07/28/1993 Agreement
jlannp I. Itolbage
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.EMQRAN12!lM
TO:
Dent Pierce, Director
Division of Public Works
Isabel C. DeSantis, Deputy Clerk J).C.~'
FROM:
DATE:
August 6, 1993
On July 28, 1993, the Board authorized execution of a Contract
Agreement in the amount of $21,850.00 with D & J Industries, Inc.
to replace the roof system at the Marathon Library.
On July 21, 1993, the Board authorized execution of Change Order
#2 with Pinewood Enterprises for Watson Field Improvements, with
no change in the Contract amount or completion date.
Attached hereto is a duplicate original of the subject Agreement
and Change Order executed by all parties, which should be sent to
your contractor.
Should you have any questions concerning the above, please do not
hesitate to contact me.
cc: County Attorney
Finance Director
County Administrator, w/o document
Risk Management, w/o document
File
CON T R ACT
THIS l~GREEMENT, made and entered into this 28th day of July,
1993, between Monroe County, Florida (Owner), and D & J INDUS-
TRIES (Contractor):
WIT N E SSE S:
That t.he parties hereto, for the consideration hereinafter set
forth, mutually agree as follows:
1.
SCOPE OF THE WORK
The Contractor shall furnish all permits, labor, material and
equipml~nt to replace the roof system at the Marathon Library,
located at 3251 Overseas Highway, Marathon, Florida. Work will
be in accordance with the Contractor's proposal dated June 16,
1993, attached hereto and incorporated as part of this Contract
Document.
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
contractor or any of his/her employees, contractors, servants, or
agents to be employees of the Board of County Commissioners for
Monroe County.
III. ASSURANCE AGAINST DISCRIMINATION
The Contractor shall not discriminate against any person on the
basis iOf race, creed, color, national origin, sex, age, or any
other characteristic or aspect which is not job related, in its
recruit;ing, hiring, promoting, terminating, or any other qfea
affecti.ng employment under this agreement or with the prbviS.:J.on
of services or goods under th.is agreement. ';
"'
IV.
ASSIGNMENT
.,
.)
The Contractor shall not assign this agreement, except in writihg
and wit~h the prior written approval of the Board of County.Commis-
sioners: for Monroe County and Contractor, which approval shall ~e
subject. to such conditions and provisions as the Board and Con-
tractor may deem necessary. This agreement shall be incorporated
by ref4~rence 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 contrac-
tor.
V.
COMPLIANCE WITH LAW
In providing all services/goods pursuant to this agreement, the
contractor shall abide by all statutes, ordinances, rules and
regulations 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 regula-
tions shall constitute a material breach of this agreement and
shall entitle the Board to terminate this contract immediately
upon d4alivery of written notice of termination to the contractor.
VI. INSURANCE
Upon execution of this agreement, the Contractor shall furnish
the Owner Certificates of Insurance indicating the minimum cover-
age limitations as indicated on forms WC1, GL1, VL1, GIRl
& GIR2, 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 IND1.
VIII.
COMMENCEMENT AND COMPLETION OF WORK
The Contractor shall commence work immediately upon receipt of
notice to proceed. Prior to commencement of work a pre-confer-
ence meeting shall be established with representatives from the
Monroe County Public Works Department to discuss procedural meth-
ods and scheduling of said project. The Contractor shall prose-
cute the work with faithfulness and diligence and shall complete
the work in accordance with following the schedule of completion.
Upon rleceipt of Notice to Proceed the Contractor shall take no
longer than thirty (30) calendar days to complete the work after
which Cl One Hundred Dollar ($100.00) a day liquidated damage will
be asslessed. The Owner will, however, take into consideration
rain days that are documented.
The Contractor shall be responsible for protection of County
property and project materials from the elements and theft.
Clean up of all debris will be necessary daily, in order to main-
tain an orderly facility and to minimize impact to the Monroe
County Library.
Inspections by the Superintendent of Buildings from the Facili-
ties Maintenance Department and a Building Department Representa-
tive shall be performed at completion of every major phase of
work to ensure proper building code compliance.
2
IX. FUNDING AVAILABILITY
In the event that funds from the Marathon Library Capital Improve-
ment Account are partially reduced or cannot be obtained or can-
not be continued at level sufficient to allow for the purchase of
the s€!rvices/goods specified herein, this agreement may then be
termin,ated 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.
X. PROFESSIONAL RESPONSIBILITY
The Contractor warrants that it is authorized by law to engage in
the pE~rformance of the activities encompassed by the project
herein described. The provider shall at all times exercise inde-
pendent, professional judgement and shall assume professional
responsibility for the services to be provided. Continued fund-
ing by the Board is contingent upon retention of appropriate
local, state, and/or federal certification and/or licensure of
contractor.
XI. NmnCE REQUIREMENT
Any no1::ice required or permitted under this agreement shall be in
writin9 and hand delivered or mailed, postage prepaid, to the
other party by certified mail, returned receipt requested, to the
following:
FOH COUNTY
Monroe County Public Works
5100 College Road
Key West, FL 33040
ATTN: John King
FOR CONTRACTOR
D & J INDUSTRIES
6209 Overseas Highway
Marathon, FL 33050
XII. PAYMENT
The County shall pay to the Contractor for invoices paid by the
Contractor for associated building materials stored on site.
Materialls must be stored properly to prevent damage by the ele-
ments alnd will not impact the services of the Marathon Library.
The remainder of the contract
final Cicceptance by the Owner.
exceed Twenty One Thousand
($21,850.00) .
sum shall be paid in full upon
Total contract amount shall not
Eight Hundred Fifty Dollars
3
In witness whereof, the parties hereto have executed this agree-
ment the day and year first above written,
Attest: DANNY L. KOLHAGE, Clerk
~L.J.. c ~~
Clerk I
Attest ::
~ -iLl:: - .l2.(2,J!,..2.
~ WITNESg-...
C' :~~1T W~\ ~\r ~
W NESS
COUNTY OF MONROE, STATE OF
FLORIDA
Bypf
4
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
^pril22. 1993
Isll'rinling
Prior to the commencement of work governed by this contract, the Contractor shall ohtain
Workers' Compensation Insurance with limits sullicient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
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.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self-
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
ofInsurance:, 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 may be required to submit updated financial statements from the fund
upon requeslt from the County.
^dministralh'e Im1ruClion
#4709.1
we,
81
April 22, 1993
Isll'rinting
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIOA
AND
Prior to th'e commencement of work govemed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shaH be maintained throughout the life of the contract and
include, as a minimum:
· Premises Operations
· Products and Completed Operations
· Blanket Contractual Liability
· Personal Injury Liability
· Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
Jfsplit limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Fonn policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or afler the el1ective 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.
The Monroe County Board of County Commissioners shall be named as Additional Insured on all
policies issued to satisfY the above requirements.
Adminildralivc Jm1rnclion
H4709.1
GLl
54
April 22, 199]
Istl'rinling
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNlY, FLORIDA
AND
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
· Owned, Non-Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$100,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on all
policies issu€::d to satisfY the above requirements.
Adminislrative ]nstm~1ion
114709.1
VLI
75
April 22. I'J!)J
Isll'rinling
MO~ROE COUNTY, FLORIOA
INSURANCE GUIDE
TO
CONTRACT ADMINISTRA TION
General Insurance Requirements
for
Contractors and Subconfractors
Prior to th4~ commencement of work governed by this contract (including the pre-staging
of personnel and material), the Contractor shall obtain, at his/her own expense, insurance
as specified in the attached schedules, which are made part of this contract The
Contractor will ensure that the insurance obtained will extend protection to all Sub-
Contractors engaged by the Contractor. As an alternative the Contractor may require aU
Subcontractors to obtain insurance consistent with the altached schedules.
The Contractor will not be permitted to commence work governed by this contract
. (including pre-staging of personnel and material) until satisfactory evidence of the required
insurance has been furnished to the; County as specified below. Delays in the
commencement of work, resulting from the failure of the Contractor to provide
satisfactory evidence of the required insurance, shall not extend deadlines specified in this
contract and any penalties and failure to perf01m assessments shall be imposed as if the
work commenced on the specified date and time, except for the Contractor's failure to
provide satisfactory evidence.
The Contractor shall maintain the required insurance throughout the entire term ofthis
contract and any extensions specified in any altached schedules. Failure to comply with
this provision may result in the immediate suspension of all work until the required
insurance has been reinstated or replaced. Delays in the completion of work resulting
from the failure of the Contractor to maintain the required insurance shall not extend
deadlines sp(:cified in this contract and any penalties and failure to perfoml assessments
shall be imposed as if the work had not been suspended, except for the Contractor's failure
to maintain the required insurance.
The Contractor shall provide, to the County, as satisfactory evidence of the required
insurance, either:
· Cc~rtificate of Insurance
or
· A Certified copy of the actual insurance policy.
The County, at its sole option, has the light to request a certified copy of any or all
insurance policies required by this contract.
All insurance policies must specil} that they are not subject to cancellation, non-renewal,
material change, or reduction in coverage unless a minimum of thirty (30) days prior
notification is given to the County by the insurer.
The acceptancc~ and/or approval of the Contractor's insurance shall not be construed as
Administntli\'c Jno;trudion
"4709.1
GIRl
12
April 22. 1993
1st Printing
relieving the Contractor from any liability or obligation assumed under this contract or
imposed by law.
The Monroe County Board of County Commissioners, its employees and officials will be
included as "Additional Insured" on all policies, except for Workers' Compensation.
In addition, the County will be named as an Additional Insured and Loss Payee on all
policies covering County-owned property.
Any deviations from these General Insurance Requirements must be requested in writing
on the County prepared fonn entitled "Request for Waiver of Insurance Requiremenfslt
and approved by Monroe County Risk Management.
GIR2
Administrative Instruction
114709.1
13
^pril 22. 19')]
1!<1l'rinling
MONROE COUNlY, FLORIDA
INSURANCE GUIDE
TO
CONTRACT ADl\UNISTRA TION
Indemnification and Hold Harmless
for
Contractors and Subcontractors
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 slervices provided by the Contractor or any of its Subcontractor(s) in any tier,
occasioned by the negligence, errors, or other wrongful act or omission ofthe Contractor or its
Subcontractor(s) in any tier, their employees, or agents.
In the event the completion of the project (to include the work of others) is delayed or suspended
as a result of the Contractor's failure to purchase or maintain the required insurance, the
Contractor shall indemnity the County from any and all increased expenses resulting from such
delay.
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.
INDl
Administrative Instruction
#4709.1
II
D &. J INduSTRiES INC.
.
b209 OvERSEAS Hwy., MARATIioN, FL JJO~O
TEL (}O~)l!4J..82JQ. FAX (}O~)74J..82JJ
:.-;,
I
June 16, 1993
Mr. WilliftDl Kelly
..Konroe Connt.Y,P1Jblic Library
Marathon, FL 33050
Dear Mr. '~ellYI
I appreciate your patience and apologize that it haB taken
us 80 10n9 to re.pond to you with this report.. I hope the report
proves adequate for your meanB.
EXISTING CONDITION~:
1. Bxisti,n9 dwelling i. comprised of masonry construction use
Monroe County Public Library.
2. Bxisting roofing is oomprised of several different 8ystama.
The predominant .ystem on this building is clay tile. The second
lIOst predollinan't system on this bUilding is an SDS lIlodified
bi tumen roof adhered in steep a.phal t. Tbe -_llest percentag_
of the roof i. coverlKl with an aggregate .urface built up roof
believed tlO be the original roof.
3. The existing conditions of the modified bit~n roof are the
subject conditions of this report and primarily what this report
waB designed to deal with.
4. The exi.ting modified bitumen roof was mopped direotly to a
ba.. sheet that was mopped directly to one layer of isosyanurate
insulatiqall This practice has been discontinued for about 10
year. and doe. not comply with South Florida Building Cocl~ nOr
the manufacturer's reoommendation.. Therefore, it i. the opinion
of D & J Industrie. that the applicator of tbis 'sy.t_ clJ.d not
intend to provide a manufacturer's warranty. Second, there is no
fla.hin~ at~ the w&11. where the wall membrane ter.minate. going up
under tbe counter flashing. Thi. is causing leaks at the
perimeter. of the building. Third, the SBS fla.hing doss not
ex~eDd up under the aluminum drip/edge that is below the tile
roof far enough to alleviate t.he roof from water running back
bebind the fla.hini. See detail ahead. Pourth, the air
condi tioning uni t:s are to have 8" tb 12" Dlinimum olearance from
the finishe~ roof .ystem. Tbe existing air conditioning unit. in
faot have no clearance.
93 ~I: 11
PAGE.002
/
/
J
Mr. Willi,am Kelly
Jun. 16, 1993
Page 2
5. The e:lCist.ing .cut.tle which i. a Silco S galvanized hat.ch"
clo.. not. lI1ave 8" t.o 10" cl.arance.'
6. . The exiating expanaion joints at. the end of the building have
been overlayed wi.,th SBS membrane that i. not teJ:mi.nated on thCJ
wall. and"merely runs up the atucco wall. allowing water to
pe~at.e behind the flaahing it..lf. .
.7. The new copin9 that was installed at the time of reroofing
operation is not in fact a copinq but. t.wo drip edges in.talled on
~he parapit. wall. wit.h an SBS material modified bit.um.n set in
maat.ia over t.he' t.op of them. Thia ..tal was terminat.ed
inadequat.ely at t.h. t.ile roofa.
8. The teat cut. revealed that there are in fact 3 roofs in place
which ia one lIlor. roof than Monroe County Building Code allow.
and .. auch thi. roof cannot be 90ne over again and should b.
removed.
9. D' J tested the exiatinq roof systems and found concluaive
evidence t:hat water hael intil trated into all the eXisting roof..
"-
93 9: 12
PAGE.003
,'/
"
./
JIr. William Kelly
June 16, 1993
Page 3
RBCOMMRNDAT:IOHSr
1. ,One of the la~g..t reasons that this roof leaks the amount
that it doe. i. because the exce..ive amount of water that flow.
across thl~ roof to the draina. The tile roof drain's :to the
inside of the building draining onto thia roof and running to the
drains forcing this roof to carry tbe burden of far more water
.than it i. designed to aarry. It i. the recammsndation of D & J
Industries that a gutter should be run along the inside wall of
,Path th... tile roof. to carry the majority of the water off the
roof and only' in the event of an extreme rain when the water
flows OYez' the gutter should the water traffic onto this roof.
2. Aa the e~isting .tructure does retain water, D & J i.
rea~ndi.ng the in.tallation of an 1/8" tapered insulation
arst.. to reduce the ponding condition that currently exist..
all likelibood, although thi. will gr.atly reduce the current
ponding' concU. tion, some water will probably .till be retained.
In
3. It i. also the recommendation of D , J Industries that the
air conditioning unite 8houlci b. raised a minimwa of 12" above
th. current level with curbing so as to allow proper clearances
and oompliance with South BUilding Code as well as the HRCA
manual.
4 · The exiating curb around the bilco hatch is nonexistent. 'l'he
bilco batah should.alao b. extended up 8W.
s. . '1'h. parapi t walls at the ende of the builcLing which are not
currently flash.d up UDder the coping should have fl..hing
extending up over the stucco under the ..t.l coping and
te~nat~nq under the ..t.l coping so .a to allow a waterproof
substrate froll top to bottom. .
6. The ~fing' system .in itself has blisters. These blisters
are due to the faat that isosyanurate insulation was aopecl
ciirected..-over. 'l'hi. i. a practice Dot approvecl by any of the
:manufacturers, nor i. it an inclustzy sb.ndard practic::re.
7 · D Ii J Incluatries f.el. that clu. to the na.ffic of water 'and
the advers.! aonclitioDII that this roof is subjected to that a
IDOdified bi,tumen &yet.. is the pref8n-ed 81'-1;_ of .pplication.
A syst.. suah as Sipla.t sbould be iDcorpora~ed .. the finished
rOOfing system. This system carri.. . 20-year manUfacturer'.
warranty again.t all workmanship and mat.rial defeats.
93 !:l: 13
PAGE.004
/
Mr. William Kelly
June 16, 1993
Page 5
SCO~E OP WORKs .
1. 'D & J agrees to furnish all applicable per.mits, licen... and
inBuraDa.~_to perform ~e work outlined below.
2. Remove exi.tin9 galvanized drip edge. and install applicable
coping adjacent to tbe top of the parapit wall. terminating into
.~h8 tile roofs a. per the HRCA recommendations.
-
,3. Bxtend fl~s~ing from tbe roof up over the parapit walls to
completely enoapsulate the parapit walls such aa aluminum veral
.ubmitted with thia quotation.
4 . R8DIOVlII the roof down to the existing decking.
5. D' J agr.e. to legally di.po.e of any and .11 debris
generated by the roofing operations in this project and to clean
t.he .ite daily.
6. D & J agree. to apply a vapor barrier as a temporary roof
down on the existing decking aonaisting of 21St fiberglass felts
priced by priming.
7. D & J Induatries agree. to in~tall a tapered perlite system
so as to c::reat.. drainage to the drain. and eliminate as much of
the ponding as pos.ible on this roof. However, the elimination
of all pondinCJ is unlikely due to the X'oof' s low terminatloD with
t.he t.ile ]:,oofs.
8. D & J agrees t.o flash all walls up under the exi.ting count.er
fl..hing with veral as submitted.
9. D & J agre.. to provide gutters at the ba.. of all tile roofs
lapping uDderneath the exiating flashing so as to carry the
majority of the water off the roof.
"-
10. D & ,jr agr... to exteDd all curbs to an 8" leval above t.he
fin.i.hed J~oof so as t.o provide adequate elevation for the
appropriate termination..
Sincerely,
~~
Randolph G. Jordan
presi.dent
---
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ESTI~TE OF JOB COST:
$21,850.00
Sincerely,
'-X,.~...-'-~~ ;:;.-____
'7 .
;1.Hlqolpn G. Jordan
PreGident
OeD! Cha'"~
Teiephone -/I
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At~.III.. ...................1111".111111......11.....'.111.111;i..........~8.......... ..................Q.~.~.$.$.............................. ISSUE DATE (MM/DDffi1
EYS INSURANCE A,GEMMMDIY__AGtMENT
. 0 . BOX 500080 ., CQ C . Il ____
RATHON FL 3305cr" '
DATE 11
07/13/93
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
PRODUCER
& J INDUSTRIES, INC
638 OVERSEAS HIGHWAY
RATHON, FL 33050
COMPANY
LETTER
COMPANY
LETTER
COMPANY
LETTER
A AISLIC
B AIG
C FLORIDA
. 'I J' (,y,~)
rJ c~J ~l:-'Vl.-",-El'-' 7<?;!O-
HOl1E BUI ~gi:'d
.Qsk Mgmt & Loss Control
D>~~'E -_._._.-~2::/f:- ~
INSURED
COMPANY 0
LETTER
COMPANY E
'. '<l ~ "I--;.L, ~~_.~. ....'.'""._
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"!.. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLlvIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
ATE (MM/DDffi1 DATE (MM/DDffi1
CMP557704651 7/02/93 7/02/94 GENERAL AGGREGATE $ 1 000
MMERCIAL GENERAL LIABILITY PRODLlCTS-COMP/OP AGG. $ 1 000
LAIMS MADE [XJOCCLlR. PERSONAL & ADV. INJURY $ 50
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 000
FIRE DAMAGE (Anyone fire) $ 50
MED.EXP. (Anyone person) $ 1
BA1457513 7/14/93 7/14/94 COMBINED SINGLE
NY AUTO LIMIT $ 1 000
ALL OWNED AUTOS BODILY INJURY
(Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE
$
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION 24540 3/01/93 3/01/94
EACH ACCIDENT $
AND
DISEASE-POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCAllI0NS/VEHICLESI8PECIAL ITEMS
LISTED AS AN ADDITIONAL INSURED
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
5100 W. 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 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NO ICE SHALL IMPOSE NO OBLIGATION OR
ABILlTt OF KIND PON THE PANY, ITS AGENTS OR REPRESENTATIVES.
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** TOTAL PAGE.001 **
07-30-93 02:31 PM POI
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SWORN'STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
Cr ~_I~J (.{. 5 f~/ l--?
warrants that he/it has not employed,
retained or otherwise had act 'on he/its behaI~ any former County officer
or employee subject to the prohibition of Section 2 of Ordinance No.
10-1990 or any County officer or employee in violation of Section 3 of
Ordinance No. 10-1990. For breach or v~olation,of this provision the
County may, in its di~cretion, terminate this cont~act without liability
the contract or purchase
and may al:so, in its discretion,
price, or c:>therwise recov'~r, the full amount of" any fee, commission,
percentage" gift, or'consideration paid to the former County officer or
employee.
STATE OF
~A(S1qn:~u~e )
Date: 1/.E.lJ/'l3'
, I
~ J . ~f.. '~"S l.t, 35 - 'J ~?-'j7 -408'-0
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~-G<t~O(I~ -SOd An
affixed hisjher signature (.name
above on this 3o~
who, after first being sworn by me,
provided
~lf
of indiyidual signing) in the space
day of
, 1993
h4U-{rL f11Q~
NOTARY PUBL .
My commissic:m expires:
OF! ~ SAL
5nVlAJPEREZ
NOTARY PUBLIC: STATE OF FLORIDA
COMMISSfON NO. CC232371
S PT291996