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07/18/2007 AgreementDANNYL. KOLHAGE CLERK OF THE CIRCUIT COUR DATE: September 10, 2007 TO: Carol Cobb, Executive Assistant Solid Waste Management Division FROM: Pamela G. Ha oc Deputy Clerk At the July 18, 2007, Board of County Commissioner's meeting the Board granted approval to award bid and authorized execution of an Agreement between Monroe County and US Biosystems, hic. (lowest bidder) for Ground Water and Surface Water Sampling and Analysis at the County's three (3) landfills. Enclosed is a duplicate original of the above -mentioned for your handling. Should you have any questions please do not hesitate to contact this office. cc: Public Works w/o documents County Attorney Finance File,/ Agreement for Ground Water and Surface Water Sampling and Analysis T S AG EMENT ("Agreement") made and entered into this /j*_d day of 2007, by and between MONROE COUNTY, FLORIDA ("County"), 1100 Simonton Street, Key West, Florida, and US Biosystems, Inc. ("Contractor") whose address is 3231 NW 7`h Avenue, Boca Raton, FL 33431. WITNESSETH: The parties hereto, for the consideration hereinafter set forth, mutually agree as follows: 1. THE CONTRACT The contract between the County and the Contractor, of which this Agreement is a part, consists of the contract documents, as specified in paragraph 2. 2. THE CONTRACT DOCUMENTS The contract documents consist of this Agreement, the Request for Bid and any addenda, the Contractor's Bid response documents, any other amendments hereto executed by the parties, together with the required County documents furnished as part of the Bid or required to be furnished by the Bid, and all required insurance documentation. 3. SCOPE OF THE WORK The Contractor shall provide all labor, equipment, materials, and services to sample, analyze, and report on the County Landfills' eleven (11) ground water monitoring wells and three (3) surface water monitoring locations. The Contractor shall perform all of the work described in the Bid Specification entitled: GROUND WATER AND SURFACE WATER SAMPLING AND ANALYSIS 4. THE CONTRACT AMOUNT A. The Owner shall pay the Contractor in current funds for the Contractor's faithful performance of the Contract. B. The Contractor shall invoice the Owner semi-annually, following the completion of each event. C. The Contract Sum is 6 056.00, and the semi-annual invoices may be submitted for one half of this sum. 5. CONTRACTOR'S ACCEPTANCE OF CONDITIONS This Agreement and the provision of the services at the locations listed have been fully considered by the Contractor, who understands the same and agrees to their sufficiency and suitability. Under no circumstances, conditions, or situations shall this Contract be more strongly construed against the County than against the Contractor. The passing, approval, and/or acceptance by the County of any of the services furnished by the Contractor shall not operate as a waiver by the County of strict compliance with the terms of this Contract, and specifications covering the services. Failure on the part of the Contractor, immediately after Notice to Correct shall entitle the County, if it sees fit, to correct the same and recover the reasonable cost of such replacement and/or repair from the Contractor, who shall in any event be jointly and severally liable to the County for all damage, loss, and expense caused to the County by reason of the Contractor's breach of this Contract and/or his failure to comply strictly and in all things with this Contract and with the specifications. 6. HOLD HARMLESS The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by the Contractor or any of its Subcontractor(s) in any tier, occasioned by the negligence, errors, or other wrongful act of omission of the Contractor or its Subcontractors in any tier, their employees, or agents. In the event that the service is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses or lost revenue resulting from such delay. The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for above. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. The provisions of this section shall survive the expiration or earlier termination of this agreement. INDEPENDENT CONTRACTOR At all times and for all purposes under this agreement the Contractor is an independent contractor and not an employee of the Board of County Commissioners for Monroe County. No statement contained in this agreement shall be construed so as to find the Contractor or any of his/her employees, contractors, servants, or agents to be employees of the Board of County Commissioners for Monroe County. 6. ASSIGNMENT/SUBCONTRACT The Contractor shall not assign or subcontract its obligations under this agreement, except in writing and with the prior written approval of the Board of County Commissioners for Monroe County and Contractor, 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 subcontractor 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 obligation upon the board in addition to the total agreed -upon price of the services/goods of the Contractor and compensation to County. 9. COMPLIANCE WITH LAW In providing all servicestgoods pursuant to this agreement, the Contractor shall abide by all statutes, ordinances, rules and regulation 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 contract immediately upon delivery of written notice of termination to the Contractor. The Contractor shall possess proper licenses to perform work in accordance with these specifications throughout the term of this contract. 10. INSURANCE Prior to execution of this agreement, and maintained throughout the life of the contract, the Contractor shall furnish to the County Certificates of Insurance indicating the minimum coverage limitation as listed below: A. General Liability — include as a minimum: • Premises Operations • Products and Completed Operations • Blanket Contractual Liability • Personal Injury Liability • Expanded Definition of Property Damage The minimum limits acceptable shall be $300,000 Combined Single Limit If split limits are provided, the minimum limits acceptable shall be: $100,000 per person; $300,000 per Occurrence; and $50,000 Property Damage. An Occurrence Form policy is preferred. If coverage is changed to or provided on a Claims Made Policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of 48 months following the termination or expiration of the contract MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MUST BE NAMED AS ADDITIONAL INSURED. B. Vehicle Liability — include as a minimum: • Owned, Non -Owned, and Hired Vehicles The minimum limits acceptable shall be $300,000 Combined Single Limit If split limits are provided, the minimum limits acceptable shall be: $100,000 per Person; $300,000 per Occurrence; and $50,000 Property Damage. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MUST BE NAMED AS ADDITIONAL INSURED. C. Workers Compensation — limits sufficient to respond to Florida Statute 440. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease, each employee Coverage shall be provided by a company or companies authorized to transact business in the State of Florida and the company or companies must maintain a minimum rating of A -VI, as assigned by the A.M. Best Company. If the Contractor has been approved by Florida's Department of Labor, as an authorized self -insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. 11. CONTRACTOR'S RESPONSIBILITY The Contractor warrants that it is authorized by law to engage in the performance of the activities encompassed herein, subject to the terms and conditions set forth in these contract documents. Contractor shall at all times exercise independent judgment and shall assume responsibility for the services to be provided. 12. NOTICE REQUIREMENT 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 C. Dent Pierce, Director Monroe County Administrator Public Works Division AND 1100 Simonton Street 1100 Simonton Street, Room 2-231 Key West, Florida 33040 Key West, Florida 33040 ikll 14. FOR CONTRACTOR OR William Deckelmann, President US Biosystems, Inc. 3231 NW 7'h Avenue Boca Raton, FL 33431 REPRESENTATIVE AT JOBSITE FOREMAN Greg Morrison, Field Services/ Sample Custody Manager US Biosystems, Inc 3231 NW 71h Avenue Boca Raton, FL 33431 Notice shall be deemed received when delivered or when deemed undeliverable by the U.S. Postal Service. CANCELLATION A. In the event that the Contractor shall be found to be negligent in any aspect of installation, stocking, maintenance, repair, or service, the County shall have the right to terminate this agreement after five days written notification to the Contractor. B. This contract may be terminated for convenience by County upon ten (10) days written notice to contractor delivered by hand or certified mail, return receipt requested, of intent to terminate and the date on which such termination becomes effective. Contractor shall cease work as directed. In such case, Contractor shall be paid for all work executed and termination expenses, and expenses incurred prior to termination. No payment shall be made for profit for work which has not been performed. GOVERNING LAWS, VENUE, INTERPRETATION, COSTS, FEES This Agreement shall be governed by and construed in accordance with the laws of the State of Florida applicable to contracts 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 the agreement, the County and Contractor agree that venue shall lie in the appropriate court or before the appropriate administrative body in Monroe County, Florida. This Agreement shall not be subject to arbitration. 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. 15. RECORDKEEPING Contractor 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. If an auditor employed by the County or Clerk determines that monies paid to Contractor or not paid to County pursuant to this Agreement were spent for purposes not authorized by this Agreement or wrongfully retained by Contractor, the Contractor shall repay the monies together with interest calculated pursuant to Sec. 55.03, FS, running from the date the monies were to have been paid. 16. 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 of the remaining terms, covenants, conditions and provisions of this Agreement would prevent the accomplishment of the original intent of this Agreement. The County and Contractor 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. 17. ATTORNEY'S FEES AND COSTS The County and Contractor 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, court costs, investigative, and out-of- pocket expenses, as an award against the non -prevailing party, and shall include attorney's fees, court costs, investigative, and out-of-pocket expenses in appellate proceedings. 18. BINDING EFFECT The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of the County and Contractor and their respective legal representatives, successors, and assigns. 19. 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 or individual action, as required by law. 20. CLAIMS FOR FEDERAL OR STATE AID Contractor 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 Bids, and funding solicitations shall be approved by each party prior to submission. 21. COOPERATION In the event any administrative or legal proceeding is instituted against either parry relating to the formation, execution, performance, or breach of this Agreement, County and Contractor 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 Contractor specifically agree that no party to this Agreement shall be required to enter into any arbitration proceedings related to this Agreement. 22. NONDISCRIMINATION County and Contractor 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. County or Contractor agree to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1885-1686), 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 Vill of the Civil Rights Act of 1968 (42 USC s. 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 s. 1201 Note, as maybe amended from time to time, relating to nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. Monroe County Code Ch. 13, Art. Vl, prohibiting discrimination on the basis of race, color, sex, religion, disability, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age. 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. 23. COVENANT OF NO INTEREST County and Contractor covenant that neither presently has any interest, and shall not acquire any interest, which would conflict in any manner or degree with its performance under this Agreement, and that only interest of each is to perform and receive benefits as recited in this Agreement. 24. CODE OF ETHICS County agrees that officers and employees of the 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. 25. NO SOLICITATIONIPAYMENT The County and Contractor 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 Contractor 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. 26. PUBLIC ACCESS The County and Contractor 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 Statues, and made or received by the County and Contractor in conjunction with this Agreement; and the County shall have the right to unilaterally cancel this Agreement upon violation of this provision by Contractor. 27. NON -WAIVER OF IMMUNITY Notwithstanding the provisions of Sec. 768.28, Florida Statues, the participation of the County and the Contractor in this Agreement and the acquisition of any commercial liability insurance coverage, self-insurance coverage, or local government liability insurance pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any contract entered into by the County be required to contain any provision for waiver. 28. 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 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. 29. LEGAL OBLIGATIONS AND RESPONSIBILITIES Non -Delegation of Constitutional or Statutory Duties. 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 and 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 of the County, except to the extent permitted by the Florida constitution, state statute, and case law. 30. NON -RELIANCE BY NON-PARTIES No person or entity shall be entitled to rely upon the terms, or any of them, of the 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 Contractor 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. 31. 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 32. 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 of the execution of this Agreement. 33. 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 any of the parties hereto may execute this Agreement by signing any such counterpart. 34. 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. 35. CONTINGENCY STATEMENT Monroe County's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Monroe County Board of County Commissioners. 36. 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, proposal, or reply on a contract to provide any goods or services to a public entity, may not submit a bid, proposal, or reply 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 consultant 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 from the date of being placed on the convicted vendor list. EOF the parties hereto have executed this Agreement on the day above in four (4) counterparts, each of which shall, without proof or ter counterparts, be deemed an original contract. i, ,. (SEAL)' Attest: DANNY;L, KOLHAGE, CLERK By ?"~^*� eputy Clerk Date: JUL 18 2007 BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: Mayor/Char (SEAL) CONTRACTOR Attest: By: _ By: g✓.��� — WITN SS N o O ti 1 Title: 6)oeb,Title: Ply-4,40A � rn 11 L — eb r, rn WITNESS Title: 01 c; ti10,- ee. 0 2> MONROE COUNTYA�70fi,NE'!n AP OVED AS TO-'- co UPYNTHIA L. HALL ASSISTANT COUNTY ATTORNEY Date } also Si'ro-j a, q- 10 - o} 10 LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO.010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE _ WILLIAM DECKELMANN " (Company Offs er/Partnedlndividual) warrants that held 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. 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 also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. (Signature) Date:_ NI D z cL% STATE OF: FLORIDA COUNTY OR PALM BEACH Subscribed and swum to (or affirmed) before me on �y fJk ' /. Z )0-7 (date) by _j2-­) r Q_) jap l , jrnc.r > j (name of affiant). He/She is personally known to me or has produced p�r_(l �� �� as identification. (type of identification) NOTARY PUBLIC My commission expirex� (JI I l�b1lLY ►U S7AI1. OF PLORWA `k 40ONA TWVA3 $ Eo®tdssh,n 1'DDWI, i des: AIAR. 22, 2011 301UMD7Aw.vuvnc uoxm'c Co. u c NON -COLLUSION AFFIDAVIT l WILLIAM DECKELMANN of the city of BOCA RATON according to law on my oath, and under penalty of perjury, depose and say that: lam PRESIDENT of the firm of US BIOSYSTEMS, INC. making the Bid for the services/work/project described in the Request for Bids for. GROUNDWATER & CrrRFAC'FA*ATER SAMPLING& ANALYSIS and that I executed the said Bid with full authority to do so: 2. The prices in this bid/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 and percentage of return which have been quoted in this bid/Bid have not been knowingly disclosed by the responder and will not knowingly be disclosed by the responder prior to bid/Bid opening, directly or indirectly, to any other biddedresponder or to any competitor. 4. No attempt has been made or will be made by the bidder/responder to induce any other person, partnership or corporation to submit, or not to submit, a bid/Bid for the purpose of restricting competition. 5. The statements contained In this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affi vit in a rdi contracts project/servioes/work. 26[07 - Signature of Bader) (Date) STATE OF: FLORIDA COUNTY OF: PALM BEACH PERSONALLY APPEARED BEFORE ME, the undersigned authority, ram; cho_e I k A ns," who, after first being swam by me, (name of individual signing) affixed his/her signature in the space provided above on this ( day of , 20�"1 tidNeANA 9HONAS CrmmissionYDD6541/3 NOTARY PUBLIC i>;WIM: M" 22,2911 •NMW1rmYMIAM eamovc aow wa My Commission Expires: r-c� as i �"O t 1 DRUG -FREE WORKPLACE FORM The undersigned COntractorfbidderlresponder in accordance with Florida Statute 287.087 hereby certifies that: US BIOSYSTEMS, INC. (Name of Business) 1. Publishes 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. Informs employees about the dangers of drug abuse in the workplace, the business's 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. Gives each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1), 4. In the statement specified in subsection (1), 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 a polo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substanceguilty r n of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. imposes a sanction on, or requires 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 maintain a dng-free workplace through implementation of this section. As the person authorized to sign the statement, 1 certify that this firm complies fully with the above requirements. i t NOTARY PUBLIC My Commission Expires: , � t \ 1'UP4X-STATE OF FLORIDA missionA *=15 3�Cm B*fts: MAR. 22,2011WMhntm(:P mwceo,we f'IiaMI!• Hees1AA ACORD- CERTIFICATE OF LIABILITY INSURANCE TS NOT°"""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BEST Barger Ins Charlottesvlle ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 350 Old Ivy Way, 2nd Floor Charlottesville, VA 22903 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. 434 979-7064 INSURERS AFFORDING COVERAGE NAIC 0 INSURED U.S. BIOSystem8lOC. 3231 N. W. 7th Ave. INSURERA: Hartford Casualty Insurance Company 29424 INSURER B: NSURER C: Boca Raton, FL 33431 INSURER D NSUME!. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R MM TYPE OF INSURANCE POLICY NUMBER 08MDAMION LIM" A X GENERAL UABIUTY 14UUNTA8483 12131/06 12/31/07 EACH OCCURRENCE $ 1000 000 X GENERA -LIABILITY CLAIMS M,NDE 51OCCUR DAMAGE TO RENTED MEDEXP(An onepersen) $300000 $10000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: Fmi PRO- LOC IECT PRODUCTS - COMPIOP AGO $2 000 000 A X mmw X wine LIABS." ANY AUTO 14UENTA8399 12/31/06 12/3l/07 COMBINED SINGLE LIMIT (Es ectitlerrt) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS HIRFDAUTOS BODILY INJURY (Per person) $ X NON -OWNED AUTOS - _ - BODILY INJURY(Per $ X PROPERTY DAMAGE ki (Peres eM) $ GARAGE LIABILITY AUTOONLY-EAACCIDENT $ ANY AUTO OTHER EA ACC $ $ ONLY. AUTO ONLY. AM A X A LIABILITY C] CLAIMS MADE 14RHUTA8257 12/31/06 12131/07 EACH OCCURRENCE $2 000 0WOCCUR AGGREGATE s2.000.000 NEWUMBRB DEDUCTIBLE $ RETENTION $ A WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY 14WBNN6425 12/3l/06 12/31107 X we srnTu' OTH- E.L. EACH ACCIDENT $1000000 ANY PROPRIETOIVPARTNERIEXECUTIVE OFFICEMMEMBER EXCLUCED'1 I Ng. SPECIeec W enter PROVISIONS be f E.L. E.L. DISEASE - EA EMPLOYES MPLOYE E7 O00 000 E.L. DISEASE-POIJCY LIMIT $1000000 OTHER DEBCRIPTIM OF OPERATIONS / IACAT*NS / VEHICLES / E%CLUBIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS U. S. Biosystems Inc. is a drug -free work place. The County of Monroe its included as additional insured with respects to the general liability, automobile liability and umbrella liability coverages. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EAPIRATIC County of Monroe DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -11 DAYS WRITTEN Solid Waste! Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street, Room 2.231 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West, F'L 33040 REPRESENTATIVES. ACORD 25 (2001108) 1 of 2 #S2214133/Ml937712 I c-r 0 Acnan enRPARATIAM 4020 USWAT-1 OP ID: GO DATE (MMIDD/YYYY) ACORO" CERTIFICATE OF LIABILITY INSURANCE 09/04/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . coNTAcr Sue Goodman PRODUCER 727-784-85 NAME: Stahl & Associates Insurance 727-789-2823 PH Air- N Ex : 813-818-5350 FAX No : 813-818-5396 3939 Tampa Road ADpRIEss, sue. oodman stahlinsurance.com Oldsmar, FL 34677 NAIL f Michael Pagano, AA INSURERS AFFORDING COVERAGE INSURER A: Zenith Insurance Company INSURED U.S. Water Services Corp INSURER B : Colon Insurance Co. 05719 Vendor # 8312672 INSURER C : 4939 Cross Bayou Blvd INSURERD: New Port Richey, FL 34652-3434 ,.�„ono F OVERAGES CERTIFIGAl t numa�rc: 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 PAICY EFF ID I PS LIMITS iR L U POLICY NUMBER MM/DDIYYYY MMIDD/Yl'YY .R TYPE OF INSURANCE EACH OCCURRENCE $ GENERAL LIABILITY ♦ A q N PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY AP MED EXP (Any one person) $ r1 AIMS -MADE F] OCCUR AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY ANY AUTO ALLOWNED AUTOSULED AUTOS NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N A OFFICER/MEMBEIR EXCLUDED ECUTIVE F NIA X (Mandatory in NH) B IProfessionl & Contrctr Pollution X I X 05113/13 1 05/13/14 05126113 1 05126114 PERSONAL & ADV INJURY GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ COMBINED SINGLE LIMIT (Ea acadenU BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ EACH OCCURRENCE $ AGGREGATE $ X WC STATU- OTH- T RY IMIT E.L. EACH ACCIDENT $ 1 E.L. DISEASE - EA EMPLOYEE $ 1 E.L. DISEASE - POLICY LIMIT $ 1 Per Claim Aggregate 2 2 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 2E: Roth Building ;ertificate Holder is listed as additional insured with respect to Pollution Liability as required by written contract subject to the terms, conditions and exclusions of the policy. �-''� t•1'1 CANCELLATION ' :ERTIFICATE HOLDER C1? MONROE1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simonton Street AUTHORIZED REPRESENTATIVE.r�� Key West, FL 33040 � `�i��G�O ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD