Piling/Signs @ Smathers Beach
CONTRACT AGREEMENT
AGREEMENT, MADE THIS //tl day of /\./Vl{( (/ 1998, by and between
American Underwater Contractors
("Contractor") , and the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY , FLORIDA, of
the County of Monroe, State of Florida ("Board").
The Contractor and the Board, for the consideration named, agree as follows:
1. The Contractor shall furnish all the materials and perform all the work as
required by the specifications for the installation of ten pilings and twenty regulatory
signs off of Smathers Beach, South Side of Key West. A list of placement locations is
attached as Exhibit A.
2. The work to be performed under this contract shall commence immediately
from the date the Liaison provides the Notice to Proceed and shall be completed by
May 31, 1998.
3.. The Board shall pay the Contractor the total sum of $14,900.00 for
installation of ten pilings and twenty regulatory signs off of Smathers Beach, South
Side of Key West. Payment shall be upon completion by the Contractor and review
and approval of the close out documentation by the Marine Projects Coordi~or. \D
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4. The Specifications attached as Exhibit B together with this Agree~)'ie~r~
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the Contract. They are fully a part of this Contract as if repeated herein ver~~
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5. The Contractor covenants and agrees to indemnify and hold harmless the
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 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 acts or omissions of the Contractor or its Sub-
Contractors in any tier, their employees, or agents. The purchase of the insurance
required in paragraph ten does not vitiate this indemnification provision.
6. The Contractor acknowledges his /her intention to comply with the need to
coordinate all work with the appropriate permitting agencies, the Florida Marine
Patrol, and the County.
7. The Contractor agrees that the receipt of the Notice to Proceed from the
County does not relieve his responsibility to ensure that appropriate permits have been
obtained by the County prior to the initiation of work
8. The parties agree that a timely performance of this agreement is essential.
Therefore, the parties agree that the contractor shall be liable to the Board for $100
per day of liquidated damages for each day after 5-31-98 that any of the Contractor's
obligations under this agreement remain unperformed. The parties agree that such
amount is by the way of compensatory damages and does not constitute a penalty.
9. Due to the use of heavy equipment and, at times, a dangerous work
environment, the Contractor understands and agrees to maintain an alcohol and drug
free work environment.
10. The CONTRACTOR will be responsible for all necessary insurance
coverage as indicated by an "X" on the attached forms identified as General Insurance
Requirements and INSCKLIST 1-4, as further detailed on forms WCl, WCJA, GLl, &
WLl, attached as Exhibit C. All policies must list Monroe County as additional
insured with the exception of the Workers Compensation policy.
11. A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crime may not submit a bid on a contract to
provide any goods or services to a public entity, may not submit a bid on a contract
with a public entity, may not be awarded or perform work as a contractor, supplier,
subcontractor, or consultant under a contract with any public entity in excess of the
threshold amount provided in Section 287.017, for CATEGORY TWO ($10,000.00)
for a period of 36 months from the date of being placed on the convicted vender list.
12. The Board may terminate this agreement with or without cause at anytime
upon giving the Contractor a minimum of ten days notice in writing. The Contractor,
upon receipt of the notice in writing, shall immediately cease work. The Board shall
pay the Contractor the percentage of the contract sum which is proportional to the
amount of work performed by the Contract in a manner satisfactory to the Board up to
the date the Contractor received notice of terlnination.
IN WITNESS WHEREOF the parties hereto have executed this Agreement the
day and year first written above.
BY: Q~~~
TITLE: Owner
~~~.:v J'''a JOHNN"V L. ;~.;';:. t ~ ~
~:I~ COMMISSION # CC 337<>1.;
~ ~ EXPIRES JUN 26,1998
~~ ~ 80NDEOTHRU
OF r~ ATLANTIC BOND1~JG CO. 'NC
(Seal) ",
Attest :, (/7 ~ /? ~,F/_'///;;; / A)
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FI~:American Underwater Contractors
BOARD OF COUNTY COMMISSIONERS OF
Vi""'''
~\
,~ n BY :
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( Seal )
(S!AI.J
ATTES"r. CANt ~y L f . ~ , ..; GL:;:U(
Attest :
FIt
Clerk
APPROVED AS TO FORM
: -EJf~Al _~~~~~~N~Y, .
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Exhibit A
SMATHERS BEACH REGULATORY AIDS RELOCATION
REG AID: LATITUDE NORTH LONGITUDE WEST
ID , DEGREES MINUTES SECONDS DEGREES MINUTES SECONDS
I I
--------'----------------------------,----------------------------
, I
lSBR I 24 32 54.723 N I 081 46 33.307 W
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2SBR f 24 32 55.416 N I 081 46 29.387 W
, I
3SBR I 24 32 56.109 N I 081 46 25.467 W
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4SBR I 24 32 56.802 N , 081 46 21.547 W
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5SBR I 24 32 57.495 N , 081 46 17.626 W
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6SBR , 24 32 58.188 N , 081 46 13.706 W
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7SBR , 24 32 58.882 N I 081 46 09.786 W
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8SBR f 24 32 59.575 N , 081 46 05.866 W
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9SBR I 24 33 00.268 N I 081 46 01.946 W
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lOSBR f 24 33 00.961 N I 081 45 58.026 W
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Exhibit B
SPECIFICATIONS FOR THE REPAIR! REPLACEMENT/
OR INST ALLA TIONS OF AIDS TO
NAVIGATION, REGULATORY SIGNS, MONROE COUNTY,
FLORIDA
Specifications for installation of treated wood piles complete with US Coast Guard
approved signs, in the locations indicated on the enclosed materials .
A. PILINGS:
1. Pilings shall be of timber treated with chromated copper arsenate
(C.C.A).
2. Pilings shall be of timber which will stand the driving for which they are
intended.
3. A straight line drawn from the center of the butt to the center of the tip shall
not at any point face further away from the center of the pile than a distance
equal to 1 % of the length of the pile .
4. Minimum butt diameter =12" measured 3' from end.
Minimum tip diameter = 8".
5. Piles to be sufficient length to provide a minimum of four feet penetration
into existing sea floor and the base of the dayboard must be eight feet
above mean high water.
6. Pile shall be driven or best installation practices used.
B. SIGNAGE :
Signage to be constructed of .125 gauge aluminum.
1. Signage must be USCG approved .
2. All attachment hardware must be high grade stainless steel.
GENERAL CONTRACT SPECIFICATIONS FOR INST ALLA TION OF AIDS TO
NAVIGATION REGULATORY BUOYS/SIGNS, AND OTHER MARINE
PROJECTS
1. SCOPE OF WORK: The Contractor shall be responsible for providing all
supervision, labor, equipment, tools, fees and taxes required to complete this project to
the satisfaction of the County.
The Contractor's procedure and work methods must satisfy the requirements of these
specifications and all necessary environmental permits.
2. MATERIALS AND WORKMANSHIP: The Contractor shall provide the necessary
materials and equipment to safely complete the job. The Contractor agrees that all
work shall be performed by competent employees who are experienced and qualified
to do the work specified, and that all work will be performed in accordance with the
best commercial practices.
Precaution shall be exercised at all times for the protection of persons and property.
The safety provisions of the Occupational Safety and Health Act of 1970 ( Public Law
91-596) and other applicable laws, including building and construction codes shall be
observed.
The Contractor shall store materials and shall be responsible for them during the
contract time frame and until final acceptance of the completed work. If any of the
materials become lost, damaged, or destroyed by any cause or means whatsoever, the
Contractor shall satisfactorily repair and replace or not receive payment for work
unsatisfactorily performed. Suitable and sufficient guards and barriers must be utilized
at night, and must be suitable protection for the prevention of accidents.
3. ASSIGNMENTS OF CONTRACTOR AND SUBCONTRACTORS: It is expressly
understood that the Contractor is in all respects an independent Contractor for this
work, not withstanding under certain conditions. He is bound to follow the directions
of the County, and is in no respect an agent, servant, or employee of the County.
Neither the Contract, nor any part thereof, nor any Moines due or to become due there
under, may be assigned by the Contractor without the prior written approval of the
County.
The Contractor is fully responsible to the County for the acts and omissions of his
subcontractors and of persons either directly or indirectly employed by said
subcontractor, as he is for the acts and omissions of the contract documents and shall
abide by the terms and the conditions. It is the responsibility of the Contractor to pay
all the obligations incurred with subcontractors in an expedient manner .
4. LICENSE, POLLUTION CONTROL ACT, AND TRAFFIC PROVISION:
The Contractor shall comply with all applicable local, State and Federal
requirements pertaining to the terms of the Contract. The Contractor will be
responsible for obtaining, at his own expense, any license that may be
required. The Contractor shall comply with all the requirements of the Federal
Pollution Control Act.
The Contractor shall conduct his operations so that he shall not close any
thoroughfare nor interface in any way with traffic on highways, or on water,
without the written consent of the proper authorities. Work shall be done at any
time that shall interrupt or disturb members of the public. Consideration should
be given all times to the welfare of the public.
5. INSURANCE: The Contractor must obtain all insurance required by the
County and submit proof of same to the County immediately after notification
of low bid or quote but no later than ten working days after. All insurance shall
be maintained until work has been completed and accepted by the County.
The Contractor shall furnish the following certificates of insurance for review
by the County's Risk Management Division.
Certificates of Insurance: provide proof that the Contractor has obtained the insurance
coverage required in paragraphs a,b,c,d,and e below.
a. Workers Compensation Insurance as required by Florida Statues.
b. General Liability Insurance in the amount of $300,000.
c. Water Craft Liability Insurance in the amount of $500,000.
d. Federal Jones Act Coverage.
All insurance policies required above shall be issued by companies authorized to do
business under the laws of the State of Florida. All policies must list Monroe County as
additional insured with the exception of the Workers Compensation Policy.
6. COMMENCEMENT, DELAYS AND COMPLETION OF WORK: After
receiving Board of County Commission approval of the Contract, and after
reconciliation of any details or conditions which may directly or indirectly
interfere with the Contract, the County will issue a "Notice to Proceed with
Contract Work" officially authorizing the Contractor to commence. The
Contractor shall commence work on said date or shortly ther~after.
If the Contractor should be delayed in the progress of the work included in the
Contract by unforeseeable cause beyond his control, the time for the
completion of the work may be extended upon agreement of the County's
representatives. Requests for the extension of time must be submitted in writing
to the County's representatives.
Extensions of time cannot legally be approved unless the written request is
submitted in time to permit it to be acted upon before the Contract expiration
date . To allow sufficient time for administrative procedures the written request
must be received by the County representative at least ten (10) calendar days
prior to the contract expiration date. Liquidated damages resulting from factors
beyond the control of the Contractor which occur too late to allow time for
action by the Board of County Commissioners approving a time extension may
be waived by the County Commission. Such wavier shall be granted only when
the county representatives determines that the delay is beyond the control of the
Contractor, and in this event the Contractor shall not be charged with
liquidated damages or any excess cost when the delay in the completion of the
work is due:
a. To any issue order by the County or the State Department of Environmental
Protection changing the Contractors approved work schedule.
b. To unforeseeable cause beyond the control and with out the fault or negligence
of the Contractor.
c. To any delays of subcontractors or suppliers occasioned by any of the cause
specified in the subparagraphs (a) and (b) above.
Provided further that the Contractor shall within ten (10) days from the
beginning of such delay notify the county, in writing, of the causes of the delay.
The County's representative will ascertain the facts and the extent of the delay
and notify the Contractor within a reasonable time of her decision in the matter.
If the Contractor fails to complete the work within the time limit, and if the
County should nevertheless permit the Contractor to continue and complete the
same without official extension of time in writing, such permission shall not
modify nor waive any liability of the Contractor for damages arising from non-
completion of work within the time limit.
7. CHANGES AND INSPECTION: The navigational and lor regulatory aids
herein considered are to be installed for the County by the Contractor in
accordance with the Specifications. The County may give instructions or
directions to supplement the Specifications and upon all of his subcontractors,
employees and agents of every kind .
All work and every process and operation shall be subject to inspections at all
times, by the County and their representatives and they shall have free access
to all access to all aspects of work. The Contractor shall remove, or make
good, as may be directed, without charge, any defective materials. The right is
reserved to change the Specifications consistent with regard to the general
intention of the Contract for any part of work or materials, either before or
after work has begun. Notice of such changes shall be given in writing to the
Contractor.
AUDIT RIGHTS: As a provision of the grant from the State of Florida to the
County, and if so requested by the State, the successful bidder agrees to
provide access to all records and allow the audit of any books, documents and
papers related to this project for up to one year during and after termination of
the Contract .
9. CONTRACT AWARD: The County reserves the right to evaluate the
submitted bids and to award a contract to bidder other than the bidder
submitting the lowest bid.
10. PREWORK CONFERENCE: A meeting will be necessary involving a
representative of the County, the Contractor and the other parties with direct
involvement, prior to the commencement of the work. The time and place of
this Conference will be set by the County representatives. At this time the
Contractor shall provide the County with a work schedule. The Contractor
must also provide transportation to the proposed project site for placement of
temporary markers if the project involves the installation of regulatory buoys or
aids to navigation.
11. EXECUTION OF CONTRACT DOCUMENTS: Due to the time frame
involved with this project, the Contractor upon notification that he is to be
awarded the Contract, shall return said documents properly executed along with
his insurance within ten working days. With the Contractor's cooperation,
if this period can be reduced, it will assist in excelleration of the execution of
the contract documents. The Contractor, by virtue of signing the Contract,
acknowledges that he and all his subcontractors have satisfied themselves as to
the nature and location of work, the general and local conditions, including,
but not restricted to, those bearing upon transportation, handling, and the
care of equipment and facilities needed to perform the work. Failure on the
part of the Contractor to completely or properly evaluate any factors of his
costs prior to bidding shall not form a basis for additional compensation if he is
awarded the Contract.
If for any reason, not acceptable to the County, the Contractor does not
perform, the County shall have the right to levy liquidation damages against the
Contractor. Liquidated damages shall be assessed against the Contractor for
any bid item awarded to him which is not completed and accepted in the
Contract. Liquidated damages are accumulative.
12. NOTICE TO PROCEED: The Contractor shall commence upon this project on
the effective date of the Notice to Proceed and perform in a continuous manner
until completion and acceptance by the County. For Contracts wherein a
specified number of days for completion is stated in the Contract the effective
date of the "Notice to Proceed with Contract Work" will establish the"
beginning date" of the project.
13 · TERMINATION OF CONTRACT: This Contract may be terminated by the
County, without cause, giving up to ten (10) days written notice to the
Contractor; said notice shall be sufficient if delivered to the party personally or
mailed by certified mail to his mailing address as specified on the acceptance
bid.
14. FINAL CLEAN UP: Upon completion of the work specified herein and before
acceptance and final payment shall be made, the Contractor shall remove from
the sites all machinery, equipment, surplus and discarded materials, rubbish
and debris shall be made at legal disposal site.
15. Certification: Bidder must also certify, upon completion of the project, all
installations where in accordance with these specifications, the Florida
Department of Environmental Protection permit requirements, the US Coast
Guard permit requirements, and the US Army Corp of Engineers permit
requirements and associated attachments.
16. PAYMENT: Payment shall be upon completion by the Contractor and review
and approval by the Marine Projects Coordinator. The Contractor must submit
complete documentation, including the required photographs for the work
for which payment is being requested. The contractor must provide
transportation, upon reyuest by the Marine Projects Coordinator, to the project
site for review of work either in progress or completed.
In addition, property public or private, if damaged during the work, shall be
repaired or replaced prior to final payment for contracted work.
17. NON-COLLUSION AFFIDAVIT: Acceptance of the bid is contingent upon
receipt or the signed and endorsed Non-Collusion Affidavit form (attached).
18. ETHICS CLAUSE: Acceptance of the Bid is contingent upon receipt of the
signed and endorsed Ethics Clause form ( attached).
19. DRUG FREE WORK PLACE FORM: Acceptance of the Bid is contingent
upon receipt of the signed Drug Free Work Place form (attached).
EXHIBIT C
1996 Edition
1\10NROE COUNTY, FLORIDA
INSURANCE ClIECKLIST
FQR
VENDORS SUBMItTING PROPOSALS
FOR \VORK
To assist in the development of your proposal, the insurance coverages marked with an "X" will
be required in" the event an award is made to your firm. Please review this form with your
insurance agent and have himlher sign it in the place provided. It is also required that the bidder
sign the form and submit it with each proposal.
\\'ORKERS' C01\1PENSA TION
AND
E1\1PLO'{ERS'LIABILITY
\\' C I
\\'C2
\\'C3
WCUSLH
X V/orkers' Compensation
X Employers Liability
En1ployers Liabilit),
Employers Liability
US Longshoremen &
Harbor Workers Act
X Federal Jones Act
Statuto!)' Limits
$ 100,000/$500,000/$100,000
$ 5 00,000/$ 500,000/$ 5 00,000
$1,000,000/$1,000,000/$1,000,000
Same as Employers'
Liability
Same as Employers'
Liability
V/CJA
INSCKLST 1
Adnlinistration Instruction
#4709.2
J 996 Edition
GENERAL LIABILITY
As a minimum, the required general liability coverages will include:
· Premises Operations
· Blanket C9ntractuaI
· Expanded Definition
of Property Damage
Required Limits:
GL1
x
GL2
GL3
GL4
Required Endorsement:
GLXCU
GLLIQ
GLS
Prqducts and Completed Operations
Personal Injury
.
.
$ 100,000 per Person; $300,000 per Occurrence
$50,000 Propert)' Dan1age
or
$300,000 Combined Single Limit
$250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage
or
$500,000 Combined Single Limit
$500,000 per Person; $ I ,000,000 per Occurrence
$100,000 Property Damage
or .
$1,000,000 Con1bined Single Limit
$5,000,000 Combined Single Limit
Underground, Explosion and Collapse (XCU)
Liquor Liability
Security Services
All endorsements are required to have the same limits as the basic policy.
Adrninistration 1 nstruction
#4709.2
INSCKLST 2
1996 Edition
As a minimum, coverage should extend to liability for:
VEHICLE LIABILITY
· Ovmed; Non-owned; and Hired VehjGles
Required Limits:
BRI
1\1V C
PROl
PR02
PR03
POLl
POL2
POL3
EDl
ED2
GKl
GK2
GK3
\.ILl x
VL1
VL2
\lL3
VL4
Ad en i n i strat ion I nslruction
#4709.2
$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Single Limit
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
$500,000 per Person; $ I ,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
$5,000,000 Combined Single Limit
1',,1ISCELLANEOUS COVERAGES
Builders'
Risk
Limits equal to the
completed project.
Motor Truck
Cargo
Limits equal to the maximum
value of anyone shipment.
Professional
Liabilit),
$ 250,000 per Occurrence/$ 500,000 Agg.
$ 500,000 per Occurrence/$] ,000,000 Agg.
$] ,000,000 per Occurrence/$2,000,000 Agg.
$ 500,000 per Occurrence/$] ,000,000 Agg.
$ I ,000,000 per Occurrence/$2,000,000 Agg.
$5,000,000 per Occurrence/$ 10,000,000 Agg.
$ 10,000
$ 100,000
Poll ution
Liability
Employee
Dishonesty
Garage
Keepers
$ 300,000 ($ 25,000 per Veh)
$ 500,000 ($100,000 per Veh)
$ 1,000,000 ($250,000 per Veh)
Watercraft Liability $5007000
INSCKLST 3
1996 Edition
mSURANCEAGENT'SSTATEMENT
I have reviewed the above requirements with the bidder named below. The following deductibles
apply to the corresponding policy.
POLICY
DEDUCTIBLES
Liability policies are _ Occurrence
Claims J\1ade
Insurance Agency
Signature
BIDDERS ST A TElvfENT
I understand the insurance that will be mandatory if awarded the contract and will comply in full
\vith all the requirements.
Bidder
Signature
INSCKLST 4
A drn i n istration I nstrUClion
#4709.2
1996 Edition
\VORKERS' COMPENSATION
INSURANCE REQUIRE1\1ENTS
FOR
CONTRACT
,
BET\VEEN
1\10NROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance "'lith limits sufficient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance v..ith limits of not less
than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self-
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
\\'CI
Adnl in i slralion I nstruct ion
#4709.2
1996 Edition
\\'ORKERS' C01\1PENSA TION
INSURANCE REQUIRE1\iENTS
FOR
CONTRACT
1 1
BET\VEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves Maritime Operations, the Contractor's
Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones
Act (46 U.S.c.A. subsection 688) with limits not less than those specified for Employer's Liability.
The Contractor shall be permitted to provide Jones Act Coverage through a separate Protection and
Indemnity Policy, in so far as the coverage provided is no less restrictive than would have been provided
by a Workers' Compensation policy.
\\' CJ A
Adrninistration Instruction
114709.2
1996 Edition
GENERAL LIABILIT\'
INSURANCE REQUIRE1\fENTS
FOR
CONTRACT
1
BET\\'EEN
1\10NROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract and
include, as a nlinimun1:
· Premises Operations
· Products and Completed Operations
· Blanket Contractual Liability
· Personal Injury Liability
· Expanded Definition of Property Damage
TIle minin1um limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfY the above requirements.
GLI
Adrninistration Instruction
#4709.2
1996 Edition
\V A TER CRAFT LIABILITY
INSURANCE REQUIRE1\fENTS
FOR
CONTRACT
1 I
BET\\'EEN
~10NROE COUNTY, FLORIDA
AND
Prior to the commencement of \"lork governed by this contract, the Contractor shall obtain
Water Craft Liability Insurance with terms no less restrictive than those found in the
standard "American Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be
maintained throughout the life of the contract and include, as a minimum:
· Injury (including death) to any Person
· Damage to Fixed or Movable Objects
· Costs Associated with the Removal of Wrecked Vessels
· Contractual Liability \vith Respect to this Contract
If the policy obtained states that coverage applies for the "Acts or Omissions of a Vessel",
it shall be endorsed to provide coverage for the legal liability of the shipO\\'ner.
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the
approval of the County.
The Monroe County Board of County Commissioners shall be named as Additional
Insured on all policies issued to satisfY the above requirements.
\ \' L I
Adlllinistration Instruction
#4709.2
02/27/1998 14:35
::,51-::175-4551
Af'.1ERICAt~ UC
PAGE 02
f, ~ffJC..JI..N. \')\.J~~ ~\)/~OH)~ftheClty
of .JUpt TEll FL accordIng to law on my o.th, and under
penalty of perjury, depo.. and .Iy thaI;
1 J f am ~(N,j U\.l0Bt..\.\. 'tKt1=rJ ~c/ I?;:'~ . the bIdder making the
Proposal for the project described a. follows:
2J The prices In this bid ha\'~ been ntlved It Independently without collusion,
eon.tlltatlon, communication or agreement for the purpose of restrlctfng cOmpetition, .s
to any matter relating to such prices with any other bldd~r Ot with .ny compelltor;
3J Unless otherwise tl"quir~d 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; ~nd
4J No attempt has been made or will be made by the bidder to Induce Iny other
person, partnershIp or corporation to subnut, or not to submit, I bid fot the purpose of
restricting COmpetition;
5J The statements contained In this affidn"lt i1re true and correct, and made with
full knOWledge that Monroe County refles upon the truth of the st~tem.nts contained In
this -ffldavft in awardIng contracts for sa project.
STA TE OF FI-
DATE
COUNTY OF ~'c\ e~~
PERSONAll Y APPEARED fJEFORE ME, the undersigned .uthorlty,
- ~"(O ID..~_~.________ who, after first beIng SWorn by me, (name of
Indivtdu~' slgnirlg ixed his/her signature In the Space provided above on this
\ ~\ da
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My comrnfsston eJtpfres;
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SWORN ST A TEMENI UNDeR OROI~ANCF. NQ. 10- J 9..20
MONROE CQUNTY. aORJDI\
ETHICS Cl.-AUSE
~ \)~\Q~l\TFf' q~~ warT'llncs that he/it has not employed. retained
or otherwise had acl on his/ils behalf any former County officer Or employee in Violation of
Settion 2 of Ordinance no. 10-1990 or any County officer or employee in violation of
Section J of Ordinance No. 10-1990. For breach Ot violation of this provision the County
may, in its discretion, Icrm;flIuc thi!; conlrlCf wifhoullilbilily and may allO. in ies dilcrelion,
deduct from the cOlllracl or purchase price. or otherwise recover, Ihe full anlOunl of any fee,
s'r^'rE OF
,
- -
(c;ignaturc)
Date<---11li/~1
COUN'fV OF
PE~SON^LL Y APPEARED BEFOR~ ME. the undersigned authority,
~1.O FD~~____ who, aRer 'first beiflg SWOrn by me, affixed hislher
iglJalure (name or individual ~;gl1illlt) ill Ihe space Ptovided above On this ._j_~ day of
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My cornn. iss;on eXpirc~:
Gl MPIN DURREN
~ MY COI..llOft , cc Imlll
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02/27/1998 14:36
551-57l.5-4E'~11
AMERICAN UC
PAGE 04
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 217.011 hereby certifies that
~Er2l~, ~~y-/~ COt4.~c:TT"9c;..
(Name of DU5iness)
I. Publish · sl~tement notifying employees Ihat the un IIlWfu I manuf~cturc:, distribution. dispensing,
possession_ Or use of a controlled substance is prohibited in the workplace and specifyil1g the actions thai
will be laken agftins1 employees ror violations or such prohibiliQn.
2. Inrorm emrloyccs aboutl"c dangers of drug abuse in the workplilce, the business's policy of mainllli;ling
a dfUg-f~c workplace. any available drug counseling. rehabilitation. and employtt assistance prOl;rams,
Ind the pettalties thai may be illlJlO!ed upon employees fot drug llhuse violalions.
J. Give each employee engaged in providing Ihe commodilies or conlractual services Ihat are IInder bid II
copy of the statcnlcnt specified in subsection (I).
4. In 1I1e stalcmenl ~pccificd in sultscclion (I). nUlify the employees Ihat. as a condilion of wClrkinl~ 011 the
Comlnodilie~ elf "conlractual s('lvice~ lhat lire under bid. the employee will abide by the ICflns of Ihe
statement and will notify the tlJlployer of any eonviclion of, or plu of guilty or nolo conlendere 10. any
violation of Chapter 89] (f1orida StllfutCS) or of any controlled substance law of Ihe United States or any
slate. for a violalion occurring in the workplace no later Ihan five (5) days aRer such conviction
S. Impose ill sanction on, or require the satisfaclory par1iciration in I drug abuse assistance Or rehabilitalion
program if stich is available in Ihe employee's community. or 311y employee who is so convicted
6. Make I good failh effort to conlinue 10 mainlain it drug-frce workplace Ihrough implementation of this
sect ion.
As Ihe person aulhori1.ed to sign the ~talf'menl, I certify thaI Ihis firm complies fully wilh the aoove
ftquirenlenls.
Bidder:s Sign;"';'] I ~ \ 9 1
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