36116_IFB_17_18-42_Cloud_Branch.pdf

DATE: 09/19/18

PURCHASING OFFICE: 407.688.5030

ACCOUNTS PAYABLE: 407.688.5020

FACSIMILE: 407.688.5021

PURCHASE ORDER

UTYOFSANFORD

RO.BOX1788

(300NORTHPARKAVENUE)

SANFORD,FLOMDA32772

FLORIDA TAX EXEMPT NO.: 858012621681C-8

PO NUMBER 036116

SUBMIT INVOICES TO: ACCOUNTS PAYABLE

FINANCE DEPT.

P.O. BOX 1788

SANFORD, FL 32772

VENDOR NO.: 12464

TO:

ALL TERRAIN TRACTOR SERVICE IN

949 SHADICK DR

ORANGE CITY, FL 32763

SHIP TO:

CITY OF SANFORD

800 FULTON STREET

SANFORD, FL 32771

DELIVER BY

09/30/18

TERMS

NET

F.O.B. DESTINATION

UNLESS OTHERWISE INDICATED

BID OR QUOTATION NO. REQUISITION NO.

66721

ACCOUNT NO.: 402-4045-541.63-00 PROJECT NO.: ST093

NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD

UNIT OF

ITEM NO. DESCRIPTION QUANTITY

ISSUE

UNIT COST EXTENDED COST

1 CONTRACTOR FOR SECONDARY DRAINAGE 147407.87 NA 1.00 147407.87

PROJECTS IN THE

CLOUD BRANCH AREA

TO INCLUDE:

HOLLY AVENUE FROM 9TH STREET TO

10TH STREET AND

SOUTH ON MYRTLE AVENUE AT 13TH

STREET.

CITY COMMISSION APPROVED 8/27/18

IFB 17/18-42

SUB -TOTAL 147407.87

TOTAL 147407.87

APPROVED !IV.

APPROVED BY -

PURCHASING AGE

NAGER

All packages and Invoices applicable to this P.O. must bear this P.O. Number. The Vendor s all comply ith all specified and referenced herein before and after. Any attempts to insert language to change these terms and conditi ns are hereby rejected and will be resolved in favor of the City of Sanford. Standard terms and conditions hereby incorporated into this purchase order may be found at http://www.sanfordfl.gov/index.aspx?page =879 Terms and conditions applicable to P.O.'s and at Additional Terms and conditions http://www.sanfordfl.gov/index.aspx?page= 883

CITY OF

SANFORD

FLORIDA

PURCHASE ORDER TERMS AND CONDITIONS

1. By accepting this Purchase Order (PO) the Vendor accepts all of the Terms and Conditions included herein. The Buyer is the City of Sanford, Floridai hereinafter referred to as the "City". The term "city" is used in a broad sense to include its employees, directors, officers, agents, volunteers, etc.

2. All information referenced is hereby incorporated into the P0. These Terms and Conditions may be varied only by written amendment signed by the parties. All modifications In performance, including but not limited to, extensions of time, renewal, or substitution are void absent dually signedamendment by the parties. Time Is of the essence of the lawful performance of the duties and obligations Contained in the Purchase Order. The Vendor agrees that Vendor shall diligently and expeditiously pursue Vendor's 'obligations.

3. Cancellation rights reserved by-the City. The city may cancel this PO in whole or In part at any time for default by written notice to the Vendor. The city shall have no'llability to the Vendor beyond paYirient of any -balance owing for Material purchased hereunder and delivered to and accepted by the City prier to the Vendor's receipt of the notice oftermination.

4. TermS of shipping are F.O.B. the City's delivery location _unless otherwise noted within the terms of this PO. Regardless of the indicated F.O.B.

point, the City does not accept title until the delivery- isacknowledged by an authorized City representative"

5. Prices stated on this PO are firm, all inclusive and consistent with applicable negotiations, bid(s) and/or quotations. The City is exempt from the Florida Sales and Use Tax and will furnish the Vendor with proof of tax exemption upon request. Extra charges for any purpose will not be allowed unless explicitly indicated on the. PO. This orderts hereby cancelled, If pricing is omitted.

6. The Vender warrants that any Material or equipment supplied hereunderisnew, unused condition and free from defects in title, workmanship, defects in design and in full Compliance with the specifications defined by the City in the order. The goods or services furnished under this PO are covered by commerdal warranties for such goods or services and that the rights and remedies provided therein are in addition to and do not limit those available to the City. A copy of these warranties and an applicable manufacturers".warranties shall be furnished at the time.ef delivery.

7.. The City reserves the right to conduct any inspection or investigation to verify compliance of the goods and/or services withthe requirements of this purchase order and to reject any delivery not in compliance If any deficiency Is ndt Visible at the time of delivery the City reserves the right to take and/or require appropriate Corrective action üpOn the discovery of any deficiency, non-compliance, or defect

8. All tools or property furnished to the Vendor by the-City shallremain the property of the City, be subject to removal upon the City's demand, be used only on behalf of the City, be maintained in.good order, and be clearly identified as property of the City. The Vendor assumesany and all liability of whatsoever type or nature for loss or damage to such property.

R. The Vendor agrees to comply with all Federal, State of Florida, Seminole County, City laws, ordinances, regulations, authority and codes and authority- having jurisdiction over the purchase.

10. To the fullest extent permitted by law, the Vendor shallindemnify, hold harmless and defend the City, its agents, servants, officers, officials and employees, or -any of them, from and againgt any and all claims, damages, losses, and expenses including, but not limited to, attorney's fees and other legal costs such as those for paralegal, investigative, and legal supportservices, and the actual costs Incurred for expert witness testimony, arising out of or resulting from the 'performance or provision of services required under this Agreement, provided that same is caused In whole or In pert by the error, omission, act, failure to act, breach of contract obligation, malfeasance, Officers, officials, employees; or agents. Additionally, the Vendor accepts responsibility for all damages resulting in any way related to the procurement and delivery of goods or services contemplated in this purchase order. Nothing herein shall be deemed to affect the rights, privileges, and immunities Of the City as set frirth In Seaton 768.28, Florida' Statutes.

11. The Vendor shall not assign-this PO, any rights under this PO or anymonies due or to become due hereunder nor delegate or subcontract any obligations or work hereunder without the prior written consent of the City.

12. The Vendor shall not disclose the existence of this PO without prior written consent of the City except as may be required to perform this PO.

13. All Material purchased hereunder must be packaged toensure its security and delivery In accorda nce With the City's shipping and packaging specification and good commercial practice. Each package shall be labeled Indicating the addre:ssee of each package or shipment and the applicable PO number. All Shipments shall comply with HAZMAT requirements including, but not limited to, (DOT) regulations published In 49CFR 1399, OSHA regulations 29 CFR 4999.

14. TheVendor shall perform the'obligations of this PO as an independent contractor and under no circumstances shall it be considered as agent or employee of the City.

15.. The Vendor ensures that'its personnel shall comply with reasonable condikt guidelines and City ',elides and procedures.

16: After each .delivery, the Vendor shall provide to the "bill to address" an original, "proper invoice" (single copy) which includes:. a) Vendor's narne(dba), telephone -number, mailing address;' by City's P.O. Number; c) Date of invoice; d) Shipping date; e) Delivery date; 0 Payment terms; g) Description of goods/services; h) quantity; 0 Unit price; j) Extended price; k) Total. The City has the right to reconcile invoice with the PO and adjust payment accordingly to comply with the PO. Payment will be made only to the Vendor Identified on the PO and for received and accepted goods/services. The City shall .have right at any time to. set-off any amounts due to the Vendor against any amounts owed to theCity by the Vendorand shall In the case of Vendor default retain the right to further adjust payments as consistent With the best interests of the City.

17. Payment of invoices will be in Compliance with Chapter 218, Part VII of Florida Statutes, City Ordinance No. 3029, Purchasing Policy of the City and the stipulations, terms and conditions of this P0 Any cash discount period will date from receipt of invoice, receipt of actual delivery or date of Invoice, which ever Is later.

-18. If this Pp involves the Vendor's performance on the City's premises or at any place where the City conducts operations, the Vendor shall request information from the Purchasing Manager regarding insurance coverage requirements. In circumstances where Insurance Is required, Vendor shallprovide prods Of Insurance required by the City, or City reserves the right to Cancel this Purchase Order, immediately suspend performance by the Vendor at Vendor's expense .and prohibit access to City premises until such proofs of insurance is verified. Noncompliance with this item shall place the Vendor in default and subject, to disbarment from the City's Vendor List.

19. The failure of the city to enforce any provision of this PO, -exercise any right or privilege granted to the City hereunder shall not constitute or be construed as a waiver deny such provision or right and the same shall continue in force.

20. The Vendor shall notify the Purchasing Manager of any inherent hazard and applicable precautions, protective measures and provide *any additional relevant information, including MSDS, related to the Material being purchased herein.

21. The City 'shall have the right at no additional Charge to useall or portions-of Material found In the Vendor's applicable, literature relevant to the purchase. The Vender agrees to advise the City of any updated information relative to the foregoing literature and documentation with timely written notice.

22. A person or affiliate who has been removed from the City's Vendor List may not submit a bid or transact "busIness with the City in excess Of

Category Two fora period of- thirty-six (36).months from the date of being removed from the City's Vendor List.

23, In compliance with 8 U.S.C: Section 1324a(e) [Section 274A(e) of the Immigration and Nationality Act (INA)), the City will not intentionally make an award or upon discovery of a violation will unliatera Ily -cancel this PO with any contractor who knowingly employs unauthorized alien workers-.

24. This PO shall be governed by and interpreted In accordance- with the laws of the State of Florida. In any action or proceedingrequired to enfOrce or interpret the terms of this Agreement, verwe,shalt be of the Eighteenth Judicial Circuit in and for Seminole County, Florida

Purchasing Dept., Tel 407.688.5028 or 407.688.5030 Fax: 407.688.5021 Finance Dept 407.688.5020 I

Public Works Administration

Jeff Davis

All Terrain Tractor Service #12464

Purchasing Division Requisition Form

Department

Contact Person

Vendor

Address

Contact Person

Email I

Tell

City of Sanford PO Box 1788 Sanford, FL

Seminole 32772

Phone: 407-688-5030 Fax: 407-688-5021 www.sanfordfl.gov

Finance Manager Budget Transfer

Override Accounts (initials)

Line Item Account Code Description Quantity Unit Extended Price

402-4045-541.63-00 Contractor for Secondary Drainage 1 $147,407.87

Project ST093 Projects in the Cloud Branch area

Delivery Instructions:

Additional Comments:

Corn:

Sub:

IFB 17/18-42

City Commission Approved 8/27/18

Areas to include Holly Avenue from 9th Street to 10th Street and south on Myrtle Avenue at 13th Street.

COI Attached - Expires 11/30/2018

Internal Use Only

Amount Paid Check No. Date

OuP4) bVe 1'),—) rIg

SANFORD

FLORIDA

WS RM X

Item No. (Q

CITY COMMISSION MEMORANDUM 18— 183B

AUGUST 27,2018 AGENDA

To:

Honorable Mayor and Members of the City Commission PREPARED BY: Jeff Davis, Project Manager SUBMITTED BY: Norton N. Bonaparte, Jr., City Manager SUBJECT: Cloud Branch III Secondary Drainage Project

STRATEGIC PRIORITIES:

El Unify Downtown & the Waterfront El Promote the City's Distinct Culture DI Update Regulatory Framework El Redevelop and Revitalize Disadvantaged Communities

SYNOPSIS:

Award of Bid # IFB 17/18-42 to the lowest responsive and responsible bidder is proposed for the Cloud Branch III Secondary Drainage Project and approval of implementing procurement activity is requested.

FISCALISTAFFING STATEMENT:

The total amount requested is an amount not to exceed $147,407.87 and is available from the Stormwater Secondary Drainage account.

BACKGROUND:

The City is planning to make improvements to the drainage along Holly Avenue from 9th Street to 10th Street and south on Myrtle Avenue at 13th Street. These improvements will address areas where stormwater infrastructure is in need of replacement due to the advanced age of the system. The project will consist of new drainage structures and pipe. The City advertised an Invitation for Bid in accordance with City Procurement Policies.

All Terrain Tractor Service, Inc. of Orange City has been determined by City staff to be the lowest and most responsive bidder. The vendor's corporate officers are James T. Crow, Jr. and Christine E. Crow. The bid tabulation sheet is attached.

LEGAL REVIEW:

The City Attorney has reviewed and has no legal objection to the actions to be implemented in accordance with City Purchasing Policy.

RECOMMENDATION:

It is staffs recommendation that the City Commission award Bid # IFB 17/18-42 to All Terrain Tractor Service, Inc. and approve the implementing procurement activities in an amount not to exceed $147,407.87.

SUGGESTED MOTION:

"I move to award the Bid # IFB 17/18-42 to All Terrain Tractor Service, Inc. and approve the implementing procurement activities in an amount not to exceed $147,407.87."

Attachment: (1). Bid Tabulation Sheet.

(2). Bid Opening Minutes.

FINANCE DEPARTMENT

Finance Department I Purchasing Division 300 N Park Ave Sanford, FL 32771 Telephone: (407) 688-5028 Fax: (407) 688-50216 Email: marisoLordonez@sanfordfl.gov

Bid Tabulation Solicitation Number: IFS 17/18-42

Solicitation Title: Cloud Branch Phase III Side Streets

Solicitation Opening Date: June 21, 2018

Solicitation Opening Time: 2:00 PM Local Time

All Terrain Tractor Service

DB Civil Construction

GPS Civil Construction

Cathcart Civil Construction

Description . ■

Lump Sum Total

Appedix A Schedule of Values

$147,407.87

$1.25

$205,325.15

$2.35

$329,000.00

$2.00

5433,000.00

$1.00 FDOT Ref Item 0104 10 3

Description Sediment Barrier

028570 6 Optional Base, Base Group 06 $18.68 $29.52 $20.00 $30.00 0327 70 6 Milling Ex ASPH PAVT, 1.5" AVG Depth $16.14 $12.15 $6.00 $7.00 0334 15 3 Superpave ASPH., CONC., TRAF C PG79-22 $144.43 $207.00 $180.00 $150.00 0425 13 51 Inlets, Curb, Type P-5, <10' $5,769.00 $4,610.00 $6,000.00 $8,000.00 0425 15 21 Inlets, DT BOT, Type C, <10' $2,772.00 $3,050.00 $3,500.00 $6,000.00 top 31 210 Utility Pipe - PVC, F&I 12" $16.80 $160.40 $50.00 $75.00 0430 17 4118 Pipe Culv OPT Mad & Gutter, Type F $53.13 $99.75 $90.00 $75.00 0520 11 Concrete Curb & Gutter, Type F $22.65 $27.50 $18.00 $25.00 0520 24 Concrete Curb, Type D $22.50 $44.00 $16.00 $25.00 0520 3 Ribbon Curb - Conc. 12" $14.85 $29.00 $18.00 $20.00 0522 1 Conc Sidewalk and Driveways, 4" Thick $40.50 $124.00 $40.00 $40.00 0522 2 Cone Sidewalk and Driveways, 6" Thick $49.05 $85.00 $50.00 $50.00 0570 12 Performance Turf - Sod $3.90 $4.20 $5.00 $5.00 oyoo 111 Single Post Sign Assembly, 12 SF $250.00 $667.00 $300.00 $250.00

Brick PVMT, Brick, RCA Base, F&I $8.50 $4.50 $4.00 $20.00 r-a CITY OF

FINANCE DEPARTMENT

300 N. Park Avenue, Sanford, Florida 32771 • Telephone (407) 688-5028 Fax (407) 688-5021 • Email: purchasing@sanfordfl.gov

July 23, 2018

Re: IFB 17/18-42 Cloud Branch Secondary Drainage

To Whom It May Concern:

The City of Sanford Purchasing Division hereby provides notification of its intent to award the above referenced solicitation to the below listed firm:

All Terrain Tractor Service

This Notice of Intent to Award is subject to final approval by the City Commission therefore, this Notice does not constitute the formation of an agreement between the City and the apparent successful bidder. The successful bidder shall not acquire any legal or equitable rights relative to this solicitation until an agreement, and/or purchase order, containing terms and conditions acceptable to the City is duly approved and executed by the City.

In the event the apparent successful bidder fails to accept, negotiate, and execute the agreement with the City, at its sole discretion, the City may revoke the award and proceed to award to the next lowest, responsive and responsible bidder, reject all bids received, cancel the solicitation, and/or re-solicit at a later time. The City further reserves the right to cancel this Notice of Intent to Award at any time prior to execution of a written agreement and/or purchase order, as applicable.

Thank you for your interest in doing business with the City of Sanford, Florida. We look forward to receiving your submittals in the future.

Respectfully, 4p, Marisol Ordofiez Purchasing Manager

CITY OF SANFORD, FLORIDA - PURCHASING DIVISION

SOLICITATION OPENING CERTIFICATION AND MINUTES (Section 255.0518, Florida Statutes)

A. Solicitation Title: IFB 17/18-42 Cloud Branch Secondary Drainaqe

Number IFB 17/18-42 opening Date 06/21/2018 Opening time 2:00 p.m. Documents Including Announcement of This Opening Are Available for Viewing or Downloading at www.mvvendorlink.com

Location of Opening: City Commission Chambers

1. On this date the opening of the solicitation response identified above is hereby verified and the public announcements recorded below regarding the solicitations received were duly made. It is noted that no other business was conducted, there were no discussions and no input was received from anyone in attending. There was no attendance record made.

_X_ IFB- Announced the name of each bidder and the amount of their bid.

RFP- Announced the name of each respondent.

RFQ- Announced the name of each respondent.

If any submission was not opened and/or announced: check this item and indicate on tabulation below specific information as to why the submission was not opened or announced.

All submissions were opened and read. The tabulation below reflects the information read.

2. Name of City Employee vy,ho ann d the bids: M3VASC91

Certification (2) By: vftlikC Z 10(01/2-1/1/f MAAae■ 134tV fiVral 13WICay S4 Signature date' printed name and title/

3. The public notice indicated by § 286.0105 and 286.011 Florida Statutes is not required because no rule, resolution, or formal action has taken place or considered at this opening. Therefore, a verbatim record of the solicitation specifically identified above is not required if a person, in accordance with City of Sanford Policy Number 15., elects to file a protest or appeal an action associated with the identified solicitation.

4. Florida Statute 119.071: Sealed bids, proposals, or replies received by an agency pursuant to a competitive solicitation are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution until such time as the agency provides notice of an intended decision or until 30 days after opening the bids, proposals, or final replies, whichever is earlier. Note-City ofSanford Procurement Procedure 6-5001nandates that as applicable to an IFB: the name of each bidder and the specific amount of the bid will be shared at the opening; for an RFP or RFQ the name of each person or firm will be shared at the opening. (Florida Statures may be found at: http://www.leg.state.fi.us/statutes/)

Tabulation

Bidder/Proposer Amount pa CAA\ caue)zo Cat.A5artb 0.A.zeiv-.

rosi sz5.16 1-133 l oco -cto *ctixi-

1141 e4y1xIvx "ToAcAcAr- Se.aAc.e. 1/-11,1-01.151 &IFS C1411 Cat4SVeuaZain 32P/ 000. 00 I

Initial here if tabulation is attached in lieu of using the above tabulation or if additionalpages are attached. It is noted that this is page one of _1_ pages.

DATE (MM/DDIYYYY)

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(les) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the po icy, 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

Calon-Hosey Insurance

3731 Nova Rd.

Port Orange FL 32129

AIC

N No, Ext) E

No: (, : (NC, ) E-mAIL

RESS: melissa@calonhosey.com ADD

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : Southern Owners 10190

INSURED

All Terrain Tractor Service Inc

949 Shadick Dr

Orange City FL 32763-8904

INSURER B: Auto-Owners Ins Co 18988

INSURER C: Bridgefield Employers 10701

INSURER 0:

INSURER B:

INSURER F:

COVERAGES

CERTIFICATE NUMBER: CL1711618448

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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LIR TYPE OF INSURANCE

ADDESUBR

INS° WVD POLICY NUMBER

POLICY EH

(MM/DONYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

A

X COMMERCIAL GENERAL LIABILITY

72553323 11/30/2017 11/30/2018

EACH OCCURRENCE $ 1' 000' 000

CLAIMS-MADE X OCCUR

DAMAGE TO RENTED

PREMISES (Ea occurrence) 300 000 S '

X XCU Included F..IED EXP (Any one Person) $ 1 0,000 )< Contractual Liability PERSONAL & ADV INJURY 1 S '000,000

GENE AGGREGATE

POLICY

OTHER:

/N.

LIMITAPPLIES

PRO-jEcT sv, /-.

PER:

LOC

GENERAL AGGREGATE , , 5 2 000 000

PRODUCTS • COMPOP AGG 2 0 00 S .0 0,0

B

X

X

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

FAI TTEODS 0 N L Y

...se, SCHEDULED

AUTOS

NON-OWNED

AUTOS ONLY

5055253900 11/30/2017 11/30/2018

COMBINED SINGLE LIMIT

(Ea acciden0 $ 1,000,000

BODILY INJURY (Per person) $

BOD:LY INJURY (Per accident)

PROPERTY DAMAGE

(Per ,ccident) $

PIP 5 10,000

A

X UMBRELLA LtAB

ExcEss LIAB

X OCCUR

CLAIMS-MADE 5055332300 11/30/2017 11/30/2018

EACH OCCURRENCE s 5,000,000

AGGREGATE s 5,000,000

DED RETENTION $ S

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY RROPRIETORIPARTNER,EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory In NH) If y,es, describe under DESCRIPTION OF OPERATIONS below

Y I N

N NIA 830-54947 11/30/2017 11/30/2018

X STATUTE

ER I OTH-

ER

El. EACH ACCIDENT s 1,000,000

El. DISEASE - EA EMPLOYEE 1 000 000 S ■ •

EL. DISEASE-POLICY LIMIT 1 0 00 S '0 0.0

A Rented & Leased Equipment

72553323 11/30/2017 11/30/2018 Ded 51,000 5300,000

DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)

Cloud Branch Phase III Side Streets. Solicitation 8 IFB-17-18-42 City of Sanford is included as an Additional Insured for General Liability and Auto with respects to operations of the Named Insured and as required by written contract. Coverage is primary and non-contributory. Notice of Cancellation Is 30 days unless with respect to Non-Payment Cancellalion which will be 10 days.

CERTIFICATE HOLDER

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

City of Sanford

300 N Park Ave

Sanford

FL 32771

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The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03)