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HomeMy WebLinkAbout15.f FYI USP Technologies Renewal 25-26 /`�Py __CO(/4", / CLAY COUNTY UTILITY AUTHORITY �I MEMORANDUM I4YAUTNC)* TO: Jeremy D. Johnson, Executive Director ,FROM: Darryl Muse, Chief Operations Officer Angelia Wilson, Procurement Mana:�4,, DATE: October 2, 2025 RE: Renewal of USP Technologies (USP) Service Agreement - Ridaught Landing Water Reclamation Facility (WRF) On June 7, 2022, the Board of Supervisors approved the decision to piggyback on the City of Orlando's Contract No. IFB21-0285 with USP for a service agreement related to chemical-based odor control at Ridaught Landing WRF. The USP/CCUA Service Agreement was scheduled to expire on October 1, 2025. However, the agreement includes terms allowing one (1) additional one-year renewal, subject to mutual agreement between both parties. Staff engaged USP regarding renewal, and USP has agreed to extend the agreement with the following proposed pricing adjustment: Proposed Pricing(effective October 1, 2025): • Peroxide: Increase from $5.43 per gallon to $5.65 per gallon (aligned with City of Orlando contract pricing) • Transportation and Energy Surcharge: Remains at 5% • Facility Fee for Peroxide: Remains at $560 per month This adjustment is consistent with the City of Orlando contract utilized for piggybacking. All other provisions of the original proposal remain unchanged, with the exception of pricing determined by the piggyback agreement. Aceg_ ,,.....-10, Attachments: 2026 Odor Control Program Renewal Letter USP Price and Surcharge 2026 Zsci 2-- /0 "`3 Z Amendment No. 5, City of Orlando Contract No. IFB21-0285 Jeremy D.Johnston, P.E.,M.B.A. Executive Director //DP (Author) //AW, DP, AE(Review) //DM (Final) USP technologies SotJtions for a clean environment October 2"d,2025 Darrin Parker Contract Procurement Specialist Clay County Utility Authority Darrin, Thank you for your business with USP Technologies and confidence in our company to continue to treat your system. As a Piggy-Back account with Orlando you may have received notice from them that the renewal for the next fiscal year has been accepted with a price adjustment. As mentioned in the letter sent at the start of the year, the pricing adjustment for peroxide will follow the fiscal year from 10/1/2025 to 9/30/26. Pricing for 50% hydrogen peroxide will match the new pricing at City of Orlando of $5.65/gallon. Facility Fee will remain at $560/month and surcharge will remain at 5%. Item New Pricing Estimated 2026 Usage H.P. Budget Amount Hydrogen Peroxide $5.65/gal 20,000 gal/yr $113,000 The increase is necessary to offset increased material and operating costs incurred by USP Technologies in a continually tightening market for peroxide. USP Technologies will continue to work on optimizing usage to control program costs. Thank you for your trust in our team and in USP. I look forward to our continued work together. Sincerely, Agreed to and Accepted on , 2025 Jim Graham Com any Name: Cla oun Utility Authority USP Technologies By: SE Territory Manager (901) 286-7177 jgraham@usptechnologies.com Title: Jeremy D. Johnston. MBA, PE Executive Director 1 APPENDIX A v usp technologies 2016 2026 NAM HP Industry utilization rate 1%) Demand Capacity increase. COVID Increased demand in rerrmconductors to 111Crease demand impact progressively tighten the market 98% 99% I0,0^an 979E•, 95 93A 92% �� 92% 91% 86% • Economics Department-American Trucking Association-Arlington,Virginia Truck Driver Shortage 1 80,0 o 160,0.^.0 14O,0UX1 110,000 100,000 Rol,(Y,)0 bU,(Y}U 40,000 20,000 2020 2021 2022 2023 2024 2025, 202t, 2027 2028 2029 2030 2 Hydrogen Sulfide Control Services Amendment No.: FIVE I FB21-0285 AMENDMENT NUMBER FIVE TO AGREEMENT DATED AUGUST 26,2021 BETWEEN CITY OF ORLANDO AND US PEROXIDE,LLC.OBA USP TECHNOLOGIES THIS AMENDMENT TO AGREEMENT is made and entered into this 23 day of , 2025, by and between the City of Orlando, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as the "City" and US Peroxide, LLC. DBA USP Technologies, hereinafter referred to as the "Contractor". WHEREAS, the City and the Contractor entered into an Agreement ("the Agreement") under the date of August 26, 2021, whereby the latter would perform certain services with respect to Hydrogen Sulfide Control Services;and WHEREAS, the parties amended the Agreement by date of May 9, 2022 (Amendment 1), and December 30, 2022 (Amendment 2), December 20, 2023 (Amendment 3), August 12, 2024 (Amendment 4); and WHEREAS, the City and the Contractor desire to amend the scope of services of said Agreement; NOW,THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties agree as follows: I. TERM OF AGREEMENT The Term of the Agreement is hereby renewed from August 23,2025, to August 22,2026. II. COMPENSATION PROVISION The Compensation provisions of the Agreement are hereby amended to add a 5% increase or$2,050/DT on Ferrous Chloride and a4% increase or$5.65/gal on 50%Hydrogen Peroxide services and as set forth in Exhibit"A"attached hereto and incorporated herein by reference.The Contractor shall continue to provide corrosion and odor control with hydrogen peroxide and PRI-SC III. HUMAN TRAFFICKING AFFIDAVIT This Contract is subject to the terms, conditions, provisions and requirements of Section 787.06 of the Florida Statutes and Contractor hereby represents, warrants, 1 of 9 Hydrogen Sulfide Control Services Amendment No.: FIVE I FB21-0285 and certifies that Contractor does not use coercion for labor or services as defined in Section 787.06, Florida Statues and that Contractor has provided the Human Trafficking Affidavit attached hereto as Attachment 1. IV. SCRUTINIZED COMPANY PROHIBITION Contractor certifies that it is not on the Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725 of the Florida Statutes, and is not engaged in a boycott of Israel. In addition, if this Contract is for a contract for goods or services of one million dollars or more,Contractor certifies that it is not on the Scrutinized Companies with Activities in the Iran Terrorism Sectors List, created pursuant to Section 215.473 of the Florida Statutes and is not engaged in business operations in Cuba or Syria. Contractor shall be required to recertify the aforementioned certifications at each renewal of the Contract, if applicable. The City may terminate the Contract pursuant to Section 287.I35(3)(a) of the Florida Statutes if Contractor is found to have submitted a false certification pursuant to this sub-section, is placed on any of these lists by the State of Florida, or engages in business operations in Cuba or Syria. V. ENTITIES OF FOREIGN COUNTRIES OF CONCERN AFFIDAVIT Contractor shall, in the form attached hereto as Attachment 2, provide the City with an affidavit signed by an officer or other authorized representative of Contractor under penalty of perjury attesting that Contractor is not owned by the government of a foreign country of concern (as defined in Section 287.138(1)(c) of the Florida Statutes), that the government of a foreign country of concern does not have a controlling interest in Contractor, and that Contractor is not organized under the laws of and does not have its principal place of business in a foreign country of concern. Additionally, Contractor shall re-execute and provide such an affidavit within a reasonable time after any renewal or extension of this Agreement, if applicable. VI. E-VERIFY Contractor represents and warrants that it has registered with and uses the E- Verify System to verify the work authorization status of all newly hired employees and shall continue to do so at all times during the term of the contract. If Contractor enters into a contract with a subcontractor, the subcontractor must 2 of 9 Ilydrogen Sulfide Control Services Amendment No.: FIVE I FB21-0285 provide Contractor with an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien; and Contractor must maintain a copy of such affidavit for the duration of the contract. The contract is otherwise subject to the terms, conditions, provisions, and requirements of Section 448.095 of the Florida Statutes. In all other respects, and except as specifically modified and amended herein and as previously amended, the Agreement shall continue in full force and effect as written and the parties hereto agree to be bound thereby. 3 of 9 Hydrogen Sulfide Control Services Amendment No.:FIVE IH 1321-0285 IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals on the date first written above. PROCUREMENT&CONTRACTS DIVISION API'ROVED AS TO FORM AND LEGALITY City of Orlando,Florida for the use and reliance of the City of Orlando,Florida,only. 13y. Chief Procurement Officer Date: ._ . 2025 David Billingsley,CPSM,C.P.M. Name,Typed or Printed 4ritA ASSISTANT CITY ATTORNEY Date: _T - 2,1 .20 Z ORLANDO,Fl OR I DA CONTRACTOR By: Signan Jordan Butler,Vice President& General Manager Name&Title,Typed or Printed US Peroxide LLC dba USP Technologies Name of Company,Corp.,etc. 5640 Cox Road Suite 300 Mailing Address Glen Allen,VA 23060 City, State and Zip 970-214-5276 Area Code/Telephone Number ******************************************************************************************** STATE OF fr ColO«dO COUNTY OF LA\ ►Y✓Ri f The foregoing instrument was acknowledged before me by means of 1�physical presence or online notarization,this i J day of ratinel ,2015,by 1 0ca0./► fbkAl QX , (name of person)as 1i.:P, bene l-a I 'Ana (type of authority,(e.g.,officer,trustee,attorney in fact,etc.)for (J� �fok:�c I.LG a bg,U P 'c& is e S (name of entity/party on behalf of whom instrument was executed). J BRANDWd1MADE NOTARY PUBLIC b/60/I/1- STATE OF COLORADO - (SEAL) NOTARY ID:20254017664 Signature of Notary Public--State o CO1er MY COMMISSION EXPIRES 05-12-2029 Print,Type,or Stamp Notary Name: Wont/Ion WaLle, Personally Known or_11Produ9sd dentification Type of Identification Produced I 4 of 9 Hydrogen Sulfide Control Services Amendment No.: FIVE IF1121-0285 Exhibit 1 Compensation Provision 5 of 9 USP mik technologies Javarie McDonald-Purchasing Agent II Stuart Guss-Procurement Technician City of Orlando Procurement and Contracts June 13,2025 Re: Price Adjustment for 5`h Amendment IFB21-0285 Dear Javarie and Stuart, Thank you for the continued confidence in USP Technologies and the opportunity to renew the current agreement with USP Technologies for odor control in your collection system under the Fifth Amendment. As I mentioned last year,the increase seen by USP in iron costs were significant at 17%over the previous year and we split the impact. Iron continues to be under pressure and is expected to increase 5-7%next year. I am requesting a modest adjustment to the peroxide pricing,and the low end of estimated increases for the iron. • Iron pricing adjustment for new contract period of 5% • Pricing change from the current$1951 to$2050/dry ton • Peroxide adjustment of 4% • Price change from the current$5.43/gal to$5.65/gal • Facility Fees unchanged(reduced last year by$560/month) • $560/month for peroxide • $560/month for iron • Transportation and Energy Surcharge was reduced earlier from 13%to 5% • Surcharge will remain at 5%. USP appreciates the confidence the City of Orlando has in our program and service and will continue to upgrade equipment as needed. Last year focused on upgrading dosing skid and 2025 will look at possible replacement of iron tank. Please let me know if you have any questions. Regards, pem ,),Idtam USP Technologies Territory Manager,Southeast (901)286-7177 jgrWham@uspt_echno1ogies.com e9chnolo technologies USP Technologies usptechnologies.com 1375 Peachtree Street NE,Suite 300N,Atlanta 30309 info®usptechno!ogies com Phone: 404-352-6070 Fax 404-352.6077 Hydrogen Sulfide Control Services Amendment No.: FIVE IFB21-0285 ATTACHMENT 1 HUMAN TRAFFICKING AFFIDAVIT 6of9 Hydrogen Sulfide Control Services Amendment No.:FIVE 1FB21-0285 Attachment I Human Trafficking Affidavit Instruction: "Vendor", defined as any person or nongovernmental entity seeking to engage in business with the City of Orlando("City"),must complete the following form. The undersigned, on behalf of Vendor,hereby attests as follows: A. Vendor understands and affirms that Section 787.06(13), Florida Statutes, prohibits the City from executing,renewing,or extending a contract to entities that use coercion for labor or services. B. Vendor hereby attests, under penalty of perjury, that Vendor does not use coercion for labor or services as defined in Section 787.06(2),Florida Statutes. 1, the undersigned, am an officer or representative of the nongovtxnmental entity named below, and hereby represent that 1: make the above attestation based upon personal knowledge; am over the age of 18 years and otherwise competent to make the above attestation; and am authorized to legally bind and make the above attestation on behalf of the Vendor. Under penalties of perjury, I declare that I have read the forgoing document and that the facts stated in it are true. Further Affiant sayeth naught. • Vendor: US Peroxide LLC dba USP Technologies Authorized Signature: L ,y-..L __ >C, t?mot �`� Date: 13-Jun-2025 Printed Name: Jordan Butler Title: VP&General Manager STATE OF CO IU C(dO COUNTY OF 1_0.v iris The foregoing instrument was acknowledged before me by means of‘physieal presence or❑online notarization,this _I_ .day of_ai)n(', ,20 ,by'o\Nay,.bOil40- _,as L, U2,(7A. on behalf of the company/corporation. They Dare personally known to me or l9 have produced 1 . 17 as identification. ,Signature of Notary Public BRANDON WADE (L) 4,v,ANr NOTARY PUBLIC STATE OF COLORADO Name of Notary Typed,Printed or Stam d NOTARY ID:20264017664 My Commission Expires:s..)).-d.0a, MY COMMISSION EXPIRES 05-12.2029 7of9 Hydrogen Sulfide Control Services Amendment No.: FIVE IFB21-0285 ATTACHMENT 2 FOREIGN COUNTRY OF CONCERN ATTESTATION 8 of9 Hydrogen Sulfide Control Services Amendment No.:FIVE IFB21-0285 Attachment 2 FOREIGN COUNTRY OF CONCERN ATTESTATION (PUR 1355) This form must be completed by an officer or representative of an entity submitting a bid,proposal,or reply to.or entering into,renewing,or extending,a contract with a Governmental Entity which would grant the entity access to an individual's Personal identifying Information. Capitalized terms used herein have the definitions ascribed in Rule 60A-1.020,F.A.C. US Peroxide, l_LC. DBA USP Technologies is not owned by the govennrnent of a Foreign Country of Concern, is not organized under the laws of nor has its Principal Place of Business in a Foreign Country of Concern, and the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. Under penalties of perjury,I declare that I have read the foregoing statement and that the facts stated in it are true. • Printed Name: Jordan Butler Title: VP & General Manager Signature: ? :fr -v Date: 13-Jun-2025 9 of 9 CITY OF MEMORANDUM I)A•I'l: May 27, 2025 '1'0: Jaime 1, Birmingham - Wastewater Business Manager FROM: Javarie McDonald - Purchasing Agent II SU13,1I?C I': Renewal or Term Contract (1E1521-0285) I Iydrogcn Sulfide Control Services Amendment Five(USP Technologies) This is a reminder that your contract lilt the above listed services!procluct will expire on August 23, 2025. We are requesting your guidance on the continuation of this service/product by indicating below il'you would like to continue with this contract. Renew Contract LIThe goods/services of this contract will continue to be needed. n Discontinue Contract --The goods/services of this contract are no longer needed. (_.] Re-Source Contract The goods/services ol'the contract will continue to be needed. Please start the process towards a new contract. COMM FNTS: Signature: 1 Print/Type Name: *30.;mZ ?iMi/Yt�')'1 Estimated Annual Expenditure: go25Op Date: (0 /. 1 as PROCUREMENT AND CONTRACTS Orlando City Hall • 400 South Orange Avenue•Fourth Floor PO Box 4990 • Orlando, FL 32802-4990 P 407.246.2291 • F 407.246.2869 • orlando.gov/procurement Form W-9 Request for Taxpayer Give form to the (Rev-March2024) Identification Number and Certification requester.Do not DepaInternal Revenueent f the Treasury Go to www.frs.gov/FormW9 for Instructions and the latest Information. send to the IRS. Internal Service _ Before you begin.For guidance related to the purpose of Form W-9,see Purpose of Form,below. 1 Name of entity/individual.An entry is required.(For a sole proprietor or disregarded entity,enter theowner's name on line 1.and enter the business/disregarded entity's name on line 2.) ChemTreat,Inc. 2 Business name/disregarded entity name,if different from above M 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1.Check 4 Exemptions(codes apply only to c only one of the following seven boxes. certain entities,not individuals, co o. see instructions on page 3) c ❑ Individual/sole proprietor ❑✓ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate ❑ LLC.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership) . . . Exempt payee code(if any) C Note;Check the"LLC"box above and,In the entry space,enter the appropriate code(C,S.or P)for the tax Zvi classification of the LLC,unless it is a disregarded entity.A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax o 2 box for the tax classification of its owner. Compl ance Act(FATCA)reporting t. H ❑ Other(see instructions) code(if any) E � u 3b If on line 3a you checked"Partnership"or"Trust/estate,"or checked"LLC"and entered"P"as its tex classification, (Applies to accounts maintained and you are providing this form to a partnership,trust,or estate in which you have an ownership interest,check outside the Unifed aintai) this box if you have any foreign partners,owners,or beneficiaries.See instructions ❑ 5 Address(number,street,and apt.or suite no.).See instructions. Requester's name and address(optional) 5640 Cox Road 6 City,state,and ZIP code Glen Allen,Virginia 23060 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid l Social security number backup withholding.For individuals,this is generally your social security number(SSN) However,for a - - resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other entities,it is your employer identification number(EIN).If you do not have a number,see How to get a or TIN,later. Employer identification number Note:If the account is in more than one name,see the instructions for line 1 See also What Name and --- Number To Give the Requester for guidelines on whose number to enter 5 4 - 0 8 4 2 8 9 7 Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4 The FATCA code(s)entered on this form(if any)Indicating that I am exempt from FATCA reporting is correct Certification Instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest pad, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and,generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part It,later. Sign signature S e� � ` Date 01/02/2025 Here u.s.person General Instructions New line 3b has been added to this form.A flow-through entity is required to complete this line to indicate that it has direct or indirect Section references are to the Internal Revenue Code unless otherwise foreign partners,ewners,or beneficiaries when it provides the Form W-9 noted. to another flow-through entity in which it has an ownership interest.This Future developments.For the latest information about developments change Is Intended to provide a flow through entity with information related to Form W-9 and its instructions,such as legislation enacted regarding the status of its indirect foreign partners,owners,or after they were published,go to www.Irs.gov/FormW9. beneficiaries,so that h can satisfy any applicable reporting requirements.Forexample,a partnership that has any indirect foreign What's New partners may be required to complete Schedules K-2 and K-3.See the Partnership Instructions for Schedules K-2 and K-3(Form 1065). Line 3a has been modified to clarify how a disregarded entity completes this line.An LLC that is a disregarded entity should check the Purpose of Form appropriate box for the tax classification of its owner.Otherwise,it should check the"LLC"box and enter its appropriate tax classification. An individual or entity(Form W-9 requester)who is required to file an information return with the IRS is giving you this form because they Cat.No 10231X Form W-9(Rev 3 2024) �Q® DATE MfYY) AC yO,^ CERTIFICATE OF LIABILITY INSURANCE osrJ0/2024 ono24 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Marsh USA LLC NAME: FAX 30 South 17th Street INC No.Eat): _WC,No): _. Philadelphia,PA 19103 E-MAIL Alin:Veratto certrequest@marsh CornADDRESS: — INSUPER(S)AFFORDING COVERAGE NA__IC/I CN142374883-USP-GAWU-24-25 U.S.P VERAL INSURER A: ACE American hsurance Compaq ... 22667 . INSURED US PEROXIDE,LLC INSURER e: ACE Property and Casually Insurance Comfy 20699 900 CIRCLE 75 PARKWAY INSURER C: Indemnity Its CO Of NedhAmer_ica .._. 43575 SUITE 1330 INSURER D: N/A NIA ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-007132720-81 REVISION NUMBER: 15 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 I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ILTR TYPE OF INSURANCE ADDL NSD SUBR WYD POLICY NUMBER IEFF POLICY EXP MM/DDLICY1YYYYI IYNuOonmY) LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G4892895A 0913012024 09/302025 EACH OCCURRENCE S 2,000,000 DAAMAGETO RTNTED 5 2,000,000 _ CLAIMS MADE X OCCUR PREMISES(Ea occurrence) _ X Contractual Liability MED EXP(Any one person) S 10.000 S 2,000,000 PERSONAL&ADV INJURY X Broad Form PD GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 5,000,000 X 1 POLICY I 1 JECO- pi LOC PRODUCTS-COMP/OP AGG S 5,000,000 OTHER: S A AUTOMOBILE LIABILITY ISA H11351529 09/30/2024 09ro012025 COMBINEDd SINGLE LIMIT nt) $(Ea 3,000,000 X ANY AUTO BODILY INJURY(Per person) S OVVNED SCHEDULED— SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY — AUTOS HIRED NON OWNED PROPERTY DAMAGE S _ AUTOS ONLY _ AUTOS ONLY (Per accident) _ S B X UMBRELLA LIAB X OCCUR XEUG4742107A 002 09/30/2024 09/30/2025 EACH OCCURRENCE S 5,000.000 EXCESS LIAB 1 CLAIMS-MADE AGGREGATE S 5,000,000 DED RETENTIONS S C WORKERS COMPENSATION WLR C72611846(AOS) 09/30/2024 09130/2025 x PER STATUTE ER OTH AND EMPLOYERS'LIABILITY A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N SCF C72611883(WI) 09/30/2024 09/301'2025 E.L.EACH ACCIDENT S 2,000,000 OFFICER/MEMBER EXCLUDED? I N I N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 2,000,000 II Yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) THE CITY AND ITS OFFICERS,ELECTED OFFICIALS,CITY AND EMPLOYEES WAIVER OF SUBROGATION IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT "SEE ACCORD 101" CERTIFICATE HOLDER CANCELLATION CITY OF ORLANDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN PROCUREMENT AND CONTRACTS DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P 0 BOX 4990 ACCORDANCE WITH THE POLICY PROVISIONS. ORLANDO,FL 32802 AUTHORIZED REPRESENTATIVE Vre.a..rod Z€.s i.t�.e& I - ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD