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Balance
Beginning Balance 350,000.00$
FY 15 Sidewalk Repair - District Office (Metro Concrete) (372.00)$
FY 15 12' x 24' Peak Roof Building - SME (Anderson Ent) (3,945.00)$
FY 15 Server Room A/C - District Office (Johnstone) (3,036.73)$
FY 15 Transformer - SMH (Moses Elec & Chancellor) (15,043.75)$
FY 15 SMH Detroit Engine Control Module (Taylor Power) (6,343.08)$
FY 15 SAFE SCHOOLS ONLINE STAFF TRAINING SYSTEM (7,800.00)$ FY 15 VCAC ASST SUPT OFFICE - Hinton's (234.95)$ FY 15 VCAC ASST SUPT OFFICE - Lowe's (672.70)$ FY 15 VCAC ASST SUPT OFFICE - Lowe's (122.69)$ FY 15 ECM Ditch Erosion Project (16,986.00)$ FY 15 VCAC ASST SUPT OFFICE - Lowe's (104.77)$ FY 15 Pump installation on cooling tower at VHS (12,850.00)$ FY 15 Bus Cameras (63) ECAC, SMAC, VCAC (36,163.85)$ FY 15 Engine - Driver's Ed Car (6,349.08)$ FY 15 Engine - Bus #05-31 (18,328.80)$ FY 15 Defibrillator Pads - All Schools (3,385.00)$ FY 15 Sidewalk 10' x 40' East Central (4,500.00)$ FY 15 Sidewalk Cover VCU - Gulf South Metals (20,171.00)$ FY 15 VCAC ASST SUPT OFFICE - Johnstone (4,826.96)$ FY 15 Taco Suction Diffuser - VHS (1,100.00)$ FY 15 BUSINESS OFFICE - Oak Tree Trimming (5) (2,600.00)$
Ending Balance 185,063.64$
NIB / Emergencies and Contingencies05/11/2015
RPR-06 - 2015 06 :46 Fr om : To : 2288262080 1 1 .vu ~lVI/ hi LJI r!J 1-L
~ . ·~ JO~·~~~~~~---- ..
~-SUPPLY JACKSON CO. SCHOOL DIST
JOHNSTONE SUPPlY OF GULFPORT 12180 lmRAPLEX PKWY GULFPORT MS 39503·4945 228-896-1111 Fax 228-800-1100
3 3 892-085 R22-30 REFRIGERANT R22 30LB
APR 1 7 2015
BUSINESS OFFICE JOHNSTONE SUPPLY OF GULFPORT
231 !1 Western Avenue Las vegas NV 89102
S111PIO:
JACKSON COUNTY SCHOOL DISmiCT 47:24 SULLDOO LAN~ VANCLEAVE: MS 39565
325 000 9i5.00 2 2 812-007 45004ACIO.AWAY NEUTRALIZER 19.020 38.04
2
2
2
2
invoiC~central --R;c~i'JE!', Store, Pay lrwoic~f;: Or;llne Activ:.tc )'Qur <tccount. at vrw•J lnvoioe!Ccrttral .u.m
Invoice Is due by 04110/15.
104.810 209 62
fl)T 56.770 11 3.54
Page 1 or 1
PURCHASE ORDER Invoice To:
J ACKSON COUNTY SCHOOL DISTRICT
Purchase Order
N~ 1318949
Item Number
Post Office Box 5069 1\ / B Vancleave, M S 39565-5069 / V l
I .
Description
'~~ Zfc>count! JJOCUXJlt,W.ct;qU>tbZc 3\.lqD~umber~ J?CAl GC2.62() ~
Date 3~?.-CP _ \ ~id File#---~ ~V\uAI"-t-
VANCLEAVE SCHOOb 4 724 Bulldog Lane Vancleave, Mississippi 39565
Att,ntion U • ~~~eS Quantity Unit Price Total Price
AS PER ATTACHED PURCHASE REQUISITION
y~ 2_~ .~ ~~~f ~i or~plreby,cef~" that TOTAL$ h is du~ , · )~ffl zed ~k P. ~c as .
J _( ·"'- Sales Tax Exempt 27-65- 105
Mississippi Code 092 105
RequisiTion Number:
JACK~OI\: COUNT')_' SCHOOL DJSTRlCT PUR CHASE REQUISITIOJ\' ' !1./:f/3
I :nLZ£) . -<~~-n: 112o:tQ:) ~;()__cf5:;(p,QZL.
I J 1'0 '119 ~-:Ko I I 1.C>'1\:Q ~~ i'lo u: Date: 3/;qkfj Number:
~~----------------
Bid No
..
-I I I I I I
I I
I
I I
I
I
Item Numbe-; - -- -
FROl\1 : VANCLEAVE SCH OOL
Attn: Duane Jones
Description ·~ Quantity Unit Price Total Pric"" - . - - "-'
I ·Gn.Jdi2.11 L5.er 165 /c?/ /)r-v I ;)._ 1 /?'lb,J~r 3Yc;o. 5'6 I I fl -;;J.J. ~ 5.0 ;(.p f.-- ; cJ. e f'l!; 't1 ;../
( •
I32J:"co I 3 77J:oa I fk ! rl /k..AJ i::l-v . ~1/)e d-1 r A / , ·~ .e v-
I
I 38.o)f :J I ;q,.;lcJ
I [J .... / <,(" ~ ~ e_j_ .'a r0 I ;)_ I !tJC/-- s1C) I .Jo9 r 6)._
I ---rA P r rr-. /? s4-A- +- I ~ I 56 ,-'))o I !I.J~Sq I I I . I I I I I
I I I I I I --' I
I --- . I I I I I
I I I I ,: ~
I I I I
I -
J "'' ' :Ji\J-~ 4~2b~\p
Todd. Knight
BENVENUTTI ELECTRICAL APPARATUS & REPAIR, INC.
BILL TO
B.E.A.R. 9515 N. Wildflower Court
Gulfport, MS 39503 228-831 -0445
Jackson County School District P. 0 . Box 5069 Vancleave, MS 39565-5069
JOB LOCATION
Vancleave High School
INVOICE#
24958
JACKSON CO. SCHOOL DISTRICT
APR 1 7 2015
BUSINESS OFFICE
DATE P.O. NO. TERMS SOLD BY BEAR JOB#
QUANTITY
3/31/20 15 ~ 1318951 ~ DESCRIPTION
I Taco Suction Diffuser, 6"x5", Part# SD060050-4-6x5 Note: Old suction diffuser, 6"x4" is obsolete.
SUBTOTAL
Thank you for allowing B.E.A.R. to serve your repair/sales needs. Celebrating 18 years of service!
NET30
Total
DMB 31855
PRICE AMOUNT
1,100.00 1,100.00
1,100.00
~-~
\_ $1,1000~J CONDITIONS OF SALE: I agree to pay a 2% per month service charge on all unpaid bills over thirty (30) days old. I further agree that shou ld my bill still be unpaid after ninety (90) days that it wi ll be turned over to a collection agency and/or attorney for collect ion. I also agree to pay attorney's fees or collection costs, all court costs and expenses incurred in the collection of my debt. I personally guarantee payment of this invoice.
PLEASE PAY FROi\/1 THIS INVOICE
f , .... -\ ..
PURCHASE ORDER Invoice To:
JACKSON COUNTY SCHOOL DISTRICT Post Office Box 5069
Vancleave, MS 39565-5069
}liB o;q _ Purchase Order
N~ 1318951
TO: ]Ef1K [(f Jv 1C:a L SHIP
( ~ !IVQ 1\Lx1+i flrtitiCtl ~-ft-!S TO:
q5 15 N. Wdd r/ull.{'f- <C e 1Jctiv L""c...)
~I +eovtcloutVf s. 3'1503
Item Number Description
AS PER ATTACHED PURCHASE REQUISITION
-
Account I 1'20-90?-~b~ ·{D 10 '2J. Number
~--------------------
Dateat/(y '1 lO IS Bid File# --------
VANCLEAVE SCHOOL 4724 Bulldog Lane Vancleave, Mississippi 39565
Attention: b. JOn C: 5
Quantity Unit Price
'
TOTAL$
Total Price
Sales Tax Exempt 27-65-105
Mississippi Code 092 105
..... -.. o F
JACKSON COUNTY SCHOOL DISTRICT
PURCHASE REQUISITION
Requisition Number
Date 3/26/2015
To: B.E.A.R. ELECTRICAL BENVENUTTI ELECTRICAL APPARATUS & RPR 9515 N. WILD FLOWER COURT
GULFPORT, MS 39503
Please supply the following items
Account Code
Vancleave SchoolS 4725 Bulldog Lane Vancleave, MS 39565 (228) 826-4701
ATTENTION: DUANE JONES
Bid No. Item Number DESCRIPTION Quantity Unit Price TOTAL AMOUNT 6" X 5" DIFFUSER 1 $ 1,100.00 $ 1,100.00
$ 1,100.00
DUANE JONES 3/26/2015 TODD KNIGHT 3/26/2015 Athletic Director Date Assistant Superintendent Signature Date
JACKSON COUNTY SCHOOL DISTRICT PO BOX 5069 VANCLEAVE MS 39565-5069
Phone:-
BILL TO
SHIP TO
Fax: -
JACKSON COUNTY SCHOOL DISTRICT PO BOX 5069
VANCLEAVE. MS 39565-5069
JACKSON COUNTY SCHOOL DISTRICT
4700 COLONEL VICKREY RD
VANCLEAVE. MS 39565-5069
VENDOR 12206 Fax: 228-392-9192 Ph: 228-392-9559
WRIGHTS TREE SERVICE INC.
P 0 BOX 7329
D'IBERVILLE. MS 39540-0000
QTY UNIT DESCRIPTION
1 EA DEADWOOD 5 LG. OAKS & RAISE LOWER LIMBS.
CLEAN & HAUL AWAY DEBRIS . .. ALL CHIPPING WILL REMAIN ON PROPERTY.
*J . B. WRIGHT EXCLUDED FROM WORKER'S
COMP INS THEREFORE WILL NOT BE ALLOWED
TO PERFORM WORK ON SITE.
NOTE: 1.JACKSON COUNTY SCHOOL DISTRICT is a tax exempt agency. 2.Mail invoice to pre-printed address at top of page. 3.Purchase Order Number must appear on all correspondence.
APPROVED BY:
Date
P.O. NUMBER REO
606885 00606885
DATE
4/23/2015
Fund-Gic-Func-Pgm-Obj-Ut
1120-900-2620-059-430-01
TOTAL AMOUNT $2,600.00
Nt~
CATALOG NUMBER UNIT PRICE
$2,600.00
$0.00
$0.00
$0.00
$0.00
$0.00
Page Total:
Total Order:
PAGE
1
Amount
$2 ,600.00
TOTAL
$2,600.00
$0.00
$0.00
$0.00
$0.00
$0.00 $2,600.00 $2,600.00
PRINCIPAUSUPERINTENDENT/PURCHASING AGENT
JACKSON COUNTY SCHOOL DISTRICT
PURCHASE REQUISITION
Requisition
Number 606885 Account Code
~f 11 20- 900- 2620-059-4.'!0-01 \
\
' Account Code NIB
Date 04/2.'!/2015
Vend:
To: Wright's Tree Service From: BUSINESS OFFICE
P .O. Box 7.'!29 4701 COLONEL VICKREY
D'Iberville, MS .'!9540 VANCLEAVE, MS S9565
Fax# 228- .'!92- 9192
ATTENTION: Please supply thefollowing items Bid No. Item Number DESCRIPTION Quantity Unit Price TOTAL AMOUNT
Deadwood five lm·ge oak trees and raise the lower 1 $ 2,600.00 $ 2,600.00
limbs. Clean & haul away debris. All chipping $ -will remain on property. $ -**J. B. Wright excluded from worker's comp ins. $ -therefore, will not be allowed to perform work $ -on site. $ -
$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -
TOTAL $ 2,600.00
Requested by Administrator Signature Date
. ' r" ' ..... .... ,..., ...,, . ......... .... ~ 'I I 1::11 I LY
' . PROPOSAL PageNo. __
WRIGHTS TREE SERVICE, Inc. Ucensed•Worker's Camp• Fully Insured
P.O. Box 7329 D'Iberville, MS 39540 (228) 872-1454•{228) 392-9559
Fax: (228) 392-9192
Proposal Submitted To: -:Jl_~ ~ S:::. rmls Date: 2J APr~ r 20 1' ~ Addr&ss: t-:>0 ~ S"3J£; Phone : ~2-(Q_- 4f4-2 y~ ~c...k~\i<. N'S ~9t5~ Date of Plans:
Job Name and Location: [-():.. ·. 62~- "-3f5l f job Phone :
We hzreby submit specifica tions and estimates, s•Jbject to all terms and conditions as set forth on beth side s as follows:
tx_~~..)O~ F5 \~v~ o~k. -=tK.~S ~ \'"\.~
t~'\ '~ ~ ~J \",{'{",~~ . c k_~f'\ * ~ ~~uJ ~~'\ ~~br,~.
J
~ \\ (_ l'l; S)(?f X\ ""' l0..i\..-... t --c'<'f\-fn VI 'i\(\
f{L_vr..v\~
Jo l )'{2-S'O'I->r_-"\ \;""7'cvu~ f '(2..\J:-r-..... l.,.)v- Qc;(Y\f
T I t'C<t .ct==:0(l..~ Wt\....1.... f'Jo- &~ RIL~·.o
I'D p t-""YL.~..,rc_"' l .L)DQ\L. 0\'\ SDI=
We propose hereby to furnish mate rial and labor, complete in accordance with abo'le spec if ications.
For the sum or:h.Y~~ 14\._d. '5,~ ~ _l dollars ($ 2 ():)oU I 1<-s:: ' )
NOT:O: This proposal may be withdrawn by us if not accepted within d!!YS.
Author izedp;:t::V~ l J ~ OL J.. ACCEPT~~bove or~ces , specifications and conditions are satisfactory and are h~reby accepted. Payment will .ad& as outl ined above .
Date S;gnature:
)\ L.\J ?0). z 6 z 0, l-) :>as~. o \ f\i\fJ
p. 1
Stuart White - Re: Tree Trimming
From:
To:
Date: Subject:
ok. ba
Barry Amacker
Stuart White
04/21/2015 9:45 AM
Re: Tree Trimming
Barry Amacker, Ed.D. Superintendent of Education Jackson County School District "Raising the Standard"
>>>Stuart White 4/21/2015 9:28AM >>> Dr A,
I have 2 quotes for trimming the 5 - 150 year old oaks in the business office parking area.
Wrights $2,600 below Cambium$3,800 attached
Waiting on confirmation of certificate of insurance.
Page 1 of 1
We had a limb fall from one of the trees last week, that would have totaled a parked car, fortunately it happened at night when no one was present. Cheap price to compared to the liability.
Can you approve the $2,600 quote, will come frme193,590.60 Balance)
Stu
J. Stuart White I [email protected] I Business Manager I Jackson County School District I 4701 Colonel Vickrey Road, Vancleave, MS 39565 I Office 228.826.4842 I Fax 228.826.3871 I jcsd.k12.ms.us
>>> "J.B. Wright" <[email protected]> 04/21/2015 7:07AM >>> Wright's Tree Service, Inc P 0 Box 7329 D'Iberville, Ms 39540 228-392-9559 To: Mr.Stu White Jackson County Schools P 0 Box 5308 Vancleave, Ms 39565 228-826-4842 (office) 228-826-3871 (fax) Deadwood 5 large oak trees and raise the lower limbs. Clean and haul away debris. ---Total---$2,600 Thank you!
file: /1/C:/Users/stu.white/ AppData/Local/Temp/XPgrpwise/5536 1 C2ljcsddomainjcsdpo 1... 04/23/2015
Fax Send Re}?Jrt APR-23-2015 09:43 AM THU
Name/Number Page Start Time Elapsed Time Mode
Results
93929192 4
Fax Number Name
APR-23-2015 09:43AM THU 00'44"
STD ECM [O.K]
Jackson County School District F..AST CENTRAL ST. MARTIN VANCLEAVE
Barry Amacker, Ed. D .. Superintcodcnt
"Raising the Standard"
Business Office Stu White, Business Manager
4701 Colonel Vickrey Road Post Office Box 5308 Vancleave, MS 39565-5069
Phone: (228) 826-4842 Fax: (228) 826-3871
O.lo: 4-Q3· I§
a::
D U~t D For Review D ..,_.,Comment 0 l'lmR Reply , D For your RKords
+-'.J2.1Mo . ca Q.Q< &!Y I,DD'Yl{J S. i.k-~ to
0
Jackson County School District EAST CENTRAL ST. MARTIN VANCLEAVE
Barry Amacker, Ed. D., Superintendent
11Raising the Standard"
Business Office Stu White, Business Manager
4701 Colonel Vickrey Road Post Office Box 5308 Vancleave, MS 39565-5069
Phone: (228) 826-4842 Fax: (228) 826-3871
From:
Pages: ± Date:
cc:
0 U~ent 0 For Review D Please Comment 0 Please Reply 0 For your Records
-fJ~o. CA~~~:J._ it~~ to
Stuart White - Tree Trimming
From: "J.B. Wright" <[email protected]> To: <[email protected]> Date: 04/2112015 8:50AM Subject: Tree Trimming
Wright's Tree Service, Inc P 0 Box 7329 D'Iberville, Ms 39540 228-392-9559 To: Mr.Stu White Jackson County Schools P 0 Box 5308 Vancleave, Ms 39565 228-826-4842 (office) 228-826-3871 (fax) Deadwood 5 large oak trees and raise the lower limbs. Clean and haul away debris. ---Total---$2,600 Thank you!
Page 1 of 1
file: /1/C:/Users/stu.white/ AppData/Local/Temp/XPgrpwise/5 5360F45jcsddomainjcsdpo 1.. . 04/21/2015
~
ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/00/YYYV)
~ 4/21/2015
THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER ~2~~~CT Dane Capley
Lemon Mohler Insurance Agency rA~gNJn Fvtl· I ffj~ . Nol:
806 Washington Avenue x~t~~ss : [email protected]
INSURER($) AFFORDING COVERAGE NAIC #
Ocean Springs MS 39564 INSURERA :Western World INSURED INSURER B ;American Interstate 31895
Wright's Tree Service Inc INSURER C :
7305 McCann Rd. INSURER D :
INSURER E :
Biloxi MS 39532 INSURER F:
COVERAGES CERTIFICATE NUMBER·MASTER 14-15 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 TYPE OF INSURANCE ~~~RL ~~ I ~~2J-clgMf,f,, ,~gr6%Yv%\-, LIMITS LTR POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
r-- ~~~,1f~~E !U_ RENTED ~ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000
A =:J CLAIMS-MADE W OCCUR rPP1381093 6/3/2014 6/3 / 2015 MED EXP (Any one person) $ 5,000 r-r-- PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000 -GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COM PlOP AGG $ Included
~· POLICYn m?r n LOC $
AUTOMOBILE LIABILITY fE~~~~~~~tlSINGLE LIMIT $ -ANY AUTO BODILY INJURY (Per person) $
- ALL OWNED .-- SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $
- r-- NON-OWNED rp~?~tc~le~t~AMAGE HIRED AUTOS AUTOS $ - 1--$
UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ f--
EXCESS LIAB CLAIMS-MADE AGGREGATE $
OED I I RETENTION$ $
B WORKERS COMPENSATION X I T~~~IfJI~S I 1°1~-AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ~ E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? NIA
9 / 10/2 014 9 / 10 / 2015 (Mandatory In NH) AVWCMS2142722013 E.L. DISEASE - EA EMPLOYE $ 100,000
~~~~~ftir3~ ()'~~PERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) MS BENEFITS ONLY, AS PERTAINS TO WORKERS COMP
INDIVIDUALS EXCLUDED FROM WORKERS COMP COVERAGE: J B Wright
CERTIFICATE HOLDER CANCELLATION
{228)826-3871 [email protected] SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Jackson County School ATTN: Stu White PO Box 5308
Vancleave,
ACORD 25 (201 0/05)
INS025 r?n1nn.<;1 n1
MS 39565
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
District ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Dane Capley/DAC
© 1988-2010 ACORD CORPORATION. All nghts reserved . Tho .tt.r.("U:;»n n:unA- :::ann lnnn ;:aro ra.nic::.torori m:::arltc: nf .b.r.n~n
Jti/2007/N.ON F'arm W•9 ~Pe-. ~l'l'b4r '~
' ~or lilt t~a.'V)' 1 l'llllml'~hr>b
JA. CD. PURCEASING FAI Ne. 2~ 8-759-3291 Request for Taxpayer
Identification Number and CertificatiOn
•·• ~-t>Mtllt •jllrc~.Jtlt er you ~?..1!' na-. -Specific lmtr-.tcUISM M ~ Z,)
~ : .'rf S;Snt:..' ~ Its- s ~ {'"'; s:. ~'{:; ~ : Busi lam~~, i1 cU'-I'rOm- ab<Ne. ~ ~pe¢111:.. en f)e'i'* L}
i I Cl'E!c l!J+lTOpr{&T.e tl(lr. ~ p-r:lp/fj~ i ' Add.-wss nnw. --. .c~d -a,.... =• £ . p 0 P-::o -x ]3 2 9 ·.
ar. SIUI. al1d ZIP ~ [.. 5 -:x-, &=::.. ; I .o· . ~ -:(::.~ y ; { f'.._ tl\ ,:::;.-1 . ..;; '1--
I
P. 002/0D'£
J Stlcallllltr.ll'lt)' l'IUTIIbc
i I ! .;. ! + I I t llr..' .............-~--=--:-::---~ kt Payee EXempt Ftcm 8~ Witfltading (See !he irestnldlon!
OR
! ~~ .. ~_,...... · II cnpagel.) (ol q-ltj; ~ l] !812-i't !2J :-j __ __.:..;_~--'---------
. .... lfil!!l Certification
CM. No.. toz:nlC
I •rl
TREE CARE & PRESERVATION
428 Porter Ave Ocean Springs, MS 39564 Direct 228-365-5705 Office 228-818-9900 Email - [email protected] Website - www.cambiumtree.com
Date: 4/20/2015 5:05 PM
#
Jackson County School District
Stu White 57 Colonel Vickery Dr Vancleave , MS 39565
Mobile: 228-990-3745
Job Name: Jackson County School District 15
Item Description
Oak (Live) Crown Cleaning
Gerald A. Miller (Tony) ISA Certified Arborist- S05705-A ISA Certified Tree Risk Assessor MS State Tree Surgery License- L T-838
email [email protected]
Work Site: 57 Colonel Vickery Dr Vancleave , MS
Proposed By: Tony Miller
Customer Code:
Qty Cost
5 $3,800.00
Removal of dead , dying , deseased , weakly attached and low vigor branches
Notes :
Customer Signature
Page 1 of 1
Date
Subtotal: $3,800.00
Tax: $0.00
Total: $3,800.00
Phone: (228)990-37 45
ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY)
~ 04/21/2015
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 ORAL TER 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).
PRODUCER CONTACT Karleen Morgan NAME:
Beacon Insurance Services, Inc. r1JgN~o. Extl: (228)37 4-0067 I FAX (AJC No): (228)37 4·0068
1009 Howard Avenue E-MAIL [email protected] ADDRESS:
Biloxi, MS 39530 lNSURER(S) AFFORDING COVERAGE NAIC#
INSURER A: Western World Insurance INSURED INSURER B: ProCJressive Insurance Comoanv 42412
Cambium Tree Care and Preservation, Inc. INSURER C: Benchmark Insurance Comoanies
428 Porter Ave INSURER D:
Ocean Springs, MS 39564 INSURER E:
INSURER F: COVERAGES CERTIFICATE NUMBER· 00000000-592479 REVISION NUMBER· 19
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 TYPE OF INSURANCE ~~~~~; ~~~~~YvWvl I ~~~~6%ivWv1 LIMITS LTR POLICY NUMBER
A ..X COMMERCIAL GENERAL LIABILITY NPP8201232 07/07/2014 07/07/2015 EACH OCCURRENCE $ 1 000 000
r- :=:J CLAIM&MADE [X] OCCUR ~~~~~~J?l.~~~?.nce) $ 100 000
r- MED EXP (Any one person) $ 5 000
r- PERSONAL & ADV INJURY s 1 000 000
M'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000
POLICY D ~~ D LOC PRODUCTS· COMP/OP AGG $ 2,000,000 OTHER: $
B AUTOMOBILE LIABILITY - 03038595-0 04/28/2014 04/28/2015 fE~~~~~~~~FINGLE LIMIT s 300 000
ANY AUTO BODILY INJURY (Per person) $ - ALL OWNED r-- SCHEDULED - AUTOS eX AUTOS BODILY INJURY (Per accident) S
NON-OWNED rp~~~~!;d~RAMAGE HIRED AUTOS AUTOS $ - I--I $
UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ -
EXCESS LIAB CLAIM&MADE AGGREGATE $
DED I I RETENTION s I $
c WORKERS COMPENSATION
NJ
VVC04400415732014A 09/24/2014 09/24/2015 X I ~f~TUTE I I OTH· AND EMPLOYERS' LIABILITY ER
YIN ANY PROPRIETOR/PARTNER/EXECUTIVE D E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I
EL DISEASE· EA EMPLOYEE $ 100,000 If yes, describe under I 500,000 DESCRIPTION OF OPERATIONS below "'L. OISEAS"' · POLICY LIMIT $
I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required)
Professional Errors & Ommissions included in the General Laibility Amounts
CERTIFICATE HOLDER
Jackson Co School District
ATTN Stu White 57 Colonel Vickory Dr
Vancleave, MS 39565
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.
All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
Printed by KBM on April21, 2015 at 08:49AM
. . Page 1 of3
Stuart White - RE: Certificate for Cambium Tree Care and Preservation Inc
From: To: Date: Subject:
Karleen Morgan <[email protected]> Stuart White <[email protected] .ms.us> 04/2112015 10:39 AM RE: Certificate for Cambium Tree Care and Preservation Inc
Hi Stu, Mr Gerald (Tony) Miller is excluded as the owner of the company. Michael Miller is also excluded . If you have any questions please let me know. Thanks!
*No policy binding or policy changes may be done by email unless verified by Beacon Insurance
Services Inc*
1(ar[een :Morgan Account Manager, Commercial Lines
Beacon Insurance Services, Inc
1009 Howard Ave
Biloxi MS 39530
Ph-228-37 4-0067
Fx-228-374-0644
http: / /www.beaconinsuranceservices.net/
DISCLAIMER: This message and accompanying documents are covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, and contains information intended for the specified individual(s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please delete the original message.
From: Stuart White [swhite@ jcsd.k12.ms.us] Sent: Tuesday, April 21, 2015 9:44AM
To: Karleen Morgan Subject: Re: Certificate for Cambium Tree Care and Preservation Inc
file: // /C:/U sers/stu. white/ AppData/Local/Temp/XPgrpwise/553628EOjcsddomainjcsdpo 1... 04/21/2015
Page 2 of3
Karleen,
Can you tell me if anyone in the company is excluded for workers compensation.
thanks,
Stu
J. Stuart White 1 swhite@jcsd k12 .ms.us I Business Manager I Jackson County School District I 4701 Colonel Vickrey Road, Vancleave, MS 39565 I Office 228.826.4842 I Fax 228.826.3871 I jcsd.k12.ms.us I
> > > Karleen Morgan < [email protected]> 04/21/2015 8:47AM > > > Please find certificate attached . Thanks!!
*No policy binding or policy changes may be done by email unless verified by Beacon Insurance
Services Inc*
1(ar{een ?dorgan Account Manager, Commercial Lines
Beacon Insurance Services, Inc
1009 Howard Ave
Biloxi MS 39530
Ph-228-374-0067
Fx-228-374-0644
http:/ /www.beaconinsuranceservices.net/
DISCLAIMER: This message and accompanying documents are covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, and contains information intended for the specified individual{s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review,
dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please delete the original message.
file: /1/C:/Users/stu. white/ AppData!Local!Temp/XPgrpwise/553628EOjcsddomainjcsdpo 1... 04/21/2015
Tree Care, ~ervice I Biloxi, Gulfport MS I Cambium Tree Care
~IUM TREE CARE f, PRESFRVt\TION
Tree Service for the Mississippi Gulf Coast
At Carnbiwn Tree Care and Preservation. Inc. , trt·:es are more than ow·
lwsirll'ss-tiiP!f nre ow· passion, area ofe.\pertise and wau of /if'e. From our
location along the Alabama and Mississippi Gu/fCoa.~t. t!'e deliver the llighest lel ~el of tree care service$ in the reyion.
IS:\ Cl~ltificd :\rbori..sts nnd c-xp~rtly trainl'd tn.·c ~'"~rvke profcs~ ional:: have carnt.~d an
un~qualt~d l't~ ptttation for maint.1ining lrce ht'!alth, vitality and !'afety at ever)'· stag~ of
gnw. th. From trel' trimming in Ocean Springs W l rec remova l Biloxi, all Sl'rvic:cs are dom.•
,.,·i lh t'ar~ and profe...~~ioualism, as well as a consdous cff01t to maintain the overa ll beauty
of your property.
News and Events
\\'e are plcllsed to announce o ur brand neww~b~ite. Let us kno'l-v \"·hat
you think !
('i'l
rclA. .,.DfttDt U HCU l
Con.fi<Jd Memeeri
on Slaff
Gerald A Mtller
#S05705A
Page 1 of2
S{L-(3>{ -~cp~{CL.f~ ~~
Mississippi Gulf Coast: (228) 365-5705
Office Line : (228) 818-9900
Req uest a F•·cc Estimate »
Reside ntial & Comme rcial
Services
Trt'C trimming, pwni ng. dead wooding &
ctvwn dcaning
Tree Lakl~down , removal & rep!Jeemenl
Stump grinding I< removal
Trt'!c sclcct il)n. installation &
t•stabUshrnent
Deep root iujeclion of c:us tom-blemled
fe rtilizers
Tn.'l' diseas~ diagnosis & trt"atment
PT-lC-pl;Jut beatth t'are programs
Cabling, bradng & ligh tning protection
sy:s t~ms
Prahl em root <iolutious, mot colJJr
exca\ation & air spading
\-erth:al mui<:hing, & ratlial t rt~nchiug
SIGN U P fo r- OUI· Ncw~lcttct· »
"Trees are your best antiques."
-Alexander Smith
Cambium Tree Care and Presef\lahon. Inc f228) 365-5705 (228) 818-9800 1nfo@camb1umtree com 1 Base Content Copynght@ 201 G \r1arket Hard'Nare Inc Add1!tonal texi conient Copyngnt ~ 20 iS. Camb1um Tree Care and Preservation, Inc Websites & SEO forT ree Care Professtonals by Market Hardware
http://vvww.cambiumtree.com/ 04/20/2015