04/19/1995
CONTRACT
THIS AG:R.EEMENT, made and entered into this 19th day of April, 1995,
A.D., b)( and between MONROE COUNTY, FLORIDA, party of the first
part (h.ereinafter sometimes called the "Owner") , and Caffrey
Construction, party of the second part (hereinafter sometimes
called the "Contractor").
WITNESSED: That the parties hereto, for the consideratioll~he~in-
U1 :-
after set forth, mutually agree as follows: r~
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SCOPE OF THE WORK
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The Con1:ractor shall provide all labor, equipment, and ~ter~ls
to: Repair the roof over the tipping floor at the cucidoe 3<ey
Trans fer Station. The repairs shall include, but are not limi ted
to, the following:
Repair or replacement of existing panels and skylights
Rep,air or replacement of fasteners
Repair or replacement of purl ins
Repair or replacement of ridge vents and trim flashing
The con"tractor 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 CONT'RACT 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 site and at the completion of
the project. The Contract amount shall be as stated by the
Contractor's proposal as follows:
Twenty three thousand one hundred seventy five and 00/100 dollars
($23,175.00)
1
CONTRACTOR'S ACCEPTANCE OF CONDITIONS
A. The Contractor hereby agrees that it has carefully examined
the site and has made investigations to fully satisfy itself
that the si te is correct and sui table for this work and it
assumes full responsibility therefore. The provisions of the
Con.tract shall control any inconsistent provisions contained
in the Specifications. All Specifications have been read and
car'efuIly 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
Conltract be more strongly construed against the Owner than
against the Contractor and its Surety.
B. An-yr 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. ThE! 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
COTltract, and Specifications covering said work. Failure on
thE! 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
reI)lacement and/or repair from the Contractor, who shall in
any event be jointly and severally liable to the Owner fo~ all
damage, loss, and expense caused to the Owner by reason of the
COIltractor's breach of this Contract and/ or its failure to
comply strictly and in all things with this Contract and with
the Specifications.
HOLD HA1~LE S S
The Contractor shall defend, indemnify and hold the County, its
officials, employees and agents harmless, from any and all claims,
liabili1ties, 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.
2
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 t.O be employees of the Board of County Commissioners for
Monroe C~ounty.
ASSURANCE AGAINST DISCRIMINATION
The Con"tractor shall not discriminate against any person on the
basis of race, creed, color, national origin, sex, age, or any
other cJharacteristic or aspect which is not job related, in its
recruiti.ng, hiring, promoting, terminating, or any other area
affecting employment under this Agreement or with the provision of
services or goods under this Agreement.
ASSIGNME~NT
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 prov1s10ns as the Board and
Contrac1:or 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.
COMPLIANCE WITH LAW
In prov'iding all services/goods pursuant to this Agreement, the
Contrac1tor 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 c:onsti tute 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.
3
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.
INSURANC:E
Upon execution of this Agreement, the Contractor shall furnish the
Owner Certificates of Insurance indicating the minimum coverage
limitati.ons as indicated by an "X" on the attached forms identified
as INSCKLST 1-4, as further detailed on forms WC1, GLl, and VL1,
each attached hereto and incorporated as part of this Contract
document~ .
FUNDING AVAILABILITY
In the E~vent 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.
PROFESSIONAL RESPONSIBILITY
The Contractor warrants that it is authorized by law to engage in
the performance of the activities encompassed by the project herein
describE~d. The provider shall at all times exercise independent,
professional judgment and shall assume professional responsibility
for the services to be provided. Continued funding by the Board is
contingE~nt upon retention of appropriate local, state, and/or
federal certification and/or licensure of Contractor.
4
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
Caffrey Construction
P.O. Box 6651
Key West, FL 33041
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, wi thout proof or accounting for the other
counterparts, be deemed an original Contract.
COUNTY OF MONROE, STATE OF
FLOR~D
, l1
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By
May~/Chairman
Attest: DANNY L. KOLHAGE, Clerk
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Clerk
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, Joseptl' Caffrey
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Attest:
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wiTNESS' I
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WITNESS
Atr..J;/T~(,t;; Ot/ice
c:\files\contract\ckwof.doc 04/04/95 1223 PM
6
S\V()ftN Sl~A~rEl\lENI' rUr~SlJANT ~ro SECTION 287.J33(3)(a),
EILQJ!IPA..Sl'A]lrrE-5.. ()N PlJ8LIC EN1'ITY CItlMES
TIllS F4Jftl\Il\tllJsrr BE SIGNEI) AND S\V()llN "0 IN ~rlIE PRESENCE OF A NOTARY PUBLIC OR
OTllEll OFFI(~IAL AUTII()RIZED TO AI)I\1INIS1'EIl. OATI'S.\ This sworn statement islub......
to ('t4r fifE '1 ('(rIJS'7!i(.I( T/O/J
[print name of the public entity]
by
':TUS'er (-I (:Ai" ~((~ y'
(print individual's name and title]
.- () (.) I""; 2~
for
[print name of entity submitting sworn statement]
whosc business address is
'I '-', --:-)
/ -, C,J.. / -AX
/t:y ~(s!
I '
and (if ~ipplicahle) its Federal Ernploycr Identification Nunlher (FEIN) is
66:/1'
rl
,-,..-)
_5 ..J (77/
(If the entity has nn FEIN, include the Sucial Sccurity NUlllher ur the individual signing this sworn
staCenlcnt:
o \~] ,'3 f;. ~) 1 (et
.)
I undcr~;.and Chat a "puhlic entity crillle" as defined in ParaJ.:raJlh 287.133(1 )(g), Florida StatulA .cans a
violation uf any sCate or fcdcralla\v hy a person with respect to and directly related to the transRcU.. .rbu~incss
with any puhlic entity nr with an a~l~ncy or pulitical subdivision orallY other state or ofthc tJnitcd Stata.incrudinJ:,
hut not lilnifl~(1 tn, an)' hid or rontrarf for ~onds or scr\,ices to he provided to any public entity or _ .~cncy or
political suhdh'isiun uf any othcr sCale ur of the lJniic(j 'States and involving antitrust, fraud, tllcft, bribery,
cullusion, rac kef cering, conspiracy, or III a t cl"ial .nisrcllrcscntation.
I under~.tand that ttcon\'ich~d" or "con\'i(-tinn" as defined in rara~ral)h 281.133(1)(b), ElDIidl..S1alllla, means a
finding of ~uilt or a co~"iclion of a puhlic l~nCi'y crilnc, with or without an adjudication of ~tlilt, in ..Y federal or
sf ate trial court of record rclafillJ,: to fhargcs hrou~ht hy indichncnt or illfornlation after J ulyl, 1919, as a .'csult
of a jury verdirt, nonjury frial, or entry of a plea of ~uilCy or nolo contendere.
I undcr~~tand that an "affiliate" as defined in rara~raph 2H7.133(1)(a), Florida Statutes, nJcans:
1. A prcdeces~or or slIccessor of a person convicted of a puhlic en.iCy crilllc; or
2. An entity under the control of any natural p{~rson \\'ho is arti,'c in the managclnent of 'he entity..t who has
been con vir I cd u fa puh) ic ent i. y crillll'. 'fhe (crln "affiliate" includes those orfircr~, directurs, clccutiva, partners,
sharehulders, l~lnplnyces, nlcnlhl~rs, and aJ;l~nfs \"lao arc acti,'c in the Inana~cmcllt of an affiliate. 1M ow~rship
hy one pcrson nf shares cuns'ihlfin~ a conerulling in'crcst in ano'her person, or'l)oolin~ of cquipmCllt or incolllc
am()n~ persons "'hen nnt fHI- fai~.lnarkcl vahH~ under an arnl's Ic..~Ch a~rcClncnt, shall he . Ilrinl. 'Mie tase that
one pl~r:~()n funC rnls annt her pl~rsun. A pl~rsun ,vho knuwill~ly enters into a joint vcnture with. ,.... who has
hl~cn cun victcd uf a puhlic entity crinH.~ in Flurida durinJ; (he prcceding J(t rnunths shall bc considcre4 a. .ffiliatc.
I under~iland that a "persnn It as dl~filled in I)ara~rftl)h 287.133( .)(c), Florida Statute., mean.lny nat.r.' person
or cn.if)' nrganiJ'.ed under the lan's uf any state or or the IJnitcd Statcs with the legalllO\\'cr to enter i.e. . bindiuJ.:
contracl and ,vhich hids ur applies en hid on fontrafts for the provision of ~unds or services let hy. pllblic entity,
or which nthl~r,,'isl~ transacts nr applies to transact husiness with a public entity. The 'errn "Ilcrson" i_ludes those
officers" .dircftHrs, executi\'es, (lartncl'S, sha..(~hulders, cnlpluyccs, nlcnlhcrs, and aJ.:cnts who ."e acti\'e in
111 a nag (~ 111<: n t n fan l~ n t if Y . I. 2 .3.4. 5.
Based on infnrrnatinn and belief, the statcnlent \vhich I ha\'c Inarkcd below is true in relation to the entity
suhnliUin~ this s\\'orn statclllcnt. Ilndicafc ,,'hich s.atcnlcnt applies.)
~K- Neither the entity sulnniUinJ,: Chis s,\'orn statc.ncnt, nor any of its officers, directors, exccutiv('~,
partners, shar.choldcrs, el1'ploYCl'\~, rtH\.nh(\rs, tn. a~ents who'al1c active in the nlana~emcnt of the entity, nor
any affiliate of the entify has heen charged \vith and cunvic'cd of a puhlic entity cri,nc suhsequent to July
1,19X9.
__ l'hc entity sulHllitCing this s\vnrn statclncnt, nor any or its officl'rs, dircctor~, executives, partners,
shar~h()hlcrs, cruplo)'('\cs, (llcruhers, or a~l'nCs ,,'ho arc active in the nlana~cmcnt of the entity, nor.n affiliate
of the entity has hcen chargcd \\'ith and l'onvirtcd of a puhlic l~ntity c,-hue suhsCtlucnt to July I, 1989.
__ l~l~c entify suhlniUin~ this s\vorn staCclucnt, or one or more of its officers, directors, executives,
partners, Sharl\huldcrs, crHpluYl~CS, (nclnhl~rs, or agents \\'110 arc activc in thc m.nR~clnent of Ihe entity, or
an a ffiliatc of t he entity has hecn char-~l'\d lvieh and convicted of a puhlic entity crime subsequent to July I,
19~t9. II u\\'c\'cr, therc ha~ hccn a suhsecllIl'nt procccdinJ.: hefore a Ilearing Officer of the State .r Florid.,
[}i,'ision ur Adlninistra.ive Ilcarin~s and the Final ()r(h~r entered hy the Ilearing Officer deter.l.ed that
it \~(as nut in rtH,~ puhlic iIlCCIOl\S' tn place thc entity suhnlitting this sw(u-n statement on the convicted vendor
list. IAUach a copy of the final orderJ
(). I lJNI)EI~ST AND l'IIA T I'll E SlJIl1\1ISSI()N OF ~rlIIS FORM TO TilE CON1"IUCTING OFFICER
FOR vrllE PlJIlLIC ENTll'Y IDEN"IFIEI) ()N PAltAGRAPll1 (()NE) ABOVE IS FOR TIIAT rUBIJIC
EN1'rr\' ON L \' AN(), l'IIA l'l'IIIS F()1{1\1IS V ALl () rrllllOlJGIII)E(:EMDElt J I OF PfllE CAIJEN[)Alt
"[AR IN WIIIC]I rr IS FILEI). I ALS() lJNI)Ell.S'rANll 1'IIA'r I AM REQlJlltEI) "0 INFOltM l'IIE
rUnLIC ENTrrV rRIOI{ 1'0 EN'rEH.lNG IN'r() A (:()NrrltACT IN ~:XCESS OF l'IIE Tlllt..:SIIOLll
A1\l()lJNT rl~O\'IDEl) IN SEC:1'ION 287.017, EI~Qllil)A S:l~M1LT~S FOR CA1'EGOllY l'WO OF ANY
CI:IAN(;E IN TilE INF()1~1\1Arrl()N (:{)NrfAINEll IN '1,.'1 I ,IS.."C/?"", F~-'(] JII,tl\1'" ,,' ",:/4,,' // "/"'.""'/" ~
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S,,'orn to and subscrihed hefore nle this
/7Pt day of
"I~ / ... ,19 tJ~-
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Notary Public - Statc of ~J..r;If:-ILJI1
Personally known
OIl Produced identificacion V./~
Fl.Dt. L/(~. e/b()-'I1'6-Sf-0.21.~.. MyCommissiollcxpircs ff~t?Sr ;;./'1%
rr}/flC () f id l'1l. i fie aC ion) , >'t\\~\' ~~: ~ H U 1 !I Iii ~ ,.------
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~ "~;, cOlnlni~sioncd nalne of notary puhlic)
Form rlJR 7068 (Rev. 06/11/92)
SPECIFICA l'ION
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 shaIl 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 instaIl all labor, materials and equipment necessary to repair the roofs
over the tipping floors at the Key Largo, Long Key and Cudjoc Key Transfer Stations. The repairs shall
include, but not limited to, the following:
Repair or rcplacenlcnt of existing panels and skylights.
Repair or replacement of fasteners.
Repair or replacement of pUflins.
Repair or replacement of ridge vents and triJn flashing.
OTHER
Demolished metal shaIl be stacked neatly on site. Permits wiIl 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 arc as
follows:
Key Largo Transfer Station
11180 County Rd. 905
Mr. 1. Richcreek
305.. 367.. 3244
Long Key l'fansfcr Station
MM 68, US 1
Mr. 1. Julien
305-664-9315
Cudjoe Key Transfer Station
Blitnp Rd. MM21.5
Mr. D. Mason
305-745-1771
A W AR.D OF CONTRACT
In evaluating the proposals, the County shall consider the qualifications of the bidder, whether or nol the
proposal complies with the requirements and the price of repair at each site.
SE~' NOLI: "'Of~ M 5~f,
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PROPOSAL SUBMITTED TO:
PROPOSAL
aAJ s hcJc Ic),J
Page No.--.--!__
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of / -Pages
PHONE~
I
I DATt
-&1 AJ /f'~ft ----~~--,
JOB NAME:
.5 J? 7 /rJ-
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NAME:
STREET:
STREET:
.u_ J-STArr-H-~U_~_-
CITY: CITY:
STATf:
w. her.oy submit specifications and estimates for:
:) ;;~~? f~ S /II tZaf de o~ ~
2) /4-?&tCE 2~1 ~/ tli/culk1e/AI ;;~O~ c:~7/ du;(/~
o / / /~.. 1\ r?()Ar~ Ll"'/ /W//./Ic p?oo!-.:J
3) /;4fch /2o/E-,;A.J ,.L' '( 0"-/ ""'/1 '/ /
/J / I ~ /?t:P~CE- ~'/1/e /pool ~.. EC~/~_,(J\ / /-/150
(o/'~/c 7 I'. ,J
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w. hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of
_ __..._ dollars ($ 2 5,1 / '( S, 00 ) with payment to be mad. as follow"
'vi cj L1-. J'!_7:~_.. .______.____. __ ...... _ ___
,50 %> _
/77,1q r ER (/It.. ON
~ % - ~JOt?1<
Ca/'~~€rE
All material is guerantNd to be as specified. All work to be completed in a work manlike manner according to ~tandard practices. Any alteration or deviation
'rom .bo". specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accirients or delays beyond our control. This proposal su~i.ct t acceptan~ __within ------~.J1-...-----.h---.--- days and is void
'h......'t.. .t the option lof the undersigned. // /;':~/~' / ,-"I / /'
/ ,- /
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Author'ized Signature ~.- _~_~,_--- ,. // r( __. _'~
ACCEPTANCE ~' PROl:>>OSAl'/(/
r, ,.
The .t.ve pric." JlMCifications and conditions are hereby Accepted. You are authorized to do the work as specified. Payment will be made
.. ......" ......
ACCEPTED: Signature
Oet.
Signature __.------______.
April 22. 199.:1
1 ~t I'ri uti ng
GENERAL LIABIIJI~ll'
INSURANCE REQUIREMIGNrrS
FOI{
CONTRACT
IJI~'rWI~~N
MONI~OE COUN1'Y, I?LOI{II)A
AND
Prior to the COlnmCnCCITICnt of work g()vcrncd by this contract, the (~ontract()r shall olltain
General l,iability Insurance. Coverage shall be 1l1uintaincd t.hroughoullhc life of the contract and
include, as a minirnuln:
· Premises Operations
· Products and Completed Operations
· Blanket Contractual Liability
· Personal Injury Liability
· Expanded Definition of Property Danlage
rrhc mininlum limits acceptable shall be:
$300,000 Conlbined Single Litnit (CSIJ)
I f split limits are provided, the nlinimurn linlits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occun.ence Fonn policy is preferred. If coverage is provided on a C:lainls Made policy, its
provisions should include coverage for clairns filed on or after the cflectivc date of this contract.
In addition, the period for which c]ainls Inay be repolted should extend for a lllinirnurn of twelve
(12) months following the acceptance of work by the Counly.
l'he Monroe County Board of County COll1missioners shall be named as Additional Insured on all
policics issued to satisfY the above rcquircl11cnts.
Adrninitdralivc In:..1rudion
114709.1
GLl
54
April 22. 19<))
1st l'rinlint;
I
\
VEIIJCL.E LIAIJILI'>rY
INSURANCE REQUIREMENrrS
FOR
CON~rRAC1~
BErrWEEN
l\10NI~O.E COUNrIY, liLOI{ID,\
AND
Itccognizing that the work governed by this contract requires the use of vehicles, the C()nlraclor,
prior to the CortlnlcnCClllcnt of work, shull obtain Vehicle ljability Insurance. Coverage shall be
Inaintained throughout the life of the contract and include, as a mininlurn, liability covcrngc for:
· Owned, Non-Owned, and I lired Vehicles
. l'hc tninimunllilnits acceptable shall be:
$]00,000 Combined Single Limit (CSL)
,
\
----
If split linlits arc provided, the 111inilnurn limits acceptable shall be:
$ 50,000 per I>crson
$ J 00,000 per Occurrence
$ 25,000 Property Damage
rrhe Monroe County noard of County Comnlissioncrs shall be naJlled as Additional Insured on all
policies jissucd to satisfy the above rcquirClTICnls.
^dlninistrntivc 1n.\1nI<...1ion
114709.1
VLI
75
I\pril 22.. I <J9J
I ~t Print ing
.~'\.."'--- .
WOI{!<:ERS' COMI)ENSA l'ION
INSURANCE I{EQUII{I~MEN'rS
FOI{
CONTRi\CrI'
n I~rr"V E EN
M.ONI{OE COlJNr]~y, )rLORIDA
AND
}>rior to the conunenceOlcnt of work g()vcrncd by this contract, the C()nlractor shallohtain
Workers' COfllpcnsation Insurance with lilnits suflicicnllo respond to I'Iorida Statute 4i10.
In addition, the Contractor shall obtain Eruployersl Liabilily Insurance with lilnits of nolless than:
$100,000 Bodily Injury by Accident
$500,000 130dily I~;ury by Disease, policy linlils
$1.00,000 Bodily Irtiury by Disease, each employee
Coverage shall be tnaintained throughout the entire lerm of the contract.
Coverage shall be provided by a conlpany or cOlllpanics authorized to transact business in the
stale of I~'J:orida and the cOlnpany or cOlnpanics Illust nlaintain a nlinirnum rating of A-VI, as
assigned by the A.M.. Best COlnpany.
If the Contractor has been approved by the fl()rida's Department of Labor, as an authorized self-
insurer, the County shall recognize and honor the Contractorls status. The Contractor ll1ay be
required 10 subtnit a Letter of Authorization issued by the Dcpartrllcnt of Labor and a Certificate
of Insurance, providing details on the Contractorls Excess Insurance !>rogra111.
I f the Contractor participates in a self-insurance fund, a Certificate of I nsurancc will be required.
In addition, the Contractor may be required to subnlil updated financial statenlcnts fronl the fund
upon request from the County.
Administrative lru.tru,-,1ion
1/4709.1
WCI
81
April 22~ 199.1
1st Prin. ing
1\10NROE COUNTY, FLORlDA
INSURANCE Cl-lECKLISrr
FOI{
VENDOltS SUBMll~l'ING I)ROPOSA1JS
FOI{ \VORK
r-ro assist in the development of your proposal, the insurance coverages 111arked wilh an "X" will
be required in the event an award is rnade to your firnl. 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 fc.rm and submit it with each proposal.
\\'()ltKERS' COM PENSA l'ION
AND
EM1>LOYEltS' LIABILITY
we]
WC2
We3
WCUSLI-j
WCJA
x
y
Workers' Cornpensation
Employers Liability
Employers Liability
Enlployers Liability
US Longshorernen &
Harbor Workers Act
Federal Jones Act
Statutory Limits
$100,000/$500,000/$100,000
$500,000/$500,000/$500,000
$1,000,000/$1,000,000/$1,000,000
Sarne as Employers'
Liability
Sarne as Enlploycrs'
[,iability
^dnlini~1rntivc Jnsln.,-1ioD
114709.01
INSCKLS"r
6
Ap,il 22~ 199J
1st Printing
GENERAL LIABIIJITY
As a minimum, the required general liability coverages will include:
· Prenlises Operations
· Blanket Contractual
· Expanded Definition
of Property Damage
Jtequired Limits:
GLI
'I
GL2
GLJ
Required l~ndorsement:
GLXCU
GLLIQ
Products and COll1pJeted Operations
Personal II~ury
.
.
$100,000 per I>erson; $300,000 per Occurrence
$50,000 J)ropcrty DaJnagc
or
$300,000 C0l11bined Single Linlit
$250,000 per Person; $500,000 per Occurrence
$50,000 Property DaJnage
or
$500,000 COll1bined Single Limit
$500,000 per Person; $1,000., 000 per ()ccuITence
$100,000 Property Damage
or
$] ,000,000 Combined Single Linlit
Underground, Explosion and Collapse (XCV)
Liquor L,iability
All endorsements are required to have the same limits as the basic policy.
^dmini~1rativc ]n~Lru(..1ion
1/4709.0 I
INSCKLs'r
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i\pril 22. I <)C)J
) s1 Printing
VEI-UCLE 1,,]ABILrry
As a rninirnum, coverage should extend to liability for:
. Owned; Nonowned; and I-Jired Vehicles
Required L,imits:
VLl
r
"
VL2
VL3
IlRl
MVC
PROI
PR02
PIt03
POLl
PO 1..,2
J>O L3
EDt
ED2
GKl
GK2
GK3
MEDI
MED2
MED3
Adnlinistrativc Instruction
114709.0 I
$50,000 per I:>erson: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 COlnbined Single Limit
$1.00,000 per J>erson; $300.,000 per Occurrence
$50,000 '>ropcrty Dalnagc
or
$300,000 Conlbincd Single I.jlnit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000.,000 Combined Single Linlit
M1SCELLANEOUS COVEI{AGES
Builders'
Risk
Limits equal to the
cOlnplctcd project.
Motor Truck
Cargo
Lirnits equal to the maxirnum
value of anyone shipolcnt.
I'rofessional
Liability
$ 250,000 per Occurrence/$ 500,000 Agg.
$ 500,000 per Occurrence/$I ,000,000 Agg.
$ I ,000., 000 per Occurrcncel$2, 000,000 Agg.
$ 500,000 per ()ccurrence/$I.,OOO.,OOO Agg.
$1,000,000 per Occurrcncc/$2,000,OOO Agg.
$5,000,000 per Occurrence/$] 0,000,000 Agg.
J>()lIuti()n
Liability
Elnployee
Dishonesty
$ 10,000
$100,000
$ 300,000 ($ 25,000 per Veh)
$ 500,000 ($]00,000 per Veh)
$1,000,000 ($250,000 per Veh)
$ 500.,000/$ 1,000,000 Agg.
$1,000,000/$ 3,000.,000 I\gg.
$5,000,000/$10,000,000 Agg.
Garage
Keepers
Medical
Pro fossi()nal
INSCKLS'f'
8
IF
VLPI
VLP2
VLP3
BLL
I-IKL 1
I-IKL2
l-IKL3
AIRl
AIR2
AIRJ
AEOI
AE02
AE03
^pril 22. I <)~J
I st Printing
Installation
Floater
Maxitnurn value of l~quiplnent
InslaIIed
lIazard()us
Cargo
Transporter
$ 300,000 (J~equircs rvl(~S-90)
$ 500,000 (I~equires MCS-90)
$1,000,000 (Requires MCS-90)
Bailee Liab.
MaxinlUlll Value of j)roperty
Hangarkeepcrs
~Liability
$ 300,000
$ 500,000
$ 1,000,000
$25,000,000
$ 1,000,000
$ 1,000,000
Aircraft
Liability
Arcllitccts Errors
& Olnissions
$ 250,000 per Occurrcnce/$ 500,000 Agg.
$ 500,000 per Occurrcnce/$I ,000,000 Agg.
$ 1,000,000 per Occurrcnce/$3,OOO,000 Agg.
INSURANCE AGENT'S S"rA~rEMENrr
I have reviiewed the above requirenlcnls with the bidder nanlcd below. l'hc folJowing deductibles
apply to the corresponding policy.
POLICY-
DEDuc'rIBLES
Liability p()licics are _ Occurrence _ Clailns Made
-----,--
Signature
Insurance Agency
JlIDDEI~S Sl~A l~ElvlE_N~r
I understand the insurance that will be mandatory if awarded the contract and will comply in full
with all the requirements.
Adrninistralivc Jn~n.(,,1ion
1/4709.0 I
Signatlire---
Bidder
INSCKLs'r
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