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02/18/2009 Agreement DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: February 24, 2009 TO: Dave Koppel, County Engineer Engineering Division Attn: FROM: Ann Riger Pamela G. HanC~c. At the February 18, 2009, Board of County Commissioner's meeting the Board granted approval and authorized execution of an A ward Agreement for Art in Public Places to Team McMow d/b/a McMow Art Glass, Inc., for artwork at the Key West International Airport. Enclosed is a copy of the above-mentioned for your handling. Should you have any questions please do not hesitate to contact this office. cc: County Attorney Finance File / Monroe Countv Art in Public Places Award A1!reement j.J , This AGREEMENT dated the )& cGy of J-~ 2009, is entered into by and between the BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY, hereinafter "County", and TEAM MCMOW D/B/A MCMOW ART GLASS, INC., hereinafter "Artist", ElN # 65-0088852 WHEREAS, the Art in Public Places Ordinance #022-2001, codified at MCC ~2- 322(A), provides for an appropriation of 1 % of the construction costs for new construction exceeding $500,000 and renovations exceeding $100,000; and WHEREAS, the Ordinance established an Arts in Public Places (AlPP) Committee to advise the County Commission regarding art to be acquired and installed in each public construction project subject to the AIPP allocation; and WHEREAS, the AIPP Committee has selected and recommended to the BOCC one or more artists for this project; and WHEREAS, the Board of County Commissioners of Monroe County have determined that it is in the interest of the promoting the understanding and awareness of the visual arts to contract for the creation and installation of artwork in the Key West International Airport. NOW, THEREFORE, in consideration of the mutual covenants and payments contained herein, the parties have entered into this agreement on the terms and conditions as set forth below. 1. AGREEMENT PERIOD: This agreement is for the period January 28, 2009 through 60 days subsequent to date of issuance of Certificate of Occupancy or Certificate of Completion for building. This agreement shall remain in effect for the stated period unless one party gives to the other written notification of termination pursuant to and in compliance with paragraphs 7, 12, and 13 below. All work for which AIPP funds are to be expended must be completed by the stated termination date. 2. SCOPE OF AGREEMENT: The Artist shall provide 144 s.f. of dimensional etched designed glass for the glass security walls. Artist shall confer with and coordinate activities with the construction contractor on the job in order to insure that there is as much cooperation and cohesiveness in the incorporation of the art into the building under construction, and so that there shall be the least amount of interference between the Artist and the Contractor. 3. AMOUNT OF AGREEMENT AND PAYMENT: The County shall provide an amount not to exceed $22,800.00 for materials and services used to create and install the project. The Board of County Commissioners assumes no liability to fund this agreement for an amount in excess of this award. Monroe County's performance and obligation to pay under this agreement is contingent upon an annual appropriation by the BOCC. Pursuant to Florida's Prompt Payment Act, upon receipt by County of an Invoice for each of three (3) phases, and documentation to satisfy the Clerk that the appropriate phase has been completed, payment shall be made for the following phases at the referenced rates: 1) Desi go Phase: 2) Materials: 33.3% of total payment; 33.3% of total when artist submits receipts for materials and eligible costs equal to or greater than 33.3% of the contract total; and 33.3% final payment due when installation is deemed complete and contractual agreement specifications are verified by the Monroe County Purchasing Department or designee. 3) Completion: Eligible costs and expenditures for the prolect and the total award include. but are not limi ted to: A. Artist's design fee B. Labor, materials, contracted services required for production and installation C. Artist's operating expenses related to the project D. Travel related to this project, pursuant to statutory limitations E. Transportation of the work to the site F. Installation to the site G. Permits and fees necessary for the installation (applicable for exterior projects which also require HARC review) H. Legal costs directly related to the project 1. Liability costs of artist Payment shall be made upon presentation of an original invoice and documentation necessary to support the completion of the work. Artist shall also provide a release of lien if applicable. Final payment request must be submitted no later than 60 days after the completion of the project. 4. OWNERSHIP and RIGHTS: Upon the installation of the artwork, County shall own the artwork and all rights related thereto fully and completely. 5. RECORDS: The Artist shall keep such records as are necessary to document the performance of the agreement and give access to these records at the request of the County, the State of Florida, or authorized agent and representative of said government bodies. The Artist understands that it shall be responsible for repayment of any and all audit exceptions which are identified by the Auditor General for the State of Florida, the Clerk of Court for Monroe County, the Board of County Commissioners for Monroe County, or their agents and representatives. 6. MODIFICATIONS AND AMENDMENTS: Any and all modifications of the terms of this agreement shall be only amended in writing and approved the Board of County Commissioners for Monroe County. 7. INDEPENDENT CONTRACTOR: At all times and for all purposes hereunder, the Artist is an independent contractor and not an employee of the Board of County Commissioners of Monroe County. No statement contained in this agreement shall be construed as to find the Artist or any of its employees, contractors, servants or agents to the employees of the Board of County Commissioners of Monroe County, and they shall be entitled to none of the rights, privileges or benefits of employees of Monroe County. 8. COMPLIANCE WITH LAW: In carrYing out its obligations under this agreement, the Artist shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating the provisions of this agreement, including those now in effect and hereafter adopted. Any violation of said statutes, ordinances, rules or regulations shall constitute a material breach of this agreement and shall entitle the County to terminate this agreement immediately upon delivery of written notice of termination to the Artist. 9. HOLD HARMLESS/INDEMNIFICATION: The Artist hereby agrees to indemnify and hold harmless the Bacc Florida Keys Council of the Arts, AIPP Committee and Monroe County and any of their officers and employees from and against any and all claims, liabilities, litigation, causes of action, damages, costs, expenses (including but not limited to fees and expenses arising from any factual investigation, discovery or preparation for litigation), and the paYment of any and all of the foregoing or any demands, settlements or judgments arising directly or indirectly under this agreement. The Artist shall immediately give notice to the County of any suit, claim or action made against the County that is related to the activity under this agreement, and will cooperate with the County in the investigation arising as a result of any suit, action or claim related to this agreement. 10. ANTI-DISCRIMINATION: The Artist agrees that they will not discriminate against any of their employees or applicants for emplOYment or against persons for any benefit or service because of their race, color, religion, sex, national origin, or physical or mental handicap where the handicap does not affect the ability of an individual to perform in a position of employment, and to abide by all federal and state laws regarding non-discrimination. 11. ANTI-KICKBACK: The Artist warrants that no person has been employed or retained to solicit or secure this agreement upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, and that no employee or officer of the County has any interest, financially or otherwise, in the said funded project, except for general membership. For breach or violation of this warranty, the County shall have the right to annul this agreement without liability or, in its discretion, to deduct from the agreement price or consideration, the full amount of such commission, percentage, brokerage or contingent fee. 12. TERMINATION: This agreement shall terminate pursuant to Paragraph #1. Termination prior thereto shall occur whenever funds cannot be obtained or cannot be continued at a level sufficient to allow for the continuation of this agreement pursuant to the terms herein. In the event that funds cannot be continued at a level sufficient to allow the continuation of this agreement pursuant to the terms specified herein, this agreement may then be terminated immediately by written notice of termination delivered in person or by mail to Artist. The County may terminate this agreement without cause upon giving 90 days written notice of termination to Artist. The County shall not be obligated to pay for any services or goods provided by Artist after Artist has received written notice of termination. 13. TERMINATION FOR BREACH: The County may immediately terminate this agreement for any breach of the terms contained herein. Such termination shall take place immediately upon receipt of written notice of said termination. Any waiver of any breach of covenants herein contained to be kept and performed by Artist shall not be deemed or considered as a continuing waiver and shall not operate to bar or prevent the County from declaring a forfeiture for any succeeding breach either of the same conditions or of any other conditions. 14. ENTIRE AGREEMENT: This agreement constitutes the entire agreement of the parties hereto with respect to the subject matter hereof and supersedes any and all prior agreements with respect to such subject matter between the County and the Artist. 15. CONSENT TO JURISDICTION: This agreement, its performance, and all disputes arising hereunder, shall be governed by the laws of the State of Florida, and both parties agree that the proper venue for any actions shall be in Monroe County. 16. ETHICS CLAUSE: Artist warrants that he has not employed, retained or otherwise had act on his 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 the provision the County may, at its discretion terminate this agreement without liability and may also, at 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 or present County officer or employee. 17. 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 an agreement to provide any goods or services to a public entity, may not submit a bid on an agreement 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, sub-contractor, or consultant under an agreement 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. Artist represents that Artist is not on the Convicted Vendor list. 18. AUTHORITY: Artist warrants that it is authorized by law to engage in the performance of the activities encompassed by the project herein described. Each of the signatories for the Artist below are authorized to contract Artist's services. 19. LICENSING AND PERMITS: Artist warrants that he or she shall have, prior to commencement of work under this agreement and at all times during said work, all required licenses and permits whether federal, state, County or City. 20. INSURANCE: Artist agrees that it maintains in force at its own expense a liability insurance policy which will insure and indemnify the Artist and the County from any suits, claims or actions brought by any person or persons and from all costs and expenses occurring during the agreement or thereafter that results from performance by Artist of the obligations set forth in this agreement. At all times during the term of the agreement and for one year after acceptance of the project, unless the requirement is waived by the Monroe County Risk Manager, Artist shall maintain on file with the County a certificate of the insurance of the carriers showing that the aforesaid insurance policy is in renewal, material change or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. Acceptance and/or approval of Artist's insurance shall not be construed as relieving Artist from any liability or obligation assumed under this contract or imposed by law. The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Inured" on all policies except worker's compensation. Any deviations from these General Insurance Requirements must be requested in writing on the County form titled "Request for Waiver of Insurance Requirements" and must be approved by Monroe County Risk Management. The following coverages shall be provided prior to commencement of work governed by this contract: 1. Workers Compensation if, and as required by Florida Statutes 2. General Liability Insurance. Coverage shall be maintained through out the life of the contract and 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 (CSL) If split limits are provided, the minimum limits acceptable shall be: $100,000 per Person $300,000 per Occurrence $ 50,000 Property Damage An Occurrence Form policy is preferred. If coverage is 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 twelve (12) months following the acceptance of work by the County. 21. NOTICE: Any written notice to be given to either party under his agreement or related hereto shall be addressed and delivered as follows: F or Artist Team McMow 701 N. Dixie Highway Lake Worth, FL 33460 F or County: Florida Keys Council of the Arts 1100 Simonton Street Key West, FL 33040 and County Attorney P.O. Box 1026 Key West, FL 33041-1026 ,'\=;~n~l\,;WtTNESS WHEREOF, the parties hereto have caused this agreement to be executed the d~\,~~'ye~r'tirst above written. , \r~~..\~ " (SEAL) . . . ATTE,ST:I?ANNY L. KOLHAGE, CLERK Bya.~ eputy Clerk WITNESSES: 0 W -J 0:: <.::J L:- a .. <!..-=..,.,: - (..) :I:: U ;._ lLJ E _J.,...; '2: cr; 0.. 0."':-" :::> a::: .:t' x:: U C) 0 N --i ::..-:: U u... c:o >- 0-; W (:) ~ % W c:::> ....J 0:: LLJ ZU% -I 0'" <! ci tJ... El 0 :1: ~ BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: /J..,~~.. n~,e.d- Mayor/Chairman ARTIST: TEAM~~.NMATERIO ....1A - w/ r:~OE COUNTY ATTORNEY -;l.~.';.p,:OV:~{Z~ ~t":i"I,t.:EI"'F: VV. CASSEL - f/~."/\\;'; '.:cu:~'rY J\TTORNEY D at.s "---~ 02./ 3/ /Yi Back up documentation Page 1 of2 Cassel-Nat From: Riger-Ann Sent: Tuesday, February 03, 200911:10 AM To: Cassel-Nat Subject: FW: Team McMow J\1lc~low's price tlnlt .1t. YZWe,f. <..\1tltrads Administrah1l' Tht' }-lish)lk G;lh) Ci:~,ll' F,ldt1!Y 1100 Silllt111tt1n Stl't't'L SlIite 2,-2.1 G Kt'v \Vt'st. FL 3::~O-tO Office 305-292-4439 fax ~-)05-295-4321 rL~_-anD({l'monnx>~ - t1.~4.W HELP US HELP YOU! Please take a moment to complete our Customer Satisfaction Survey: http://monroecoftvirtualtownhall.netlPages/MonroeCoFL WebDocs/css Your feedback is important to us! Please note: Florida has a very broad public records law. Most written communications to or from the County regarding County business are public record, available to the public and media upon request. Your e-mail communication may be subject to public disclosure. From: Florida Keys Council of the Arts [mailto:info@keysarts.com] Sent: Friday, January 16, 2009 12:42 PM To: Riger-Ann Cc: director@keysarts.com Subject: Re: Team McMow Hi Ann, I'm sorry I thought Liz responded and she thought I did! $22,800 is correct; this is the amount the committee voted to approve. Thanks! -- Original Message ---- From: Riger:-Ann To: director@keysarts.com ; Comstock-Andrea Sent: Thursday, January 15,20091:54 PM Subject: Team McMow Quick question. Team McMow's proposal for the glass security walls is $22.860.00. and the congratulations letter reads $22.800.00. I put on the contract $22.800.00. this is correct right? Thanks. rum .R.. ~ Contracts Administrator TIle Historic Gato Cigar Factl)lY 1100 Simonton Street, Suite 2-216 Key West, n 330-10 2/3/2009 Page 2 of2 Office 305-292-4439 Fax 305-295-4321 ri:zer -ann(it'ffil)lU'Oecountv - tl.:zov HELP US HELP YOUI Please take a moment to complete our Customer Satisfaction Survey: http://monroecofl.virtualtownhall.netJPages/MonroeCoFL WebDocs/css Your feedback is important to us! Please note: Florida has a very broad public records law. Most written communications to or from the County regarding County business are public record, available to the public and media upon request. Your e-mail communication may be subject to public disclosure. 2/3/2009 Team McMow- Written proposal With over 30 years of experience in the A11 glass industry, McMow Art Glass has tnastered the tine art of glass. Carving, Etching, nat and wann glass, painting, mosaic, fusing and slumping as well as traditional stained glass are aInong our teams various talents. McMow has a distinct style unlike any others in the field and has been noticed by the private and public sector for the unique qualities that have made McMow collected and comlnissioned by a world wide audience. TeaIn McMow, is proposing designs for 3 specific areas in the Call to Artists for McCoy Terminal complex at the Key West International Airport. The sections being proposed for design, are numbers 6 & 7 on the call to Artists (glass security wall consisting of 3 pieces of butt joined glass in two areas of the wall). NUlnber 9 (the recessed wall above the dlinking fountain) and number 4 (6 sections of wall space between exterior windows). Proposed art work by area Numbers 6 & 7 We have included a design concept for one of the three section areas. This has been designed for on site dimensional etching. The design is etched by hand on both sides of the glass creating the illusion of depth. With our unique no mess etching system we can etch our design on site without the fear of the usual mess that exists in the process. We have designed a vacuum systeln that captures the used etching n1aterial. The design for this location is both tropical and historical. In this first rendering the landscape we are proposing features a seaplane. Seaplanes were the first aircraft to land and take off in Key West. Also included is tropical foliage native to the area. By etching on both sides of the glass we are achieving a sense of depth and realisn1 that will be viewed by the traveler as the last site when leaving or the first site when arriving. Please note the sample that was sent of one panel and you will see when light is transmitted through (there are windows on the opposite wall allowing for natural light to travel through these panels) the etching will in fact appear dimensional, light the area but offer a sense of privacy. The renderings for the next three pieces of glass have not been developed at this time but several concepts have been discussed tor future presentation. The maintenance on etched glass is as simple as cleaning with denatured alcohol. This is not a harmful substance and can be purchased in any hardware or dnlg store over the counter for very little expense. Denatured alcohol has no added chenlicals and will relnove finger prints instantly as well as most other substances. On site etching is used in both commercial and residential high traffic locations because of its easy maintenance and sense of privacy. Number 9 The wall above the drinking fountain will feature a bright, colorful abstract of underwater sea life. The froth of the waves will be fused glass frit on cut glass, the fish will be multiple layers of glass fused together, painted with glass paint and fired into the surface for additional detail. This technique will create dimension and texture to what is commonly known as a nat glass process. The style and techniques are what sets Team McMow apa11 from others in this medium. Team McMow has provided a color rendering of the mosaic, to show you the opportunity for color in this magnificent piece. We have also included a salnple of the tl'oth area to show you the texture and quality of the tinish. This mosaic requires very little maintenance and will be attached directly to the wall as a permanent pati of the structure. This will delight both young and older travelers and even hurried travelers will be inclined to stop and take a longer look. The longer you inspect this piece the more you will see. N uotber 4 The areas of wall space between the windows have allowed the Team to feature ilnportant plant life clucial to the islands that create and surround the Florida Keys. Each space will be larger than life size individual studies of the specitic plant done in a contemporary tile format. The well known or "common" name as well as the Latin name of each selected plant will be painted and fired into the tiles. Please note the black lined area on the color rendering of the ""bird of Paradise" enc losed indicate an individual "tile" that has been painted, fired and fused for details and thickness. The tiles that do not have a black line are t1at fired colored glass that will appear to be in the distance and although part of the tinished art, it is less prominent. The colored border is a rounded bull nose tile done in a black ilidized glass that will have a different finish than the rest of the tiles and will capture the natural and artiticial light that will bring attention to the difference in the value of color in each piece. Plants chosen for these areas include three each of a floweling nature and three each of a bush/tree nature sllch as the all ilnportant "grower of earth", mangroves. This piece is attached in a tile mosaic fashion and is virtually maintenance free. Even if graffiti finds its way to these tiles because it is glass it is easily remedied and a sealer will be applied to these as well as the other mosaic areas we have offered. A brief history of one artist on the team Shanon Materio's maiden name is Silvestri. 5hanon's grandfather, Angelo Silvestri came to south Florida from Italy in the 1920's only to be sent away several tilnes. A very poor lnan, Angelo lived off the fruit, vegetables and tishing in HOlTIestead and the Florida Keys. Shanon' s father Joe was born and raised in the area until the army stationed him and his wife in various locations around the country, including Fort Monmouth, New Jersey. Shano11, the third child of Joe and Dee Silvestri was born in the slnall town of Key port, New Jersey. Keyport is the birth place of the first t1ying seaplane to transp0l1 passengers. The Aero Marine factory took up a large aITIount of land near the bay and it was a favorite place for the local children to play. The Aero Marine Museum in Keyport has dedicated much of its space to the first flight to Key West and from Key West to Cuba in what became the only sea plane shuttle to go back and forth between the two countries. It is interesting to Inention that as a child spending time in the Florida Keys with family and friends that Shanon was often told stories of her father's boyhood antics in the Keys. 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ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 12-18-2008 PRODUCER Town & Country Insurance Agency, In THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1525 Herbert St. Ste 106 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Port Orange FL 32129 .I:iQLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ,\L:TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. : Phone: 386-767-0147 Fax: 386-767-5075 INSURERS AFFORDING COVERAGE NAIC# , INSURED McMow Art Glass Inc and Creative Etching INSURER A: ZURICH INSURANCE COMPANY Inc INSURER B: BRIDGEFIELD EMPLOYERS 701 N Dixie Highway INSURJ;R.C: LAKE WORTH FL 33460 INSUREk D: I INSURER E: COVERAGES 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. INSR DO' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR $ $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 A PAS37634509 01-11-2008 01-11-2009 LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS A SCHEDULED AUTOS X HIRED AUTOS PAS37634509 X NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) 500,000 BODILY INJURY (Per person) 01-11-2008 01-22-2009 GARAGE LIABILITY ANY AUTO BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B ANY PROPRIETORlPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ~~~~I~~~~~VIS~~NS below OTHER 0830-28990 04-01-2008 04-01-2009 OTHER THAN AUTO ONLY: EA ACC AGG AUTO ONLY - EA ACCIDENT EXCESS/UMBRELLA LIABILITY OCCUR D CLAIMS MADE EACH OCCURRENCE AGGREGATE E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY & AUTOMOBILE L1AB - BOARD OF MONROE COUNTY COMMISSIONERS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BOARD OF MONROE COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN ANN RIGER, CONTRACT ADMINISTRATOR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FACILITIES DEVELOPMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST #2-216 REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE C!~ eI~ I ACORD 25 (2001/08) @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) Date: IO!1,3!2-00g Monroe County Art In Public Places REQUEST FOR PROPOSALS Application Cover Sheet Applicant Contact Information: Name: \'eOV\l\ Me MoW Address: 1- () ~. ''(;rl'~i ~ t\:w,,\ L.~ \JJo~f fi.. ~H:D Phone{s): (6"f)6~6-qOl' ")(. U 0 E-Mail: ~'lrAa_W\(.1V\DW@'v\~~\. 00hIl Website: ~CM.0tAJ. (/OL'1Il Monroe County resident: Yes _ No X (If yes, please attach proof of residency.) Total Budget/Cost: 1$ b3,'5~0l. 50 . Total Number of Art Pieces included in proposal: .3 seof7otis of cat! -/r; al?:/7s1::s (Lf I b{1t 'f) (If applying for multiple spaces, furnish total budget and number of art pieces for each space) Please briefly describe the following if applicable; if not applicable indicate with N/ A. Special lighting required: N I A Other special requirements: N fA Type/amount of project access desired: Installation time required: 5 Va4...1S Maintenance requirements: lYlir1i rvta.\,deVll:dve.ed ~cok.ol, 'Soap tlAPL~ Artist maintains a $300,000 liability insurance POlicy:B' No If no, please explain. Please check the following items to indicate they are attached: U Written proposal. ,,/" Itemized budget. ~ Concept drawings; 5 pages maximum (8.5" x 11") including color sketch.Q.[ digital rendition. Digital images PDF or JPG not exceeding 75dpi - 5 images maximum. j If 3-dimensional art proposal, one small model. Note: Support materials will not be returned to the applicant without prior pre-paid shipping. Signature cr:mfkJJliIJ.IL!hat all information provided for this application is true and correct. . JlMd1. W'i~~~~O~__~O~'1J~ Artist or head of organization Type or print name D:J-