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09/19/1996 SECTION 00500 FORM OF AGREEMENT This agreement is set forth as of the LK-th day Of5<[':J(t/~rt:in the year of 19Yp between the OWNER who is THE BOARD OF COUNTY COMMISSIONERS of Monroe County Florida; and the following CONTRACTOR: Name: o,JJ)feJ!MwerCo. ofFJorido,.lnc. #I 9807 N.W. 706th Street Address: Miami, Florida 33778 Phone: (305) 364-3595 for the purpose of performing all of the Work required by th~ C9ntr~ Documents for the following PROJECT: z c::l c::::: I - --1 r'1 o --r" KEY LARGO ROADS XII ROADWAY IMPROVEMENTS Key Largo Monroe County, Florida c.:. U Lv ~'-.i -,-, C~ Ul o :::lJ "~:; The Proiect has been desianed by MONROE COUNTY ENGINEERING DEPARTMENT who is hereafter referred to as the ARCHITECT/ENGINEER and who assumes all duties and responsibilities and has the rights and authority assigned to the ARCHITECT/ENGINEER in the Contract Documents in connection with completion of the Work in accordance with the Contract Documents. The OWNER and the CONTRACTOR agree as set forth as follows: Article 1 - The Contract Documents The Contract Documents consist of this Agreement, the Request for Bid, the Conditions of the Contract (General and Supplementary), the Supplementary Insurance Documents, the Special Conditions, the General Requirements, the Technical Specifications, the Drawings, and all Addenda issued prior to and all Modifications issued after execution of this Agreement. These form the Contract, and all are as fully a part of the Contract as if attached to this Agreement or repeated herein. An enumeration of the Contract Documents appears in Article 7. 9/4/96 FORM OF AGREEMENT 00500- 1 Article 2 - The Work The Contractor shall perform all the Work required by the Contract Documents for the following Scope of Work: A. The Scope of Work consists of roadway improvements to local subdivision streets in Key Largo which includes base widening, regrading roadway shoulders, leveling, resurfacing, striping, installing reflectors, sign relocation and new installation, and other related roadway construction as shown on the Drawings and included in the Technical Specifications. B. The Contractor shall: provide all labor, supervision, materials, supplies, equipment, tools, construction equipment, transportation, inspection, and proper execution and completion of all Work as specified on the Drawings and Technical Specifications. C. The Specifications contained herein are considered to be the minimum standards required. Construction shall comply with all applicable Federal, State, Local codes and ordinances. D. This agreement is to be governed by the laws of the State of Florida. Article 3 - Schedule The CONTRACTOR shall commence Work to be performed under this Contract no later than ten (10) calendar days from Notice to Proceed and shall be substantially completed no later than ninety (90) calendar days from the Commencement Date. The CONTRACTOR also agrees to be complete and ready for final payment in accordance with the General Conditions no later than thirty (30) calendar days from the Substantial Completion Date. Substantial Completion shall be determined by the County Engineer. The OWNER and the CONTRACTOR recognize that time is of the essence in this Contract & that the OWNER will suffer financial loss if the Work is not completed within the times specified above, plus any extensions of time allowed in accordance with the General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not completed on time. Accordingly, instead of requiring such proof, OWNER and CONTRACTOR agree that as liquidated damages for delay (but not as a penalty) CONTRACTOR 9/4/96 FORM OF AGREEMENT 00500-2 shall pay OWNER fifty dollars ($50.00) for each day that expires after the time specified above for Substantial Completion until the Work is substantially complete. The OWNER and CONTRACTOR agree that work on the project will be continuous from the commencement date through to the completion date. Any demobilization once the work has started requires prior approval by the OWNER. Article 4 - Contract Price The OWNER shall pay the CONTRACTOR for completion of the Work in accordance with the Contract Documents in current funds in the following amount subject to unit price actual quantity variations: $ One hundred, thirty-four thousand, nine hundred and seventy dollars and sixty-six cents (WORDS) $ 134,970.66 (DOLLARS) Article 5 - Payment Procedures The CONTRACTOR shall submit Applications for Payment in accordance with the General Conditions. Applications for Payment will be processed as provided in the General Conditions. The OWNER shall make progress payments on account of the Contract Price on the basis of the CONTRACTOR'S Application for Payment as recommended by the COUNTY ENGINEER once per month during construction. All progress payments will be on the basis of the progress of the Work measured in accordance with the General Conditions and Supplementary Conditions of the Contract. Payment will be made approximately twenty (20) days from the submission of the application if all documentation is complete. Retention in the amount of ten percent (10%) will be withheld from each progress payment until final payment is made. Upon final completion and acceptance of the Work in accordance with the General Conditions and upon submittal of all closeout documentation, and compliance with F.S. 255.05, OWNER shall pay the remainder of the Contract Price, including release of retention, as recommended by the COUNTY ENGINEER. 9/4/96 FORM OF AGREEMENT 00500-3 Monroe County's performance and obligation to pay under this contract, is contingent upon an annual appropriation by the B.O.C.C. Article 6 . Contractor's Representations In order to induce OWNER to enter into this Contract, CONTRACTOR makes the following representations: 1. CONTRACTOR has familiarized himself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Laws and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work. 2. The CONTRACTOR has studied carefully all reports of explorations and tests of subsurface conditions and drawings of physical conditions which are included in the Contract Documents. 3. The CONTRACTOR has obtained and carefully studied (or assumes responsibility for obtaining & carefully studying) all such examinations, investigations, explorations, tests, reports, and studies which pertain to the subsurface of physical conditions at or contiguous to the site or otherwise may affect the cost, progress, performance or furnishing of the Work as CONTRACTOR considers necessary for the performance or furnishing of the Work at the Contract Price, within the Contract Time and in accordance with the other terms and conditions of the Contract Documents, including specifically the provisions of paragraph 4.02 of the General Conditions; and no additional examinations, investigations, exploration, tests, reports, studies, or similar information or data be or will be required by the CONTRACTOR for such purposes. 4. The CONTRACTOR has reviewed and checked all information and data shown or indicated on the Contract Documents with respect to existing Underground Facilities at or contiguous to the site and assumes responsibility for the accurate location of said Underground Facilities. 5. The CONTRACTOR has correlated the results of all such observations, examinations, investigations, explorations, tests, reports, and studies with the terms and conditions of the Contract Documents. 9/4/96 FORM OF AGREEMENT 00500-4 6. The CONTRACTOR has given the OWNER written notice of aI/ conflicts, errors, or discrepancies that he has discovered in the Contract Documents and the written resolution thereof by the OWNER is acceptable to the CONTRACTOR. Article 7 . Contract Documents The Contract Documents which comprise the entire agreement between the OWNER and the CONTRACTOR concerning the Work consist of the fol/owing: 1. Notice of Award 2. This Agreement (pages 1 to 8, inclusive). 3. Public Construction Bond 4. Bidding Documents - Notice of Calling for Bids, Instructions to Bidders, Bid Proposal, Pre-Bid Substitutions, Scope of Work, Milestone Schedule 5. Notice to Proceed 6. General Conditions (pages 0 to 31, inclusive). 7. Supplementary Conditions (pages 1 to 2, inclusive). 8. Supplementary Insurance Documents (pages 1 to 11, incl.). 9. Special Conditions (pages 1 to 6, inclusive). 10. General Requirements - Measurement and Payment, Application for Payment, Submittals, , Temporary Controls, Construction Cleaning, and Post-Bid Substitutions. 11. Technical Specifications. 12. Drawings, consisting of a cover sheet with sheets numbered 1 through 6, inclusive with each sheet bearing one of the fol/owing general titles: KEY LARGO ROADS XII ROADWAY IMPROVEMENTS Key Largo 9/4/96 FORM OF AGREEMENT 00500-5 Monroe County, Florida 13. Addenda numbers to , inclusive. There are no Contract Documents other than those listed above in this Article. The Contract Documents may only be amended, modified, or supplemented as provided in the General Conditions. Article 8 - Indemnification and Hold Harmless Agreement. 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, errors or other wrongful act or omission of the 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 indemnify 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. Article 9 - Miscellaneous. Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in the General Conditions. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically 9/4/96 FORM OF AGREEMENT 00500-6 but without limitation moneys that may become due and moneys that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect of all covenants, agreements and obligations contained in the Contract Documents. Article 10 - Other Provisions In cases of conflict within the described Contract Documents in Article 7 of this Form of Agreement, the order of precedence shall be as follows: 1 . This Agreement 2. Bidding Documents with all/any addenda 3. General Requirements 4. Supplementary Conditions 5. General Conditions 6. Technical Specifications 7. Drawings (large scale detail drawings over smaller scale general drawings) 9/4/96 FORM OF AGREEMENT 00500-7 IN WITNESS WHEREOF, the OWNER and CONTRACTOR have signed this Agreement in quadruplicate. One counterpart each has been delivered to the OWNER, CONTRACTOR, COUNTY ENGINEER and COUNTY PURCHASING DEPARTMENT. All portions of the Contract Documents have been signed or identified by the OWNER and CONTRACTOR or by the COUNTY ENGINEER on their behalf. This Agreement will be effective on OWNER: Monroe County BOCC cS'L;J.~~:::: By--r Attest ffl."or I Cho.iftrlo.n C7 I Address for giving notices Monroe County Public Works Engineering Department 5100 College Road Key West, FL 33040 q/'9 , ,19 " CONTRACTOR: The Brewer Company of Florida, Jne. By t1.A/ /1.7'- !~ Walter R. Brewer President A ttesY1:.~J.{,'Vll~nJf ~O I-- Gwen Ann l. Salt Assistant See . Address for giving notices retary THE BREWER COMPANY OF FLORIDA, INC. 10400 N.W. 121 WAY MIAMI, FLORIDA 33178 **************** END OF SECTION 00500 BY 9/4/96 00500-8 FORM OF AGREEMENT SECTION 00850 PUBLIC CONSTRUCTION BOND STATE OF FLORIDA) COUNTY OF DAo/ ss KNOW ALL MEN BY THESE PRESENTS that THE BREWER CO. OF FLORIDA INC. as Principal, hereinafter called Contractor, and FIDELITY & DEPOSIT CO. OF MARYLAND as Surety, hereinafter called Surety are held and firmly bound unto Monroe County, Florida as Obligee, hereinafter called Owner, in the amount of ONE HUNDRED THIRTY-FOUR THOUSAND. NTNE HTTNDRED SEVENTY AND fifi/looDollars .,. ~! ($ 134.970.66--------1 for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrotors, successors and assigns, jointly and severally, firmly by these :presents. , WHEREAS, Contractor has byiwritten agreement dated SEPTEMBER 19. 1996, I I I entered into a Contract with the Owner for: KEY lARGO ROADS XII Roadway Improvements Key largo Monroe County, Florida in accordance with the Drawings and Specifications which Contract is by reference made a part hereof and is hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that, if the Principal shall in all respects promptly and faithfully perform and comply with the terms and conditions of said Contract and his obligations thereunder and shall indemnify the Owner and save them harmless against and from all costs, expenses and damages arising from the performance of said Contract or the repair of any work thereunder, then this obligation shall be void: otherwise, this Bond shall remain in full force and effect, in accordance with the following terms and conditions: - 7/24/96 PUBLIC CONSTRUCTION BOND 00850- 1 A. The Principal and Surety jointly and severally agree to pay the Owner any difference between the sum to which the said Principal would be entitled on the completion of the Contract, and that sum which the Owner may be obliged to pay for the completion of said work by Contract or otherwise, and any damages, direct or indirect or consequential, which the said Owner may sustain on account of such work, or on account of the failure of said Contractor to properly and in all things, keep and execute all of the provisions of said Contract. B. And this Bond shall remain in full force and effect for a period of one (1) year from the date of acceptance of the project by the Owner and shall provide that the Contractor guarantees to repair or replace for said period of one (1) year all work performed and materials and equipment furnished that were not performed or furnished according to the terms of the Contract, and shall make good, defects thereof which have become apparent before the expiration of said period of one (1) year. If any part of the project, in the judgement of the Owner, for the reasons above stated needs to be replaced, repafred or made good during that time, the Owner shall so notify the Contractor in writing. If the Contractor refuses or neglects to do suc:h work within five (5) days from the date of service of such Notice, the Owner shall have the work done by others and the cost thereof shall be paid by the Contractor or his Surety. C. And the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or to the work to be performed thereunder or the Specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive Notice of any change, extension of time, alteration or addition to the terms of the Contract or to the work or to the Specifications. D. The Surety represents and warrants to the Owner that they have a Best's Key Rating Guide General Policyholder's Rating of " ~ " and Financial Category of "Class ...llll.". 7 /24/96 PUBLIC CONSTRUCTION BOND 00850-2 IN WITNESS WHEREOF, the above bounded parties have executed this instrument under their several seals, this .i!tlL day of OCTOBER ,19...2.L, A.D., the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. WITNESSES: (If Sole Ownership or Partnership, two (2) Witnesses required). (If Corporation, Secretary Only will attest and affix seal). PRINelP AL: THE BREWER CO. OF FLORIDA TNC. WITNESSES: / ' (affix Signature of Aythorized Officer seal) , The Brewer COo/Pany of Florida, Inc. " Name of Firm Walter R. Brewer t/i'// · (affix Signa re of Authorized Officer seal) fllL'lN\a~~WL Salt President Title Assistant Secretary , 10400 N.W. 121st. WAY Business Address MIAMI, FL 33178 City State Zip SURETY: WITNESS: Cat~~~ FIDELITY & DEPOSIT CO O~ MARYLAND Corporate Surety affix (Attorney-in-Fact seal) D. W. MATSON III 210 NORTH CHARLES STREET Business Address BALTIMORE, MD 21201 City State Zip MATSON-CHARLTON SURETY ~ROTTP Name of Local Insurance Agency 7/24/96 PUBLIC CONSTRUCTION BOND 00850-3 CERTIFICATES AS TO C.ORPORATE PRINCIPAL 1. ./' 11?~)/ . I, Gwen Ann L. Salt , certify that I am the Secretary of the Corporation named as Principal in the within bond: that Walter R. Brewer who signed the said bond on behalf of the Principal, was then President of said Corporation: that I know his signature, and his signature hereto is genuine: and that said bond was duly signed, sealed, and attested for and in behalf of said Corporation by authority of its governing body. fjCt-le.v\ n /lAM cY;. & ~ Gwen Ann L. Sa It '(Corp6fate Secretary) SEAL STATE OF FLORIDA ss COUNTY OF DADE) Before me, a Notary Public, duly commissioned, qualified and acting, personally appeared D. W. MATSON III to me well known, who being by me first duly sworn upon oath, says that he is the Attorney-in-Fact, for the FIDELITY & DEPOSIT CO. OF MARYLAND and that he has been authorized by ITS PRESIDENT to execute the foregoing bond on behalf of the Contractor named therein in favor of the THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY. Subscribed and sworn to before~d~f OCTOBER ,19-2L, A.D. (Attach Power of Attorney) \ &~QOCDJ Notary Public State of Florida-at-Large My Commission Expires: ....... NO"."""'. ..... ..... ,,.,,, J rvgllC, STATE OF FLORIOA ! ~\ OlNIACAVALlEflE **************** ~ 1 COMMISSION NO. CCSS:!717 .... .... MY COMMISSION EXPIRES END OF SECTION 00850 ............ June 19,2000 7/24/96 PUBLIC CONSTRUCTION BOND 00850-4 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE. BALTIMORE, MD KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by C. M. PECOT, JR., Vice-President, and C. W. ROBBINS, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By-Laws of said Company, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, does hereby nominate, constitute and appoint D. W. Matson, III and John W. Charlton, both of Miami, Florida, EACH............... ~~.. . . . . . ',,::->~.., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~>~ ',.:.') ItS true andlawtul agent and Attorney-in-Fact, to make, execute, s~~lieliver, f~,~' on its behalf as surety, and as its act and deed: any and all bonds and undertakings..... .,<r~~.;;. . . . . "~';'';;: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~,-::;,:'>" ,'--,'--'.,', " -,",.~' ' /:. <, :: -:"<>." And the execution of such bonds or undertakings in pursu~~~)/these pr~i~Shall be as binding upon said Company, as fully and amply, to all intents and purposes, as if they had been d~~ute? and .~"Wledged by the regularly elected officers o~ the Company at its office in Baltimore, Md., in their own proper ~~: Th1s ~jr of attorney revokes that 1ssued on behalf of D. W. Matson, III, datl{ij~~y 17 ,/;}~l}1. The said Assistant Secretary does hereby cert~'':'':~~ extract~'~~ on the reverse side hereof is a true copy of Article VI, Section 2, of the By-Laws of said Company, and is n ~ ~)rorce. ^ <<~'Z,," C~~:~~~~~~ o'i~~Rs~?: FI~~L~~ ~~?~S~ ~~~~ ~~~~ZA~~:eth~~~_~~~:__~~_~~_~t~Q_~~~~~__~~:_~~__~~~__~~~~~y ~~ ---______~Q_y~~!?_~_L__________, A. D. 19 _9..~<:',,)) ) FIDEL~AND D COMPANY OF MARYLAND 0 0 By ~ Vice sident \ STATE OF MARYLAND COUNTY OF HAL T1MORE On this___~_~_~h____day oL__~g_Yg!!!l>gL_____, A.D. 19_5U, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came C. M. PECOT, JR., Vice-President and C. W. ROBBINS, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. JS CAROLi-~~-;;;"'" p;,jik My Commission Expires___________________A-'!gp_~1_1.._19.2Q.._____________ CERTmCATE I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the original Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this certificate; and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969. REsOLVED: "That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF. I have hereunto subscribed my name and affixed the corporate seal of the said Company, this AtL_ day oL_.QJ;;;_'LQJHaL_______________. 19-22... L1428c -031-2074 ----~-.;ry- At~t.III." CERTIFICATE OF INSURANCE EDF 06079 ISSUE DATE (MMIDDIYY) ON WORTH CROW INS GROUP .0. BOX 141916 ORAL GABLES Fl. 33114-1916 10 04 96 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 INSURED COMPANY LETTER COMPANY LETTER A MARYLAND CASUALTY BASSOC GENERAL CONTRACTOR REWER COMPANY OF LORIDA INC 0400 NW 121 WAY IAMI, FL 33178 COMPANY C APPROVED BY RISK MANAG~MENT LETTER COMPANY D LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ~FW~T6.Pt~gWIJ~flt~~b~R~XyR~SW~FN~~~~ 1~~~~:C~OA~~ghoD~g~~~~~~~~~J g~s'bW~~J>~~~E~~~l X,(J1;~E't'tSt~~U~H~~~~J~IS EXCLUSIONS AND CONDfTlONS OF SUCH POLlvIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COMPANY E LETTER 0 POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS TR ATE (MM/DDIYY) DATE (MM/DDIYY) EPA27810390 1/01/96 1/01/97 GENERAL AGGREGATE $ 2 000 00 OMMERCIAL GENERAL UABIUTY PRODUCTS-COMP/OP AGG. $ 2 000 00 LAIMS MADE [iJOCCUR. PERSONAL & ADV. INJURY $ 1 000 00 OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $ 1 000 00 FIRE DAMAGE (Anyone fire) $ 300 00 AUTOMATIC ADDI MED.EXP. (Anyone person) $ 10 00 ECA24618788 01/01/96 1/01/97 COMBINED SINGLE UMIT $ 1 000 00 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ GARAGE UABIUTY PROPERTY DAMAGE $ UB75339805 EACH OCCURRENCE $ AGGREGATE $ OTHER THAN UMBRELLA FORM 8801290 01/01/96 01/01/97 STATUTORY UMITS WORKER'S COMPENSATION EACH ACCIDENT $ 100 AND DISEASE-POUCY UMIT $ 500 EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE $ 100 OTHER DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/SPECIAL ITEMS ROJECT: BIG KEY LARGO XII ROADWAY AMED AS ADDITIONAL INSURED ON ALL N RESPECTS TO THE ABOVE PROJECT CERTIFICATE HOLDER IMPROVEMENTS CERTIFICATE HOLDER POLICIES EXCEPT WORKERS COMPENSATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ENGINEERING DEPT 5100 COLLEGE ROAD KEY WEST FL 33040 CANCELLATION 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 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ACORD 2s.s (7/90) C"c ~. .........,....,..... . .................................................. ........... ........... .--........... ...................... .'.."".'..............."""'.....--.............,.......,'-.....--.--...,..""., . ........... --................" ..--............... ...., ........ ............... A.~..IIII" .. CE:RTIFICATEOF INSURANCE EDF.. 07208. ISSUE DATE (MM/DDIYY) ON WORTH CROW INS GROUP .0. BOX 141916 ORAL GABLES FL 33114-1916 02 04 97 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 COMPANY A MARYLAND CASUALTY LETTER COMPANY B PINNACLE LETTER REWER COMPANY OF COMPANY C LORIDA INC LETTER 0400 NW 121 WAY COMPANY D IAMI , FL 33178 LETTER COMPANY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAtE MAY BE ISSUED OR MAY PERTAIN.... THE' INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POllvIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS ATE (MM/DDIYY) DATE (MM/DDIYY) EPA27810390 01/01/97 1/01/98 GENERAL AGGREGATE $ 2 000 00 PRODUCTS-COMP/OP AGG. $ 2 000 00 PERSONAL & ADV. INJURY $ 1 000 00 EACH OCCURRENCE $ 1 000 00 FIRE DAMAGE (Anyone fire) $ 300 00 MED.EXP, (Anyone person) $ 10 00 ECA24618788 01/01/97 01/01/98 COMBINED SINGLE LIMIT $ 1 000 00 BODILY INJURY cY\L (Per person) $ BODILY INJURY (Per accident) $ OMMERCIAL GENERAL LIABILITY LAlMS MADE [iJOCCUR, OWNER'S & CONTRACTOR'S PROT, AUTOMATIC ADDI SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE UB75339805 01/01/97 1/0 1/9 8 EACH OCCURRENCE 100 DISEASE-POLICY LIMIT $ 500 DISEASE-EACH EMPLOYEE $ 100 APPLIES TO FLORIDA EMPLOYEES ONLY OTHER THAN UMBRELILA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 407805101 01/01/97 01/01/98 OTHEWORKERS COMPENSATION 407805101 01/01/97 1/01/98 DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/sPECIAL ITEMS (AI)CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED AS RESPECTS TO GENERAL LIABILITY COVERAGE. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 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..3...0- 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.