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HomeMy WebLinkAboutInv# 27927 - Bonded Lightning Protection Systems, Inc. - 01/31/2023Invoice Date 5/4/2023 Invoice # 27927 Bill To City of Dania Beach Ocean Rescuee 1110 North Beach Road Dania Beach, FL.33004 Total Description Amount Subcontract is COMPLETE per Quote #23-37840-79559 City of Dania Beach - Lifeguard Towers 3,900.00 $3,900.00 QUOTE #:23-37840-79559 Tampa Office: 251 South 78th Street Tampa, FL 33619 Corporate Office: 2080 West Indiantown Rd. Ste 100 Jupiter, FL 33458 Tallahassee Office 1505 Capital Circle NW Unit B Tallahassee, FL 33619 Protecting People, Property & Assets | P: 561.746.4336 | F: 561.747.8233 | mail@bondedlightning.com | bondedlightning.com 01/20/2023 03/21/2023 City of Dania Beach Lifeguard Towers Date: Project: Expires:Ref Specs: Location:300 N. Beach Road Dania Beach, FL 33004 United States of America 110 N Beach Rd Dania Beach, FL 33004 United States of America 65 N Beach Rd Dania Beach, FL 33004 United States of America Estimate Total:$3,900.00Customer:City of Dania Beach $1,950.00Tower 1 $1,950.00Tower 2 Scope of Proposal 1)Price includes furnishing and installing a complete Lightning Protection System as specified 2)Price is based on utilizing class 1 aluminum lightning protection materials 3)Proposal includes all labor, materials, shipping, and shop drawings unless noted below 4)The lightning protection system will be installed per UL96A, LPI 175, and NFPA 780 lightning protection standards Exclusions 1)Price is based on adhering directly to the roof membrane and does not include furnishing and installing any sacrificial roofing pads, pavers, parapet brackets, membrane strips, etc. If required by the roofing manufacturer, approximately () are required The above specifications, terms and contract are satisfactory and we hereby authorize the performance of this work. ACCEPTANCE OF BID Bonded Lightning Protection Systems, Inc. Standard Terms and Conditions of sale , dated 08/07/2015 apply and are incorporated by reference as part of this quotation and any work resulting from this quotation. Should you need a copy please call 561-746-4336 or visit our website at www.bondedlightning.com/terms Signed: Print Name: Date: Company: Patrick C. Dillon, President BONDED LIGHTNING PROTECTION SYSTEMS, INC. Page 1 of 1Electrical License: EC13008770 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3/2/2022 Bowen,Miclette &Britt of Florida,LLC 850 Concourse Pkwy S Suite #105 Maitland FL 32751 Michelle Rushing (407)647-1616 (407)628-1635 mrushing@bmbinc.com Charter Oak Fire Ins.Co.25615 BONDEDLIGH2 Travelers Property Casualty Co of Amer 25674BondedLightningProtectionSystems,Inc. 2080 W.Indiantown Road,Suite 100 Jupiter FL 33458 Phoenix Insurance Company 25623 Landmark American Ins Co 33138 566148966 A X 1,000,000 X 300,000 5,000 1,000,000 2,000,000 X Y Y CO-2N470935 3/1/2022 3/1/2023 2,000,000 C 1,000,000 X XX Y Y 810-1N199239 3/1/2022 3/1/2023 B X X 1,000,000 10,000 Y Y CUP-7P398339 X 1,000,000 3/1/2022 3/1/2023 Prod/Comp Ops Agg 1,000,000 D 2nd Layer Excess Liability LHA097221 3/1/2022 3/1/2023 Each Occurrence Aggregate 4,000,000 4,000,000 The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance.The terms contained in the policies and/or endorsements supersede the representations made herein.Electronic copies of the policy provisions and/or endorsements listed below are available by emailing:certificates@bmbinc.com When required by written contract,those parties listed in said contract,including the Certificate Holder,are added as an additional insured with respect to General Liability,including ongoing and completed operations,Auto Liability,and Umbrella Liability as afforded by the policy and/or endorsements. When required by written contract,waiver of subrogation is granted with respect to General Liability,Auto Liability,and Umbrella Liability,in favor of those See Attached... City of Dania Beach 100 W Dania Beach Boulevard Dania Beach FL 33004 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: BONDEDLIGH2 1 1 Bowen,Miclette &Britt of Florida,LLC Bonded Lightning Protection Systems,Inc. 2080 W.Indiantown Road,Suite 100 Jupiter FL 33458 25 CERTIFICATE OF LIABILITY INSURANCE parties listed in said contract,including the Certificate Holder. The General Liability,Auto Liability,and Umbrella Liability certified herein are primary and non-contributory to other insurance available,but only to the extent required by written contract.