12/16/1991
CON T R A cF- nr [' r~ : " Ii '
THIS AGREF~ENT, made and entere~1 i~to this 16th day of
December, 1991, between Monroe Cour?ey, UtLFlbr~da~1 ~/ (OWnEQt) , a1fd
CARDEL FIRE PROTECTION, INC.
WIT N E SSE s:
That the parties hereto, for the consideration herelnafter
set forth, mutually agree as follows: ~'fJNH(i. l,
I .
SCOPE OF THE WORK
The Contractor shall furnisll all la})or and equipment to in-
stall a fire protection sprinkler system consisting of a water
storage tank, a fire pump, and private service mains in the Gov-
ernment Office Building located at 490 63rd Street in Marathon,
Florida. Work will be in accordance with the request for propos-
al, plans, notes, and the contractor proposal dated December 9,
1991, all attached hereto and incorporated as part of this con-
tract document.
II. 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 state-
ment contained in this agreement shall be construed so as to find
the contractor or any of his/her employees, contractors, ser-
vants, or agents to be employees of the Board of County Commis-
sioners for Monroe County.
III. ASSURANCE AGAINST DISCRIMINATION
The Contractor shall not discriminate against any person on
the basis of race, creed, color, national origin, sex, age, or
any other characteristic or aspect which is not job related, in
its recruiting, hiring, promoting, terminating, or any other area
affecting employment under this agreement or with the provision
of services or goods under this agreement.
IV. ASSIGNMENT
The Contractor shall not assign this agreement, except in
writing and with the prior written approval of the Board of Coun-
ty Commissioners for Monroe County and Contractor, which approval
shall be subject to such conditions and provisions as the Board
and contractor may deem necessary. This agreement shall be incor-
porated 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 for
the contractor.
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 prOV1Slons of, such
services, including those now in effect and hereinafter adopted.
Any violation of said statutes, ordinances, rules and regulations
shall constitute 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.
VI. INSURANCE
Upon Execution of this agreement, the Contractor shall fur-
nish the Owner Certificates of Insurance indicating the following
minimum coverage limitations:
Commercial General Liability including completed opera-
tions and contractual liability, with minimum limits of
$500,000.00 per occurrence.
Comprehensive Auto Liability with mln~um combined sin-
gle limits of $300,000.00 per occurrence.
Worker's Compensation - as required by Florida Statutes.
Monroe County is to be named additional insured on both the Gener-
al Liability and Auto Liability Policies. The minimum coverage
limitations must be maintained throughout the contract term.
VII. HOLD HARMLESS
The Contractor shall defend, indemnify and hold the County,
its officials, employees and agents harmless, from any and all
claims, liabilities, losses and causes of action which may arise
out of the performance of the Contract except such claims, liabil-
ities, losses and causes of action which may arise because of the
County's negligent actions or omissions. Compliance with the
insurance requirements shall not relieve the Contractor from the
obligations imposed by this article.
VIII.
PROFESSIONAL RESPONSIBILITY
The Contractor warrants that it is authorized by law to en-
gage in the performance of the activities encompassed by the
project herein described, subject to the terms and conditions set
forth in the request for proposals dated November 13, 1991, which
is attached hereto and incorporated herein as a part of this
contract/agreement. The provider shall at all times exercise
independent, 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.
2
IX. 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
Monroe County Public Works
P.o. Box 1029
Key West, FL 33041
ATTN: Michael Lawn
FOR CONTRACTOR
CARDEL FIRE PROTECTION, INC.
9680 S.W. 34th Street
Miami, Florida 33165
ATTN: Joel Boring
x. PAYMENT
The County shall reimburse the Contractor upon the delivery
of materials and presentation to County of invoices for same.
Final payment shall be paid to the Contractor upon completion and
final acceptance by the County. However, payments under this
contract shall not exceed the total amount of Fifty Thousand One
Hundred Eighty Two Dollars ($50,182.00).
In witness whereof, the parties hereto have executed this agree-
ment the day and year first above written,
COUNTY OF MONROE, STATE OF
FLORIDA
. .. ~
By .~ ~ f\~.....-- '~ -....... ~
Mayor/Chairman
Attest: DANNY L. KOLHAGE, Clerk
/
Attest:
~'l Q I
. ~~ ~t./d
WITNESS
a~
3
MONROE COUNTY PUBLIC WORKS
BOARD OF COUNTY COMMISSIONERS
MONROE COUNTY, FLORIDA
REQUEST FOR PROPOSAL
13 November 1991
PROJECT:
SPRINKLER SYSTEM, MARATHON GOVERNMENT
CENTER ANNEX
SCOPE:
Design and install retro-fit sprinkler system
in building being remodeled for use as Govern-
ment Offices located at 490 63d Street, Mara-
thon, FL 33050.
DOCUMENTS:
All work specified herein shall be performed
in accordance wi th the Standard Building
Code, the National Electric Code, and all
State, County, and Local Ordinances.
EXECUTION:
Proposals to be considered shall be submitted
to Monroe County Purchasing Department, Wing
II, Public Service Building, Stock Island, no
later than 10:00 a.m. on 10 December 1991.
Work shall be completed within sixty (60) days
of proposal acceptance and issuance of Notice
to Proceed.
PERMITS AND
LICENSES:
Prior to the commencement of the work, the
Contractor shall obtain all required permits.
The Contractor shall furnish copies of all
current licenses as a part of this proposal.
INSURANCE:
Contractor shall furnish all insurances as
required by Monroe County Code, Monroe County
Public Works Manual, and all State and Federal
Statutes.
The Contractor shall furnish the Owner wi th
Certificates of Insurance indicating current
coverage in the minimum amounts herein stated.
Minimum limitations of required insurances are:
Commercial General Liability including complet-
ed operations and contractual liabili ty, wi th
minimum limits of $500,000.00 per occurrence
Comprehensive Auto Liability with minimum
Combined Single Limits of $300,000.00
o
Workman's Compensation
Florida statutes
As required by
INDEMNIFICATION
AND HOLD
HARMLESS:
The Contractor shall defend, indemnify
and hold harmless the County, its offi-
cials, and agents, from any and all claims,
liabilities, losses and causes of action which
may arise out of the performance of the Con-
tract except such claims, liabili ties, losses
and causes of action which may arise because
of the County's negligent actions o~ omis-
sions. Compliance with the insurance require-
ments shall not relieve the Contractor from
the obligations imposed by this article.
PUBLIC
ENTITY
CRIMES:
The Contractor shall furnish the attached
statement, fully complete and notarized, as
required by law, as a part of his
proposal.
CONDITIONS:
All work shall conform to N.F.P.A. 13 (1991
Edi tion) for Ordinary Hazard (Group 1), Wet
Pipe System.
Sources of wate~ supply may be as follows:
a) Public Domestic Water Supply
coordinated through the Florida Keys
Aqueduct Authority, or
b) as an alternate bid, there shall be a
Private Water Supply System consisting of
a Water Storage Tank in accordance wi th
N.F.P.A. 22, a Fire Pump in accordance
with N.F.P.A. 20, and Private Service
Mains in accordance with N.F.P.A. 24.
All coordination with design, plan review and
inspections shall be through the Office of the
Fire Marshal, Chaplin Building, Marathon, FL.
Point of contact will be William Wagner III,
Deputy Fire Marshal, at (305) 292-6010.
RFP2301
TXTWALTE
" r-i
. . Qrl'"
cd ..
c>> c.G
e ~ tj
~ ... ~
qJ~
""
Ul"d
-rot -rl 'H U
~ 0 ~
U)
:a -U ~ ~ --.-------.-.-- ----.--------------..--..-...- .- _ 4 ___.._ __.___,__ __._ ___._.__ ___________
~I~ p..
~
~ : I ~ ~
~.Q ~
~
t''H Z
-rf 0 U) I ()
c ~~ ~
~ 3 g
~'>> f
C) 0 - -,-f
~ E' ~
()
<1.l
~O~ U
H 0 0 c 0
~ H
A..4
Q)
H
--- --- ---.-.-.----.-- . --.~~-------- oM
r..x..
I ~
Q)
'"0
H
~
eO U)
os.
I H
I 2
~
Q)
0
tj
as
a p...
~
e l\1
~ U
'M
r..x..
I ~ ~
~ 2
C/)
~
U)
H cu
Q) -~
r-l
] ~
~
(f)
H
U) ~
___..___~_ _~n._. -"-'- -_.-.- .._-~._-_. - P-1
~4
3 <1.l
u 4-1
.s 8,
0 I
Q) c.J
~ g ~
~ -,4 C/) I
tE ~ H
5 u OJ
rl <ll rl
P-1 C""") ~ ]
LJ1 e
0 ...j'
~ ~ A-. ).-1
a <lJ U) I
H . ,,,,
.,4 u
; ~ ......... ~ .,4
~ I u
rl ~
~
~ ~ ~ u
~ ~ ~
tI III
"')IJ..'~\MA.~
~~
~...1IJ
CARD€L
FIRE PROTECTION INC.
December 9, 1991
MONROE BOARD OF COMMISSIONERS
5100 College Road
Public Service Building
Wing 2, Stock Island
Key West, Fl 33040
REF:
MARATHON GOVERNMENT CENTER
We are pleased to quote you on the above referenced project.
Our work includes 15,000 gallon above ground Water Storage
Tank (CorrissQon Proof), also, fire pump with all accesories,
shop drawings, approvals, fabrication, installation, labor,
freight, taxes, and testing; all in accordance with N.F.P.A.
13, 20, and 22, and Local Authority.
The price for this project is:
FIFTY THOUSAND ONE HUNDRED EIGHTY TWO ($50,182.00
DOLLARS.
Please, be advise this price does not include underground.
We were informed by Mr. Rich Shake of Florida Keys from
Aqueduct Authority, tapping of existing water main for Fire
Protection Water is not permitted.
If you should have any further questions, please, do not
hesitate to contact me.
Sincerely,
CARDEL FIRE PROTECTION, INC.
JFB/dc
. J .
9680 S.W. 34T~ STREET · MII1MI. FtO~RIDI1 33165 · (305) 551-0248
NON-COLLUSION AFFIDAVIT
I, JORGE R. CARBALLO
MIAMI according to law on my
of perjury, depose and say that;
1) lam JORGE R. CARBALLO
CARDEL, FIRE PROTECTIO~ the bidder making
project described as follows:
, of the city of
oath, and under penalty
of the firm of
the PrcpO-Sti.l fer .&-1..._
~j,j,~
2) the prices in this bid have been arrived at independent-
ly without collusion, consultation, communication or agreement
for the purpose of restricting competition, as to any matter
relating to such prices with any other bidder or with any competi-
tor;
3) unless otherwise required by law, the prices which have
been quoted in this bid have not been knowingly disclosed by the
bidder and will not knowingly be disclosed by the bidder prior to
bid opening, directly or indirectly, to any other bidder or to
any competitor; and
4) no attempt has been made or will be made by the bidder
to induce any other person, partnership or corporation to submit,
or not to submit, a bid for the purpose of restricting competi-
tion;
5) the statements contained in this affidavit are true and
correct, and made with full knowledge that Monroe County relies
upon the truth of the statements contain in this affidavit in
awarding contracts for said project.
bidder) .
STATE OF
FLORIDA
DECEMBER 18, 1991
DATE
COUNTY OF DADE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
JORGE R. CARBALLO who, after first being sworn by me,
(name of individual signing)
affixed his/her signature in the space provided above on this
18 day of DECEMBER I 19 91
~ 0~~~
NOTARY PUBLIC
My commission expires:
NOTARY PUBLIC STATE OF Pi nfW)jl
MY .C~MM!SSI0N EXP. OCT.24:i9~~
80NDLU IHRU GENERAL INSu UND:~
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
JORGE R. CARBALLO
warrants that he/it has not employed,
retained or otherwise had act on he/its behalf any former County officer
-- ---, -..-- _..1.-~ --~ ~_ .1-..- ___'1-': 1-..:..: __ _& C'__~.; __ ,., _& "'_-1': ___-- ~T_
v LeI u tJ ""'- "" ~ ~ "-" ~;:::",.4..1oJ J ~ '- '-.. - '"- \...I '--.&. ~ "t:; ~.L V ~ ~ .L .IJ.L \.-.L V ~ ~ V .L IJ c; '"' "-.... v ~ ~ ~ v .&.. V .L \..A..L ~ ~ a ~ ~ \." c; 1. '1 V .
10-1990 or any County officer or employee in violation of Section 3 of
Ordinance No. 10-1990. 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.
Date:
DECEMBER 18, 1991
STATE OF FLORIDA
COUNTY OF I)ADE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
JORGE R. CARBALLO
who, after first being sworn by me,
affixed hisjher signature (name of individual signing) in the space
provided above on this
18th
day of
DECEMBER
I 19 91
. f/) ./7')
~k~-A-/
/:),
~?J~ftf
NOTARY PUBLIC
My commission expires:
NOTARY PUBLIC STl\TE OF FLORIDA
('~y (,o~1'.nss:ni\! EXP, 'JCT, '1~~S<~
110NGE D THPU'.;[ N~~~f\~ t~S,
WI
,
,
,
SWORN STATEMENT PURSUANT TO SECl10N 287.133(3)(0),
FLORIDA STATIJTES. ON PUBLIC ENTl1Y CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
1. This swomstatement is submitted to CARDEL FIRE PROTECTION, I~:C.
- [print name of the pubUc entity]
~ ~JORGE R. CARBALLO.f PRESIDENT
[print individual's name and title]
fur CARDEL FIRE PROTECTION, INC.
[print name of entiiy submitting swom siatelnent] .
whose business address is 9680 S. w. 34th STREET
MIAMI, FLORIDA 33165-4038
and (if applicable) its Federal Employer Identification Number (FEIN) is 65 - 0 157963
(If the entity has no FEIN, include the Soda! Security Number of the individual signing this sworn
statement:
.)
2. I understand that a .public entity crime. as defined in Paragraph 287.133(1)(g), Florida Statutes..
means a violation of any state or federal law by a person with respect to and directly related to
the transaction of business with any public entity or with an agency or political subdivision of any
other state or of the United States, including, but not limited to, any bid or contract for goods or
services to be provided to any public entity or an agency or political subdivision of any other state
or of the United States and involving antitrus~ fraud, theft, bribery, collusion, racketeering,
conspiracy, or material misrepresentation.
3. I understand that .convicted. or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes.
means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of
guilt, in any federal or state trial court of record relating to charges brought by indictment or
information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea ofguilty
or nolo contendere.
4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes.. means:
1. A predecessor or successor of a person convicted of a public entity crime; or
2. An entity under the control of any natural person who is active in the management of the entity
and who has been convicted of a public entity crime. The term "affiliate" includes those officers,
directors, executives, panners, shareholders, employees, members, and agents who are active in the
management of an affiliate. The ownership by one person of shares constituting a controlling
interest in another person, or a pooling of equipment or income among persons when not for fair
market value under an arm's length agreement, shall be a prima facie case that one person controls
another person. A person who knowingly enters into a joint venture with a person who has been
convicted of a public entity crime in Florida during the preceding 36 months shall be considered
an affiliate..
5. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes. means any
~. natural person or entity organized under the laws of any state or of the United States with the legal'
power to enter into a binding contract and which bids or applies to bid on contracts for the provision
of goods or scxviccs let by a public entity, or which otherwise transacts or applies to transact business
with a public entity. The term "person" includes those officers, directors, executives, parmers,
shareholders, employees, members, and agents who are active in management of an entity.
.~~
6.
Based on information and belief, the statement which I have marked below is true in relation to
the entity submitting this swom statement. [Indicate which statement applies.]
(
XK- Neither the entity submitting this sworn statement, nor any of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of the
entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime
subsequent to July 1, 1989.
- The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of the
entity, or an affiliate of the entity has been charged with and convicted of a public entity crime
subsequent to July 1, 1989.
- The emity submitting this swum SiiUemeJii, or One Of more of its officers, directors, executives,_.-
panners, shareholders, employees, members, or agents who are active in the management of the
entity, or an affiliate of the entity has been charged with and convicted of a public entity crime
subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing
Officer of the State of Florida, Division of Administrative Hearings and the Fmal Order entered by
the Hearing Officer determined that it was not in the public interest to place the entity submitting
this sworn statement on the convicted vendor list. [attach a copy of the final order]
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OmCER FOR
THE PUBUC ENTI1Y mEN1~llflliD IN'-PARAGRAPH 1 (oNE) ABOVE IS FOR THAT PUBLIC ENTIn"
ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN
WHICH IT IS FILED. I ALSO, UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC
ENTIlY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT
PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY rwO OF ANY CHANGE IN
THE INFORMATION CONTAINED IN THIS FORM.
STATE OF
FI.JORIDA
DECEMBER 18, 1991
[date]
COUNTY OF DADE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
JORGE R, CARBALLO
[name of individual signing]
who, after first being sworn by me, affixed his/her signature
in the space provided above on this 18 th
day of DECEMBER. 19 9 1
My commission expires:
J~ &-J--dLf~--
NOTARY punuc
NOTARY PUBLIC STATE o~ FLO~~?0
MY COMMISSION EXP. OCi.24, i9J3
BONDED THRU GENERAL INS. UND~
Form PUR 7068 (Rev. 04/10/91)
20d Wd Z9:tO T6-EZ-ZT
Aft__lilt.
CERTIFICATE OF INSURANCE
THIS CERTIFICATE IS fSSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO '''OHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COYERAGE AFFORDED BY THE
POltctES BElOW..
COMPANIES AFFORDING COVERAGE
PAooue~A
J imene!Z & Co.
8(x)() Coral Way
Miami FL 33155
f~:;'~~Y A
Union American Insurance Co.
'H9UFU!O
~~~:NY B
Jorge V. & Delia Carballo
DBA Cardel Fire Protec tion Inc.
9680 SW 34 St.
Miami FL 33165
COMPANY C
lETTER
COMPANY D
LETTER
~~~~ E
COVERAGES
TH'S lS TO CERT,rv THAT 'THE POLICIES OF INSURANCE llST[n (lCt.OW HAVf:' aFFN ISSUED TO THE INSURED NAMED ABOVE FOR THE POltCV PI;R'OO
INDICATED. NOTWITHSTANOING ANY ReQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH'CH THIS
CERTtFICATE MAY BE rSSUED OR MAY PEAtAIN. THE 'NSUAANCE Af'FOROEO By r~E' POl'CIES DESCRIBED t-IeREIN fS SUBJECT TO ALL THE TE~MS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
co
:TR
TY"! OF INSURANCE
POLICY NU..8(R
POUC Y cFf"ECTtVE ouey EJfPtRA 110
OA T~ fM~'Og'YYI tJA fE CMM/0D/Y Yl
LIMITS
GENE"~L LIA81LITY
COMPREHEN~VEFORM
PREM I SESIOPERA TJONS
UNDERQAOUND
EXPLOSION & COLLArSE HAZARD
PRODUCTSICOMPLETED o~eA
CONTRACTUAL
rNOEPf:=ND~NT CONTRACTORS
BI1CW) FOfW ~"' T DAMAGe
PERSONAL JNJURV
AUTQlloe'c..e ltAatUTY
~NY ~UTO
ALL OWNED AUTOS ( P,f.... Pass. )
ALL OWNED AUTOS ( ~:f~~fp~~:~)
HJRED AUTOS
NON-OWNEO AUTOS
GARAGE liABILITY
XX scheduled V
EXe~S$ LIABILITY
UMUAeL t.~ ~OAM
OTHER THAN UMBRELLA F!ORM
800ll Y INJURV acc. S
90Dft Y tNJURY' AGG. ,
PROfilEATY DAMAGE ace. S
PAOPEA'v DAMAGE AGO. S
81 . PO COMBINED ace. .
at a PO COU"Heo AGO .
PEflSONAL INJURY AGO.
800'l Y IN,JUAv
(P., p.~onJ
DODtL V INJURV
(P '" .cr;~d.nt)
s
PROPERTY DAMAGE
,
BOOll Y INJURY I
PROPERTY DAMAGE
COMBINEO
EACH OCCURRENCE
AGGREGATE
, 300 000
WOAK!!"'S COM..t!NSA TION
AND
!MPLOYI!Ft!. LlABtLITY
6TAtUTOAY UMtTS
EACH ACC'DENT
I
DISEASE-POLICY LIMIT
DiseASE-eACH EMPLOYEE S
Of HE A
ESCRIPTlON OF OPERA TIOHS/LOC~ tlONS,VEHtCL.ES,SPECfAl. ITEM'
)UIlty of Monroe
~OO College Rd.
~y Wes t FL 33040
SHOUlD ANY OF tHe A80ve DESCRIBED POLICIES BE CANCELLED BEFORE THe
EXPIRATION DATE THEREOF. THE ISSUING COMPANY Will eNO~~VOR TO
MAIL 1<L- OA YS WRITTEN NOTICE TO THe CERt'F='ICA TE HOLDER NAMED TO THE
LEFT. BUT FA'LURE TO MAtL SUCH NOT'CE SHAll IMPOSE NO OBLtGATION O~
12/18/1991 09:54
Seitlin & Company
305 593 6993 P.02
At:ttlllt.
I - . ~ -, It. 'j -
CE~TIFICA TE OF INSURANCE '
tSS UE: oP" TE t '.",' C~)IYYr
fj n (l D (J (.: f' f ~
12/18/91
Tt...IS CERTIFICATE fS tSSUEO ^S ^ M/~r"ER Or-- fNrcnr/!~ TION ONL Y AND
CONFERS NO AlGH1.S UPON THF. CEI1TIFlCATL riOLDL~'.H'! 1'~IS CF-.fffltitCt"' "(.
DOES NOT AMEr~D. r::Xi'~ND O~ ALTFr~ 'THE=: covr:~'~^Ct: /~.~. n~")D(Li [~V 'r,:~..
._!,Ol.ICIl:::.S llELOvv, .__...._..... ..........__ '....
,SEITLIN & COMPANY
!rP. O. BOX 025220
'MIRMI, FL 33102-5220
c: () p~~ P t'. t-J. ~ ~~~ ~:' t.;. :...,. i ~ I r,
iBURNS &- WILCOX, LTD.
':'1 .
I I I : ' I.
SCOTTSDRLE INSURANCE COMPANY
(' .
CAROEL FIRE PROTECTION, INC.
~680 S.W. 34TH STREET
MIAMI, FL 33165
I! . ~ .
r~
I..
~=-~~j~~~~"f!~~J'll~~
,:~..t~.l~~U~i~~~
::~.<. f ~:, i~ ; I:~; ~t.~~ j; ~~~g. ~I)t~~y~~ ~~~ r~;~t :::~i f_:'.L;;t~~, ';~~~ti? .::;~~.~~..;,~~. ~ ':, ~~t" .I~ ,'1J?~
~l'~~~I.~M~:"'l-~"i!.?'~ f.~~....4t'?,l.~""'" /.... .
~tfl~'_.~~~::';':~'Jf.'{~~T;'\
i !.;, .f'tt~){>~~ ~~';'" {{~~:itt'A;'
: ." ! F " . H ,f... i': I ~ I ;';. ("/; : (,~ t F n r ,~. j ~ ; I.) L~ f~ r< ( '. i ~ I.~; 1 i i I I ~.1 i; \ .' I f
r . ~ '" ' , \ \,1" .,"1[' I I . I '; , ," "Y ,;' I l.;~...' ~ :. .~ ~':. to, ; I . ~.JI ~ I. 1\ r.' . 1 I
,', '; r 1.\'" ,~,:~ 1.1 ,. .. ~~~1\ :)!.~ ;:J\ ,'..If\Jf' If t(\.f~,I. I;;: ,,\ r..;, I,. '
.", '... (~I!r)n "'.J" .::j(;, PI,"'I H'I~~~~
. ,r I' · . I i
T Y ;.. f- . r. ~ J., ,'. ~ 'UU\: (; L
r"(J~ lev ~~UMrH:'1
I,.
:"ir
: ~ . .' ..
.. . . '. .. ,~ . / ;' ~
x . ."1 .. ,'I :'.~~r.:
X : \
A
.. '\.'
GLS3e6720
09/11/91 09/11/92
x
~
~
X
...._.x.._._. .....
~00,000
500,000
500,000
. ,- I ",1.' '
~- _...-ERRORS.....&M...OMISSIONS...,.GLS326.1.20_...__...._.__._.,..__._.__..091.11i_9.l__0~/.l1/~2 '-.. ,
$500,000 OCCURRENCE
. ....500, .000 AGGREGATE
. : ~ . ~ p ~.( ~.., I
~~. 4"~. ~
'. .; ll. .. t ':. . '. ..' 1
FIRE PROTECTIONS SYSTEMS
!~\?;~~I~~~\-~\i~~.~~~ ~~~~~~~V;~J~~{~,n~~~.",:
.. ..... ". ~.... .. ., 1~~'I:"'~<"",,~,,\~,{~"~~\'i:Tr'f;, '~f.l~~~~;~~~liF*'1t%t.I~,",~."ltr'~~, rl.',. ....I:I,~~rl~.t ..t <'fifl"IFl1~@..~.). :"''o.t1~,:, .~:~t.'I,~,'~I, C ..~. '~..',
t" . ,....,. . . 1'.' -
County of Monroe [t . . '. .
51 0.0 Co 1 1 e 9 e Rd. ;',.
t1- ! 1 0
Key West, Florida 33040 f;.'
. ~:::':~;:'t..S': ::(~, ~
I~~ . ) ~ /.
f1BURNS 8, WILCOX LTD. R Il/ / //>,u ,I;;;"
12/18/199: 09:54
Seitlin & Compan~
305 593 6993 P.03
Af~_tlllt~
CERTIFICATE OF INSURANCE
tSSUE: OATP: ,I:L'/!J:,~,V''''I
PRODUCER
12/18/91
Seitl in & Comp~ny
PAO. Box 025220
Miami, Floridt) 3310~-5220
r'tfl$ (:f:RrtFICATE IS ~SSUEIJ Ar-> ^ !~f!1,1 H:f-i or tNFOf,lMAtlON O.'JlV AfJD CC/IJFERS
NO HIGHTS UPON THr: Cf~ATIFtC^ I r dUI.DLq ~ HIS crnTtrfC^T[ DOC::, 'JOT t.r:[l~O
F XTE NO on AI 1 f' !~ T H.~ COVEf~AGr I\f, Of U)I' f) H YI HE POllGI (~3 IJ[ 1_ CL/,
COMPANIES AFFORDING COVERAGE
: "r)l~ f:~,tn A
Ass i q T1 e d His k l,,! C - E.-Ii ~.l A 0 f W a U ~ tJ U
CODe:
~lJ a.cotn:
INSURED
; ,:?t.~ it' ~l! ~ Y B
Car' del Fir e P r- () tee t ion, '11 C &
9680 s.w, 34t'.h Street.
M i am i, F 1 <) rid a 33 1 6 5
;;t't.~'t'~\' ~~' C
~)/r~~~~~NY 0
~~;~~.~~tv Y E
COVERAGES
THfS IS TO CERTlfVf HA r THE POllGICt,; OF fN~LJf'1ANCE LISTED OEl OW HAVE BEEN ISSUED TO 1 H~~ INSURED t\~.4.Mr:D ABOvE FOR 7HE i='OI.' ::.~ L: '0 '.'../
fNDtCAT['n, NOlW'THST ANDING ^N)' fiEQUJREMENT, TEAM O~ CONDITION OF ANY CON"f~AC.T OR OTHE~ I)OC~)Mr:NT WITH Rf::SPCC "1 ~ 0 ;:1;IC>- 7_ :';
CC~~llf-iC^TE MAY BE ISSLJrr! on MAY PERTAIN, THE INsunANCE AFFORDED oy Tti(; rJOUCfES DESCH!~f:D HFRF..r>J IS ~3UB.H:Cl TO A; L -..':: :~~'.',::'
EXCLUSIONS AND CONDl nONS OF" SUCH POII~U:S, L1MtTS SHOWN MAY ~i^VF H~F.N REDUCED BY PAtD CLAI~..~S,
CO
LiA
T Vf:lE OF fNSURANCF.
POUCY NUMBER
POLICY ~~~ECTFVE Pouey EXP_RA (ION
PATE: fMM:01)/YVI DATE (MMII){)/VY\
ALL UMITS U..J T.~.9_~~
G~NERAL L1ABIUTV
~:~"'NF.i-i'\l ^3Gf~,EG"H:
COfv-tM !::~CIAI Gr:NCI1AL L1A8iur r
pnOOJG I 8.cOrMJf(!':>:; /.GG i1CG:. 0:
\';LA/M5 MADE
ocr.UI1
P~R:;(~NAL & A~VEnTI!5li'~G '~.J~;r~ '.'
8Wf'!F,:f-l'S ~ CONTPt..C rorr s F'~(J 1
c: ,4. C, t-: C' C C U F.H4 ;:: l'~ C, F
!-I L.\!= :) 1\ MAG r; (^" y tj:1 ~ 11 (.~
r~1E:>I:~L EXPF-~..;:';t= i/\r''i (J'l'~ :.',.:r'.:.'~'"
AUTOM09flE LlA9fUTY
ANY AUTO
AI L OWNED AUTO,~,:
SCHEDULEO At) Tc)S
HIRFO AUTOS
C.Ot.Hjlr.JFrJ
fjlNGLE
LiMlT
SOu';. v
INJuny
(rc. ~'~I ~'l.'\")
NON-tJwrJED AUTO!;
(iARA(2G: lV\BlUTY
BODILY
IN"" URY
<P<.:'I 8i:.'L rd~I'\1l
Pj:lOP[~TY
()r...~l^c;[
EXC~$!-i lIABIUTY
r:ACH
o C C lJ F-l H t-= ~'.J C !=
i
~.j\:t'''~':-'':' ~ ~
0' H~R THtd'J UMBnELLA. FORr~~
A
WO~t(ER'S COMPENSA TION
AND
S T A TtJ TOI1Y
1 J~ 1 2 00 1 08 3 84
6/15/91
6/15/92
100
500
100
(G/\Ct~ ,"'1:,: :'~',-
EMPLOYERS' ~tAB[Lfr'(
i :)! ~::; t ~::' ~ - 1-= () '", _ : I: T
~ L.~. ::'[ " ~j:: .:;. :- ." :. .'. ::-'. ~,': ,.. -
OTHER
oeSCR'PTlON Of OPERA T.ON~jLOCA nONSIVEHrClES/AE5TRIC'trON5/5PE:CIAL ITf:MS
CERilFfCAlE HOLDER
CANCELLATION
County of Monroe
5100 Co1 lege Rd.
Key West, Fl. 33040
SI'H).)l.[) I"vr~ OF THE ABOVE D[~;Ci,rfif:'D POLICIES BE Cfd.JCi-ll r ~_' ~EFO== ri1~
EXP1R/~Tlor~ tlATf1 HEREOF, THE ISSUINr.; (~',OMPAt~Y \lV~'....l Et':Jr:r\'. (~:.: ~c:\
MAIL 10 DA.,'S WRITTEN NO'llCE TO THE CEQTlrICA1'F: rH.)LrJ~i, U";:.1EC :::,.: "h~,
l.cr: f3U1 !;AILUr~E ro MAIL SUel! NOTIClo SHALL IMoOSE ~JQ Oi3{ IGA.:'\=~r~ O~
L1ABli_iT'r or' /..N'y' KIND l.JPON l"HE COMPA"~Y iTS ^C~f=r,{rs OR REPqE~JINT,..;.,TI\'ES
AIJ"HOAI2E 0 RE PqL;:S~NT AlIVE
ACORD 2.S-S (3/0B)
, ~ ~
l ,/ 0" /" --J ~"4,-, ./ // -.- /"
-"J) I St;j;;/-rn"-' - ,,-C/ v't~~);;tifC()RPOR''\T'ON 193f
()f- f-H";f.: OF TREl\SURER
DEPARTMENT OF INSURANCE
TALLAHASSEE, FLORIDA
STATE FIRE MARSHAL
CERTIFICAfE OF COMPETENCY
,r- 1...1
~~t.U "ti',,,
,i~" ~,.\
i . ~~
I~ . "1'-1
I. I,
\~. .~~~~I
\':~~;
~/
THIS C~RTlf:IES THAT:
J lJRGE CAR LJALLO
~Q80 5 w 34 STREET
t~IAt~1 .FL 33165
OUSINESS OJ- G~tJIZATlut~:
CA~DEL FIRE PROTECTION INC
CONTHACTOR II IS LINITEiJ TO THE EXECUTIIJN OF CONTRACTS REQUIRING THE ABILITY 1
LAYOUT, FAfRICATE, IN~TALL, INSPECT, ALTER. OR SERVICE WATEH SPRINKLEH SYSTEl..c~
NATEP SPRAYiYSTEMS, FLJAM-r/ATCR SPRINKLER SYSTEMS, FOAM-llIATER SPRAY SYSTEt1S
STANDPIPES, CJ.1i3INATII1l'l STANDPIPES AND SPfUNKLEi1 RISERS. EXCLUDING PRE-ENGINEE
SYSTEMS.
Jo-~
ISSUE DATE TYPE CLASS COUNTY
7 3 1 4- 4 7 ).J U 1 t.; 0
LICENSE OR PERMIT NUMBER
'~ b 426 3 00 a I I 5 o. v
u
TREASURER
INSURANCE COMMISSJC
FIRE MARSHAL
o 7 0 1 9 J 07 1 [- :) 1
APPlICA nON TAXES & FEES
COMPANY
CODE
.
"
o
~"
.
\ I