06/20/1990
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CONTRACT
THIS~ AGREEMENT, ,made 'and entered into this 20th day of June,
1990, b:~ and between the COUNTY OF MONROE, STATE OF FLORIDA, a
politicall subdivision of the State of Florida, hereinafter called
OWner, and CLEAN SWEEP JANITORIAL, hereinafter called Contractor:
WIT N' E SSE T H:
That the parties hereto for the consideration hereinafter
named, 'algree to the following:
I.
DESCRIPTION
The Contractor shall furnish janitorial services, including
all necessary supplies and equipment required in the perfor-
mance of s'ame, for the Plantation Key Government Complex,
including the Ellis Building, the Social Services and Code
Enforcement Buil'ding, the Senior Ci tizens · Building, Court-
room B, and Public Works Offices, located in Plantation Key,
Monroe County Florida.
I I . SCOPE OF WORK
The Contractor agrees to furnish janitorial services in accor-
dance with the Public Works Manual entitled "Standard Janito-
rial Specifications and Requirements".
The manual shall
serv.e as minimum contract standards, and shall be the basis
of inspection and acceptance of all the work.
III. INSURANCE
Upon execution of this agreement, the Contractor shall fur-
nish the OWner Certificates of Insurance indicating the fol-
lowiJng minimum coverage limi tations:
Public Liability
$500,000.00
$300,000.00
$100,000.00
Property Damage
Worker's Compensation
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. ,.
IV . TERM OF CONTRACT
A. This contract shall be for a period of one (1) year,
conunencing on ,the day in which it has been executed by both
par1:.ies.
B . The Owner shall have the option to renew this agreement
aftE!r the first year, and each succeeding year, for a maximum
of t:.wo (2) years. The contract amount agreed to herein may
be adjusted annually in accordance wi th the Official U. S.
Gove~rnment Consumer Price Index (CPI) and applied annually
duri.ng the term of this agreement. Increases in the contract
amoulnt during each option year period shall be extended into
the succeeding years.
C. Ei ther of the parties hereto may cancel this agreement
wi th or wi thout cause by giving the other party thirty (30)
days written notice of its intention to do so.
V.
HOLD HARMLESS
The Contractor shall defend, indemnify and hold the County,
its offici,als, employees and agents harmless, from any and
all claims , liabilities, losses and causes of action which
may arise out of the performance of the Contract except such
claims, liabili ties, losses and causes of action which may
ariste because of the County' s negligent actions or omis-
sions. Compliance with the insurance requirements shall not
reli4eve the Contractor from the obligations imposed by this
arti<<::: Ie .
VI. PAYMENT
The County shall pay to the Contractor for the performance of
said service on a per month in arrears basis on or before the
10th day of the following month in each of twelve (12)
months. The Contractor shall invoice the County monthly for
genel:"al cleaning services performed under the Specifications
." .
contained herein.
The Contract amount shall be as stated by
the contractors proposal herein attached and as follows:
$48,000.00 per year to be paid $4,000.00 per ~nth.
In witness whereof, the parties hereto have executed this
agreement the day and year first above written,
(Seal)
Attest: DANNY L. KOLHAGE, Clerk
(Corporate Seal)
Attest:
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COUNTY OF MONROE, STATE OF
FLORIDA
By ~-- ,
MaYOr/~
CONTRACTOR:
CLEAN 6~€"EP
By
,AIf/IROVED AS TO POIIM
AND LEGAL SUFFICIENCY. (\
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Attornsy'. Office
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SWORN STATEMENT UNDER SECTION 287.133(3) (a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS.
1.
This sworn statement is submitted with Bid, Proposal or
Contract No.
for ~AtJ\Toe tAL .5;-R.l~I~ES-GOUE"~~h\~A1'r C!J,""PLE. ~, PLAAlTlhI'O,J J(,;y
This sworn statement is submitted by
(!.LeRN S(.&)ES~
(name of entity submitting sworn statement)
whose business address is \ O~ P-u....€BLb 5 T '
'8\)c~NI €R..) ):::"'l...., ~307o
and (if applicable) its Federal Employer Identification
Number (FEIN) is . (If the
enti ty has no FEIN, include the Social Securj. ty Number
of the individual signing this sworn statement:.
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My name is LViVI'l fYl )~L..E~
(please print name of individual signing)
enti ty named above is Q~~ 5'..c.)EE~
2.
3 .
4 .
I understand that a "public entity crime" as defined in
Paragraph 287.133(1) (g), Florida Statutes, means a
violation of any state or federal law by a person with
respect to and directly related to the transaction of
business with any public entity or with an agency or
political subdivision of any other state or with the
United States, including, but not limited to, any bid
or contract .for goods or services to be provicled to any
public enti ty or an agency or poli tical subdi.vision of
any other state or of the United States and involving
antitrust, fraud, theft, bribery, collusion,
racketeering, conspiracy, or material misrepresentation.
5.
I understand that "convicted" or "conviction" as
defined ill Paragraph 287 .133 (lj (h), Florida Statutes,
nleans a finding of guilt or a conviction of a public
entity crime, with or without an adjudication of guilt,
in any federal or state trial court of record relating
to charges brought by indictment or information after
July 1, 1989, as a result of a jury verdict., nonjury
trial, or entry of a plea of guilty or nolo contendere.
6.
I understand that an "affiliate" as defined in
Paragraph 287.133(1) (a), Florida Statutes, means:
1. A predecessor or successor of a person convicted of
a public entity crime: or
2. An entity under the control of any natur'al person
who is active in the management of the entity and who
has been convicted of a public entity crime. The term
"affiliate" includes those officers, directors,
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executives, p~rtners, shareholders, employees, members,
and agents who are active in the management of an
affiliate. The ownership by one person of shares
consti tuting a controlling interest in another person,
or a pooling of equipment or income among persons when
not for fair market value under an arm's length
agreement, shall be a prima facie case that one person
controls another person. ~ person who knowingly enters
into a joint venture with a person who has been
convicted of a public entity crime in Florida during
the preceding 36 months shall be consi.dered an
affiliate.
I understand that a "person" as defined in Paragraph
287.133(1) (e), Florida Statutes means natural person
or entity organized under the laws of any state or of
the United States with the legal power to enter into a
binding contract and which bids or applies to bid on
contracts for the provision of goods or services let by
a public entity, or which otherwise transacts or
applies to transact business with a public entity. The
term "Person" includes those officers, directors,
executives, partners, shareholders, employees, members,
and agents who are active in management of an entity.
Based on information and belief, the statement which I
have marked below is true in relation to the entity
submitting this sworn statement. (please indicate
which statement applies.)
tU u Neither theenti ty submitting this sworn statement, nor
any officers, directors, executives, partners, shareholders,
employees, members, or agents who are active in management of the
entity, nor any affiliate of the entity have been charged with
and convicted of a public entity crime subsequent to July 1, 1989.
No The entity submitting this sworn statement, or one or
more of the officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in
management of the entity, or an affiliate of the entity has been
charged with and convicted of a public entity crime subsequent to
July 1, 1989, AND (Please indicate which additional statement
applies. )
There has been a proceeding concerning the
conviction before a hearing officer of the State of
Florida, Division of Administrative Hearings. The
final order entered by the hearing officer did not
place the person or affiliate on the convicted vendor
list. (Please attach a copy of the final order.)
The person
convicted vendor
proceeding before
or affiliate was placed on the
list. There has been a subsequent
a hearing officer of the State of
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Florida, Division of Administrative Hearings. The
final order enter,ed by the hear~ng officer determined
that it was in the public interest to remove the person
or affiliate from the convicted vendor list. (Please
attach a copy of the final order)
~,r
The person or affiliate has not been placed on
the convicted vendor list. (Please describe any action
taken by or pending with the Department of General
Services.)
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, '(~tgnatureJ'
Date: .>11S/90
/
STATE OF' r,- 0 j'i ,PI).
COUNTY OF 1'-'10 N {l,O e
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
{,. YNH f'-11l...l-e!L who, after first being sworn by me,
(name of individual signing)
affixed his/her signature in the space provided above on this
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day of Nr:JY
, 19li.
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My commission expires:
,
"~RY PUBLIC, STATF. CF" F~.OR'D-J\'~"'""", ...t?:~
MY COMMISSiON EX:<L'~.? ,trn,',? ":J, 199"(7a" ':"
.~DItD THRU NOTi~RY L d':;:R!::J. .
MAKE ~
CHECKS
PAYABLE
TO
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57878
COUNTY OCCUPATIONAL LICENSE 1989-1990
M)NROE COUNTY-STATE OF FLORIDA
THIS LICENSE EXPIRES SEPTEMBER 30,1990
STATE CERTIFICATE NUMBER
HARRY F KNIGHl' TAX .COI..LECroR
P.O. BOX 1129
KEY ~'msT FI~ 33041
PLEASE SEE BACK OF FORM
ACcr 24633
CLEANING S~ERVICE
*~?AID*HARRY F~~<NIGHT***
TAX
COST AND
PENALTY
TRANSFER FEE
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18.00
TOTAL DUE 18' .' 00
CLEAN ..' SWEEP
l3AICERZAK'OALE. '& MILLER LYNN
P.O. BOX 1185
KEY !ARGO FL' 33037
LOC. IDBILE
HFK/pa
18.00 CK
THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING
02/09 /90 57*OC*}g*"~*OO~~~N NUMBER, DATE, AND AMOUNT PAID.
THIS LICENSE MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
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ISSUE DATE (MM/DDIVY)
6/28/90
PRODUCER
Regan Insurance Agency, Inc.
90144 Overseas Highway
Tavernier, Florida 33070
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
CODE
SUB-CODE
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
E
Ohio Casualty Ins. co.
09033053
INSURED
Clean Sweep
Lynn Miller & I)ale Balcerzak
PO Box 1185
Key Largo, Flor'ida 33037
OTHER THAN UMBRELLA FORM
EACH
OCCURRENCE
AGGREGATE
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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 M.AY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDNY) DATE (MM/DDNY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOF~'S PROT.
TBA
6/28/90
6/28/91
GENERAL AGGREGATE 500 ,
PRODUCTS-COMP/OPS AGGREGATE 500,
PERSONAL & ADVERTISING INJURY 500,
EACH OCCURRENCE 500 ,
FIRE DAMAGE (Anyone fire) 50,
MEDICAL EXPENSE (Anyone person) 5 ,
COMBINED
SINGLE
LIMIT
BODILY
INJURY
(Per person)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
BODILY
INJURY
(Per accident)
PROPERTY
DAMAGE
EXCESS LIABILITY
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
OTHER
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE)
DESCRIPTION OF OPERATIONS/LO<:ATIONSlVEHICLES/RESTRICnONS/SPECIAL ITEMS
Jani torial CIean.ing
Government Center
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Monroe County BId & zoning Department
5825 Jr. College Rd WEst
Stock Island
Key West, Florid.a 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIN[}UPON THE COMPANY; ITS AGEN~ OR REPRESENTATIVES.
AUlHORIZED REPRESEN'fAnyE. . . ...,.. (.... . -~ _.c .
...'..........'. ":..............,....:.:.:.......... /..............:...............,.......1...............................,'...... .............:..........,.......:.. .......'....'......... '. . ~.. :,..........:........ '.' ..... (...~.....~.........~....'..,f.....:.........I!. ........:...... ..... ~....... '" _'.'
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WORKERS' COMPENSATION AFFIDAVIT
Contractor, Subcontractor - Certification of No Employment
PERMITTING OFFICE:
(City ,or. ,?ounty)
(Apdress)
<:?~L'GAA) ~wCc;P
. (Name of BusIness)
.330?'O
(Zip)
I,
k:y N to fY) I LL ~ RJlJIi J.E .& t.. c.ER. ~~ A
(Name of Applicant) ,
2. () BQ IS: q ~ S --zJU} ~RtJ, E: f<-
(Street Address) (City)
hereby certify or affirm that the entity named herein has no employees and wJ11 have no employees during
the project for which this permit authorizes.. ~ CfJ{ '\ _m
SIgned 6A<J ~..l .
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TItle ~ q ,.." ", -\ <t. T_
Any employer required to secure the payment of compensation under Chapter 440 Florida Statutes who
fails to secure such compensation shall be guilty of a misdemeanor and, upon convIction thereof, shall be
punished by a fine of not more than five hundred dollars, and/or by.imprisonment (or not more than
sixty days. Such employer may be enjoined (rom employing individuals and from conducting business
until such payment for compensation has been secured, provided, however, that the employer, upon
written notice from the Workers' Compensation Division, shall have seventy-two (72) hours to secure such
compensation prior to the filing of the complaint by the division. This section shall not affect any other
liability of the employer under this chapter. (Chapter 440.43, Florida Statutes)
Sworn to and subscribed before me this
day of
, A.D., 19
Permitting Official
(Signature)
Form BCM 44, Effect.ive 10/1/89
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