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04/19/1995 DV Removal CON T R ACT A G R E E MEN T AGREEMENT, MADE THIS 'I q~h DAY OF ~1995, by and between, Arnold'~ Al1t:O & MaTin~ R~paiT. Tnr ("Contractor" ) 1 and the B;OARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the Co'unty of Monroe, State of Florida ("Board"). The ,contractor and the Board, for the consideration named, agree as follows: 1. 'rhe contractor shall furnish all the materials and perform all the work as required by the Specifications for the removal and legal disposal of Florida Marine Patrol marked Derelict Vessels. A list of derelict vessels under this contract is attached to as Exhibit A. 2. ~rhe work to be performed under the contract shall commence immediately from the date the Liaison provides the Notice to Proceed and shall be completed by Sentember 30. 1995 3. If the Notice to Proceed has not been given by the Liaison to the contractor on or before the 20th day of April , 1995, then this Agreement shall be null and void. 4. ~~he work to be performed under the contract is contingent: upon receipt of appropriate grant monies from the State Department of Environmental Protection, Derelict Vessel Program arld Boating Improvement Fund. this Agreement shall be null and void. If ~h~~TN~ff~~~Nm~e denied, .~ , ~ , S(: t7 d lZ t/dV 9i. .d (J, .' \ .., /-1 .......1 \) [J j -; ; ~I 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 arl orderl'y progress to the project. Both the intent and the letter of the Specifications are understood by the contractor. s. 'rhe Board shall pay the contractor $51.~3 per linear foot for each derelict vessel removed. Totals will be calculated by the Florida Marine Patrol Derelict Vessel Reports and will include all vessels listed in Exhibit A. If a vessel is missing or has been previously removed by others, a suitable replacement vessel will be selected by the Marine Projects Coordinator in accordancE= wi th the contractor. Payment for the work shall be upon completion by the contractor and acceptance by the Board, subject to the terms and conditions of the Specifications (attached as exhibit B) and this contract. Two partial payments will be allowed during the contract period. A final payment will be made when all of the work under the contract is complete. 6. ~~he attached Specifications, Plans, and other documents together ~~ith this Agreement, form the contract. They are fully a part of this contract as if repeated herein verbatim. 7. ~~he contractor covenants and agrees to indemnify and hold harmless 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) arLd other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by the Contract or any of its Subcontractor(s) in any tier occasioned by the negligence, errors, or other wrongful act or omission of the Contractor or its Subcontractor(s) in any tier, their employees, or agents. 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 three (3) photographs of each derelict vessel on this contract--one (1) at the current marine location prior to removal, one (1) out of the marine location but in the same general area, and one (1) at the landfill or legal disposal site, showing when possible ithe derelict vessel number and/or the Florida Vessel Registration Number. The contractor will be responsible for the camera, film, and development costs. 10. The contractor understands and agrees that no payment will be forthcoming for the removal and disposal of any derelict vessel (1) not listed on this contract nor (2) for any derelict vessel on this contract for which a written certification for the removal of this subject vessel has not been obtained from disposal site staff and/or a representative of Monroe County. 11. The contractor understands that this contract does not relieve his responsibilities to obtain any appropriate permits. The contractor agrees that no environmental damage will be done. 12. The contractor understands that he is to remove only those derelict vessels that are a part of this contract, transport same to legal disposal site, and off-load under the direction of the disposal site staff. 13. Since the work involves the removal of derelict vessels, 'which are frequently hazardous to the environment, navigation, and the general public, the parties agree that timely performance of this agreement is essential in order to prevent f"urther damage and consequent restoration costs. Therefore, the parties agree that the contractor shall be liable for to thle Board for $100 per day of liquidated damages for each day a.fter September 30. 1995 that any of the contractor's obligations under this agreement remain unperformed. The parties a~Jree that such amount is by the way of compensatory damages alld does not consti tute a penal ty. 14. 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. 15. Upon execution of this agreement, the CONTRACTOR shall furnish the OWNER Certificates of Insurance indicating the minimum c()verage limi tations as indicated by an "X" on the attached forms identified as INSCKLST 1-4, as further detailed on forms GIR.I, WC2, GL2, VL2, WCJA, WL1, and POLl, each attached hereto and incorporated as part of this contract document ( Attached as Exhibit C). 16. The Board may terminate this agreement with or without cause at anytime upon giving the contractor up to ten (10) days notice in writing. The contractor, upon receipt of the notice, shall imme~diately cease removing addi tional vessels. Only those vessels wh~ich are in the process of being removed at the time of the receipt of the termination notice. The intent is to allow orderly completion of work in progress, where conditions are favorable for such continuation. 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. IN WITNESS WHEREOF the parties hereto have executed this Agreement the day and year first written above. (Seal) //). ','Old BY [~L;~d~ LV C!~I TITLE: i?~/- t)-fA:'>~L-z-- / \ ~ FIRM: 1/~()CoJ /fJ7o _C 1#40 1<./6 Attest: .,-." V' ?/ ~ ~/ ~;?PVJ ... '~J'?1------ r Witness: (Seal) ~ DANNY 1-1. I(OLHAGE, ClerA Attest: ~~J.. a. Oa,~~ Clerk ~! I 'I ./ J /1 . .' " .' I .' ~", i i t..../ f .1.........,../--- -1 / ) f- l ATTACHMENT A DERELICT VESSELS 1995 REMOVAL YEAR DV #09- 1129 1443 1450 1451 1452 1454 1458 1459 1461 1462 1463 1468 1469 1471 1493 1506 1512 1523 1524 1530 1531 1532 1533 1537 1538 1539 1540 1542 1543 1544 1545 1546 1547 1548 1551 1552 1553 1555 1560 1563 1570 1571 1574 1575 1578 1583 1587 1588 Page 1 of 2 1596 1610 1612 1614 1629 1646 1647 1Q4.8 164'9 1657 1663 1667 1668 1671 1673 1674 1676 1677 1678 1679 1680 1681 1686 1716 1739 1756 1757 1758 1759 1760 1761 1762 1763 1764 1769 1785 1794 1795 1797 1798 1805 1806 1835 1837 1844 Page 2 of 2 ATTACHMENT B ])ERELICT VESSEL REMOVAL CONTRACT SPECIFICATIONS FOR MONROE COUNTY, FLORIDA 1. INTEN~: It is intended that these specifications shall cover all aspects of the work. The purpose of this section is tOI provide specific coverage for conditions applicable to this contract, where such coverage is not provided for in other portions of the contract documents. . 2 · BID FORMAT: THE BID MUST BE SUBMITTED ON THE BID RESPONSE FORM ENCLOSED IN THIS PACKAGE. A dollar amount per foot must be submitted for the removal of all derelict vessels 9n 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 combined, related, linked, or discounted bids. Not applicable due to emergency removal of one or more derelict vessels for less than $25,000 total. 3. PLANS: There are no plans for this project, but copies of the Florida Marine Patrol Derelict Vessel Report with location Sketches have been bound into these documents for the Contractor's use. The Specifications inclulde a section on instructions to bidders, both general and specific, and a copy of each Derelict Vessel Report from the Florida Marine Patrol. Only those derelict vessels for which a report is included and l.isted on the Bid Response Form are to be bid upon land subsequently removed. The C~:>unty reserves the right to remove any or all vessels from -this contract at any time prior to actual removal from the water and disposition by the Contractor. The Cc:>unty has a limited amount of money to effect the remov.~l of these abandoned vessels. We have established prior~i ties based on public safety, navigation and traffic hazard, and environmental considerations. If bids exceed the Count~{' s resources for removal based on these consicierations, we shall limit vessel removal based on the these considerations and cost effectiveness. 4. VESSE]~ IDENTIFICATION AND LOCATION: Each of the vessels have heen 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 tIle Contractor for that vessel. Those four conditions must be met on each derelict vessel along with compliance with all laws and permits for payment to be made. It is: understood that the Contractor has, by personal exami.nation and inquiry, if necessary, satisfied himself as to thle local condi tions of each derelict vessel and as to the rneaning, requirements and reservations of the specifications; for after contract letting, no deviation will be allowed. In case errors are discovered, they are to be reported by the Contractor to the County. The Count.y assumes no responsibili ty 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 possesses a Florida Marine Patrol Derelict Vessel Report. Other derelict vessel's in the area but not under contract, cannot be molested. It may be possible to replace a derelict vessel of like kind, for the same or less money, when mutual agreement can be reached by the Florida Department of Environmental Protection, 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 derelict vessel may be replaced and removed without the tri p,arty consent noted in this paragraph. A contractor may s'uggest a possible replacement vessel but he may not removle it without the appropriate consent above. 5. SCOPE OF WORK: The Contractor shall be responsible for providing all permits, supervision, labor, equipment, tools, fees land taxes required to complete this project to the satis:Eaction of the County. The Cc:>ntractor' s procedure and methods of removal may be of his O'N.n selection provided they secure results which satisfy the rl~quirernents of the Specifications and any necessary envirc)nrnental permi ts . DV Specs--Page 2 Any v'essel which is removed and disposed of shall be remov'ed from its present si te in such a manner as to do the least possible damage to the natural environment surro,unding the vessel. All debris from the vessel shall be removed 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 removed from the derelict vessel prior to removal from the water. 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 caution must be used to do the least possible damage. Prior to delivery of derelict vessels to the disposal site, the C,ontractor must remove all oil, gas and metal (including engin1es). He must dispose of them in any legal manner. Pure used oil will be taken by Monroe County for disposal. Mixtu,re of oil, gas, seawater or any combination of the three must be transported from the County by an approved hazar~::ious waste handler. The names of those firms will be suppl.ied by the Monroe County Environmental Management Depar'tment. Metal becomes the property of the Contractor. In thc)se 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 Count:i representative to verify the vessel and location using the original Derelict Vessel Report from the Florida Marin~~ Patrol. 6. MATERIALS AND WORKMANSHIP: The Contractor shall provide the nE~cessary materials and equipment to safely complete the je)b. The Contractor agrees that all work shall be performed by competent employees who are experienced and qualij:ied to do the work specified, and that all work will be pe]~formed in accordance wi th the best conunercial practjLces. A list of equipment to be used and a descrjLption of the removal and transporting procedures to be followE~d must be provided to the County at the Pre-Work Confe]~ence described below. Precaution shall be exercised at all times for the protec:tion 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 cc)nstruction codes shall be observed. Machinery, equipment and other hazards shall be guarded in accordance DV Specs--Page 3 with safety provJ.sJ.ons of the "Manual of Accident Preve:ntion in Construction", published by the Assoc~iated General Contractors of America, to the extent that such provisions are not in contradiction of ~pplicable 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 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. 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 governmental agencies such as the Department of Environmental Protection, 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 directed the number and sizes of the charges shall be reduced. All explosives shall be marked clearly "DANGER EXPLOSIVES", and shall be in the complete care of competent watchmen. The Contractor shall secure the proper competent watchmen. The Contractor shall assume all responsibility for damag,es caused by explosives. 7. ASSIG~ OF CONTRACT AND SUBCONTRACTS: It is expressly understood that the Contractor is in all respects an indep1endent Contractor for this work, not withstanding under certa.in condi tions he is bound to follow the directions of the Cl:>unty, and is in no respect an agent, servant, or emplo:~ee of the County. Neither the Contract, nor any part there~:>f, nor any monies due or to become due thereunder, may be assigned by the Contractor without the prior written appro~"al of the County. The Cc::>ntractor is fully responsible to the County for the acts 43.nd omissions of his subcontractors and of persons ei the:r directly or indirectly employed by said Subcolltractor, as he is for the acts and omissions of perSOl1S directly employed by him. Nothing contained in the Contrcict Documents shall create a contractual relat~ion between any subcontractor and the County. All sllbcontractors shall abide by the terms, DV Specs--Page 4 condi.tions, and requirements of this Contract. .It is the responsibility of the Contractor to pay all debt obli~rations incurred wi th subcontractors in an expedlient manner. 8. LEGAl. RESTRICTIONS, PERMITS AND TRAFFIC PROVISIONS: The ContI:'actor shall comp.ly with all applicable local, State and FedeI:'al requirements pertaining to the terms of this Contract. The Contractor will be responsible for obtaining, at hi.s own expense, any licenses or permits that may be requi,red and should inquire about permit requirements with the a.ppropriate agencies. The Contractor shall comply with all t.he requirements of the Federal Pollution Control Act. The C.ontractor 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. 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 derelict vessels which are inhabited at the time of removal and when another vessel is too close to the contracted derelict vessel to allow safe operations. Direct confrontations with other boaters should be avoided and the Florida Marine Patrol should be contacted immediately if such confrontations may result from removal of any contracted derelict vessels. 9. INSURANCE: The Contractor must obtain all insurance required by the County and submit proof of same to the count'y prior to acceptance of bid and contract approval by Board of County Commissioners but no later than five working days after notice of low bidder. All insurance shall be maintained until work has been completed and accepted by the County. The C()ntractor shall furnish the following certificates of insurlance for review by the County's Risk Management Di vis.ion: Certi:ficate (s) of Insurance which clearly indicates that he has oJbtained the insurance coverage required in paragraphs a,b,c and d below. .DV Specs--Page 5 The Contractor hereby certifies that no modification or change in insurance shall be made without (3) days written advarlce notice to Monroe County, c/o the director of the Risk Management Division. a. Worke~r' s Compensation Insurance as in the amount of $500,000 b. General Liability Insurance on a comprehensive basis, in an amouIlt not less than $500,00. 00 per occurrence for Bodily Inju:ry' and Property Damage combined, to include contractual liabi.li ty. c. Pollu.tion Liability Insurance in the Amount of$500,OOO. d. Water' Craft Liabili ty Insurance in the amount of $ 500, 000. e. Automlobile liability insurance covering all owned, non-owned and hired vehicles used in connection with the work, in an amount not less than $300,000 per occurrence for Bodily Injury and Property and Damage combined. All insurance policies required above shall be issued by companies authorized to do business and under the laws of the State of Florida. The Monroe County Board of County Commissioners must listed as "Additional Insured" on all policies, except for Worker's Compensation. 10. 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" officially authorizing the Contractor to commence. The Contractor shall commence 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 c,ontrol, the time for the completion of the work may be extenlded upon agreement of the County representative. Reque,sts for extension of time must be submitted in writing to thle County representative. Extensions of time cannot legal.ly be approved unless the wri tten request is submi tted in thle time to permi tit to be acted upon before the Contr.act expiration date. To allow sufficient time for the administrative procedures required to obtain action by the Count:~ Coriunission, a request for time extension must be recei~~ed by the County representative at least sixty (60) calendar daysprior to the Contract expiration date. DV Specs--Page 6 Provided further that the Contractor shall within ten (10) from the beginning of such delay notify the County, in writi.ng, of the causes of the delay. The County representative will ascertain the facts and the e~tent 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 d.amages 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 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 beforle or after work has begun. Notice of such changes shall be gi'~en in writing to the Contractori1such 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 Derlelict Vessel could disappear between the time of inspe~:tion by the contractor and the actual effort to remove it. No payment will be forthcoming in the case. Excep-t when otherwise specified, the expense of all tests requested by the County will be borne by the County. 12. 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 DV Specs--Page 7 yearand during and after termination of the contract. 13. CONTRACT AWARD: The County reserves the right to evaluate the submitted bids to award a contract to the bid~ers 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 actual number of vessels to be removed will depend on the accepted per foot bid price and the available funds. 14. PRE-WORK CONFERENCE: A meeting will be necessary invol'ving a representative of the County, the Contractor and other parties with direct involvement prior to the signing of th.e 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 o,rder in which he proposes to remove the vessels awarded to hiJm. 15. CONTR~CT SECURITY: The contractoris expected to act and deliver in good faith all work, at the agreed price, in the allo'Hed time. Failure to do so, could jeopardize the cont:ractor's reputation with the County and potentially influence any future contracts with Monroe County. 16. EXECtrrIoN 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 execu.tion, shall return said documents properly executed along with insurance within TEN WORKING DAYS. With the Contractor's cooperation, if this period can be reduced, it ~ill assist in acceleration the execution of the contract docum~~nts . The Cc)ntractor, by virtue of signing the Contract, ackno\-lledges that he and all his subcontractors have satisjEied themselves as to the nature and .location of the work, the general and local conditions, including, but not restr:Lcted to, those bearing upon transportation, handling, access to the pick-up and disposal sites; and the character of e~liprnent and facilities needed to perform the work. Failu]~e 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. DV Specs--Page 8 If fc'r any reasons, not acceptable to the County, the Contr'actor does not perform, the County shall have the right, to levy liquidated damages against the Contractor. Liquidated damages in the amount of $100 per day . shall be assessed against the Contractor for any bid item awarded to him w'hich is not completed and accepted by the County within the number of calendar days specified in the Contract. Liquidated damages are accumulative. 17. NOTICE TO PROCEED: The Contractor shall commence work 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 specifiea number of days for completion is stated in the Contract, the effective date of the "Notice to Proceed with Contract Work" will establish the "beginning date" of the project. 18. TERMI:NATION OF CONTRACT: This Contract may be terrni:nated 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. FINAL CLEAN-UP: Upon completion of the work specified hereiJn and before acceptance and final payment shall be made, the Contractor shall remove from the sites all machi-J:1ery, equipment, surplus and discarded materials and ternpo':rary structures. All disposal of materials, rubbish and debris shall be made at a legal disposal site. 20. DISPO:5AL SITES AND FEES: Contractor is responsible for disposal of all derelict vessels included in this contract and rnust make arrangements for legal disposal. It is the respollsibili ty of the Contractor to pay all disposal fees incurJ:-ed, and such removal related costs should be consiciered when bidding on this contract. The contractor will deliver the derelict vessel to the dispo~;al si te, where staff must be able to verify the dereli.ct by its Florida Marine Patrol derelict vessel number or by some other means. It is the intent of this contract to remOVE~ derelict vessels from their present sites a legally dispose of them. Upon receipt of vessels at the landfill. They nlust be disposed of immediately. A legal disposal site is either -the Long Key Landfi.ll-Monroe County, MM 68 1/2, Long Key, Florida 33001, 305-664-9315, other landfills in neighboring countries or any other l~cation for" disposal as long as the FDEP DV Specs--Page 9 Dispc)si tion Certification Form (attached) is fully dOCllnlented. If a signature cannot be obtained on Florida DepaI"tment of Environmental Protection Disposi tion Certi.fication, the Contractor must contact County. Repre~sentative for written approval and instructions. 21. PROOF' OF PROPER DISPOSAL AND NOTIFICATION TO MARINE PATRCIL: 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 written statement with a description of what type of debris was transported, dates, times, name, address, and phone number of site. In ad~dition to the above information, Contractor must submi,t three pictures of each vessel removed. The first photograph must be of the vessel at the current location prior to removal, the second photograph must be of the vesse.l after removal but in the same general area preferably while in tow, and the third photograph must be of the vessel at th-: disposal site with sufficient background to depict of disposal (i.e., building or sign identifying disposal site). The d~~relict vessel number, when present, must appear in all photo~;1r aphs . The Cc)ntractor will be responsible for the camera, film, and dE~velopment costs. The photographs should be taken with a Polciroid camera that provides instant photos since this minimizes loss of documentation due to'camera malfunction or loss overboard. This camera and film must be provided by the Contrcictor. The photos must be submi tted on a vessel by vesseJL basis according to removal schedule. wi thout photos to doc:ument the removal and disposal of the contracted vesse]~s final payment can not be assured. The Cc)ntractor must notify the Florida Marine Patrol and the County Representative in writing as to the work schedule of renloval. This should be done after the pre-work confeI~ence with the County representative. Notification is to be made before doing any work on each vessel. This multiparty communication for each Derelict Vessel is a requiI.ement of the contract. DV Specs--Page 10 22. PAYM1~: All payments for the removal and disposal of each vessel, shall be for the performance of the work as stiplLlated in these specifications and associated contI~actual documents. The unit rate of bid shall be totally inclusive for all phases of the operation. Contractor may reque~st two partial payments by subrni tting an invoice for the number of vessels removed up to the date of the invoice, providing the Contract agreement does not explicitly prohi.bi t partial payments. Photographs, disposal receipts, signe~d FDEP Dispqsition Certification form for the vessels for Ylhich payment is being requested. The contractor understands and agrees that no payment will be fo,rthcoming for the removal and disposal of any derelict vessel (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 not been obtained from the Florida Marine Patrol and a Representative of the disposal site at the time of delivery. In addition, property, public or private, if damaged during the work 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 payment for contracted work. 23. PUBLIC ENTITY CRIMES: Upon entering into the contract, the Contr,actor agrees to sign and endorse the Public Enti ty Crime,s form (attached). 24. NON-COLLISION AFFIDAVIT: Upon entering into the contract, the Contractor agrees to sign and endorse the Non-Collusion Affidl3.vi t form (attached). 25. ETHICS.CLAUSE: Upon entering into the contract, the Contra.ctor agrees to sign and endorse the Ethics Clause form ( at ta(:=hed) . 26. DRUG ]~E WORK PLACE FORM: Upon entering the contract, the Contrcictor agrees to sign and endorse the Drug Free .Work Place form (attached). . 27. DERELICT VESSELS AT ISSUE: The derelict vessels listed on the DE~relict 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 ATTACIIHERT C April 22, 199.1 1st I'rin'ing MONROE COUNlY, FLORlDA INSURANCE CHECKLIS1' FOR VENDORS SUBMIITING PROPOSALS FOR WORK To assist in the development of your proposal, the insurance coverages marked with an IIXII will be required in the event an award is made to your firm. Please review this form with your insurance ~lgent and have himlher sign it in the place provided. It is also required that the bidder sign the form and submit it with each proposal. \,\'OltKERS' COMPENSATION AND EMPLOYERS'LIABILITY WC) WC2 We3 WCUSLH WCJA x Workers' Compensation Employers Liability Employers Liability Employers Liability US Longshoremen & Harbor Workers Act Federal Jones Act Statutory Limits $100,000/$500,000/$100,000 $500,000/$500,000/$500,000 $1 ,000,000/$1 ,000,000/$1,000,000 Same as Employers' Liability Sanle as Employers' Liability ~ x Admini~tive InstnlClion . #4709.0 I INSCKLST 6 t\pril 22, J 99J 1st Printing GENERAL LIABILITY As a minimum, the required general liability coverages will include: · Premises Operations · Blanket Contractual · Expanded Definition of Property Damage Required Liimits: GLl GL2 x GLJ Required Enc1orsement: GLXCU GLLIQ Products and Completed Operations Personal Injury . . $100,000 per Person; $300,000 per Occurrence $50,000 Property Damage or $300,000 Combined Single Litnit $250,000 per.Person; $500,000 per Occurrence $50,000 Property Dalnage or $500,000 Combined Single Limit $500,000 per Person; $1,000,000 per Occurrence $100,000 Property Damage or $1,000,000 Combined Single Limit Underground, Explosion and Collapse (XCV) Liquor Liability All endorsements are required to have the same Jimits as the basic policy. Administrative Instruction . 114709.0 I INSCKLsrr 7 ^pril 22~ 199J J sf Printing VEflJCLE LIABILITY As a minimum, coverage should extend to liability for: · Owned; Nonowned; and Hired Vehicles Required Limits: VLI VL2 x $50,000 per Person: $100,000 per Occurrence $25,000 Property Damage or $100,000 Combined Single Limit $100,000 per Person; $300,000 per Occurrence $50,000 .Property Darnage or $300,000 Combined Single Limit $500,000 per Person; $1,000,000 per Occurrence $.100,000 Property Damage or $1,000,000 Combined Single Limit VL3 MISCELLANEOUS COVERAGES BRl Builders' Limits equal to the Risk completed project. MVC Motor Truck Limits equal to the maxirnum Cargo value of anyone shipment. PROI Professional $ 250,000 per Occurrence/$ 500,000 Agg. PR02 Liability $ 500,000 per Occurrence/$I,OOO,OOO Agg. PR03 $1,000,000 per Occurrence/$2,000,000 Agg. POLl X Pollution $ 500,000 per Occurrence/$I,OOO,OOO Agg. POL2 Liability $1,000,000 per Occurrence/$2,000,000 Agg. POL3 $5,000,000 per Occurrence/$I 0,000,000 Agg. EDI Employee $ 10,000 ED2 Dishonesty $100,000 GK1 Garage $ 300,000 ($ 25,000 per Veh) GK2 . Keepers $ 500,000 ($ J 00,000 per Veh) GKJ $1,000,000 ($250,000 per Veh) MEDI Medical $ 500,000/$ 1,000,000 Agg. MED2 Profossional $1,000,000/$ 3,000,000 Agg. MED3 $5,000,000/$10,000,000 Agg. VLI X Watercraft Liability $500,000 per Occurrence Adnlinim.rative Jn~iion INSCKLS'" "4709.01 8 IF VLPI VLP2 VLP3 BLL I-IKL I 1-1 KL2 I-IKL3 AIRI AIR2 AlRJ AEOI AE02 AB03 ^pril 22.. 199) Js1l'rinling Installation Floater Maximum value of Equiprnent Installed Hazardous Cargo Transporter $ 300,000 (Requires MCS-90) $ 500,000 (Requires MCS-90) $1,000,000 (Requires MCS-90) Bailee Liab. Maximurn Value of Property Hangarkeepers Liability $ 300,000 $ 500,000 $ 1,000,000 $25,000,000 $1,000,000 $ 1,000,000 Aircraft Liability Architects Errors & Omissions $ 250,000 per Occurrence/$ 500,000 Agg. $ 500,000 per Occurrencel$l,oOO,OOO Agg. $ 1,000,000 per Occurrencel$3,000,OOO Agg. INSURANCE AGENT'S ST A~rEMEN'r I have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES Liability policies are _ Occurrence Claims Made Insurance Agency Signature BIDDERS STATEMENT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all the re~~uirements. Administrative Jrt\1rucltioD H4709.0 I Bidder Signature INSCKLs'r 9 ^pril 21. 1')4).1 11\1 I'rin'int: MONROE COUNTY, liLOI{ll)A INSlJRANCE GUIDE pro co Nl~I{A cr A I) 1\'11 N I Sl.l{A PI., 0 N General Insurance RcqllirClllcnts for Contractors and Subconfractors Prior to the commencement of work governed by this contrdct (including the pre-staging of personnel and material). the Contractor shall obtain, at his/her own expense, insurance as specified.in the attached schedules. which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Sub- Contractors engaged by the Contractor. As an alternative the Contractor may require all Subcontractors to obtain insurance consistent with the allached schedules. The Contractor will not be permitted to commence work governed by this contract . (including pre-staging of personnel and material) until satisfactory evidence of the required insurance has been furnished to the; County as specified below. Delays in the commencement of work, resulting from the failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time. except for the Contractor's failure to provide sat.isfactory evidence. The Contractor shall maintain the required insurance throughout the entire term of this contract and any extensions specified in any attached schedules. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the faiilure of the Contractor to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended. except for the Contractor's failure to maintain the required insurance. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, either: · <:ertificate of Insurance c~r · A Certified copy of the actual insurance policy. The County, at its sole option. has the right to request a certified copy of any or all insurance policies required by this conlract. AJJ insurance: policies must speciE} that they are not subject to cancel/ation. non-renewal, material change, or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. · The acceptance and/or approval of the Contractor's insurance shall not be construed as Admini5trati,oc In.~nJd ion 1/4709.1 12 Apr if 22. 199.1 I ~t I 'rin! inC ~;] rClieving the Contractor from any liability or obligation assumed under this contract or iJnposed by Javv. The Monroe County Board of County Commissioners, its employees and oflicials will be included as "Additional Jnsured" on aU policies, except for Workers' Compensation. In '~ ( , I In addition, the County will be named as an Additional Insured and Loss Payee on all policies covering County-owned property. . , Any deviations from these General Insurance Requirements must be requested in writing on the County prepared form entitled "Requcst for Waiver of Insurance Requircmcntsll and approved by Monroe County Risk Management. II u 1 . AdnliniArativc In.~''ocl iun U4709.1 13 - -........ ^I)ril 22, 199) I sf l'rinting WORKERS' COMPENSATION JNSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COlJNTY, FLORIDA AND Prior to the: commencement of work governed by this contract, the Contractor shan obtain Workers' COlnpensation Insurance with limits sufficient to respond to the applicable state statutes. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $500,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $500,000 Bodily Injury by Disease, each employee Coverage shall be maintained throughout the entire term of the contract. Coverage shall be provided by a company or companies authorized to transact business in the state of Florida and the company or companies must maintain a minimum rating of A-VI, as assigned by the A.M. Best Company. If the Contfalctor has been approved by the Florida's Department of Labor, as an authorized self- insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. ([the Contra-ctor participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. Administrative )nstrudlion 114709.1 WC2 82 ^prjl 22~ 199.1 1 st Prin(; ng GENERAL LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNrl'Y, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain General Lillbility Insurance. Coverage shall be maintained throughout the life of the contract and include., as a ininimum: · Premises Operations · Products and Completed Operations · Blanket Contractual Liability · Personal Injury Liability · Expanded Definition of Property Damage The minimum limits acceptable shall be: $500,000 Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be: $25G~.,OOO per Person $500~.,OOO per Occurrence $ 50,000 Property Damage An Occurrence Fonn policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfY the above requirements. Administrative Jnstruc..1ion 114709.1 GL2 55 ^priI22.1993 J sl I'rinling VEIIICLE LIA81LITY .INSURANCE REQUIREMENTS FOI{ CONTJMCT BErIWE.EN M.ONROE COUN1'Y, FLORIDA AND Recognizjn1~ that the work governed by this contract requires the use of vehicles, the Contractor, ptior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shaH be maintained :throughout the life of the contract and include, as a minimum, liability coverage for: · tJwned, Non-Owned.. and lIired Vehicles The rninimum limits acceptable shall be: $300,000 COlnbined Single Linlit (CSt,) If split limits are provided, the Jninirnum linlits acceptable shall be: / :/ $IO()..OOO per Person $300..000 per Occurrence $ 5(~,OOO Property Dalnage ," ~ ;.,r- - .~ 'j:~~--' The Monroe: County Board of County Commissioners shall be named as Additional Insured on all policies jssu4~d to satisfy the above rcquircnlcnts. :. ^dmini5tralivc In-rtnJ<..1ion 114709.1 VL2 76 I ~_. \ ,--.~ WORKERS' COl\1PENSA TION INSURANCE REQUIREM.ENrrS liOR CONTRACT BETWEEN MONRO.E COUNTY, F.LORIDA AND Recognizing that the work governed by this contract involves Maritinlc Operations, .the Contractor's Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones Act (46 V.S.C.A. subsection 688) with limits not less than those specified for Ernployer's Liability. The Contractor shall be pel111itted to provide Jones Act Coverage through a separate Protection and Indemnity Policy, in so t~r as the coverage provided is no less restrictive than would have been provided by a Workers' COlnpensation policy. Adrnini.wati vc I nslruct; on 1/4709.1 WCJA 84 April 22, 199.1 J sl ('rin'ing t '-- WATER CRAFT LIAIJIIJITY .INSURANCE REQUJltEl\IEN1.S FOR CONTRAC1' BE'fWEEN MONROE COUN'rv,lrLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Water Craft Liability Insurance with terms no less restrictive tlmn t.hose Cound in the standard "American Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be maintaincd throughout the life of the contract and include, as a minimum: · Injury (including death) to any Person · Damage to Fixed or Movable Objects · Costs Associated with the Removal of Wrecked Vessels · Contractual Liability with Respect to this Contract If the policy obtained states that coverage applies for the "Acts or Omissions ora Vessell" it shall be endorsed to provide coverage for the legal liability of the shipowner. The minilnunllimits acceptable shaH be: $500,000 Combined Single Limit (CSL) Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the approval 4)f the County. The Monroe County Board of County Commissioners shaH be named as Additional Insured on all policies issued to satisfy the above requirements. \,,- ^dministralive Inmnlction 64709.1 WLI 86 (I '- l '-' April 22. 14j()J ISll'rinting P()I~LUTION LIABII.JITY INSURANCE REQU.IREMENrrS If OR CONTRAcrr BErj'WEEN MONROE COUNTY, FLOlllDA AND Recognizin,g that the work governed by this contract involves the storage, treatment, processing, or transporting of hazardous n18tcrials (as defined by the J4'edcral Environnlcntal Protection Agency), the Contractor shaH purchase and maintain, throughout the life of the contract, ('()lIution Liability Insurance which will respond to bodily injury, property danlage, and environmental dalnage caused by a pollution incident. The minimum limits of liability shall be: $5010,000 per Occurrencel$ I ,000,000 Aggregate Ifcoverage is provided on a claims made basis, an extended clainls reporting period offour (4) years will ble required. Adntini51rativc Im1.rudion U4709.l POLl 69 S\\"ORN STATEI\1ENor rlJRSUA~rTO SEC1~ION 2R7.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIl\1ES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to ~if7?Ch~:-- ';::::::bU4"/Y - ~ (print name of the public entit)'J /~ ~ b4~J.U/.- - 77 .4;;'~/~ 1/ /E/ for (print individual's name and title) /J-rr-f[)/f:y,r '> /}c.J/"-('/ /In-/-~r?/~- rl~-=/9'<--5: ..z-~C , (print name of entity Jubmitting sworn statement) by whose business address is .5510 -3 7)/ /-/YE-, ?-" ..z:-, ~~cy~~~;:-~ ~~ 33c~ and (if slpplicable) its Feder:1 Employer Id:ntification Number (FEIN) is 59 - z ~ ~ C? V9 Z ~If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: .) 2. I under!;tand that a "public entity crime" as defined in Paragraph 287.133(I)(g), Florida Statutes. means a violation of any state or Cederallaw by a person with respect to and directly related to the transaction of business with an)' public en tity or with an agency or polit ical su bdi vision of any other state or of the United States, including, but not limited to, any bid or contract for goods er sen'ices to be provided to any public entity or an agency or political subdivision ~f any other state or of the United States and involving antitrust, fraud,.theft, bribery, collusiol1, rackefeerin~, conspiracy, or material caisrcprescntation. 3. I undentand that"convicted" or "conviction" as defined in Paragraph 287.133(I)(b), Florida Statut~s, 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 tri~ill court of record relating to charges brought by indictment or information after July I, 1989, as 8 result of a jur~{ verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I undentand that an "affiliate" as defined in Paragraph 287.133(I)(a), Florida Statutes, means: 1. A pr4~decessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been COlli victed 0 f a public entity crime. The term" affiliate" indu des 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 Il,ersons 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 tile United States with the legal power to enter into a binding contract and which hids or applies to hid on contracts for the pro\'ision of goods or sen'ices let by a puhlic entity, or which otherwise transacts or applies to transact business with a puhlic entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in mana2el1nent of an entity. 6. Bas('d on inforrnaliun and hdi('f, Ih(' stalement which I ha\'(' mark('d helm\' is Irlle in relalion to the ('nlil:)' suhmiUiin~ this sworn sta'('mcnt. (Indicate \\'hich staternen' applies.' ~ Neith('r the entil:)' suhmillin~ this sworn statement, nor any of its offic('rs, directors, execulh'es, putners, sHareholders, employees, memhers, or A~ents "'ho Rr~ active in the management orthe entit)', nor any affiliate of the entity has heen charged "'iCh and con,'iefcd of a public entity crime subsequent to July I, 1989. - The enlily suhmiUin~ this sworn statement, nor any of its officers, directors, exectutives, putners, shareholders, employees, memhers, or agents who arc active in the management of the entity, nor an affiliate: of the entity has heen charged "'ith and convicted of a public cntit:y crime subsequent to July I, 1989. - The entity suhmitting this sworn statement, or one or more of its officers, directors, executi,'es, partners, sharehollders, emplo}'ees, members, or agents who are acti"e in the management of the entity, or an affiliate of the entit,y has been charged with and convicted ora public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Adm inistrative Hearings and the Final Order entered by the Ilearing Officer determined that it was not in the public inferest to place th4~ entity submitting this sworn statement on the convicted vendor list. (attach a copy of the final order) I UNDERST ANDI THA TTlJE SUBMISSION OFTHIS FORM TO THE CONTRACfING OFFICER FOR THE PUBLIC ENTITY IDENT][FIED ON PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONL Y AND, THAT THIS FORM IS VALID THROUGli 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 CONTRACf IN I~XCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECfION 287.017, FLQRlDA ST A TIJrES FOR CATEGOR.Y TWO OF ANY CIIANGE IN THE INFORMATION CONTAINED IN THIS FORM. . //'~ ~ - , J A /:;:;) /,f' (ffi~LI/ t(/~ ~~4'/ [signature) Sworn to and subscribed before me this ~ f1daYOr /l..~77/' / , 19 7~ /~~?'~-~ r~-J Notary Public - State of Personally knowllI -:/ OR Produced identification My Commission expires ,L;;:~ 7~/ /t /~ 2:54 d-~d (Printed typed or stamped ( commissioned name of notary public) (Type of identific:ation) """~"t",, ~~~..~*~ GLORIA K. BLANCO ~(Ji.; ;:~ MY COMMISSION # CC435323 EXPIRES ~J,f~~~~ March 24, 1999 ',,9r..n:,," BONDED THRU TROY FAIN INSURANCE, INC. Form PlJR 70(l8 (Ilev. 0(./11/92) SW()RN ST^TEMENT UNDER aRDl NANCE NO. 10 -} 990 MONROE COUNTY, FLORIDA ETHICS CLAUSE . _-/_ /' .' -'/3 F?/? / /5 ,...z:- -r ""-- . /lJ?b,t~ AvIv/'J~~/~75/-rE' warrants that he/it has not employed retained or otherwise had act on his/its behalf any former County officeJ 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, corronission, percentage, gif, or consideration paid to the.....~'mer co~nt. y o~. e.~ .-'o~employee. /Y(Pd&'"I.tV C}!<--l/ C(/ ! (signature) ~~-0 ,- 76- Date: STATE OF r/(,?7/"CY~ ~/? ~ -- COUNTY OI~ .-/ r- /;C 4'"/7' /~J C Subscribed and sworn to (or affirmed) before me on ?'" - c; .' 75 (date) by '?~~/?~/rc/ t-r: ~;?1:~K/(name of affiant). _He/She is personally known to me or has produced "-~-___"""-'~._'_e"l'~_. as identification. (type of identification) "'"'''''' ..~\!r.y. r~~,~ GLORIA K. BlANCO g'./.. ~-.-"f*~ MY COMMISSION # CC435323 EXPIRES ~~Aw March 24, 1999 "'~P'f..~~~' BONDED THRU TROY FAIN INSURANCE, tNC. ~~'A~ MCPft4 REV. 2/92 NOTARY PUBLIC L:; /;-'/7/-'1- /~. 7~d'r-'~ NON-COLLUSION AFFIDAVIT <.. ________~7 L /" /- · -? /c;/ I , - / c;/A:.-F7~7?:/!/l/ · /} ,7'5.'4" , of the ci ty /fEY L~~ ~ ac~cording to law on my oath, and f of under penalty of perjury, depose and say that; 1) I am /)7f>TC7/c~ /lc)/o /)d/~7/,fF'/3'[~~q 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 1this 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 tor I; and ,) no attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit, or not to submit, a bid for the purpose of restricting 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 r-,G .. .. //'/) . ;,:. fL//'O) /," ,/.~'~,,(/ Au'; /' ..,,;/,/ I / 'l'" , / 1 # _ __' ~/" t~ J .., ' (Signature of Bidder) L/-& --8- DATE COUNTY OF ~/~ I-Y::~.'-'~I c:- PERSONALLY APPEARED BEFORE ME, the undersigned authority, '7-?: :<'h--/J;?1~IJ,~/!7?dC1/C:;:; after first being sworn by me, (name of individual signing) affixed his/her signature in the space provided above on this / ~ / C'--- ~-, day of /I?7?/' , 19 7.::::>. ~~~~ GlORIA K. BlANCO l*~}*! MY COMMISSION /I CC435323 EXPIRES ~~.....~ March 24, 1999 'Rr..n\' BONDEOI THRU TROY FAIN JNSlJRAHCE, INC. GLORIA K. BlANCO ',MMISSION # CC435323 EXPIRES March 24, 1999 , ,';U TROY FAIN iNSURANCE, INC. ./~'X- NOTARY PUBLIC __A , /~ /:;? /" k ~./ ;7/ /;- -" '/ ',-L--Y /'?~~/ My commission expires: - --- - - - -- - --- - - - -- --- ---- - -- -- - - ---- --- - -- --- --- - - -- - - --------- - ----- - - - - - -- - ---------------- - - - -- - - - -- - - ------ --------------- CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 10/05/94 -------- - - - -- - - - --- --- - - - - - - -- - - - ---- - - - - ------ --- - - - - -------------- - - - - ---- - - ----------------- - - -- - - - --- - - ---- - -------------- PRODUCER [ ] 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. DONATO INSURANCE AGENCY INC. 2519 EAST HIGHWAY 436 APOPKA FL 32703- 407-889-7525 COMPANIES AFFORDING COVERAGE COMPANY NORTH AMERICAN SPECIALTY LETTER A COMPANY ---------------------------------------------- LETTER B INSURED ------------------------------------------------------------------------------- COMPANY ARNOLD'S TOWING SERVICE LETTER C 554p 3RD AVENUE ------------------------------------------------------------------------------- KEY WEST, FL COMPANY LETTER 0 COMPANY LETTER E ------------------------------------------------------------------------------------------------------------------------------ COVERAGES ------------------------------------------------------------------------------------------------------------------------------ THIS IS TO CERTIFY THAT 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 ISSUI:D 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. ------------------------------------------------------------------------------------------------------------------------------ COI I IPOLICY EFFECTIVEIPOLICY EXPIRATIONI LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS ---+---------------------------------+------------------+----------------+-----------------+---------------------------------- GENERAL L I AB I L I TY GENERAL AGGREGATE $ [ ] COMMERCIAL GENERAL LIABILITY PROD COMP/OPS AGGR $ [ ] [ ] CLAIMS MADE [ ] OCCURRENCE PERSONAL & ADV INJURY $ [ ] OWNER'S & CONTRACTORS PROTECT EACH OCCURRENCE $ [ ] FIRE DAMAGE(ONE FIRE) $ [ ] MEDICAL EXP(1 PERSON) $ ---+---------------------------------+------------------+----------------+-----------------+---------------------------------- A AUTOMOBILE LIABILITY 17002CA33224-01 04/30/94 04/30/95 CSL [ 1 ANY AUTO $ 500,000 [ 1 ALL OWNED AUTOS BOD I L Y INJURY [Xl SCHEDULED AUTOS (PER PERSON) $ [Xl H I RED AUTOS BOD I L Y INJURY [Xl NON-OWNED AUTOS Received (PER ACCIDENT) $ ~X~ GARAGE LIABILITY RiSj ~:~t. & Loss antral p~~~~~~y $ - - -i~ ~~~~~!;i[~~:~b~~:::,::~ - :~:~ - - - - -i- - - - - - - - - - - ~~~~~~+1tr ~~: z,-- u+- - - - - - - - - - - - - - - - -r ~~~~ - ~~~~;;~~~~ - - i~ - - ~~~;~~~~~ - -- ---+-------------------_._------------+------------------+---------- -----+-----------------+---------------------------------- STATUTORY WORKERS' COMPENSATION $ (EACH ACCIDENT) AND $ (DISEASE POL) EMPLOYERS' LIABILITY $ (DISEASE EACH EMP) ---~-------------------_._------------+------------------+----------------+-----------------+---------------------------------- A OTHER GARAGEKEEPERS LEGAL LIABILITY 17002CA33224-01 ON-HOOK LIABILITY 04/30/94 04/30/95 $50,000. W/$1000 OED. VARIOUS ------------------------..----------------------------------------------------------------------------------------------------- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS TOWING & RECOVERY OPERATIONS ------------------------..----------------------------------------------------------------------------------------------------- CERTIFICATE HOLDER I CANCELLATION -------------------------.-------------------------------------+--------------------------------------------------------------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 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 MONROE COUNTY AGENTS OR REPRESENTATIVES. - - - - - -- -- - - ~~::~~~~:::~~~~~~~:: - -- - -- - - -- - -- ~~~~~ - ~~ ~ ~ -~: ~?~~ - _: ~~~ ~~~~D~~:t~::::::::::::::::::::