05/25/1993
Agreement for Haul Out of Recycle Materials for
Monroe County, Florida
and entered into this 27th
County, Florida (Shipper),
or Contractor):
WIT N E SSE S:
'I'hat the parties hereto, for the consideration
forth, mutually agree as follows:
THI S AGREEMENT, made
1993 between Monroe
Carrier Corp. (Hauler
day of April,
and Commercial
hereinafter set
I.
SCOPE OF THE WORK
To transport recycle materials newsprint, office paper, ca.cd-
board, plastic, glass, aluminum, bi-metal containers, and other
recycle material to processors or final end users in south, cen-
tral or north Florida per the Hauler's proposal submitted 21
January 1993, a copy of which is attached and made a part of this
agreement by reference.
Materials to be shipped loose or baled in dump, walking floor, or
flatbed trailers in the largest volume capacity that remains
wi thin state and federal legal weight limitations on highways,
and Federal road and bridge formula regulations.
1. Hauler's performance guarantee:
a. Shipment within 72 hours of notice;
b. Operate under the County manifest (bill of lading for
each shipment);
c. Tarping if deemed necessary by transporter or shipper;
"7 ""
l3" ~ _
d. Must supply Monroe County with weight slip ~r~~acn ~
shipment; ,9~?::: ~ ~
2. The Hauler is responsible for any and all overwe~t cheJj:'ges,~
required safety equipment, tarping, strapping, s~ring,
load, traffic violations, and any other liability howevat
incurred in the transportation, shipment and un~~ading ~ ~
recycling materials to the designated processor ~r end wser.
3. The Hauler is to supply Monroe County with binder naming
Monroe County for insurance coverage (see attached forms
WC2, GL2, VL2 & MYC).
4. If the Hauler, either through the negligent or intentional
acts or omissions of its employees, agents or subcontractors,
caUSI2!S recycling material shipped to become contaminated in
any lNay from the Hauler's equipment, trailers, tarps, covers,
shipping or handling process, or any other act or omission in
the "transportation of recycling materials to the processors,
the Hauler shall be liable to Monroe County for: (a.) the
value of the recycling materials; and (b.) any and all
disposal costs, handling, and transportation charges incurred
by 'the County on account of the contaminated load or any
por1tion thereof.
5. Basic Descriptions
OCC: (36 bales) - Weight 1,000 - 1,100 lbs./ea
Plastic: (36 bales) - Weight 500 - 700 lbs./ea
Alum. cans: (36 bales) - Weight approx. 300 lbs . / ea
Steel cans: (36 bales) - Weight 1,200 - 1,500 lbs/ea
Crushed glass: - Weight 20 tons
News: (36 bales) - Weight 900 - 1,100 lbs. lea
Aluminum - loose
News - bale or loose
Office paper - bale or loose
II. INDEPENDENT CONTRACTOR
At all times and for all purposes under this agreement the Con-
tractor 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
contract:or or any of his/her employees, contractors, servants, or
agents 1:0 be employees of the Board of County Commissioners for
Monroe County.
III. ASSURANCE AGAINST DISCRIMINATION
The Con1:ractor shal.l not discriminate against any person on the
basis oj: race, creed, color, national origin, sex, age, or any
other characteristic or aspect which is not job related, in its
recruiting, hiring, promoting, terminating, or any other area
affecting employment under this agreement or with the provision
of services or goods under this agreement.
IV. ASSIGNMENT
The Contractor shall not assign this agreement, except in writing
and with the prior written approval of the Board of County Commis-
sioners for Monroe County and Contractor, which approval shall be
subject to such conditions and provisions as the Board and Con-
tractor may deem necessary. This agreement shall be incorporated
by reference into any assignment and any assignee shal.l comply
wi th all of the provisions of this agreement. Unless expressly
provided for therein, such approval shall in no manner or event
2
be deemed to impose any obligation upon the Board in addition to
the total agreed-upon price of the services/goods of the contrac-
tor.
V.
COMPLIANCE WITH LAW
In providing all services/goods pursuant to this agreement, the
contrac'tor shall abide by all state and federal statutes, ordi-
nances, rules and administrative regulations pertaining to, or
regulating the provisions of, such services, including those now
in effect and hereinafter adopted. Any violation of said stat-
utes, ordinances, rules and regulations shall constitute a materi-
al breach of this agreement and shall entitle the Board to termi-
nate this contract immediately upon delivery of written notice of
termina1:ion to the contractor. This contract shall be governed
by the law of the State of Florida. Venue for any disputes aris-
ing under this agreement shall be in a court of competent juris-
diction in Monroe County, Florida.
VI. INSURANCE
Upon execution of this agreement, the Contractor shall furnish
the OWm~r Certificates of Insurance on the County prepared form
indicating the minimum coverage limitations as indicated by an
"X" on the attached forms identified as INSCKLST 1-4, as further
detailed on forms WC2, GL2, VL2, MVC each attached hereto and
incorporated as part of this contract document.
VII.
HOLD HARMLESS
The Contractor shall defend, indemnify and hold harmless the
County as outlined on the attached form identified as INnl, which
is attached hereto and made a part of this agreement by reference.
VIII.
TERM OF AGREEMENT
This Agreement shall begin on Date signed by both parties. This
agreement term shall be renewable in accordance with Article X.
IX. CANCELLATION
Ei ther of the parties hereto may cancel this agreement with or
without cause by giving the other party sixty (60) days written
notice sent certified mail of its intention to do so.
x.
RENEWAL
The OWner shall have the option to renew this agreement after the
first year, and each succeeding year, for two additional one year
periods. The contract amount agreed herein may be adjusted annu
ally in accordance with the percentage change in the Consumer
Price Index (CPI) for Wage Earners and Clerical. Workers in the
Miami, E~lorida area index, and shall be based upon the annual
3
average CPI computation from January 1 through December 31 of the
previous year, with a maximum cap of 7%.
XI. FUNDING AVAILABILITY
In the event that funds from Monroe County Environmental Manage-
ment Division are partially reduced or cannot be obtained or
cannot be continued at level sufficient to allow for the purchase
of the services/goods specified herein, this agreement may then
be terminated immediately at the option of the Board by written
notice of termination delivered in person or by mail to the con~
tractor. The Board shall not be obligated to pay for any servic-
es provided by the contractor after the contractor has received
written notice of termination.
XII.
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
Monroe County
Environmental Management Division
5100 College Road, Wing II-B
Key West, FL 33040
ATTN: Guy McMahan
Director of Operations
FOR CONTRACTOR
Name
Address
XIII
PAYMENT
The County shall pay the Contractor on or before the 15th day of
each month for service rendered during the preceding month. The
Contract.or shall invoice the County monthly for the hauling. ser-
vice performed under the Specifications contained in this Agree-
ment. 'rhe per haul amount shall not exceed that stated in the
Hauler's proposal dated 21 Jan 1993.
.Shipment to recycling material end users (processors) may change
sometimes. If a loca.tion change is accepted by the Hauler, the
charges to Monroe County will still be on a flat haul rate from
point to point that is based on the existing cost per mile
charged to Monroe County in the Hauler's proposal sumbitted 21
January 1993.
4
In witness whereof, the parties hereto have executed this agree-
ment the day and year first above written,
Attest: DANNY L. KOLHAGE, Clerk
~~ c. 4,J..rh
Clerk ,
Attest:
L~ c-, ~
~ WITN~
SI7j~
OF MONROE, STATE OF
~.
May 25, 1993
By
APPROVED i. F() /"(j,'iF.~
AND LEGAL SUinUFt:'.,/.
"~~'
5
January 14, 1993
Office of the Director of
Public Service Building
5100 College Road
Cross Wing, Room #002
stock Il:;land
Key West:, FL 33040
Commercial Carrier Corp.
502 East Bridgers Avenue
P.O. Drawer 67
Auburndale, FL 33823
813 967-1101
Purchasing
REFERENCE: HAULING SERVICE, MONROE COUNTY RECYCLING FACILITY
MARATHON, FL
Please accept this letter as official response to your NOTICE OF
CALLING FOR PROPOSALS.
Attached please find COMMERCIAL CARRIER CORPORATION'S Florida
intrasta.te Tariff FLA 13-J publication of Item 1310. This item
names ra.tes applicable per bid request.
Rate lev'el is hereby guaranteed for one (1) year without change,
and there after not to change without thirty (30) days prior
written notice.
Hauling Bid Specifications are agreed to for all named commodities
when packaged in bales, and transported on flatbed trailers only.
Should any further information or documentation be required, please
don't hE~sitate to call. COMMERCIAL CARRIER CORPORATION truly
appreciates the opportunity to be of service.
Sincerely,
COMMERCI,AL CARRIER CORPORATION
A COMCAR INDUSTRIES COMPANY
. ,ProvisION hereIn will not result In a .fgnrrrc.nt effect an fuel cOI'lliUIIIptlon or the quelity of the M.." envir~.
r'
PLA
1]-.1
COIIIIBRCZAL t!~DDTD COIlPOUIfIXO.
Orlalna' .aa. ~..
I
-.cncm' I
(for AIlPllaltl.. .. ITBI 1a)
81'aCD%C CQII~%ft ItU'U
. (1ft c.nta ,... 1GO ....)
.. ITEM 1310
MATERIALS, RE:CYCL1NG: Pl.stic, nawspaper, cruahed ila.a, alu.inua or steel cana, in bal.s,
(lee Note. A and .).
CODE: 179
FRClII 1IAItA~. FU.IDA
TO:
d- RATE
Per Vehicle Used
TO:
d- RATE
Per Vehicle Used
FLORIDA
lobe IcK.nd
L.et..
. 205.08
315.01
FLORIDA
MI.f
115.00
--------.-.---.-.------------------------------------------------------------------------------------------
d- latea Itat,ld In Doll.,.. and Cent. Per Vehicle Uhd.
IOTE A - latela appl fcabla when tran.ported on flatbed trall.r. only.
IOTE . - If tnpfnSl fa reque.ted or required, .n addftlonal ch.rg. of 122.00 will be ......ed.
THIS SPACE INTENTIOIALLY LEFT ILAlK
XSSUBD: JARUARY 14, 1993
BI'J'BC'l':IVB: JUOARY 14, 1993
Issued 11y: Gordon L. Johnaon, Trafffc Manager, Poat Office Drewr 67, Albumcfale, Florfda 33823
For Explenatfon of abbrevIatION and reference _rks, see page 3.
,....~'-.. ~...._, -...... .,....--.-.- _.....~::.._~-:.. -''''''- ~_...~-- -', ,_.-. ',.""-" ~....,..-'
~..ft..'~tii. ~ ,........"'.~:.~-.--:: :.~~. 'S~~~!SE.~.
~_. /. ~.g~~~..._.....,_.~...".-...~~:,-",._..
MOTOR CARRIER INSURORS, INC.
425 N. New Ballas Rd
ST. LOUIS, MO. 63141
. .....!~ c::;;:R;iF:G/~7t: JS .S=~~[;.1;',S.:.. ~.lj,: '-...: (1- ".jC(\Q"_.^Tln~~ r.\-'1 '.' :.&'r""
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER'" THis'cERTiFlcATE
OOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P I
~~/"!""."'~~
''-''.
COMPANIES AFFORDING COVERAGE
A.W. Seufert - 314 567-5656
COMPANY A
LETTER
LexingtanInsurance Company_
.. '1
..
I
INSURED
r"''''''~NV 8
LETTER
COMCAR INDUSTRIES, INC.
502 EAST BRIDGERS AVENUE
AUBURNDALE, FLO:RIDA 33823
COMPANY C
LETTER
COMPANY 0
LETTER
(See below for affiliates)
f~~~Y E
'_..Y~.......>f:4~ :;fC:~:~.:L ~~:tt~i ....
THIS IS TO CERTIFY THAT nlE 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 PAID CLAIMS.
.- .._--_. .--. --. - ..--- ".---.-- .. - -.-. ------.---...---..----
~:.~.~~:~!f?f;r.tt:.!!;~::(,,;.;./."i~;:~ :
. . ~- -- ..~....-- . ~'
I ,~$ft~~::.:l.:=~r:.: ~~~ I~}:':~ ' ::.;:~~: . .
CO
TA
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIYY) DATE (MMIDDIYY)
LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY 865 3 116
CLAIMS MADE X CoCCUR.
OWNER'S & CONTRACTOR'S PROTo
10-12-92
GENERAL AGGREGATE
1 0 - 12 - 9 3 PRODUCTS-COMPIOP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone lire)
.S.5.., 000,..000
S5,000,000
S5,000,000
S5,000,000
S
Policy has Self-
AUTOMOBILE LIABILITY
MED. EXPENSE (Anyone petSOn) S
A X
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
S
5,000,000
865 3116
10-12-92
10-12-93 BODILY INJURY
(Per person)
S
BODILY INJURY
(Per accident)
S
Policy has Self-
PROPERTY DAMAGE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FOFIM
EACH OCCURRENCE
AGGREGATE
S
S
WORKER'S COMPENSATION
AND
STATUTORY LIMITS
EACH ACCIDENT
S
EMPLOYERS' LIABILITY
DISEASE-POLICY LIMIT S
DISEASE-EACH EMPLOYEE $
OTHER
A
Cargo Liabili t:y
868 5725
10-12-92
10-12-93
$1,000,000. per unit
DESCRIPTION OF OPERATlONS/LOCATllJNSIYEHICLES/SPECIAL ITEMS INSURED INCLUDES: Commerc i a 1 Carr i er Corp.
Clay Hyder Trucking Lines Inc., MD Transport Systems Inc., Coastal Transport
Inc., CTL Distribution Inc., Willis Shaw Frozen Express Inc., Specialized
s ortation Inc. Kenned Truckin Com an .
CERTIFICATE HOLDER CANCELlATION
'r~.I._~~~.:tl'\':: -
s ~:}~j~:~;~~~i1~~~:\-:~>>: ~. .
AUTHORIZED REPRESENTATIVE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAILten 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 KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
/*'/"'1. I, . IJ I
,/ - ' ..' ,'~ .., -1-,. I / /'( /.
'_' -. <..-~ '_-l.... .~~ :.U...l. -(,~ ;-:-.._
OACORrJ"CORPORA TION 1990
Monroe County, Florida
ACORD 25-S (7/90)
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
TInS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted to ;t{oA!!bt; ~tllV
[print name of the public e 'ty]
l7PR/)oll! L. JOIINspAl / 7if/l /~ /C /U/I/1//lG6;e
[print individual's name and title]
by
for r..?o~{,/(tEj(!ClI1t., ~/t..1l. CoR /bRA-T/oN
[print name of entity submitting sworn statement]
whose bU:iiness address is
5iJ;J. t. ..a,flbb,~~ Av6.... (/0, /J, )),(~6.~ 6 ~)
/lu/-~tI/'vVJ>/lL€ .,cL ,:3 ~ ;),3
-
and (if applicable) its Federal Employer Identification Number (FEIN) is StJ ,~tJ7tJ K5f ~
(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn
statement:
.)
2. I underst~lDd 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 of the Unted States, including,
but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or
political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery,
collusion, racketeering, conspiracy, or material misrepresentation.
3. I understand that"convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means 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.
4. I understand that an "affiliate" as defined in Paragraph 287.133(I)(a), Florida Statutes. means:
1. A predlecessor or successor of a person convicted of a public entity crime; or
2. An entity under the control of any natural 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, executives, partners,
shareholdl~rs, employees, members, and agents who are active in the management of an affiliate. The ownership
by one person of shares constituting a controlling interest in another person, or pooling of equipment or income
among pef'Sons when not for fair market value under an arm's length agreement, shall be a prima facie case that
one persOlll controls another person. A 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 considered an affiliate.
5. I understlmd that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes. means any natural person
or entity OJ'ganized 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.
6; Based on information and belief, the statement which I have marked below is true in relation to the entity
submitting this sworn statement. [Indicate which statement applies.]
)tJ Neither the entity submitting this Sworn statement, nor any of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of
the entilty has been charged with and convicted of a public entity crime subsequent to July 1, 1989.
- lbe entity submitting this sworn statement, nor any of its officers, directors, exectutives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, nor an affiliate of
the entily has been charged with and convicted of a public entity crime subsequent to July 1, 1989.
- The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of
the enti~y has been charged with and convicted ofa public entity crime subsequent to July 1, 1989. However, there
has beelll a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative
Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to
place tht~ entity submitting this sworn statement on the convicted vendor list. [attach a copy of the final order]
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC
ENTITY IDENTlrFIED ON PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONL Y AND, THATTIDS
FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WIDCH IT IS FILED. I ALSO
UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A
CONTRACTINIGXCESS OF THE THRESHOLD AMOUNT PROVIDED INSECTION287.017, FLORIDA STATUTES
FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
Personally known Y
~ ,19 ~1
7L"vfVd(
-H
Sworn to and subiicribed before me this rQ -p- day of
OR Produced identification
Notary Public - State of ..../ ~
My Commission expires /~/J7 /9~
J,jjf 15. ~1e,.JO~ / /
(Printed typed or stamped
commissioned name of notary public)
,.,tI",
~\;r.v.rst" VIVA B, PETERSON
{":l:'f;~ MY COMMISSION' CC 247104 EXPIRES
?\.' .,,: n.A.......-17 1996
;'1.~....,i~l ..-.am......
. '.P.f..r.'-.' BONDED TIflU TROY FAIN INSURANCE,INC.
(Type of identific~ltion)
Form PUR 7068 (Rev. 06/11/92)
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
i!tJ/H14Uc,,#i- ~/~ Cotfl7fi17/tJr!
warrants that he/it has not employed,
retained or otherwise had act on his/its behalf any former County officer
or employee in violation of Section 2 of Ordinance No; 10-1990 or any
County oj:ficer or employee in violation of Section 3 of Ordinance No.
10-1990. For breach or violation of this provision the County may, in
its discretion, terminate this contract without liability and may also,
in its discretion, deduct from the contract or purchase price, or
otherwisE! recover, the full amount of any fee, commission, percentage,
gift, or consideration paid to the
r employee.
Date:
STATE OF
r:Lp!e / l>;t
~L-K
COUNTY OF'
Subscribed and sworn to (or affirmed) before
me on .~02-7 /993
o~ (lL~~ ~
/
~/She is personally known to
(date) by
(name of affiant).
me or has produced
as identification.
(type of identification)
MCPit4 REV. 2/92
~0~
. /. J () / _ NOTARY PUBLIC
/j"lA l/J. ~re;...scJ,) ~~-:;..~:r;;;;:...~ VIVAS. PETERSON
N&f*~ MY COMMISSION , cc 247104 EXPIRES
';.'!l.' '". n.._-mber 17 996
"'1.~'....;ll ........ .1
. ,.p.r..~\' BONDED THRU TROY FAIN IHSURANCE, III:.
To:
All Carriers of Monroe County Recycling Materials
Guy McMahan, Director of Operations
Monroe County Environmental Management Division
March 3, 1993
Insurance Information and Verbiage for Certificates of Insurance
From:
Date:
Subject:
· Pe:r Monroe County Risk Management Department the following information and
verbiage must be included on all Certificates ofInsurance for WC2, GL2, and VL2:
Monroe County Board of County Commissioners must be shown as Additional
Insured, and Notice of Cancellation must read: 45 days Notice of Cancellation.
Ce:rtificate Holder should read:
Monroe County Board of County Commissioners
5100 College Rd.
Key West, FL. 33040
Attn: Risk Management.
cc:
MONROE COUNTY, FLORIDA
INSURANCE CHECKLIST
FOR
VENDORS SUBMITTING
PROPOSALS FOR
WORK
To assist in the development of your proposal, the. insurance
coverages marked with an "X" will be required in the event an
award is made to your firm. Please review this form with your
insurance agent and have him sign it in the place provided. It
is also required that the bidder sign the form and submit it with
each proposal.
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
X
Workers' Compensation
Employers Liability
Employers Liability
Employers Liability
US Longshoremen &
Harbor Workers Act
Federal Jones Act
WC1
WC2
WC3
WCUSLH
)<::
WCJA
WCFELA
Federal Employers'
Liability Act (FELA)
INSCKLST
1
Statutory Limits
$100,000/$200,000
$200,000/$500,000
$500,000/$1,000,000
Same as Employers'
Liability
Same as Employers'
Liability
Same as Employers'
Liability
GENERAL LIABILITY
As a minimum, the required general liability coverages will
include:
o Premises Operations
o Blanket Contractual
o Expanded Definition
of Property Damage
o Products and Completed Operations
o Personal Injury
o Medical Payments
Required Limits:
GL1
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage; $5,000 Med. Payments
or
$300,000 Combined Single Limit; $5,000 Med.
Payments
GL2
f
$250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage; $5,000 Med. Payments
or
$500,000 Combined Single Limit; $5,000 Med.
Payments
GL3
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage; $5,000 Med. Payments
or
$1,000,000 Combined Single Limit; $5,000 Med.
Payments
Required Endorsement:
GLXCU
Underground, Explosion and Collapse (XCU)
GLLIQ
Liquor Liability
All endorsements are required to have the same limits as the basic
policy.
INSCKLST
2
VEHICLE LIABILITY
As a minimum, coverage should extend to liability for:
o Owned; Nonowned; and Hired Vehicles
o Medic~l Payments
Required Limits:
VL1
$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage; $5,000 Medical Payments
or
$100,000 Combined Single Limit; $5,000 Medical
Payments
VL2
i-
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage; $5,000 Medical Payments
or
$300,000 Combined Single Limit; $5,000 Medical
Payments
VL3
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage; $10,000 Medical Payment~
or
$1,000,000 Combined Single Limit; $10,000 Medical
Payments
MISCELLANEOUS COVERAGES
BR1
Builders'
Risk
MVC
'X
Motor Truck
Cargo
PR01
PR02
PR03
Professional
Liability
POLl
POL2
POL3
Pollution
Liability
ED1
ED2
Employee
Dishonesty
GKl
GK2
GK3
Garage
Keepers
INSCKLST
3
Limits equal to the
completed project.
Limits equal to the maximum
value of anyone shipment.
$500,000 per Occurrence
$1,000,000 per Occurrence
$2,000,000 per Occurrence
$500,000 per Occurrence
$1,000,000 per Occurrence
$2,000,000 per Occurrence
$100,000
$200,000
$ 300,000 ($25,000 per Veh)
$ 500,000 ($100,000 per Veh)
$1,000,000 ($100,000 per Veh)
MED1 Medical $ 500,000
MED2 Professional $1,000,000
MED3 $5,000,000
IF Installaion Maximum value of Equipment
Floater Installed
VLP1 Hazardous $100,000 (Requires MCS-90)
VLP2 Cargo $500,000 (Requires MCS-90)
VLP3 Transporter $1,000,000 (Requires MCS-90)
BLL Bailee Liab. Maximum Value of prop~rty
INSURANCE AGENT#S STATEMENT
I have reviewed the above requirements with the bidder named below.
The following deductibl~s apply to the corresponding policy.
POLICY
DEDUCTIBLES
$500,000
$500,00
$500,00
RMCA 142-89-64 (Auto)
RMGL 326-50-94 (GL)
W-141706 C (WC)
Liability policies are X
Occurrence
Jti).... ..... Claim::s Made
(, '
, , '
.', . Signature
MRrkfie1d America. Inc.
Insurance Agency
BIDDERS STATEMENT
I understand the insurance that will be mandatory if awarded the
contract and will comply in full with all the requirements.
Bidder
Signature
INSCKLST
4
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
FOR ALL
CONTRACTS WITH
MONROE COUNTY, FLORIDA
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 or
other wrongful act or omission of The Contractor or its
subcontractor(s) in any tier, their employees, or agents.
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.
IND
1
(
WORKERS' COMPENSATION
INSURANcE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Priclr to the commencement of work governed by this contract, the
Cont:ractor shall obtain Workers' Compensation Insurance with
limits sufficient to respond to the applicable state's statutes.
In addition, the Contractor shall obtain Employers' Liability
Insurance with limits of not less than:
$200,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, each employee
$500,000 Bodily Injury by Disease, policy limits
Coverage shall be maintained throughout the entire term of the
contract.
(
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. .
j
If the Contractor has been approved by the Florida's Department
of Labor, as an ~uthorized self-insurer, the County shall
recognize and honor the Contractor's status. The Contractor
shall be required to submit a Letter of Authorization issued by
the Department of Labor and a 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 will be required to submit updated financial
statements from the fund upon request from the County.
(
I .
WC2 .
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the
Contractor shall obtain General Liability Insurance. Coverage
shall be maintained throughout the life of the contract and
include, as a minimum:
o Premises Operations
o Products and Completed Operations
o Blanket Contractual Liability
o Personal Injury Liability
o Expanded Definition of Property Damage
<0 Medical Payments
The minimum limits acceptable shall be:
:$500,000 Combined Single Limit (CSL)
:$ 5,000 Medical Payments
If split limits are provided, the minimum limits acceptable shall
be:
~?250,000 per Person
~?500,000 per Occurrence
~~ 50,000 Property Damage
~~ 5,000 Medical Payments
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
accept:ance of work by the County.
MonrOE! County and Monroe County's Board of County Commissioners
shall be named as Additional Insureds on all policies issued to
satisfy the above requirements.
GL2
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the
Contractor shall obtain Vehicle Liability Insurance. Coverage
shall be maintained throughout the life of the contract and
include, as a minimum, liability coverage for:
o Owned, Non-Owned, and Hired Vehicles
o Medical Payments
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
$ 5,000 Medical Payments
If split limits are provided, the minimum limits acceptable shall
be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
~> 5,000 Medical Payments
MonroE~ County and Monroe County's Board of County Commissioners
shall be named as Additional Insureds on all policies issued to
satisfy the above requirements.
VL2
MOTOR VEHICLE CARGO
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recoqnizing that the work governed by this contract involves
Coun1:y property being transported by the Contractor, and that
most liability policies exclude coverage for such items, the
Contractor will be required to maintain Motor Vehicle Cargo
Insurance in amounts no less than the replacement value of the
property in the possesion of the Contractor.
Maximum Value of the County's property which is in the possesion
of the Contractor:
$
Must be completed by the purchasing agent.
NOTE
If a "Free on Board" (FOB) bill of lading is utilized on incoming
property, and if the County does not assume title until the
property is delivered, the Contractor does not have to show
evidence of Motor Vehicle Cargo Insurance.
MVC
-_.-~"_._._...
----'~---_._~-_._---
.- At~.III."
CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
MOTOR CARRIE]~ INSURORS,
425 N. New Ballas Rd
ST. LOUIS, ~). 63141
INC.
10/12/92
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
I CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
j DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE I
LROLICIES BE!:.9..w-,--_.____..__ _____________________ ._____________
PRODUCER
COMPANIES AFFORDING COVERAGE
A.W. Seufert - 314 567-5656
f~T~~~NY A
INSURED
f~T~~NY B
COMCAR INDUSTIUES, INC.
502 EAST BRIDGERS AVENUE
AUBURNDALE, FLORIDA 33823
f~T~~~NY C
f~T~~~NY D
/I / ~
~~'F
f~T~~NY E
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIYY) DATE (MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROTo
.._._.__...'......._",.-..~".~_....._~....-..,.._._---"""'--,
865 3116
10-12-92
GENERAL AGGREGATE $ 5 , 000 , 000
10-12-93 PRODUCTS-COM PlOP AGG. $ 5,000,000
PERSONAL & ADV. INJURY $ 5 , 000 , 000
EACH OCCURRENCE $ 5,000,000
FIRE DAMAGE (Anyone fire) $
MED. EXPENSE (Anyone person) $
AUTOMOBILE LIABILITY
A X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
Policy has Self-
insured Retention
--"'-"~-~'--"~--"-~"""'-'--'-"'- ~,.
COMBINED SINGLE
LIMIT
$
5,000,000
865 3116
10-12-92
10-12-93 BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
policy has Self-
insured Retention
PROPERTY DAMAGE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
""---""'..._..~----_._-,-
EACH OCCURRENCE
AGGREGATE
$
$
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY LIMITS
EACH ACCIDENT
$
OTHER
---........_'~--...,_.-----~,---~-------"'--_..____~.,~__,__w,"_,___.__,.._....~.~..-.,__~,_..,_,__.~
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
A Cargo Liability
868 5725
10-12-92
10-12-93
$1,000,000. per unit
'DESCRIPTION OF OPERATIONS/LOl:ATIONSIVEHICLES/SPECIAL ITEMS INSURED INCLUDES: CommercJ:al Carrier Corp.
Clay Hyder TrucJldng Lines Inc., MD Transport Systems Inc., Coastal Transport
Inc., CTL Distribution Inc., Willis Shaw Frozen Express Inc., Specialized
Trans ortation Inc., Kennedy Trucking Company.
CERTIFICATE HOLDER CANCELLATION
Monroe County Board of County
Commissioners
Attention: Risk Management
5100 College Road
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL..l.Q... 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 KIND UPON THE COMPANY, ITS AGEI\!:lS OR RE?RESENTATIVES.
. ---"-~'-~- I
AUTHORIZED REPRESENT A TIVE
;~ACORD 25-5 (7/90)
____@ACORD\eORPORATION 1990
~pj,.ojol;'
Commercial Carrier Corp.
502 East Bridgers Avenue
P.O. Drawer 67
Auburndale. FL 33823
813 967-1101
April 27, 1993
RECEIVED APR 2 8 1993
Mr. Guy McMahan
Environmental Management
5100 College Road
Wing II-B, Room #506
Key West, FL 33040
REFERENCE: HAULING SERVICE, MONROE COUNTY RECYCLING FACILITY
MARATHON, FL
Enclosed please find COMMERCIAL CARRIER CORPORATION'S Florida
intrastate Tariff FLA 13-J publication of Item 1310. This item
specifically limits applicable rates and traffic. This tariff also
limits loading time to one (1) hour, and unloading time to two (2)
hours, thereafter detention time is charged at the rate of $12.50
per thirty (30) minutes.
Per our conversation I am returning executed documents as well as
workman compensation insurance certificate.
Should any further information or documentation be required, please
don't hesitate to call. COMMERCIAL CARRIER CORPORATION truly
appreciates the opportunity to be of service.
Sincerely,
COMMERCH~L CARRIER CORPORATION
~2
Gordon L.
Traffic H
L/
A COMCAR INDUSTRIES COMPANY