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10/14/1994 DV091626 Jaann!, 'I.. liolbagt BRANCH OFFICE 3117 OVERSEAS HIGH'NAY MARATHON, FLORIDA. 33050 TEL. (305) 289-6027 CLERK OF TI.IE CIRCUIT COURT MONROE COUNTY 500 \VHITEHEAD STREET KEY WEST, FLORIDA 33040 TEL. (305) 292-3550 BRANCH OFFICE 88820 OVERSEAS HIGHWAY PLANT A TION KEY, FLORIDA 33070 TEL. (305) 852-7145 MEMORANDUM TO: Peter Horton, Director Division of Community Services Ruth Ann Jantzen, Deputy Clerk ff~). FROM: DATE: January 6, 1995 ------------------------------------------------------------------------------------------------------------------------ On {ktober ~O. 1994, the Board of County Commissioners granted approval and authorized execution of the following documents: Contract Agreement between Monroe County and Arnold's Towing for the emergency removal of Derelict Vessel DV091626, located in Stock Island, in the amount of $1,260.00. Contract Agreement between Monroe County and Arnold's Towing for the emergency removal of Derelict Vessel DV09171S, located in Boca Chica Bay, in the amount of ~~1 ,512.00. Renewal Agreement between Monroe County and Frigola, DeVane, Wright and Dorl, P.A.,for a period of six months. On November 23, 1994, the Board of County Commissioners granted approval and authorized execution of the following documents: Contract Agreement between Monroe County and Frank Keev8n & Son, Inc., for the emergency removal of DV091420, DV091422, DV091423, DV091425 and DV091661. located in Boca Chica Bay, in the amount of $6,960.00. Contract Agreement between Monroe County and Arnold's Towing for the emergency removal or Derelict Vessel DV091779, in the amount of $1,680.00. CONTRACT AGREEMENT AGREEMENT, MADE THI S ) 0 -1-J- day of cOct~tu2j 1994, by and betwE~en, Arnold's Towing ("Contractor"), and the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the Count:y 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 emergenc~{ removal of DV091626 for which a derelict vessel report is attached as exhibit A. -,., :; ~ 2. The work to be performed under this contra~~_~hall -:\ -' c- --'';;' . :z=- commence immediately from the date the Liaison provid~s th~ . - I -- 0\ Notice to Proceed and shall be completed by NO"llember jJ)~ 1994.-0 ~ f"": 3. If the Notice to Proceed has not been giveQ~~on or before w fT1 r---" the 21st Day of October, 1994 then this agreement shall be null and void. 4. The work to be performed under the contract is contingen.t upon approval of appropriate grant monies from the State Department of Environmental Protection, Boating Improvement Fund. If this grant is denied, this Agreement shall be riull and void. 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. 5. The Board shall pay the Contractor the total sum of $ 1,260.00 for the emergency removal and legal disposal of DV091626 Payment for the work shall be upon comp~etion by the contractor and acceptance by the Board, subject to the terms and conditions of the Specifications (attached as Exhibit B) and this contractu 6. The attached Derelict Vessel Report and Specifications together with this Agreement, form the the contract. They are fully a part of this contract as if repeated herein verbatim. 7. The contractor shall indemnify the Board from and against Clny and all claims, demands, actions, proceedings, damages, liabilities, costs and expenses, including attorney fees, ari.sing out of, connected with, or resulting from the Agreement. 8. The contractor acknowledges his/her intention to comply with the need to coordinate all work with the appropriate environmental agencies, the Florida Marine Patrol, and the County. 9. The contractor agrees to supply the County with a set of photographs of the vessel in all phases of the removal and disposal process. The contractor will be responsible for the camera, film, and development costs. 10. The contractor understands and agrees that the receipt of the Notice to Proceed from the County does not relieve his responsibility to obtain any appropriate permits. The contractor must inform the appropriate permitting authorities prior to initiation of work. 11. The parties agree that timely performance of this agreemen1: is essential due to possible damage to the natural resources, hazard to navigation, or threat to human health and welfare. Therefore, the parties agree that the contractor shall be liable to the Board for $100 per day of liquidatE~d damages for each day after November 30, 1994 that any of the contractor's obligations under this agreement remain unperfor~~ed. The parties agree that such amount is by the way of compensa1:ory damages and does not constitute a penalty. 12. Due to the use of heavy equipment and, at times, dangerou~; work environment, the contractor understands and agrees te) maintain an alcohol and drug free work environment. 13. The contractor will provide General Liability insurance the amount of $300,000, Workers Compensations the amount of $500,000, Federal Jones Act (46 U.S.C.A. subsection 688) with limits not less than those specified for Employer's liabilit)r, Vehicle Insurance in the amount of $100,000, Watercraj:t Liability on the amount of $300,000, and Pollution insurancE~ in the amount of $500,000. 14. The Board may terminate this agreement with or without cause at anytime upon giving the contractor a minimum of ten days in ~Iriting. The contractor, upon receipt of the notice, shall ilMlediately cease work. The Board shall pay the contractc)r the percentage of the contract sum which is proportic)nal to the amount of work performed by the contractor in a mannersatisfactory to the Board up to the date the contractor received the Notice to Proceed. IN vvITNESS WHEREOF the parties hereto have executed this Agreement to day and year first written above. BY:~ fY ct-P Owner Title Arnold's Towin~ Firm (Seal) Attest: --;;? / ---7 _.~ <... ~'" 0;/' ~ ---:7. ~./" / /'~;?; / . 1 . /';/ /: '.. A A!y / /I7~ "I -::7 / , j!"p~ ~,~ ,;;/" ~,t'''' , - ,../'/ Wi tness ' BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA BY: ~. ~a.) Mayor/rh~irmaR frc) T€/,,-Y\. ( Seal) AtteR~ L. KotHAGE, CJezt ~!97~) Clerk ttlL/ / ~//---/" . /// l' / ->' /'. / .. ~.:~~)/t 1 Ltf>' ./t~. ..... :- (/ /.j . ir /;,'; %>;/ .. ~~"j . ..... .:.;--/ ..-;-;~.., OFFENSE IN'CIDENT REPORT NARRATIVE CONTINUA liON ZONE 3 .P~R~;t.~G~, y~~.~~.~. # ()~.~ 1& 2<0 A~ 17/-6/1- /1 . . . . . . . . , . . . . - . . - . . . . . . .. ../.. . . . .. . . ... . .. . . ... . . .. . . 1 . ....... ~.~~..~.... !.~..~?. u t--1 ~ . . . . .,;......~~.~.~~~.....~~.....~~..~r....~~~..~.........~~~.~~... .~.~~.~... ~~~~.~.~~~..;.._..~q.q_P~. ,...~/.~~....~~.~~~~....C?~.~.~~...................... ..~.?~?~.....~!:.!:.~~~~...~.~.~.~......... ~l'\.~E. . ON .. YE. ~ ~E.~......'? ~l~..................................1... <:>'I'~.~.~ J[)~l'l'I'~.F I ER S '> :.~~:.:'...:" .....~.:.... ............................... t----J L). fo--'\ e- ~\ ~ ~ LA '"-< ~ "P 2 . VESSEL ()WNER: .......... UN. ~ .~tt:::;'.M-J bJ....... ........................................... . b.J..~~.:T.... .'1.(::1.... .L-~ \.'":). ~.l1....'-.... o..~ .... ~J2.. ..... CD. ",,"LE. G. E.... .~.b... \....:s .T0C.~......\.S. \..-A .N..D.... ...... ................................... 4. CONDITION: WRECKED ~iJUNKED~;DISMANTLED ____iABANDONED ~~ w . . . .. . .. .. . .. . .. . . . . . .. . .. .. . .. . .. .. .. .. ... .. . ... .. . .. ... .. . .. .., .. . .. .. .. .. ... . . .. .. .. .. . . .. .. .. . . . . . . .. .. . . .. . . . .. . . . .. ... . . . .. . .. .. . .. . . .. .. . .. .. . .. .. . . .. . . . . .. . .. . .. . . . .. . .. . .. .. . . . . .. .. . . .. . . . .. . .. . . . . .. . . . . . . .. . . .. .. .. .. . . .. ... . . ... .... .. ...... ..... . ... .. '" . .. .... ...... .... .. .... ~ 5. ~ a: c:( z SUBMERGED ~% CAPSIZED___iLISTING~;IN (0 FT. OF WATER AFLOAT \-40 OR ON SHORE, TOUCHING MEAN HIGII WATER LINE t--t c ....................... ............................... ......................... ............... -.............. ........... ..... .................. '~'t 'e'{~';:""'" .,0...... "60'L~"""""'"'''''' ....................... .............. 6. PROPERTY OWNER: STATE OF FLORIDA YES NO .~ OR ............. ..................... .s. t.-) .w.~~~. .... ^-^.AV2.....' N A....................................... ................................................................. 9. NAVIGATION THREATENED? YES ~ NO 10. ENVIRONMENT END~GERED? YES ~ NO 11. TOWED WITHOUT RE~AIR? YES NO v-- UNKNOWN 12. RECOMMENDED DISPOSITION: LANDFILL ~;ARTIFICIAL REEF___;OTHER ____ Number Arrestod DATE 7 8 <1d- DATE Original 0 Supplement 0 \ Officor(s) Repor ting (pi 8088 print) -=4.\: "I, _ I ~ _ 3L ~ 'V '-.1 ~~7 ~..;.~d By: Date DNR 20045^ fMP '8/91) Pftgo of 3 o f~F ENS E I N C: I I ) F r'J I I ~ F r ) t) 11 1 r\J I \ I \ f ~ 1\ I 1 \J 1- (: ( ) r\J I' N \ J 1\'1 It) f\J w > ~ ~ ex: a: ~ z ZONE _ ~ ~.l \ 0 2~, T ..~.?~.~.~.!.ON: ,DL.D fV\u.Qr:2.AYS ^^Ar2.INE: - ~YSlDE Or s-rOGk:. l.S.L-AN.O. .... r--- w Officer(o) noportlflO (plonnn print) ~ ct ------ Reviewed By: Oll.kr". Sl~)~;:t":,, I _ ~ __ _~,...__ ~~~~~~-~-'Z---_. - -~~~~_.._-- flnviow"r'A Slo"oturn Date __ _ _ ____I ~ ~\:,i)o~:" nq I fl' I .. _-----1 ~::J~;,';::"O~,~- ~- on 1 S , Jllrnhor DtJn 20 045^ rt.~l' Hi/(Ill 1'/'\\1'" ) 1/ f J 41 . 'l'"?'.'I tJJlfn....~~ , . .,.....,__'L.",..,,~'W"I ......1'1_..~'t~-:.JI7. .....'T-~......-.-..-...,~ --r""!T:~~.tS. . n-...:....,.,.... 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'-{~ S-L.f~ OSTS Number . o DNR 2()...()4.6A FMP (8181;l P~._Of_ TOTAL P.02 (y.. h, bi+ B DERELICT VESSEL REMOVAL CONTRACT SPECIFICATIONS FOR MONROE COUNTY, FLORIDA 1. INT1~NT: It is intended that these specifications shall cover all aspects of the work explicit provisions. The purpose of this section is to provide specific coverage for conditions applicable to this contract, where such coverage is not provided for in other portions of the contract dOCllInen ts . 2 · BID FORMAT: THE BID MUST BE SUBMITTED ON THE BID RESl?ONSE FORM ENCLOSED IN THIS PACKAGE. A dollar amount per foot must be submitted for the removal of all derelict vessels on the primary list for which a Florida Marine Patrol Derelict Vessel Report is provided. Any deviation from this format will result in an unaccepted bid. A contract will not be granted on the basis of com1)ined~ related, linked, or discounted bids. Not applicable due to emergency contract for removal of one vessel for less than $25,000. 3 . PLM'rS: There are no plans for this proj ect, but copi.es of the Florida Marine Patrol Derelict Vessel Repc)rt with location Sketches have been bound into these documents for the Contractor's use. The Specifications include section on instructions to bidders, both gene~ral and specific, and a copy of each Derelict Vess:el Report from the Florida Marine Patrol. Only those derelict vessels for which a report is included and listed on the Bid Response Form are to be bid uponl and subsequently removed. The County reserves the right to remove any or all vessels frorrl this contract at any time prior to actual removal from the water and disposition by the Contractor. The County has a limited amount of money to effect the remo,val of these abandoned vessels. We have established prio,ri ties based on public safety, navigation and traffic hazard, and environmental considerations. If bids exceed the Coun.ty' s resources for removal based on these considerations, we shall limit vessel removal based on the these considerations and cost effectiveness. 4. VESSEL IDENTIFICATION AND LOCATION: Each of the vessels have been given a derelict vessel identification number, which is shown with the location in the Florida Marine Patrol Derelict Vessel Report, included herewith. Each bidder is responsible for his own identification of each derelict vessel as to location, description and condition. If a Derelict Vessel cannot be (1) located, (2) removed, (3) verified and (4) disposed of, as specified in these procedures, then no payment will be made forthcoming to the Contractor for that vessel. Those four conditions mus1: be met on each derelict vessel along wi th compliance wi tll all laws and permi ts for payment to be made. It is understood that the Contractor has, by personal ex~~ination and inquiry, if necessary, satisfied himself as to the local conditions of each derelict vessel and as to the meaning, requirements and reservations of the specifications; for after contract letting, no deviation will be allowed. In case errors are discovered, they are to l)e reported by the Contractor to the County. The Courlty assumes no responsibility should there be any discrepancies in what is stated in these documents and what the bidder evaluates. A contractor should take special care to remove only those derelict vessel's on his contract and for which he possessed a Florida Marine Patrol Derelict Vessel Report. Other derelict vessel's in the area but not under contract, cannot be Illolested. It ItLay be possible to replace a derelict vessel of like kind, for the same or less money, when mutual agreement can be r'eached by the Florida Department of Environmental Prot.ection, Monroe County Administrator of the Derelict Vessel Program, and the Contractor. This will be applicable when a contracted derelict vessel can not be located. No dere:lict vessel may be replaced and removed without the tri party consent noted in thisparagraph. A contractor may suggest a possible replacement vessel but he may not remo1ve it without the appropriate consent above. 5. SCOPE OF WORK: The Contractor shall be responsible for providing all permits, 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 removal may be of his own selection provided they secure results which satisfy the requirements of the Specifications and any necessary environmental permits. Any vessel which is removed and disposed of shall be rerno'ved from its present site in such a manner as to do the least possible damage to the natural environment surrtDunding the vessel. All debris from the vessel shall be remo.ved and the site left in a reasonably clean condition. No oil or fuel shall be permitted to be dumped or spilled into or unto the water or land. All pollutants shall be remo~ved from the derelict vessel prior to removal from the wa te:r . DV Specs--Page 2 The Contractor shall be responsible for making any and all arrangements for access to the vessel to be removed. If private property has to be traversed, then written permission of the owner is necessary. In removing a derelict vessel that may lie on or near grass or sponge flats extreme cau.tion must be used to do the least possible. damage. Prior to delivery of derelict vessels to the disposal site, the Contractor must remove all oil, gas and metal (including engines). He must dispose of them in any legal manner. Pure used oil will be taken by Monroe County for disposal. Mix1:ure of oil, gas, seawater or any combination of the thrE~e must be transported from the County by an approved haza.rdous waste handler. The names of those firms will be supplied by the Monroe County Environmental Management Department. Metal becomes the property of the Contractor. In 1:hose cases where a derelict vessel number can not be found, i.e. derelict vessel is underwater, the contractor shall provide marine transportation to the site for the COUIlty representative to verify the vessel and location using the original Derelict Vessel Report from the Florida Marine Patrol. 6 · MATE~RIALS AND WORKMANSHIP: The Contractor shall provide the necessary materials and equipment to safely complete the job. The Contractor agrees that all work shall be perf:orrned by competent employees who are experienced and qualified to do the work specified, and that all work will be {:)erformed in accordance with the best commercial prac~tices. A list of equipment to be used and a description of the removal and transporting procedures to be foll.owed must be provided to the County at the Prework Conf:erence described below. Precaution shall be exercised at all times for the prot.ection 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. Machinery, equipment and other hazards shall be guarded in accordance with safety provisions of the "Manual of Accident Prevention in Construction", published by the Associated General Contractors of America, to the extent that such provisions are not in contradiction of applicable law. The Contractor shall store materials and shall maintain partly or wholly finished work during the continuance of the Contract and until the final acceptance. If any materials or part of the work become lost, damaged, or destroyed by any cause or means whatsoever, the Contractor shall satisfactorily repair and replace or not receive paym1ent for the unaccornplished work. The Contractor shall DV Specs--Page 3 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. Use of explosives is discouraged in carrying out the project. No blasting with explosives shall be done except under prior approval by the County and as permitted by all relevant government agencies such as the Department of Natllral Resources, Department of Environmental Regulation, U.S.Army Corps of Engineers, u.s. Fish and Wildlife Service and the u.s. Coast Guard. When the use of explosives is approved the Contractor shall use the utmost carE~ so as not to endanger life or property and whenever dirE~cted the number and sizes of the charges shall be redllced. All explosives shall be marked clearly "DANGER EXPI..OSIVES", and shall be in the complete care of compete.nt watchmen. The Contractor shall secure the proper competent watchmen. The Contractor shall assume all responsibility for damclges caused by explosives. 7 . ASSIGNMENT OF CONTRACT AND SUBCONTRACTS: It is expressly understood that the Contractor is in all respects an indE~pendent 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 empJ.oyee of the County. Nei ther the Contract, nor any part ther-eof, nor any monies due or to become due thereunder, 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 ei tIler directly or indirectly employed by said subc~ontractor, as he is for the acts and omissions of pers:ons directly employed by him. Nothing contained in the Cont~ract Documents shall create an contractual rela.tion between any subcontractor and the County. All subcontractors shall abide by the terms, cond.i tions, and requirements of this Contract. It is the responsibility of the Contractor to pay all debt obli,gations incurred with subcontractors in an expedient manner. 8 · LEGA.L RESTRICTIONS, PERMITS 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 or permits that may be required and should inquire about permit requirements with the appropriate agencies. The Contractor shall comply with all the requirements of the Federal Pollution Control Act. The Contractor shall conduct his operations so that he shall DV Specs--Page 4 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. Off--loading sites (water to land for transport to the landfill or other disposal site by vehicle) must have written approval of the land owner. The Florida Marine Patrol should be contacted to initiate eviction proceedings for contracted dere~lict vessels which are inhabited at the time of removal and when another vessel is too close to the cont:racted derelict vessel to allow safe operations. Direct confrontations with other boaters should be avoided and the Florida Marine Patrol should be contacted irrunE~diately if such confrontations may result from removal of any contracted derelict vessels. 9 · INSlJRANCE: The Contractor must obtain all insurance requlired by the County and subrni t proof of same to the COUI1ty prior to acceptance of bid and contract approval by Boar'd of County Connnissioners but no later than five wor~:ing days after notice of low bidder. All insurance shal.l 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: Certificate(s) of Insurance which clearly indicates that he has obtained the insurance coverage required in paragraphs a,b,c and d below. The Contractor hereby certifies that no modification or chan,ge in insurance shall be made without (3) days written advance notice to Monroe County, c/o the director of the Risk Management Division. a. ~?rk~~ '~ C,OInp'e_nsation Insurance as in the amount of . -51A +e... S ~tl ~tl,iC_~ b. General Liability Insurance on a comprehensive basis, in an amount not less than $300,00.00 per occurrence for Bodily Injury and Property Damage combined, to include contractual liability. c. Pollution Liability Insurance in the Amount of C' -'_ . .,ii )l; (j . tc (.-' ! d. Water Craft Liability Insurance in the amount of 'St'L), t'{)() . e. Auto:mobile liability insurance covering all owned, DV Specs--Page 5 Ilon-.owned and hired vehicles used in connection _~ witll the work, in an amount not less than (DO tV() per OCCllrrence for Bodily Injury and Property and 'Damage coml:>ined. All insurance policies required above shall be issued by com{:)anies authorized to do business and under the law of the State if Florida. 10. COlvW[ENCEMENT ,DELAYS AND COMPLETION OF WORK: After' rece~i ving Board of County Commission approval of the Contract, and after reconciliation of any details or cond.i tions which may directly or indirectly interfere or conf'lict with work of the Contract, the County will issue a "Not,ice to Proceed wi th Contract worku. officially authorizing the Contractor to commence. The Contractor shall cornInence work on said date. If the Contractor should be delayed in the progress of the work included in the Contract by unforeseeable causes beyond his control, the time for the completion of the work may be extended upon agreement of 'the County representative. Requ,ests for extension of time must be subrni tted in wri ting to the County representative. Extensions of time cannot legally be approved unless the written request is submitted in the time to permit it to be acted upon before the Contractexpiration date. To allow sufficient time for the administrative procedures required to obtain action by the County Commission, a request for time extension must be received by the County representative at least sixty (60) 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 the 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 a:ny delays of subcontractors or suppliers occasioned by any ()f the causes specified in subparagraphs (a) and (b) abov1e . Provided further that the Contractor shall within ten (10) DV Specs--Page 6 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 his 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 such liabilities shall be subject to continuation in full force against the contractor. 11. CHANGES AND INSPECTION: The vessels herein considered are to be removed 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 his subcontractors, employees and agents of every kind~ All work and every process and operation shall be subject to inspection at all times, and the County and their representatives shall have free access to all aspects of the work. The Contractor shall remove and make good, as may be directed, without charge, any defective work. Oversight or .error of judgement of inspectors, or previous acceptance, shall not relieve the Contractor from the obligation to make good any defect whenever discovered. The rights 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. It is possible that a Derelict Vessel could disappear between the time of inspection by the contractor and the actual effort to remove it. No payment will be forthcoming in the case. Except when otherwise specified, the expense of all tests requested by the County will be borne by the County. 12. AUDI~r 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 and during and after termination of the contract. 13. CONT]~CT AWARD: The County reserves the right to evaluate the submitted bids to award a contract to the bidders DV Specs--Page 7 submitting the lowest per foot bid for the derelict vessels listed in the bid package as one project and for which a Florida Marine Patrol Derelict Vessel Report is included. One bid will be accepted and a contract issued for the total removal of all listed derelict vessels as one project, up to the limit of available funds. The vessels are to be removed in the order listed and the per foot bid estimates should reflect this removal order. The actual number of vessels to be removed will depend on the accepted per foot bid price and the available funds. 14. PREWrORK CONFERENCE: A meeting will be necessary involving a representative of the County, the Contractor and other parties with direct involvement prior to the signing of the contract. 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 remove the vessels awarded to him. 15. CONTRACT SECURITY: The Contractor agrees to execute and deliver simultaneously with the executed contract, a Contractorts Performance and Payment Bond. The contractor is expected to act and deliver in good faith all work, at the agreed price, in the allowed time. Failure to do so, could jeopardize the contractor's reputation with the County and potentially influence any future contracts with Monroe County. 16. 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 documents for execution, shall return said documents properly executed along with any necessary bond and insurance within TEN WORKING DAYS. With the Contractor's cooperation, if this period can be reduced, it will assist in acceleration the execution of the contract documents. The Contractor, by virtue of signing the Contract, ackn,awledges that he and all his subcontractors have satisfied themselves as to the nature and location df the work, the general and local conditions, including, but not restricted to, those bearing upon transportation, handling, access to the pick-up and disposal sites; and the character of e4quipment and facilities needed to perform the work. Fail~llre on the part of the Contractor to completely or proplerly evaluate any factors of his costs prior to bidding shal,l not form a basis for additional compensation if he is awarded the contract. If fc:)r any reasons, not acceptable to the County, the Cont:ractor does not perform, the County shall have the righ"t to levy liquidated damages against the Contractor. DV Specs--Page 8 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. 17. NOTI;CE TO PROCEED: The Contractor shall commence work upon this project on the effective date of the Notice to Procteed and perform in a continuous manner until completion and acceptance by the County. For Contracts wherlein a specified number of days for completion is stated in tJhe Contract, the effective date of the "Notice to Proc~~ed with Contract Work" will establish the "beginning dateH of the project. 18. TERMINATION OF CONTRACT: This Contract may be term~lnated by the County, 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. 19. FINA]~ CLEAN-UP: Upon completion of the work specified here:Ln and before acceptance and final payment shall be madel the Contractor shall remove from the sites all machinery, equipment, surplus and discarded materials and ternp()rary structures. All disposal of materials, rubbish and debris shall be made at a legal disposal site. 20. DISP()SAL SITES AND FEES: Contractor is responsible for disposal of all derelict vessels included in this contract and nlust make arrangements for legal disposal. It is the responsibility of the Contractor to pay all disposal fees incul~red, and such removal related costs should be consj.dered when bidding on this contract. The contractor will deliver the derelict vessel to the dispc)sal site, where staff must be able to verify the derelict by its Florida Marine Patrol derelict vessel number or b'}r some other means. It is the intent of this contract to remove derelict vessels from their present sites a legal present site a legal disposal site. Upon receipt of vessels at trle landfill. They must be disposed of inunediately. A legal disposal site is either the Long Key Landf'ill-Monroe County, MM 68 1/2, Long Key, Florida 33001, 305-664-9315, other landfills in neighboring countries or any eIther location for disposal as long as the FDNR Dispc~sitionCertification Form (attached) is fully docUlTlented. If a signature cannot be obtained on Florida Department of Natural Resources Disposition Certification, the Contractor must contact County Representative for written approval and instructions. DV Specs--Page 9 21. PROOF OF PROPER DISPOSAL AND NOTIFICATION TO MARINE PATROL: Contractor must submit prior to receiving any payment: A receipt for each vessel including the date of disposal, the Florida Marine Patrol Derelict Vessel Number, disposal site location, and the telephone number, title and signature of person at disposal site verifying delivery of said derelict vessel. A County Disposition Affidavit is to also required to be signed by the Contractor. If vessel is not identifiable and/or if the derelict vessel number is not visible. Recipient of debris should provide detailed receipt showing type and description of debris received. if person delivering vessel to disposal site is other than contractor a wri t-ten statement wi th a description of what type of debr.is was transported, dates, times, name, address, and phon~~ number of si te . In aejdition to the above information, Contractor must subm~it three pictures of each vessel removed. The first photc)graph must be of the vessel at the current location prior to removal, the second photograph must be of the vessel after removal but in the same general area preferably whilE~ in tow, and the third photograph must be of the vessel at the disposal site with sufficient background to depict of disposal (i.e., building or sign identifying disposal site). The cierelict vessel number, when present, must appear in all photc)graphs. . The (~ontractor will be responsible for the camera, film, and cievelopment costs. The photographs should be taken with a PoJLaroid camera that provides instant photos since this mininlizes loss of documentation due to camera malfunction or loss overboard. This camera and film must be provided by the Contl~actor. The photos must be submi tted on a vessel by vessel basis according to removal schedule. Without photos to dc)cument the removal and disposal of the contracted vessE~ls final payment can not be assured. The Contractor must notify the Florida Marine Patrol and the C~ounty Representative in writing as to the work schedule of removal. This should be done after the prework conference with the County representative. Notification is to be made before doing any work on each vessel. This multi.party communication for each Derelict Vessel is a requi.rement of the contract. 22. PAYMENT: All payments for the removal and disposal of each vessel, shall be for the performance of the work as stipulated in these specifications and associated contractual documents. The unit rate of bid shall be totally inclusive for all phases of the operation. Contractor may request four partial payments by submitting an invoice for the number of vessels removed up to the date of the invoice, providing the Contract agreement does not explicitly prohibit partial payments. Photographs, disposal receipts, DV Specs--Page 10 sign.~d DNR Disposition Certification form, a County Disposition Affidavit for the vessels for which payment is beinc;J requested. The contractor understands and agrees that no payment will be f()rthcoming for the removal and disposal of any derelict vessE~l (1) not listed on this contract nor (2) for any derelict vessel on this Contract for which a written certification verifying the removal of the subject vessel has llot been obtained from the Florida Marine Patrol and a Representative of the disposal site at the time of delivery. A Florida Marine Patrol officer must certify the complete rerno""al of each derelict vessel from its location and any equipment that may have been used to remove the vessel. No paymE!nt will be made without the Florida Marine Patrol verij:ication. In acLdition, property, public or private, if damaged during the ~lork or removed for ,the convenience of the work, shall be re~placed at the expense of the Contractor in a manner acceptable to the County and the OWner, prior to the final payme~nt for contracted work. 23. PUBLI.C ENTITY CRIMES: Upon entering into the contract, the ContI~actor agrees to sign and endorse the Public Enti ty CrimE~s form (attached). 24. NON-C~OLLISION AFFIDAVIT: Upon entering into the contract, the Contractor agrees to sign and endorse the Non-Collusion Affidlavit form (attached). 25. ETHIC~S CLAUSE: Upon entering into the contract, the Contractor agrees to sign and endorse the Ethics Clause form (atta,ched) . 26. DRUG FREE WORK PLACE FoRM: Upon entering the contract, the Contractor agrees to sign" and endorse the Drug Free Work Place form (attached). 27. DERELICT VESSELS AT ISSUE: The derelict vessels listed on the D:erelict Vessel Bid Response Form shall be removed and disposed of by the Contractor in accordance with' the provisions of these Specifications. H:\A\BIF\-DV\DV-1993\SPECS.NEW DV Specs--Page 11 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES TIllS FORM l\1UST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUifHORlZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to /~Rt!>F by <; ~Url'-// , ~ [Pri~e ~f the public entity] / / C'~(')/.~ '7 /~/ rl'7/f'?T?/ w: "A~~~ I (print individual's name and title) /l /,7'n,/Z) k:/ i '(7bt.J/^"'-/ /I?;:>~;? // 5 for [print name of entity submitting sworn statement) whose business address is ,5-s-lo :..~~cr A VF" :s.T /<)F '/ br~r~/r r~ _33c?~ and (if apPI~able) its Federal Employer Identification Number (FEIN) is .~r9 - 22 ?~ f/? z (If the ~entity has no FEIN, include the Social Security Number of the individual signing this sworn statemt~nt : .) 2. I under'stand 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 IJnited States, including, but not limited to, any bid or contract for goods cr services to be provided to any public entity or an agency or politic~llI subdivision 9f any other state or of the United States and involving antitrust, fraud,..theft, bribery, collusion, racketeerint, 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 of guilty or nolo contendere. 4. I under'stand 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 E~ntity 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, partners, shareholders, employees, members, and agents wbo are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or 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. s. I understand that a "person" as defined in Paragraph 287.133(l)(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 bindin~ contrac t and which bids or applies to bid on contracts for the provision of goods or services 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, partners, shareholders, employees, members, and agents who are active in managE~ment of an entity. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submittj.Hg this sworn statement. [Indicate which statement applies.) ~either 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. - 1rhe entity submitting this sworn statement, nor any of its officers, directors, exectutives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor an affiliat(; of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. - l'he 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. However, there has beeJI1 a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearinl~s and the Final 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 UNDERST ANI) THA TTHE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENT'IFIED ON PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS V AL][D THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDAST A TUTES FOR CATEGOltY TWO OF ANY CIIANGE IN THE INFORMATION CONTAINED IN THIS FORM. ~tf/ ~ [signature] Sworn to and subscribed before me this i day of /t) ,19 9e/ /~.~~ Personally known / OR Produced identification Notary Public - State of ~~ ........ flofO!TY 'c!J~: ~~ ~futt1 {Jf ~~crid€J My Commission expi"" Comm~5~~m' ~:'1..~kt~! ~~~:Yc:' 24, 199! &~n//f /~ ~~;:;;..C> (Printed typed or stamped commissioned name of notary public) (Type of identifi.~ation) Form PUR 7068 (Rev. 06/11/92) SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORIDA ETHI CS C~LAUSE , /l7?/t"/tI ? retained or otherwise had warrants that he/it has not employed, 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, 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 th~.m~r County O.ffi~. oorr / e e~mployee. Ld~ tV ~ (signature) /c ,- j/-- 7~' Date: COUNTY C>F r/~ ~N;Roc-- STATE OF' Subscribed and sworn to (or affirmed) before me on /?J - 0- yY' ..-(-da te) by -7~'rlf/l;F~ ~. /l7?.Y"?J/t/ (name of affiant). Be/She is personally known to me or has produced as identification. (type of identification) // '-7~ ~ ./ ( .~. /"). ._~-~- NOTARY PUBLIC MCP>>4 RI~V. 2/92 ~ NOfory ~ ,_,_ .... . lJoJ:~~ S'Qf, . "'T Cornnnssion f' 0' Frorl(.~ Bonded Thru Tr~XP:r~s t;'arch 24 11f)l- Y alf!. fn I 7'i1' SUrOfl('e (ne, DRUG-FREE WORKPLACE FORM The llndersigned vendor i.ll acC()rdallCe wi tll Florida Statllte 287 .087 h~~reby certifies thi:t~ ~ I ~_ d~"r~/& ZC 70u:?I'( -_._-~---~-- - - -.-,- _. - .- - -.'.._.. _._--~--_:- ...--..., .-. ... ...-. ---,. - -. ..-~ ..- .'- (Name of Bllsiness) 1 . Ptlb 1 i sh a sta temellt 110ti fyi ng elnp loyees tlla t tIle lInl aWftll manufact\lre I di stribtl ti on, di spensing, possessi 011, or use 0 f a controlled substance is prollibited in the workplace and specifyinc;J the actiollS that will be talt:en against employees for violatioll:S of stlcll prohibi tioll. 2. Infl:>rm employees abOltt tIle dangers of drllg abtlSe ill the workplace, tIle b\lsi.l1ess's policy of mai.ntaining a drtlg--free workplace, any avai 1 able drllg COllnse 1 il1g, rellabi 1 i tati on, and employee assistance programs, and the penalties that may be " imposed \t]pon employees for dr\lg ab\lSe violations. 3. GiV1e eacll employee ellgaged ill providillg tile commodi ties or contract\lal services that are tlllder bid a copy of the statement specified ill Stlbsection (1). 4. In the statement specified ill sttbsectioll (1), notify the employees tllat, as a condi tiol1 of working on tIle commod! ties or contractllal services tllat are tInder bid, tIle employee wi 11 abide by the terms of the statement and will notify the employer of any COl1Vi'ction of, or plea of gttilty or 11010 contendere to, any violation of Chapter 893 (Florida statutes) or of any controlled s\lbstance law of the Uni ted states or allY state, for a violation occllring in the workplace 110 later tllC\ll five (5) days after suell conviction. 5. Impose a sanction on, ()l.' require tIle satisfactory part! c i pa ti on in a dr\lg abtlSe a SSl. s tallce or rellabi 1. i ta ti on program if SllC}l is ava! lable in the employee's cerom\11li ty, or any employee who is so convicted. 6. Malte a good faitl1 effort to COlltilllle to maiIltain a drltg-free worl{place tllrollg11 lrnplemerltatioll of tllis section. As the perSOll atttl10rized to 8igl1 tIle statelnetlt, I certify tllat this firm cOlnplie"s f\llly witll tIle above req\liremellts. -- / ~ "'- ~~ 77" . C?;:Z:;~t~~ Date MCP#S REV. 6/91 I , NON-COLLUSION AFFIDAVIT ~'r/;ll~cI r/. /17?/tJIc:T /Jv% rr-r?t' r ~l/~I/ , of the .ei ty of according to law on my oath, and under perlalty of perjury" 9~pose and say that; 1) I am /l7-f~t1/cf;; -;;:vJ/'-'/7 , the bidder making thle Proposal for the proj ect desfcribed 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 inl 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 competi ta,r; and 4) no attempt has been made or will be made by the bidder to induce an,y other person, partnership or corporation to submit, 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 contra~ts for. said project. STATE OF I:-~ 4N/?t7~ ~W-~ G - (signature of Bidder) , / IJ- Y-f'Y DATE COUNTY OF .____P~S~N1\~L~. ^PPE~;:D BE~c:;~~~e unde~signed authority, 7//,"~/??rc/W.,.1/0 wno, after *first being sworn by me, (name of individual signing) ~-__""" "" affixed his/her signature in the space I( day of /?) provided above on this , 19 97 ~ft~ ftOTlffiY PUBLIC ~- /. " ~ /~ L.p> r~' ,/?//I ,/-1 ~ My commission expires: Notary puLrrt, SIafe 0' PI ,.... ~, My c .... norla~ omn]~$~IV;1 E\~;r~ U"",..L 24 ."- 8o"ded Thru Tr: '''r ." b~". tn , 1995' y 0'11' InSurance Inc. ,Ail' ~ "":l~ J;.;.v~:#,""J ~( .: 4 "\,,\I..~;, ",,4 ir::~i ;-t.liif~~~*~f<~~Y; . "". ,'. '. . ,. " ..,.. "., '\" :';' ,. ' . - . , . . .'. .. ~ " NlS NODTU AMERICAN i'L)' SPECIALTY INSURANCE COMPANY r:',.' ; MANCHESTFR. NEW HAMPSHIRE ;/ ~" .~- "'-"", ~...$\\ '" ., ore. . "...~ "'. ". _ '. . ... " . ,.....~ " ".~,{~~~-, ?'" .t~~~~~,:1"~~. -,,\'r.,...,~,"tir' '.)~: Ttq ..l'{~~':pf{'_~~l""'.....~I1.'~t} . ~"'. . . ,..;..., ,,' .'!~,"'~'i' !.... . '. , , " '" . --.oIIIPlrn' "1 I . ..< < .... ; I .u n .' ll. *t · .') . ". u ..:t ~li. &...i ""'-......... ,1r ...... "'''' < " '. A.";". .. ..'.: .. ._ 'C. ' "( lUCY NUMBER POLICY PERIOD 'I" fl' --------'------., 12:01 AM SIO TIME AT nu: AUUHlSS (7002CA33224-01 4-30-94 TO 4-30-95 OF THl: INSUREU ASSIbNEU UEKEHI. -- - ~1n'~~lr;alif~!]I~~~':~~:~~?<:~~. \_. --''1:::n:~?;;..W r~"iIt '1T~' -:f~ ,.! --~ -~--, ,~ t J.\rJr f l 'rJ'~I"~rn l r I r ) ','^'I.IrJG ^nr1nr~s ARNOLD'S TOWING SERVICE ARNOLD'S AUTO & MARINE REPAIR, INC. NAME 5540 3RD AVE. AND KEY llEST, FL 33040 ADDRESS l~~~~~~_~~:~~~~~~~ .~. A~ENT NO: 17002 INC. STE. 2 COMMON POLICY OECLARATIONS BUSINESS DESCRIPTION TOWINL-_ -.....-.....---~.-.-- --....-..-.....-..... ~--~ IN RETURN fOR THE PAYMENT OF THE PREMIUM, ANO SUBJECT POLICY. WE AGREE kITH YOU TO PROVIUE THE INSURANC~ nus POLICY CONSISTS OF THE FOLLOWING COVERAGE P FOR ",tUtU A PREMIUM I S INDICA TEO. THI MIUM BE SUBJl:CT TO AOJUS TMl:Nl. .~. CUMMERCIAL CUMMERCIAl ClJHHERCIAL COMMERCIAL COMMERCIAL ------- PRf:HIUH SHtJWN TOTAL INCEPTION. $________ $--_J.2.12iL___ FUHMS "~:J1 ~'~' '-------------------------- ---- ----------------- ...... ~ ~ ----------.. ....--- ...b....-.~_____~~ C DUN T ER S 1 G'~f: D___________ i:J Y ____________________________ (OATE) (AUlHORIll::U RlPRE:SE:Nr~TlVeJ .------' - f!},/fT' ~CJ;6{ ~~9CJ _ ~~ ;/'<-:/-5 s' Ad///7/;.y--/ c:' /' /OL--L) ~~ -Z:: 4's (J ;~A~(o-' t::.- --KY..G..2=!.~.!!______________________________________________ ~~ --w S~=~~~ l~ ,; . ..;', f:" ~ -1\\\~~';'.J!~;""l. . ~~~~tl~~.~~SIfJ\~ir"~.T~1 .....~~:'!r , -r"~J:lf"'~ !~ ~'T_:r< H~-"1 ...... ,. N.A ftIv..,,'1 '''', ,j;~.~,~"t"l.a t,Cc1j. 'C . i" :' I"r 1\Juu rRpy ,- . ~ 'Yr ,", 111}., --- DESCRIPTION ,.,. --I " .-----..- Ytar. "Model; /rade Name; Body rype ,~ r 1 28 Z ~CHE ~e~~ iu~;r !~; IV~~~'~ilj"CaljOn Number (Vlffi ~ ~~_. J2~9_.CHEVROLET 11158558 ~J_ --J~2J FORD #.A15353 ~. ~~". 1 987 INTERN_ATIONAL H 465120 ...22_. 1979 LANDOLJL TRAILER 11079998 06 1994 INTERNATIONAL #551465 Olu >-1966 GMC HDL023L COVERAGES-PREMIUMS, LIMITS AND DEDUCTlBLES IAbSlnce 0' a deductible or limit entry in any column below means that the limit or deductible entry in the corresponding ITEM TWO column aJ!Phs instead) PERSOHAlIIWRY PROTECTIOIf AUTO. MfD. PAY. Y lJNDER=~RJ8{ORISTS COMPREHENSIVE ~ ~s Umit limit Limit (In Pr@. On Pre. (In Thou- mium Thou- mium Thou. w~~ u~~ u~~ r f ; , ~ r r f r------ _ _ " ';/~- I: ~__ f : ~_._.. r : I ~ ----... ~-.- : r------. -__'_ ~- -...-.- t"'-- I Cmred Radius ot Business use Alrto Op"r at ion : : r:;:~1! . ~ (In "'11~S) c. commerci., ~. 50 02 50 J!J_ ._.~Q..._. I J!!!_. 50 ~_ 50 , 06 5G i 07--'- ----5"0 -_. i~ , 1 ~ __. "__ ___ , r -: ~ -.----. J r----- -..__.._...._. ~- ."--- . ~ - '-. .- .. 1-----. - _"__ _.. _ ~'- UABruTY te.- limit ..... (In .... Thou. Premium ". Unds) 01 1348 02 999 03 1348 04 2213 05 149 06 1348 ,07 1348 " Total Premium 8 753 v,",,"LLlULC. Ut l.,uvt.t<t.U AUlOS YOU OWN "l1LCAJJ224-01 EXTENSION OF DECLARATIONS .,,,IIEDUlE o~ ~~ERED AUTOS YOU OWN (Cont'dH ---------__ PURCHASED ____ _________ ___ _~_.__________ -- _.n~--~=-= AClu3~ TERRITORY: Town & Stale Where Ihe Covered ---- O",lnal Cosl New Cosl & USED (UJ Auto will be principally garaged 39.000 N KEY WEST FT (017) 9...000 NT" 38.000 N " 20..000 N " 20.000 N " 45.000 N " " c s c c C C C CLASSIFICATION Except for Towing all phy~ical damage loss is payabl~ to you and the loss Size GVW, GCW Primary Rating Second a ry or V@hicle Ag@ factor Rating Code payee named below as interest may appear at the time of the loss Seatinr C8pacity Group li.b. Ph,. O.m.re F ae tor 14~500 6 l.35 .95 :13499 6 1.00 1.00 tJ1499 14,500 6 l.35 .95 23499 '26,000 6 ~.IO 1.25 t3649q 6 .15 .65 68499 18.,,500 1 l.35 .95 ~3499 14,500 l.35 ..' . ~3499 COLUSION TOWING & LABOR Pre. mium limit · minus deductible shown below Premium Limit per 0;$' Premium abrement Pre. mium Limit. Premium 17 17 170 .101 17 17 4_8 R5 17 17 221 1Qc; 17 17 119 21_1 17 62 I 1 I 17 17 422 7c;7 17 17 ~. - ~;.. xxx 119 XXX XXXXX XXXX 1864 XXX .Urnil slattd in ITEM TWO. 102 XXX 1042 Item Sevpn In r; ~: ~ ~e Covm ge r or m - NCln De a ler s" and T I a ilers De alers' Supplementary Schedule Item Ten in Garap. Covera~e Form -Auto Dealers' Supplementary Schedule. . , 191 ([ d I' R 7) 1~lf(1lH" f'1I''f''-.r. ~ ~IIN'I' 'He COMMERCIAL INLAND MARINE COVERAGE PART MOTOR TRUCK CARGO DECLARA TrONS I ~ Policy No. 17002CA33224-01 Effective Date 4-30-94 1201 A.M., Standard Time DESCRIPTION A. Covered Cargo consists of: (XJ VEHICLES ANO/or~. CARGO WHilE 1) BEING ATTENDED "ON HOOK"; 2) "UNDER TOW"; 3) "BEING TRANSPORTED." o OTHER (Describe Cargo) LIMITS OF INSURAINCE 1. Each vehicle that is covered must be described below or on a schedule that is a part of this policy A limit of Insurance must be shown for each vehicle. This is the most that we will pay for a loss to cargo carried in or on the vehicle. 2. Description. of Vt~hicle: a. b. c. d. e. 1. g. h. i. j. Trade Name 01 02 03 04 05 06 07 Year Built Type of Body Factory or Motor Number limit of Insurance $ 50,000 $ NO COVERAGE $--50 .000__ $ 50.000 $ N() r()VFR~GE $ 1\0,000 $ EiO,OOO $ $ $ 3. For two or more described vehicles involved in a single "'oss", the most we will pay for this "'oss" is: $100.000 .. .... ... DEDUCTIBLE The deductible amount of $ 1,000 will apply to each loss after all other adjustments have been made. RA TE AND PREMIUM Rate S VARIOUS FORMS AND ENDORSEMENTS (other than applicable Forms and Endorsements shown elsewhere In the policy) Forms and Endorsemenls applying to this Coverage Form and made part of this policy at time of issue: Premium for this Coverage Form $ 1.000 NAS-MTC-DEC (06/93) THESE DECLARATIONS ARE PART OF THE POlICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POliCY PERIOD "Incrusion or date optional. CA 591 (6-92) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 25 14 06 92 BROADENED COVERAGE-GARAGES This endorsement modifies insurance provided under the following: GARAGE COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. ~Endorsement effective Policy No. at 12:01 A.M. standard time Named Insured Countersigned by SCHEDULE (Authorized Representative) Personal Injury and Advertising Injury Limit of Insurance $.500.,.0.00 u The FIRE LEGAL LIABILITY COVERAGE Limit of Insurance is $50,000 for anyone fire unless another limit is shown below: Fire Legal Liability Limit of Insurance $.u The premium for this endorsement is $....19L.. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as ap. plicable to this endorsement.) .r SECTION I-PERSONAL INJURY AND ADVERTISING IN- JURY LIABILITY COVERAGE A. COVERAGE We will pay arl sums the "insured" legally must pay as damages because of: a. "Personal injury" caused by an offense committed: (1) In the conduct of your business;.fnd (2) In the Coverage Territory during the Policy Period. b. '1\dvertising injury" caused by an offense com- mitted: (I) In the course of advertising your goods, prod- ucts or -services; and (2) In the Coverage Territory during the Policy Period. We have the right and duty to d~fend any "suit" asking for these damages. However, we have no duty to de- fend "suits" for "personal injury" or "advertising injury" not covered by this Coverage Form. We may investigate and settle any claim or "suit" as we consider appropri- ate. Our duty to defend or settle ends when the Per- sonallnjury and Advertising Injury Limit of Insurance has been exhausted by payment of judgments 'or set- tlements. 1. WHO IS AIN INSURED The following are Hinsureds": ....,'~ ...... to ('ll..{:~" ~THENTICn \'1 1;4'f:,I:~::(I'~:'fJJ,(\('~ a. You and your spouse. b. Your partners and their spouses, if you are a partnership. None of your partners or their spouses is an "insured" for "personal injury" or "advertising injury" resulting from the con- duct of any other partnership. c. Your employees, executive officers, directors and stockholders but only while acting within the scope of their duties. 2. COVERAGE EXTENSIONS Supplementary Payments. In flddition to the Per- sonallnjury and Advertising Injury Limit of Insur- ance,. we will pay for the "insured": a. All expenses we incur. b. The cost of bonds to release attachments in any "suit" we defend, but only for bond amounts within the Personal Injury and Ad- vertising Injury Limit of Insurance. c. All reasonable expenses incurred by the "in- sured" at our request, including actual loss of earnings up to $100 a day because of time off from work. d. All costs taxed against the "insured" in any "suit" we defend. e. All interest on the full amount of any judgment that accrues after entry of the judgment in any Copyright, Insurance Services Office, Inc., 199] 1 ~~ t t: ,-LECTI~'G NOT TO PURCHASE CERTAIN VALUABLE COVERAGE WHICH PROTECTS ,~,~D YOUR. FAI\11LY OR YOU ARE PURCHASING UNINSURED MOTORIST LIMITS LESS THAN ruUR BODilY INJURY LIABILITY LIMITS WHEN YOU SIGN THIS FORM. PLEASE READ CAREFUllY. Uninsured Motorist coverage provides for payment of certain benefits for damages caused by owners or operators of unin- sured motor vehicles because of bodily injury or death resulting therefrom. Such benefits may include payments for cer- tain medical expenses, lost wages, and pain and suffering, subject to limitations and conditions contained in the policy. For the purpose of this coverage, an uninsured motor vehicle may include a motor vehicle as to which the bodily injury limits are less than your damages. Florida law requires thaI automobile liability policies include Uninsured Motorist coverage at limits equal to the Bodily Injury Liability limits in your policy unless you select a lower limit offered by the company, or reject Uninsured Motorist entirely. Please indicate whether you desire to entirely reject Uninsured Motorist coverage, or, whether you desire this coverage at limits lower than the Bodily Injury Liability limits of your policy: o a. I hereby reject Uninsured Motorist coverage. 'KI b. I hereby select the following Uninsured Motorist limits which are lower than my Bodily Injury Liability limits: $ 3O.t:XX:J each person (enter limit if applicable); $ ?J). cx:n each accident. o c. I hereby select Un;nsured Motorist limits equal to my Bodily Injury Liability limits. (If you select this option dis- regard the bold face statement above.) ELECTION OF NON-STACKED COVERAGE (Do not complete if you have rejected Uninsured Motorist) You have the option to purchase, at a reduced rate, non-stacked (limited) type of Uninsured Motorists coverage. Under this form if injury occurs in a vehicle owned or leased by you or any family member who resides with you, this policy will apply only to the extent of coverage (if any) which applies to that vehicle in this policy. If an injury occurs while occupy- ing someone else's vehicle, or you are struck as a pedestrian, you are entitled to select the highest limits of uninsured motorist coverage available on anyone vehicle for which you are a named insured, insured family member, or insured resident of the named insured's household. This pOlicy will not apply if you select the coverage available under any other policy issued to you or the policy of any other family member who resides with you. If you do not elect to purchase the non-stacked form, your policy limit(s) for each motor vehicle are added together (stacked) for all covered injuries. Th us, your policy limits would auromatically change during the policy term if you increase or decrease the number of autos covered under the policy. ~ I hereby elect the non-stacked form of Uninsured Motorist coverage. I understand and agree that selection of any of the above options applies to my liability insurance policy and future renew- als or replacements of such policy which are issued at the same Bodily Injury Liability limits. If I decide to select another option at some future tin1e, I must let the Company or my agent know in writing. SigneCi?~ u/ Cl~ (Named Insured) Signed: ~j~ ~.Jl~ I (Named Insured) Date: ~<<--'.{ ::J- C; /79y ALB859c (r rl 10 87) \ JUIrORM PRINTING 8. SUPPLY, INC J{c~ollll ion N 191-1991 April 12. I l)() , I ~1 Prillt ing J\rlONROE COUNTY, FLORII)A Request For Waiver of Insurance Requirenlents Il is rcqut~slcd tllal the insurance requirCJllcnts, as specificd in the Counly's Schedule of Insurance Rcquirculcnls, be \vaivcd or 11lOdificd on (he rollo\\"ing contract. . Con Lraclor: Arnold's Towin~ Conlracl for: Emergency Remova~ of DV091626 Address of Conlraclor: 5540 3rd Avenue Stock Island Key West. Fl 33040 Phone: (305) 296-9182' Scope of 'Work: Emergency Removal of DV091626 Reason for Waiver: Please waive watercraft ins~rance (no vessels used in removal at shore), pollution insurance (houseboat breaking up, no fuel on board) and Jones Act cover~~~__ _____ Signature of Conlraclor: G2~ tV. Approved ''1/ Nol Approved ~ Dale ( /: ~~"~'~-'-~~'Y) r . './ J'.~ ,..{ ,/ ' ----L~ .~ / ,::.:) ~, ", C ,~}/_;- I.. f~.. I (/ Risk ManagclDcnl / 1-- Counl)' Adlninistralor appeal: Apl)rov~d : Nol Approved: Date: Board of (~ounly COlluuissioncrs appeal: Approved: Not Approved: Meet; ng Date: ^(LninistTalivc (mdrudion WAIVER 114709. I 5