

ADDENDA NUMBER DAT

. BfD TOTAL FOR SW. HERLONG ST CONSTRUCTION

Page 3of 10

~.~Co.~

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-------------·--·--· -----··--·. .. .. ···- . -·· ---

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

ALL IJEN3 MAI BE INCRf;ASEQ QECftMll;R, AB AIIPIEQ 61 PllsCJEP BX Jl:IE ENGINEER,

ALL MATERIALS AND CONSTRUCTION SHAU. CONFORM TO BOTH THE REQUIREMENT$ OF THE LATEST FDOT STANDARD SPECIFICATIONS FOR ROAD AND BRIDGE CONSTRUCTION ANO THE LATEST FDOT DESIGN

STANDARDS.

ALL INCIDENTAL WORK INCLUDED IN THESE ITEMS ALL UNIT PRICE AND TOTAL SPACES MUST Be FILLED IN TO CORRELATE wrTH EACH ITEM

Note: contractors shall be in compliance with chapter 489, Florida statutes, licensure requirements.

Florida construction industries licensing board certification.

(name of holder} (ce.titlalle no.)

In witness whereof, the bidder has hereunto set his signature and affoced his seal this Z4-of bl!tlcll . A.D. 20 tS:.

.)

rf;:

Title: St

day

Typeorprintnameoffirm: ~ c. \t~~w~a.J Jojc.....

Address: ~ilaA~!~~ ti\. }tc,115i>~1 h. ~~3,

Contact person: u~s :r~ Telephone No.: 352- 4'td.- 343E

Faxno.: 3&-1,Z-df)47

Page4 of 10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER l 140602CCB SW Hertong St. - Roadway Construction

Genllemen:

The undersigned, as bidder, hereby declares that he has examined the contract documents and infonned himself fully In regard to all conditions pertaining to the work to be done; that he has examined the specifications for the work and other contract documents relative thereto; and Chat he has satisfied hlmself relative to the wOt'k to be performed.

The bidder agrees, if this bid is accepted, to contract wHh the Columbia County Board of County Commissioners to rurnlsh everything necessary to comptete the work covered by this bid and other contract documents for the Columbia County Board of County Commissioners. The Contractor assumes full responsibility for all quantities used In his/her bid. The contractor shall coordinate his construciJon with an proposed utilities on the site.

)1>101~1MO~~TIO~ - __

10201oooolt.WNTEHANCE OF TRAFFIC ..

f040100301SEOM:NT BARRIER

1100101oolcLFAR~G& GRUBBl«i - -1!00!~!~ ·.;ULAR EXC~VATION -------

120020200 !BORROW EXCAVATION -·------ ··----·--120040000!SUBSOL EXCAVATION

1soo1oooolcoM\ERCIAL STABllZN3 MATERIAL

160040000 lsrABlf2H3 (ROADWAY AN) SHOULDER) 2~704000,0POONAL BASE. ~E GROl,! ~- .... -.

1 , LS

?&f!O ~ .. 1 LS

$88:~5'! l s2.o, I

$137,23S2S

$&e,S59.57

$7,358.60

$137.235.25 --- -------- --

1 LS $243,294.00 $243,294.00

13 715, CY _ 1924 1 . s1.;;~.60 • I

--+·-10...;..!2-_!~---_f_Y_. $14:;;;r $149,47UO

500 [ CY s1s.n i_. -~ · ;1,~:~o 85,24~ . ~y !1.~~1 -1113,f~ll-!5

58,07~ _ SY . I sue ma,380.7&

2,112 I SY ! $1S24 $,,12,2~.28 ~1oooojl\JRNOUTCONST_RUCTI?N _____ _ _

~10120 Js~E~AVE ASPHALTK: CONC, T~FIC 8

42501S210hN..ETS, OT BOT. TYPE C, <10'

4301731181PIPE CULVERT ROUND CONCRETE, 11' CD

- •;~1·: -1 664 LF

$92.50

$2.15&.95

$13.72

S740,277.SO

$31,428.45

$42,310.08 -- - - - -

430173124 PIPE CU-VERT RO~D COtCRETE. 24• CD

430174118 PflE CUI.VERT ROUND C~. COATED, 18" SD - - ·--

430982125 MTERED ENO SECTION, ROUN) CONCRETE, 18"' CD r

4309821291MTERED ENO SECTION. Rout() CONCRETE, 24" CO

4309IM125!MITERED END SECTION, ROUND CMP, 18~ SD

570010100:PERFORPMCE TURF

S70010200!PERFORMANCE TURF, SOD

700020011 _SINGLE POST SIGN, F&l, LESS THAN 12 SF 706030000 RETRO-REFLECTIVE PAVEf.ENT MARKERS 710000000 PANTED PAVEJ,ENT t.MRKINGS 524·1 CONCRETE DITCH PAVEMENT, NON REINFORCED. 4"

·:~1:t r :: _f:I 4 EA '. s1.oeo.64 '

60 EA . s102.22 . .•• ·- - l

I' 1 . LS $15.303.!0 ! - -1 I 75,726: SY Sm!

I 47 N3 '337.R7; I I ,-~!r, EA $4.n r

J

LS Sl2,907.781

200 SY $16.34

TOTAL

Page 2 of 10

$14,822.72

1511,11&7.78

$11,1187.93

$,4.322.58

$42,133.20

$15,303./ia

$f49.180.22

$1!1,11114.59

S.t.323.72

$32,801.

S13,098.0G

$2,864,811.112

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

Pay Item Notes:

102010000- Maintenance of Traffic- Includes all elements required for the Traffic Control Ptan, construction stakeout, and includes temporary centerline dellneation and stop bars placed at all non­working times. 104010030- Sediment Barrier - Includes hay bafes, staked sift fence, and other Items necessary to minimize erosion and prevent sediment from leaving lhe project llmfts as directed by the Engineer. 110010100- crearlng and Grubbing- Includes removal of all pavement, pipe. vegetation, or any other demolltlon required for the project. 120040000- Subsoil Excavation- Include removal of unsuitable material 24• deep and replace with suitable material compacted in six (6) Inch lifts. 160010000- Commercial Stabilizing Material - Apply 2" of material as needed to meet the LBR. May be increased, decreased, or omitted. 1600400~ StabHtzlng (Roadway and Shoulder)- Includes mixing, compacting, and meeting LBR requirements. 570010100-Per1onnance Turf-Includes all areas disturbed and not sodded. 710000000- Painted Pavement Markings - Includes temporary and permanent pavement markings. 524-1 - Concrete ditch pavement shalt be In accordance with FOOT Standard Index 281(Roadway Side Ditch) Quantity based on 300 LF of Concrete Ditch Pavement, to be placed at Engineer's direction.

ADDENDA NUMBER DATE SENT

$2,654,611.62

BID TOTAL FOR SW. HERLONG ST CONSTRUCTION

Page 3 of 10

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COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L140802CCB SW Herlong St. - Roadway Construction

6bb !JEN& MAX DE INGBEMED, Q§CBfA3EP, QB OMITTED Al Q\BEGIER By IUF ENQINEER,

ALL MATERIALS AND CONSTRUcT,oN SHALL CONFORM TO BOTH THE REQUIREMENTS OF THE LATEST FOOT STANDARD SPECIFICATIONS FOR ROAD AND BRIDGE CONSTRUCTION AND THE LATEST FOOT DESIGN

STANDARDS.

ALL INCIDENTAL WORK INCLUDED IN THESE ITEMS ALL UNIT PRICE AND TOTAL SPACES MUST BE FILLED IN TO CORRELATE WITH EACH ITEM

Note: contractors shall be in compliance with chapter 489, Florida statutes, licensure requirements.

Florida construction industries Ucensing board certification.

E. Tony Williams, Jr. (n1me of holder)

CQCQ60909 {certlflcal, no.)

In witness whereof, the bidder has hereunto set his signature and affixed his seal this of March , A.O. 20 IS

By:

Title:

~~ E. Tony Williams Jr,

Vice President

Type or print name of firm: Anderson Columbia Co., Inc

Address: B7J NW Quecdoa St Lake City El J2Q56

Contact person: -I~o.i.i.n..,.v .... W1.1.1,1,ilw.iliWD-s-.. _____ _ Telephone No.: 386.752.7585

Fax no.: ----.1l~8w.6..4,7 ... SS..,,.r.i5811.S,w3._ __ _

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-----------------·~-.. ------ -·-··-·-· ··-·-- -----

Gentlemen:

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

The undersigned, as bidder, hereby declares that he has examined the contract documents and informed himself fully in regard to all conditions pertaining to the work to be done; that he has examined the specifications for the work and other contract documents relative thereto; and that he has satisfied himself relative to the work to be performed.

The bidder agrees, if this bid is accepted, to contract with the Columbia County Board of County Commissioners to furnish everything necessary to complete the work covered by this bid and other contract documents for the Columbia County Board of County Commissioners. The Contractor assumes full responsibility for all quantities used in his/her bid. The contractor shall coordinate his construction with all proposed utilities on the site.

HERLONG ROAD

102010000 MAINTENANCE OF TRAFFIC l LS

104010030 SEDIMENT BARRIER 3660 LF

110010100 CLEARING & GRUBBING 1 LS

120010000 REGULAR EXCAVATION 1 120020200 BORROW EXCAVATION 13,715 6.00 120040000 SUBSOIL EXCAVATION 10,210 $11.00 160010000 COMMERCIAL STABILIZING MATERIAL 500 CY $20.00 160040000 STABILIZING (ROADWAY AND SHOULDER) 85,247 SY $1.50 285704000 OPTIONAL BASE, BASE GROUP 04 58,073 SY $7.00 286010000 TURNOUT CONSTRUCTION 2,772 SY $20.00 334010120 SUPERPAVE ASPHALTIC CONC, TRAFFIC 8 8,003 TN $90.00 425015210 INLETS, OT BOT, TYPE C, <10' 11 EA $1,500.00 430173118 PIPE CULVERT ROUND CONCRETE, 18" CD 664 LF $51.00 430173124 PIPE CULVERT ROUND CONCRETE, 24" CD 192 LF $66.00 430174118 PIPE CULVERT ROUND CMP, COATED, 18" CD 1,384 LF $45.00 43098212S MITERED END SECTION, ROUND CONCRETE, 18" CD 13 EA $900.00 430982129 MITERED END SECTION, ROUND CONCRETE, 24" CO 4 EA $1,200.00 430984125 MITERED END SECTION, ROUND CMP. 18" SD 60 EA $800.00 570010100 PERFORMANCE TURF 1 LS $15,000.00 S70010200 PERFORMANCE TURF, SOD 75,726 SY $1.75 700020011 SINGLE POST SIGN, F&I, LESS THAN 12 SF 47 AS $225.00 706030000 RETRO-REFLECTIVE PAVEMENT MARKERS 1,052 EA $4.00 710000000 PAINTED PAVEMENT MARKINGS 1 LS $40,000.00

524-1 CONCRETE DITCH PAVEMENT, NON-REINFORCED, 4" 200 SY $50.00

TOTAL

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Bidder: Hosie Construction, Inc.

COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBIA COUNTY PROJECT NUMBER 2015-02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

Pay Item Notes:

102010000- Maintenance of Traffic - Includes all elements required (or the Traffic Control Plan, construction stakeout, and includes temporary centerline delineation and stop bars placed at all non­working times. 104010030- Sediment Barrier - Includes hay bales, staked silt fence, and other items necessary to minimize erosion and prevent sediment from leaving the project limits as directed by the Engineer. 110010100- Clearing and Grubbing- Includes removal of all pavement. pipe, vegetation. or any other demolition required for the project. 120040000- Subsoil Excavation - Include removal of unsuitable material 24" deep and replace with suitable material compacted in six (6) inch lifts. 160010000- Commercial Stabilizing Material - Apply 2" of material as needed to meet the LBR. May be increased, decreased, or omitted. 160040000- Stabilizing (Roadway and Shoulder}- Includes mixing, compacting. and meeting LBR requirements. 570010100- Performance Turf- Includes all areas disturbed and not sodded. 710000000- Painted Pavement Markings - Includes temporary and permanent pavement markings. 524 - 1 • Concrete ditch pavement shall be in accordance with FDOT Standard Index 281(Roadway Side Ditch) Quantity based on 300 LF of Concrete Ditch Pavement, to be placed at Engineer's direction

ADDENDA NUMBER DATE SENT -

BID TOTAL FOR SW. HERLONG ST CONSTRUCTION '----------·------------I

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COLUMBfA COUNTY BOARD OF COUNTY COMMISSIONERS COLUMBJA COUNTY PROJECT NUMBER 2015·02

ENGINEER'S PROJECT NUMBER L 140602CCB SW Herlong St. - Roadway Construction

ALL ITEM~ MAY Bf;; INGBEA~ED, DECREASED, QB QMITTEQ AS DIRECTED BY IHE EtJQINEER,

ALL MATERIALS AND CONSTRUCTION SHALL CONFORM TO BOTH THE REQUIREMENTS OF THE LATEST FOOT STANDARD SPECIFICATIONS FOR ROAD AND BRIDGE CONSTRUCTION ANO THE LATEST FDOT DESIGN

STANDARDS.

ALL INCIDENTAL WORK INCLUDED IN THESE ITEMS ALL UNIT PRICE AND TOTAL SPACES MUST BE FILLED IN TO CORRELATE WITH EACH ITEM

Note: contractors shall be in compliance with chapter 489, Florida statutes, licensure requirements.

Florida construction industries licensing board certification.

Edvard Allen Music Ed.Vf,rd Allen Music

(name of holder}

CUC122380S CBC060439

(certificate no.)

In witness whereof. the bidder has hereunto set his signature and affixed his seal this 24th of March. , A.O. 20 15

By: Dennis Mustc=

Title: President

Type or print name of firm: Music Construction, Inc.

Address: 12285 235th load, Live Oak, Florida 32060

Contact person: Deml:1.8 Music/Al.1en Music Telephone No.: 386-658-1S98

Fax no.: 386-658-2481

Page 4 of 10

day

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COLUMBIA COUNTY, FLORIDA

ROADWAY CONSTRUCTION CONTRACT

SW HERLONG STREET

ROADWAY CONSTRUCTION

THIS AGREEMENT is entered in and effective as of the day of ____ , 2015, by and between COLUMBIA COUNTY, FLORIDA, ('·County"), with its principal place of business located at 135 NE Hernando Avenue, Lake City, Florida 32055, and its mailing address is Post Office Box 1529, Lake City, Florida 32056-1529, AND, CURT'S CONSTRUCTION INC, a Florida corporation, ('·Contractor"). whose mailing address is 519 NW Crawford Ct.. White Springs, FL 32096. its successors and assigns.

WHEREAS, County has accepted the bid proposal of Contractor for the ROADWAY CONSTRUCTION of SW HERLONG STREET, Columbia County Project No. 2015-02 (herein .;the project"); and

WHEREAS, the parties wish to memorialize the County's acceptance of Contractor·s bid, and the specific terms and conditions of the agreement between the parties as set forth herein.

NOW, THEREFORE, in consideration ofthe sum of Ten and No/ lOO ($10.00) Dollars, and the mutual covenants, rights and responsibilities set forth herein as well as other good and valuable consideration which the parties acknowledge. they agree as follows:

I. RECITALS: The recitals set forth herein are true and correct.

2. SCOPE OF WORK: Contractor agrees with County, for the consideration herein mentioned, and at its own proper cost and expense, to do all the work and furnish all materials, equipment, supplies and labor necessary to carry out this agreement in the manner and to the full extent as set forth in the Project Bid, specifications, proposal and the accompanying plans, and the notes as attached to plans, all of which are hereby adopted and to the satisfaction of the duly authorized representative of the County who shall have at all times full opportunity to inspect the materials to be furnished and the work to be done under the agreement.

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3. CONTRACT PRICE: The County agrees to pay Contractor for the strict perfonnance of its work as described herein the total sum of TWO MILLION, THREE HUNDRED TEN THOUSAND, TWO HUNDRED SIXTEY-SIX and 21/100 ($2,310,266.21) DOLLARS as provided in Contractor's bid proposal to County. This sum shall include all pennits, fees, inspection costs and other taxes required by any division of the federal, state or local government, subject to addition and deductions for changes in the work as may be agreed upon, in writing, between the parties. Payment of the total sum shall be made in accordance with the Project Bid and documents.

4. INDEPENDENT CONTRACTOR: Contractor is an independent contractor and shall, at its sole cost and expenses and without increase in the contract price, comply with all laws, rules, ordinances, and regulations of all governing bodies having jurisdiction over the work. Contractor shall have sole responsibility for the means and methods of performing the work required under this agreement. Contractor shall be responsible for securing timely inspections and approvals of its work from all such authorities and as required by the contract documents. Contractor shall obtain and pay for all necessary permits and licenses, including business licenses; pay all fees, manufacturer's taxes, sales taxes, use taxes, processing taxes, and all federal and state taxes, insurance and contributions for social security and unemployment or disability insurance, which are measured by wages, salaries, or other remunerations paid to Contractor's employees, whether levied under existing or subsequently enacted laws, rules, or regulations. Contractor shall maintain proof that it has complied with all aspects of the foregoing provision and shall make such proof available for review by the County at County's request.

5. INSPECTION AND TESTING: All work and materials shall be subject to inspeccion and approval by the County or its designee or other representative. Approval by the County of work, materials and other items inspected or reviewed shall not relieve Contractor of responsibility of complying with the terms and conditions of this agreement.

6. DEVIATIONS AND SUBSTITUTIONS: Contractor shall not deviate from the plans and specifications for the project without the prior written consent of the County or its representative. Contractor shall identity any variations from specifications on any specific items. Failure to identify any variations shall be interpreted to mean that the equipment, fixture or material meets all of the requirements of the specifications. Any additional costs to the County as a result of such changes or substitutions or the selection of options or alternates shall be borne by Contractor who shall indemnify and hold the County hannless from claims for additional costs.

7. TIME IS OF THE ESSENCE: Contractor shall initiate its work when directed to proceed by the County and shall thereafter proceed and complete performance of the work promptly, diligently and in such a manner and sequence as to pennit completion of the project within the time provided by the agreement, including the specifications.

Time is of the essence in the perfonnance of the obligations of Contractor, and should Contractor in any way cause delay resulting in loss or damage to the County or any loss or damage for which the County may become liable, Contractor and its surety, if any. shall be liable for such and shall indemnify and hold the County harmless therefrom to the fullest extent pennitted by law.

8. TIME EXTENSION: Should Contractor's performance of this agreement be delayed or disrupted by any acts of the County or other subcontractors of the County. or force majeure, or

2

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availability of materials as approved by the County representative, Contractor may receive an equitable extension of time for the perfonnance of this agreement but shall not be entitled to any increase in the agreement price or to damages or additional compensation as a consequence of such delays or interruptions.

9. PAYMENT TERMS:

a. Based upon applications for payment submitted to the County and certificates of payment issued by Contractor, subject to verification thereof by County and its representatives, the County shall make progress payments on account of the contract sum to Contractor as provided herein and elsewhere in the project documents. Application for payment shall be on a form approved by the County or its project representative which will include a breakdown showing the value of each phase of work in relation to the total contract price and include the date of the application.

b. The terms of each payment shall be net 30 days from receipt of the application for payment approved by the County's representative. Each application for payment shall indicate the percentage of completion of each portion of the work as of the end of the period covered by the application for payment. Payments of invoices timely submitted and approved will be monthly. The County shall be entitled to a I 0% retainage, and final payment shall not be due until Contractor has submitted and filed its contractor's affidavit that all subcontractors and suppliers of labor and materials or services to the project have been paid in full. Lien releases shall be obtained from any subcontractor or supplier which have provided notice to the County.

c. Upon receipt of payment from the County for work performed by Contractor, Contractor shall in turn and in the same manner make payment to its suppliers and subcontractors upon payment to Contractor for work performed and materials furnished by said suppliers and subcontractors and to the extent of their respective interests therein. All material and work covered by payments shall become the property of the County, but this provision shall not relieve Contractor from the sole responsibility for all work and material upon which payments have been made. Contractor agrees that as a condition precedent to receiving partial payments from the County for\\ ork performed pursuant to this agreement, Contractor shall execute and deliver to County with its request for partial payment as above provided, a full and complete release of all claims and causes of action Contractor may have or claim to have against County through the date of execution of said release, save and except for those claims which Contractor shall specifically list on said release and described in a manner sufficient for the County to identify such claim or claims with certainty.

10. RETENTION: Notwithstanding any all provision of this agreement, it is agreed that the County shall retain I 0% of the amount due Contractor as progress payments or under partial payment estimates for work perfonned by Contractor until final completion and acceptance of Contractor's work by the County.

11. GROUNDS FOR WITHHOLDING PAYMENT/NOTIFICATION: The County may withhold from progress payments an amount sufficient to protect the County because:

3

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a. Defective work has not been remedied.

b. Claims, levies, attachments, stop notices or court orders have been filed or reasonable evidence indicates probable filing of such claims, levies, attachments, notices or orders, including claims covered by insurance until such claims are accepted by the insurance carrier.

c. It is alleged that Contractor has failed to make payments properly to its subcontractors or for labor, materials or equipment, transportation or shipping costs, taxes, fees or any other claims arising out of Contractor's work or Contractor fails or refuses to produce proof requested by the County that such payments have been made.

d. There exists reasonable doubt that Contractor's work can be completed for the unpaid balance of the contract price.

e. There exists reasonable doubt that Contractor's work will be completed on schedule or in compliance with the schedule.

f.

g. Contractor.

Contractor is not satisfactorily prosecuting the work of this agreement.

A petition for bankruptcy or reorganization has been filed by or against

h. Any other material breach of this agreement by Contractor which has not been cured after reasonable notice from the County thereof.

Amounts as are then due shall be paid or credited to Contractor when Contractor removes the above grounds for withholding payment.

12. JOINT PAYMENT: The County reserves the right to issue joint checks to Contractor and its material suppliers, subcontractors, labor unions, equipment suppliers, etc., if, in the County·s sole judgment. it is necessary to do so to ensure payment to the above named parties or if above named parties have filed a notice of nonpayment, lien or intent to lien, stop notice, etc.

13. CONDITIONS PRECEDENT TO FINAL PAYMENT: All conditions of this contract which apply to partial payments shall also apply to final payments. Request for final payment must, if requested by County, be accompanied by written release of the County of all claims arising by virtue of this contract and an affidavit by Contractor that all labor, material and other bills have been paid. Final payment by the County shall not be construed as acceptance of defective work or improper materials. County, in its sole discretion., may require a consent of surety with power of attorney

from Contractor's surety consenting to final payment, and shall be conditions precedent to the making of final payment by the County to Contractor.

14. PAYMENT AND PERFORMANCE GUARANTEES:

a. As a condition precedent to the award of this contract agreement to Contractor by

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County, Contractor shall maintain in full force and effect during the term of agreement a good, sufficient and acceptable 100% performance bond and a 100% payment bond on a fonn approved by the County. written by a surety company acceptable to the County. The cost of the bond required herein is included in the contract price.

b. No change. alteration or modification in or deviations from this agreement or the contract documents shall release or exonerate in whole or in part any surety on any bond given in connection with this agreement. The County shall not be under any obligation to notify the Surety or Sureties of any such change. Any increase in the contract amount shall automatically result in a corresponding increase in the penal amount of the bonds without notice to or consent from the Surety, such notice and consent being hereby waived. Decreases in the contract amount shall not, however, reduce the penal amount of the bonds unless specifically provided in said change order increasing or decreasing the scope of work.

15. INSURANCE: Contractor shall purchase and maintain such insurance as will protect it and County from the claims set forth below which may arise out of or result from Contractor's operations under this agreement whether such operations be by Contractor or by anyone directly or indirectly employed by Contractor, including Contractor's subcontractors, or by anyone for by whose acts any of them may be liable:

a. Claims under workers' compensation as required by state law, disability benefit and other similar employee benefit acts which are applicable to the work to be performed. Contractor will require all his subcontractors to have and provide proof of workers' compensation insurance.

b. Claims for damages, other than to the work itself. because of injury to or destruction to tangible property including loss of use thereof

c. Claims for damages because of bodily injury or death or any personal property damage arising out of the ownership, maintenance or use of any motor vehicle.

d. Commercial general liability insurance.

Before starting the work, Contractor shall furnish a Certificate of Insurance on Contractor's insurance carrier's standard fonn, and, if requested by the County, copies of, all insurance policies in duplicate to the County office. All policies are to be written through a company duly authorized to transact that class of insurance in the State of Florida, and shall be with insurance companies acceptable to the County. The workers' compensation and employer·s liability policies shall contain waivers of subrogation in favor of the County. The Certificates of Insurance and policies for the commercial general liability and business automobile liability policies shall name the County as additional insured, shall be endorsed to be primary and noncontributory to any insurance which may be maintained by or on behalf of Contractor; shall be on an .. occurrence" basis and shall include ''Limits Apply Per Project" with respect to the commercial general liability coverages. Contractor's certificate shall further provide that insurance will not be canceled or changed prior to at least thirty (30) days' written notice to County.

Commercial general and automobile liability insurance as required herein shall be written for not less than the following limits of liability or as required by the bid documents, whichever is greater:

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e. aggregate.

Commercial general liability $1,000,000 each occurrence and $2,000,000 general

f. Commercial automobile coverage shall include $2,000,000 bodily injury each/person occurrence, and property damage aggregate for this project, combined single limits.

g. Umbrella excess liability each occurrence and aggregate $5,000,000.

16. INDEMNIFICATION:

a. To the fullest extent pennined by law, Contractor and its surety covenant and agree to indemnify and hold County harmless of and from any and all claims, losses, demands, causes of action and the like, including but not limited to, attorneys' fees and court costs which may be asserted against County by anyone other than Contractor, resulting from, arising out of. or occurring in connection with the failure of Contractor or supplier of Contractor to perfonn all work required within the scope of this agreement in strict accordance with the contract documents.

b. To the full extent permitted by law, Contractor hereby agrees to defend and indemnify, protect and hold harmless County, its agents, employees, servants and sureties (individually the .. Indemnified Party" and collectively the "Indemnified Parties'') of and from any loss or damage and to reimburse the Indemnified Parties for any and all expenses, including legal fees, expert \\-itness fees and other litigation costs to which the Indemnified Parties may be put because of:

( l) the liability for claims and liens for labor performed or materials used or furnished through or under Contractor for the project for which Contractor is liable due to any failure of Contractor to adhere to the terms of this agreement or any of the contract documents:

(2) liability to County resulting from Contractor's failure to comply with applicable licensing requirements;

(3) any personal injury, loss, damage or death to any person or persons (including employees, officers or agents of County, Contractor and lower tier subcontractors) and any property damage arising out of, result from, or in connection with the performance or non perfonnance of work required in this contract or by reason of any act, omission, fault or negligence whether active or passive of Contractor whether on the project or proceeding to or from the site, including, without limitation, any personal injury, loss, damage, death or property damage caused (or alleged to be caused} by any negligent or grossly negligent act, error or omission of any person or entity, including any Indemnified Party whether such Indemnified Party's or the person's or

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entity· s negligence be joint or concurrent however, Contractor shall not be required to indemnify an Indemnified Party for that party's sole negligence; or

( 4) liability imposed upon County directly or indirectly by Contractor's failure or the failure of any of its employees to comply with any law, ordinance, rule, regulation or requirement, including, but not limited to, any Occupational Safety and Health Administration violations and any penalties, including enhancements, resulting in whole or in part by subcontractor's acts or omissions as well as the Immigration Reform and Control Act of I 986 and all rules and regulations adopted pursuant thereto.

c. To the fullest extent permitted by law, in addition to the express duty to indemnify County when there is any causal connection between Contractor's work and any injury, loss, damage, death or property damage, Contractor expressly undertakes a duty to defend County as a separate duty, independent of and broader than the duty to indemnify. The duty to defend agreed to by Contractor hereby expressly include all costs of litigation, attorney·s fees, settlement costs and reasonable expenses in connection with the litigation, whether or not the claims made for loss, injury, damage or property damage are valid or groundless and regardless of whether the defense of County is maintained by the County or assumed by Contractor as long as the claims made could be causally connected to Contractor as reasonable determined by County (claims).

d. Neither final payment by County nor acceptance of the work performed by Contractor shall constitute a waiver of the foregoing indemnities and duty to defend, and notwithstanding any other provision contained in this contract agreement, the provisions of this Article shall survive the termination of the contracl agreement for any reason whatsoever.

17. WARRANTIES AND GUARANTEES: Unless a longer period is provided in the contract documents, or by law. Contractor shall repair or replace at its own expense and at the convenience of County, any defects in workmanship or materials discovered within one year from the date of written acceptance of the work by County and its representative. Contractor and its surety shall remain liable to County for any defects or alleged defects, whether patent or latent in materials or workmanship attributable to or caused by Contractor's work was not performed in accordance with the contract documents, such liability and responsibility to remain for so long a period of time as permitted by law.

In any event Contractor and/or its surety shall pay for all damage to the project resulting from defects in the work and expenses necessary to remove, replace and/or repair the work and any other work which may be damaged in removing or repairing the work.

18. ACCESS TO BOOKS AND RECORDS:

a. Contractor shall pennit access to its books, records and accounts by representatives of the County for purposes of investigation to ascertain compliance with this

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agreement when reasonably necessary. In the event of Contractor's noncompliance with the equal employment opportunity laws, this contract may be terminated for default.

b. Records of costs incurred and payments made under the tenns of this agreement shall be maintained by Contractor and made available upon request to County at all times during the term of this agreement and for five (5) years after final payment is made. Copies of these documents and records shall be forwarded to the County upon request. Records of costs incurred include County's general accounting records and the project records, together with supporting documents and records of second party and all subcontractors perfonning work on the project, and all other records of Contractor and subcontractors which may be necessary for audit purposes and public records required by Chapter l 19, Florida Statutes. Contractor shall allow public access to all documents, papers, letters or other material subject to the provisions of Chapter 119, Florida Statutes, and made or received by Contractor in conjunction with this agreement. Such records shall be maintained by Contractor for a minimum of five (5} years after final payment is made under this agreement.

19. CHANGES AND EXTRA WORK: Contractor recognizes that the County or its authorized representative shall be the binding and final authority on the interpretation of the plans and specifications. Contractor shall be bound by all interpretations of the County or its authorized representative.

(a) The County may at any time, unilaterally or by agreement with Contractor, without notice to the sureties make changes in the work covered by this agreement. Any mutual agreement must be agreed upon in writing signed by the parties.

(b) When the County requests a proposal, Contractor shall submit change order proposals within seven (7) calendar days. unless a shorter time is specified elsewhere in the Agreement, in a form acceptable to the County. The quotation shall be supported by a cost breakdown which shall include a quantity survey, unit prices and unit labor hours, markup for overhead and profit and other infonnation as requested by County.

(c) Upon written direction by the County, Contractor specifically stating that an equitable adjustment in contractor price will be made, Contractor shall proceed with specified extra work or changes so as not to delay the work. Contractor shall submit an estimate for the extra work or changes within seven (7) calendar days, unless a shorter time is specified elsewhere in the Agreement, of receipt of the directive.

(d) Unless otherwise stated in the Contract Documents, the sum to be paid to Contractor, including for its combined overhead and profit for additive changes shall be the cost of the change.

20. CONTRACTOR/COUNTY DISPUTES: In the event of any dispute involving the work performed or to be perfonned, County shall issue a written decision or written directive which shall be followed by Contractor, without interruption, deficiency, or delay. If Contractor does not agree with such decision, Contractor may make a claim pursuant hereto and the matter shall be resolved as set forth below.

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a. Under this contract, Contractor shall not have the right to compensation to satisfy any claim for additional compensation or costs incurred as a result of costs, liabilities, or debts of any kind whatever from any act or omission attributable to County unless Contractor has provided notice to the County or its representative within IO days after Contractor learns of the event giving rise to the claim allowing County a reasonable time to cure any act or omission giving rise to the claim, and County determining that a claim for such additional compensation or costs exist, and if reasonably possible the detail claim therefor.

b. Notwithstanding anything in the contract documents to the contrary, County, Contractor and Contractor's surety agree that all claims, disputes and other matters in controversy between County and Contractor arising out of or relating to the contract or the breach thereof unless otherwise mutually agreed by the parties, shall be submitted through litigation to the appropriate forum in Columbia County, Florida, determination in accordance with the laws of the State of Florida. Columbia County, Florida shall be the sole and exclusive venue for any such dispute resolution or legal action.

c. Unless otherwise agreed in writing by the parties, Contractor shall carry on the work and maintain its progress during any litigation or mediation proceedings and County shall continue 10 make payments to Contractor in accordance with the contract documents.

21. DEFAULT AND TERMINATION:

a. Termination for Cause: If, in the opinion of County or its representative, Contractor at any time refuses or neglects to supply a sufficiency of skilled workmen or materials of the proper quality and quantity, or fails in any respect to prosecute the work with promptness and diligence, or causes by any actor omission the stoppage or delay of or interference with the work of any other contractors on the project, or fails in the performance of any of the agreements on its part contained herein, County shall be at liberty, if Contractor has failed to cure such default within three days' following written notice to Contractor, mailed or delivered to the last known address of the latter, to provide through itself or through others, any such labor or materials, and to deduct the cost thereof from any money due or thereafter to become due to Contractor under this Agreement. and County shall also be at liberty to tenninate all or part of Contractor' right to proceed with the said work and to enter on the premises and take possession, for the purpose of completing the work included in this agreement, of all materials thereon, and to employ any other person or persons to finish the work, and to provide materials therefor. Contractor shall not be entitled to receive any further payment under this agreement until the said work shall be wholly finished. If the unpaid balance of the amount to be paid under this agreement shall exceed the expense incurred by County in finishing the said work, such excess shall be paid by the County to Contractor; but if such expense shall exceed such unpaid balance, then Contractor shall pay the difference to County. The expense incurred by County shall include the cost of furnishing materials and of finishing the work, and any damage incurred through the default of Contractor.

It is recognized that if Contractor is adjudged a bankrupt or makes a general assignment for the benefit of creditors, or if a receiver is appointed for the benefit of its creditors, or if a receiver is appointed on account of its insolvency, such could impair or frustrate Contractor's performance of this agreement. Accordingly, it is agreed that upon the occurrence of such event, County shall be entitled to request of Contractor or its successor in interest adequate assurance of

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future perfonnance in accordance with the tenns and conditions hereof. Failure to comply with such request within ten ( I 0) days of delivery of the request shall entitle County to tenninate this Agreement and to the accompanying rights set forth above. In all events, pending receipt of adequate assurance of perfonnance and actual perfonnance in accordance therewith, County shall be entitled to proceed with the work with its own forces or with other contractors on a time and material or other appropriate basis, the cost of which will be back-charged against the contract sum hereof.

In the event Contractor is terminated by County for any reason, Contractor agrees that any and all subcontracts or purchase orders which may have covering the work which is the subject of this agreement may, at County's option, be fully assigned by Contractor to County upon written notice to such subcontractors and vendors by County: and Contractor shall include in such subcontracts and purchase orders appropriate language to such effect.

b. Other Remedies for Default Other Than Termination: Should Contractor (a) fail to correct, replace and/or re-execute faulty or defective work and/or materials furnished under the contract: (b) fail to complete or diligently proceed with this contract within the time required by County; (c) fails to correct or repair any damage to the work caused by Contractor, or those for whom it is responsible, or by virtue of Contractor's failure to protect its work; (d) refuse or fail to provide sufficient properly skilled workers, adequate supervision or materials; or (e) otherwise be in default of any provision of this contract or the contract documents, then County, upon three (3) days prior written notice to Contractor, shall have the right to correct, replace or otherwise remedy any such defects, deficiencies or delayed performance by any reasonable and expedient means, including taking over or supplementing Contractor's work and materials and employing such additional labor, equipment and materials as may be necessary to cure the default and achieve compliance with the contract and the contract documents. In such event, County may deduct and withhold from payments then or thereafter to become due Contractor the cost of correcting such deficiencies, plus overhead of fifteen percent ( 15%) to cover costs not readily ascertainable and not as a penalty. If payments then or thereafter due Contractor are not sufficient to cover such amount. Contractor shall promptly pay the difference to the County.

c. Remedies Cumulative: No right or remedy in this contract is intended to be exclusive of any other right or remedy, but every such right or remedy shall be cumulative and shall be in addition to and not a limitation of any duties, obligations. rights and remedies otherwise imposed or available by law.

22. MISCELLANEOUS:

a. Legal fees: If one party to this Agreement institutes litigation or mediation with the other party, arising out of the tenns and conditions of this agreement, or perfonnance under this agreement, the prevailing party shall be entitled to recover from the other party its reasonable attorney's fees and consultant's fees. The parties agree that the fee award need not be computed in accordance with any court schedule, but shall be such as to fully reimburse all fees actually incurred in good faith, it being the intention of the parties to fully compensate for all fees paid or incurred in good faith. The prevailing party is that party receiving substantially the relief sought, whether by way of settlement, award or judgment.

b. Notices: All notices, consents, requests or other communications hereunder 10

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shall be in writing, unless otherwise expressly provided to the contrary and shall be deemed to have been made or given when mailed, delivered, telegraphed or transmitted as electronic facsimile to the other party at the address noted in the Contract. Either party may designate a different address by notice given to the other.

c. Severability: If any clause or provision of the contract documents should be determined to be illegal, invalid or unenforceable under present or future laws effective during the tenn of the contract, then and in that event, it is the express intention of the parties hereto that the remainder of the contract documents shall not be affected thereby, and it is also the express intention of the parties that in lieu of each clause or provision of the contract documents which may be determined to be illegal, invalid or unenforceable, there may be added as part of the contract documents a clause or provision as similar in tcnns of such illegal, invalid or unenforceable clause or provision as may be possible and be legal, valid and enforceable.

d. Non-Waiver: No action or failure to act, delay or omission by County to exercise any right or remedy shall impair such right or remedy or any other right or remedy or be construed to be a waiver of any default or acquiescence therein.

e. Right of Assignment: This Contract and the proceeds from this contract shall not be assigned without the written consent of County, and if applicable, Contractor' s surety.

f. Information Required by Owner: In addition to the information to be provided by Contractor pursuant to other provisions of this contract, Contractor hereby agrees to provide, at no additional cost to County, and in a prompt and timely fashion so as not to disrupt the performance of this contract, any and all additional information relating to this contract which is required either by the contract documents or by law.

g. Venue: This contract shall be govcmed in accordance with the laws of the State of Florida and the state courts of Columbia County, Florida shall be the proper and sole venue for any legal action regarding this contract.

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IN WITNESS WHEREOF, the parties have executed this agreement the day and year first above written.

Signed, sealed and delivered in the presence of:

Witness

Print or type name

Witness

Print or type name

ST A TE OF FLORIDA COUNTY OF COLUMBIA

COLUMBIA COUNTY, FLORIDA

By

Rusty DePratter, Chairman Board of County Commissioners

ATTEST:

P. DeWitt Cason, Clerk o Court

(SEAL)

The foregoing instrument was acknowledged before me this day of _____ , 2015, by Rusty DePratter~ as Chairman, of the BOARD OF COUNTY COMMISSIONERS OF COLUMBIA COUNTY, FLORIDA, on behalf of the Board, who is personally known to me.

Notary Public, State of Florida

(NOT ARIAL SEAL) My Commission Expires: ___ _

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Signed, sealed and delivered in the presence of:

CURT'S CONSTRUCTION INC.

Witness By

Print or type name Print

Title

Witness

Print or type name

STATE OF FLORIDA COUNTY OF COLUMBIA

(COMPANY SEAL)

The foregoing instrument was acknowledged before me this day of _____ . 2015. by . as the ____ _ of CURT'S CONSTRUCTION INC .. a Florida corporation~ on behalf of the corporation, who is personally known to me or who has produced a Florida driver's license as identification.

Notary Public. State of Florida (NOT ARIAL SEAL)

My Commission Expires: ____ _

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

13 The Boara of County Commissroners rneets the 1st and 3rd Thursday of each month at 5·30 pm. in the

Coh,mbta County School Board Adm1n1strative Complex Auditorium, 372 West Duval Street, Lake City,

Florida 32055. All agPnda items are due rn the Board\ office one week prior to the meeting date.

Today's Date: March 24th, 2015 Meeting Date: _A~p_ri_l z_n_d._2_01_s ________ _

Name: Rudy Crews Department: Code Enforcement

0 . ft .1 'S \ ~ -- ~~-~-1v1s1on ,v anager s 1gnature: --~.:::-.-~,;~;i...,..;~ _ _..:. ___ ==-----------------L N<'!ture and purpose of agenda item: 2015 · Franch1s~ Collect,on Renewal Applications

Attach ar.v corresponcenr.e information, documents and forms for dct1on i.e .. contract agreements. quotes,

memora ndu ms. ~tc.

2. Fisca l impact on cl:rrcnt budiet.

1:; this a budgeted item-:> (2] N/A

0 Yes .A.ccot..nt No.---------------

0 No Pleas~ li st the proposed b ... cget cmendment to fund this reqti cst

HuJg1..'I ,\11t(nJm~nl "-urnbl:'r: ______ _

Fl{O\I ill

For Use of County Manger Only:

1 l Consent I tern I I D1SCL)Ss1on Item

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COLUMBIA COUNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE APPLICATION

Name of Appli~~'"Sft~lgj'tffi1~ Address. 39=l ~~ . ) n . 1<. J '3cleft'1 Telephone No.: 3Slc,-9~,3-'5//a r '

Name of Applicant's Contact Person or Agent -5o:-c..L.l.-'-=jf--~....._._._ ___ ~~---

Address: O t'1. ~ Telephone No.: ...l...,,i!J.,..<i,L_-l.£.1..CL~~~==-.._ _ ____ ________ _

In accordance with Section 90-76, Code of Ordinances. Columbia Count)', Florida. Applicant hereby applies to Columbia County for a non-exclusive franchise authorizing Applicant to engage in the business of collecting. hauling, or transporting solid waste v, ithin Columbia County. This application includes the following:

I. APPLICANT INFORMATION. (/\lo l.J-i~)

A. Describe in detail the solid waste collection. hauling and/or disposal scope of services )'OU are requesting to proviue in Columbia County.

8. Include an executive summary (limited to three single-spaced type"'ritten pages) providing a description of Applicant's ability to provide solid waste collection services in Columbia County.

C. Provide written detail of the qualification of Applicant's operations and staff regarding solid waste collection. hauling and transporting.

D. Provide a "'ritten summary of Applicant's business plan to include its methodology for collecting, hauling. and disposing of solid waste from the accounts serviced in Columbia County.

E. Describe the Applicant's years in solid waste colle(;tion business, together with a list of any customers or contact persons for similar size and scope of solid waste service provided within the past five (5) calendar years which v.,jl( confirm your ability to perform the scope of solid waste collection, hauling and disposal you arc:: requesting. Any such references must include contact names and telephone numbers. type of service performed. and/or contract period dates.

F. A list and description of Applicant's vehicles, tools and equipment which it owns or has available for use in its performance of solid v .. aste collection. hauling and disposal within Columbia County.

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G. Any additional information \\hkh you believe \viii assist Columbia County in evaluating your application.

II. CONDITIONS OF FRANCHISE.

A. Insurance: Applicant shall at all times during the term of the franchise maintain in full force and effect employer·s liability. \vorkers' compensation, public liability and property damage insurance. All insurance shall be by insurers and for policy limits acceptable to Columbia County and before commencement of providing the service under the franchise. Applicant agrees to annually furnish the County certificates of insurance or other evidence satisfactory to the County to the effect that such insurance is in force. A certificate of insurance, executed on a standard ACORD form, shall be filed with the Count} prior to Applicant being granted a franchise. The certificate shall contain a provision that coverage is afforded under the policies and \'. ill not be cancelled until at least 30 days prior \Hitten notice has been given to the County. The certificate of insurance\\ ill include the following statement or similar language: '·Interest of the certificate holder is included as an additional insured ... The following types of insurance and the following minimum amounts are required:

Coverage Limits of Liabilitv I. Workers· Compensation Statutory

.., "-• Bodily Injury Liability $1,000,000 each

(except automobile) occurrence,$2.000,000 aggregate

3. Property Damage Liability $500.000 each occurrence/ ( except automobile) $1.000.000 aggregate

4. Automobile Bodily Injury $1.000,000 each occurrence

5. Excess Umbrella Liability $1,000.000 each occurrence.

8. Indemnity: Franchisee will indemnify and save harmless the Count), its officers. agents. servants and employees from and against any and all suits. actions. legal proceedings, claims, demands, damages. costs. expenses and attorney's fees to tht extent resulting from a willful or negligent act or omission or ddault of its franchise agreement by the Franchisee. its officers. agents. sen,ants, and

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employees in the performance of the franchise; provided. however, that Franchisee shall not be liable for any suits, actions. legal proceedings. claims, demands, damages, costs, expenses and attorney's fees arising out of a vvillful or negligent act or omission of the County, its officers, agents, servants and employees.

C. Disposal Site: As a material consideration for the County approving Applicant's franchise, Applicant agrees all solid waste shall be hauled to and disposed of al a place or places to be provided and designated by Columbia County. Currently County charges $52.00 per ton for each ton of Class I and $37.00 for each ton of Class II I solid waste collected in the County and disposed of at the Columbia County Landfill. Applicant agrees all solid waste shall be hauled lo those sites or facilities as directed in writing by the County and disposed of at those facilities at the expense of the Franchisee, including tipping fees. Any solid \\aste hauled to the disposal site by Franchisee that is not generated in the Count} or orhcn\ ise approved by the County and not covered under the terms of the franchise agreement will be subject to the follO\,\ ing penalties:

D.

I. $ I ,000.00 for the first violation;

2. $5.000.00 for the second violation: and

3. Loss of franchise for the third violation.

Competencv of Franchisee: The County shall require Franchisee to submit such additional infonnation as the County may reasonably require to verity Applicant is adequately prepared to fulfill the franchise agreement. In determining whether the Applicant is adequately prepared. the County shall, as a minimum, consider the following:

I. Applicant's collection vchiclt:s and equipment are sufficient to provide adequate and reliable service.

2. Applicant's roll-offs and other containers are adequately maintained and in proper condition, including signage. such as paint and information on the containers adequately identif)'ing Applicant and contact information for the Applicant.

3. Sufficient size arid number of containers.

4. That all vehicles and other equipment are properly licensed. tagged, identified, insured, and road-\\'orthy.

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5. Applicant's technical experience. including that the Applicant and its employees have sufficient experience and abilities to insure the timely, reliable and effective delivery of the services proposed by the Applicant. and financial capabilities.

6. That Applicant's proposal is in the best interest of the public.

E. Compliance With Laws: Applicant shall conduct operations under the franchise in compliance with all applicable local, state and federal laws. including its rules and regulations.

F. Non-discrimination: Applicant shall not discriminate against any person because of race, sex, age, creed, color. religion or national origin.

G. Licenses: Applicant shall obtain all licenses and permits (other than the license and permit granted by the franchise issued by Columbia Count)) and prompt!} pay all taxes required by the County.

H. Applicant acknowledges County has the sole ability to approve or Jeny this Application pursuant to applil.:able County Code provisions, policies. rules, and in the best interest of County and its citizens.

Ill. TERM.

The franchise shall be for the initial term of one (I} year beginning the effective date of the franchise. Except as otherwise herein provided, the franchise ma} be renewed annuall)' on its anniversary date by the County upon request of the Franchisee and approval by the County. Prior to renewal, Franchisee will be required to provide proof of current insurance as required by Section IIA and pay a renewal fee established by the Count}. Denial of the initial franchise or an)' renewal by the Count} Manager shall be subject to appeal by the Applicant to the Columbia County Board of County Commissioners within 30 days of denial. Upon failure of the franchise to be extended as provided herein. the existing franchise, including any renewal th~reot: shall terminate at the end of its specified tenn. No provision of this Application or the franchise agreement shall be construed in any manner to require either party to renew the franchise beyond the initial term or any renewal period of the franchise.

In the event there should occur any breach or material default in the performance of any obligation of the Applicant which has not been remedied within thirty (30} da:s atler receipt ohHitten notice from the County, the County may cerminate the franchise at the end of said JO-day period. In the eH!nt the County alleges a material default on the part

Page 4 of6

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of Applicant, and Applicant disagrees that a default has occurred, it may, within ten { I 0) days after receiving notice of default. request a hearing with the County Manager. In the event the mattt!r remains unresolved. the parties may, by mutual agreement. proceed to non-binding mediation or if the parties fail to successfully mediate the dispute, then either party may seek judicial review in a court of jurisdiction located in Columbia County, Florida.

IV. NON-TRANSFER ABILITY.

The franchise shall not be transferrable or assignable to an} other person or t!ntit)' \\ ithout the express written consent of the County.

V. NON-EXCLUSIVE FRANCHISE.

An)' franchise granted Applicant shall be non~exclusive. Applicant acknowledges the;: County has previously entered into an ~xclusive franchise with a third party for the provision of residential solid ·waste. commercial collection and industrial collection \\.ithin the unincorporated area of Columbia County. and Applicant will not be authorized to provide solid waste collection for the service or to the customers included under the exclusive franchise Columbia Count) has previously awarded.

VI. SOLID WASTE SERVICES AUTHORIZED.

The solid waste collection services authorized to Applicant tinder the franchise may include some or all of the following (to be determined b} County):

A.

B.

C.

D.

VII. RATE.

Columbia County does not set any rate structure for franchisee. Franchisee will establish and agree upon rate structures with its customers.

Page 5 of 6

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The undersigned hereby certifies that all of the above statements and statements contained in any documents or plans submitted herewith are true and correct to the best of my knowledge and belief.

Datedthis t/~dayof (fY}t1,,,i,dJ .2015" or-r ,.~ Corrlo.J ~ u._~

p/~ 1gnature of Applicant

Print Name: '"P>fl I y t)orri5 Title: Ou:>0(,12,

Columbia County hereby ackno\.\-ledges receipt of the non-refundable application fee from Applicant of $500.00. Annual Renewal Fee is $50.00.

Dated this~ of ~ . 206

PENNY O. STANLEY

Page 6 of6

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COLUMBIA COUNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE A.PPLI(\\ TION

SECTION VI - EXHIBIT A

All sotid waste not included under the exclusive Franchise Solid Waste Agreement granted Veolia ES Solid Waste Southeast, Inc. <lated September 1, 2011. Thi~ Franchise includes construction a~d demolition debris resulting from temporary or single construction projects requiring a temporary roll-off sen·ice •

. \II collection and disposal of infectious waste, hazardous waste, biohazardous ·waste, biologic:.l waste or sludge shall be in strict compliance with ,ill federal, stnte and local Jaws and regulations.

This Fr.anchise does not include recyclable materials as defined by Florida Statutes, Section ..t03. 703.

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NORRl-4 OPID: LS ACORD.

CERTIFICATE OF LIABILITY INSURANCE I DATE fMMIDOIY\'YY)

~ 12/02/2014 THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY ANO 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsementlsl.

PRODUCER Phone: 386-364-1000 CONTACT _NAM_E: ___ ,_

Suwannee Insurance Agency, Inc Fax: 386-364-3768 PHONE .. --·· FAX----------...

1720 Ohio Ave. N. t~.c. tio, Extl: _!.AICJlot .•.. ---·------·--Live Oak, FL 32064-1858 E,MAIL

ADDRESS: Lisa M. Stephens I

INSURERJSj AFFORDING COVERAGE NAIC#

INSURER A, Endurance American Seecial!}'._____ I --·--· INSURED Norris Containers, LLC J.~URER B, Commerce & lndust!Y_ Ins. Co. j

3593 158th St. ------Wellborn, FL 32094 INSURERC:

------- ···-j----·-·-····· INSURER 0: _______ .,,_ ... ·------· ........ __ ·----·---·-"'··· INSURERE: I ·-------·---.......... ,----·-------··--~. ---··· INSURER F:

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSIJED 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 ANO CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

't:f: i TYPE OF INSURANCE ~e°!!~~ ... , POLICY NUMBER -···--1;:~lii~l'.t~~I i 1:~r;Wv~,,-j --·------L-IM-IT·S----------·--

I GENERAi. LIABILITY i I l ! EACH OCCURRENCE 1 ; 1,000,00( '-·-, I ' :11iiMAGtnrnE~ -r------

A j X : CCMMERCIAL GENE~Ll.lABIUTY X 1 :CBC20000172100 i 1210212014 . 12102/2015 I FRE~ 3 QO:Ul're'CA}_ . s -·- 100,00(J

~ CL.A.IMS·MAOE _!__ OCCUR I , II ~ Mf.0 EXP 1i'n~ one p,,rscnJ I : ··--{~~I;,:~~ H----------- : I I ! ~ ~ _L_&_A_o_v _m_~_R_v ________ _

, I i I i GENERAL AGGREGATE 1 ! 2,000,000

: GEN'LAGcReGA1e Llr.11r APPL1esPeR I I, 1 1 J PR00~~£.~~ 2.1.: 2.00,;oN-~,.~ :-x1 POLICY n P,f P.i n LOC I 5 ,,..

~ OJ,'1081LE UA81UTY

[ ' AtffAUTO , -·1 ALL OWNEO :.______; AUTOS

LJ HIRED AUTOS j '

-, SCHEDIJLED µAUTOS I NON-OWNED i! AUTOS

L UM8REUA IJAB ~ OCCUR

B I X EXCESS LIAe ClAJMS·M.AOE . X DE~ I I RETENfl011$

1

j WORKERS COMPENSATION

1 AND EMPLOYERS' UABIUTY y / N I ANY PROPRIETORIPAllTNERll:XECUTI\/E D I OFFICER/MEMBER EXCLUDED' 1

{Mandatory In NH) : It.es. deso-1be under I DESCRIPTION OF OPERATIONS tatow

I

i NIA!

I .ESU049131115 I

! i

l

[ ~ ~ ~~~! ~}'NGLE LIMtT '. s ________ NIil

I I l 8001L'flNJURY 1P01_~erscn1 _: S ..... - .• -·----··NJ~ j J , BOOIL Y INJURY ;p., acc,tJuNP i NIil , i 'PROPf.~TY DAMAGE rs-- NI" I .

1 ~ ace~ ------· - ·-----'~ ! JI NIil

I I I EACH OCCURRENCE _ : s .. _ ---· 1,000,000 · 12/02/2014 ; 12/02/2015 I AGGREGATE [ $ 1,000,000

, : ! i 1 NIil

! '

I

I we STATU· OTH· J ~- ____ fQ.BY..LL'i!l!.s._EB..r:--. --------[ c.L. EACl-tACClllENT _ ; ····--··--··-· NIA

I

EL. 01SEASE -EA EMPlOYEE $ Nl/l E.L OISE.>.SE • POLICY LIMIT I $ ·----~ A

NIA NIil

DESCAJl>TION Of OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, AddlOonal Rernarl<:s Schedule, If more 11p1co Is roqulrcd)

Columbia County, Florida is listed as an additional insured under the general liability and excess liability policy.

CERTIFICATE HOLDER CANCELLATION

COLUMFL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

Columbia County, Florida ACCORDANCE WITH THE POLICY PROVISIONS.

P.O. Box 1529 AUTHORIZED REPRESENTATIVE

Lake City, FL 32056

~ © 1988-2010 ACORD CORPORATION. All rights reserved.

ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORO

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NORRl-4 OPID: LS ACORD CERTIFICATE OF LIABILITY INSURANCE I O.A TE (MMltlOIYYYYI

~ 12/02/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO 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 BE1WEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the tenns and conditions of the pollcy, 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).

Phone: 386-364-1000 .T PROnuceR Suwannee Insurance Agency, Inc ·----------FAX ------ -

1720 Ohio Ave. N. Fax: 386-364-3768~~1;~61~ !AIC. H&_ __ ···----·--Live Oak, FL 32064-1858 E·MAIL

Lisa M. Stephens ADDRESS:

INSURER[S! AFFORDING COVERAGE NAICIJ

1NSURERA: Progressive E~ress Ins. Co •. INSURED Norris Containers, LLC INSURE.RS:

3593 158th St. . ·t---·-

Wellborn, FL 32094 l!4SURERC: _,_ .. _ ------·----~-INSURER O: -IHSURERE: :

----· INSURERF:

COVERAGES CERTIFICATE NUMBER· REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO 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 1S SUBJECT TO ALL rHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

'ttfsR I ~o_o_L soa111 POLICY eFF~ Poucv exP , t. TR , TYPE OF INSURANCE •••~- ... ,..; l POLICY NUMB!:R tMMIODIYYYYI • <l!IM/ODIYYYY• ! LIMITS

I GEHERAL UA81UTY 1

!' I i:At'.:H OCCURRENCE ! ; NI~ ;·---, ""OMf~Rl;Nm--j----- -- -~ IMERCIAL GENE~_!:IABIUTY I I I i I PREMISES ;E,1 oa~rrt>ecel $ --· ·-.. -·- NfA W- ClAIMS-MAOE _ OCCUR

1 1 I ; MED EXP 1Any r,n~ petsr,n) .: £ -·- _ _ NIA

I ' I I . PF.FiSONAL !. ADV INJURY ; NI A f-i ; I I ii ~EN;; AC~RECAT~ ! $ • -·-·-....... NIA

: CEN'L ,,cc REGATE LIMIT APPLIES PER. I , PROOuc rs • COMPiOP Ace ! s NIA i1 POLICY r i l;'~,P,: r- lOC i 1 1

1 1 s ---NIA ~ OMOBILE UASU.ITY 1 ,

1

, 1 ~~t.~~:~~~1e c lE LIMIT , ; 2,000.000

A H ANY AUTO X I :02489453·1 i 12/02/2014 06/0212015 ~ao o 1i:v--;NJURY .(PP.r pa,~~~/:..-=:~ - NI~ ' , All OWNED .--X ~CtlEDULf:D I , I eOOILYINJURY {Pcr .1wde111l ;, S NI'" ! t AUTOS ~ AUTOS '" r--= HIRED AUTOS LJ ~3~~ WNEO ! ! ' iP~?~~%~.?AMAGE . , l _ _ Nl/l I i I i 1 ' 'PIP i ; 10,00(

~ UMBRELLA UA8 OCCUR 1, ' i:ACH OCCURRENCE ! S NI~ I EXCESSUAB - ClAIMS-MAUE I AGGREGATE I; NIA

! OED I I RETENTION$ ! I I~ NfA 1 WORKERS COMPENSATION , I

ANO EMPLOYERS' UABILJTY y / N I I ,'UY FROPRIETQR1P.>.RTNERicXECUTIVE D

,::FFICERIMEP.ISER EXCLUDED? NI A 1· 1

1111.andalory In NH)

I ~tlMttfrJ~ if~PERATIONS tolow 1

DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, A<!dlUonat R~mam Schedule, if more space is rtoquired}

Scheduled vehicle: 2003 Volvo #4V5XC9GF93N348806.

Columbia County, Florida is listed as an additional insured under the commercial vehicle policy.

CERTIFICATE HOLDER CANCELLATION

COLUMFL

i . we STATU· OTH-1 ~ .J.Q8l:'.J.!MITL ___ .Efl..!-.... ___ -·---

EL EA..:H ACCIDENT . ; NI~ ... --·------------··-···~-... - - -

EL DISEASE · EA EMPLOYEE: i NIA r---------.,.....-------------. EL DISEASE -POLICY llMIT • ; NIA

NIA NIA

SHOULD ANY OF THE A90VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELJVEREO IN

Columbia County, Florida ACCORDANCE WITH THE POLICY PROVISIONS.

P.O. Box 1529 AUTHORIZED REPRESENTATIVE

Lake City, FL 32056

4~ © 1988-2010 ACORD CORPORATION. All rights reserved.

ACORD 25 (2010/05} The ACORO name and logo are registered marks of ACORD

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D'tlle

CERnFICATE OF LIABILITY INSURANCE 3/4/2015

Producer: Plymouth Insurance Agency This Certificate Is Issued as a matter of information only and confers no

2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend, extend

Holiday, FL 34691 or alter the coverage afforded by the policies below.

{727) 938-5562 Insurers Affording Coverage NArc #

Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075

2739 U.S. Highway 19 N. Insurer B

Holiday, FL 34691 lnsurerC·

lnsurerO·

lnsurerE.

Coverages i'he pof1a&$ of insurance fisted below nave teen issued to the ,nsurea namfJ'd above 1c, tne pc11ey pen<Xf 1ndJca1ed Notwitnstanaing :tr\y ,equirement term or cer.d1uo11 cf any ccn1t3ct or other d'oc.urr.en1 with respect 10 ·..ti,ch v,is eerti~eate may be issued or may ~ertain, tne ,nsuranc• attcrded Dy IM pchc.es ~esenbed :te,eon ,s sut1ect to all Ire terms e>efus,cns aM roaduions of such t ciic,es .>ggregate hn-Jls shown may tlavt' been reduced by pa·d ela,m&

iNSR AOOL Type of Insurance Policy Number Policy Effective POiicy Expirahon Limits

LTR INSRO Oate Date

{MM/DO/VY) {MMIDD/YY)

GENERAL LIABILITY ~acn Cccummce IS ~ ... Commercial General liability O.im~e 10 ,enlcd prem1~s lEA 0 Claims Made D Occur occurTence) Is ... - Mea E,p Is - Personal Adv lniury ~

!General aggregate limit applies per: $ CJ Policy DPrt!Ject D

<,ene,al Aggreqale LOC

Prt!duCIS · Comp10p Agg $

~UTOMOBILE LIABILITY Combined Single 1.Jm<t

.... (EA Accidenl) ~ My.iuto

eodoly '"''"' -All Cwned Autos Is - iPer Person) Scheduled Autos -Hire<l .>ulos

8cdily IMJUC/

i-No"·O"""'d Au10•

(Per Aa.dont/ IS .... Prcporty Oama~e

tPer Acc,<1en11 IS

EXCESS/UMBRELLA LIABILITY Each Oceu,,ence R Occur D Cla,111$ Made Aggregate

Oeauc1,01e

A Workers Compensation and WC 71949 01/01/2015 Ol/0112016 xt WC StatU· I I OTH-

Employers' Liability lorv L1m11S ER

Arry propnetor/partner/exe<:ut1ve officer/member E.L. Each Accident $1 000000

exdude<I? NO E L. Disease· Ea Employee S1 COO GOO

If Yes, descnbe under spectal provisions below. E L. Disease • Policy Limits s, 000 coo

Other Uon Insurance Company isA.M. Best Company rated A· (Excellent). AMB # 12616

Descriptions of Operatlons/LocatlonsNehlcles/Excluslons added by Endorsement/Special Provisions: Client ID: 91-67·130 Coverage cnly applies to active emproyee(s) of South East Personnel Leasing, Inc. & S1.lbs1dlaries that are leased to the foltow1ng "01ent Company":

Norris Containers, LlC

Coverage only applies to injunes incurred by South East Personnel Leas1119, Inc. & Subsidiaries actJve emplOyee(s:, while work109 m: FL.

Coverage does not al)j)ly to statutory employee(s) or Independent contractor(s} of the Oient Compat1y or any other enntv.

A list of the active employee(s} leased to the Chent Company can be obtained tly taxing a request to (727) 937·2138 or by calling (727) 938·5562.

Project Name: ISSUE 3-28-14 (MT) REISSUE Ol-04-15 1Mn

.._.n Date 3118/ 2014

CERTIFICATE HOLDEII CANCELLATION

COLUMBIA COUNTY Should any of Ille abeve desu.ted ~ohoes be careelled tetcre 1ne e>~orat,on <late rrereo1. l~e ,s.su,ng

BOARD OF COUNTY COMMISSIONERS insurer will endeavor to ira,130 days wr tten notice to t~e eert1f,c.ate ~older named ,~ Jtce left. ~ut failure 10 Clio !-0 $halt urpose no \ltli9t1t1o.n er '1:.~1ltty of any k nd upon the insurer. its agents or t~t ~.s,entat11,e$

PO BOX 1529

$//~~ LAKE CITY. FL 32056

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P~' V I

NORRIS CONTAINERS LLC 3593 1581:h Street

Well~, FL} 2Q~ (386)~5112

TD BANK, NATIONAL ASSOCtATION Lake City, FL 32065

386-764-0083 63-1482/670

1290 -~ .

3/5/2015 ...

' · PAY ro THE Columbia Co Board of County Commissioners - ORDEROF ~~-~~-~---~~~-~~

I $-50.00 ---1 ,,.

. ...- · Fifty and 00/100***'*****"***'****•**********************•*********'***************"****•*********************************'********* . -- --· ·------ ------·--· DOLLARS :\, -._o--·-. _ _ C_o_l_um- b-ia_C_o_ B_oa_rd_o_f_€_· o_u_n_ty_C_o_m_m_i~ss~:n;~:,e-r::::p .:.:.Air~S7.~,JAUD lil---------------o--· - .

· " Lake City, FL 32056!.1529 . . . :£ '· P.O. Box 1529 • ·

1<; '

'/Ill' . : MEMO ' ' · 0---- -~- ____:2_ (Renewal) Solid Waste Collection Franchise Applicat ~

.. -- --

u• 0 0 3i 2 ~ 0111 1: 0 i; ? 0 • L. B 2 21: a.. 2 ? ? ? 5 I. i; q B 11• ~- =-....;.~::.:JiliJ!Zl!..JL..,~:.............::.... . .2;.:=._>:::;:,.,;,;_-7.7C23£F___:_.:_:.:.......;::::::.,~.21L ii:.~::- ,,._:. · ·::~~ ~ -. ~C:!~ ' · - JE...:;..:.;;

NORRIS CONTAINERS, LLC

Columbia Co Board of County Commissioners 3/5/2015 Date Type Reference Original Amt. Balance Due Discount 3/1/2015 Bill 50.00 50.00

Check Amount

Norris Containers, LL (Renewal) Solid Waste Collection Franchise App

1290

Payment 50.00 50.00

50.00

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COLUMBIA COUNTY. FLORIDA SOLID WASTE COLLECTION FRANCHISE APPL[CATION

Name of Applicant: /-Jam ,!lb....._, ~ ~,._,., :.,,J lLC-Address: IZ"i I I!;, fu PY" LA 4 G h, ,Cl B'Zo'Z.~ Telephone No.: 3 ~(4' ,'S'S{ ~ 10 <e> 0 "

W ,·I.so" Name of Applicant's Contact Person or Agent: :f. DrGYI.J ( .f...!A"'bu...e..) Address: 1-ZC?I $~A PY-- (;,i>rk..4. t•lv1 F( 3"Zoz~ Telephone No.: :,~ lo23:;). ~--~...c....'1__.__ _____ c ______ _

In accordance with Section 90-76, Code of Ordinances, Columbia County, Florida, Applicant hereby applies to Columbia County for a non-exclusive franchise authorizing Applicant to engage in the business of collecting, hauling, or transporting solid waste within Columbia County. This application includes the following:

I. APPLICANT INFORMATION.

A. Describe in detail the solid waste collection, hauling and/or disposal scope of services you are requesting to provide in Columbia County.

B. Include an executive summary (limited to three single-spaced typewritten pages) providing a description of Applicant's ability to provide solid waste collection services in Columbia County.

C. Provide written detail of the qualification of Applicant's operations and staff regarding solid waste collection, hauling and transporting.

D. Provide a written summary of Applicant's business plan to include its methodology for collecting, hauling, and disposing of solid waste from the accounts serviced in Columbia County.

E. Describe the Applicant's years in solid waste collection business. together \Vith a list of any customers or contact persons for similar size and scope of solid waste service provided within the past five (5) calendar years which \viii confirm your ability to perform the scope of solid waste collection, hauling and disposal you are requesting. Any such references must include contact names and telephone numbers, type of service performed, and/or contract period dates.

F. A list and description of Applicant's vehicles, tools and equipment which it owns or has available for use in its performance of solid \.\.aste collection, hauling and disposal within Columbia County.

Page 1 of 6

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G. Any additional infonnation \vhich you believe will assist Columbia County in evaluating your application.

II. CONDITIONS OF FRANCHISE.

A. Insurance: Applicant shall at all times during the term of the franchise maintain in full force and effect employer's liability, workers' compensation, public liability and property damage insurance. All insurance shall be by insurers and for policy limits acceptable to Columbia County and before commencement of providing the service under the franchise. Applicant agrees to annually furnish the County certificates of insurance or other evidence satisfactory to the County to the effoct that such insurance is in force. A certificate of insurance, executed on a standard ACORD fonn, shall be filed with the County prior to Applicant being granted a franchise. The certificate shall contain a provision that coverage is afforded under the policies and will not be cancelled until at least 30 days prior written notice has been given to the County. The certificate of insurance will include the following statement or similar language: ·'(nterest of the certificate holder is included as an additional insured.'' The following types of insurance and the following minimum amounts are required:

I.

2.

3.

4.

5.

Coverage Workers' Compensation

Bodily Injury Liability (except automobile)

Property Damage Liability ( except automobile)

Automobile Bodily Injury

Excess Umbrella Liability

Limits of Liability Statutory

$1,000,000 each occurrence/$2,000, 000 aggregate

$500,000 each occurrence/ $1,000,000 aggregate

$1,000,000 each occurrence

$1,000,000 each occurrence.

B. Indemnity: Franchisee will indemnify and save harmless the County, its officers. agents, servants and employees from and against any and all suits, actions, legal proceedings, claims, demands, damages. costs. expenses and attorney's fees to the extent resulting from a willful or negligent act or omission or default of its franchise agreement by the Franchisee, its officers, agents, servants, and

Page 2 of 6

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~mployees in the performance of the franchise; provided, however, that Franchisee shall not be liable for any suits, actions, legal proceedings, claims, demands. damages, costs, expenses and attorney's fees arising out of a willful or negligent act or omission of the County, its officers. agents, servants and employees.

C. Disposal Site: As a material consideration for the County approving Applicant's franchise, Applicant agrees all solid waste shall be hauled to and disposed of at a place or places to be provided and designated by Columbia County. Currently County charges $52.00 per ton for each ton of Class I and $37.00 for each ton of Class III solid waste collected in the County and disposed of at the Columbia County Landfill. Applicant agrees all solid waste shall be hauled to those sites or facilities as directed in writing by the County and disposed of at those facilities at the expense of the Franchisee, including tipping fees. Any solid waste hauled to the disposal site by Franchisee that is not generated in the County or otherwise approved by the County and not covered under the tenns of the franchise agreement will be subject to the following penalties:

D.

I. $1,000.00 for the first violation;

2. $5,000.00 for the second violation; and

3. Loss of franchise for the third violation.

Competency of Franchisee: The County shall require Franchisee to submit such additional information as the County may reasonably require to verify Applicant is adequately prepared to fulfill the franchise agreement. In detennining \.vhether the Applicant is adequately prepared, the County shall, as a minimum, consider the following:

I. Applicant's collection vehicles and equipment are sufficient to provide adequate and reliable service.

2. Applicant's roll-offs and other containers are adequately maintained and in proper condition, including signage, such as paint and information on the containers adequately identifying Applicant and contact infonnation for the Applicant.

3. Sufficient size and number of containers.

4. That all vehicles and other equipment are properly licensed. tagged, identified, insured, and road-worthy.

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5. Applicant's technical experience. including that the Applicant and its employees have sufficient experience and abilities to insure the timely, reliable and effective delivery of the services proposed by the Applicant, and financial capabilities.

6. That Applicant's proposal is in the best interest of the public.

E. Compliance With Laws: Applicant shall conduct operations under the franchise in compliance with all applicable local, state and federal laws, including its rules and regulations.

F. Non-discrimination: Applicant shall not discriminate against any person because of race, sex, age, creed, color, religion or national origin.

G. Licenses: Applicant shall obtain all licenses and permits (other than the license and permit granted by the franchise issued by Columbia County) and promptly pay all taxes required by the County.

H. Applicant acknowledges County has the sole ability to approve or deny this Application pursuant to applicable County Code provisions, policies, rules, and in the best interest of County and its citizens.

Ill. TERM.

The franchise shall be for the initial tenn of one (I) year beginning the effective date of the franchise. Except as otherwise herein provided, the franchise may be renewed annually on its anniversary date by the County upon request of the Franchisee and approval by the County. Prior to renewal, Franchisee will be required to provide proof of current insurance as required by Section rIA and pay a renewal fee established by the County. Denial of the initial franchise or any renewal by the County Manager shall be subject to appeal by the Applicant to the Columbia County Board of County Commissioners within 30 days of denial. Upon failure of the franchise to be extended as provided herein, the existing franchise, including any renewal thereof, shall terminate at the end of its specified tenn. No provision of this Application or the franchise agreement shall be construed in any manner to require either party to renew the franchise beyond the initial term or any renewal period of the franchise.

In the event there should occur any breach or material default in the performance of any obligation of the Applicant which has not been remedied within thirty (30) days after receipt of wTitten notice from the County, the County may terminate the franchise at the end of said 30-day period. In the event the County alleges a material default on the part

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of Applicant, and Applicant disagrees that a default has occurred, it may, within ten (I 0) days after receiving notice of default, request a hearing with the County Manager. In the event the matter remains unresolved, the parties may. by mutual agreement, proceed to non-binding mediation or if the parties fail to successfully mediate the dispute. then either party may seek judicial review in a court of jurisdiction located in Columbia County. Florida.

IV. NON-TRANSFER ABILITY.

The franchise shall not be transferrable or assignable to any other person or entity without the express written consent of the County.

V. NON-EXCLUSIVE FRANCHISE.

Any franchise granted Applicant shall be non-exclusive. Applicant acknowledges the County has previously entered into an exclusive franchise with a third party for the provision of residential solid waste, commercial collection and industrial collection within the unincorporated area of Columbia County, and Applicant will not be authorized to provide solid waste collection for the service or to the customers included under the exclusive franchise Columbia County has previously a\.varded.

VI. SOLID WASTE SERVICES AUTHORIZED.

The solid waste collection services authorized to Applicant under the franchise may include some or all of the following (to be determined by County):

A.

B.

C.

D.

VU. RATE.

Columbia County does not set any rate structure for franchisee. Franchisee \.viii establish and agree upon rate structures with its customers.

Page 5 of 6

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COLUMBIA COUNTY, FLORIDA SOLlD WASTE COLLECTlON FRANCHISE APPLICATION

SECTION VI - EXHJBIT A

AU solid waste not included under the exclusive Franchise Solid Waste .\greement granted Veolia ES Solid Waste Southeast, Inc. dated September lt 2011. This Franchise includes construction and demolition debris resulting from temporary or single construction projects requiring a temporary roll-off service .

. \II colJection and disposal of infectious waste, hazardous waste, hiohazardous w.tste, biological waste or sludge shall be in strict compliance with all federal, ,;tate and focal Jaws and regulations.

This Franchise does not include recyclable materials as defined by Florida Statutes, Section -'03. 703.

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The undersigned hereby certifies that all of the above statements and statements contained in any documents or plans submitted herewith are true and correct to the best of my knowledge and belief.

Dated this day of 1hfJ. r'l L . 20JS" i.\~p,bo-L GJ.-e.~p;..,•.'.~., u:

Applicant: Toll"') G. Lu 1I-Svr-

~ 2 w:2~ Si~tu~f~,1pplicant Print Name: =._;0 k. h C:> Lu \ l ~ ·-Title: Ou., nev

Columbia County hereby acknowledges receipt of the non-refundable application tee from Applicant of $500.00. Annual Renewal fee is $50.00.

+J>. ,,., ) ,/ Dated this LI day of /~ {°'<.Cit. , 20b_.

Page 6 of6

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ACORD8

CERTIFICATE OF LIABILITY INSURANCE I DATE' (MMIOOIYYY\ll

~ 3/5/2015 THIS CERTIFICATE IS ISSUED AS A MATIER 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, ANO THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy{ies) 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 endorsementls).

PRODUCER ~iC~~CT Jodi Nieves George H Odiorne Insurance Agency Inc f,.l'!.QNJ_ .,_,. (813) 685-7731 Ir~ u-·· 1a13i6ss-1e23

PO Box 830 ~:M.'!!!:--. inieves@odio:rneinsurance.com

INSURER/SI AFFORDING COVEAAGE NAIC# Brandon FL 33509 JNSURERA :Rocle. Hill Insurance Conn:>anv INSURED INSURER 8 :MaDfre Insurance Co of Florida 34932 Hambone Enterprises LLC &, DBA: Wilson's INSURERC:

P.O. Box 2061 INSURER 0:

INSURERE:

Lake City FL 32056 INSURERF:

COVERAGES CERTIF1CA TE NUMBER:Master 14/15 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 8ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVIJITHSTANOING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W'ITH 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 Cl.AIMS.

INSR TYPE OF INSURANCE LlR , .... ft , .. ~- POLICY NUMBER 1,:i~ ,:2}Ai~ LIMITS

GENERAL UASIUl'Y EACH OCCURRENCE s 1,000,000 '--

X COMMERCIAL GENERAL LIABILITY PREMisEJ';'E~~~~ce• s 100,000 ....._ n CLAIMS.MACE [ii OCCUR 18/1/2014 8/1/2015 A l:U;>KGGRC003794-0l MEO EXP (My ooe person) s S,000 ,__ PERSONAL & ADV INJURY $ 1,000,000

'- GENERAL AGGREGATE s 2,000,000

~'L AGGRnE LIMIT APnS PER PRODUCTS· COMP/OP AGG $ 2,000,000 X POLICY ~~,: LOC $

AUTOMOBILE UASIUTY COMBINED S1NGlE LIMIT

' l 000.000 ,__ /Ea accideml

B ANY AUTO BOOIL y INJURY {Per petson) $ ,__ ALLOl/l,NEO - SCHEDULED 14150120006928 111/1/2014 111/1/2015 X BOOIL y INJURY (Per aoodenl) $ ..._ AUTOS '-- AUTOS

X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS 1Per accide1111 .__ '--

PIP.Sasic s 10 000 UMBRELi.Ji UAB

HOCCUR EACH OCCURRENCE s ,__ EXCHSUAB CUIIMS·MAOE AGGREGATE $

OED I I RE.TEN110 N S s WORKERS COMPENSATION I /n~,f/"~!\!;, I 10:~-ANO EMPLOYERS' UABIUTY Y / N ANY PROPRIETOA/PARTNERIEXECUTI\/E D

NIA E.L EACH ACCIDENT s OFACERIMEMBER EXCLUDED? (Mandatory In NH) E L. DISEASE • EA EM?LOYEf S If yes descnbe under

E.L DISEASE • POLICY LIMIT DESCRIPTION OF OPERA TIO NS below $

DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Altllch ACORD 101, Addltlonal Rem.111<s Schtdule, 11 man, space h, n1<1uln1d) Certificate Bolder to be named as Additional Insured.Cancellation notice will be given 30 days unless cancelled for non-pay will receive 10 day notice.

CERTIFICATE HOLDER CANCELLATION

(386) 758-2182 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

Columbia County Board of County Commissio ACCORDANCE WITH THE POLICY PROVJSIONS.

P.O. Box 1529 Lake City, FL 32056-1529 AUTHORIZED REPRESENTATIVE

Jeffery Rush (C) /JMN ~~ ~ ;a::::;; ,,,(!"'

ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. JtJ~n"),; ~ri .. rr,.::. ,n+ T..__ A,-non """._,._. """,.. 1 ..... ,,..,., ""'"""' ...... _,_._.,_.., _._..,,...,#'» ,,..,¥ Arncn

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ACORD8

CERTIFICATE OF LIABILITY INSURANCE I OATE (MM/00/YYYY)

~ 3/5/2015

THIS CERTIFICATE IS ISSUED AS A MAirER OF INFORMATION ONLY ANO 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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).

PRoouceR SUNZ Insurance Solutions, LLC. ID:TLR 1,;uNTACT Aimee Grav NAME:

c/o TLR of Bonita, Inc ~~2NJ. r-,. 727·520-7676 X 222 I FAX

727 -525-3862 700 Central Ave, Suite 500

tAJC Nol: E-MAIL

St. Petersburg, FL 33701 ADORESS: INSURER/SJ AFFORDtNG COVERAGE I NAIC# t

INSURER A : SUNZ Insurance Comoanv 34762

INSURED INSURER e : As(!en Re • London - Best Ralina "A'' i TLR of Bonita, Inc dba EnterpriseHR rNSUR.ER c : Catlin Svndicate - Uovds - Best Ratina "A" Encore Business Solutions, Inc and its Subsidiaries INSURER O : Brit S11ndicate - Lloyds - Best Ratinn "A"

700 Central Ave, Suite 500 INSURERE: ! ;

St. Petersburg FL 33701 INSURERF: I

COVERAGES CERTIFICATE NUMBER· 23724420 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 SHOVVN MAY HAVE BEEN REDUCED BY PAIDT":Cc:.LA,,.,.,1M,,._S·,-----------------

1~fe I TYPE OF INSURANCE .~J.,O.;/:!!.!~'. POllCY NUMBER . • ~~~ ! .t~'t%WJ.r.1 LIMITS

I COMMERCIAL GENERAL UASIUTY I l EACH OCCURRENCE. S ~ c• • 1MS-"·'OE. n OCCUR I .... O...,.A.;;,MA=~""E;..;f;.,.0,..A ... E""Nt""E""D __ .....;;.. _______ I ;---' ~ ""' c__ J ! PREMISES (Ea ocaJ1Tencel $

H MEO EXP (Anv one person) i

:.--.., ------------ • PERSONAL & AO\/ INJURY $

GENERAL AGGREGATE S

I I I • GEN'L AGGREGATE LIMIT APPLIES PER

I ~~ .--, PRO· r-·1 r-! POLICY L_j Jl::CT LOC

I I OlliER

PROOUCTS • COMPiOP AGO $

'$ ' I I . AUTOMOBILE UABIUTY COMBINED SINGLE UMIT $

,..,,""ea..,a,,,,QCkle<l,.,,· = nL.__ _________ ,_

1 ANY AUTO :- JILL 0'1',tlEO :_ AUTOS ~ I-IIREO AUTOS . ;

! UMBRELLA UAB

I I

,---; OCCUR l I I

I :, EJtCESS UAB ; CLAIMS,MADE!

OEO . ' RETENTION S

A WORKERS COMPENSATION 1 AND EMPLOYERS' LIABILITY I ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUOEO? (Mandatory In NH) If yes. de$Cl'II>& under DESCRIPTION OF OPERATIONS telOw

B ,Workers Compensation C 1Excess Coverage

D I

i I

I I I I

I I

I I

: . i

J I i :

WCPE0000000110 6/1/2014 6/1/2015

, BOOIL Y INJURY (Per person) S

: BODILY INJURY (Per ocacle<it), $

$

EACH OCCURRENCE I

~· A..:;;G~G:.:.:R;:;;EGA= l :::.E _ ____ ~: S;;..__ _______ 1

f i s

I

OTH· I ER

E l EACH ACCIDENT $

) E.L DISEASE · EA EMPLOYE8 S

E L DISEASE • POLICY LIMIT 3

This is for informational purposes and nothing shall create any right under such reinsurance.

1.000.000 1,000.000 1,000,000

OESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Rema.lb Schedule, may be ~ttached If more spice Is roqufrH)

Coverage Provided for all leased employees but not subcontractors of: Hambone Enterprises, LLC dba Hambone Enterprises Client Effective: 11/1312013

CERTIFICATE HOLDER CANCELLATION 7366

Columbia County BOCC SHOULD ANY OF THE ABOVE OESCRISEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL ee DELIVERED IN

PO Box 1529 ACCORDANCE W1TH THE POLICY PROVISIONS. Lake City FL 32056

AUTHORIZED REPRESENTATIVE

~J~ Glen J Distefano I

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORO 25 (2014/01) The ACORD name and logo are registered marks of ACORD

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PAY TO THE OF!OEA OF

HAMBONE ENTERPRISES PO BOX 2061

LAKE CITY, FL 32056

4759 6J 8H82631

606

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COLUMBIA COUNTY, FLORIDA SOLID WASTE COLLECTION FRANCIDSE APPLICATION

Name of Applicant: 1 ~ ~ ~j~ Address: LjoL ___ a __ -· ~}<CL c~ t\ 39C6S Telephone No.: ~3:&-cz.) fl S 3· 1 ~DC)

Name of Applicant's Contact Person or Agent: -\.--.1--'o,,.:,,,t,~4-:-....:.....l.....l.'-"'-.!..L~~---­

Address: _I ~L.,-~-=~~~~-..a.Jl~-----"k,-Jc.=c...:.....---'-'........e>d.:=....._~.a..o.~-...!!~~LO~

Telephone No.: --=3:::....,,,=-<!...._~-+~~_..._~..,__- ----------- -

In accordance with Section 90-76, Code of Ordinances, Columbia County, Florida, Applicant hereby applies to Columbia County for a non-exclusive franchise authorizing Applicant to engage in the business of collecting, hauling, or transporting solid waste within Columbia County. This application includes the fo llowing:

I. APPLICANT INFORMATION.

A. Describe in detail the solid waste collection, hauling and/or disposal scope of services you are req uesting to provide in Columbia County.

B. Include an executive summary (limited to three single-spaced typewritten pages) providing a description of Applicant's ability to provide solid waste collection services in Columbia County.

C. Provide written detail of the qualification of Applicant's operations and staff regarding solid waste collection, hauling and transporting.

D. Provide a written summary of Applicant's business plan to include its methodology for collecting, hauling, and disposing of solid waste from the accounts serviced in Columbia County.

E. Describe the Applicant's years in solid waste collection business, together with a list of any customers or contact persons for similar size and scope of solid waste service provided within the past five (5) calendar years which will confirm your ability to perform the scope of solid waste collection, hauling and disposal you are requesting. Any such references must include contact names and telephone numbers, type of service performed, and/or contract period dates.

F. A list and description of Applicant's vehicles, tools and equipment which it owns or has ava ilable for use in its performance of sol id waste collection, hauling and disposal within Columbia County.

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G. Any additional infonnation which you believe will assist Columbia County in evaluating your application.

II. CONDITIONS OF FRANCHISE.

A. Insurance: Applicant shall at all times during the term of the franchise maintain in full force and effect employer's liability, workers' compensation, public liability and property damage insurance. All insurance shall be by insurers and for policy limits acceptable to Columbia County and before commencement of providing the service under the franchise. Applicant agrees to annually furnish the County certificates of insurance or other evidence satisfactory to the County to the effect that such insurance is in force. A certificate of insurance, executed on a standard ACORD form, shall be filed with the County prior to Applicant being granted a franchise. The certificate shall contain a provision that coverage is afforded under the policies and will not be cancelled until at least 30 days prior written notice has been given to the County. The certificate of insurance will include the following statement or similar language: ''Interest of the certificate holder is included as an additional insured." The following types of insurance and the following minimum amounts are required:

I.

2.

3.

4.

5.

Coverage Workers' Compensation

Bodily Injury Liability (except automobile)

Property Damage Liability ( except automobile)

Automobile Bodily Injury

Excess Umbrella Liability

Limits of Liability Statutory

$1,000,000 each occurrence/$2,000,000 aggregate

$500,000 each occurrence/ $1,000,000 aggregate

$1,000,000 each occurrence

$1,000,000 each occurrence.

B. (ndemnit}'.: Franchisee will indemnify and save harmless the County, its officers, agents, servants and employees from and against any and all suits, actions. legal proceedings, claims, demands, damages, costs, expenses and attorney's fees to the extent resulting from a willful or negligent act or omission or default of its franchise agreement by the Franchisee, its officers, agents, servants, and

Page 2 of 6

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employees in the performance of the franchise; provided, however, that Franchisee shall not be liable for any suits. actions, legal proceedings, claims, demands, damages, costs. expenses and attorney's fees arising out of a willful or negligent act or omission of the County, its officers, agents, servants and employees.

C. Disposal Site: As a material consideration for the County approving Applicant's franchise, Applicant agrees all solid waste shall be hauled to and disposed of at a place or places to be provided and designated by Columbia County. Currently County charges $52.00 per ton for each ton of Class land $37.00 for each ton of Class Ill solid waste collected in the County and disposed of at the Columbia County Landfill. Applicant agrees all solid waste shall be hauled to those sites or facilities as directed in writing by the County and disposed of at those facilities at the expense of the Franchisee, including tipping fees. Any solid waste hauled to the disposal site by Franchisee that is not generated in the County or otherwise approved by the County and not covered under the terms of the franchise agreement will be subject to the following penalties:

D.

I. $1,000.00 for the first violation;

2. $5,000.00 for the second violation; and

3. Loss of franchise for the third violation.

Competency of Franchisee: The County shall require franchisee to submit such additional information as the County may reasonably require to verify Applicant is adequately prepared to fulfill the franchise agreement. In determining whether the Applicant is adequately prepared, the County shall, as a minimum, consider the following:

I. Applicant's collection vehicles and equipment are sufficient to provide adequate and reliable service.

2. Applicant's roll-offs and other containers are adequately maintained and in proper condition, including signage, such as paint and information on the containers adequately identifying Applicant and contact information for the Applicant.

3. Sufficient size and number of containers.

4. That all vehicles and other equipment are properly licensed, tagged, identified, insured, and road-worthy.

Page 3 of 6

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5. Applicant's technical experience, including that the Applicant and its employees have sufficient experience and abilities to insure the timely, reliable and effective delivery of the services proposed by the Applicant, and financial capabilities.

6. That Applicant's proposal is in the best interest of the public.

E. Compliance With Laws: Applicant shall conduct operations under the franchise in compliance with all applicable local, state and federal laws, including its rules and regulations.

F. Non-discrimination: Applicant shall not discriminate against any person because of race, sex, age, creed, color, religion or national origin.

G. Licenses: Applicant shall obtain all licenses and permits (other than the license and permit granted by the franchise issued by Columbia County) and promptly pay all taxes required by the County.

H. Applicant acknowledges County has the sole ability to approve or deny this Application pursuant to applicable County Code provisions, policies, rules, and in the best interest of County and its citizens.

III. TERM.

The franchise shall be for the initial tenn of one (I) year beginning the effective date of the franchise. Except as otherwise herein provided, the franchise may be renewed annually on its anniversary date by the County upon request of the Franchisee and approval by the County. Prior to renewal, Franchisee will be required to provide proof of current insurance as required by Section HA and pay a renewal fee established by the County. Denial of the initial franchise or any renewal by the County Manager shall be subject to appeal by the Applicant to the Columbia County Board of County Commissioners within 30 days of denial. Upon failure of the franchise to be extended as provided herein, the existing franchise, including any renewal thereof, shall terminate at the end of its specified term. No provision of this Application or the franchise agreement shall be construed in any manner to require either party to renew the franchise beyond the initial term or any renewal period of the franchise.

In the event there should occur any breach or material default in the performance of any obligation of the Applicant which has not been remedied within thi rty (30) days after receipt of written notice from the County, the County may terminate the franchise at the end of said 30-day period. In the event the County alleges a material default on the part

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of Applicant, and Applicant disagrees that a default has occurred, it may, within ten (10) days after receiving notice of default, request a hearing with the County Manager. In the event the maner remains unresolved, the parties may, by mutual agreement, proceed to non-binding mediation or if the parties fail to successfully mediate the dispute, then either party may seek judicial review in a court of jurisdiction located in Columbia County, Florida.

IV. NON-TRANSFER ABILITY.

The franchise shall not be transferrable or assignable to any other person or entity without the express written consent of the County.

V. NON-EXCLUSIVE FRANCHISE.

Any franchise granted Applicant shall be non-exclusive. Applicant acknowledges the County has previously entered into an exclusive franchise with a third party for the provision of residential solid waste, commercial collection and industrial collection within the unincorporated area of Columbia County, and Applicant will not be authorized to provide solid waste collection for the service or to the customers included under the exclusive franchise Columbia County has previously awarded.

VI. SOLID WASTE SERVICES AUTHORIZED.

The solid waste collection services authorized to Applicant under the franchise may include some or all of the following (to be determined by County):

A.

B.

C.

D.

VII. RATE.

Columbia County does not set any rate structure for franchisee. Franchisee will establish and agree upon rate structures with its customers.

Page S of 6

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The undersigned hereby certifies that all of the above statements and statements contained in any documents or plans submitted herewith are true and correct to the best of my knowledge and belief.

Dated this q~ day of HaMb , 2ol.5.

~2=~'wMe£ Signature of ~licant Print Name: t::C0,..,0,'6. ~ ~o...Me.(" Title: - Se.n,a~ 3). 4-

Columbia County hereby acknowledges receipt of the non-refundable application fee from Applicant of $500.00. Annual Rene\.val Fee is $50.00.

Dated this _ day of _______ , 20_ .

COLUMBIA COUNTY, FLORIDA

By: _____________ _ County Representative

Print Name: -----------Tit I e: - ------------

Page 6 of 6

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COLUMBIA COUNTY, FLORIDA SOLJD WASTE COLLECTION FRANCHISE APPLICATION

SECTION VI - EXH1BIT A

All solid waste not included under the exclusive Franchise Solid Waste Agreement granted Veolia ES Solid Waste Southeast, Inc. dated September 1, 2011. This Franchise includes construction and demolition debris resulting from temporary or single construction projects requiring a temporary roll-off service.

All collection and disposal of infectious waste, hazardous waste, biohazardous waste, biological waste or sludge shall be in strict compliance with all federal, state and local laws and regulations.

This Franchise docs not include recyclable materials as defined by Florida Statutes, Section 403. 703.

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ACORD8

CERTIFICATE OF LIABILITY INSURANCE Page l of l I DA TE (MM'/ODIYYYY)

~ 03/09/2015

THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ooes NOT AFFIRMA TIVEL y 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, ANO THE CERTIFICATE HOLDER.

IMPORTANT: If the certlflcate holder Is an ADDITIONAL INSURED, the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement{s).

PRODUCER I ~?.~!~CT Willis Insurance Services ot Georgia, Inc. I PHONE 977-945-7378 ! FAX

888-~67-2318 c/o 26 Century Blvd. l.!IU:: t.10 EXI)· 1 le.IC t.101· P.O. Box 305191 ! ~::.~~~~~ . certificates©willis.com Nashville, TN 37230-SUl

' I

INSURER(S)AFFOROINGCOVERAGE ! NAIC# 1 INSURER.I\: Liberty Mutual Fire Insurance Company 23035-001

IIISUREO 1 INSURERB· Lexington Insurance Company 19437-002

Waste Pro USA, Inc. and its subsidiaries 2101 W State Road 434 i tNSURERC: Liberty Mutual Insurance Coxnpany 23043-000 Longwood, FL 32779

.. _ I INSURERO: AIG Specialty Insurance Company

I 1NSURERE:

, 26883-001 . .

: I 1NSURERF:

COVERAGES CERTIFICATE NUMBER: 22888980 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 ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

I~.;'~ TYPE OF INSURANCE ~~~l !!~!, POLICY NUMBER j POLICY EFF POLICY EXP LIMITS

A X COMMERCIALGENSRALLIABILITY ITB262l093780l04 11/22/2014 ll/22/20l!~EA.;.:C;;.;H..;:;O.::.CC;:;.:U:;.c.R:;.;R::EN.;.:C:.=cE ___ i-=-1$_ ..,_l.LJ<.0.,.0.,.0.L.><0.,._0.,._0_ 1

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>-- UM8RELLA UAB ~ OCCUR I

X EXCESS UAB n CUIIMS·MAOE

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WORKERS COMPENSATION AND EMPLOYERS' LIABILITY @H ANY PROPRIETOR/PARTNER/EXECUTIVE N I OFFICER/MEMBER EXCLUDED?

J~i~~~~~l:"e ~~!er DESCRIPTION OF OPERATIONS below

Pollution Liability

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1l/l/201S 1/1/2016 $25,000,000 Lim.it I $ 250,000 Deductible

I $1,000,000 Limit

1,000,000 1,000,000 1,000,000

DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additonal Romorks Schodulo, may be attachod if more spoco i1 roqvirod)

CERTIFICATE HOLDER

Columbia County Board of County Collllllissioners PO Drawer 1S29 Lake City, FL 320S6·l529

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

Coll: 4641111 Tpl: 1907726 Cert: 2 88-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD

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Additional Named Insureds for Waste Pro USA, Inc. include the following;

Waste Pro of AL Inc.

Waste Pro of FL Inc.

Waste Pro of GA Inc.

Waste Pro of LA Inc.

Waste Pro of MS Inc.

Waste Pro of TN Inc.

Waste Pro of NC Inc.

Waste Pro of SC Inc.

Applewhite Recycling LLC

American Recycling of GA LLC

American Recycling of Af abama LLC

Delta Sanitation LLC, Talley Disposal LLC

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ltUll\o\,, WI • .! .. l • flt tn .. ......... W•Mt UO# ""'°"'"' • .I IU tl, H ll )J.114',,1.U "'

itnlen. a S\\ 1 1 _-.r.1.tcml!'nr and 90-J:.1y wa.itin~ period will bt- required prior to r.cplJ~sinent This chtck should b• nc~otiued within 90 dafl

GLEASON'S MALL

0004 0109158 0035

Void After 90 Days

Pay ~BANKOF~(J(l ~AMERICA~crscrs

To The COLUMBIA COUNTY Order Of

BOARD OF COUNTY COMMISSIONERS

Remiltcr (Purchased By): VANESS MAE KRAMER

Bank of America, N.A.

SAN ANTONIO. TX

~

Bank of America ~,? Nati.cit la l'urc:li~ • In the event thu chi1 chc,:k is lo,c, ml.,tactd or ,1o1..,_ a I"°'" sc.ittmcnl and <JO.day woitind period will bo req\'i•ed prior to r<plae<m<111 Thi> ,heck >houltl bo negoti11,d within 9ll da~•

GLEASON'S MALL 0004 0109158 0035

Cashier's Check

Void.After 90 Days

~BANKOF~OO Pay ~AMERICA~crscrs

To The COLUMBIA COUNTY Order Of

BOARD OF COUNTY COMMISSIONERS

Remitter (Purchased By}: VANESS MAE KRAMER

Bank of America. N.A. SAN ANTONIO. TX

30-1/1140

NTX

30-l/1140

NTX

NO. 1 V 1 L.'iVL.VO.)

Date 03/10/15 10:31:lO AM

***$50.00

Not.Negotiable Customer Copy

Retain for your Records

001641001973

No. 1012402063

Date 03/i0/15 10:31 :lO AM

***$50.00

-4 )~-' ~ t,vc vLif. ----AUTHOR12EDSIGTURE -·---

THE ORIGINAL DOCUMENT HAS A REFLECTIVE WATERMARK ON THE SACK. • HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENTS. •

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COLUMBIA COUNTY, FLORIDA SOLID WASTE COLLECTlON FRANCHISE APPLICATION

Name of Applicant: :Ab~ ~~~!~ ~C.~~ic.e L\S .. Address: fQc..\r--. 0£~~ > \() J n «?\.~ ""' ¢'( ~c)~C\ Telephone No.: ";):Sd - \..\r:)a-'\'l () \'

In accordance with Section 90~76, Cude of Ordinances, Columbia County, Florida, Applicant hereby applies to Columbia County for a non-exclusive franchise authorizing Applicant to engage in the business of collecting, hauling, or transporting solid waste within Columbia County. This application includes the following:

I. APPLICANT lNFORMA TION.

A. Describe in detail the solid waste collection, hauling and/or disposal scope of services you are requesting to provide in Columbia County.

B. Include an executive summary (limited to three single-spaced typewritten pages) providing a description of Applicant's ability to provide solid waste collection services in Columbia County.

C. Provide written detail of the qualification of Applicant's operations and staff regarding solid \vaste collection, hauling and transporting.

D. Provide a written summary of Applicant's business plan to include its methodology for collecting, hauling, and disposing of solid waste from the accounts serviced in Columbia County.

E. Describe the Applicant's years in solid waste collection business, together with a list of any customers or contact persons for similar size and scope of solid \vaste service provided within the past five (5) calendar years which will confirm your ability to perform the scope of solid waste collection, hauling and disposal you are requesting. Any such references must include contact names and telephone numbers, type of service performed, and/or contract period dates.

F. A list and description of Applicant's vehicles, tools and equipment \.Vhich it owns or has available for use in its performance of solid waste collection. hauling and disposal within Columbia Count}'.

Pagel of 6

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G. Any additional information \.Vhich you believe will assist Columbia County in evaluating your application.

11. CONDITIONS OF FRANCHISE.

A. Insurance: Applicant shall at all times during the tenn of the franchise maintain in full force and effect employer's liability, workers' compensation, public liability and property damage insurance. All insurance shall be by insurers and for policy limits acceptable to Columbia County and before commencement of providing the service under the franchise. Applicant agrees to annually furnish the County certificates of insurance or other evidence satisfactory to the County to the effect that such insurance is in force. A certificate of insurance, executed on a standard ACORD fonn, shall be filed with the County prior to Applicant being granted a franchise. The certificate shall contain a provision that coverage is afforded under the policies and will not be cancelled until at least 30 days prior written notice has been given to the County. The certificate of insurance \.Viii include the follO\ving statement or similar language: "Interest of the certificate holder is included as an additional insured." The follo\ving types of insurance and the following minimum amounts are required:

I.

2.

3.

4.

5.

Coverage Workers' Compensation

Bodily Injury Liability (except automobile)

Property Damage Liability (except automobile)

Automobile Bodily Injury

Excess Umbrella Liability

Limits of Liability Statutory

$1,000,000 each occurrence/$2,000,000 aggregate

$500,000 each occurrence/ $1,000.000 aggregate

$1,000,000 each occurrence

$1,000,000 each occurrence.

B. Indemnity: Franchisee ""ill indemnify and save harmless the County, its officers, agents, servants and employees from and against any and all suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees to the extent resulting from a willful or negligent act or omission or default of its franchise agreement by the Franchisee, its officers, agents, servants. and

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employees in the performance of the franchise; provided, however. that Franchisee shall not be liable for any suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees arising out of a willful or negligent act or omission of the County, its officers, agents, servants and employees.

C. Disposal Site: As a material consideration for the County approving Applicant's franchise, Applicant agrees all solid \Htste shall be haukd to and disposed of at a place or places to be provided and designated by Columbia County. Currently County charges $52.00 per ton for each ton of Class I and $37.00 for each ton of Class III solid waste collected in the County and disposed of at the Columbia County Landfill. Applicant agrees all solid \Vaste shall be hauled to those sites or facilities as directed in writing by the County and disposed of at those facilities at the expense of the Franchisee, including tipping fees. Any solid waste hauled to the disposal site by Franchisee that is not generated in the County or otherwise approved by the County and not covered under the tenns of the franchise agreement will be subject to the following penalties:

I. $1,000.00 for the first violation;

2. $5,000.00 for the second violation; and

3. Loss of franchise for the third violation.

D. Competencv of Franchisee: The County shall require Franchisee to submit such additional information as the County may reasonably require to verify Applicant is adequately prepared to fulfill the franchise agreement. In detennining whether the Applicant is adequately prepared, the County shall, as a minimum, consider the following:

I. Applicant's collection vehicles and equipment are sufficient to provide adequate and reliable service.

2. Applicant's rolJ.offs and other containers are adequately maintained and in proper condition, including signage, such as paint and information on the containers adequately identifying Applicant and contact information for the Applicant.

3. Sufficient size and number of containers.

4. That all vehicles and other equipment are properly licensed, tagged, identified. insured. and road-worthy.

Page 3 of6

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5. Applicant's technical experience, including that the Applicant and its employees have sufficient experience and abilities to insure the timely, reliable and effective delivery of the services proposed by the Applicant, and financial capabilities.

6. That Applicant's proposal is in the best interest of the public.

E. Compliance With Laws: Applicant shall conduct operations under the franchise in compliance with all applicable local, state and federal laws, including its rules and regulations.

F. Non-discrimination: Applicant shall not discriminate against any person because of race, sex, age, creed, color, religion or national origin.

G. Licenses: Applicant shall obtain all licenses and pennits (other than the license and permit granted by the franchise issued by Columbia County) and promptly pay all taxes required by the County.

I-I. Applicant acknowledges County has the sole ability to approve or deny this Application pursuant to applicable County Code provisions, policies, rules, and in the best interest of County and its citizens.

Ill. TERM.

The franchise shall be for the initial tenn of one (I) year beginning the effective date of the franchise. Except as otherwise herein provided, the franchise may be rene\\ed annually on its anniversary date by the County upon request of the Franchisee and approval by the County. Prior to renewal, Franchisee will be required to provide proof of current insurance as required by Section IIA and pay a renewal fee established by the County. Denial of the initial franchise or any rene'\.val by the County Manager shall be subject to appeal by the Applicant to the Columbia County Board of County Commissioners within 30 days of denial. Upon failure of the franchise to be extended as provided herein, the existing franchise, including any renewal thereof, shall tcnninate at the end of its specified tenn. No provision of this Application or the franchise agreement shall be construed in any manner to require either party to renew the franchise beyond the initial term or any renewal period of the franchise.

In the event there should occur any breach or material default in the perfonnance of any obligation of the Applicant which has not been remedied within thirty (30) days after receipt of written notice from the County, the County may tenninate the franchise at the end of said 30-day period. (n the event the County alleges a material default on the part

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of Applicant, and Applicant disagrees that a default has occurred, it may, within ten ( I 0) days after receiving notice of default, request a hearing with the County Manager. In the event the matter remains unresolved, the parties may, by mutual agreement. proceed to non-binding mediation or if the parties fail to successfully mediate the dispute, then either party may seek judicial review in a court of jurisdiction located in Columbia County, Florida.

IV. NON-TRANSFER ABILITY.

The franchise shall not be transferrable or assignable to any other person or entity without the express written consent of the County.

V. NON-EXCLUSIVE FRANCHISE.

Any franchise granted Applicant shall be non-exclusive. Applicant acknowledges the County has previously entered into an exclusive franchise with a third party for the provision of residential solid waste, commercial collection and industrial collection within the unincorporated area of Columbia County, and Applicant will not be authorized to provide solid waste collection for the service or to the customers included under the exclusive franchise Columbia County has previously awarded.

VI. SOLID WASTE SERVICES AUTHORIZED.

The solid waste collection services authorized to Applicant under the franchise may include some or all of the following (to be detennined by County):

8.

C.

D.

VII. RATE.

Columbia County does not set any rate structure for franchisee. Franchisee will establish and agree upon rate structures with its customers.

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The undersigned hereby certifies that all of the above statements and statements contained in any documents or plans submitted hereVvith are true and correct to the best of my knowledge and belief.

Dated this \~\'{'\ day of \1)Qq:_f:\

Columbia County hereby acknowledges receipt of the non-refundable application fee from Applicant of $500.00. Annual Renewal Fee is $50.00.

Dated this lt~ay of -/} r ,C £\ . 2ol_i.

Page 6 of 6

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COLUMBIA COUNTY. FLORIDA )0L1D WASTE COLLECTION FRANCHISE APPLICATION

SECTION Vl - EXHJ.BIT A

:\II solid waste not included under the exclusive Frnnchise Solid Waste Agreement ~ranted Veolia ES Solid Waste Southeast, Inc. dated September l, 2011. This Franchise includes construction and demolition debris resulting from temporary or single construction pro,jects requiring a temporary roll·off sen-ice .

. \II collection and disposal of infedious n:aste, hazardous waste, biohazardous waste~ biological waste or sludge shall be in strict compH:rnce with all federal, state and local laws and regulation!!.

This Fram:hise does not include recyclable materials as defined by Florida Statutes, Section -103. 703.

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Johnson & Sons Dumpster & Crane Service, LLC Main Office: 104 SW 266th Street• P.O. Box 367 Newberry, FL 32669 (352) 472-7707

Johnson & Sons is a locally owned and operated roU--0ff service provider who has been in operation for the past 14 years. Our staff offers a total of 25 years of experience in the commercial operation of disposal, demolition, and clean-up services. Our certification granted from FEMA and Disaster Relief & Recovery also verifies our commitment and experience.

Our office is located in Lake City, Florida at 2087 SW Main Boulevard. The main office is located in Newberry, Florida and is staffed with an Operations Manager who is on-site daily, whom oversees the day to day operation. Sales staff provides on-.site visits to assist customers with their individ ua I needs, dispatch assures proper routing of trucks, on-site maintenance provides weekly inspections of vehicles for safety purposes. Employees comply with all safety policies and procedures and attend monthly safety in-services.

Excellent customer service is our goal. We offer service Monday thru Saturday, with emergency service on an as needed basis. Listed below please find several of our customers whom have worked with us for years. We provide roll--0ff containers for construction, theme park developers, foundation technology services, and landscape businesses. Below, please find references:

1. Maronda Homes - 9700 Phillips Highway, Jacksonville, FL 32256 Yamil Ortiz: 321~689-2673

2. Innovative Home Builders - 16745 NW 252°d Terrace, High Springs, FL 32655 Kevin or Kimberly: 386-454--7103

3. Theme Works - 1210 S Main Street, High Springs, Fl 32643 Laura Edwards: 386-454--7500

4. Cottage Gardens - 4033 NW 97th Boulevard, Gainesville, FL 32606 John George: 352-316-0988

Listed below please find our commercial roll--0ff container vehicles:

1. 2007 Mack CV700 - Roll-Off Truck 2. 2009 Mack GU813 - Roll-Off Truck 3. 2004 Sterling - Roll-Off Truck 4. 2006 Freightliner M2112 - Roll-Off Truck 5. Ford F750

Please note our Ford F750 is a smaller size version roll-off truck, which we use in areas with a tight fit or in developments who do not wish to have full size roff--0ff vehicles. Our inventory of containers is as follows: A total of over 300. Our containers vary in size from 12 cubic yards, 20 cubic yards, 30 cubic yards and 40 cubic yards in size.

Thank you for your time and consideration regarding the franchfse renewal.

Attachments: Original Renewal Application Certificates of Insurance

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MACJOHN-01 LANEOE

CERTIFICATE OF LIABILITY INSURANCE 1

--0AYE (MM/ODIYYYY)

10/8/2014 THIS CERTIFICATE IS ISSUED AS A MA TIER 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 tenns 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

WIiiis of Florida, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 37230-5191

INSURED

Johnson & Sons Tree Service, LLC and Johnson & Sons Dumpster & Crane Service LLC P. 0. Box 367 Newberry, FL 32669

COVERAGES CERTIFICATE NUMBER·

-co1nACT NAME:--------------~~-------~

tR;~i:(877) 945-7378 , f~ Nol: (888) 467-2378

INSURERISI AFFORDING COVERAGE NAIC#

INSURER A : Burlington Insurance Comvanv 23620 1NsuRER e: Progressive American Insurance Company 24252 INSURERC:

INSURER 0:

INSURERE:

INSURERF:

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 SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

1~M l TYPE OF INSURANCE ~.:-..:- ~'!'! POLICY NUMBER ' ,:5M'6T.~?v, ·='5~ LIMITS

A . X COMMERCIAL GENERAL UABIUTY !--:- ·y , __ 1 _, CI.AIMS·Mi'OE __J t'.:CCUR I ;

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YIN

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' 09/25/2014 I I

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03/29/2014

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, EACH CCCURRENCE S 1,000,00IJ 09/25 20 -oAMAGE ro RENTED 100,00

/ 15 ....Ef!EMISES (Ea oa:urT~n,.,,ce.,1,l'--_l:.._ ____ _:__--1

MEO EXP (Any one person) S 5,00( PERSONAL & AOV INJURY S 1,000,00( GENERAl i'.GGREGATE 1 $ 2,000,00( PRODUCTS -COMPIOPAGG . $ 2,000,00(

COMBINED SINGLE LIMIT S 1 000 00" (Eaaa:id'!J:!!) __________ :..• _.,_, -'--1~ 03/29/2015 BODILY INJURY (Perperson) $

BODIL y INJURY (Per acc,aent) s , PROPERTY l;)AMAGE $ ' (P1tr accident•

EACH OCCURRENCE i s

1 AGGREGATE

PER OTH· STATUTE ER

E L EACH ACCIDENT S

E L. CISEASE · E,>. EMPLOYEE! $

EL DISEASE • POLICY LIMIT $

DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Ramallcs Schedule, may be atcaelled if more space Is requlr•dl

CERTIFICATE HOLDER CANCELLATION I

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TiiE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

Columbia County AUTHORIZED REP RE SENTA TIVE

Board of County Commissioners tl..£ftl~r PO Box1529 Lake Citu FL 32056-1529 v

© 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD

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Date

CERTIFICATE OF LIABILITY INSURANCE 3/10/2015

Producer: Plymouth Insurance Agency This Certlf"icate ls issued as a matter of Information only and confers no 2739 U.S. Highway 19 N. rights upon Ute Ceniflcate Holder. This Certificate does not amend, enend

Holiday, FL 34691 or alter the coverage affolded by the pol!cies below.

(727) 938-5562 Insurel'.S Affording Coverage NAIC#

Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance company 11075

2739 U.S. Highway 19 N. Insurer 8:

Holiday, FL 34691 lnsurerC:

Insurer 0.

lnsurerE:

Coverages 1 he por.aes of in5'Jram:e 11ste<1 talow nave been issued to !he i1151.1red named above fer tne po1,cy period ,ndlca18cl. Notwithstanding any requ,rement, term or c:,in,u,on of any contrad or otner document •Mlh respect to ,.,n;u, tnis ceit1ficate may De 1ssue<:1 or may penatn. the insurar.ce alferded ~Y ltle poliCie$ ctescrite<I nereu, 1s sub1ea to all the te~. e>duslons, and concriticns Of sucn policies Aggregate hmils shown may /?ave been teduc:sd by paid da1ms

INSR ,>.OOL Type of Insurance Policy Number

Policy Etfective F>olicy Expiration limits LTR INSRO Date Date

(MM/DD/YY} (MM/DDIYY}

GENERAL LIABILITY Ead1 Qco,rrence IS lo-

Commercial General Liability Carnage to rente<I premises (EA : 0 Claims Made D Occur occurrence) iS

- Med E>i, IS

- Personal Adv Injury ~ General aggregate limit applies per:

IS ::i Pc11cy DPrajed D LOC Genef31 A99regate

Procluds · Comp/OpAgg IS

AUTOMOBILE LIABILITY Comb•ne4 s,n91e um11 - !EA Accident) $ Any Auto - Bod:ly lnJul)' ,t.11 C,"'1ed AUIGS

$ ~

(Per Person) Scnedu1e<1 Autos

io-H11ed Autos B0<111y Injury -Ncn-Owne<I AIJlos (Per Acoclenl) $ - Property Damage

(Per Acoaent) ~

EXCESS/UMBRELLA LIABILITY Each Occurrence

~ Occur D C1~1ms Made Aggregatr,

Oe<1uC1Jble

A Worker.s Compensation and WC 71949 01/01/2015 01/01/2016 x1wc s1a1u- I JorH-Employers' Liability torv l.Jm1ts ER

Any proprie!0</partnertexecubve officer/member E.L. Each Accident »1 .000.000

e>Ccluded? NO E.L. Disease • Ea Employee $1 .000,000

If Yes. descnbe under special provisions below E .L. Disease • Policy Limits $1 000.000

Other lion Insurance ComDany is A.M. Best Company rated A· (Excellent). AMI # 12616

Descriptions of Operations/LocalionsNehicles/EJtcluslons added by Endorsement/Special Provisions: Olent ID: 91·67-550 coverage only applies to active employee(s) of South East Pel"S()(lnel Leasing, Inc. & Sobsidiaries that are leased to the following "Oient Company":

Johnson and Son$ Dumpster and Crane Service. LLC

Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s;, while working in: FL,

Coverage does not apply to statutory emplQyee(s) or 1ndependeflt conlTactor(s) of the Oient company or any other entity.

A 11st of the active eml)loyee(s) leased to the Oient Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938·5562.

Project Name:

ISSUE 03-10-15 (TLD)

"""lri Data U/2812013 CERTIFICATE HOLDER CANCELLATION

COLUMBIA COUNTY Shoul<l any of the a!love <lescnbed policies re C31>a!lled t;ef«e tile exp,rat,on date thereof, tr:e ,ssu.n!)

BOARD OF COUNTY COMMISSIONERS insurer will endesvc.t 10 ma,I 20 days written r.otlca 10 !he cerbficete hol<ler "arned to :tie 'eft. but failure to do so sllall irTl!ose r.o ot:llgabon or liat1llly of any kind upcn tile ,nsut6'. its agents orrepr&sentafives.

P080X 1529

~// .,,,I),.._ LAKE CITY. FL 32056 -,

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JUNN::>UN 14.NU ~u ... ., UUIVU""" I en AND CRANE SERVICE

PO B0X367 NEWBERRY, FL 32669

11• o o • 2 • ~ 11• , : o 1:i :1 •• i a ? q •: o :1 o • a o :1 Ei 1. a 11• .,,.

'1 ... :':,;-

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JOHNSON AND SONS DUMPSTER AND CRANE SERVICE

PO B0X367 NEWBERRY,FL.32669

., .., fr.. ... ,U-:-'1,,7•fJ', .... ~"'):Jt;I.,

IL l'i

63·1387 631

$ :SQ.DC

... ·- o!..... .~ ; .,

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COLUMBIA COUNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE APPLICATION

Name of Applicant: Ach;a.Aced V t5 Pc;s·c-t. \ Address: Y i 1 f..! S U 5 H<.\JyJ Li<../ I LA Ke ~tj ~ J 3 .Jv~-S Telephone No.: 1 ~lo - 5.).1 -:J.J.J 3:)

In accordance with Section 90-76, Code of Ordinances, Columbia County, Florida, Applicant hereby applies to Columbia County for a non-exclusive franchise authorizing Applicant to engage in the business of collecting, hauling, or transporting solid waste within Columbia County. This application includes the following:

I. APPLICANT INFORMATION.

A. Describe in detail the solid waste collection, hauling and/or disposal scope of services you are requesting to provide in Columbia County.

8. Include an executive summary (limited to three single-spaced typewritten pages) providing a description of Applicant·s ability to provide solid waste collection services in Columbia County.

C. Provide written detail of the qualification of Applicant's operations and staff regarding solid waste collection, hauling and transporting.

D. Provide a written summary of Applicant's business plan to include its methodology for collecting, hauling, and disposing of solid waste from the accounts serviced in Columbia County.

E. Describe the Applicant's years in solid waste collection business, together with a list of any customers or contact persons for similar size and scope of solid waste service provided within the past five (5) calendar years which will confinn your ability to perform the scope of solid waste collection, hauling and disposal you are requesting. Any such references must include contact names and telephone numbers, type of service performed, and/or contract period dates.

F. A list and description of Applicant's vehicles, tools and equipment which it o""ns or has available for use in its performance of solid waste collection, hauling and disposal within Columbia County.

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G. Any additional information which you believe will assist Columbia County in evaluating your application.

Il. CONDITIONS OF FRANCHISE.

A. Insurance: Applicant shall at all times during the term of the franchise maintain in full force and effect employer's liability, workers' compensation, public liability and property damage insurance. All insurance shall be by insurers and for policy limits acceptable to Columbia County and before commencement of providing the service under the franchise. Applicant agrees to annually furnish the County certificates of insurance or other evidence satisfactory to the County to the effect that such insurance is in force. A certificate of insurance, executed on a standard ACORD form, shall be filed with the County prior to Applicant being granted a franchise. The certificate shall contain a provision that coverage is afforded under the policies and will not be cancelled until at least 30 days prior written notice has been given to the County. The certificate of insurance will include the following statement or similar language: "Interest of the certificate holder is included as an additional insured." The following types of insurance and the following minimum amounts are required:

I.

2.

,., .:,.

4.

5.

Coverage Workers' Compensation

Bodily Injury Liability (except automobile)

Property Damage Liability (except automobile)

Automobile Bodily Injury

Excess Umbrella Liability

Limits of Liability Statutory

$1,000,000 each occurrence/$2 ,000,000 aggregate

$500,000 each occurrence/ $1,000,000 aggregate

$1,000,000 each occurrence

$ t ,000,000 each occurrence.

B. Indemnity: Franchisee will indemnify and save harmless the County, its officers, agents, servants and employees from and against any and all suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees to the extent resulting from a willful or negligent act or omission or default of its franchise agreement by the Franchisee, its officers, agents, servants, and

Page 2 of 6

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employees in the performance of the franchise; provided, however, that Franchisee shall not be liable for any suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees arising out of a willful or negligent act or omission of the County, its officers, agents, servants and employees.

C. Disposal Site: As a material consideration for the County approving Applicant's franchise, Applicant agrees all solid waste shall be hauled to and disposed of at a place or places to be provided and designated by Columbia County. Currently County charges $52.00 per ton for each ton of Class I and $37.00 for each ton of Class III solid waste collected in the County and disposed of at the Columbia County Landfill. Applicant agrees all solid waste shall be hauled to those sites or facilities as directed in writing by the County and disposed of at those facilities at the expense of the Franchisee, including tipping fees. Any solid waste hauled to the disposal site by Franchisee that is not generated in the County or otherwise approved by the County and not covered under the terms of the franchise agreement will be subject to the following penalties:

t. $1,000.00 for the first violation;

2. $5,000.00 for the second violation; and

3. Loss of franchise for the third violat ion.

D. Competency of Franchisee: The County shall require Franchisee to submit such additional information as the County may reasonably require to verify Applicant is adequately prepared to fulfill the franchise agreement. In determining whether the Applicant is adequately prepared, the County shall, as a minimum, consider the following:

1. Applicant's collection vehicles and equipment are sufficient to provide adequate and reliable service.

2. Applicant's roll-offs and other containers are adequately maintained and in proper condition, including signage, such as paint and information on the containers adequately identifying Applicant and contact information for the Applicant.

3. Sufficient size and number of containers.

~. That all vehicles and other equipment are properly licensed, tagged, identified, insured, and road-worthy.

Page3of6

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5. Applicant's technical experience, including that the Applicant and its employees have sufficient experience and abilities to insure the timely, reliable and effective delivery of the services proposed by the Applicant, and financial capabilities.

6. That Applicant's proposal is in the best interest of the public.

E. Compliance With Laws: Applicant sha ll conduct operations under the franchise ln compliance with all applicable local, state and federal Jaws, including its rules and regulations.

F. Non-discrimination: Applicant shall not discriminate against any person because of race, sex, age, creed, color, religion or national origin.

G. Licenses: Applicant shall obtain all licenses and permits (other than the license and permit granted by the franchise issued by Columbia County) and promptly pay all taxes required by the County.

H. Applicant acknowledges County has the sole ability to approve or deny this Application pursuant to applicable County Code provisions, policies, rules, and in the best interest of County and its citizens.

III. TERM.

The franchise shall be for the initial term of one ( I) year beginning the effective date of the franchise. Except as otherwise herein provided, the franchise may be renewed annually on its anniversary date by the County upon request of the Franchisee and approval by the County. Prior to renewal, Franchisee will be required to provide proof of current insurance as required by Section HA and pay a renewal fee established by the County. Denial of the initial franchise or any renewal by the County Manager shall be subject to appeal by the Applicant to the Columbia County Board of County Commissioners within 30 days of denial. Upon failure of the franchise to be extended as provided herein, the existing franchise, including any renewal thereof, shall terminate at the end of its specified term. No provision of this Application or the franchise agreement shall be construed in any manner to require either party to renew the franchise beyond the initial term or any renewal period of the franchise.

In the event there should occur any breach or material default in the performance of any obligation of the Applicant which has not been remedied within thirty (30) days after receipt of written notice from the County, the County may terminate the franchi se at the end of said 30-day period. In the event the County alleges a material default on the part

Page 4 of 6

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of Applicant, and Applicant disagrees that a default has occurred, it may, within ten (10) days after receiving notice of default, request a hearing with the County Manager. In the event the matter remains unresolved, the parties may, by mutual agreement, proceed to non-binding mediation or if the parties fail to successfully mediate the dispute, then either party may seek judicial review in a court of jurisdiction located in Columbia County, Florida.

IV. NON-TRANSFER ABILITY.

The franchise shall not be transferrable or assignable to any other person or entity without the express written consent of the County.

V. NON-EXCLUSIVE FRANCHISE.

Any franchise granted Applicant shall be non-exclusive. Applicant acknowledges the County has previously entered into an exclusive franchise with a third party for the provision of residential solid waste, commercial collection and industrial collection within the unincorporated area of Columbia County, and Applicant will not be authorized to provide solid waste collection for the service or to the customers included under the exclusive franchise Columbia County has previously awarded.

VI. SOLID WASTE SERVICES AUTHORIZED.

The solid waste collection services authorized to Applicant under the franchise may include some or all of the following (to be determined by County):

A.

B.

C.

D.

VII. RATE.

Columbia County does not set any rate structure for franchisee. Franchisee will establish and agree upon rate structures with its customers.

Page 5 of 6

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The undersigned hereby certifies that all of the above statements and statements contained in any documents or plans submitted herewith are true and correct to the best of my knowledge and belief.

Dated this I (p m hn s· day of ll . ..irc , 20_1 _.

Ap~icant: QdiJC\iAiCe) dnQDS ~ ~{tlA/d,1/) /

SgmiturfofAppican~ . Print Name:~c\f~ (/Vt ) L RN'')

Title: .h·ft l'M>-f.> ,-,. vC: tL

Page 6 of 6

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COLUMBIA CO llNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE APPLICATION

SECTION VI - EXHIBIT A

.\11 solid waste not included under the exclusive Franchise Solid Waste Agreement grnoted Veolia ES Solid Waste Southeast, Inc. dated September l, 2011. This Franchise includes construction and demolition debris resulting from temporary or s ingle construction projects requiring a temporary roll-off service.

All collection and disposal of infectious waste, hazardous waste, biohazarclous waste, biological waste or sludge shall be in strict compliance with all federal, state nnd local laws and regulations.

This Franchise docs not includ~ rccycl:iblc materials as llcfincd by Florida Statutes, Section ~03. 703.

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CHA~LES R WILLIAMS 4176 SUS HWY 441 LAKE CITY, FL 32025

8004

Date 3 / 1& {:;o) ~ . I $ Sq.q9_ Paytothe /J""' /_. \ .:,A· 4 ~ orderot Lv wmQ,_ LJ,2.u~- - .. -

-~--~.~' :.__· -t-+~-- .....:d~()'...;_/~~~..;;..;:5;..-----,t.~;....,:t;._,· "1.-_: ;;._'·. _· _____ /100 Oolt.ARS

... ~~~·~.:~(' ~ . 14~ <'.

0000·3 3.~ saq p,.11• aook -. ·

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Nar 24 2815 17:84:56 CDT 16150726498 ~

NSGI 55641552-887-1 Page 882 Of 885 ADSWAST-01 MCKEAGEJE

ACORD. CERTIFICATE OF LIABILITY INSURANCE I OATE lllllllltlOITYYYI

~ 3124/2015 THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIOHTS UPON TffE CERTIFICATE HOLDER. nus CERTIFICAlE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAOE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOH NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holMr i1 an ADDITIONAL INSURED, ltle policy(les) must be endors#.d. If SUBROGATION IS WAIVED, subject to tha terms atnd conditions of th~ policy, certain paliciH may .requln an endorsement. A statement on lhls certificate d<>es not confer rights to the certiflcat& hold•r in lieu of such endorstKn•ntls).

PROOV()CR =~r 1 .ce;~~~~~:IIS.COffl .. '"......]J•>< No .·-·888) -4$7-2378 ........ WIiii$ or Virginill, Inc. c/o 28 Ccintu71 Blvd ~r-~~--.. ·--·---·--- ~ ...... ~---··--·-··---P.O. Box 305 &1

ACOltE$$; --··-·····--···-----·-· Na$hvllle, TN 37230-5191 ·---.---·-·-··-___________ IN$1fRER($~FFOROIHO COIIE:AACIE . -·-··-··--~-.NAIC «._

···---.. -·-···-···-- ............ ~ ...... --..... ........... . ... ................... ... --.. ...... .. _. ·-···· 1NsuR!lRA_:Arch Insurance Co•any _____________ J!1160 ........ _ .. INSVREO 1NSUft!R e: Alterra America_ Insurance. Cof!!J)anx.___ 121296 _

ADS Waste HofdJng$, Inc. 1muRE1tc; Na~ators lnsurance Company i42301 (See Attached List er Na.med Insureds)

INISVIU!.R,0: _ _ , ______________ , _____ .... r------90 Fort Wade Rd. Ponte Vedra, FL 32081 IN8URl;R !; ;_·---------·--·-.. ··- ~

··-lN$URf:II F; '

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY TMAT THE POLICIES OF INSUAANCE LISTED BELOWHAVEBEENISSUEOTOTHelNSUREONAMEOABOVEFORTHEPOUCYPERIOO INDICATED. NOTWlTHSTANCCNG ANY REQUIREMENT, TERM OR CONOlTION OF ANY CONTRACT OR OTHER DOCUMENT Wl"n-4 RESPEC't 1'0 W),jlCH TMIS CER"rlFICA.TE MAY 8E 1ssueo 0~ MAY PERTAIN. THE INS\JRANCe AFFOROEO 9Y THI; POLICIES OESCRl8EO HEREIN 1$ SUBJECT TOAl.l THE 1'£R~. EXClU..C.IONS ANO CONDITIONS OF SUCH POLICIES. LIMIT$ SHOWN MAY HAVC:. BEEN REDUCED BY PAID C~IMS. 't~r- _ ...... -·· TYl'I OF lNSIJAANCf' --·- - 1~g~~~ ·-···---· F\)llCY NUMSER ···- . .... i ,~~,·~ r~/"·---·-·-·- ltMITII ···-· ··-··-- -

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C 12nd Layer Excess B 13rd Layer excess

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MAXA3EC,00013i7

, 1WC 14985302

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OESCRIPTION OF OPeAA TIONa I I.OCA TIOHS I VEHICLES [A.CORO 101 AOd1aonel At"llll'llf S.:rt•cMe. rnry be e&enlld If ,no,-.,~. It "4UIIW)

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THI; A8011E DE8CRIB6D POLICIES BE CANCEi.LED 8 EFORE TH& EJCPIRA TION DA TE THEREOF, NOTICE WILC. 81. D&LIV&AeD IN ACCOROANCE Wl'TH TME POLICY PROVISIONS.

Columbia County Code Enforcemont AUTl!Olllzt!I) ltl/:P1'll!$&NTAl'IIII!! Alfn: Jennifer

/-t..,,jl,~ PO 8011152$ ~ ,olr• t'ltv r:t 3 201!11!1

r.o 1988·2014 ACORD CORPORATION. All tights reserved. ACORO 25 (2014101) Th1t ACORD name and logo are registered marks of ACORD

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Har 24 2815 17:85:46 CDT 1&15872&498 MSGI 55&41552-087-1 Page 883 Of 005

ADDITIONAL COVERAGE SCHEDULE

COVERAGE LIMITS

POLICY TYPE: Potlutlon Ljability Aggregate: $25.000,000

CARRIER: Illinois Union Insurance Company Occurrence: $26,000,000

POLICY TERM: 11/20/2012-11/20/2015

POLICY NUMBER; PPLG27069066001

POLICY TYPE; Excess Ltabillty 3rd Layer Excess

CARRIER: Ahems America Insurance Company Each Occurrence: $5,000,000

POLICY TERM: 11/20/2014-11/20/201S Aggregate: $5,000,000

POLICY NUMBER: MAXA3EC30001448

POLICY TYPE: Automobile Liability Automobile Liability , Any Auto

CARRIER: Arch Insurance Company Combined Stngte Limit • $2,000,000

POLICY TERM: 11/20/2014 -11/20/2015 SIR • $1,000,000

POUCY NUMBER: 31 CAB0502300

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Har 24 2815 1?:85:59 CDT 1&15072&498

Named Insured: Advanced Disposal Waste Holdings Corp. ADS Waste Holdings, Inc. Advanced Disposal Services South, Inc. HWStar Holdings Corp. Advanced Disposal Servi1..-es East, Inc. MWStar Waste Holdings Corp.

Advanced Disposal Services Midwest, LLC Advane@d Disposal Recvcling Services Atlanta. lLC Advanced Disposal Recycling Services, ll.C Advanced Disposal Rccyding Services Gulf Coast, LLC Advanc;ed Dispo$al Servic.'es Alabama CATS, tLC Advanced Disposal Servic.es Alabama EATS, LLC Advanced Disposal Services Alabama Holdings, LLC Advanced Disposal Services Alabama, LLC Advanced Disposal Services Arbor Hills Landfill, Inc. Adv.inced Disposal Services Atlanta, LLC Advanced Disposal Services Augusta, LlC Advanced Disposal Services BiloKi MRF, LLC Advanced Disposal Services Biloxi Transfer Station, lLC Advanced Disposal Services Birmingham, Inc.

Advanced Disposal Sel"Jkes Blackfoot Landfill, Inc. Advanced Disposal Services Blue Ridge Landfill, Inc. Advanced Disposal Services carolinas, LLC Advanced Disposal Service~ Carolinas Holdings, LLC Advc1nced Disposal Services Cedar Hill Landfill, Inc. Advanced Disposal Services Solid Waste Southeast, Inc. Advanced Disposal Services Central Florida, LLC Advanced Disposal Services Che~\nut Valley Landfill, Inc.

Advanced Disposal Services Cobb County Recycling Facility, llC Advanced Oisposcll Services Cobb County Transfer Station, LLC Advanct:?d Disposal Services Cr3nberrv Creek Landfill, LLC Advanced Disposal Services Cypn.i$S Acres tc,ndfil!, Inc. Advanced Disposal Services Eagle Bluff Landfill, Inc. Advanced Disposal Services Emerald Park Landfill, LLC Advanced Disposal Services Evergreen landfill, Inc. Advanced Disposal Services Georgia Holdings, LLC Advanced Dlsposal Services Glacier Ridge Landfill, lLC

Advanced Disposal Services Greentree landfill, lLC Advanced Oispo11al Services Gwinnett Transfer Station, LLC Advanced Disposal Services Gulf Coast, LLC Advanced Disposal Services Hancock County, LLC Advanced Disposal Services Hickory Meadows Landfill, llC Advanced Oispos.JI Services Hoosier Landfill, Inc. Advanced Oispoi;al Se,vices Jackson, LLC Advanced Disposal Services Jacksonville, LLC Advanced Disposal Services Jones Road, LLC Advc1nced Disposal Services Lehigh Valley, inc.

Advanced Disposal Services Lancaster landfill, ll.C Advanced Disposal Services Lithonia Transfer Station, LLC Advanced Disposal Servic.es Macon, LLC Advanced Disposal Services Magnolia Ridge Landfill, LLC Advanced Oispoul Services Mallard Ridge Landflll, Inc. Advanced Oisponl Services Maple Hill landfill, Inc. Advanced Disposal Services Middle Georgia, lLC Advc1nced Disposal Services Milledgeville Transfer Station, llC

HSGI 55&41552-007-1 Page 804 Of BB5

Advanced Oispo$al Servic'!s Mississippi, LLC Advanced Olsposal Services Mobile Transfer Station, LLC Advanced Disposal Services Morehead landfill, Inc. Advanced Disposal Services National Accounts, LLC Advanced Disposal Services National Account'> Holdings, Inc. Advanced Disposal Services North Alabama landfill, LLC Advanced Disposal Services North Florida, LLC Advanced Disposal Services North Georgia, LLC Advanced Disposal Services Oak Ridge landfill, Inc. Advanced Disposal Services Orchard Hills landfill, Inc. Advanced Ol!iposal Services Pasco County, LLC Advanced Disposal Services Pecan Row Landfill, lLC Advanced Disposal Services Pontiac Landfill, Inc. Advanced Disposal Services Prattville C&D Landfill, LLC Advanced Disposal Services Putnam County Landfill. LlC Advanced Disposal Services Renewable Energy, lLC ADS Renewable Energy - Eagle Point, lLC ADS Renewable Ene1gv - Stones Throw, LLC ADS Renewable Energy - Wolf Creek, LLC Advanced Disposal Services Randolph County, llC Advanced Disposal Services Rogers Lake, LLC Advanced Disposal Services Rolling HIiis Landfill, Inc. Advanced Oisposal Services Selma Transfer Station, LLC Advanced Disposal Services Shippensburg, tLC Advanced Disposal Services Seven Mile Creek Landflll, LLC. Ad1Janced Disposal Services Skippack, Inc. Advanced Disposal Services Smyrna Transfer Station, lLC Advanced Disposal services Solid Waste Leasing Corp. Advanced Disposal Services Solid Waste Midwest. LLC ADS Solid Waste of NJ, Inc. Advanced Disposal Servi~s Solid Wa5t~ of PA, Inc. Advanced Disposal Services Somerset, Inc. Advanced Dlsposal Services South Carolina, U.C Advanced Disposal Services Star Ridge landfill, Inc. Advanced Disposal Services Stc1teline, llC Advanced Disposal Services Sumner Landfill, Inc. Advanced Disposal Services Taylor County Landfill, LLC Advanced Disposal Services Tennessee Holdings, Inc. Advanced Disposal Services Tennessee, LLC Advanced Disposal Services Valley Meadows Landfill, LLC Advanced Olsposal Services Valley View Landfill, Inc. Advanced Disposal Services Vasko Rubbish Removal, Inc. Advanced Disposal Services Vasko Solid Waste, Inc. Advanced Disposal Services Wavne County landfill, Inc. Advanced Disposal Services Zion l.andfill. Inc. Arrow Disposal Service, LLC Baton Rouge Renewable Energy, LLC Burlington Transfer Station, Inc. Cartersville Transfer Station, LLC Caruthers Mill C&O Landfill, LLC Champion Transfer Station, Inc. Coastal Recyclers Landfill, LLC Diller Transfer Station, Inc. Community Refuse Service, Tnc. Community Refuse Service, LLC Doraville Transfer Station, lLC Eagle Point undfill, LI.C. Eco-Safe Systems, LLC

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Har 24 2815 17:8&:35 CDT 1&15B72&498

l=iretower landfill, l.lC Hall County Transfel' Station, LLC Harmony Landflll. LP Highstar Galante, Inc. Highstilr Royal Oaks I, Inc. Highstar Royal Oaks II, Inc. Highstar Waste Acquisition Corp. Hinkle Transfer Station, Inc. IWStar Waste Holdings Corp. Jones Road Landfill atid Re(yc:ling, Ltd. land and Gas Reclamation, Inc. Land5outh, Inc. Middleton, LLC Moretown Landfill, Inc. Mostoller landfill, Inc. Mostoller Landfill, llC Nam,u County Landfill. LLC NEWS North East Holdings, Inc. NEWS MA Holdings, lnc. NEWS Mid-Atlantic Holdings, Inc. NEWS PA Holdings, Inc. NEWS tar Waste Holding~ Corp. North East Waste Services, Inc. Old Kings Road, LLC Old Kings Road Solid Waste, LLC Pitrker Sanitation II, Inc. Pasco Lakes Inc. PDC Disposal Co., Inc. St. Johnsbury Transfer Station, Inc. Site Services, LLC Somerset Hauling. Inc.

South Hadley Landfill, LLC South Suburban. LLC SSI Southland Holdings, Inc. Stone's Throw Landfill, LLC Summit, Inc. Superior Waste Services of New York City. Inc. Tallassee Waste Disposal Center, Inc. Trestle Park Carting, Inc. Trestle Transport, Inc. Turkey Trot Landfill, LLC Vermont Hauling, Inc:. Waitsfield Transfer St3t1on, Inc. WBLF Acquisition Company, LLC Welcome All Transfer Station, UC Western Maryland Waste Systems, LLC Wolf Creek landfill, LlC: WSI Mediail Waste Systems. Inc. WSI of New York, Inc. WSI Sandy Run landfill, Inc. WSI Si1ndy R.un landfill, lLC

MSGI 55&41552-087-1 Page 885 Of 005

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COLUMBIA CO_UNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE APPLICATION

Name of Applicant: ttN.8u& Su.w~.:..s 6f'!° ~12,•A .. i..P ~

Address: r3ffa vs. n1tr:tf1t11ty tf4f s ) Uk£ e,ey-, A- ,~,,.2C Telephone No.: ~ - 751: ... SttB

Name of Applicant's Contact Person or Agent: -~.:..;:"';...;;;o_A-'J;.'--'v.=""';.;..;)~-=----------­

Address: 13,3J v~ Hlblfflll.Y 'i4:I S) I.A1<t_~rry, fl, J.2,.,,..,..-: Telephone No.: -=J-=-''=--· ..... 7'1 ........... --'"''?,\""""1.='S __________________ _

In accordance with Section 90-76, Code of Ordinances, Columbia County, Florida, Applicant hereby applies to Columbia County for a non-exclusive franchise authorizing Applicant to engage in the business of collecting, hauling, or transporting solid waste within Columbia County. This application includes the following:

I. APPLICANT JNFORMA TION.

A. Describe in detail the solid waste collection, hauling and/or disposal scope of services you are requesting to provide in Columbia County.

B. Include an executive summary (limited to three single-spaced typewritten pages) providing a description of Applicant's ability to provide solid waste collection services in Columbia County.

C. Provide written detail of the qualification of Applicant's operations and staff regarding solid waste collection, hauling and transporting.

D. Provide a written summary of Applicant's business plan to include its methodology for collecting, hauling, and disposing of solid waste from the accounts serviced in Columbia County.

E. Describe the Applicant's years in solid waste collection business, together with a list of any customers or contact persons for similar size and scope of solid waste service provided within the past five (5) calendar years which will confinn your ability to perfonn the scope of solid waste collection, hauling and disposal you are requesting. Any such references must include contact names and telephone numbers, type of service performed, and/or contract period dates.

F. A list and description of Applicant's vehicles, tools and equipment which it owns or has available for use in its performance of solid waste collection, hauling and disposal within Columbia County.

Pagel of 6

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G. Any additional infonnation which you believe will assist Columbia County in evaluating your application.

II. CONDITIONS OF FRANCHISE.

A.

B.

Insurance: Applicant shall at all times during the term of the franchise maintain in full force and effect employer's liability, workers' compensation, public liability and property damage insurance. All insurance shall be by insurers and for policy limits acceptable to Columbia County and before commencement of providing the service under the franchise. Applicant agrees to annually furnish the County certificates of insurance or other evidence satisfactory to the County to the effect that such insurance is in force. A certificate of insurance, executed on a standard ACORD form, shall be filed with the County prior to Applicant being granted a franchise. The certificate shall contain a provision that coverage is afforded under the policies and will not be cancelled until at least 30 days prior written notice has been given to the County. The certificate of insurance will include the following statement or similar language: "Interest of the ce1tificate holder is included as an additional insured.'-' The following types of insurance and the following minimum amounts are required:

l.

2.

3.

4.

5.

Covera!!e Workers' Compensation

13odily Injury Liability (except automobile)

Property Damage Liability (except automobile)

Automobile Bodily Injury

Excess Umbrella Liability

Limits of Liabilitv Statutory

$ I ,000,000 each occurrence/$2,000,000 aggregate

$500,000 each occun-ence/ $1,000,000 aggregate

$1,000,000 each occurrence

$1,000,000 each occurrence.

Indemnitv: Franchisee will indemnify and save harmless the County, its officers, agents, servants and employees from and against any and all suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees to the extent resulting from a willful or negligent act or omission or default of its franchise agreement by the Franchisee, its officers, agents, servants, and

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employees in the performance of the franchise; provided, however, that Franchisee shall not be liable for any suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees arising out of a wiJlful or negligent act or omission of the County, its officers, agents, servants and employees.

C. Disposal Site: As a material consideration for the County approving Applicant's franchise, Applicant agrees all solid waste shall be hauled to and disposed of at a place or places to be provided and designated by Columbia County. Cunently County charges $52.00 per ton for each ton of Class I and $37.00 for each ton of Class III solid waste collected in the County and dispqsed of at the Columbia County Landfill. Applicant agrees all solid waste shall be hauled to those sites or facilities as directed in writing by the County and disposed of at those facilities at the expense of the Franchisee, including tipping fees. Any solid waste hauled to the disposal site by Franchisee that is not generated in the County or otherwise approved by the County and not covered under the tenns of the franchise agreement will be subject to the following penalties:

D.

1. $1,000.00 for the first violation;

2. $5,000.00 for the second violation; and

3. Loss of franchise for the third violation.

Competency of Franchisee: The County shall require Franchisee to submit such additional information as the County may reasonably require to verify Applicant is adequately prepared to fulfill the franchise agreement. In detennining whether the Applicant is adequately prepared, the County shall, as a minimum, consider the following:

1. Applicant's collection vehicles and equipment are sufficient to provide adequate and reliable service.

2. Applicant's roll-offs and other containers are adequately maintained and in proper condition, including signage, such as paint and infonnation on the containers adequately identifying Applicant and contact information for the Applicant.

3. Sufficient size and number of containers.

4. That all vehicles and other equipment are properly licensed, tagged, identified, insured, and road-wo11hy.

Page 3 of 6

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E.

F.

G.

H.

5. Applicant's technical experience, including that the Applicant and its employees have sufficient experience and abilities to insure the timely. reliable and effective delivery of the services proposed by the Applicant, and financial capabilities.

6. That Applicant's proposal is in the best interest of the public.

Compliance With Laws: Applicant shall conduct operations under the franchise in compliance with all applicable Jocal! state and federal laws, including its rules and regulations.

Non-discrimination: Applicant shall not discriminate against any person because of race, sex, age, creed, color, religion or national origin.

Licenses: Applicant shall obtain all licenses and permits (other than the license and pennit granted by the franchise issued by Columbia County) and promptly pay all taxes required by the County.

Applicant acknowledges County has the sole ability to approve or deny this Application pursuant to applicable County Code provisions, policies, rules, and in the best interest of County and its citizens.

III. 1':E:lll\1.

The franchise shall be for the initial term of one (I) year begiru1ing the effective date of the franchise. Except as othenvise herein provided, the franchise may be renewed annually on its anniversary date by the County upon. request of the Franchisee and approval by the County. Prior to renewal, Franchisee will be required to provide proof of current insurance as required by Section IIA and pay a renewal fee established by the County. Denial of the initial franchise or any renewal by the County J\.fanager shall be subject to appeal by the Applicant to the Columbia County Board of County Commissioners within 30 days of denial. Upon failure of the franchise to be extended as provided herein, the existing franchise, including any renewal thereof, shall tem1inate at the end of its specified te1m. No provision of this Application or the franchise agreement shall be construed in any manner to require either party to renew the franchise beyond the initial term or any renewal period of the franchise.

In the event there should occur any breach or material default in the perfonnance of any obligation of the Applicant which has not been remedied within thirty (30) days after receipt of written notice from the County, the County may tenninate the franchise at the end of said 30-day period. In the event the County alleges a material default on the part

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of Applicant, and Applicant disagrees that a default has occun-ed, it may, within ten (I 0) days after receiving notice of default, request a hearing with the County Manager. In the event the matter remains unresolved, the parties may, by mutual agreement, proceed to non·binding mediation or if the parties fail to successfully mediate the dispute, then either party may seek judicial review in a court of jurisdiction located in Columbia County, Florida.

IV. NON-TRANSFER ABILITY.

The franchise shall not be transferrable or assignable to any other person or entity without the express written consent of the County.

V. NON*EXCLUSIVE FRANCHISE.

Any franchise granted Applicant shall be non-exclusive. Applicant acknowledges the County has previously entered into an exclusive franchise with a third party for the provision of residential solid waste~ commercial collection and industrial collection within the unincorporated area of Columbia County, and Applicant will not be authorized to provide solid waste co11ection for the service or to the customers included under the exclusive franchise Columbia County has previously awarded.

VI. SOLID WASTE SERVICES AUTHORIZED.

The solid waste collection services authorized to Applicant under the franchise may include some or all of the following (to be detennined by County):

A.

B.

c.

D.

VII. RATE.

Columbia County does not set any rate structure for franchisee. Franchisee will establish and agree upon rate structures with its customers.

Page 5 of 6

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The undersigned hereby certifies that all of the above statements and statements contained in any documents or plans submitted herewith are true and co1Tect to the best of my knowledge and belief

Dated this I( U day of &,14!{

Applicant: /~,, S'°W?t.,s pr' n•~I.AI{, J..Ji.

i1JdtJL= Signature of Applicant P1int Na.me: r /JINA .Bu~kt(iL Title: b,w.s.,,uJ 4.vt~t.~----

Columbia County hereby acknowledges receipt of the non-refundable application fee from Applicant of $500.00. Annual Renewal Fee is $50.00.

Dated !his \~ay of ~c..e \._ , 2<J&.

Page 6 of6

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COLUMBIA COlTNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE APPLICATION

SECTION VI - EXHIBIT A

AU solid waste not included under the exclusive Franchise Solid Waste Agreement granted Veolia ES Solid Waste Southeast, lnc. dated September I, 2011. This Franchise includes construction and demolition debris rt-suiting from temporary O!"

single construction projects requidng a temporary roll-off sen·icc.

All colle'-'tion and disposal or infectious wuste, Jiazurdous waste, biohazardons waste, biological waste or sludge shall be in strict complhu:tce with :lll feder.:11, state nnd local laws nad regulations.

This Franchise does not include recycl2ble materials as defined by Florida Statutes. Section 403. 703.

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I.A. - We intend to provide the collection of commercially generated municipal solid waste and

recycling. In addition, we intend to provide collection of construction and demolition debris generated

by customers within the County.

I.B. - Republic Services of Florlda, Limited Partnership ("the Company") is a wholly owned subsidiary of

Republic Services, Inc., a public company traded on the New York Stock Exchange.

We provide solid waste collection services to commercial, industrial, municipal and residential

customers through 336 collection operations. In 2013, 77% of our revenue was derived from

collection services. Within the collection line of business, 34% of our revenue is from services

provided to municipal and residential customers, 40% is from services provided to commercial

customers and 26% is from services provided to industrial (both pennanent and temporary~

and other customers.

Our residential collection operations involve the curbside collection of refuse from small

containers into collection vehicles for transport to transfer stations, or directly to landfills or

recycling centers. We typically perform residential solid waste collection services under

contracts with municipalities, which we generally secure by competitive bid and which give us

exclusive rights to service all or a portion of the homes in the respective municipalities. These

contracts or franchises usually range in duration from one to five years, although some of our

exclusive franchises are for significantly longer periods. We also perform residential solid waste

collection services on a subscription basis, in which individual households contract directly with

us. The fees received for subscription residential collection are based primarily on market

factors, frequency and type of service, the distance to the disposal facility and the cost of

disposal. In general, subscription residentia I collection fees are paid quarterly in advance by the

residential customers receiving the service.

In our commercial and industrial collection operations, we supply our customers with waste

containers of varying sizes. We also rent compactors to large waste generators. We typically

perform commercial collection services under one- to three•year service agreements, and fees

are determined based on a number of factors including the market, collection frequency, type

of equipment furnished, type and volume or weight of the waste collected, transportation

costs, and the cost of disposal.

We also provide waste collection services to industrial and construction facilities on a

contractual basis with terms ranging from a single pickup to one year or longer. Our

construction services are provided to the commercial construction and home building sectors.

We collect the containers or compacted waste and transport the waste to either a transfer

station or directly to a landfill for disposal.

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We also provide recycling services based on our collection customers' requirements to

complete our service offerings

I.C. - Doug Whitehead, General Manager

Role: Responsible for all of Republic Services operations in all of North Florida. Doug oversees all financial and day-today aspects ofoperations. Office is located at Republic Services 8619 Westen1 Way Jacksonville, FL. 32256.

David Brackett, Division Controller

Role: Responsible for all of Republic Services Operations in all of North Florida. David oversees all financial day-to-day aspects of the operation. Office is located at Republic Services 8619 Western Way Jacksonville, FL. 32256.

Todd Juniper, Operations Manager

Role: Responsible for day-to-day activities and operations. The Operations Manager is a primary contact for garbage collection service in Alachua County. The office is located at Republic Services 13331 South US Highway 441 Lake City, FL. 32025.

Joe Durkin, Sales Team Manager

Role: Responsible for all sales team members, pricing approvals, and implementation of transition. Joe will be one of the primary contacts and is located at Republic Services 8619 Western Way Jacksonville, FL. 32256.

I.D. -The Company solicits customers to use the Company's equipment for collection and disposal of

solid waste, construction and demolition waste and recycling. The waste is collected in containers

provided by the Company and hauled in the Company's trucks to the most economical disposal facility

typically a transfer station or landfill.

I.E. -The Company has provided collection services in the northeast and north central Florida markets

for over 20 yea rs.

LF. - Equipment:

2007 Mack Roll Off Truck 1998 Mack Roll Off Truck 1998 Mack Roll Off Truck

2005 Mack MR688S (Commercial collection) 2006 Mack MR688S (Commercial collection) 2005 Mack MR688S (Commercial collection) 2011 Mack MRU619 (Commercial collection} Inventory of containers of various sizes.

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Wf WiJSI' t' ii J WESTERN UNION FlflAHCIAL SERVICES INC. • ISSUER· EnglfJWl>Od. Co/Ol'.ado MONEY i ,.._ P~•w•Farg08riGnn1-·-HA.Or1111u.,....,,c_ ORDIR'

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Try the new Western Unii:,n Payl'tents service for all your bills ano get guaranteed pl'oof ,:>f payMent. To learn l'l>:>re and ti:> ~earch ,~er 10,000 billers, goto WesternUnionPaysHyBills.c>Jf'I. A&T 305307 LOC 000000 DT 031615 $50.00 SODOI.LAAS AND NO carrs

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03-25-15;08:09AM:SOUTHLAND WASTE SYSTEMS :3867588826 # 21 3 /" .,

ACORD" CERTIFICATE OF LIABILITY INSURANCE Page 1 012 I DATE (MM/DOIVVVY)

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THIS ceAl'IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFER5 NO RIGHTS UPON THE CERTIFICATE HOLDl!R. THIS C!RTJl'ICAT! DOES NOT AFFIRMATIVELY OR NEGATIVELY AM&ND, EXTEND OR ALT!R TH! COVERAGE AFFORDED BY THE Pot.lCIES 8ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED R!PReSENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER,

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PROOUC.ER CONTACT HAMI': CANNON COCHRAN MANAGEMENT SERVICES. INC. ,KONE IAIC No,&m: I FIUI rAJC No,oum: 17015 N. SCOTTSDALE RO. l!oMAIL AIJDRESS!CIMIClltlttel,,..CCIMlCOl'ft SCOTTSDA.L!, ~ 652$5 INIURER(Sl A,FOIIDINO CCW:MCIS NAICI

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;J867588826 # 3/

AGENCY CUSTOMER ID: ______________ _ LOCI: ______________ _

ADDITIONAL REMARKS SCHEDULE

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CARRIER See First Paae

ADDITIONAL REMARKS

TWIS ADDITIONAL RIMARKS F'ORM 13 A 1'CHa1U&.e TO ACORD FORM.

.,HAICCODB

FORM HU,..ER: ..ii,. fORMTm.e: CE~TIFICATE OF L!ABILITV INSURANCt;

NAMl!D IN9U~tri

REPUBUC SERVICES, INC. 18500 N. ALUEO WAY PHOENIX, AZ. 85054

fff'RTIVE DAT&:

P.igo 2 ot 2

The foUowlng provision& ipply when required by written contract. As U!8d below, lhe term eertifcale holder also fncludet. any person or organization that the insurad has become obligated lo Include as a result of an exe1;uted c:ontnsc:t or agreamenL

GENERAL LIABILITY: Certificate t,oldar Is Addilianal lneured when required i,y written contract. Coverage ie primary and non-c:onlrlbutory when requited by written ~ntract. Waiver of Subrogalion in favor of the certificate holder Is included when required by written c:ontract.

AUTO LIABILITY: C1rtilic1te holder is Addltlonal Insured when required by written GOntract. Wilver of Su~ptlon In favor of the certificate holder ic included wt111n required by wr111en coniract

WORKERS COMPENSATION ANO EMPLOYERS LIABILITY: waiver of Subn:1galion in favor of the certificate holder is rnc:luded when requrred by written contract where allowed by state law.

TEXAS excess INOEMNllY AND EMPLOYERS LIABll.lTY: Repubfic Services, Inc. and ils subsidiaries are reglslered nQl\oGUbGcrlbel'$ to the Te>cas Wori<ers Compensation Acl Republic Servicea, Inc. has flied an approved Indemnity Plan with the Texas Department of Insurance which offers an alternative in benefits to employees rather than the lraditional Woricsrs Compenutian Insurance in Texaa. The exce&& policy (#TNS C47870092) lllhciwn on this certificate prollid11 excen Indemnity and employer& Llablllty coverage for the apprcved lndemn~y Plen.

Contractual Liability Is included in the General UablHty coverage form. The General Liabil\ty policy does nat contain an endorsement exc~ding Contractual Liability.

Separation of Insured (Croes Uablllty) coverage is provided 10 lhe Additional Insured, when required by wnttan contr.act. per the Conditions of the Commeraal General Liability Coveraga form.

~ 1••:zo10 AC:01110 CORPORA flON. Al rf;llts 1es11"¥ec TIie ACORD nlffllt •ltd Jogo are r419111trt0 mat111 Of AC:ORO

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COLUMBIA COUNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE APPLICATION

Name of Applicant: 8 i r fnvtn,nlY)Q)fztl Services: .In~. Address: Po &o,c. 8 S'S Lue 8u.,ttu I Ft.. v 32J)Sf/ Telephone No.: '3l'lo-t/"ll:t- 3f'fl>7

Name of Applicant's Contact Person or Agent: Bve1J4 I:. Roberts Address: PO Sox: B'SS' L4Jc.e. 6u.tfu , 0- 3U>,S1/ Telephone No.: 3'llt,-1.l.'t"-3i"'ft;7

,,

. . '

In accordance with Section 90-76, Code of Ordinances, Columbia County, Florida, Applicant hereby applies to Columbia County for a non-exclusive franchise authorizing Applicant to engage in the business of collecting, hauling, or transporting solid waste within Columbia County. This application includes the following:

I. APPLICANT INFORMATION.

A. Describe in detail the solid waste collection, hauling and/or disposal scope of services you are requesting to provide in Columbia County.

B. Include an executive summary (limited to three single-spaced typewritten pages) providing a description of Applicant's ability to provide solid waste collection services in Columbia County.

C. Provide written detail of the qualification of Applicant's operations and staff regarding solid waste collection, hauling and transporting.

D. Provide a written summary of Applicant's business plan to include its methodology for collecting, hauling, and disposing of solid waste from the accounts serviced in Columbia County.

. .,

E. Describe the Applicant's years in solid waste collection business, together with a list of any customers or contact persons for simi tar size and scope of solid waste service provided within the past five (5) calendar years which will confirm your ability to perfonn the scope of solid waste collection, hauling and disposal you are requesting. Any such references must include contact names and telephone numbers, type of service performed, and/or contract period dates.

F. A list and description of Applicant's vehicles, tools and equipment which it owns or has available for use in its performance of solid waste collection, hauling and disposal within Columbia County.

Page 1 of 6

,,, .. ' ~

\

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G. Any additional infonnation which you believe will assist Columbia County in evaluating your application.

II. CONDITIONS OF FRANCHISE.

A. Insurance: Applicant shall at all times during the tenn of the franchise maintain in full force and effect employer's liability, workers' compensation, public liability and property damage insurance. All insurance shall be by insurers and for policy limits acceptable to Columbia County and before commencement of providing the service under the franchise. Applicant agrees to annually furnish the County certificates of insurance or other evidence satisfactory to the County to the effect that such insurance is in force. A certificate of insurance, executed on a standard ACORD form, shall be filed with the County prior to Applicant being granted a franchise. The certificate shall contain a provision that coverage is afforded under the policies and will not be cancelled until at least 30 days prior written notice has been given to the County. The certificate of insurance will include the following statement or similar language: "Interest of the certificate holder is included as an additional insured." The following types of insurance and the following minimum amounts are required:

I.

2.

3.

4.

5.

Coverage Workers' Compensation

Bodily Injury Liability ( except automobile)

Property Damage Liability (except automobile)

Automobile Bodily Injury

Excess Umbrella Liability

Limits of Liability Statutory

$1,000,000 each occurrence/$2,000, 000 aggregate

$500,000 each occurrence/ $1,000,000 aggregate

$1,000,000 each occurrence

$1,000,000 each occurrence.

B. Indemnity: Franchisee will indemnify and save harmless the County, its officers, agents, servants and employees from and against any and all suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees to the extent resulting from a willful or negligent act or omission or default of its franchise agreement by the Franchisee, its officers, agents, servants, and

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employees in the performance of the franchise; provided, however, that Franchisee shall not be liable for any suits, actions, legal proceedings, claims, demands, damages, costs, expenses and attorney's fees arising out of a willful or negligent act or omission of the County, its officers, agents, servants and employees.

C. Disposal Site: As a material consideration for the County approving Applicant's franchise, Applicant agrees all solid waste shall be hauled to and disposed of at a place or places to be provided and designated by Columbia County. Currently County charges $52.00 per ton for each ton of Class I and $37.00 for each ton of Class III solid waste collected in the County and disposed of at the Columbia County Landfill. Applicant agrees all solid waste shall be hauled to those sites or facilities as directed in writing by the County and disposed of at those facilities at the expense of the Franchisee, including tipping fees. Any solid waste hauled to the disposal site by Franchisee that is not generated in the Cotmty or otherwise approved by the County and not covered under the terms of the franchise agreement will be subject to the following penalties:

D.

l. $1,000.00 for the first violation;

2. $5,000.00 for the second violation; and

3. Loss of franchise for the third violation.

Competency of Franchisee: The County shall require Franchisee to submit such additional infonnation as the County may reasonably require to verify Applicant is adequately prepared to fulfill the franchise agreement. In determining whether the Applicant is adequately prepared, the County shall, as a minimum, consider the following:

I. Applicant's collection vehicles and equipment are sufficient to provide adequate and reliable service.

2. Applicant's roll-offs and other containers are adequately maintained and in proper condition, including signage, such as paint and information on the containers adequately identifying Applicant and contact information for the Applicant.

3. Sufficient size and number of containers.

4. That all vehicles and other equipment are properly licensed, tagged, identified, insured, and road-worthy.

Page 3 of 6

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5. Applicant's technical experience, including that the Applicant and its employees have sufficient experience and abilities to insure the timely, reliable and effective delivery of the services proposed by the Applicant, and financial capabilities.

6. That Applicant's proposal is in the best interest of the public.

E. Compliance With Laws: Applicant shall conduct operations tmder the franchise in compliance with all applicable local, state and federal laws, including its rules and regulations.

F. Non-discrimination: Applicant shall not discriminate against any person because of race, sex, age, creed, color, religion or national origin.

G. Licenses: Applicant shall obtain all licenses and permits (other than the license and permit granted by the franchise issued by Columbia County) and promptly pay all taxes required by the County.

H. Applicant acknowledges County has the sole ability to approve or deny this Application pursuant to applicable County Code provisions, policies, rules, and in the best interest of County and its citizens.

Ill. TERM.

The franchise shall be for the initial tenn of one ( l) year beginning the effective date of the franchise. Except as otherwise herein provided, the franchise may be renewed annually on its anniversary date by the County upon request of the Franchisee and approval by the County. Prior to renewal, Franchisee will be required to provide proof of current insurance as required by Section IIA and pay a renewal fee established by the County. Denial of the initial franchise or any renewal by the Cotmty Manager shall be subject to appeal by the Applicant to the Columbia County Board of County Commissioners within 30 days of denial. Upon failure of the franchise to be extended as provided herein, the existing franchise, including any renewal thereof, shall tenninate at the end of its specified term. No provision of this Application or the franchise agreement shall be construed in any manner to require either party to renew the franchise beyond the initial term or any renewal period of the franchise.

In the event there should occur any breach or material default in the performance of any obligation of the Applicant which has not been remedied within thirty (30) days after receipt of written notice from the County, the County may terminate the franchise at the end of said 30-day period. In the event the County alleges a material default on the part

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of Applicant, and Applicant disagrees that a default has occurred, it may, within ten (10) days after receiving notice of default, request a hearing with the County Manager. In the event the matter remains unresolved, the parties may, by mutual agreement, proceed to

non-binding mediation or if the parties fail to successfully mediate the dispute, then either party may seek judicial review in a court of jurisdiction located in Columbia County, Florida.

IV. NON-TRANSFER ABILITY.

The franchise shall not be transferrable or assignable to any other person or entity without the express written consent of the County.

V. NON-EXCLUSIVE FRANCHISE.

Any franchise granted Applicant shall be non•exclusive. Applicant acknowledges the County has previously entered into an exclusive franchise with a third party for the provision of residential solid waste, commercial collection and industrial collection within the unincorporated area of Colwnbia Cotmty, and Applicant will not be authorized to provide solid waste collection for the service or to the customers included under the exclusiw franchise Columbia County has previously awarded.

VT. SOLID WASTE SERVICES AUTHORIZED.

The solid waste collection services authorized to Applicant under the franchise may include some or all of the following (to be determined by County):

A.

B.

C.

D.

VII. RATE.

Columbia County does not set any rate stmcture for franchisee. Franchisee will establish and agree upon rate structures with its customers.

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The undersigned hereby certifies that all of the above statements and statements contained in any documents or plans submitted herewith are true and correct to the best of my knowledge and belief.

Dated this 5 -lh day or---=-M..A>~=-"'ch'-"-'-----r

la Serv u:s1/nc.

Signature of Applicant Print Name: rff PJ C. R.o be r t.s Title: pre~ Id

Columbia County hereby acknowledges receipt of the non-refundable application fee from Applicant of $500.00. Annual Renewal Fee is $50.00.

Dated this r~ day orfVlMct. , 2ol (

l C IB AC

Page 6 of 6

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COLUMBIA COUNTY, FLORIDA SOLID WASTE COLLECTION FRANCHISE APPLICATION

SECTION VI - EXHIBIT A

All solid waste not included under the exclusive Franchise Solid Waste Agreement granted Veolia ES Solid Waste Southeast, Inc. dated September l, 2011. This Franchise includes construction and demolition debris resulting from temporary or single construction projects requiring a temporary roll•off service.

_ \ll collection and disposal of infectious waste, hazardous waste, biohazardous waste, hiological waste or sludge shall be in strict compliance with aU federal, state and local laws imd regulations.

This Franchise does not include recyclable materials as defined by Florida Statutes, Section -'03. 703.

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FWIRON\t(NT.\l Sf..R\.WE.S. INC.

March 5, 2015

Columbia County Board of County Commissioners Post Office Box 1529 Lake City, Florida 32056-1529

RE: Solid Waste Collection Franchise Application - Renewal

Dear Board,

,,

We are requesting to renew our franchise to provide roll-off container dumpster services for construction and demolition debris in Columbia County to both commercial and residential customers as requested.

t household garbage or hazardous materials, strictly construction/demo

(._ __ I

A very C. Roberts President

P.O. Box 855 Lake Butler, Florida 3205.J Phone: (386) 496-3867 Fax: (386) 496*2523

.. •,'

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f\\JIRON,\IENT.\I. SER\'W[S. INC.

March 5, 2015

Columbia County Board of County Commissioners Post Office Box 1529 Lake City, Florida 32056-1529

RE: Solid Waste Collection Franchise Application - Renewal

Dear Board,

R&E Environmental has one roll-off truck and 88 roll-off dumpsters varying in size from IO to 40 yards. We have a full time driver on staff and a back-up driver in the event of an emergency. We provide services for contractors, businesses, as well as individuals. Since beginning in 2007, we have serviced many customers, some of which have been with us since the start.

We are dedicated to providing prompt, courteous and reliable service to all of our customers and have never had a problem in doing so as our driver is experienced.

Our business plan includes prompt delivery of containers when requested by the customer, we service each dumpster at least once every thirty days, should it be on site that long. Once the customer calls for either service or final pick up, we respond as quickly as possible to get it removed. AH debris from projects in Columbia County will be disposed of at the Columbia County Solid Waste Facility.

any questions, please give me a call.

__ ...,,. -----A very C. Roberts President

P.O. Box 855 Lake Butler, Florida 32054 Phone: (386) 496-3867 Fax: (386) 496-2523

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E~\/IRO!',i\UNTAl '>lR\l(!(S, IN<.:.

March 5, 2015

Columbia County Board of County Commissioners Post Office Box 1529 Lake City, Florida 32056-1529

RE: Solid Waste Collection Franchise Application - Renewal

Dear Board,

R&E began performing roll-off services in January of 2007. In October of that same year, we pwchased an existing roll-off service located in Macclenny, Florida. Since then we have serviced many residential and commercial customers all over the north central Florida area.

The following list of customers in not a complete list,just the most active customers. For each one of them we have provided roll-off dumpsters for construction/demolition debri.

Bradford Co Maintenance Department - 519 N Orange Street, Starke, Florida 32091 Jeanie 904-966-6091

Concept Construction - 5200 NW 43rd Street, Gainesville, Florida 32606 Brian Crawford 352-333-3233

Florida Gas Transmission - 14369 CR 231, Brooker, Florida 32622 David Reinhart 850-350-5400

NE Florida e hone Company - 130 N 41h Street. Macclenny, Florida 32063

904-259-2 o I &I, __ A very C. Roberts President

P.O. Box 855 Lake Butler, Florida 32054 Phone: (386) 496-3867 Fax: (386) 496-2523

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f.~\/IRO~\IENT'\I. SER\'1CEli, I~(:.

Equipment Listing

I - 2007 Mack CTP713B Roll-off Truck 4 - 10 yard roll-off dumpsters 59 - 20 yard roll-off dumpsters 13 - 30 yard roll-off dumpsters 11 - 40 yard roll-off dumpsters

P.O. Box 855 Lake Butler, Florida 32054 Phone: (386) 496~3867 Fax: (386) 496-2523

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R&EEN•t OPID:JW

ACORD. CERTIFICATE OF LIABILITY INSURANCE I OATI IIIWDl'HYYm

~ 0312112G15 THIS C!R11P'ICAT! US IMU!C At A MATTllt OF fNFOAMATION ONLY AND CONRIW NO IUOHT1 UPON THE C!RTlfllCAT& HOLDER. THll C!Rnl'ICATI DOU NOT AFFJRMATJVELV OR NEGATIVELY AMl!ND, EXTEND OR ALTER TiiE COVERAGe AflflCM!D IV 'TH& PCI.ICd!t BEi.OW. THIS C&RTIJl&CAT& OF INIURANC& DOU NOT CONSTITUTe A CONTRACT l!E'l'WHN 'l'MI Jt1UIN8 INIUFIER(I), AUTHOIUllb AEPREIENTATIV! OR PRODUCER, AND THE C!RTIFICAlE HOLD!A. IMPORTANT: tf U'le c.rtlOcaw holdtf If 1ft ADDITIONAL INSURED, tilt pollcy(fff) mlllt b1 endDIMd. If IUIROGATION 19 WAIVIO, 9'1bject to th• t.m,1 end Qendltlont of the policy, ceneln pollcJQ may require an endorsement. A 1t11t,m1nt on 1h18 certlflcat. doN not conflr rfeh'- to ttt. etnlfkat, ltokftr In 11,u of such tt1darcwn1ntts). '"'"'"' l§o.n1uo·-!ijfo"n: == 81JJ:rfda, Inc:. .3&e•212•1101 I l'~ ...... 388•2at-ef29

bi~:!'~:,,, FL 32118.z,12 dd11tato41t:lbd1vton1.com Gf't8 81ul1y , .. 111RE••M Allf!ORDINO CClll!ltAOI .. -.c,

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loll!O l!IIP CA,,y Gftl! ""'"""' I 10.C,Ol

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IHOUU> ANY OF TH& AIOVi DIICRIHD POUCIEI H ClHCIU.ID llftOM TH8 IJPIAATIOlf DATi THEREOF, NOTICE WILL I! Ol!lMtRe'O IN

COLUMBIA COUNTY BOARD OF ACC:OIIOANca WITH 1'He POLICY PAOVIIIONI,

COUNTY COMMtSSION!"I A TT'N: JENNIFER AU'IMOll1ZID MJ!'Ut11NTA'l'MI

P D DRAWER 152t A,.19~b ,LAK& cnv. FL a2oe, -C, 1981-201(ACORD CORPORATION, All r1ghte 1Werv1d.

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· ·-- -·· · ·· ·····coi:.T.iM1}1Acoui-:i"fy socc

PAY TO THE ORDER OF.

R&E Environmental Services, tnc. P.O. Box 855 Lake Butler, Florida 32054 Phone: {386)496~3867

COLUMBIA COUNTY BOCC

Community State Bank Lake Butler. Florida

063106352

Fifty and 00/100******************************"'**11>**************

COLUMBIA COUNTY BOCC PO DRAWER 1529 LAKE CITY, FL 32056

3/5/2015 50.00

MultiCHAX"" # 161690NS-07

CHECK NO.

15338 AMOUNT$ **50.00 D 031os1201 s

AUTHORIZED SIGNATURE

)

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BOARD OF COUNTY COMMISSIONERS e COLUMBIA COUNTY

AGENDA ITEM REQUEST FORM

The Board of County Commissioners meets the 1st and 3rd Thursday of each month at 5:30 p.m. in the Columbia County School Board Administrative Complex Auditorium, 372 West Duva[ Street, Lake City,

Florida 32055. All agenda items are due in the Board's office one week prior to the meeting date.

03/26/15 Today's Date: _______ _ Meeting Date: _ 04_,_0_2_115 ______ _

Brian Kepner Building & Zoning Name:__________ Department: _________ _

Division Managers Signature _ _,~'-=~....__ .... i ........ _t4*:ll&tJIII.__ ____________ _

1. Nature and purpose of agenda item -------------------­

Approval of a Special Family lat Permit

Attach any correspondence information, documents and forms for action i.e., contract agreements, quotes,

memorandums, etc.

2. Fiscal impact on current budget.

Is this a budgeted item? ( X} N/A

{ ] Yes Account No. ------------

( ] No Please list the proposed budget amendment to fund this request

Budget Amendment Number:._-___ _

FROM AMOUNT

For Use of County Manger Only:

{ ] Consent Item [ ] Discussion Item

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APRJL 2, 2015 BOARD OF COUNTY COMMISSIONERS MEETING

BUILDING AND ZONING DEPARTMENT SPECIAL FAMILY LOT PERMIT

CONSENT AGENDA

FL15-04 - Immediate Family Member: Phillip Toscano Parent Parcel Owner: Salvatore Toscano Family Relationship: Son Acreage Being Deeded: 1.0 Acreage Remaining:4.01 Location of Property: See attachment "A"

Requesting approval of the Special Family Lot permit as indicated above. The requirements of Section 14.9 of the Land Development Regulations, as amended have been met. Staff recommends approval.

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PINEMOUNT RD

• ••• 1

\'A,,

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'-I ,. . l~D!;l.N~-.--~-----~----1~ 9. t -'-

t s

~ I

~ _ _J _______ L..-..L.-------;,____ -------r----.--,--r-----r-----a

I I p t.l+ t.21 t.28 •• 35 ••• 2

Columbia County Property Appraiser J . 00'/le Cl\\!W5 - Lake Cily. Florida 320551 386-75&-1083

n ... , t.5' .. ~ :.a i ~ ., II

0.1 "1

PARCB.: 02-4S-15-CJ0331-002 -MOBILE HOM (000200) Notes:

CCI.MSE C~ 0: NE1~ CF SE114. RUN N 60 FT, W 32&.61 FT FCR FOB. COOW 277 FT, N 20 FT. W 80 FT, N 932.63 FT, E

Name:TOSCANO SAL Site: .. 27 SW Pl.ACID LN

. 427SWPlACl)lANE Mall. L.Al(Etm. Ft32024

Sales 11/14/1994 Info 3/11/1994

60 FT, S406.62 FT. E297 FT. S546 F 2014 Certified Values Land $29.357.00

$5.181.00 $28.201.QO $25.000.00

Bldg A9J

$17.350.00 V / U Exmpt

$3,000.00 VI U TaldJl

Cnty. $3.201 Oher$3.2011Scht$3.201