Buoys/Signs in Adams Waterway
CONTRACT AGREEMENT
AGREEMENT, MADE THIS
/1 ti day of (\_f~'Lilt- { 1997 I 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 4 (four) buoys and 6 (six) signs in Adams
Waterway, Key Large.
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 5-31-97
3. The work to be performed under this Contract is contingent
upon approval of appropriate grant funding from the Florida
Department of Environmental Protection, Boating Improvement Fund.
The Contractor acknowledges the contingent nature of the State
funding and agrees that, if these grants are denied, the
Contractor may not make a claim for compensation under this
agreement or by way of estoppel, detrimental reliance or
otherwise.
Page 1 of 5
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The Contractor understands the rules of the Department of
Environmental Protection and shall comply with said rules,
along with the rules and procedures instituted by the
Board to ensure an orderly progress to the project.
Both the intent and the letter of the specifications are
understood by the Contractor.
4. The Board shall pay the Contractor the total sum of
$5,540.00 for the installation of 4 (four) buoys and 6
(six) signs to be installed in Adams Waterway, Key Largo. Payment
shall be upon completion by the Contractor and acceptance by the
Board, subject to the terms and conditions of the Specifications
attached as exhibit A and this contract.
5~ The attached Specifications together with this
Agreement form the Contract. They are fully a part of this
Contract as if repeated herein verbatim.
6.. 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 Subcontractor(s) in any tier, their employees, or agents.
The purchase of the insurance required in paragraph 11 does not
vitiate this indemnification provision.
Page 2 of 5
7. 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.
8. 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. The Contractor must inform the
appropriate permitting agencies prior to initiation of
work.
9. The parties agree that 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 5-31-97
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.
10. Due to the use of heavy equipment and, at times,
dangerous work environment, the Contractor understands and
agrees to maintain an alcohol and drug free work environment.
11. The CONTRACTOR will be responsible for all necessary
insurarlce coverage as indicated by an "X" on the attached forms
identified as General Insurance Requirements and INSCKLIST 1-4,
as further detailed on forms WC1, WCJA, GL1, & WL1, attached
as Exhibit B. All policies must list Monroe County as additional
insured with the exception of the Worker's Compensation policy.
Page 3 of 5
12. 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 for the construction or repair of a public
building or public work, may not submit bids on leases of real
property to 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 vendor list.
13. 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
contractor in a manner satisfactory to the Board up to the date
the contractor received notice of termination.
Page 4 of 5
IN WITNESS WHEREOF the parties hereto have executed this
Agreement the day and year first written above.
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BY:
TITLE: \~~~lX'~
FIRM:
~'\VIL \ If':J..'\ \ 0 ~)\tCl \Y..)I:~~_r \. ClJ~ ~
(Seal)
Attest:
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BOARD OF CO
OF MONROE C
BY:
(Seal)
~
ATTE~ DANNY L KOLHAGE Q.EIIC
Iff
Attest:
Clerk
Page 5 of 5
EXHIBIT A
SPECIFICATIONS FOR THE INSTALLATION OF BUOYS, AND SIGNAGE FOR
THE PROJECT KNOWN AS ADAMS WATERWAY, IDLE SPEED/NO WAKE ZONE
KEY LARGO, MONROE COUNTY, FLORIDA
This project will consist of the installation of the following:
-4 Buoys-"Idle Speed/No Wake"
-6 Signs:
All to read "Idle Speed/No Wake"
Buoys must United States Coast Guard approved as recognized
regulatory spar buoys. These buoys must have high visibility and
be a minimum of 38" above the mean high water mark. Exterior of
buoy must ABS exterior, internal ballast, and be completely
urethane filled. All buoys must have a galvanized swivel shackle
at the base of the buoy with a double pin, attached to a 5/16"
diameter galvanized steel chain (length of chain will be
determined by location of buoy). Chain must be attached to a
galvanized U-bolt or Eye Bolt with a galvanized locking shackle.
Also attached to tpe galvanized U-Bolt or Eye Bolt must be 2' of
1/2" nylon line with a 6" polyethylene float. Contractor may
also research the possibility of a manta anchoring system or
auger system instead of an U-Bolt or Eye Bolt. Please keep
anchoring system as uniform as possible. The anchoring system
must be of the embedment type. Concrete anchoring systems will
not be acceptable. Due to variation in bottom conditions please
research all options for a system that will produce the best
results.
It is the contractors responsibility to conduct a site inspection
of the are and if at all possible dive any or all sites that are
of concern to the contractor.
Sigange must be "48 x 36" and be constructed of .125 gauge
aluminum. Geometric Symbol and Border must be International
Orange. Characters must be black block at least 1" in height.
Buoys must possess the same color characteristics as the signage.
Examples of signage are attached as Exhibit A.
Workmanship must be guaranteed for one year.
Upon selection of a contractor and acceptance by the BOCC, the
contractor agrees to escort County Staff to the project area for
exact placement locations of the regulatory buoys and signs.
This will be done prior to issuance of the Notice to Proceed.
LIST OF FLORIDA UNIFORM
WATERWAY MARKER LIST, ADAMS WATERWAY, KEY LARGO, FLORIDA,
MONROE COUNTY
Lat/Long
250814/802349
250814/802349
250815/802347
250815/802347
To be Provided
To be Provided
To be Provided
To be Provided
To be Provided
To be Provided
250820/802417
250820/802417
250821/802416
250821/802416
Site Location
Canal/Cut Water
Canal/Cut Water
Canal/Cut Water
Canal/Cut Water
Canal/Cut Shore
Canal/Cut Shore
Canal/Cut Shore
Canal/Cut Shore
Canal/Cut Shore
Canal/Cut Shore
Canal/Cut Water
Canal/Cut Water
Canal/Cut Water
Canal/Cut Water
Mounting
Buoy
Buoy
Buoy
Buoy
Sign
Sign
Sign
Sign
Sign
Sign
Buoy
Buoy
Buoy
Buoy
Direction
East
West
S/East
N/West
North
South
North
South
North
South
N/West
S/East
N/West
S/East
Wordage
ISNW
RNSO
ISNW
RNSO
ISNW
ISNW
ISNW
ISNW
ISNW
ISNW
ISNW
RNSO
ISNW
RNSO
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IDLE SPEED
RESUME NORMAL
NO WAKE
.SAFE OPERATION
PERMIT NO. 96-106
CO. ORC. 029-1995
PERMIT NO. 96-106
CO. ORD. 029-1995
Geometric Symbol and Border must be
International Q'range
I
Characters must be black block at least
1" in height. Signs must be at least 31 X 31
Buoys must posses the same color characteristics
as signage and extend at least 36" above the
waterline
GENERAL CONTRACT SPECIFICATIONS
FOR INSTALLATION OF AIDS TO NAVIGATION
AND REGULATORY BUOYS/SIGNS
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 methods of installation
must satisfy the requirements of these Specifications and
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 becomes lost, damaged, or destroyed by any
cause or means whatsoever, the Contractor shall
satisfactorily repair and replace or not receive payment for
the unaccomplished work. The Contractor shall maintain
suitable and sufficient guards and barriers, and at night,
suitable and sufficient light or other appropriate security
or protection for the prevention of accidents.
3. ASSIGNMENT OF CONTRACTOR AND SUBCONTRACTS: 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 monies 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
persons directly employed by him. Nothing contained in
the Contract Documents shall create any contractual
relations between any subcontractor and the County. All
subcontractors shall abide by the terms and conditions,
and requirements of this Contract. It is the
responsibility of the Contractor to pay all debt
obligations incurred with subcontractors in an expedient
manner.
4. LICENSE, POLLUTION CONTROL ACT, AND TRAFFIC PROVISIONS:
The Contractor shall comply with all applicable local,
State and Federal requirements pertaining to the terms
of this Contract. The Contractor will be responsible for
obtaining, at his own expense, any licenses 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 interfere 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 not interrupt or disturb
members of the public. Consideration should be given at
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 prior to contract approval by Board of County
Commissioners but not later than ten working days after
notice of low bidder. 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. Worker's Compensation Insurance as required by
Florida Statutes.
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
Worker's 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
or conflict with work of 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
thereafter.
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 representative. Requests for extension of time
must be submitted in writing to the County representative.
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 required to
obtain action by the County Commission, a request for time
extension 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 waiver shall be
granted only when the County representative 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 duly issued order by the County or the
State Department of Environmental Protection
changing the Contractor's approved work schedule.
b. To unforeseeable cause beyond the control and
without the fault or negligence of the Contractor.
c. To any delays of subcontractors or suppliers
occasioned by any of the causes specified in
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 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, but all
such liabilities shall be subject to continuation of
full force against the Contractor.
7. CHANGES AND INSPECTION: The navigational and/or 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. These shall be binding upon the
Contractor 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 aspects of the 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 the work
or materials, either before or after work has begun. Notice
of such changes shall be given in writing to the Contractor;
such changes are not to be grounds for any claim by the
Contractor for damages, nor for the forfeiture of the
Contract.
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 a period of 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 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 representative. At
this time the Contractor shall provide the County with a
schedule as to the order in which he proposes to install
the listed aids to navigation and or regulatory aids. The
Contractor must also provide transportation to the proposed
project site for placement of temporary markers. The
location of these temporary markers will be provided by the
County representatives. Temporary markers can be
provided, as requested, by the County.
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 Workinq Davs. With the
Contractor's cooperation, if this period can be reduced, it
will assist in acceleration 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 character 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 liquidated 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 by the County within the number of calendar days
specified 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 numb~r 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 accepted Bid.
14. FINAL CLEAN-UP: Upon completion of the work specified
here in and before acceptance and final payment
shall be made, the Contractor shall remove from the
sites all machinery, equipment, surplus and discarded
materials and temporary structures. All disposal of
materials, rubbish and debris shall be made at a legal
disposal site.
15. Certification: Bidder must also certify, upon
completion of the project, all installations were 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 will be upon completion by the Contractor
and acceptance by the Board of County Commissioners.
Contractor must submit complete documentation,
including the required photographs for the work for
which payment is being requested. The Contractor must
provide transportation, upon request by the County
representative, to the installed site for review of
work either in progress or completed.
In addition, property, public or private, if damaged
during the work or removed for the convenience of the
work, shall be repaired or replaced at the expense of
the Contractor in a manner acceptable to the County
prior to final payment for contracted work.
17. NON-COLLUSION AFFIDAVIT: Acceptance of the Bid is
contingent upon receipt of 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 B
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1\10NROE COUNlY, FLORIDA
INSURANCE CIIECKLIST
FOR
\'ENDORS SUBl\1IlTING PROPOSALS
FOR'VORK
To assist in the development of your proposal, the insurance coverages marked with an IIXII will
be required in the event an sward is made to your firm. Please review this form with your
insurance sgent and have himlher sign it in the place provided. It is also required that the bidder
sign the fonn and submit it with each proposal.
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\\'()JtKERS' COMPENSAPrlON
AND
E~1J)IJOYERS' LIABILrry
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[~nlploycrs L,iabilit),
l:nlpJoyers (Jjar);)i!)'
f~nlplnyer s L,iahilit y
1 JS Jjongshnrcrncn &
J larbor \\'orkcrs Act
· 4j;c3cral Jones Act
Sfatutory Limits
$ I 00,000/$ 500,000/$ I 00,000
$ 500,000/$ SOD, 000/$ 5()O, 000
$1,000,000/$1,000,000/$1,000,000
Sarne as EnlpJoycrs'
Liabilir y
SaIne as Employers'
Liabilif y
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GENERAL LiABILITY
As a minimum, the required general liability coverages will include:
· Prenlises Operations
· Dlanket Contractual
, · Expanded Definition
of Property Damage
.
Products and Completed Operations
Personal Injury
.
Required Limits:
GLI
x
$100,000 per Pcrson~ $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Cornbincd Single Lilnit
$250,000 per Pcrson~ $500,000 per Occurrence
$50,000 Property Darnage
or
$500,000 Cornbined Single Linl;t
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GL2
GL.3
$500,000 per Pcrson~ $' ,000,000 per ()ccurrcnce
$100,000 l)ropcr1y Danlagc
or
.,$ J ,000,000 Cornbincd Single Lirnif
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Required Endorscnlcnt:
GLXCU
Underground, Explosion and Collapse (XCU)
Liquor Liability
GLLIQ
All endorsements are required to have the same limits as the basic policy.
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VEJ-lICLE L,JABLLIT~
As a minimum, coverage should extend (0 liability for:
· Owned; Nonowncd; and 11ired Vehicles
Required Limits:
VLI
VI-,2
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VLJ
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MVC
PROl
PR02
PRO)
POLl
POL2
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$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Single Limil
$100,000 per Person; $300,000 per Occurrence
$50,000 Propcny Oarnagc
or
$300,000 Conlbincd Single (.limit
$500,000 per Pcrson~ $1.000,000 per Occurrence
$100,000 Propcr1y Danl(1~e
or
$1,000,000 Cornbincd Single (,irll;t
.... MlSCELLANl:O!lS__(~Q_Y:J~~J~^GES
13uildcrs'
Risk
L.irnits equal to the
cornplc( cd project.
Motor Truck
Cargo
L,irnits equal to the maxirnum
value of anyone shipment.
II r 0 r C 55 ion a I
Liabiliry
$ 250,000 per Occurrence/$ 500,000 Agg.
$ 500,000 per Occurrence/$l,poO,OOO Agg.
· $1,000,000 per Occurrcnce/$2,Ooo,OOO Agg.
$ 500,000 per OccurrericW$J.OOO,OOO Agg.
$1,000,000 per Occurr.~C~$2,Ooo,OOO Agg.
$5,000,000 per Occurrence/$IO,OOO,OOO Agg.
$ , 0,000
$'00,000
Pollution
Liabilir y
l:rllpJoycc
[);shoncSf y
Gctragc
Keepers
$ 300,000 ($ 25,000 per Veh)
$ 500 I 000 ($ I 00,000 per V eh )
$1,000,000 ($250,000 per Veft)
$ 500,000/$ 1,000,000 Agg.
$1,000,000/$ 3,000,000 Agg.
$5,000,000/$10,000,000 Agg.
~1cdicaf
l>r()rossional
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IF
VLPl
VLP2
VLP3
BLL
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AEOl
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AE03
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Installation
Floater
Maxirnum value of Equiplnent
Installed
IJazardous
Cargo
Transporter
S 300,000 (Requires MCS-90) .
$ 500,000 (Requires MCS-90)
SI,OOO,OOO (Requires MCS-90)
Bailee Liab.
Maximum Value of Property
Hangark eepers
Liability
$ 300,000
$ 500,000
$ J ,000,000
$25,000,000
$ J ,000,000
$ J ,000,000
Aircraft
Liability
Architects Errors $ 250,000 per Occurrence/So 500,000 Agg.
& Omissions $ 500,000 per Occurrencel$J,OOO,OOO Agg.
$ 1,000,000 per Occurrencel$3,000,000 Agg.
Watercraft Liability $500,000
INSURANCE AGENT'S Sl'^~[Jif'0EN'r
/1
I have reviewCifThe above requircmcnts with thc biddcr named below The following dcductiblcs
apply to the corresponding pa~cy
POLICY
Dl:fJUCrrIBLES
Liability policies are ve;ccurrence
Claims Made
5~k 4/fjo~
Insurance Agency
-- ~~.~
Signature
l3IDDERS ST A TEMEJ~J~
I undcrstand the insurance that will be mandatory if arded I he contract and will comply in full
with all the requirements.
~lCf..N 1A\(fr2Wf5lH CO\m
Bidder
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INSCKLS"r
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GENERAL LIAnlLlll'
INSUltANCE REQUIREMENTS
FOR
CONTRAcr
IJ I~~I"\VEEN
1\10NROE COUNTY, FLOltll)A
AND
Prior to the commcnccment ofwC'rk governed by this conlrnct, the Contmctor shall ohtain
General Liability Insurance. Coverage !>hall be mainlaincd throughout the life of the contract and
include, as a minimum:
~~
· Premises Operations
· Products and Completed Operations
· Blanket Conlractual Liability
· Personal 1 njury Liability
· Expanded Definition of Property Damage
The minimum limils acceplable shall be:
/1
$JOO,OOOCombined Single Limit (CSt)
I f split limilS are providcd:th~ minimum limits acceptable shall be:
$JOO~OOO per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Fonn policy is preferred. I f coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or aller the effective date of this conlract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceplance of work by the CoulJty.
l
The Monroe County Board ofCounly Commissionersshal/ be named as Additional Insured on all
policies issued to satisfy the above requirements.
. r::...
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^rnif 22. 199.1
I ~t I'rin' i~
"
\"ORKERS' COl\1PENSA l'ION
INSURANCE REQUIREI\1EN.rs
FOR
CONTRACT
DET\VEEN
l\10NI~OE COUNTY, FLORIDA
AND
Prior to the commencement of work govemed by thi~ contract, the Contractor shall ohtain
Workers' Compensation Insurance with limits suflicient to respond to Florida Statute 440.
~ ,
In addition, the Contractor shall obtain Employers' Liability Inl'urance with limits of not less than:
$100,000 Bodily Injury by Accident
$500,000 Bodily I~;ury by Dil'ease, policy lil11ils
$100,000 Bodily Injury by Disease, each employee
Coverage shaU be maintained throughout the entire term of the contract.
/1
Coverage shaJroe provided by a company or companies authorized to transact business in the
state of f10rida and the comp2v)' or companies must maintain a minimum rating of A- VI, as
assigned by the A.M. Best Company.
Jfthe Contractor has been approved by the r1orida's DepaJ1ment 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 Im;urance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
". ...-:.....
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1/" 70" ,
\VORKERS' COl\1 PENSA TION
INSURANCE REQUIREJ\1ENPrS
FOR
CONTRACf
nETIVEEN
1\10NROE COUNTY, FLORIDA
AND
Ra!ognizing t.hat the work governed by this conlract involves Maritime Operntions, the
Contractor's Workers' Compen'ialion Insurance Policy shall incfude coverage for claims subjecl to
the Federal Jones Act (46 U.S.c.^- subseclion 688) with limilS nol less than those specified for
Employer's Liabilily.
:1
The Conlractor shall be penniUed to provide Jones Act Coverage lhrough a separale Proteclion
and Indemnity Policy, in so far as the coverage provided is no less reslriclive than would have
been provigf.d by a Workers' Compensation policy.
I\(lrn;ni~alj\,c In~tructinn
If,. 709 r
\\'C J ^
April 22. '99.1
I~ Printing
\"A'rElt CRAFT LIAOII.,ITY
INSURANCE I{EQUJRE"'IEN1~S
FOR
CONTRACT
11 EPr\"EEN
1\'10NROE COUNT\', FI~ORIDA
AND
Prior tl:1 the commenccmcnt of work governed hy this eontrac(, the Contractor shall obtain
Water Crafi Liability Insurance wil II tcnns no les~ restrictive tllUn t hose round in the
standard "American" Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be
maintained throughout the life of the contracl and include, as a minimum:
:;
· Injury (including death) to any ('en;on
· Damage to Fixed or Movable Objects
· Costs Associated with the Removal of Wrecked Vessels
· Co~tractual Liability with Respect to this Contract
I r the policy obtained states l.ha t coverage applies for the" Acts or Omissions of a V esse!",
il shall be endorsed to provide C0\'cragc for the legal liability of thc shipowner.
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSt)
Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the
approval of the County.
The Monroe Coun.y fioard or Count)' Commissioners shall be named as Additional
Insured on all policies issued to satisfy the above requirements.
'. . -:,....
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!:'1}(I') I
SWQRN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY. FLORIDA
ETHICS CLAUSE
htn~Cf.::r...\ U~\OCl2.141,;\~ COI\.~S' warrants that he/it has not employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance no. 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. term i nate th is con tract without I iab i I ity and may a Iso, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
y officer or ernployee.
. Date:
(signature)
\ ~I il
\
STATE OF C7\Q ~~
COUNTYOF ~ ~
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~lO E()S \ t:-? -
who, after first being sworn by me, affixed his/her
\l1
day of
ignature (name of individual signing) in the space provided above on this
, I ill
My comnlission expires:
\'';t.~'';'"'' KAREN CURREN
f!'\I!~f;~ MY COMMISSION II CC sn0i7
~~A.~j EXPIRES: October 24, 2000
"'1,~ ... fto~':- Bonded Thru Notary Public Underwriters
",lU:..",'
()MB - Mer FORM #4
I,
1::n\EQ.\~ \ )~CfQ\.~\5L ~T\./~If) 1i)~f the city
,
of ~UOl \E(L
FL
according to law on my oath, and under
penalty of perjury, depose and say that;
rJ- (b.'tI 0
1) I am ~SZlU::N UN.O€~'\EQ ct:Nt _ fO~1B2-, the bidder making the
Proposal for the project described as follows:
2) The prices in this bid have been arrived at independently 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 competitor;
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 submjt, or not to submit, a bid for the purpose of
restricting competition;
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 contained in
this affidavit in awarding contracts for sa- project.
STATE OF F~
COUNTY OF lli.\\i\. \3~4-
DATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~'\i\ D w~e who, after first being sworn by me, (name of
individual signing) ixed his/her signature in the space provided above on this
\ ~day f ,19ll.
~ n My commission expires:
~ - NOTARY PUBLIC
'. ....
,~\':A~:tt;;", KAREN CURREN
~~:&..t-~ MY COMM SS
i*: .:*~ I ION /I CC 577067
~ ~~oc..i EXPIRES: October 24, 2000
"'~p.~.n.~~..", Bonded Thru Notary Public Underwriters
OMS - MCP FORM #1
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
1~S2J~ \ 1~ fFP\( / 6~\L CDt{TQ.6. C,.~c;:,
(Name of Business)
I. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that
will be taken against employees for violations of such prohibition.
2. Infonn employees about the dangers of drug abuse in the workplace, the business's policy of maintaining
a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs,
and the penalties that nlay be impo~ed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a
copy of the statenlent specified in subsection (I ).
4. In the statement specified in subsection (I), notify the employees that, as a condition of working on the
commodities Of -contractual services that are under bid, the crnployee will abide by the temlS of the
statement and will notify the eQ1ployer of any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Florida Statutes) or of allY controlled substance law of the United States or any
state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation
program if such is available in the employee's comrnunity, or any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this
section.
As the person authorized to sign the statement, I certify that this finn complies fully with the above
requirements.
Bidder's Signatu\ll~ \ q 1
Date
OMB - Me'pus
. . . ........ . . ... ..... . . ...... . . 'it~MD~Tntt;\/l)il,y\,)
. A4~ .~'IUt.. ..0 E R tJ ~.I Q.A!~,;';Q f :l~ ~u ..~ ~~ d~\;\~~:i;\:\~\\\?:,(~\;\~~,':~;:.::.~;;;:~~\\~\\::\'~(~;{::;::. .: . . .' .... ....... . 08/15195
... 1HIS 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.
PRODUCER
SAFE HARBOR INSURANCE
735 COLORADO AVE
PO BOX 2210
STUART, FLORIDA 34995
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
BRITAMCO INSURANCE CO/UBE
COMPANY B
LETTER
INSURED
AM. UNDERWATER CONTRACTORS
& SCUBA SCRUBBERS INC
1605 US HWY 11 SOUTH 14-0
JUPITER FL 33477
COMPANY C
LETTER
COMPANY 0
LETTER
COMPANY E
LETTER
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 OHlER 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
...' ........... ......................... .... ................ . . .-'
CO
lTR
TYPE OF INSURANCE
POLICY NUMBER
~ POLICY EFFECTIVE POLICY EXPIRATION
: DATE (MMlDDNY) DATE (MMIODNY)
LIMITS
fiRE DAMAGE (Any one fire)
MED. EXPENSE (Any one person)
s
s
s
s
s
s
1,QOO,OOO
..~.,9.q9,Q9.q
1,909,Q90
.1,999.999
5q ,009.q
5,000
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X ~ OCCUR.
OWNER'S & CONTRACTOR'S PROTo
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGGR,
UBE5101C5950056
03/01/95
03/01/96
PERSONAL & ADV. INJURY
EACH OCCURRENCe
AUTOMOBilE LIABILITY
ANY AUTO
ALL OWNED AUlOS
SCHEDULED AUTOS
HIRED AUlOS
NON-OWNED AUlOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODilY INJURY
(Per Iccident)
PROPERTY DAMAGE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURENCE
AGGREGA TE
s
s
. ................. ..
S
WORKER'S COMPfW!:ATlON
AND
EMPLOYERS' LIABILITY
~ EACH ACel DENT
~ DISEASE-POLICY LIMIT
[ DISEf~SE-EACH.EMPlOYEE.......
OTHER
DESCRIPTION OF OPERA TIONS/lOCA TlONSIVEH1ClES/SPECIAL ITEMS
UNDERWATER DIVE CONTRACTOR STATE OF FLORIDA
CER JI~I.CAT:EH9lDER:.~~..:><
~ ::;:. .::;:.. tA N. ~ ~ ttA It O. N.: ~ ~;: ~::\.: j: ~ :~: ::~~::~ ~~~~.:~: ~:~:j:~~~ \j: ~\::::: :~:~:~~:: ~:: ~~::~:::~::::
.. .
. . ,. . ....,...... .....,... - . . .
::::: ~: ~ ~:: ~ ~ ~::: ~ ~ ~:: j ~:: ~ j ~ \:: ~ ~ ~ ~: ~: ~: ~ ~ j \ \ ~ \ ~: ~:~ m / \ ~ ~: ~ \ \: ~ ~ ~ ~ ~: ~ ~ ~: ~ ~:::~:: ~ ~~ ~ j \ m j:: \:::: ~: ~:::: :::::::.::::
~f:onn 25-S (1190)
ADDT'L INS AS CERT HOLDER
COUNTY OF MONROE
50100 COLLEGE ROAD
KEY WEST FL 33040
WOCKec's ~ompensation ~empt1on
STATE OF FLORIDA
DEPART~1ENT OF LABOR AND E~iPLOY~iENT SECURITY
BurcJu of \Vork~rs' Conlpcns:aion Compliance
2728 Center-vic\\' I)ri\'c
Suire 100, f'orrl"st Building
T3IbhJs~cc, Florid3 32399-0661.
TO WHOM IT MAY CONCERN:
THE ATTACHED COMPUTER PRINT-OUT CAN BE USED FOR EXCLUSION FOR ANY
AND ALL PURPOSES UNDER OUR DEPARTMENT SEAL.
( !
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Jewe. Willis'
I .
we Superv1sor
/
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, .
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06/06(95
~ w.e. OFFICER DISPLAY FOR:
F.ID= 650311994
12:00:0
M1ERICAN UNDERWATER CONTRACTORS INC
we NO.= 273541 001 CITY = JUPITER
PAGE 01
NO.
G 1 .
02.
NAME
FOSTER DAVID L
HILL WALT
OFFICE
PR
VP
R/W
REJECTION
REJECTIO~
EFFECTIVE
06/12/94
06/12/94
* A. U . C.
U 8 . U U A LVi
.t-' U j
Ul. Jl. ~ (
Otani. UltIa
112 Parker Drive
1.1..oracla FL 3303'
CHARTER lADS INSURANCE AGENCY
N7 Fon.l BIll S.I.
Grand Rapid.. Nt ~_
'1'-215-3320 PAX 61'-215-71%'
I..,u,._ee COtIl,.1I1I St. Paullnaurance Cotnpany - OuJde
Binder Number; 01179761
1.11"1: 01/17197
Ezplre.: 02117/97
Ve....! ... 1. Dl9tr.UIed I1ate Ioat KalIID: To rouOW'
CoMap- .
. ....~.,' ':...... ,'/. , .. - ...., ............ '.., "".,., . ..~
Deductible
'. . /. ". t , / ,. /'.. ,. I .1 ., '. I.. I" " '. I" .' .'
, . . . , . . ., , '\ .,,'
. :
Hull , Machinery-Avr..d Amount
~r~t.ct~on and Indemnity . .
pa..enger Medical Payments' .
Unin.ured Boaters ·
Hi8callaneouB rishin9 Equipmen~
Towin9 , .merqency A..iatance
Trailer
$ZIOO.OO .--.d
,
,
$
$
$
$
$
.~o~ De4uc~lbl. Appli..
1,000.00
.500,000.00
5,000.00
5,000.00
1,000.00
500.00
600.00
$
$
$
$
$
$
$
500.00
0.00
0.00
0.00
250.00
0.00
100.00
NaYlptloa:
Limited Coastwise &. Iftlaod Tributazy Waters of the State of FL
La)' Up:
Sped81 Conditions: Add'lln.urtdss MOtlfOf Counl1 FL. aDd Coconut Cove ReIOl1, Wlndl)' Key , It..
LoI. Payee:
COlldldoll.:
This company bind. the Icind(s) of insurance stipulated above. This insura!1ce contract is subject to the terms,oonditioPs
1t I and hmitations of the poliq-(ies) In current use by the ~mpan)'. Thi$ binder has been illued, for the period of time .
" 'tated above. pending receipt of the requested underwriting information and premium payment from you, and iuuance q
.. of a policy by de. Thit binder may k cancelled by you, by lIUJ1'tnder of this binder, or by WrittcQ notic:e to the company, ~
~ lUting When cancell;\tion will be cffeetive. This biDder may be cancelled by the company by notic. to you In accordam.-e f
It" with Q)mpany conditions, .tipulated in their policy(icl). If this binder is canccned befOre a policy is ilsucd. tbe colUpan}' .
· I i& cntilJed to ch.ra~ - premtumfor the binder period, accotdinj t\) their r~lc. .n~ rclte~ iu U~.
~
"
na.:
~un rem 8~ .
Authorized Alent
01/17/97
,
~l
~ I
1996 Edition
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be
waived or modified on the following contract.
Contractor:
Adam' s Waterway Bo Wake Zone
Contract for:
American Underwater Contractors
Address of Contractor:
1605 s. US Hi~hwav One
Jupiter, FL 33477
Phone:
(407) 575-0050
Scope of Work:
Buoy Installation and Signage Installation
Reason for Waiver:
WC-American Underwater Contractors has less employees
Signature of Contractor:
Florida Statutes.
Policies Waiver
will app ly to:
-?;-~
Date
Approved ~ Not Approved
~~ffi~~~
l?l:;l-//q7 L
Risk Management
County Administrator appeal:
Approved:
Not Approved:
Date:
Board of County Commissioners appeal:
Approved:
Not Approved:
Meeting Date:
Administration Instruction
#4709.2
103
AMERICAN UNDERWATER CONTRACTORS
TECHNICAL MOORING SYSTEMS
TO: MRS. KIM McGEE
MARINE PROJECTS COORDINATOR
COMMUNITY SERVICES DIVISION
COUNTY OF MONROE
5100 COLLEGE ROAD
KEY WEST, FLORIDA 33040
FROM: DAVID FOSTER
MARCH 21, 1997
RE: PER YOUR REQUEST
DEAR KIM:
PLEASE BE ADVISED THAT AMERICAN UNDERWATER CONTRACTORS WILL
BE UTILIZING THE CHARTER BOAT DIVERSIFIED (HULL NUMBER
PLI18129M84G) FOR USE ON THE ADAMS WATERWAY PROJECT.
THE INSURANCE INFORMATION IS ON FILE WITH MONROE COUNTY AND
MEETS THE CONTRACT REQUIREMENTS.
DAVID FOSTER
AMERICAN UNDERWATER CONTRACTORS
PH: 1-561-575-0050 FAX: 1-561-575-4651
1605 S. U.S HWY ONE, SUITE 4-D, JUPITER, FLORIDA 33477
0LZY "-vn
(J( " '^~..J~
H ". - \. A/" / JA ~ ~
CERTIFICATE OF INSURANCE nAT~ .~.;~\ -Cf )
THIS CERTIFICATE IS ISSUED A~A~'MA~~~---~-
INFORMATION ONLY AND CONFERS NO RIGHT
UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
~.
PRODUCER:
Charter Lakes Insurance Agency
P.O. Box 8797
Kentwood, MI 4518-8797
INSURED:
Dennis Leith
112 Parker Drive
Islamorada, FL 33036
Sv be {)()-\-('uctDf t ()
I\m u(\dew)(ter (Dr\1fac+D("s...... _
. S(~u bel ~<:;c rLJ h h~r c::.. ( h r
-
COVERAGES:
A~D ~fS~MJrAGEMENT
COMPANIES AFFORDING COVERAGE
Company
Letter A - St. Paul Insurance Company - Guide
Company
Letter B
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 policies.
Type of Insurance
Policy Number Policy Effective
Policy Expiration
Limits
GENERAL LIABILITY
AUTOMOBILE LIABILITY
EXCESS LIABILITY
WORKER'S
COMPENSATION AND
EMPLOYERS' LIABILITY
PROTECfION AND
INDEMNITY LIABILITY
99567051FL
DESCRIPTION:
Marine Contracting
CERTIFICATE HOLDER:
Monroe County Board of
County Commisioners
Attn: Kim McGee
5100 College Road
Key West FL 33040,
01/17/97
01/17/98
500000
CANCELLA TIO N:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10
DAYS WRITfEN 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 REPRESENTATIVE: Erin Van Epps
DATE: 03/17/97
:.:.:-:.:::-:.:-:.:.:.:-:::::::::::::::::::::::::-:.:::::.;.:-:::.:
- "'<:~<<>> iSSLJEDAiE (MMiD6ivY) , " ,.
SAFE HARBOR INSURANCE
735 COLORADO AVE
PO BOX 2210
STUART, FLORIDA 34995
o 1 /31 /97
. " . ...
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
PR~DUCER
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
COMPANY B
INSURED LETTER
COMPANY C
AM. UNDERWATER CONTRACTORS LETT E R
& SCUBA SCRUBBERS INC COMPANY
1605 US HWY #1 SOUTH #4-0 LETTER 0
JUPITER FL 33477 COMPANY
LETTER E
CLASSIC SYNDICATE/USE
B/P~~\~(1QU~MfNT
;-1"a\9l....
--, \'1AIVER: N lA' .. - V... .vrS....... .
"-'D/Lf:':~1'"
p~'.~p .
DATE
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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
lTR DATE (MMIODIYY) DATE (MM/DDIYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X ~ OCCUR.
A OWNER'S & CONTRACTOR'S PROTo 9SHV0047F 08/30/96 08/30/97
LIMITS
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED. EXPENSE (Anyone person)
$ 2,009".o.QO,
$ .......~.,.9q.9!Q9.q...
$ ,.1".9q.o.~qQ.9,
$ ~. ~Q.9Q,.9qQ.." .
$ ,5.0,,9.99, '
$ 5,000
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGGR.
AUTOMOBilE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
WORKER'S COMPENSATION
ArlO
EMPLOYERS' LIABILITY
EXCESS LIABilITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATlONS/lOCATlONSNEHIClES/SPECIAlITEMS
UNDERWATER DIVE CONTRACTOR ADD'L INS: COUNTY OF MONROE
* *STATE OF FLORIDA * *
:::e~~t~t~9AtE.)l():tQ~ij::::::y/\)/tT\HW}:~/::~:~U::(H:mn}}r}n/:fH?\fn<t\\H?\U/\<<:\[T/>UrtAij:~~ttAt:iQ:ij??~j\\tU{j~}f[j:mmft\\H{~<<:> ..
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COUNTY OF MONROE
K MCGEE/COMM SERVICE DIV
5100 COLLEGE RD
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 ~ DAYS WRITTEN NOTICE T E CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL sue NOTICE HALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UP01HE COM~ NY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE I
@'AchaoJ;tJRPORAT10N1990
'ACO Rtr25~S (7/90)