05/22/1996
SECTION 00500
FORM OF AGREEMENT
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This agreement is set forth as of the~ day of --rn ~ in the year of
1996 between the OWNER who is THE BOARD OF COUNT COMMISSIONERS
of Monroe County Florida; and the following CONTRACTOR:
Name:
The Brewer Company of Florida, Inc.
Address:
10400 N.W. 121 Way
Miami, Florida 33178
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Phone: (3051364-3595
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for the purpose of performing all of the Work required by the Contract[!;
Documents for the following PROJECT:
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BIG PINE KEY ROADS VII
Big Pine Key
Monroe County I Florida
The Prolect has been designed bv 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.
4/28/96
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 Big Pine Key which includes base widening,
regrading roadway shoulders, leveling, resurfacing, striping,
installing reflectors, sign relocation and new installation and
other related roadway construction as included in the Technical
Specifications. Three of the roads included in this project will
also have speed bumps installed as shown on the drawings.
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 (1 O) 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
4/28/96
FORM OF AGREEMENT
00500- 2
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
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:
$ Four Hundred Forty-Three Thousand, Four Hundred Fifty-Four Dollars
and Thirty-Nine Cents. .$ 443,454.39
(WORDS) (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
4/28/96
FORM OF AGREEMENT
00500-3
remainder of the Contract Price, including release of retention, as
recommended by the COUNTY ENGINEER.
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,
4/28/96
FORM OF AGREEMENT
00500-4
tests, reports, and studies with the terms and conditions of
the Contract Documents.
6. The CONTRACTOR has given the OWNER written notice of
all 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 following:
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 fo 31! inclusive).
7. Supplementary Conditions (pages 1 to 2, inclusive).
8. Supplementary Insurance Documents (pages 1 to ] 0, incl.).
9. Special Conditions (pages 1-6, inclusive).
10. General Requirements - Measurement and Payment,
Application for Payment Submittals, Progress Schedules!
Temporary Controls! Construction Cleaning! and Post-Bid
Substituti ons.
11 . Technical Specifications.
4/28/96
FORM OF AGREEMENT
00500-5
12. Drawings, consisting of a cover sheet and sheets numbered
J through 20, inclusive with each sheet bearing the following
general title:
BIG PINE KEY ROADS VII
Big Pine Key
13. Addenda numbers 0 to -.JL ,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 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 meonings indicoted in the General
Conditions.
4/28/96
FORM OF AGREEMENT
00500-6
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
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
assinnment 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,
assi~~ns 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 CClses 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)
4/28/96
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
Monroe County/ FL
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CONTRACTOR:
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The Brewer Company of Florida, Inc.
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By
Walter R. Brewer
Presioelll
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Address for giving notices
Attestf1A.J.l'1, ()"4~,.sa..tf-Gwen Ann L. Salt
Assistant Secretary
Address for gi'/ing notices
nroe County Public Works
'neering Department
College Road
West, FL 33040
THE BREWER COMPANY OF FLORIDA, INC.
10400 N.W. 121 WAY
MIAMI, flORIDA 33178
An'IR AWNL ICOLHAGEQ.BIC
.
****************
END OF SECTION 00500
B
4/28/96
.-----.---.-----.---....--------.----
FORM OF AGREEMENT
00500-8
SECTION 00850
})UnLIC CONSTRUCTION BOND
. STATE OF FLORIDA)
COUNTY OF
55
KNOW ALL MEN BY THESE PRESENTS that THE BREWER COMPANY OF FLORIDA,INC as
, Princlppl. h,ereinafter 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
FOUR HUNDRED. FORTY-THREE THOUSaND. FOUR HUNDRED. FIFTY-FOlTR AND Dollars
THIRTY-NINE CENTS.
, ($343.454.39 ) for the payment whereof Contractor and Surety bind
themselves, their heirs, executors. administrators. successors and assigns. jointly
and severally. firmly by these presents.
WHEREAS. Contractor has by written agreement dated
. entered into a Contract with the Owner for:
BIG PINE KEY ROADS VII
Big Pine Kev
Monroe County. Florldg
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. thot, If the
Principal ~hall 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:
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 entltled on the completion of the Contract. and that sum which
01/28/96
PUBLIC CONSTRUCTION BOND
00850- 1
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 tl1e 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 01 sold
Contract.
B. And this Bond shall remain in full force and effect for a period of one
( 1) year from the dote 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. repaired or mado good during that time, the Owner
shall so notify the Contractor In writing. If the Contractor refuses or
neglects to do such work within five (5) days from the dote of service
of such Notice. the Owner shall have the work done by others and
tile 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 Speclflcotions.
D. The Surety represents and warrants to the Owner that they have
a Best's Key Rating Guide General Pollcyhoder's Rating of " ~
., and Financial Category of "Class VTTT".
'"
01/26/96
PUBLIC CONSTRUCTION BOND
00850-2
, IN WITNESS WHEREOF, the above bounded parties have executed this Instrument under
their several $80Is, this --6.t:.h,. day of TlTNF. . 19....9ii.., A.D., the name and corporate
seal of each corpOfate 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 requlredl.
(If Corporation, Secretary Only will attest and affix seal).
PRINCipAL;
'y\'ITN ESS ES :
(affix
(J Officer seal)
,~~ ~~~~:-Q:t-
Assistant Secretary
( affix
Signature of Authorized Officer seal)
Walter R. Brewer President
Title
10400 N.W. 121 Way
Business Address
MIAMI, FL
City
33178
State
Zip
SURETY;
y./ITI'I ESS: '
CO. OF MARYLAND
r ()~& Gill~~
(affix
CHARLTON
901 ONCE DE LEON BLVD
Business Address
Coral Gables, FL 33134
City State Zip
MATSQN-CHARLTON SURETY GROUP
Nome of Local Insurance Agency
PUBLIC CONSTRUCTION BOND
00850-3
,01/28/96
~ERTlFICATES AS TO CORPORATE PRINCIPAL
Assistant
I. Gwen Ann L. Salt . certify that I am the Secretary of the
Corporation named as Principal In the within bond~ thot
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.
!J lLJ-eM ~ cJ~ 6 tLLr
i ('corporate Secretary)
SEAL
STATE OF FLORIDA
S5
COUNTY OF DADE )
Before me. a Notary Public. duly commissioned. qualified and acting.
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personally appeared JOHN W. CHARLTON to me well known. who
being py me first duly sworn upon oath. says that he Is the
Attorney-in-Fact. for the SURETY
'and that he has been authorized by FIDELITY & DEPOSIT CO. OF MA to
execute the foregoing bond on behalf of the Contractor named therein
In favor of the MONROE COUNTY
(Attach Power of Attorney)
Subscribed and sworn to before
.19...2L. A.D.
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" w\lHi"f!',\it"ty.~'l.~_:lI>' '4V ...$1'
,~;,,' , lAY OOI..4MI8.'UO."lI:XPIlUlS
:;.t NOV. 01, 1991
My Commission Expires:
.' :J:b: 'f~<6DY\_c.JJ-~ ~lM/'v- . .................
END OF Sf:CTION 00850
01/29196
PUBLIC CONSTRUCTION BOND
00850-4
~'''.~.: '~::S::~?ir:F'-:5:':1.:"'F:;';~,r;r;~i
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE, BAt TIMORE. 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............................................................
1 S rue an aw agent an Attorney-in-Fact, to make, execute, seat~deliver, for.~n its behalf as surety, and as its act and deed:
any and all bonds and undertakings...... ....;~>. . . . . ..~;'t~~. . . . . . . . . . . . . . . . . . . . . . . . . . . .
; ,"," .. ",< ", "/..'
n e execution of such bonds or undertakings in pursu~~~~ese pre~~1tall be as binding upon said Company, as fully and
amply, to all intents and purposes, as if they had been duly(~t~ and a~edged by the regularly elected officers o~ the Company
at its office in Baltimore, Md., in their own proper per(~)Thl.s l}4S~t' of attorney revokes that l.ssued on
behalf of D. W. Matson, III, dated.~ay l7,1~3.
The said Assistant Secretary does hereby certify .~~extract ~twth on the reverse side hereof is a true copy of Article VI, Section
2, of the By-Laws of said Company, and is no~,iR~rce. ....j ."
IN WITNESS WHEREOF, the said Vice-Pr~' and Assi~fSecretary have hereunto subscribed their names and affixed the
"'. -.- h) 16th
Corporate Seal of the said FIDELITY AND pEPOsIT COMP,4~_OF MARYLAND, this____________________________________________day of
_________N.Q.Y..~~Q-~-!:.----------, A. D. 19 _2~t .
FIDELI'rit~ D~ COMPANY OF MARYLAND ~ ~
I ~ By """"-- \
ss:
STATE OF MARYLAND
COUNTY OF BALTIMORE
On this__.!_9_~_h____day oL_Ng.Y_~~l'_~L_____, A.D. 19_.2.3_, 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 CAR"()L;F~W'~ ~--...u;
~ My Commission Expires__________________~_\!g!cl~J-'-l9.22..------
CERTIFICATE
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 _9___
day oL_______J:1W.~___________, 19_9Ji
u,~ -031-2074 ----~_..:;;-
A.~.IU..
CERTIFICATE OF'INSURANCE>EDF
06079
ISSUE DATE (MMIODIYY)
ON WORTH CROW INS GROUP
.0. BOX 141916
ORAL GABLES FL 33114-1916
06 06 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
COMPANY
A MARYLAND CASUALTY
'.
LETTER
COMPANY BASSOC GENERAL CONTRACTOR
INSURED
LETTER
REWER COMPANY OF
LORIDA INC
0400 NW 121 WAY
IAMI, FL 33178
LEITER
COMPANY C
Aprp('\'rD P'
COMPANY D
LETTER
COMPANY E
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 PERTAINC THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POll IES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POUCY EFFECTlVE POUCY EXPIRATlON
TYPE OF INSURANCE POUCY NUMBER UMITS
ATE (MMIODIYY) DATE (MMIODIYY)
EPA24334576 1/01/96 1/01/97 GENERAL AGGREGATE $ 2 000 00
MMERCIAI. GENERAL UABIUTY PRODUCTS-COMPIOP AGG. $ 2 000 00
LAlMS MADE IlLJOCCUR. PERSONAL & ADV. INJURY $ 1 000 00
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 000 00
FIRE DAMAGE (Anyone fire) $ 300 00
AUTOMATIC ADDI MED.EXP. (Anyone person) $ 10 00
ECA24618788 1/01/96 1/01/97 COMBINED SINGLE
UMTT $ 1 000 00
ALL OWNED AUTOS BODlL Y INJURY
SCHEDULED AUTOS (per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (per accident) $
GARAGE UABIUTY
PROPERTY DAMAGE
$
UB75339805 1/01/96 1/01/97 EACH OCCURRENCE $ 5 000 00
AGGREGATE $
WORKER'S COMPENSATlON 8801290 1/01/96 1/01/97
EACH ACCIDENT $ 100 00
AND
EMPLOYERS' UABIUTY DISEASE-POUCY UMTT $ 500 00
DISEASE-EACH EMPLOYEE $ 100 00
OTHER
DESCRIPTlON OF OPERATlONS/LOCATlONSNEHICLES/SPECIAL ITEMS
DDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,ITS
MPLOYEES & OFFICIALS ON ALL POLICIES EXCEPT FOR WORKERS COMPENSATION
ACORD2s.5
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
ENGINEERING DEPARTMENT
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.
. ~~
AUTHORIZED ~. R~ E........E..........?......../:.... ~.".#-~.~.7....... -::............~~.~..'..,.......~...~.~. ..A/.-~.;:'~...-/.'.." .
~////,/~d? ;;--"
," , ,',' "@ACORDCORPORATlON1990
A.:.. lilt"
. .... ..__.__........."""".............."."...."""...._______.d."'" ,.... ___.
CERI'IJ=ICA....e...Of.....INSO.RANC.E..........EDF
...... .. . .......... .... .................................. .... .... . ......... ... ................. 12 30 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
07208
ISSUE DATE (MMIDDIYY)
PRODUCER
ON WORTH CROW INS GROUP
.0. BOX 141916
ORAL GABLES FL 33114-1916
COMPANY A MARYLAND CASUALTY
LElTER
COMPANY B PINNACLE ASSURANCE CORP.
LETTER AGEMENT
REWER COMPANY OF COMPANY C
LORIDA INC LETTER
0400 NW 121 WAY COMPANY D r
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 POLlI.iIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
ATE (MMIDDIYY) DATE (MM/DDIYY)
EPA27810390 1/01/97 1/01/98 GENERAL AGGREGATE $ 2 000 00
OMMERCIAl GENERAL LlABlillY PRODUCTS-COMP/OP AGG. $ 2 000 00
LAlMS MADE ~OCCUR. 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 1/01/97 1/01/98 COMBINED SINGLE
UMIT $ 1 000 00
All OWNED AUTOS " BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS !j (Per accident) $
GARAGE LlABlillY
PROPERTY DAMAGE
UB75339805 1/01/98 EACH OCCURRENCE
WORKER'S COMPENSATION 407805101 1/01/97 1/01/98
AND 100
EMPLOYERS' LIABILITY DISEASE-POUCY UMIT $ 500
DISEASE-EACH EMPLOYEE $ 100
OTHEtlORKERS 407805101 1/01/97 1/01/98 APPLIES TO FLORIDA
COMPENSATION EMPLOYEES ONLY
DESCRIPTION OF OPERATlONS/LOCATlONS/VEHICLES/SPECIAL ITEMS
L/AUTO/UMB/UMB/WC97-98
MONROE COUNTY PUBLIC
WORKS DEPT.
500 WHITEHEAD ST
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.
ACORD 250S (7/90)