04/15/2009 Agreement
DANNY 1~. KOLHAGE
CLERK OF THE CIRCUIT COURT
DA TE:
April 17, 2009
TO:
Jerry Barnett,
Director of Facilities Development
FROM:
Ann Riger
Pamela G. Han~C.
A TTN:
At the April 15, 2009, Board of County Commissioner's meeting the Board granted
approval and authorized execution of the following:
/ A ward of Agreement for Art in Public Places between Monroe County and Murals of
Baltimore, LLC for artwork at the Big Pine Key Fire Station. Enclosed is a copy for your
handling.
Contract between Monroe County and B & M Construction for the construction of a new
fueling faciEty in Plantation Key. Enclosed is a duplicate original for your handling.
Also enclosed is the Award of Agreement for Art in Public Places between Monroe
County and Debra Yates for artwork at the Key West International Airport. Please have Maria
Slavik review and sign the Request for waiver (sign here label). Once she has signfplease
forward back to our office for execution.
Should you have any questions please do not hesitate to contact this office.
cc: County Attorney
Fina.n~e
File /
Monroe County
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Monroe County Art in Pu~ Places Award A_ment nMl_____~.... ....._. ~ _
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This AGREEMENT dated the ~day of ApriL 2009, is entered into by and
between the BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY,
hereinafter '"County", and MURALS OF BALTIMORE, LLC. hereinafter "Artist",
WHEREAS, the Art in Public Places Ordinance #022-2001, codified at MCC g2-
322(A), provides for an appropriation of 1 ~~ of the construction costs for new
constnJction exceeding $500,000 and renovations exceeding $100,000; and
WHEREAS, the Ordinance established an Arts in Public Places (AIPP)
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 Jmore 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 at the Big Pine Key
Fire Station.
NOW, THEREFORE, in consideration of the mutual covenants and payments
containexJ herein, the parties have entered into this agreement on the terms and conditions
as set forth below.
I. J\GREEMENT PERIOD: This agreement is for the period April 15, 2009
through 120 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
tc:mnination pursuant to and in compliance with paragraphs 7~ ]2, and 13 below.
AJl work for which AIPP funds are to be expended must be completed by the
stated tennination date.
2. SCOPE OF AGREEMENT: The Artist shall provide
Tl,ree main /HIm: Main Mural, Decorative Murals, and Statue. The Main
~~ural has an American Flag with a firefighter standing at attention to the left
Behind the firefighter will be IIn IIrchitecturlll tro"'p roeil design tlud will help set off
the firefighter. Potossium silicate-hllsed paint frOlll Germany will be used for 1111
murals.
The Decorlllive Murals wiD be three imllKes placed through out the exterior surface of
the fire stillion. ElICh design hIlS a ",edallion tit one end that shows one aspect of the
job of jirfifighting and its history. One medallion willlrave an image of the Big Pine
Key Fire Station .~ patch.
The Stllm'/! wi/I be II sculpture of the fire chiifs helmet in honor of the recentl,y-
deceased fire chiej: Tlris will be the center point of the artwork
~~
A more detailed scope of work can be found on the "Description of P"oposllr~ attached
and made part of this contrad.
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 515,000.00 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
perfonnance 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 Invoiee 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) Desimt 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) ~pletion:
Elicible costs and expenditures for the project and the total award include.. but are not
limited to:
A. lu-tist'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. P1ermits and fees necessary for the installation (applicable for exterior projects
which also require HARe review)
H. L.egal costs directly related to the project
I. 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 shaU also provide a release of
lien if applicable.
Final payrnent 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.
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5. RECORDS: The Artist shall keep such records as are necessary to document the
perfonnance 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: AllY and all modifications of the
terms of this agreement shan be only amended in writing and approved the Board
of County Commissioners for Monroe County.
7. INDEPENDENT CONTRACTOR: At aU 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 shaH 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 shaJJ 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 an 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
lthe County to tenninate this agreement immediately upon delivery of written
notice of termination to the Artist.
9. HOLD HARMLESSIINDEMNIFICATION: The Artist hereby agrees to
indemnity and hold harmless the HOCC Florida Keys Council of the Arts, AIPP
Committee and Monroe County and any of their officers and employees from and
against any and a1l claims, liabilities, litigation, causes of action, damages, costs,
expenses (including hut not limited to fees and expenses arising :from any factual
investigation~ discovery or preparation for litigation), and the payment of any and
aU 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. AJ'ITI-DISCRIMINATION: The Artist agrees that they will not discriminate
against any of their employees or applicants for employment or against persons
fOJr 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
abillity of an individual to perform in a position of employment, and to abide by
all federal and state laws regarding non-discrimination.
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II. 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 tee, 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 shalJ 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. TER.\1INATION: This agreement shaH 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 tenninated immediately
by written notice of tennination 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 shaH 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 tennination shall
take place immediately upon receipt of written notice of said tennination. 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.
IS. CONSENT TO JURISDICTION: This agreement, its performance, and all
diisputes 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
enlployee in violation of Section 3 of Ordinance No. 10-1990. For breach oraviolation of the provision the County may, at its discretion tenninate 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,
cOJnmission, percentage, gift, or consideration paid to the former or present
County officer or employee.
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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 287.0]7, 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. AUTHORI1Y: Artist warrants that it is authorized by law to engage in the
perfonnance 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 win 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 occuning during the agreement or thereafter that
results from perfonnance 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
l~aDager, 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,
IJrlaterial change or reduction in coverage unless a minimum of thirty (30) days
prior notification is given to the County by the insurer.
Alcceptance and/or approval of Artist's insurance shall not be construed as
relieving Artist from any liability or obligation assumed under this contract or
irnposed 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
wJiting on the County fonn titled ~~Request for Waiver of Insurance
R(:quirements" and must be approved by Monroe County Risk Management. The
foHowing coverages shall be provided prior to commencement of work governed
by this contract:
I . 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:
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IN WITNESS WHEREOF, the parties hereto have caused this agreement to be exec~e d ~
day and year first above written. 0 @5 (j) 0
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· 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 shaH be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
21.
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.
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NOTICE: Any written notice to be given to either party ~~his!
agreement or related hereto shall be addressed and delivered as ~~ ;g
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For County: 0 C") ~ .....
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Florida Keys Council of the-1\11sz:
1100 Simonton Street :;;;-i~
Key West, FL 33040 r- fTI
and
County Attorney
P.O. Box 1026
Key West, FL 33041-1026
For Artist
Michael Kirby
Murals of Baltimore, LLC
I 1 South Ann Street
Baltimore, MD 21231
(SEAL)
J.\1TEST: DANNY L. KOLHAGE, CLERK
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ITeputy Clerk
BOARD OF COUNTY COMMISSIONERS
OF MO~OE COUNTY, FLORIDA
B~Y-~4 )r)~5~
Mayor/Chairman
WITNESSES:
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ARTIST:
MURALS OF BALTIMORE, LLC
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Michael W. Kirby
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Revised: Description of Proposal
for Monroe County Big Pine Key Fire Station
from Murals ofBahimorelMichael Kirby
This proposal from Murals of Baltimore can be located at any of the designated
sites that are apart of the fire station. There are three main parts to the proposal: Main
Mural~ Decorative Mural~ and Statue. Each part of the proposal will be described below.
The idea for the proposal is based on the patriotism and volumeerism of Firefighters as
well as the flora and fauna of the Florida Keys which frame the actions of the
Firefighters. The proposed murals for the project can be seen in the enclosed CD. Please
note that all designs are in black and white excluding the American Flag. This does not
mean that the art work wiI) be black and white. The art work win be colored according to
the coloring of the building to fit in properly with its surrounding.
Main Mural: This is the mural with the American Flag. To the left is a firefighter
standing in attention. Behind the firefighter will be an architectural tromp )' oeil design
that will help set off the firefighter. To the right are a number of portraits of firefighters
that have been tinted to form the American Flag. Potassium silicate-based paint from
Germany will be used for all the murals. The pigments used are absolutely lightfilst, and
the paint is not affected by air pollution or acid rain. Murals painted with potassium
silicate paint in the late 1800s in Germany and Switzerland has survived handsomely to
the present day. This design could also be created on cement panels that could be
attached to the wall.
Decorative Murals: These murals would be placed through the surface of the fire
station and would be used as decorative elements for the overall project. There are three
images that show what some oftbese decorative elements could be. Each design bas a
medallion at one end that shows ODe aspect of the job of firefigbting and its history.
Photographs of current firefighters from the Keys performing their duties would be
incorporated into these medallions. Around the medallions are decorative designs of
various branches ftom differeot Palm Trees located through out the keys. Leading away
from the medallion are plants that are also located in the Keys. On the opposite end from
the medallions are "birds of the sea. " The idea of these decorative elements is to show the
different elements of the earth; Yue, Wmd, Water, Earth. Again these murals would be
created using potassium silicate paint. The revised part of the murals include the
Firemen's patch instead offireman.
Statue: The image is of a design for a 4 x 6 x 5 statue of a fireman's helmet, a
symbol of Firefighters. This would be the center point of the art proposal. It would be
sculpted to be life like and monumentaI. The revised statue includes a firemen's helmet
versus a conch shell.
This is a general description of the art proposal. If the committee for this project
wisbes to pursue these ideas further, a more detailed desaiption can be supplied.
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Web.ite: .,..~,^ ,",' .r;,. ,I '" ,lb.", ,t ,. 'f 'n, 'I!IW''''' "';" !.. v: !W~'",! .~J' ,'W e--.aiI:".r." :'m." II"",! I ,i, "l"~"" f HI'
MunJ. oll>Jti Dlle. LlC
IISoutf, Ann St f>a~ MD 212.' I Tel (+10) '22-" I' fax (+10) '2.2-~,e
Letter of Interest
From Michael William Kilby
Dear Art in Public Places Monroe County,
'With dais letter I would like to have die oppom..Uty to introduce my company to your
organization. I am the owner of "Murals of ~ LLC." MwaIs of BaIIimote was saaned to briJJg
together a team of mists to fiJ, Ihe needs of \Wious clients chit , flaw: across the COI.IIICIy. Togedacr we
travel across Ihc COWItIy aeaIios hseos, Keim ........ ~ Mosaics, scuIpQns. ornamental
plastering, 8Dd other forms of public art. "MtnIs of B-hftore" was created in 200S md has been
suboo.lb..:W by IIIIIjor cities, JOW:fIM-6. ~....., .... ~ for ........., ......... and other
decorative worb. We have over 20 yan apaienc:e in a~...... and ptIbIic .. a'UUDd the world.
Our Mists have studied lit --- ..... in Eenpe ... Ncxtb America. With 0Ia" wide range
of experience .. expc:rtis we m: .we to _~ ~'-.riIy fbr ... of}OUr cratift needs. Wbether
your needs ~ for a deooi_~ troIIIp l'oeil effects ar a ~ TIlI~ &esco, we wiD be .we to crate the
highest quality wort wida the most effective material available. Our artisas have completed work for
v.rous clients auund the world Met have wwted in such c:oumries . Mexico, Italy, Germany, Colombia,
and many DIOI'e. As well. ....... a ... of.... to _ ana we also hire. ..... ODe local... to work
with us 011 our ~ So CIIICe we 8Ie .... L II -leave _ ... tile local...... wiD stay in ... .. of
the public wwI:: ... will ,~- ." II~.~ upbep. TlIe local 8Itist also lJeogIitaJ fiom working
with 0tW studio Met ..... ow teclJniques to ~ work in the ...
International Clients:
1..oaaI Clients:
McDonald's Resfaarant Corp.
City of 0............ Mexico
City of{J....~ Mexico
Chiesa SIn hoIo. N8pIca, ,taIy
Veob, haJy
City ofKoblcoz, Germany
Red Cross
Honda
City oCBaltimore
Henderson's Ion WMrf
M.itime Mweum FeU's Point
CSX TrMlpurWiun (JWIroed
Comp.y)
FR [)q8tment of Baltimore
Earddink
JoIIns IIoJIkn. Uniwnity
When we .-e c:ootrIacd to aeIItc a work for the public, Murals of Baltimore looks to solve
problems met issues in the area we are workiOS in.. Ow goal is to educate and inspire the public: at large
through the vis-a arb. Murals of Balaimorr: UICS modrm tedmiques to admowledp prnblems and use
visual imasa to solve thIt prubIcm. We bike ... pide .. IettiRa our CIie8es know th8t the majority of our
materials for our projcas ~ ..... ... in our stuclios. Oar pe8u sudt 8$ oils, waren:o~ and hscos are
made in studio -ina the hiJhest quality pipac.... 011 ae ....tet.
With this letter I hope tbIIt you can IIaft a bater idea of who Manis of Baltimore are and our
goals to wort f(Jl' you. . truly wisII your ~ aU die success in the world and I hope to hear fiom
you soon. PIeaIe feel he to COIDct me at any time via pItone or e-mail. rr you are interested in knowing
more aboW Murals of BaItintore please feel fiee 10 contact us.
Sincerely,
· -: wrJii.;::Kn
President, Murals of Baltimore, LLC
'Hf-
RewIsed~ PublIc Aft for fire SIaIh..tI..... ........ f1I.......MundIst)
rltle:
Mura' rltfe:
Date:
Size:
Public Art
FiI~
1/7/2(gJ
Actual Days on Site:
Prep Days:
Crew Work Days:
EQuip. Rental Days
months
days
months
months
Dua.........: CoMlruction of ---..... P...... ...... .... p....... _1Co.., ........
Acnt.. ~
100 Equipmem and MaterIals
Quantity
KeiM ........ C.... Is - ..u IItI:d cmet..... -wjld" ~)
102 Keirn Mineral Paints 25 liters
103 Keirn ,Dilution 20 liters
104 Keim Misc. Colors n/a
105 Keirn (irob
Equipment
105 Brushes
106 Scaffolding
107 Concrete and other
108 Tools and Misc.
109 Drawing Materials
110 Rebar
111 Misc. Equipment
n/a
200 Assistant E" ---ses
201 Head A$istant
202 Assistants
203 Travel
1
nfa
300 Head ArtIst Expenses
301 Head Artist Fee
302 Travel
303 Proposal Maquette
1
n/a
1
400 Insurance
n/a
Subtotal
ArtIst's Fees
L TOrAl..
Days
Budget
n/a
n/a
n/a
$ 4000.00
20
nfa $ 100.00
$ 500.00
$ 250.00
n/a $ 100.00
$ 50.00
$ 50.00
$ 100.00
, TOTAL $ 1,150.00
$
40CJ0.OO
n/a
TOTAL
3-4 Months $ 5,100.00
n/a
L lUTAI. $ 5,100.00
4 Months 1 $
I TOTAL J" $
1_$$
:J __
750.00 1
750.00
~5~OOO.00 ]
tI.:oo.oo
~/(
1996 Edition
MONROE COUNTY, FLORIDA
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRACT ADMINISTRATION
MANUAL
WAIVER OF INSURANCE REQUIREMENTS
There will be times when ~ wiD be necessary, or in the best interest of the County, to deviate from the
standard Insurance requirements sPElCffied within this manual. Recognizing this POtential, and acting on
the advice of the County Altomey, the Board rI County Commissioners has ganled authorization 10 Risk
Management to waive and modify various insurance provisions.
Specifically excluded from this authorization is the right to waive:
· The County as being named as an Additional Insured--lf a letter from the Insurance
Company (not the Agent) is JIf"8S8nl8d, slating that they are unable or unwilling to name the
County as an Addilionallnsured, Risk Matlagement has been granted the authority to waive
this provision.
and
· The Indemnification and Hold Harmless Provisions
Waivin of insU!l!!lCe 0IIisi0ns ~ the Coon to!lOOOOmic loss. For this reason, every
attempt should be made to obtain the standard insurance requirements. If a waiver or a modification is
desired, a Req.... for Waiver of Insurance RequlAlllMlnts form should be completed and submitted for
consideration with the proposal.
After consideration by Risk Management and if approved, the form will be retumed, 10 the County Attorney
who will submit the Waiver with the other contract documents for execution by the Clerk of the Courts.
Should Risk Management deny the Waiver Request the other party may file an appeal with the County
Administrator or the Board of County Commissioners, who relains the final decision-making authority.
\~r--
Administrative 'nstruction
#4709.3
WA'VER.OOC
1996 Edition
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance
Requirements, be waived or modified on the following contract:
Contractor: \(\tr~J1> d~ 13 '\. \+\'\vt.c) r-e.. L LL
I
Contract for:
Address of Contractor:
Phone:
Scope of Work:
Reason for V\' aiver:
Policies Waiver
will apply to:
Signature of Contractor:
Risk Management:
Date:
County Administrator appeal:
Date:
1)'\) ~ ;II\.C: hJ"". S{C\J(O '"
(\ 50v~ 4nV\. 5+,
-:B ~ l f~ Mu t- ~ I n~ ~ l ;).. 3 (
A r-i wo ,... \~
tf /D - 5;)....7)- .- 55 t-S-
>e.r- f t:< D't:' P tl\.V\.*\ '^5 ~ (rt J r-.e..l ~
tv be.... iLl)~+JJJ-eJ ~~1 SCf<..
'T ~'-(., J~
,;f 5~'c),'\
~,.. j S eu^+f'A.{'i->t&~
eD .''fIt P .
Not Approved
Approved
Not Approved
Board of County Commissioners appea\:
Meeting Date:
Administrative Instruction
#4709.3
Approved
Not Approved
WAIV_REQ.DOC
---:-"- I
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNY)
03/0412009
PRODUCER 770-457 -0662 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
KUHLKE INSURANCE SERVICES" ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2189 SEAMAN CIRCLE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CHAMBLEE, GA 30341-1551
(770)457 -0662 INSURERS AFFORDING COVERAGE NAIC#
INSURED SALI LIABILITY GROUP INSURER A: SCOTTSDALE INSURANCE CO.(A+,XV)
P.O. BOX 888257 INSURER B:
A TLANT A, GA 303566 INSURER C:
INSURER D:
I SEE "DESCRIPTION OF OPERATIONS" BOX INSURER E:
COVERAGES Serial # 100152
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 MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~~ ~f~LC TYPE OF INSURANCE POLICY NUMBER P~'i.r~ EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
- S~~~~~~o(~i~Jc~?ence'
A X COMMERCIAL GENERAL LIABILITY CLS 1522578 11/1/2008 11/1/2009 $ 50,000
I CLAIMS MADE [K] OCCUR MED EXP (Anyone person) $ 1,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000
-, nPRO- n
POLICY JECT LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
- bO~S1
HIRED AUTOS 0T1~ BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
PROPERTY DAMAGE
J I .... /. (Per accident) $
~RAGE LIABILITY J ./ ,"U j AUTO ONLY - EA ACCIDENT $
ANY AUTO ~ OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKER'S COMPENSATION ANlD BONNIE I T~~yS~I~WS I IOTH-
EMPLOYERS' LIABILITY ER
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes, describe under
~PECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
STENCILING, FAUX FINISHING, DECORATIVE PAINTING. LOSSES SUBJECT TO BODILY INJURY/PROPEfP~!~~t~DUCTIBLE
OF #250, CARE, CUSTODY AND CONTROL AT $10,000. AGGREGATE $25,000. veopment
.. MAR ~~
INSURED MEMBER: MICHAEL KIRBY DBA MURALS OF BAL TIMORE
CERTIFICATE HOLDER IS ADDITIONAL INSURED. TIME: .....',....-
..... ~
CERTIFICATE HOLDER CANCELLATION DT.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - DAYS WRITTEN
BOARD OF MONROE COUNTY COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CIO ANN RIGER, CONTRACT ADMINISTRATOR IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FACILITIES DEVELOPMENT REPRESENTATIVES.
1100 SIM ONTON STREET #2-216 AUTHORIZED REPRESENTATIVE ,~
I KEY WEST. FL 33040 ~ ./A~ 11-
ACORD 25 (2001/08) - -, ~C6RD C)RPORATION 1988