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05/16/2007 Agreement DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: May 24, 2007 TO: Dave Koppel, County Engineer Engineering Division ATTN: Ann Riger Facilities Development Pamela G, Hancc& Deputy Clerk FROM: At the May 16, 2007, Board of County Commissioner's meeting the Board granted approval and authorized execution of an Agreement for Professional Services between Monroe County and MBI/K2M Architecture, Inc. for Construction Administration Services at the Big Pine Key Community Center. Enclosed is a duplicate original of the above-mentioned for your handling. Should you have any que:stions please do not hesitate to contact this office. cc: County Attorney Finance File./ AGREEMENT FOR PROFESSIONAL SERVICES (Big Pine Key Park Community Center) THIS AGREEMENT (herein after "Agreement") is made and entered into this 18th day of April 2007, BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS (the "Owner"), and MBIIK2M ARCHITECTURE, INC. (the "Architect") for Construction Administration Services for the Big Pine Key Park Community Center Building. WITNESSETH WHEREAS, on May 18, 2005, the Owner approved a purchase order in an amount of $90,000.00 for Architectural/Engineering Services to include the schematic design, architectural and structural documents, design development, mechanical, electrical, and plumbing, and construction document phases for the Big Pine Key Park Community Center; and WHEREAS, at the time, the Purchase Order was issued pursuant to a continuing contract with Architect; and WHEREAS, on February 21, 2007 a contractor was selected for the building of the Community Center for a cost of $1 ,595,000.00; now therefore; IN CONSIDERATION of the mutual promises contained herein, the parties hereby agree as follows: 1. SERVICES The Architect shall continue with Architectural Services by administering Construction Administration Support Services for the Big Pine Key Park Community Center for a fixed fee of$15,000.00, with hourly rates as follows: Pnincipal Architect Architect I/Project Manager Project Coordinator Senior CAD Operator CAD Operator Clerical Engineer - Principal Engineer Drafter $2 I 5.001hour $185.00Ihour $120.00Ihour $ 95.001hour $ 70.001hour $ 55.001hour $150.00Ihour $ 90.00/hour As used herein, the term 'Construction Administration Support Services', include but is not limited to, responding to Contractor questions, shop drawing review, and a maximum of three (3) site visits. In addition to compensation above, Owner shall pay the Architect for any and all reimbursable expenses such as expenses for transportation and living expenses in connection with out-of county travel, but only to the extent and in the amount authorizl~ by Section 112.061, Florida Statutes; fees paid for securing approval of authoriti,~s having jurisdiction over the project; reproductions of reports; filing fees; drawings and specifications; and renderings requested by the Owner. 2. ACCEPTANCE OF CONDITIONS BY ARcmTECT ARCHITECT has, and shall maintain throughout the term of this Agreement, appropriate licenses. Proof of such licenses and approvals shall be submitted to the COUNTY upon request. 3. FINANCIAL RECORDS OF ARcmTECT ARCHITECT shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Each party to this Agreement or their authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records purposes during the term of the Agreement and for four years following the termination of this Agreement. Ifan auditor employed by the COUNTY or Clerk determines that monies paid to ARCHITECT pursuant to this Agreement were spent for purposes not authorized by this Agreement, the ARCHITECT shall repay the monies together with interest calculated pursuant to Sec. 55.03, FS, running 1rom the date the monies were paid to ARCHITECT. 4. PUBLIC ACCESS The COUNTY and ARCHITECT shall allow and permit reasonable access to, and inspection of, all documents, papers, letters or other materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the COUNTY and ARCHITECT in conjunction with this Agreement; and the COUNTY shall have the right to unilaterally cancel this Agreement upon violation of this provision by ARCHITECT. 5. HOLD HARMLESS AND INSURANCE ARCHITECT covenants and agrees to indemnify and hold harmIess Monroe County Board of County Commissioners from any and all claims for bodily injury (including death), Pl:rsonal injury, and property damage (including property owned by Monroe County) lmd any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by ARCHITECT occasion<:d by the negligence, errors, or other wrongful act of omission of ARCHITECT, its employees, or agents. The extent of liability is in no way limited to, reduced, or lessened by the insUflmce requirements contained elsewhere within this agreement. Failure of ARCHITECT to comply with the requirements of this section shall be cause for immediate termination of this agreement. Prior to execution of this agreement, ARCHITECT shall issue a Request for Waiver of InsUflmce Requirements to COUNTY, or shall furnish the COUNTY Certificates of Insurance indicating the minimum coverage limitations in the following amounts: 2 WORKERS COMPENSATION AND EMPLOYER'S LIABIL TIY INSURANCE. Where applicable, coverage to apply for all employees at a minimum statutory limits as required by Florida Law. , COMPREHENSIVE AUTOMOBILE VEHICLE LIABILITY INSURANCE. Motor vehicle liability insurance, including applicable no-fault coverage, with limits ofliability of not less than $1.000.000.00 per occurrence, combined single limit for Bodily Injury Liability and Property Damage Liability. Coverage shall include all owned vehicles, all non-owned vehicles, and all hired vehicles. COMMERCIAL GENERAL LIABILITY. Commercial general liability coverage with limits of liability of not less than $1.000.000.00 per occurrence combined single limit for Bodily Injury Liability and Property Damage Liability. CERTIFICATES OF INSURANCE. Original Certificates of Insurance shall be provided to the COUNTY at the time of execution of this Agreement and certified copies provided if requested. Each policy certificate shall be endorsed with a provision that not less than thirty (30) calendar days' written notice shall be provided to the COUNTY before any policy or coverage is canceled or restricted. The underwriter of such insurance shall be qualified to do business in the State of Florida. If requested by the County Administrator, the insurance coverage shall be primary insurance with respect to the COUNTY, its officials, employees, agents and volunteers. 6. NON-WAIVER OF IMMUNITY Notwithstanding the provisions of Sec. 286.28, Florida Statutes, the participation of COUNTY and ARCHITECT in this Agreement and the acquisition of any commercial liability insurance coverage, self-insurance coverage, or local govermnent liability insurance: pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any Agreement entered into by the COUNTY be required to contain any provision for waiver. 7. INDEPENDENT CONTRACTOR At all times and for all purposes under this agreement ARCHITECT is an independent and not an employee of the Board of COUNTY Commissioners of Monroe COUNTY. No statement contained in this agreement shall be construed so as to find ARCHITECT or any of his employees, subs, servants, or agents to be employees of the Board of COUNTY Commissioners of Monroe COUNTY. 8. NONDISCRIMINATION ARCHITECT and COUNTY agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. ARCHITECT and COUNTY agree to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are 3 not limit,~d to: I) Title VII of the Civil Rights Act of 1964 (PL 88-352), which prohibit discrimination in employment on the basis of race, color, religion, sex, and national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC SS 1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC S 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC SS 6101-6107), which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, SS 523 and 527 (42 USC SS 690dd-3 and 290ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patent records; 8) Title VIII ofthe Civil Rights Act of 1968 (42 USC SS 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC SS 1201), as amended from time to time, relating to nondiscrimination in employment on the basis of disability; 10) Monroe County Code Chapter 113, Article VI, which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; and 11) any other nondiscrimination provisions in any federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. 9. ASSIGNMENT/SUBCONTRACT ARCHITECT shall not assign or subcontract its obligations under this agreement to others, except in writing and with the prior written approval of the Board of County Commissioners of Monroe County and ARCHITECT, which approval shall be subject to such conditions and provisions as the Board may deem necessary. This paragraph shall be incorporated by reference into any assignment or subcontract and any assignee or sub shall comply with all of the provisions of this agreement. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any additional obligation upon the board. 10. COMPLIANCE WITH LAW AND LICENSE REOUIREMENTS In providing all services/goods pursuant to this agreement, ARCHITECT shall abide by all statutes, ordinances, rules and regulations pertaining to, or regulating the provisions of, such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules and regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this Agreement. ARCHITECT shall possess proper licenses to perform work in accordance with these specifications throughout the term ofthis Agreement. 10. DISCLOSURE AND CONFLICT OF INTEREST ARCHITECT represents that it, its directors, principles and employees, presently have no interest and shall acquire no interest, either direct or indirect, which would conflict in any manner with the performance of services required by this contract, as provided in Sect. 112.311, Ilt. seq., Florida Statutes. COUNTY agrees that officers and employees of the 4 COUNTY recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. Upon execution of this contract, and thereafter as changes may require, the ARCIDTECT shall notifY the COUNTY of any financial interest it may have in any and all programs in Monroe County which the ARCIDTECT sponsors, endorses, recommends, supervises, or requires for counseling, assistance, evaluation, or treatment. This provision shall apply whether or not such program is required by statute, as a condition of probation, or is provided on a voluntary basis. COUNTY and ARCIDTECT warrant that, in respect to itself; it has neither employed nor retained any company or person, other than a bona fide employee working solely for it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for it, any fee, commission, percentage, gift, or other consideration contingent upon or resulting from the award or making of this Agreement. For the breach or violation of the provision, the ARCHITECT agrees that the COUNTY shall have the right to terminate this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise recover, the full amount of such fee, commission, percentage, gift, or consideration. 11. NO PLEDGE OF CREDIT ARCIDTECT shall not pledge the COUNTY'S credit or make it a guarantor of payment or surety for any contract, debt, obligation, judgment, lien, or any form of indebtedness. ARCIDTECT further warrants and represents that it has no obligation or indebtedness that would impair its ability to fulfill the terms of this contract. 12. NOTICE REOUIREMENT Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: FOR COUNTY County Administrator 1100 Simonton St. Key West, FI. 33041 With a copy to: Suzanne A. Hutton Monroe County Attorney P.O. Box 1026 Key West, FL 33040-1026 5 IDOl FOR ARCHITECT: MBI/K2M Architecture, Inc. ---@Whitehead St. Key West, FL 33040 13. TAXES COUNTY is exempt from payment of Florida State Sales and Use taxes. ARCHITECT shall not be exempted by virtue ofthe COUNTY'S exemption from paying sales tax to its suppliers for materials used to fulfill its obligations under this contract, nor is ARCHITECT authorized to use the COUNTY'S Tax Exemption Number in securing such materials. ARCHITECT shall be responsible for any and all taxes, or payments of withholding, related to services rendered under this agreement. 14. TERMINATION The COUNTY may terminate this Agreement with or without cause prior to the beginning ofthe manufacture of the furnishings. The COUNTY or ARCHITECT may terminate: this Agreement for cause with seven (7) days notice to ARCHITECT. Cause shall constitute a breach of the obligations of either party to perform the obligations enumerated under this Agreement. 15. GOVERNING LAW. VENUE. INTERPRETATION. COSTS. AND FEES This Agreement shall be governed by and construed in accordance with the laws of the State ofF'lorida applicable to Agreements made and to be performed entirely in the State. In the event that any cause of action or administrative proceeding is instituted for the enforcement or interpretation of this Agreement, the COUNTY and ARCHITECT agree that venue will lie in the appropriate court or before the appropriate administrative body in Monroe COUNTY, Florida. 16. MEDIATION The COUNTY and ARCHITECT agree that, in the event of conflicting interpretations of the terms or a term of this Agreement by or between any of them the issue shall be submitted to mediation prior to the institution of any other administrative or legal proceeding. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the circuit court of Monroe County. 17. SEVERABILITY If any term, covenant, condition or provision of this Agreement (or the application thereof to any circumstance or person) shall be declared invalid or unenforceable to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions and provisions of this Agreement, shall not be affected thereby; and each remaining term, covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted by law unless the enforcement ofthe remaining terms, covenants, conditions and provisions of this Agreement would prevent the accomplishment of the original intent of this Agreement. The COUNTY and 6 ARCHITECT agree to reform the Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. 18. ATTORNEY'S FEES AND COSTS COUNTY and ARCHITECT agree that in the event any cause of action or administrative proceeding is initiated or defended by any party relative to the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to reasonable attorney's fees and attorney's fees, in appellate proceedings. Each party agrees to pay its own court costs, investigative, and out-of-pocket expenses whether it is the prevailing party or not, through all levels of the court system 19. ADJUDICATION OF DISPUTES OR DISAGREEMENTS COUNTY and ARCHITECT agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of each of COUNTY and ARCHITECT. Ifno resolution can be agreed upon within 30 days after the first meet and confer session, the issue or issues shall be discussed at a public meeting of the Board of County Commissioners. If the issue or issues are still not resolved to the satisfaction of COUNTY and ARCHITECT, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. 20. COOPERATION In the event any administrative or legal proceeding is instituted against either party relating to the formation, execution, performance, or breach ofthis Agreement, COUNTY and ARCHITECT agree to participate, to the extent required by the other party, in all proceedings, hearings, processes, meetings, and other activities related to the substance of this Agreement or provision of the services under this Agreement. COUNTY and ARCHITECT specifically agree that no party to this Agreement shall be required to enter into any arbitration proceedings related to this Agreement. 21. BINDING EFFECT The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of COUNTY and ARCHITECT and their respective legal representatives, successors, and assigns. 22. AUTHORITY Each party represents and warrants to the other that the execution, delivery and performance of this Agreement have been duly authorized by all necessary COUNTY and corporate action, as required by law. 23. CLAIMS FOR FEDERAL OR STATE AID ARCHITECT and COUNTY agree that each shall be, and is, empowered to apply for, seek, and obtain federal and state funds to further the purpose of this Agreement; provided that all applications, requests, grant proposals, and funding solicitations shall be approved by each party prior to submission. 7 24. PRIVILEGES AND IMMUNITIES All of the: privileges and immunities from liability, exemptions from laws, ordinances, and rules and pensions and relief, disability, workers' compensation, and other benefits which apply to the activity of officers, agents, or employees of any public agents or employees of the COUNTY, when performing their respective functions under this Agreement within the territorial limits of the COUNTY shall apply to the same degree and extent to the performance of such functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the COUNTY. 25. LEGAL OBLIGATIONS AND RESPONSmILlTIES This Agreement is not intended to, nor shall it be construed as, relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely performance thereof by any participating entity, in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the constitutional or statutory duties ofthe COUNTY, except to the extent permitted by the Florida constitution, state statute, and case law. 26. NON-RELIANCE BY NON-PARTIES No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to enforce or attempt to enforce any third-party claim or entitlement to or benefit of any service or program contemplated hereunder, and the COUNTY and the ARCHITECT agree that neither the COUNTY nor the CONTRACTOR or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in this Agreement. 27. ATTESTATIONS CONTRACTOR agrees to execute such documents as the COUNTY may reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug-Free Workplace Statement. 28. NO PERSONAL LIABILITY No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or her individual capacity, and no member, officer, agent or employee of Monroe County shall be liable personally on this Agreement or be subject to any personal liability or accountability by reason ofthe execution of this Agreement. 29. EXECUTION IN COUNTERPARTS This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of COUNTY and CONTRACTOR hereto may execute this Agreement by singing any such counterpart. 8 30. SECTION HEADINGS Section headings have been inserted in this Agreement as a matter of convenience of reference, only, and it is agreed that such section headings are not a part of this Agreement and will not be used in the interpretation of any provision of this Agreement. WHEREOF, the parties hereto have executed this Agreement on the date ~ Date: eputy Clerk MAY 1" 20117 (SEAL) Attest: By: Title: BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA ~i}~ By: Mayor/Chairman By: Title: ----07 a-..o STATE OF fL9!U!}A COUNTY OF J..;V~hCL.A On this Ji~ dJ!Y of 01=1'1 ,2007, before me, the undersigned notary public, personally appeared "- <SrT <...:. (WI~ , known to me to be the person whose name is subscribed above or w~ produced Ch~ L. >(l.,,,~ as identification, and acknowledged that be/she is the per.e wID:> =:\ executed tbe above Agreement with Monroe County for Professional Services at the Big Pine ~ ~ ::J: Com unity Center. o~"': :::: P1' -t.... ,,?',.. N D~:"',; &"" ~~o-;.: ~C}~.." -<:--l:". Date: SIn/a)} ~'1Dr~ Print Name \\\\\\11l1U/J111 ~~ :fl<... . /?>""I 1i~~~;~~~1~ONY D. SARNO f :'~ '~'" ~ NOTARY PUBLIC ::: ! ~ ~ STATE OF OHIO ~ :. i Comm, Expires - . -!:i. - ~ ......... .? January31.2010 -::;.. .r .... . ..... " // I:tr. ........ -:..0 ~ ////11 C OF o~ \\\"" 1IIIIIIItl\\\\\\\ ~ ~ :> MONROE COUNTY ATTORNEY AP~i~ff:JY NTHIA L. HALL ASSISTANT COUNTY ATTORNEY Date 4-- -g ~O:r 9 .." ~ ~~ "-q CJ "7'; ~ 'P. ..... U) :oc) ('(\ (-) o 7~ o LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE " " (Company) "...warrants that he/it has not employed, retained or otherwise had act on hislher behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010- 1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010- 1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may als " its discretion, deduct from the Agreement or purchase price, or otherwise reco er, the full a t of any fee, commission, percentage, gift, or consideration pdt the fo unty officer or employef'." (Signature) fIn lfJI I Date: STATE OF: 0,,0 COUNTY OF: r>>If'A11d.t.:I Subscribed and sworn to (or affIrmed) before me on /Yl"7CI n ? I1'D+ . ~07T C. N\,q(..~'-1 (name of affiant). He/She is (date) by personally known to me or has produced D~I _0' ''\ L~.." (type of identification) as identification ARNO ,11111111/1/111/1 LloN~ O. S ,\\\" ~IAl S .11/// ANi n ~UllllC f ~!:""''''''''''~1/:-~ NOiAR~ \-110 i~~~\ If~.... % SiAi~O~~p\les ~ fll'; ~ Comm. ,20'0 - . : = 3 I :: : . dot :"': =: .10111101'/ \ \::.~, . ~u\~ ...~:' f 'l .... ~.., 0 '" // S ....... ~ V ///1 ~ T.E O' 0 \\", III r \\\ 1111111111\\\\\ clv I~ARYPlJBUC My Commission Expires: ,~"5I, 7tf)JdJ 10 DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: (Name of Business) Will: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (I). 4. In the statement specified in subsection (I), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community , or any employee who is so convicted. 6. Make a good faith effort to continue to mainta' implementation of this section. lies fully with the As the person authorized to sign the statement, I certify aboverequiremen~. Date: ~) 11/'1 (Signature) STATE OF: COUNTY OF: ~;"~A su~ribed ~d sworn to (or affirmed) before me on m"l'1 I~"UJXP? (date) by .nn- , 1Yltk..~'1 (name of affiant). He/She is personally known to me or has produced ,oJf:F' L - ( fidentification) as identification. TARY PUBLIC My Commission Expires: In,,, 31 L.1>lb . \\\\\1111111111// ",\\ h.Q.1Al //11/; $'~O);"""";"~~'f /~ ANTHONY D. SARNO f /~\I/j~~ \. NOTARY PUBLIC == ,-.->. : ~ STATE OF OHIO - ~..., ,.",. ..! 2 Comm. Expires %. \:, rf)ll ~./ J January 31, 2010 'l .ft ..... ~'..... S' ~...~ ........:-.,0 ~ ///1 'E OF Q't\ \\" 111/lIl1rI111.1\\\\\\ 11 PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or CONTRACTOR under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months fro the date of being placed on the convicted vendor list." 1 have read the above and state that neither (Respondent's name) nor any Affiliate has been placed on the convicted vendor list within the last 36 months. Date: (//1/0/ , . ature) STATE OF: Q.,cQ COUNTY OF: (~V't,q"'O<A Su cribed,apd sworn to (or affirmed) before me on ~ 1'1-. ,-an>+ (date) by I~ _' N'Al..or-.";L: (name of affiant). He/She is personally known to me or ?as p~odu~ed J:::t;~{J,> ~~ ~ ~ of identification) as IdentIfication. D _ OTARY PUBLIC My Commission Expires: ,~ ~. l..Lb1"1:> \\\\\\\111111/11/ ,\,\\\ ....'RIAL III/II $'~O);"""""'~~~ % ANTHONY D. SARNO f /~\, I~~"\ NOTARY PUBLIC =: :11: ~ STATE OF OHIO S ~... "'0' .! ~ Comm. Expires ::. '.~. ~"... ..::::: "'-.... ~." ~ January31,2010 ~ If ..... .\ ..... $' 'l ~ ........ 0 " //IIII"E OF: o~'\ \\,,\, 1/1111/111,1\\\\\\\ 12 SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY. FLORIDA ETHICS CLAUSE warrants that he/it has not employed, retained or otherwise had act on his/its behalf any former County officer or employee in violation of Section 2: of Ordinance No. 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise or employee. commission, percentage, gift, or consideration paid to the Date: (signatu r/17(O) STATEOF ()"O COUNTY OF C~V,qH o<.,q PERSONALLY APPEARED BEFORE ME, the undersigned authority, ~- C. IY.AL.l::>'>E<-t who, after first being sworn by me, affixed his/her signature (name of individual signing) in the space provided above on this J 1- day of 11I"voI'1 My commission expires: \\\\\\111/1/1111 ",,\\\ "''RIAL 11/1;,/ :f ~y:,.........~~-v \. ANTHONY D. SARNO f ~.~\I J~~ "% NOTARY PUBLIC 2 :1iI: :: STATEOFOHIO ~ :.... 'c .,. ::: Comm. Expires % .....~ ~J.~ >./ ff January31 2010 ~ '-:'. ~....., :! I ~J'~ ......... ~o '" ///-"l'E OF oV\ "..::;:. III/ \\\ 111/111111\\\\\ OMB - MCP FORM #4 NON-S:9LL~ION ~DA VIT 1 of the city of oath, and under penalty of peIjury, depose and say that 1. I am according to law on my of the firm of the bidder making the Proposal for the project described in the Request for Proposals for and that I executed the said proposal with full authority to do so; 2. the prices in this bid have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor; 3. unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly, to any other bidder or to any competitor; and 4. no attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit, 0 ot to submit, a bid for the purpose of restricting competition; 5. the statements contained in this affidavit ar tru de with full knowledge that Monroe County relies upon e ents contained in this affidavit in awarding contracts for said p (Signatur~ fJ /1 {) 1 , Date: STATE Of: a,a COUNTY OF: (\'VAhO<;f.l Subscribed a (date) by on- ~Or<rC personally known to me or has produced (type of identification) as identification. rn1l, n . Z (lrn (name ofaffiant). D'Vf/'~ i~ (J NOTARYPU~ He/She is ,\\\\lllH/f11111 ", I \ III .~", :'\~~/.~. S II//,.- l~?'" \1 ,t,"<~/~ ANTHONYD. SARNO f :~ ~~~.' % NOTARY PUBLIC = i : == STATE OF OHIO ~ :'~'\~'i .J g Comm. Expires ;. '" .' ~". s:~: :::- ~ ..... f'~i' .... ~ January31,2010 ~""'~ .... '" ...../ ~ ..........:0..0 ,~ ///,,/E OF o~ \\"" Ilf/fllrH\\\\\\\ My Commission Expires: J..v 51 ? (J)'r.b , 13 mbi k2m 1001 WHITEHEAD STREET KEY WEST, FLORIDA 33040 PHONE: 305.294.4011 FAX; 305.294.7412 PROF. REG. NO. AA260010S9 ARCHITECTURE, INC. January 31, 2007 Monroe County Florida Board of County Commissioners 1100 Simonton Street, Room 2-216 Key West, FL 33040 Attn: Mr. Jerry Barnett, Construction Group Re: BIG PINE KEY PARK COMMUNITY CENTER BUILDING BIDDING AND CONSTRUCTION ADMINISTRA nON SERVICES - AMENDMENT TO BASE CONTRACT Dear Mr. Barnett, On May 23, 2005, mbi I k2m prepared a scope of work document for architectural and engineering services to be completed by our office and consulting engineers. The services to be provided were: GENERAL . Coordinate drawing list. . Code Study. · Work with County to create a Project Manual - Division 0-16 documents, tests, contracts, bidding, etc. (all specifications in one volume for site and building) . Develop project schedule for design drawing completion. . Coordinate site design and building design. . Coordinate all tests and data to be provided by County. . Coordinate with County on permitting. . Provide reviews of project documents created by County. . Work with County to develop demolition package and separate construction package. SITE . Evaluate site design and provide modifications for County review. · Confirm survey items are shown on site drawings - (ex. mean high water line.) . Create refuse area. BUILDINGS . Develop schematic design for County approval · Develop architectural and structural construction documents for project. · Develop Design Development level MEP drawings - 50% · Work with County to select a design I build contractor(s) for the MEP work. To date our office has fulfilled all of the requirements of our base agreement that was negotiated with Mr. Larry Chalmers, former Director of Construction for Monroe County. Additionally, we have continued providing uninterrupted service throughout the bidding phase of the project. Prior to entering in to the Construction Administration phase mbi I k2m Architecture, Inc. would like to have a purchase order issued. By notice of this letter we are requesting additional service fees for bidding and construction administration support through the balance of the contract. Services provided will be in accordance with our Continuing Services Agreement for the Community Center building only. The following is our fee proposal: KEY WEST SOUTHWEST FLORIDA CLEVElAND HOUSTON CHARLOTTE mbi k2m ARCH ITECTURE, IN C. Compensation 1001 WHITEHEAD STREET KEY WEST, FLORIDA 33040 PHONE: 305.294.4011 FAX: 305.294.7412 PROF. REG. NO. AA260010S9 A. For bidding and oonstruction administration support services, Monroe County agrees to pay a fixed fee of rw[~W( lIIOl:J5{djO uOLLMS 1$20,000.(0) as required to oomplete the Work, unless agreed to in writing by Client. ) 5;oveJ B. The following is a listing of hourly rates assigned by staffing type for mbi I k2m Architecture, Inc. Principal Architect II Project Manager Project Coordinator Senior CNJ Operator CNJ Operator Clerical Engineer - Principal Engineer Drafter $215.00 I hour $185.00 I hour $120.00 I hour $ 95.00 I hour $ 70.00 I hour $ 55.00 I hour $150.00 I hour $ 90.00 I hour C. In addition to oompensation in Paragraph III (A), Client shall pay Consultant for any and all reimbursable expenses. Reimbursable expenses are defined as the actual expenses incrp~Aea by 18% incurred by the Consultant in oonnection with the Project, such as expenses for: travel, reproduction of reports, filing fees, drawings, and specifications; renderings; and similar Project-related items. D. The Consultant shall submit monthly invoices for services rendered. Payment of the invoice is due within 30 days after date on invoice. If you would like our office to facilitate the management of the site I civil work we would do this under a separate oontract. This has not been included because of the capacity of the engineering department to oomplete these tasks. Should there be any questions or concerns please do not hesitate to oontact our office. If this proposal meets with the approval of your departmen~ either Michael or myself will provide an original signature prior to forwarding this request to the BOCC. Thank you again for your trust in our abilities. Best Regards, 1:k-"~ &:oil C. Maloney, . , Director Cc: file Michael B. Ingram - mbi I k2m KEY WEST SOUTHWEST FLORIDA ClEVELAND HOUSTON CHARLOTTE ~er-Ann From: Sent: To: Subject: Scott Maloney [smaloney@mbi-k2m.com] Wednesday. March 28, 2007 9:25 PM Riger-Ann; Bamett-Jerry CA Proposal for Big Pine Jerry, I have been thinking about the CA proposal and I want to revise the number down to $15,000. If / when we get an approval please make the revision to our proposal or the purchase order you issue. If you want me t:o revise it, please let me know. Sorry for the last minute change, but we are trying to hE~lp with costs anywhere we can. Thanks, Scott C. Maloney,R.A., Director mbi k2m Architecture, Inc. sent from my phone mbi k2m ARCHITECTURE May 23, 2005 SCOPE OF WORK DOCUMENT BIG PINE KEY PARK - MONROE COUNTY, FLORIDA GENERAL o Work with mbi I k2m to create a Project Manual- Division 0-16 documents, tests, contracts, bidding, etc. (all specifications in one volume for site and building) o Perform soils and environmental tests and include in Project Manual. o Send mbi I k2m all current CAD files for the entire project. o Send mbi I k2m all existing specifications, products to be used but not in spec form, etc. o Provide a list of each person working on the project. Include phone numbers and email addresses. o Demolition package should be issued prior to completion of construction documents to show movement to community by County. This package could easily be put together in two weeks. Drawing X..1 o Should be the existing site survey. o County to provide copy to mbi I k2m electronically. o Show mean high water line. o Remove all notes relative to demolition - this is the survey. o On survey identify the zoning for this and adjacent properties. Drawing X-2 o Identify the contractor staging area o Show protective fencing around area of work. o Identify measures to limit disruption to community during construction. Drawing D-1 o Show scope of erosion control required for site. o Include erosion control details. o Take pictures of the existing property and surrounding properties for record purposes. A short video might also be good to have. Date stamp the pictures and video. o The pictures will also be placed in Demolition Package showing scope of work. o Define scope of demolition and provide standard demolition notes. mbi I k2m can provide demolition notes for the drawings. o Show mean high water line. o Define process of terminating utility connections, removal of utilities, protection of existing utilities to remain. o Show landscape to be removed on this drawing or on a landscape demolition site plan. For coordination purposes put on L-series drawings. o Show area of work for demolition. Page 1 of 5 604 WHITEHEAn STREET KEY WEST, FLORIDA 33040 I PHONE: 305.294.4011 I FAX; 305.294.7412 I PROF. REG. NO.AA26000777 mbi k2m ARCHITECTURE May 23, 2005 Drawing D-2 o Change drawing name to L-o. o Title it Vegetation Demolition Site Plan o Remove references to zoning. o Provide notes for storing plant materials on site, protecting those that remain in place during demolition and construction. o Transplantation Plan - County should provide additional reference to this item. o Quantify all vegetation (especially endangered species). o Develop a table of vegetation - common name, species, quantity, coded note for remove I relocate I replace I remain, description of work. o Show any soil removal required at ball fields and preparation required for new engineered field system. Drawing D-3 o Develop written description of buildings. o Reference Demolition Project Manual for photographs, written description of existing buildings, and other demolition criteria. o Note any items to be saved or relocated to another property by County. o Hatch walls based on materials to further assist bidder define their work. Drawing C-1 o Refer to red-lines on mark-up set. o Site Data Table - put elevation heights with AE and VE. Add impervious versus pervious area. o Revise site plan to match with mbi I k2m revisions. o Provide drawing references to details. Example - 3 Flag Poles - Refer to 6/C-2 for details. Each detail on C-2 should be referenced on this drawing. o Add handicap parking, paving, curb cuts, etc. details to C-2 along with notes. (Striping plan, ADA enlarged parking plan, signage, detectable surface diagram, define accessible path and note areas to be modified for compliance.) o Call out heights of all fencing. o Add bike stations to each major activity area. o Add detail of gate. o Add details of different fencing types. o Coordinate location of swales with activity area. Swales may need to be revised or equipment relocated. o Develop enlarged plan, elevations, and details or trash enclosure. o Call out fire access. o Show traffic arrows and stop bars in plan. Quantity, direction, and reference S/C- 2. o Expand Legend to include all symbols from plan. o Make sure all arrows point to element they are describing. (Example - 4 shuffle board courts points to the grass area next to it.) o Are picnic tables placed on concrete or on grade? Note mounting method on drawing. Page 2 of 5 604 WHITEHEA[) STREET KEV WEST, flORIDA 33040 I PHONE: 305.294.4011 I FAX; 305.294.7412 I PROF. REG. NO.AA26000777 mbi k2m ARCHITECTURE May 23, 2005 Drawing C..2 D Refer to red-lines on mark-up set. D Add the standard fine signage as required by Florida Building Code to the handicap parking sign detaiI7/C-2. D Stop sign should be mounted on a pole. Show the pole and foundation on detail 10/C-2. D Revise flag pole foundations. Coordinate requirements with manufacturer who should be able to provide a standard footer depth and construction. Detail 6/C-2. D Add details referenced in C-1 that need to be created. D Reconsider fencing material. Plastics or fiberglass may be better than galvanized metal. D Coordinate depth of rebar from 5/C-2 with 8/C-2. These two details differ greatly. Recommend changing to one detail. D Show lighting on flag pole if desired. Coordinate location with Site Utility Plan C- 5. Drawing C-3 D Refer to red-lines on mark-up set. D Add reference to Demolition Project Manual which contains approvals to use demolition debris as fill material. D Show an overall plan of basin with dimensions and depths to accurately scope out the work. Better define the scope of work. D Locate piles to be removed on this overall plan. Currently there is no graphic showing a horizontal or vertical pile. D A specification or general note must be developed noting compaction requirements. D If settling occurs - who is responsible and what course of action needs to be taken. Put this in the specifications. D If water is absorbed into surrounding soil - what will this do to the quality of the soil where ball fields will be located? Drawing C-4 D Add swale along shoreline per Code. D Review location of swales with each activity area. Swales conflict with equipment and activity. D Confirm retention shown meets Code. Drawing C-5 D Create this drawing and call it Site Utility Plan D Show all site lighting on this drawing. D Show all connections to structures (5-feet outside building) from main service entry on site. Coordinate this with mbi I k2m. D Drawing P-1 and E-1 should be combined to form the C-5 Site Utility Plan drawing. Page 3 of 5 604 WHITEHEAD STREET KEY WEST, FLORIDA 33040 I PHONE: 305.294.4011 I FAX; 305.294.7412 I PROF. REG. NO.AA26000777 mbi k2m ARCHITECTURE May 23, 2005 Drawing L-.1 o Refer to red-lines on mark-up set. o Develop planting list with common name, botanical name, and specifications _ Coordinate with L-O. o Revise landscape plan to match with mbi I k2m revisions. o Provide drawing references to details. Example - Sod - Refer to x1L-2 for details. Each detail on L-2 and L-3 should be referenced on this drawing. Drawing L-2 o Refer to red-lines on mark-up set. o Add numbers to each detail so they can be referenced correctly on L-1. Example 1/L-2. o Add ball field details describing engineered field construction. Should be details and notes. o Reference other projects completed by County of similar nature for typical details that should be included on this project. o Add to general notes for bracing, specialized planting, and soil preparation. o Drawing specifications. Drawing L-3 o Refer to red-lines on mark-up set. o Make sure each detail is called out on L-1. Drawing L-4 o Refer to red-lines on mark-up set. o Recommend a sprinkler contractor work with County to develop this drawing. Could be done as a design / build. o All above ground sprinkler equipment must be out of way and from public view. Consider locating in landscape bed. o Engineering requirements (plumbing and electrical) must be coordinated with mbi I k2m. Certain items will be located in the building that will have to be called out by our office. Drawings A-22, A-23, A-24, A-25, A-26 (missing), A-27, A-28, A-29, A-3D, A-31, and A- 32 should become C-drawings. All A drawings are reserved for architecture only. o Refer to red-lines on mark-up set. Drawing P-1 and E-1 should be combined to form the C-5 Site Utility Plan drawing. o Coordinate final locations of plumbing and electrical entrances into building with mbi I k2m drawings. INSTRUCTIONS Once an item is completed a check mark should be placed in the box showing completion of work. When all work is complete provide a copy of completed list to mbi I k2m Architecture and Project Manager for County. Page 4 of 5 604 WHITEHEAn STREET KEY WEST, FLORIDA 33040 I PHONE: 305.294.4011 I FAX: 305.294.7412 I PROF. REG. NO.AA2600Q777 mbi k2m ARCHITECTURE May 23, 2005 All questions, comments, or concerns shall be directed to: mbi I k2m Architecture 604 Whitehead Street Key West, Florida 33040 Tel 305.294.4011 Fax 305.294.7412 Mr. Michael B. Ingram - minaramallmbi-k2m.com Mr. Scott C. Maloney - smalonevallmbi-k2m.com mbi I k2m Architecture - Consultant Scope GENERAL . Coordinate drawing list. . Code Study. . Work with County to create a Project Manual - Division 0-16 documents, tests, contracts, bidding, etc. (all specifications in one volume for site and building) . Develop project schedule for design drawing completion. . Coordinate site design and building design. . Coordinate all tests and data to be provided by County. . Coordinate with County on permitting. . Provide reviews of project documents created by County. . Work with County to develop demolition package and separate construction package. SITE . Evaluate site design and provide modifications for County review. . Confirm survey items are shown on site drawings - (ex. mean high water line.) . Create refuse area. BUILDINGS · Develop schematic design for County approval . Develop architectural and structural construction documents for project. . Develop Design Development level MEP drawings - 50% . Work with County to select a design I build contractor(s) for the MEP work. Page 5 of 5 604 WHITEHEAD STREET KEY WEST, flORIDA 33040 I PHONE: 305.294.4011 I FAX: 305.294.7412 I PROF. REG. NO.AA26000777 jPRo~~pRO. CERTIFICA1 Talbot Insurance Partners 9930 Johnnycake Ridge Road Mentor OH 44060 Phone: 440-942-2152 OF LIABILITY INSURA~ OPID Y K2MDESl 08 08 [ THIS CERTIF.'CATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. E 06 Fax: 440-942-2204 INSURERS AFFORDING COVERAGE 'NSURER ." St3te Auto I~suranGe Companies -. - NAIC# ; ""w 25135 ". d~71;mU-- ,'J AWiAGE~OO0443C INSURED mbi / k2m Architecture Scott C. M~loney, R.A. 2530 Superior Ave #302 Cleveland OH 44114 I"JSL,PE,,",3 CNA Insuranc~G(~ i~,'::;UPER C 1~12LJP[!'i. D ,;;'Uh : INSURER E COVERAGES r,'E POLICIES OF I~JSljRAW~E lISiED BELD'N HAVE BEEN ISSUED TO r;-.E i\I$LPED ~'IAMF.D ',BOV'O fOR Tr,t: re'UCf PERJr)O INDICATtro:O@'rWITIiST/i~JDING. ~~'( REQU~REMENT. TERM OR Cm,JDITION OF ANY CONTRACT OR DTCiER CCCl:ME~n 'NITH RES9Et:T TO 'y"!hIC;C"' rH,S CERTIFICA TE MAY BE ISSUED OR ~iA Y f'ERTAIN, THE INSURA~~CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T~1E ~Er<"'S E\C1 USIONS AND CONDITIONS OF SUCH DOLICIES ,/IGGREGATE LIMiTS Srl()W~J MAY HAVE BEEN REDUCED BY PAIt) I:L~IMS INSRADO' r-- LTR INSR I TYPE OF INSUR~ POLICY NUMBER I-policy EFFECTIVe: P6L1CYEXPiRATf6iirl I DATE !MM/DDn':~A TE (MMfOOIYYI lEACH OCCURRENCE -OAMAGETO REnTED f_F'.R.~M~?E.? (Ea 2:'':..cllr8n~eL I MEo. ~XP {Anyone person) LIMITS x GENERAL LIABILITY , I Cm~MERCIAL GENERAL LIABILITY C- CLAIMS MADE I I OCCUr< i X Business Owners iT I GEN'L AGGRI,GATE LIMIT APPLIES F'ER X I POLICY i jr8-i I LOC AUTOMOBILE LIABILITY I ANYAU10 I ALL OWNED AUTOS BOP2202233 08/08/06 I 08/08/07 i ~ERS<?~P,L & ADV iNJURY GENERAL AGGREGA rE PRODUCTS COMP/OP AGG 1$ 1,000--;000 L'- 300,000 1$ ?,OOO $l,OOO~_900 $ 2 ,_QgQ_L9 0 0 1,2,000,000 i $1,000,000 A x I COMBI~JEO SINGLE' LIMIT liEaaCCldentj A A IX X ! I SCJ-lEDULED AUTOS , HIRED f1,LJ10S .I NON-O'N~JED ,\lITOS : BODI[_ Y !t'L1URY I (Per person) I I' BOP2202233 BOP2202233 08/08/06 08/08/06 08/08/07 08/08/07 80DIL'( ,NJUF~Y !_I;'f'r,ZCirl,:mt) ! PROFERry C';,,"INiE (PfO[ aCClr!"nt) I __--+-.-1._____._ i I GARAGE LIABILITY ! ANY AUTO f-- -.T)~-f-r4-.-.~~ .....--.-.- I . / c.' ~.~/LL~"] , f~f II:])!} . 'f , -~ ---~U~?_mJL Y - EA ~CI I OTHER THAN , AUTO ONL Y 'DENT: $ X , EXCESS/UMBRELLA LIABILITY I j CAlMS MADE EA A~c_i S AGG : $ I OCCUR EACH OCCURRENCE iA.GGREGATE is L' i DEDUCTIBLE i RETEIHION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A I ,~NY PROPRIF.TORIf'A,"~~I<:RIEXECUTIVE I --'..------- I I !' I BOP2202233 08/08/06 I 08/08/07 " t , ~~~_Q~Y ~~~~i~s-~ I Ud~L! I E.L EACH ACCIDEr~r ! $ 1,000, qoq i~: L_ IJISf..A,3!-: - 'r. c; 1,000, JO() i i E L D!f~-,~Sf -~CLI':'::~U1~--L:_i~Qoo, 0-60 ~,J : I 'rhLL-'" "',j>'.-, If )'CS, j8~cr;b8 l""je, ~ SF:CIAL PRO'/ISltmS L,e!LW --i----:-_ " , elHER 'j ! Archi tects E & 0 25-401-87-62 '--!--~'--"-l 04/13/06 I 04/13/07 ----~--._----'--------- "__~_._,---.l _, I DESCRIPTION OF OPERATIONS / LOCA"nONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also named as additional insured" Ohio Workerts Camp #1493325 as provided by Scott C. Maloney mbilk2m Architecture. Per Claim A:9:3!:~_g~~", 3,000,000 3,000,000 CERTrFICAfE HOLDER r--------- CANCELLA TlON MCl11 ():.; S~OULD~~NY CF ~/~-~;~;';H!;;~P-;;~~~C-;F~~~~~;-D--;;;':-;;-~P~;;;-;~~_:] DATE THEREOF, THE ISSUING II,SURER WILL E~I"EA':OR TO r,1}'lIL 10 DAYS '.'If'ITTEIJ ,\(:Oi~D 25 (20C1i013) ---_._-'".~,.__._---- ------ --.- NOTICE TO THE r;ERTIF:CATE HOLDER NA'M.:D T'.J THe; LfFT, GUT FMLl'r<E fa [,,0 so Sf';,LL IMP00E NO CF3LiG,\TICN OR IIA81L1TY OF ANY K,:/C' :)PGN H'E i".S'...r~(R, Irs ,\GENf3 ')R I'Ef'RESENTA.IVI'S .L__ -^;;~~:;~;~:~:::~[7-" ~';;2. ^~-~, T-' ":Aco~f~toRAT 1",';; I .' Mon_r:oo Coun ty Attn: Paulette Harper 1100 Simonton St. K8Y West FL 33040 I . :ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 S MBIK2-1 04 13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 07 PRODUCER Selvaggio, Teske & Associates 3401 Enterprise Pk~{. Ste. 101 Beachwood OH 44122 Phone: 216-839-2800 Fax:216-839-2815 , ! INSURERS AFFORDING COVERAGE mbi-k2m Architecture, Inc. 2530 Superior Ave. Suite 302 Cleveland OH 44114 I INSURER A I i INSURER B ! INSURER C : INSURER 0 INSURER E Hudson Insurance , NAIC# Compallllnroe ~.A~54 "I,:"'ij/fi,,!,S De" )optnent INSURED AI-}~ .1 f) )0 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERiOD INDICATED. NOT G 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS L TR NSR TYPE OF INSURANCE GENERAL LIABILITY 1-, COMMERCIAL GENERAL LlABIUTY Ff:J ClA'MS MADE [~OCCUR H ~'l AGGREGATE LIMIT APPLIES PER: I POLICY ~r8T lOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS POLICY NUMBER i POLICY EFFECTIVE I POLICY EXPIRATION DATE MMfDDfYY DATE MM/DOfYY LIMITS -- -/C . I Vldnr08 (.:UUtlt'y I 23~"PlZ',J:/j~ r AORr ['Jln!] I I -. '" I EACH OCCURRENCE $ ~~~~~i~ YE~~~~~~nce) _ i $ .~ , . ~~D EXP (Anyone person) i $ <~ /C/c, LI. PERSDNAl&ADVlNJURY I' GENERAL AGGREGATE I $ PRODUCTS - COMP/OP AGG S lIMr:: .... <f COMBINED SINGLE LIMIT (Eaaccident) .' j--~ I' I BOall Y INJURY I (Per person) I -j I L?~RAGE LIABILITY ANY AUTO BoalL Y INJURY I (Per accident) ----~------t.-._----- PROPERTY DAMAGE :,' , (Per accident) I ;, EXCESSfUMBRELLA LIABILITY t=J OCCUR 0 CLAIMS MADE r- f~~~LY - E~!,CCID~ I OTHER THAN EA ACC ! S AUTO ONLY: AGG I S EACH OCCURRENCE $ CGREG~_ i: __~_~_ I --P.--~-- , DEDUCTIBLE RETENTION $ ! WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? gpE<:I~r~~~vlsfoNS below OTHER " f. L_ DISEASE - fA EMPLOYEE S r.----~--r-- I E.L DISEASE - POLICY LIMIT I $ A I Professional Liab. 04/13/07 I 04/13/08 Claims-Made I I lESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECiAL PROVISIONS :ertificate Holder: Monroe County t30 Day Cancellation applies, except for lO-Day Notice for non-payment ;>remium. $3,000,000 $3,000,000 of :ERTlFICATE HOLDER Monroe County Attn: Paulette Harper 1100 Simonton Street Key West FL 33040 CANCELLATION MONR - 0 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICiES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHOR EPR ENTATIVE @ACORD CORPORATION 1988 CORD 25(2001108)