04/19/1995 Agreement
J}annp I.. Itolbagt
BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
BRANCH OFFICE
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
M E M 0 RAN DUM
To:
Barry BOldissar, Director
Division of Environmental Management
From:
Isabel C. DeSantis, Deputy Clerk~. C. l).
May 15, 1995
Date:
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At the April 19, 1995 meeting, the Board granted approval and
authorized execution of a Contract between Monroe County and D &
J Industries for roof repairs at the Long Key and Key Largo
Transfer Stations, in the amount of $40,584.00 and $23,371.50
respectively.
Attached hereto is a duplicate original of the subject Agreement
for return to the Contractor.
Should you have any questions concerning the above, please do not
hesitate to contact me.
cc: County Attorney
County Administrator w/o document
Risk Management wjo document
Finance Director
./ File
CONTRACT
THIS AGREEMENT, made and entered into this 19th day of April, 1995,
A.D., by and between MONROE COUNTY, FLORIDA, party of the first
part (hereinafter sometimes called the "Owner") , and D&J
Industries, Inc., party of the second part (hereinafter sometimes
called the "Contractor").
~ .-~
WITNESSED: That the parties hereto, for the cons~e~atiqj h~ein-
after set forth, mutually agree as follows: ~,.~ ~
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SCOPE OF THE WORK
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The Contractor shall provide all labor, equipmenf, and (JI\at~ials
to: Repair the roofs over the tipping floor at at 'the Loftg Key and
Key Largo Transfer Stations. The repairs shall include, but are not
limited to, the following:
Repair or replacement of existing panels and skylights
Repair or replacement of fasteners
Repair or replacement of purl ins
Repair or replacement of ridge vents and trim flashing
Contractor will use 24-gage Galvalume sheet
The contractor shall perform all of the work described in the
Specification entitled:
SPECIFICATION FOR ROOF REPAIRS AT THE KEY LARGO, LONG KEY, AND
CUDJOE KEY TRANSFER STATIONS
and their proposal, each attached hereto and incorporated as part
of this Contract document.
THE CON'rRACT SUM
The County shall pay to the Contractor for the faithful performance
of said service. The Contractor shall invoice the County for
materials when they are delivered on each site and at the
complet.ion of work at each site. The Contract amount shall be as
stated by the Contractor's proposal as follows:
1
Long Key:
Forty thousand five hundred eiqhty four and 00/100 dollars
($40,584.00)
Key Largo:
Twenty three thousand three hundred seventy one and 50/100 dollars
($23,371.50)
CONTRACTOR'S ACCEPTANCE OF CONDITIONS
A. The Contractor hereby agrees that it has carefully examined
th,e site and has made investigations to fully satisfy itself
th,at the site is correct and sui table for this work and it
assumes full responsibility therefore. The provisions of the
Contract shall control any inconsistent provisions contained
in the Specifications. All Specifications have been read and
carefully considered by the Contractor, who understands the
same and agrees to their sufficiency for the work to be done.
Under no circumstances, conditions, or situations shall this
Contract be more strongly construed against the Owner than
against the Contractor and its Surety.
B. Any ambiguity or uncertainty in the Specifications shall be
interpreted and construed by the Owner, and its decision shall
be final and binding upon all parties.
C. Th,e passing, approval, and/or acceptance of any part of the
work or material by the Owner shall not operate as a waiver by
the Owner of strict compliance with the terms of this
Contract, and Specifications covering said work. Failure on
th,e part of the Contractor, immediately after Notice to
correct workmanship shall entitle the Owner, if it sees fit,
to correct the same and recover the reasonable cost of such
replacement and/or repair from the Contractor, who shall in
any event be jointly and severally liable to the Owner for all
damage, loss, and expense caused to the Owner by reason of the
Contractor's breach of this Contract and/or its failure to
comply strictly and in all things with this Contract and with
the Specifications.
2
HOLD HARMLESS
The Contractor shall defend, indemnify and hold the County, its
officials, 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, liabilities, losses
and causes of action which may arise because of the County's negli-
gent actions or omissions. Compliance with the insurance require-
ments shall not relieve the Contractor from the obligations imposed
by this article.
INDEPENDENT CONTRACTOR
At all times and for all purposes under this Agreement the
Contractor is an independent Contractor and not an employee of the
Board of County Commissioners for Monroe County. No statement
contained in this Agreement shall be construed so as to find the
Contractor or any of its employees, contractors, servants, or
agents to be employees of the Board of County Commissioners for
Monroe County.
ASSURANCE AGAINST DISCRIMINATION
The Contractor shall not discriminate against any person on the
basis of 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.
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
Contrac1tor may deem necessary. This Agreement shall be incorporated
by reference into any assignment and any assignee shall comply with
all of the provisions of this Agreement. Unless expressly provided
for therein, such approval shall in no manner or event be deemed to
impose any obligation upon the Board in addition to the total
agreed-upon price of the services/goods of the Contractor.
3
COMPLIANCE WITH LAW
In providing all services/goods pursuant to this Agreement, the
Contractor shall abide by all statutes, ordinances, rules and regu-
lations pertaining to, or regulating the provisions of, such
services, including those now in effect and hereinafter adopted.
Any violation of said statutes, ordinances, rules and regulations
shall constitute a material breach of this Agreement and shall
entitle the Board to terminate this Contract immediately upon
delivery of written notice of termination to the Contractor.
ETHICS
Contractor warrants that it has not employed, retained or otherwise
had act on its behalf any former County officer or employee subject
to the prohibition of Section 2 of Ordinance No. 010-1990 or any
County officer or employee in violation of Section 3 of Ordinance
No. 020-1990. 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 former
County officer or employee.
INSURANCE
Upon execution of this Agreement, the Contractor shall furnish the
Owner Certificates of Insurance indicating the minimum coverage
limitations as indicated by an "X" on the attached forms identified
as INSCKLST 1-4, as further detailed on forms WC1, GL1, and VL1,
each attached hereto and incorporated as part of this Contract
document.
FUNDING AVAILABILITY
In the event that funds 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
Contractor. The Board shall not be obligated to pay for any
services provided by the Contractor after the Contractor has
received written notice of termination.
4
PROFESSIONAL RESPONSIBILITY
The Contractor warrants that it is authorized by law to engage in
the performance of the activities encompassed by the project herein
described. The provider shall at all times exercise independent,
professional judgement and shall assume professional responsibility
for the services to be provided. Continued funding by the Board is
contingent upon retention of appropriate local, state, and/or
federal certification and/or licensure of Contractor.
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
FOR CONTRACTOR
Monroe County Environmental Management
5100 College Road
Key West:, FL 33040
D&J Industries, Inc.
P.O. Box 430654
Big Pine Key, FL 33043
5
IN WITNESS WHEREOF the parties hereto have executed this Agreement
on the day and date first above written in four (4) counterparts,
each of which shall, without proof or accounting for the other
counterparts, be deemed an original Contract.
COUNTY OF MONROE, STATE OF
FLORIDA
By cS~t~
Attest: DANNY L. KOLHAGE, Clerk
~~~Or-
Cler
~.
~:dOlPh G. Jordan
By
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WITNESS
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WITNESS
c:\files\contractllkroof,doc 041041O41ll512:19 PM
6
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
ELQHJJ2A.sJ:AJ1ITES.. ON PUBLIC ENTITY CRIMES
TillS FORM MUST BE SIGNED AND SWORN TO IN TilE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHOIUZED TO ADMINISTER OATHS.I This sworn statement is submiUell
10
[print name of the public entity]
by
R re J~.v-t
rint individual's name and title]
D.J.. J r""J o<:..fl--i'L~ Itv(,
. [print name of entity subm~ting sworn statement]
for
whose Ibusiness address is
({,-
J
1"1 M 30. S.
p,~;..; <..J~l ) f (
~~~o ~3
and (if applicahlc) its Fedcral Employer Idcntification Numbcr (FEIN) is
~s- OJ'i IS 9"1.,
(If the enlily has no FEIN, include the Social Security Number of the individual signing this swor.
statemenl:
.)
I undersland Ihat a "puhlic entity crime" as defincd in Para~raph 287.133(1)(g), Florida StllYltI._eans a
violation of any stale or federal law by a person wilh respect to and directly related to the transacti.. .fbusiness
wilh any puhlic enlily or wilh an a~ency or polilical subdivision of any other state or ofthc United St.ta,incrudin~,
but not limited to, any hid or contract for ~oods or senic~s to he provided to any puhlic entity or - agency or
political suhdh'ision of any other state or of the lJniied States and involvin~ antitrust, fraud, t"', bribery,
collusion, racketeering, conspiracy, or malerial misrepresentation.
I und(~rsland that "convicted" or "conviction" as defined in Para~raph 287.133(1)(b), E.llu:id.a..Stallllll, means a
finding of ~uilt or a co~viction of a puhlic entity crime, with or without an adjudication of guilt,ln .-y federal or
state trial court of record relating to char~es hrou~ht hy indictment or information afler July I, 1919. as a result
of a jury verdid, nonjury trial, or entry of a plea of guilty or nolo contendere.
I undl~rstand Ihal an "affiliate" as defined in rara~raph 287.133(1)(a), Florida Statutes, mcans:
I. A predecessor or successor of a pnson convicted of a puhlic entity crime; or
2. An entily undcr the control of any nalural person who is active in the management of thc cntity.... who ha~
been fOn\'ictcd of a puhlic enlily crime. The term "aUiliate" includes those officers, directon, Cltccutiva,partners,
shareholden, employees, memhers, and a~l'nls who arc adivl~ in the management of an affiliatc. 1M ewncrship
hy on'l~ person of shares con.~liIuling a conlrollin~ interest in another person, or pooling of cqulp...etIII.r income
amon~ persons wht'n not for fair.market value under an arm's lenglh a~reement, Ih.nlK: a pri...a'" Clle that
one p,rrsun conlrols another (ll'rsnn. A pennn whn knowin~ly enlers into II joint venture with a....- ",hI' has
been l:ml\'ided nf a puhlic l'IItity crime in Florida during the preceding 36 moiilhs ~han he consiclerol.. affiliatc.
I understand that II "person" as defined in IJaragrftph 287.133( I)(c), Florida statut.., mean. any .a.....1 person
or endify or~anil.ed under the laws of any state or of the United States with the legal power to entcr i... a binding
contract and which hids or applies to hid on nmtracts for the provision of J.:oodl or services let hy. "'Iic entity,
or which ollll'rwise transacts or applies to transact husiness with a Iluhlic entity. The term "person" _hades those
officers, .directors, execulives, partnen, shareholders, employees, memhers, and agents who _e active in
mana~emenl of an entity.1.2.3.4.5.
Based on information and helief, the statement which I have marked below is truc in relation 10 lhc entity
suhmillillJ.: Ihis sworn slatement. IIndicate which statement applies.)
__ Neither the enlity suhmiUing this sworn statement, nor any of its officcrs, dircctors, executives,
pa."tners, sha."cholders, employees, nH~mhc.'rs, or agc.'nls who"al1c activc in the management of the entity, nor
any affilialc of Ihe enlily has heen charged with and convicted of a puhlic entity crime suhsequent to July
1, 1989.
__ The enlity suhmittinJ.: this sworn statement, nor any of its offic"ers, directors, executives. partnen,
shareholders, employees, memhers, or agenls who arc active in the manaJ.:ement of the cntity, nor.n affiliate
of Ihe enl ily has hcen charged with and convicted of a puhlic enlity crime subsccluent to July I. 1989.
__ The entity suhmitting this sworn stateml~nt, or one or more of its officcrs, dircctors. cxccutivcs,
partners, sh:ueholders, employees, memhers, or agc'nts who are active in the management oUhc cntity, or
an affiliale of the entily has been chaq~c~d with and convich~d of a puhlic entity crimc subsequcnt to July 1,
191\9" Ilowe\'er, there has heen a suhsecluc'nt proceedinJ.: hefore a Hearing Officcr of the St.te ., Florida,
Dh'ision of Administrative Hearings and the Final Ordl'r elltered hy the Hearing Officer deter.llled that
it was not in thl' puhlic inlc."eslto placc the enlity suhmitting this sworn statement on the conYkted vendor
list. IAlIach a copy of Ihe final order)
6. [UNDERSTAND TIIATTHE SUIlJ\1ISSION OF TillS FORM TO TilE CONTRACTING OFFICER
FOR TilE rUIlLlC ENTITY IDENTIFIED ON PARAGRAPH I (ONE) ABOVE IS FOR THAT PUBLIC
ENTITY ONL Y AND, TIIATTIIIS FOn.M IS VALID TII ROUGII I>ECEMBEltJl OFTHECALENI>AR
YEAR IN WHICIIIT IS FILED. I ALSO lJNDERSTAND TIIAT I AM REQUmED TO INFORM TilE
PUIlLlC ENTITY PRIOR TO ENTEIUNG INTO A CONTRACT IN EXCESS OF TilE TIIRESIIOLIl
AMOUNT rROVIDEIl IN SECTION 21\7.017, ELQIUlM" STATUIES FOR CATEGORY TWO OF ANY
CHANGE IN TilE INFORMATION CONTAINIW IN TillS FORM.
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Sworn to and subscrihed before me this
LJ1"" '\
t, ~ day of
A,~".; ( ,I' cr S"
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. n,_~J ILU Y~J i_/
Notary Public - State of F(o.:c~ &L
Pc:rsonally known
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on Produced identification
My Commission expircs
(T:ype of identification)
Form run 7068 (Rev. 06/11/92)
(Printed typed or stamped
. commissioned name or notary puhlic)
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SPECIFICA TION
FOR
ROOF REPAIRS AT THE
KEY LARGO, LONG KEY AND CUDJOE KEY
TRANSFER STATIONS
GENERAL
Since 1982 there has little or no maintenance on the roofs of the Transfer Stations because of their height
and lack of equipment. Over the years, some of the metal purlins and sheet metal cover have deteriorated
due to the salt atmosphere. To continue in its present state, the roof could become a serious safety
problem.
Proposals shall be submitted in a format that shows the work to be accomplished at each site and the cost
of repairs at each site.
DESCRIPTION
The contractor shall furnish and install all labor, materials and equipment necessary to repair the roofs
over the tipping floors at the Key Largo, Long Key and Cudjoe Key Transfer Stations. The repairs shall
include, but not limited to, the following:
Repair or replacement of existing panels and skylights.
Repair or replacement of fasteners.
Repair or replacement of purlins.
Repair or replacement of ridge vents and trim flashing.
OTHER
Demolished metal shall be stacked neatly on site. Permits will be the responsibility of the County.
Proposals shall include warranty information. The proposal will state whether the presented prices are
based on being awarded a contract for work at three sites, two sites or one site. Site locations are as
follows:
Key Largo Transfer Station
11180 County Rd. 905
Mr. 1. Richcreek
305-367-3244
Long Key Transfer Station
MM 68, US 1
Mr. 1. Julien
305-664-9315
Cudjoe Key Transfer Station
Blimp Rd. MM21.5
Mr. D. Mason
305-745-1771
AWARD OF CONTRACT
In evaluating the proposals, the County shall consider the qualifications of the bidder, whether or not the
proposal complies with the requirements and the price of repair at each site.
D & J I~NDUSTRIES, INC.
P.O. Box 430654 . BIG PINE KEY, FL 33043 .305-872-0607. FAX: 305-872-050 I
Purchasing Department
I 500 College Road
Key West. Florida 33040
March 29, 1995
To Whom It May Concern:
Please note that D & J has provided a proposal predicated on the replacement of the roof panels as well
as the skylights on the tip areas in there entirety. The replacement of the trim flashing and the ridge vents and
fasteners would be in there entirety, also with reference to the PearIins repair of the existing PearIins and
replacement would be comple~ed on an as needed basis.
The specilication you have comprised leaves the burden upon the contractor as to what specific pro.iuct
to utilize in this particular application. Please note that incompliance with Code a galvanized 24 gage panel
without finish would comply with this specification. Ilowever, 0 & J has chosen to quote as a minuim system
24 gage galvalume as well as a 24 gage polyester and also a 24 gage Kynar 500 in panel finishes.
Also, 0 & J has also quoted a price for a Fabrel 032 concealed fastener aluminum roof, this particular
roofwill in fact yield the best return for investment as the life expectancy of this particular system is far an
access of the metal panels. However, please also note that this particular panel is far more expensive then the
metal panels, this particular aluminum panel also comes with a Kynar 500 PPO finish.
o & J has numerous application of all three panel types install in the Florida Keys at this time, D & J
will be more then willing to review panel application such as the aluminum panel the 24 gage Kynar 500 PPG
Panel or the Oalvalume Panel at your convenience.
Should an)! more speci fic information be required such as wind loading, salt spray testing or finished be
required, please feel free to contact me personally.
Key Largo Long key Cudjoe Key Total
Galvalum $ 23,371.50 $ 40,584.00 $ 23,371.50 $ 87,327.00
Ployester $ 25,284.00. $ 44,409.00 $ 25,284.00 $ 94,977.00
Kynar $ 28,152.75 $ 50,146.50 $ 28,152.75 $ 106,452.00
Alum $ 34,846.50 $ 63,534.00 $ 34,846.50 $ 133,227.00
Sincerely,
~~
Randolph G. Jordan
President
'.
,
April 22, 1')9.1
1st l'Onling
MONROE COUNlY, FLORIDA
INSURANCE CHECKLIST
FOR
VENDORS SUBMllTlNG 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/her sign it in the place provided. It is also required that the bidder
sign the fonn and submit it with each proposal.
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
WC}
WC2
WC3
WCUSLH
WCJA
x
Workers' Compensation
Employers Liability
Employers Liability
Employers Liability
US Longshoremen &
Harbor Workers Act
Federal Jones Act
Statutory Limits
$100,000/$500,000/$ 100,000
$500,000/$500,000/$500;000
$/,000,000/$/,000,000/$/,000,000
Same as Employers'
Liability
Same as Employers'
Liability
II.donitoilllralive Inlllmc1ioa
'04709.01
INSCKLST J.
6
April 22. 19'J.J
la'I'rinlillg
As a minimum. the required general liability coverages will include:
GENERAL LIABILITY
· Premises Operations
· Blanket Contractual
· Expanded Definition
of Property Damage
Required Limits:
GLI
K
GL2
GL3
Required Endorsement:
GLXCU
GLLlQ
Products and Completed Operations
Personal Injury
.
.
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
$250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage
or
$500,000 Combined Single Limit
$500,000 per Person; $ I ,000,000 per OCCUlTcnce I
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
Underground, Explosion and Collapse (XCU)
Liquor Liability
All endorsements are required to have the same limits as the basic policy.
^dminilllB'i,'e Inmucrintl
*<470901
INSCKLST ~
7
I\pril 22. 1')<).1
I s1 Print in!;
VEHICLE L1ABILIT~
As a minimum, coverage should extend to liability for:
· Owned; Nonowned; and Hired Vehicles
Required Limits:
VLl
x
VL2
VL3
BRl
MVC
PROl
PR02
PR03
POLl
POL2
POL3
EDl
ED2
GKl
GK2
GK3
MEDI
MED2
MED3
Adlninio(rative Jl1II1nK1i011l
r4709.0 I
--"---"-~"
-r, ----~ ~ _.. ._...,
$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Single Limit
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
MISCELLANEOUS COVERAGES
Builders'
Risk
Limits equal to the
completed project.
Motor Truck
Cargo
Limits equal to the maximum
value of anyone shipment.
Professional
Liability
$ 250,000 per Occurrence/$ 500,000 Agg.
$ 500,000 per Occurrence/$I ,000,000 Agg.
$1,000,000 per Occurrence/$2,000,000 Agg.
$ 500,000 per Occurrence/$I,OOO,OOO Agg.
$1,000,000 per Occurrence/$2,000,000 Agg.
$5,000,000 per Occurrence/$I 0,000,000 Agg.
Pollution
Liability
Employee
Dishonesty
Garage
Keepers
$ 10,000
$100,000
$ 300,000 ($ 25,000 per Veil)
$ 500,000 ($ I 00,000 per Veh)
$ I ,000,000 ($250,090 per Veh)
$ 500,000/$ 1,000,000 Agg.
$1,000,000/$ 3,000,000 Agg.
$5,000,000/$10,000,000 Agg.
Medical
Professional
INSCKLST '3
H
IF
VLPl
VLP2
VLPJ
BLL
HKLI
HKL2
HKL3
AIRI
AIRl
AIRJ
AEOI
AE02
AE03
^pril 22. "N]
,.. l'rin1inC
Installation
Floater
Maximum value of Equipment
Installed
Hazardous
Cargo
Transporter
S 300,000 (Requires MCS-90)
S 500,000 (Requires MCS-90)
S 1,000,000 (Requires MCS-90)
Bailee Liab.
Maximum Value of Property
Hangarkeepers
Liability
S 300,000
$ 500,000
S 1,000,000
$25,000,000
$ 1,000,000
$ 1,000,000
Aircraft
Liability
Architects Errors
& Omissions
$ 250,000 per Occurrence/$ 500,000 Agg.
$ 500,000 per Occurrence/$I,OOO,OOO Agg.
S 1,000,000 per Occurrence/$3,000,OOO Agg.
INSURANCE AGENT'S STATEMENT
I have reviewed the above requirements with the bidder named below. The following dcductiblcs
apply to the corresponding policy.
POLlCY
DEDUCTIBLES
Liability policies are _ Occurrence
Claims Made
Insurance Agency
Signature
.81DDERS ST.t\ TE_MENT
I understand the insurance that will be mandatory ifawarded the contract and will comply ill full
with all the requirements.
J\dminillTalivc Irt'I(rtJ<.1K...l
....70901
Bidder
Signature
INSCKLST &.f
9
.........--..,-~."..
......................,.......... ................................... .......................
.~. Ati..lul.illlililllll:lilil:III.11111 )GLC:QQ:I$'~'!:::;'lsaUEDATE ~M/DDIY'1
...................... ......... .........................................................:.:.:.:.:.:.:.....:...... "'::}':::::":::':::':::::::'::':'" ..................................................................................................................................................................................................................................,..:::i:;:>;;.;;;;:;:.;;;;;;;;(;;;;;';'../...;.;.;.;.;.:.:.;.:.;.;.;.;.;;.;':' 04/28/95
... ....THISCERTiFicATE 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
PRODUCER
EYS INSURANCE AGENCY Received
.0. BOX 500080 Risk Mgmt. & Loss Contro
RATHON FL 33050DATE ..),
\t
COMPANY A FL BUILDERS & EMPLOYERS MUTUAL
R
COMPANY B AISLIC
LETTER
COMPANY C
LETTER RECEIVED
COMPANY D
LETTER
COMPANY E
INITI^L
INSURED
& J Industries, Inc.
.0. Box 430654
ig Pine Key, FL 33043-0654
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 PERTAI'i,. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLl\.iIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '.
POUCY EFFECTIVE POUCY EXPIRATION
TYPE OF INSURANCE POUCY NUMBER
ATE ~M/DDIY'1 DATE (MM/DD/n1
91644FL9307003 7/02/94 7/02/95
MMERCIAL GENERAl UABIUTY
MS MADE DCX:CUR.
WNER'S & CONTRACTOR'S PROT.
91644FL9307003 7/02/94 7/02/95
WORKER'S COMPENSATION
AND
EMPLOYERS' UABIUTY
34824540095
.
UMI18
ENERAl AGGREGATE $ 1 000
PRODUaT'S-COMPIOP AGG. $ 1 000
PERSONAl & ArN. INJURY $ 50
EACH OCCURRENCE $ 1 000
FIRE DAMAGE (Any one fll8) $ 50
MED.EXP. (Any one p81l1011) $ 1
COMBINED SINGLE
UMIT $ 1 000
80DIL Y INJURY
(Per p8F80n)
BODILY INJURY
(Per lICCldenl) $
PROPERTY DAMAGE
BY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
DISEASE-POUCY UMIT
DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATION8ILOCATION8IVEHICLE8/SPECIAL ITEMS
ERTIFICATE HOLDER ADDN'L INSURED FOR LONG KEY & KEY LARGO TRANSFER STATIONS.
o DAYS NOTICE OF CANCELLATION FOR WORKER'S COMPENSATION; 10 DAYS NOTICE FOR
LL OTHER COVERAGES....
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
5100 COLLEGE ROAD
ROOM 41=506
STOCK ISLAND FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL DAYS WRITTEN NOTICE TO THE CERTIFI ATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMP E NO OBLIGATION OR
LIABILITY OF ANY KIND UP N THE COMPANY, ITS AG NTS OR REPRESENTATIVES.