TIDS SECOND AMENDMENT to Agreement is made and entered into this ~D dayof

Size: px
Start display at page:

Download "TIDS SECOND AMENDMENT to Agreement is made and entered into this ~D dayof"

Transcription

1 SECOND AMENDMENT TO AGREEMENT BETWEEN CTY OF JACKSONVLLE AND J. B. COXWELL CONTRACTNG, NC. FOR DESGN BULD SERVCES FOR MNOR- MEDUM SZE CVL ENGNEERNG & PARK MPROVEMENT PROJECTS (NORTH AREA) TDS SECOND AMENDMENT to Agreement is made and entered into this ~D dayof MCV\.c.X\, 2015, by and between the CTY OF JACKSONVLLE, a Florida municipal corporation in Duval County, Florida (the "Owner") and J. B. COXWELL CONTRACTNG, NC., a Florida profit corporation with an office at 641 Lloyd Road West, Jacksonville, Florida (the "Design-Builder"), for various specific minor to medium size civil engineering and park improvement projects in the North Service Area (the "Projects"). WHEREAS, on September 2, 2009, the parties made and entered into City of Jacksonville Contract No (the "Agreement"); and WHEREAS, said Agreement has been amended once previously; and WHEREAS, said Agreement should be amended further by extending the period of service from March 2, 2015, through September 30, 2015, with no increase to the maximum indebtedness, such maximum indebtedness remaining an amount not-to-exceed 12,000, for the period September 2, 2009, through September 30, 2015, and with all other provisions, terms, and conditions of said Agreement remaining unchanged; now therefore N CONSDERATON of the mutual covenants and obligations contained herein, Owner and Design-Builder agree as follows:. The above-stated recitals are accurate, true, and correct and are incorporated herein and made a part hereof by this reference. 2. Section 1.2 of said Agreement is amended by extending the period of service from March 2, 2015, through September 30, 2015, and as amended shall read as follows: "1.2 Period of Service: This Agreement shall commence on the Effective Date and shall continue and remain in full force and effect thereafter until September 30,2015, or until earlier termination as provided in Article 8 hereof or Article 11.2 of the General Conditions of Contract." 3. The total maximum indebtedness shall remain a not-to-exceed amount of 12,000, SAVE AND EXCEPT as expressly amended by this instrument, the provisions, terms, and conditions of said Agreement, as previously amended, shall remain unchanged and shall continue in full force and effect.

2 N WTNESS WHEREOF, the respective parties hereto have executed this Second Amendment effective the day and year first above written. ' FOR DESGN-BULDER: J. B. COXWELL CONTRACTNG, NC., a Florida corporation +~) Name: Sam E. Mousa, P.E. ts: Executive Vice President ----~ ~~ FOR OWNER: Attest: CTY OF JACKSONVLLE, a Florida municipal corporation Cleveland Ferguson ill Deputy Chief Administrative Officer For. Mayor Alvin Brown Under Authority of: executive Order No

3 Encumbrance and funding information for internal City use: Account..... Amount... This above stated amount is the maximum fixed monetary amount of the foregoing contract. t shall not be encumbered by the foregoing contract. t shall be encumbered by one () or more subsequently issued purchase(s) that must reference the foregoing Contract. All financial examinations and funds control checking will be made at the time such check request(s) are issued. n accordance with Section (e), ofthe Ordinance Code of the City ofjacksonville, do hereby certify that there is an unexpended, unencumbered and unimpounded balance in the appropriation sufficient to cover the foregoing agreement; provided however, this certification is not nor shall it be interpreted as an encumbrance of funding under this Contract. Actual encumbrance[ s] shall be made by subsequent purchase order[s], as specified in said Contract. Form Approve ~t:::::..,. c...::.=jj/~. &flk~~.,..::{1=--'-j Director of Finance City Contract # , Amd #2 (b.. =-- Contract Encumbrance Data Sheet follows immediately. C :\Users\10 Frazee\Documents\J. B. Coxwell. K #2. Design Build doc

4 CERTFCATE OF LABLTY NSURANCE 12/15/2014 THS CERTFCATE S SSUED AS A MATTER OF NFORMATON ONLY AND CONFERS NO RGHTS UPON THE CERTFCATE HOLDER. THS CERTFCATE DOES NOT AFFRMATVELY OR NEGATVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLCES BELOW. THS CERTFCATE OF NSURANCE DOES NOT CONSTTUTE A CONTRACT BETWEEN THE SSUNG NSURER(S), AUTHORZED REPRESENTATVE OR AND THE CERTFCATE HOLDER. f the holder is an Muuo, ov"m~, the 1 must be. f.,, ov" S '.subject to the t~rms i pol~cy, certain may require an endorsement. A statement on this certificate does not confer rights to the ' holder in lieu of such Riles PRODUCER E Johnson & Company,_ ""'' (407) 801 N Orange Avenue ;nhn Suite Orlando FL 'NSURER.7.; "" "' NSURED 1 1\ ~; r!:=!t1 r!.. J. B. COXWELL CONTRACTNG, NC LLOYD ROAD, WEST FL lin,ur<r c,the ""'""" n linsuror o' ]NSUReR F fffc. Nol'.net Co & Liab ns (', NAC# l !7 ~ ( '"'~5 JBC. N~====,--, i:~~c::t~g~o~~~~~;n~~g AJY REg~~EMENT.~~~~:~~g~~~"ci'F BJ~~ 6~S~T~6~ 6~E6THER D~~~~~~t~~i~ ~~~~ ~gl~~6~~~~~ CERTFCATE MAY BE SSUED OR MAY PERTAN, THE NSURANCE AFFORDED BY THE POLCES DESCRBED HEREN S SUBJECT TO ALL THE TERMS, EXCLUSONS AND CONDTONS OF SUCH~= LMTS SHOWN MAY HAVE BEEN~ PAD CLAMS. 'ri'k'. TYPE_Q'_.!Nmfll'lllll. POUCYNUMBoR ~ 1 LMTS LABLTY ~ lx GoNERAL LABLTY ~.~~~~ cu A f-:-:c+-_j CLAMS MADE [ij OCCUR GLO ~/ 1 / / 1 /?m< MEDEXPAyooope,ool ~ CONTRACTUAL GENERAL ~ B ~ ANYAUTO All OVrNED f-:-:- AUTOS ~ HRED AUTOS r- SCHEDULED L AUTOS fv NON-OV\'NED ~ AUTOS ~ UMBRELLA LAB u ~GCUR B EXCESS LAB ~ - --~ r.l, BAP " /?015 L/1/2016 ;<. cn.. o>no each ncc,rrfncf OCMU ' (Poe ''"ool OED X 10,00( ~uc oo " 1?015 1/1/2016 WORKERS COMPENSATON : juj&'" AND EMPLOYERS' LABLTY 1,000,00C 300,00C 5,00C 1,000,000 2,_coo, coo 2,000,000 1,000,000 10,000 5,000,000 5,000,000 Leased/Rented 500,000 Max Per tem 2% Deduct. ;i; hb': ' 1Lel 5,000 Min DESCRPTON OF OPERATONS/ LOCATONS/ VEHCLES (Attach ACORD 101, Additional Remarks Schedule, f more space s required) RE: Various Specific Minor-Medium Size Civil Engineering and Park mprovement Projects within the Scope of Work provided on Exhibit "A" of the Master Contract. City of Jacksonville is additional insured under the commercial general liability coverage. CERTFCATE HOLDER CANCELLATON City of Jacksonville, a Florida Municipal Corporation SHOULD ANY OF THE ABOVE DESCRBED POLCES BE CANCELLED BEFORE Department of Public Works THE EXPRATON DATE THEREOF, NOTCE WLL BE DELVERED N ACCORDANCE WTH THE POLCY PROVSONS. Chief of Engineer and Construction Division 214 N. Hogan Street, 10th Floor AUTHORZED REPRESENTATVE Jacksonville, FL ACORD 25 (201 0/05) 11\JO:::n?JO. t'ln<nn<a n-t Francis O'Reardon/AJ -=-= ---~~ ACORD CORPORATON. Allnghts reserved.

5 ACORD' CERTFCATE OF LABLTY NSURANCE JBCOXWE-01 DPARATORE DATE (MM/ODNYYY) ~ 1/7/2015 THS CERTFCATE S SSUED AS A MATTER OF NFORMATON ONLY AND CONFERS NO RGHTS UPON THE CERTFCATE "n1 n~r THS CERTFCATE DOES NOT AFFRMATVELY OR NEGATVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLCES BELOW. THS CERTFCATE OF NSURANCE DOES NOT CONSTTUTE A CONTRACT BETWEEN THE SSUNG NSURER(S), AUTHORZED REPRESENTATVE OR PRODUCER, AND THE CERTFCATE HOLDER. 1' f the certificate holder is an ADDTONAL NSURED, the policy(ies) must be endorsed. f SUBROGATON S 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 holder in lieu of such ~~f.~~' Powe:llir~~r'pany NSURED, FL J B Coxwell Contracting nc dba Whitehouse Recycling 6741 Lloyd Road West Jacksonville, FL ~Dora A ' E'"' {904) [,()(1, Nol' (904) JOJ O ~~ '. NSURER A ' NSURFR R ONSUOFO c NSURER D NSURFO.' NSURER F NAC# THS S TO CERTFY THAT THE POLCES OF NSURANCE LSTED BELOW HAVE BEEN SSUED TO THE NSURED NAMED ABOVE FOR THE POLCY PEROD NDCATED. NOTWTHSTANDNG ANY REQUREMENT, TERM OR CONDTON OF ANY CONTRACT OR OTHER DOCUMENT MTH RESPECT TO WHCH THS CERTFCATE MAY BE SSUED OR MAY PERTAN, THE NSURANCE AFFORDED BY THE POLCES DESCRBED HEREN S SUBJECT TO ALL THE TERMS, EXCLUSONS AND CONDTONS OF SUCH POLCES. LMTS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAMS. 'rio\' POLCY NUMBER LMTS GENERAL LABLTY ~ CLAMS MADE D OCCUR A f=r 1-- r-,.., nsco N :::::: :L ooo po"oo) & ADV NJURY GENERAL :'EHMT APPLES PER; PRO- D POLCY JECT LOC 'AGG Oll<ER;.lTV ~ ~ r- ANY AUTO BODL YNJURY (Poc po"oo) ALL OWNED -SCHEDULED ~ODLY 1 1NJURY (Poe oocldool) r- AUTOS - AUTOS NON-OWNED r- HRED AUTOS - AUTOS UMBRELLA UAB H OCCUR EACH' r- EXCESS LAB W~ c ~TEl ~~H land l~~u_o >ou u w 01/01/ /01/2016 NA E.l 1 1n NHl_ E.L DSEASE. FA llfy", 1 OF E.L DSEASE. POLCY LMT 1 ' DESCRPTON OF OPERATONS/ LOCATONS /VEHCLES (ACORD 101, Additional Remarks Schedule, may be attached if more space s required) RE: Various Specific Minor-Medium Size Civil Engineering and Park mprovement Projects within the Scope of Work provided on Exhibit "A" of the Master Contract. CERTFCATE HOLDER CANCELLATON City of Jacksonville, a Florida Municipal Corporation SHOULD ANY OF THE ABOVE DESCRBED POLCES BE CANCELLED BEFORE Department of Public Works THE EXPRATON DATE THEREOF, NOTCE WLL BE DELVERED N ACCORDANCE WTH THE POLCY PROVSONS. Chief of Engineer and Construction Division 214 N. Hogan Street, 10th Floor Jacksonville, FL AUTHORZED REPRESENTATVE,;;;-~r.c'/ fr ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORD CORPORATON. All roghts reserved.

6 SUBJECT: DESGN BULD SERVCES FOR VAROUS MNOR-MEDUM SZE CVUPARKS (NORTH AREA) BD # CDB OPEN DATE: 3/11/2009 COMPETTVE SEALED PROPOSAL EVALUATON COMMTTEE KND AND BASS OF CONTRACT: CONSTRUCTON -DESGN/BULD AGENCY: DEPARTMENT OF PUBLC WORKS BASS OF AWARD: EVALUATON CRTERA NUMBER OF BDS NVTED: 62 NUMBER RECEVED: 18 OTHER: l SUMMARY OF BDS AND RECOMMENDED ACTONS: Recommend approval to extend the contract ( ) to J.B. Coxwell Contracting, nc. lor the period from March 2nd, 2015 thru September 30th, 2015 with the maximum indebtedness to the city remaining at 12,000, for continued services within the North Service Area; with no changes to the current Terms & Conditions. Projects awarded under this bid to be funded by individual Purchase Order(s). ATTACHMENTS: 1) Recommendation Memo 2) Vendor Acknowledgement 3) Previous Awards ~;~.try, BUYER (YJ ~DANEL PEARSON CONCURRENCE BY: William J. Joyce, P.E.. Chief, Engineering and Construction Management Division (ALL AWARD ACTONS SUBJECT TO LAWFULLY APPROPRATED FUNDS) ACTON OF CSPEC COMMTEE ON RECOMMENDATONS ABOVE l ( MEMBERS DSAPPROVNG DATE:. CQ :;(qlj.3::_ OTHER ~ ~--- ACTON OF AWARDNG AUTHORTY r\ APPROVED --"}_. --"F~' DATE..-..,. L /' t cleveland Ferguson m,, uty,e ~ ZJ! ~.. DSAPPROVED: OTHER: ~-- ~),r\,/...-, 1 Ct:l,f.. ~dffi!aistrem)e ofi:..,, '.l For: Mayor Alvin Brown SGNATURE OF AUTHENTCATON l,_ ,-t,. _of-_.. _ '---( /, i //--l--executiveorder No {)1 \ ' l \ F

TIDS FIRST AMENDMENT to Contract for stormwater outfall ditch cleaning and

TIDS FIRST AMENDMENT to Contract for stormwater outfall ditch cleaning and ~TAMENDMENTTOCONTRACT (PAD BY SUBSEQUENT PURCHASE ORDERS) BETWEEN THE CTY OF JACKSONVLLE AND FLORDA NATVES NURSERY, NC. FOR STORMWATER OUTFALL DTCH CLEANNG AND REHABLTATON TDS FRST AMENDMENT to Contract

More information

CITY OF PALMDALE. REPORT to the Mayor and Members of the City Council from the City Manager

CITY OF PALMDALE. REPORT to the Mayor and Members of the City Council from the City Manager CTY OF PALMDALE REPORT to the Mayor and Members of the City Council from the City Manager DATE: June 6, 2017 SUBJECT: Approval of Amendment No. 1 to Agreement A-5419 to Knorr Systems. nc. to increase contract

More information

County, Florida (hereinafter the "Owner" or the "City"), and CORE CONSTRUCTION

County, Florida (hereinafter the Owner or the City), and CORE CONSTRUCTION CONTRACT BETWEEN THE CTY OF JACKSONVLLE AND CORE CONSTRUCTON COMPANY OF JACKSONVLLE D/B/A CORE CONSTRUCTON CO., NC. FOR DUVAL COUNTY HEALTH DEPARTMNENT TB UNT EXPANSON THS CONTRACT is executed as of this

More information

NEW CLIENT DOCUMENTS PACKET

NEW CLIENT DOCUMENTS PACKET 2118 S. Cushman #203 Fairbanks, AK 99701 ben@codexconstruction.com (907) 378 1232 NEW CLENT DOCUMENTS PACKET 1. W 9 Request for Taxpayer dentification Number and Certification 2. Business License http://commerce.state.ak.us/cbp/main/bldetail.aspx?id=1015553

More information

SECOND AMENDMENT TO AGREEMENT BETWEEN THE CITY OF JACKSONVILLE AND HANSON PROFESSIONAL SERVICES INC. FOR MISCELLANEOUS CIVIL ENGINEERING- SOUTH AREA

SECOND AMENDMENT TO AGREEMENT BETWEEN THE CITY OF JACKSONVILLE AND HANSON PROFESSIONAL SERVICES INC. FOR MISCELLANEOUS CIVIL ENGINEERING- SOUTH AREA SECOND AMENDMENT TO AGREEMENT BETWEEN THE CTY OF JACKSONVLLE AND HANSON PROFESSONAL SERVCES NC. FOR MSCELLANEOUS CVL ENGNEERNG SOUTH AREA THS SECOND AMENDMENT to Agreement is made and entered into in duplicate

More information

TO:. t ; ;. -: FROM: Richard Bales, Director Tulsa County Park Divis DATE: August 24, 2016

TO:. t ; ;. -: FROM: Richard Bales, Director Tulsa County Park Divis DATE: August 24, 2016 :~ rr : '.= i J ~ _ ' _;, '.,/ ;') 0:1 '1: ')CJ «L. _, TO:. t ; ;. : FROM: Richard Bales, Director Tulsa County Park Divis DATE: August 24, 2016 The Park Division respectfully request Board approval of

More information

City of Menahga Action Memorandum Council action:

City of Menahga Action Memorandum Council action: City of Menahga Action Memorandum 16-032 Subject: Authorize Renewal of Liquor License D #1075 for VFW 6206 Agenda of: November 14, 2016 Council action: Summary statement: Action Memorandum 16-032 authorizes

More information

3. Delete the current exhibit and replace with the new Exhibit B-1 Program Budget.

3. Delete the current exhibit and replace with the new Exhibit B-1 Program Budget. ALAMEDA COUNTY HOUSNG AND COMMUNTY DEVELOPMENT DEPARTMENT AMENDMENT NO. 1 TO THE HOUSNG OPPORTUNTES FOR PERSONS WTH ADS PROGRAM (HOPWA) CONTRACT NO. 12066 BETWEEN THE COUNTY OF ALAMEDA AND EAST OAKLAND

More information

STRUCTURAL ENGINEERING SERVICES ANNUAL CONTRACT RESOLUTION NO.: R CONTRACT DATED: FEBRUARY 7, 2017

STRUCTURAL ENGINEERING SERVICES ANNUAL CONTRACT RESOLUTION NO.: R CONTRACT DATED: FEBRUARY 7, 2017 January 2, 2018 Department of Engineering and Public Works P.O. Box 21229 West Palm Beach, FL 33416-1229 (561) 684-4000. FAX: (561) 684-4050 www.pbcgov.com Palm Beach County Board of County Commissioners

More information

WHEREAS, on September I, 2009, the parties made and entered into City of Jacksonville Contract No (the "Agreement"); and

WHEREAS, on September I, 2009, the parties made and entered into City of Jacksonville Contract No (the Agreement); and SECOND MENDMENT TO GREEMENT BETWEEN CTY OF JCKSONVLLE ND ULD & WHTE CONSTRUCTORS, NC. FOR DESGN BULD SERVCES FOR MNOR- MEDUM SZE CVL ENGNEERNG & PRK MPROVEMENT PROJECTS (SOUTH RE) ~H~ SECOND MENDMENT to

More information

2015, by and between the CITY OF JACKSONVILLE, FLORIDA, a municipal corporation in Duval

2015, by and between the CITY OF JACKSONVILLE, FLORIDA, a municipal corporation in Duval TIDRD AMENDMENT TO CONTRACT (PAID BY SUBSEQUENT PURCHASE ORDERS) BETWEEN THE CITY OF JACKSONVILLE AND ALTAIR ENVIRONMENTAL GROUP, LLC FOR STORM SEWER CLEANING AND CCTV INSPECTION THIS TIDRD AMENDMENT to

More information

THIS AMENDMENT NUMBER SIX TO AGREEMENT is made and entered into in. 11. f}r'"l

THIS AMENDMENT NUMBER SIX TO AGREEMENT is made and entered into in. 11. f}r'l AMENDMENT NUMBER SIX TO AGREEMENT BETWEEN THE CITY OF JACKSONVILLE AND EISMAN & RUSSO, INC. FOR COUNTYWIDE PROGRAM MANAGEMENT FOR RESURFACING AND NEW SIDEWALK CONSTRUCTION THIS AMENDMENT NUMBER SIX TO

More information

3 day of 1-R.bh~, 2015, by and between the CITY OF

3 day of 1-R.bh~, 2015, by and between the CITY OF 1017-1{ ANtlf FIRST AMENDMENT TO AGREEMENT BETWEEN THE CITY OF JACKSONVILLE AND W AITZ & MOYE, INC. FOR MISCELLANEOUS CIVIL ENGINEERING- WEST AREA THIS FIRST AMENDMENT to Agreement is made and entered

More information

Event Permit. ~~,1./::J-~t'-/ ! Lee County. Le~,FiorJ'!1: Permit Type. 0 Film Permit. Taste of Pine Island. Permit Number SECP ALC

Event Permit. ~~,1./::J-~t'-/ ! Lee County. Le~,FiorJ'!1: Permit Type. 0 Film Permit. Taste of Pine Island. Permit Number SECP ALC Event Permit Event Name: Taste of Pine sland Applicant: Kiwanis Club of Greater Pine sland Contact: Pat Burman 239.558.8207 Location: Phillips Park, 5675 Sesame Drive, Bokeelia Valid only for the Following

More information

CITY OF RICHMOND SHORT FORM CONTRACT

CITY OF RICHMOND SHORT FORM CONTRACT CTY OF RCHMOND SHORT FORM CONTRACT Department: Public Works - Facilities Maintenance Project Manager: A Shanklin Project Manager E-mail: A_Shanklin@cLrichmond.ca.us Project Manager Phone No: 231-3010 PRNo:

More information

(hereinafter the "Owner" or the "City"), a municipal corporation in Duval County, Florida, and

(hereinafter the Owner or the City), a municipal corporation in Duval County, Florida, and SECOND AMENDMENT TO CONTRACT (PAID BY SUBSEQUENT PURCHASE ORDERS) BETWEEN THE CITY OF JACKSONVILLE AND HUBBARD CONSTRUCTION COMPANY FOR CONTINUOUS ASPHALT RESURFACING IN THE SOUTHEAST AREA (p 7g3 -I~ l:r

More information

SEP WITNESSETH

SEP WITNESSETH R20 8 SECOND AMENDMENT TO THE ANNUAL CONSTRUCTON MATERALS TESTNG, GEOTECHNCAL ENGNEERNG AND NSPECTON SERVCES CONTRACT NO. R2017-1660 DATED NOVEMBER 7, 2017, BY AND BETWEEN TERRACON CONSULTANTS, NC., AND

More information

JACKSONVILLE, a municipal corporation in Duval County, Florida (the "CITY"), and CDM SMITH

JACKSONVILLE, a municipal corporation in Duval County, Florida (the CITY), and CDM SMITH AMENDMENT NUMBER THIRTEEN TO AGREEMENT BETWEEN THE CITY OF JACKSONVILLE AND CDM SMITH INC. FOR MASTER STORMWATER MANAGEMENT PLAN: UPDATE/UPGRADE MAP MODERNIZATION AND TMDL SUPPORT TillS AMENDMENT NUMBER

More information

Michael B. Schorah & Associates, Inc Forest Hill Boulevard, Suite 206 West Palm Beach, Florida Attn: Mr. Michael B. Schorah, President

Michael B. Schorah & Associates, Inc Forest Hill Boulevard, Suite 206 West Palm Beach, Florida Attn: Mr. Michael B. Schorah, President May4, 2017 Department of Engineering and Public Work P.O. Box 21229 Wet Palm Beach, FL 33416-1229 (561) 684-4000 FAX: (561) 684-4050 www.pbcgov.com Palm Beach County Board of County Commiioner Paulette

More information

TillS SECOND AMENDMENT to Contract for countywide asphalt pavement preservation

TillS SECOND AMENDMENT to Contract for countywide asphalt pavement preservation .- SECOND AMENDMENT TO CONTRACT (PAID BY SUBSEQUENT PURCHASE ORDERS). BETWEEN THE CITY OF JACKSONVILLE AND HUBBARD CONSTRUCTION COMPANY FOR COUNTYWIDEASPHALTPAVEMENTPRESERVATIONANDREHABILITATION TillS

More information

CONTRACT BETWEEN THE CITY OF JACKSONVILLE AND A PLUS CONSTRUCTION SERVICES, INC. FOR FLORIDA THEATRE ADA RENOVATIONS AND UPGRADES

CONTRACT BETWEEN THE CITY OF JACKSONVILLE AND A PLUS CONSTRUCTION SERVICES, INC. FOR FLORIDA THEATRE ADA RENOVATIONS AND UPGRADES /ZJ//76 I CONTRACT BETWEEN THE CITY OF JACKSONVILLE AND A PLUS CONSTRUCTION SERVICES, INC. FOR FLORIDA THEATRE ADA RENOVATIONS AND UPGRADES THIS CONTRACT is made and entered into as of this.a:l day of

More information

::fp~, 2015, retroactive to December 15,2014 (hereinafter

::fp~, 2015, retroactive to December 15,2014 (hereinafter SECONDAMENDMENTTOAGREEMENT (USING U.S. GENERAL SERVICES ADMINISTRATION CONTRACT# GS07F0248K) BETWEEN THE CITY OF JACKSONVILLE AND TRANE U.S. INC. d/b/a TRANE COMMERCIAL SYSTEMS NORTH FLORIDA FOR FACILITIES

More information

tonnif,. fjfjntr ~.c.rllne.idtr-,,jedn~ I

tonnif,. fjfjntr ~.c.rllne.idtr-,,jedn~ I Memorandum of nsurance (MOD Pagel of 9 Memorandum of nsurance MEMORANDUM OF NSURANCE DATE 28-Dec- 2015 This Memorandum is issued as a matter of information only to authorized viewers for their internal

More information

f i:ee County Event Pertnit --~ r~ -J-7-ty Permit Type Pine Island Garden Club 14th Annual Garden Gala Permit Number CP John A.

f i:ee County Event Pertnit --~ r~ -J-7-ty Permit Type Pine Island Garden Club 14th Annual Garden Gala Permit Number CP John A. Event Pertnit Event Name: Pine sland Garden Club 14th Annual Garden Gala Applicant: John A. Kendall Contact: John A. Kendall, 239.283.8175 Location: Phillips Community Garden Park, 5675 Sesame Dr. Bokeelia

More information

BY-LAW NUMBER-.9S:"0F 2004 OF THE CITY OF SARNIA

BY-LAW NUMBER-.9S:0F 2004 OF THE CITY OF SARNIA BY-LAW NUMBER-.9S:"0F 2004 OF THE CTY OF SARNA "A By-Law to Authorze an Agreement wth Consel Scolare de Dstrct des Ecoles Catholques du Sud-Ouest" WHEREAS t s deemed expedent that the Corporaton of the

More information

CITY OF TACOMA. Request for Bids Specification No. NC S

CITY OF TACOMA. Request for Bids Specification No. NC S CTY OF TACOMA NOTCE OF A SMALL WORKS ROSTER CONTRACTNG OPPORTUNTY June 8, 2015 Request for Bids Specification No. NC15-0361S Project Scope: Demolition of all Building at 4420 North 8th Street, Tacoma WA

More information

ENTERPRISES, LLC d/b/a PESTMASTER SERVICES OF JACKSONVILLE, a Florida limited

ENTERPRISES, LLC d/b/a PESTMASTER SERVICES OF JACKSONVILLE, a Florida limited FllTHAMENDMENTTOCONTRACT BETWEEN THE CITY OF JACKSONVILLE AND OREM ENTERPRISES, LLC d/b/a PESTMASTER SERVICES OF JACKSONVILLE FOR VEGETATION MANAGEMENT COUNTYWIDE THIS FIFTH AMENDMENT to Contract is executed

More information

CONTRACT BETWEEN THE CITY OF JACKSONVILLE AND AQUINO CONSTRUCTION, INC. FOR BULL'S BAY HIGHWAY DRAINAGE IMPROVEMENTS

CONTRACT BETWEEN THE CITY OF JACKSONVILLE AND AQUINO CONSTRUCTION, INC. FOR BULL'S BAY HIGHWAY DRAINAGE IMPROVEMENTS CONTRACT BETWEEN THE CITY OF JACKSONVILLE AND AQUINO CONSTRUCTION, INC. FOR BULL'S BAY HIGHWAY DRAINAGE IMPROVEMENTS THIS CONTRACT is executed as of this d=) day of 0 ~, 2015, by and between the CITY OF

More information

BACKGROUND: The Pier was severely damaged by Hurricane Matthew. Our insurance company

BACKGROUND: The Pier was severely damaged by Hurricane Matthew. Our insurance company FLAGLER BEACH CTY COSSON REVSED 02-09- 207 tem No. 9 City anager' s Report eeting Date: February 09, 207 ssue: Award Bid No. FB207-202- 02 " Fishing Pier Hurricane atthew Emergency Safety Temporary Repairs".

More information

R-70, R-71, R-73, R-74

R-70, R-71, R-73, R-74 July 21, 2000 Contact: Mr. Rchard Kaefer Chef Audtor Ext. 157 R.C. 1948 To the Members of the Board RE: New York Workers Compensaton Admralty and Federal Employers Lablty Act Standard Lmt of Lablty and

More information

CITY OF TIMMINS. as per the request submitted by Mr. Crocco by replacing an existing fluorescent lighted sign with a LED sign in the City of Timmins.

CITY OF TIMMINS. as per the request submitted by Mr. Crocco by replacing an existing fluorescent lighted sign with a LED sign in the City of Timmins. CTY OF TMMS BY-LA O. 25-7698 BEG A BY- LA to allow Robert Crocco the owner of 25 Thrd Avenue to encroach upon Thrd Avenue, n the Cty of Tmmns, and for fxng a fee for such prvlege. HEREAS The Muncpal Act,

More information

- DATE (MM/DD!YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/5/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT

More information

CITY OF ROHNERT PARK CITY COUNCIL AGENDA REPORT

CITY OF ROHNERT PARK CITY COUNCIL AGENDA REPORT Mission Statement We Care for Our Residents by Working Together to Build a Better Community for Today and Tomorrow. ITEM NO. 7C1 Meeting Date: February 14, 2017 Department: Development Services Submitted

More information

AGENDA MEMORANDUM. July 22, 2008 BRIEF OVERVIEW: Department of Development Services I Division of Community Development Proposals Receiv~d: 5

AGENDA MEMORANDUM. July 22, 2008 BRIEF OVERVIEW: Department of Development Services I Division of Community Development Proposals Receiv~d: 5 7/22108 AGENDA MEMORANDUM Cathy Taylor, Management & Budget Ron Barner, Purchasing & Contracts Manager RFQ No. 048-08; 2035 Long Range Transportation Plan; Tindai- Oiiver & nc. July 22, 2008 BREF OVERVEW:

More information

COUNTY OF KANE. DOCUMENT VET SHEET for. Chairman, Kane County Board

COUNTY OF KANE. DOCUMENT VET SHEET for. Chairman, Kane County Board COUNTY OF KANE Christopher J. Lauzen Kane County Board Chairman Kane County Government Center 719 South Batavia Avenue Geneva, L 60134 P: (630) 232-5930 F: (630) 232-9188 clauzen@kanecoboard.org www.countyofkane.org

More information

~~~~ACT Sally hayes. Io"bA~~ss: INSURER D:

~~~~ACT Sally hayes. IobA~~ss: INSURER D: CORD CERTFCTE OF PROPERTY NSURNCE DTE (MMDDYYYY) ~ 5/29/2015 THS CERTFCTE S SSUED S MTTER OF NFORMTON ONLY ND CONFERS NO RGHTS UPON THE CERTFCTE HOLDER. THS CERTFCTE DOES NOT FFRMTVELY OR NEGTVELY MEND,

More information

Proposal For: 917 Alabama Avenue S. Bremen, Georgia Phone: (770) Fax: (770)

Proposal For: 917 Alabama Avenue S. Bremen, Georgia Phone: (770) Fax: (770) Proposal For: JEA Solicitation Title: The Point Meadows 230/26kV Substation and Transmission Circuits 946/956 Interconnect JEA Solicitation Number: 085-16 Silvey Proposal No. 16P028 917 Alabama Avenue

More information

Agenda Item~ II PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY. Meeting Date: October 7, 2014 [X] Consent [ ] Ordinance

Agenda Item~ II PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY. Meeting Date: October 7, 2014 [X] Consent [ ] Ordinance Attachments:. Location Map 2. Agreement Recommended B Department Director Date Agenda tem~ i PALM BEACH COUNTY BOARD OF COUNTY COMMSSONERS AGENDA TEM SUMMARY Meeting Date: October 7, 24 [X] Consent [ ]

More information

UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF I

UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF I UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE

More information

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

_g_ day of, )u 04, 2015, by and between the CITY OF JACKSONVILLE, a

_g_ day of, )u 04, 2015, by and between the CITY OF JACKSONVILLE, a 5700-/0 Aw.J.(JJ AMENDMENT NUMBER SIX TO AGREEMENT BETWEEN THE CITY OF JACKSONVILLE AND ATKINS NORTH AMERICA, INC. FOR ENGINEERING SERVICES FOR ALTA DRIVE ROADWAY IMPROVEMENT PROJECT THIS AMENDMENT NUMBER

More information

CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : Gordon Chevrolet, Inc. INSURER C : 171 Great Road INSURER D : Acton, MA 01720 INSURER E : INSURER F : INSURER(S) AFFORDING

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

USE AGREEMENT BETWEEN <OWNER> AND ORANGE COUNTY. THIS AGREEMENT (the Agreement ), is entered into by and between

USE AGREEMENT BETWEEN <OWNER> AND ORANGE COUNTY. THIS AGREEMENT (the Agreement ), is entered into by and between Prepared by and after recording return to: Tax parcel ID No.: USE AGREEMENT BETWEEN AND ORANGE COUNTY THIS AGREEMENT (the Agreement ), is entered into by and between, a ,

More information

29. Cisco Technology Products

29. Cisco Technology Products City Council Agenda 29. Cisco Technology Products Action: A. Approve contracts for providing Cisco technology products and services for the term of five years in the estimated annual amount of $2,000,000

More information

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY. March 12, 2013 [X] Consent [] [] Workshop []

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY. March 12, 2013 [X] Consent [] [] Workshop [] PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Agenda Item #: 3-C-3 Meeting Date: Department: Submitted By: Submitted For: March 12, 2013 [X] Consent [] [] Workshop [] Engineering

More information

SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP

SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP 465 W. Warren Rd. Phone#: (407) 862.6966 On the Web at www.jray.com Longwood, FL 32750 Fax #: (407) 571.3597 Instructions: Elaboration

More information

STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA

STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA LICENSE EXPIRES SEPTEMBER 30, 2019 RENEW LICENSE(S) BEFORE AUGUST 1, 2019 Confirmation Number: 20180725000010800 Renewal Period: June

More information

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130 State of West Virginia Solicitation Response Proc Folder : 388532 Solicitation Description : ADDENDUM 2 -

More information

Exhibit E-1: Insurance Requirements

Exhibit E-1: Insurance Requirements Please produce separate Certificate(s) of Insurance for this project as detailed below: Certificate Holder: AllertonFox Construction LLC 110 W 40 th Street, Suite 1603 New York, NY 10018 CERTIFICATE# 1:

More information

(}J\µJ;\_~< ,--/_p_~_/_J((J

(}J\µJ;\_~< ,--/_p_~_/_J((J Attachments: Amendment No. 01 with Catholic Charities Recommended By:,.,_L~ Approved By: (}J\µJ;\_~

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130 State of West Virginia Solicitation Response Proc Folder : 426521 Solicitation Description : Addendum 3-Williamson

More information

USE AGREEMENT AMONG <DEVELOPER>, <HOMEOWNERS ASSOCIATION>, AND ORANGE COUNTY. THIS AGREEMENT (the Agreement ) is entered into by and among

USE AGREEMENT AMONG <DEVELOPER>, <HOMEOWNERS ASSOCIATION>, AND ORANGE COUNTY. THIS AGREEMENT (the Agreement ) is entered into by and among This instrument prepared by: Tax Parcel ID No.: USE AGREEMENT AMONG , , AND ORANGE COUNTY THIS AGREEMENT (the Agreement ) is entered into by and among, a

More information

TRANSMITTAL 'DAT S.2O1S

TRANSMITTAL 'DAT S.2O1S r 5 TO Marce L. Edwards, General'Manager. Department of Water and Power FROM The Mayor TRANSMITTAL 'DAT - 0S.2O1S 0150-10050-0001 COUNCIL FILE NO. 13-1441.. COUNCIL DISTRICT NA \ ORDINANCE FOR THE HA1WEE

More information

NOTICE OF AWARD. RE: Bid #4183RP-Painting & Pressure Washing Services-Contact Labor

NOTICE OF AWARD. RE: Bid #4183RP-Painting & Pressure Washing Services-Contact Labor LAKE COUNTY SCHOOLS Leading our Children to Success Procurement Services 29529 CR 561 Tavares FL 32778 (352) 253-6760 Fax: (352) 253-6761 http://lake.k12.fl.us Superintendent: School Board Members: Susan

More information

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130 State of West Virginia Solicitation Response Proc Folder : 332008 Solicitation Description : OSR Southern

More information

CITY OF RICHMOND SHORT FORM CONTRACT

CITY OF RICHMOND SHORT FORM CONTRACT CTY OF RCHMOND SHORT FORM CONTRACT Department: Recreation Project Manager: Jerry Anderson Project Manager Email: jerry anderson@d.richmond.ca.us Project Manager Phone No: 6206904 PRNo: Vendor No: ~~1..~

More information

REGIONAL ROAD CONCURRENCY AGREEMENT CONSTRUCTION OF IMPROVEMENTS

REGIONAL ROAD CONCURRENCY AGREEMENT CONSTRUCTION OF IMPROVEMENTS Return recorded document to: Planning and Redevelopment Division 1 North University Drive, Suite 102A Plantation, Florida 33324 Document prepared by: NOTICE: PURCHASERS, GRANTEES, HEIRS, SUCCESSORS AND

More information

SECOND AMENDMENT TO MASTER PURCHASE AGREEMENT

SECOND AMENDMENT TO MASTER PURCHASE AGREEMENT STATE OF NORTH CAROLINA CONTRACT # 110179.02 COUNTY OF MECKLENBURG SECOND AMENDMENT TO MASTER PURCHASE AGREEMENT THIS SECOND AMENDMENT To The Agreement to provide Park And Playground Equipment, Surfacing,

More information

PARADE APPLICATION RULES

PARADE APPLICATION RULES PARADE APPLICATION RULES 1. All applicants for entry are subject to approval and acceptance by the Parade committee. For applications to be considered, they must be completed and received by December 1,

More information

New York Workers Compensation Terrorism Risk Insurance Extension Act of 2005

New York Workers Compensation Terrorism Risk Insurance Extension Act of 2005 New York Compensaton Insurance Ratng Board B U L L E T I N February 2, 2006 Contact: Rchard Kaefer Feld Servces Manager (212) 697-3535 ext. 157 rkaefer@nycrb.org R.C. 2104 To the Members of the Board RE:

More information

The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following:

The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: DocuSign Envelope ID: 698692AA-34AA-4E87-B00D-5F810F0FFDD6 Financial Services Purchasing Division 215 N. Mason St. 2 nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing

More information

SPECIAL EVENTS INSURANCE REQUIREMENTS

SPECIAL EVENTS INSURANCE REQUIREMENTS Permit Center 210 Lottie Street, Bellingham, WA 98225 Phone: (360) 778-8300 Email: pwpermits@cob.org Web: www.cob.org/permits SPECIAL EVENTS INSURANCE REQUIREMENTS Permit Applicant: Give this memorandum

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/8/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORDTM INSURED INSURER A : Travelers Property Cas Co of America INSURER B : Travelers Indemnity Company INSURER C : Berkley Insurance Company INSURER D : Travelers Indemnity Company of CT INSURER E :

More information

CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin within the Vendor Self Service portal at wvoasis.gov.

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC A AUTOMOBILE LIABILITY Y Y CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY

More information

Note on Idaho Private Investigator License

Note on Idaho Private Investigator License Note on Idaho Private Investigator License Idaho is one of five (5) states in the U.S. that do not require and do not provide any government-issued licenses for private investigators and private investigation

More information

Committed to Excellence Procurement Services 29529 CR 561 Tavares FL 32778 (352) 253-6760 Fax: (352) 253-6761 http://lake.k12.fl.us Superintendent: School Board Members: Susan Moxley, Ed.D. District 1

More information

CONTACT NAME: PHONE (A/C, No, Ext): ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F :

CONTACT NAME: PHONE (A/C, No, Ext):  ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : 1 2 3 5 6 7 8 9 COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE

More information

INSURED INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 6/09/2014 THIS

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE UMBRELLA LIAB EXCESS LIAB DED RETENTION CERTIFICATE OF LIABILITY INSURANCE OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE DATE (MM/DD/YYYY) 04/20/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION

More information

NOW THEREFORE BE IT ORDAINED

NOW THEREFORE BE IT ORDAINED ORDINANCE OF THE CITY OF BAYONNE, COUNTY OF HUDSON, NEW JERSEY AUTHORIZING FIVE (5) YEAR TAX EXEMPTION ON THE ASSESSED VALUE OF NEW IMPROVEMENTS ONLY FOR NEWLY CONSTRUCTED RESIDENTIAL UNITS WITH RESPECT

More information

SPECIFIC TERMS AND CONDITIONS FOR TERM DEPOSIT-i BASED ON TAWARRUQ (Effective Date: 2 April 2018)

SPECIFIC TERMS AND CONDITIONS FOR TERM DEPOSIT-i BASED ON TAWARRUQ (Effective Date: 2 April 2018) FOR TERM DEPOSIT- BASED ON TAWARRUQ (Effectve Date: 2 Aprl 2018) The Specfc Terms and Condtons mentoned heren are applcable to all Term Depost- products based on the Sharah concept of Tawarruq offered

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORD CERTIFICATE OF LIABILITY INSURANCE Date (MM/DD/YR) Today s Date THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES

More information

ALLONGE TO PROMISSORY NOTE. (City View Apartments)

ALLONGE TO PROMISSORY NOTE. (City View Apartments) () THIS ( Allonge ) dated as of, 2015, is made by CHURCH STREET HOUSING PARTNERS I, LLC, a Florida limited liability company ( Borrower ), with a principal address of 100 South Orange Avenue, 7 th Floor,

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORDTM CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY

More information

REQUEST FOR USE OF PUBLIC PROPERTY (SPECIAL EVENTS APPLICATION)

REQUEST FOR USE OF PUBLIC PROPERTY (SPECIAL EVENTS APPLICATION) 512 Springfield Avenue Summit, NJ 07901 Tel. (908) 273-6400 Fax (908) 273-2977 REQUEST FOR USE OF PUBLIC PROPERTY (SPECIAL EVENTS APPLICATION) NOTE: (This application must be submitted at least three (3)

More information

City of New York v Vaknin 2014 NY Slip Op 31499(U) June 10, 2014 Sup Ct, NY County Docket Number: /2013 Judge: Cynthia S.

City of New York v Vaknin 2014 NY Slip Op 31499(U) June 10, 2014 Sup Ct, NY County Docket Number: /2013 Judge: Cynthia S. Cty of New York v Vaknn 2014 NY Slp Op 31499(U) June 10, 2014 Sup Ct, NY County Docket Number: 450773/2013 Judge: Cyntha S. Kern Cases posted wth a "30000" dentfer,.e., 2013 NY Slp Op 30001(U), are republshed

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

C!J Attachments provided Time Required for Request 5"-- minutes

C!J Attachments provided Time Required for Request 5-- minutes CTY COUNCL AGENDA REQUEST Name:.:..K",e",lyLS:::.c",h.:.::u::.:ltz:::...>.:(o:::.n:..:b:..:e:::.h:::a:.:.lf.::o:..:f A..:JP"'p:::li.:::ca::.:n.::.t)'--,Agenda Date Requested: June 11, 2018 Department -'P-'la::.:n.::n:::in.!-'gL-,Date

More information

EUPTLC. 2018/19 Tuition Fee Loan application notes for continuing part-time EU students studying in Wales. completing your form.

EUPTLC. 2018/19 Tuition Fee Loan application notes for continuing part-time EU students studying in Wales. completing your form. EUPTLC 2018/19 Tuton Fee Loan applcaton notes for contnung part-tme EU students studyng n Wales About these notes These notes should be read alongsde your Tuton Fee Loan applcaton form. completng your

More information

DocuSign Envelope ID: E7-5F1C-4156-BC4E C6B

DocuSign Envelope ID: E7-5F1C-4156-BC4E C6B INSURED CERTIFICATE OF LIABILITY INSURANCE COLUM-8 DATE (MM/DD/YYYY) INSURER A : National Fire Ins Co of Hartfo INSURER B : 20478 Midwest Employers Casualty Co INSURER C : INSURER D : INSURER E : INSURER

More information

CITY OF PALMDALE. REPORT to the Mayor and Members of the City Council from the City Manager

CITY OF PALMDALE. REPORT to the Mayor and Members of the City Council from the City Manager CITY OF PALMDALE REPORT to the Mayor and Members of the City Council from the City Manager DATE: June 6, 2017 SUBJECT: Approval of the First Amendment to Agreement A5495 with Antelope Valley Domestic Violence

More information

CERTIFICATE.OF.LIABILITY.INSURANCE

CERTIFICATE.OF.LIABILITY.INSURANCE CERTIFICATE.OF.LIABILITY.INSURANCE TIE R045 2/2/2018 DATE THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

Note on Alaska Private Investigator License

Note on Alaska Private Investigator License Note on Alaska Private Investigator License Alaska is one of five (5) states in the U.S. that do not require and do not provide any state-issued licenses for private investigators and private investigation

More information

NOW, THEREFORE, BE IT RESOLVED BY THE GOVERNING BOARD OF THE CITY OF ORLANDO COMMUNITY REDEVELOPMENT AGENCY:

NOW, THEREFORE, BE IT RESOLVED BY THE GOVERNING BOARD OF THE CITY OF ORLANDO COMMUNITY REDEVELOPMENT AGENCY: A RESOLUTION OF THE CITY OF ORLANDO COMMUNITY REDEVELOPMENT AGENCY ADOPTING A BUDGET FOR THE FISCAL YEAR BEGINNING OCTOBER 1, 2018 AND ENDING SEPTEMBER 30, 2019; MAKING FINDINGS; AUTHORIZING AMENDMENTS;

More information

NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF MANAGERS OF THE EL PASO COUNTY HOSPITAL DISTRICT: /

NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF MANAGERS OF THE EL PASO COUNTY HOSPITAL DISTRICT: / RESOLUTION OF THE BOARD OF MANAGERS OF EL PASO COUNTY HOSPITAL DISTRICT APPROVING AND AUTHORIZING A TAX ANTICIPATION LOAN AGREEMENT; AUTHORIZING CERTAIN DISTRICT OFFICIALS TO EFFECT SUCH LOAN AND EXECUTE

More information

USE AGREEMENT BETWEEN <HOMEOWNERS ASSOCIATION> AND ORANGE COUNTY. THIS AGREEMENT (the Agreement ) is entered into by and between

USE AGREEMENT BETWEEN <HOMEOWNERS ASSOCIATION> AND ORANGE COUNTY. THIS AGREEMENT (the Agreement ) is entered into by and between Prepared by: Tax parcel ID No: USE AGREEMENT BETWEEN AND ORANGE COUNTY THIS AGREEMENT (the Agreement ) is entered into by and between, a Florida not-for-profit corporation (the

More information

ISE High Income Index Methodology

ISE High Income Index Methodology ISE Hgh Income Index Methodology Index Descrpton The ISE Hgh Income Index s desgned to track the returns and ncome of the top 30 U.S lsted Closed-End Funds. Index Calculaton The ISE Hgh Income Index s

More information

City of Menahga Action Memorandum Subject: Authorize Renewal of Liquor License ID # for Orton s Menahga BP.

City of Menahga Action Memorandum Subject: Authorize Renewal of Liquor License ID # for Orton s Menahga BP. City of Menahga Action Memorandum 16036 Subject: Authorize Renewal of Liquor License ID #12017 for Orton s Menahga BP Agenda of: November 14, 2016 Council action: Summary statement: Action Memorandum 16036

More information

Crandall Corporation. Permit Package

Crandall Corporation. Permit Package Crandall Corporation Permit Package May 2018 Prepared by Crandall Corporation UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION

More information

Insurance Requirement Sheet

Insurance Requirement Sheet Insurance Requirement Sheet To ensure optimal protection for our guests as well as our own organization we ask our guests to provide sufficient insurance coverage. Most organizations are already covered

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/5/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

CONTRACTOR NETWORK. Application & Program Fundamentals

CONTRACTOR NETWORK. Application & Program Fundamentals CONTRACTOR NETWORK Application & Program Fundamentals INTRODUCTION DCMG is extremely thorough in the credentialing process of our network members to ensure that our client base of insurance carriers, property

More information

Subcontractor Insurance Requirements

Subcontractor Insurance Requirements Subcontractor Insurance Requirements Project Name / #: Certificate Holder & Address: All Operations Back s Construction, Inc. 1602 Front Street, Suite 100 San Diego, CA 92101 Comprehensive General Liability

More information

I, DIANE RAUH, City Clerk of said City hereby. certify that at a meeting of the City Council of said City of Des Moines, held. on the above date,

I, DIANE RAUH, City Clerk of said City hereby. certify that at a meeting of the City Council of said City of Des Moines, held. on the above date, * Roll Call Number Agenda te?2'ber Date JvJxJ),)QJQ Applcaton from Chrst the Kng Catholc Church requestng approval for a banner across.w. 9th treet to promote the weet Com Festval from August 1,2010 to

More information