1st Change Order 11/10/1993
..RIIl' I. ...U,11t
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
MIiMQBAH~YH
TO:
Dent Pierce, Director
Division of Public Works
fI-
Isabel C. DeSantis, Deputy Clerk~.~.
FROM:
DATE:
November 29, 1993
On November 10, 1993, the Board authorized execution of Change
Order No. 2 to Sombrero Boulevard Bike Path in the amount of
$4,193.08 and Change Order No.1 to D & J Industries, Inc., in
the amount of $3,500.00 for the Marathon Library Roof.
Attached for return to the proper individuals are duplicate
originals of the subject Change Orders.
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
File
CHANGE O~DER NO. 1
BOCC 11/10/93
Project Title: Job No. N/A
Replace the Roof System @ Marathon Library
Contractor:
D & J INDUSTRIES
Contract Date:
July 28, 1993
Nature of the Change: 1. Clay tiles were removed from the gable
roof in four places to remove unanticipated rotten wood. 2. An
additional area of the roof which was not previously included in
the original scope of work was added to the project based on a
field inspection by the Director of Facilities Maintenance, Divi-
sion Director of Community Services and the Contractor.
The changes result in the following: Increase of $3,500.00,
revising the contract amount to $25,350.00.
Prepared and Approved:
B~ rJ t--..
~~ector 0 Facilities Maint.
DATE:
Approvl3d and Form:
BY: ~~
DATE: ~ Z,S; j'J
Date: /0 ( ',- cd (7)
By:
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The above changes are accepted:
Attest:b~
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ApprOVE!d :
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
Attest: DANNY L. KOLHAGE, Clerk ~
~~ C. ~/J~
CLERK ,
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SWORN'STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS.. CLAUSE
iJ:r 5- Y:,ud t{, 5 f~/ ~?
. .'- ..".-- <-J
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warrants that he/it has not employed,
retained c1r otherwise had act 'on he/i ts behalf 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.
, ..
. . ..
County may, in its di~cretion.'. _t~r~-ina~~<_~i~:9~n.fra~t..witho';t liability
and may all3o,in its discretion, deduct: fr6m..~~ 'co~tract o.r. purchase
: ~.~.
",,:,". .~ :. .... ...". . ~~. .
price, or ()therwise recover_, the full amount o f'- any ~ee, commis~ion,
percentage, gift, or' c'onsideration paid to.the. form.er County officer or
employee.
STATE OF
'"1 Lo7Jd4:
ll1iJ1il02
.~A(Si~a~~.:e)....
Date:.7!.E1J/93 . .
..' . I . . .. . .
~ 1 ~..:l)r _...~.-:s (j, 35- 'J ~-~? -L/CJ8-o
COUNTY OF
PERSONALLY APPEARED BEFORE ME,
~( ~~O(({ Xocr1 An
affixed his/her signature (name
above on this 3o~.
the undersigned authority,
who, after first beinq sworn by me,
provided
~1Af
of indiyidualsiqninq) in the space:
day of
hjlJlla. 4-~o~
NOTARY PUBL~ ~
My commission expires: .-----------..----.
" 1993 .
OFFICIAL NOTARY SEAL
sn VIA] PEREZ
NOTARY PtJBLIC STATE OF FLORIDA
COMMISSION NO. C032377
. ~Ii N SEPT 29 1996
..... . Af:O I~ I'. ...(~..f;:B'fIEfCATEb EIN SU RA NeEC GC()()2.55/<\'~;~~D~~~MID:)NY)
;:::::::'::":.;:::.:::::::;:::::;:,:.:: :::::::::::::::::::\:'::}:::::.:::\::<:}~:::::::::::::;.;.".
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I'RODUCER
EYS I NSURANCE i~GE~'EO BY RISK MANAGrME~'T
. 0 . BOX 500080 I. D. JJ1 /
1ARATHON FL 330_)~ '/ ,j U
OAiE 7. '-1/ q;.
COMFA1>.'Y
A AISLIC
l..:;I'7ER
IHSURED :;;1>.'Y 8 AIG ,Jc~"\J ~~"-' ~
& J INDUSTRIES, INC COMFA1>.'Y C FLORIDA H011E BUItE~S'~
f' 638 OVERSEAS HIGHWAY LEiiER .<iskMgmt.&LossContro}
RATHON, FL 33050 COMFA1>.'Y D D.".7E 7-/'5i,-~
LEiiER
COM?A"'Y E 1. .." -~-!..
LEiiER
::P9XgB,A9..~Jt:;::./gg;:::g:t':;Ui/t ......... :........;....:.:.:.:.:.:.:.::... .... . ... ... .:. ........ .... .. ..........:.;:....:. ........ :}':\':';;:';;:"":;';':';:::{::;; ......;.;.,:{.;:;.,.,:;.;.;..:;.;.,.::,.,.;.::;.;:;.:.:,::::,::';';':':"': .:.:.::...:.:.:.:.:.:......::.,.:.....;;.:..::::,...:.:'.
j THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
I INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDrTlON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
: CERTIFICAtE MAY BE ISSUED OR MAY PERT AJt~ THE INSURANCE AFFORDED BY THE POLICIES DESCRiBED HEREIN 13 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDrTlClNS OF SUCH POLl..-IES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
=0 POWCY EFFECTIVE POWCY EXPIRATIOH
TYPE OF IHSUAAHCE POWCY HUMBER WMITS
.TR ATE (MMIDONY) DATE (MMlDDNY)
A OEHEAAL UAB/WTY CMP557704651 7/02/93 7/02/94 GENERAL AGGREGATE $ 1 000
MMEAClAl. GENERAL UASILITY PRODUCTS-COMPIOP AGG, $ 1 000
LAlMS MADE [iJOCCUR. PERSONAL & AOV. INJURY $ 50
OWNER'S & CONTRACTOR'S PROT, EACH OCCURRENCE $ 1 000
FIRE DAMAGE (Anyone fire) $ 50
MED.EXP. (Anyone person) $ 1
3 BA1457513 7/14/93 7/14/94 COMBINED SINGLE
IV AUTO UMrT $ 1 000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per ac:cidenl) $
GARAGE UABIUiY
PROPERTY DAMAGE
$
EXCESS WABIUTY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WOI!KER'S COMPENSATION 24540 3/01/93 3/01/94
EACH ACCIDENT
AHD
OISEASE-POUCY UMrT $
EMPLOYERS' UABIUTY
DISEASE-EACH EMPLOYEE $
OTHER
'ESCRIPTION OF OPEAA TIONSIlOCA TION'SNEHICLESISPECIAL ITEMS
:ONROE COUNTY BOARD OF COUNTY COMMISSIONERS LISTED AS AN ADDITIONAL INSURED
IN THE LIABILITY POLICY
o DAYS NOTICE FOR WORKER'S COMPENSATION' 10 DAYS NOTICE ALL OTHER COVERAGES..
:ERTf.F!9~.TEHOlOER?};:::;.: ;'iW;:::\W.:?f;::::::':::'.. ........ ... };.;.,::2::;.:U:J::i;::::::::::::::.9~ggH~TI9N::::':ll:t:J:::Jfif';.:i:::i;lWJ:::/f!:U:i::;:;:{'J'tt::tJ;:':::::':ffJ::::':l:::::::::!;:fJ;::{t;:;:{::::tt{:ff:U:..
;::::; 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
ABILITt OF KIND PON THE .IPANY, ITS AGENTS OR REPRESENTATIVES.
1>10NROE COUNTY BOARD OF
COUNTY COMHISSIONERS
5100 W. COLLEGE ROAD
KEY WEST FL 33040
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** TOTAL PAGE.001 **
07-30-93 02:31 PM POI