04/16/1997 DV Removal-Zone I
llannp 1... J!olbagt
BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATIiON, FLORID.A 33050
TEL. (305) 289-6027
FAX (305) 289-1745
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
SOO WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3660
BRANCH OFFICE
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852.7145
FAX (305) 852-7146
MEMORANDUM
TO: Peter Horton, Director
Division of Community Services
FROM::
Attention: Kim McGee, Marine Projects Coordinator
Ruth Ann Jantzen, Deputy Clerk .434/ .
May 1, 1997
DA TE:
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On April 16, 1997, the Board of County COmmissioners granted approval and
authom.ed execution of a Contract Agreement between Monroe County and Arnold's
Towing Iror the removal of Derelict Vessels 1997 for Zone I (Key West to Grassy Key).
A.ttached please find a fully executed duplicate original of the above Contract for
return tC) Arnold's Towing.
me.
H' you have any questions concerning the above, please do not hesitate to contact
CC: Ct[)unty Attorney
Finance
County Administrator, wlo document
Fijle
CONTRACT AGREEMENT
AC;REEMENT, MADE THIS
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{> day of /~ft /L 1997, by
and between,
Arnold's Towing
("Contractor") ,
and the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA,
of the County of Monroe, State of Florida ("Board").
The Contractor and the Board, for the consideration named
agree as follows:
1. The Contractor shall furnish all the materials and
perform all the work as required by the Specifications for the
removal of Derelict Vessels-1997. A list of vessels to be
removed is attached as Exhibit A.
2. The work to be performed under this contract shall
commence immediately from the date the Liaison provides the
Notice to Proceed and shall be completed by December 31, 1997.
3~ The work to be performed under the Contract is
contingent upon grant funding from the Florida Department of
Environmental Protection, Boating Improvement Fund. If these
grants are denied, then no compensation is due under this
Contract. The Contractor acknowledges the contingent nature of
the state funding and agrees that, if the grant is denied, the
Contractor may not make a claim for compensation under this
agreement or by way of estoppel, detrimental reliance or
otherwise. The Contractor understands the rules of the
Department of Environmental Protection and shall comply with
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those r'ules I along with the rules and procedures insti tutecr by:~'-'::-
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the Board to ensure an orderly progress to the project.
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Both the intent and the requirements of the specifications are
understood by the Contractor.
4. The Board shall pay the Contractor $45.00 per linear
foot for removal and legal disposal of derelict vessels
listed on Exhibit A. Derelict vessels whose removal constitutes
an emergency may be added to the Exhibit A vessel removal list by
the Marine Projects Coordinator. When Arnold's services are
used to remove such a vessel, Arnold's will be compensated on a
per linear foot basis, with the amount of compensation determined
by the degree of difficulty in removing the vessel and approved
by both Arnold's and the County's Marine Projects Coordinator.
However, in no event may the compensation for the emergency~ .
removal of derelict vessels be less than the lowest per linear ~
~
foot price of the Agreement or more than $100 per linear foot.
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Payment for the work shall be upon completion by the Contractor
and review and approval of the closeout documentation by the
Marine Projects Coordinator.
5. The attached Derelict Vessel List, Specifications, and
Monroe County Insurance Requirements together with this
Agreement, form the the Contract. They are fully a part of this
Contract as if repeated herein verbatim.
6. The Contractor covenants and agrees to indemnify
and hold harmless the Monroe County Board of County Commissioners
from any and all claims for bodily injury (including death),
persona.l injury and property damage (including property owned
by Monroe County) and other losses, damages, and expenses
(including attorney's fees) which arise out of, in connection
with, or by reason of services provided by the Contractor or any
of its Subcontractor (s) in any tier occasioned by the
negligence, errors, or other wrongful acts or omissions of
the Contractor, its Subcontractor (s) in any tier, their
employees, or agents. The purchase of the insurance required
in paragraph 13 does not vitiate this indemnification provision.
7. The Contractor agrees to supply the County with a set of
photographs of all vessels in all phases of the removal and
disposal process. The Contractor will be responsible for the
camera, film, and development costs.
8. The Contractor must inform the County and the Florida
Marine Patrol prior to initiation of work.
9. The parties agree that timely performance of this
agreement is essential due to possible damage to the natural
resources, hazards to navigation, or threats to human health
and welfare. Therefore, the parties agree that the Contractor
shall be liable to the Board for $100 per day of liquidated
damages for each day after 12-31-97that andof the Contractor's
obligations under this agreement remain unperformed. The parties
agree that such amount is by the way of compensatory damages and
does not constitute a penalty.
10. Due to the use of heavy equipment and, at times,
dangerous work environment, the Contractor understands and
agrees to maintain an alcohol and drug free work environment.
11. The CONTRACTOR will be responsible for all necessary
insura:nce coverage as indicated by an "X" on the attached forms
identified as INSCKLST 1-4, as further detailed of forms VL1,
WC1, WCJA, GL1, WL1, & POLl attached Exhibit C.
All policies must list Monroe County as additional insured with
the eX1ception of the Worker's Compensation policies.
12. A person or affiliate who has been placed on the
convicted vendor list following a conviction for public entity
crime may not submit a bid on a contract to provide any goods or
services to a public entity, may not submit a bid on a contract
with a public entity for the construction or repair of a public
building or public work, may not submit bids on leases of real
property to public entity, may not be awarded or perform work
as a contractor, supplier, subcontractor, or consultant under a
contract with any public entity, and may not transact business
with any public entity in excess of the threshold amount
provided in Section 287.017, for CATEGORY TWO ($10,000) for a
period of 36 months from the date of being placed on the
convicted vendor list.
13. The Board may terminate this agreement with or without
cause at anytime upon giving the contractor a minimum of ten
days in writing. The contractor, upon receipt of the notice,
shall immediately cease work. The Board shall pay the contractor
the percentage of the contract sum which is proportional to the
amount of work performed by the contractor in a manner
satisfactory to the Board up to the date the Contractor received
the Notice to Termination.
IN WITNESS WHEREOF the parties hereto have executed this
Agreement to day and year first written
BY:
ab~ ~ /J
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Owner
Title
Arnold's Towing
Firm
(Seal)
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Witness
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Mayor
BY:
(Seal) Attest:
ISEAL)
ATTESt: DANNY L KOlHAGE a.ERI(
Iff
Clerk
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EXHIBIT A
LIST OF VESSELS TO BE REMOVED ZONE I
1997
..
EXHIBIT'/!;
DERELICT VESSEL REMOVAL CONTRACT SPECIFICATIONS
FOR MONROE COUNTY, FLORIDA
1. INTENT: It is intended that these specifications shall
cover all aspects of the work. 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 documents.
2. BID FORMAT: THE BID MUST BE SUBMITTED ON THE BID
lillSPONSE FORM ENCLOSED IN THIS PACKAGE. A dollar amount
per foot must be submitted for the removal of as many
derelict vessels on the primary list for which a Florida
Marine Patrol Derelict Vessel Report is provided as funding
will allow. 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 . PI~ANS : There are no plans for this proj ect, 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 include 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 listed on the Bid Response Form are to be bid
upon and subsequently removed.
The County 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 County has a limited amount of money to effect the
removal of these derelict vessels. We have established
priorities based on public safety, navigation and traffic
hazard, and environmental considerations. If bids exceed
the County's resources for removal based on these
considerations, we shall limit vessel removal based on the
these considerations and cost effectiveness.
4 · VE~SSEL 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
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
examination 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 be reported by the Contractor to the County. The
County assumes no responsibility should there be any
discrepancies in what is stated in these documents and what
the bidder evaluates.
1\ contractor should take special care to remove only those
derelict vessel's on his contract 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
,Tessel 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
tripartite consent noted in this paragraph. A contractor
may suggest a possible replacement vessel but he may not
remove 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.
DV Specs--Page 2
l~ny vessel that is removed and disposed of shall be
removed from its present site in such a manner as to do
1:he least possible damage to the natural environment
surrounding 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 Contractor must remove all oil, gas and engines.
He must dispose of them in any legal manner. Pure used oil
will be taken by Monroe County for disposal. Mixture of
oil, gas, seawater or any combination of the three must be
transported from the County by an approved hazardous waste
handler. The names of those firms will be supplied by the
r~onroe County Solid Waste Department. Metal becomes the
property of the Contractor.
In those 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
County representative to verify the vessel and location
using the original Derelict Vessel Report from the Florida
Marine Patrol.
6. ~~TERIALS AND WORKMANSHIP: The Contractor shall provide
the necessary materials and equipment to safely complete
the job. The Contractor agrees that all work shall be
performed by competent employees who are experienced and
qualified to do the work specified, and that all work will
be performed in accordance with the best commercial
practices. A list of equipment to be used and a
description of the removal and transporting procedures to
be followed must be provided to the County at the
pre-work Conference described below.
Precaution shall be exercised at all times for the
protection of persons and property. The safety provisions
of the Occupational Safety and Health Act of 1970 (Public
Law 91-596) and other applicable laws, including building
and construction codes shall be observed. Machinery,
DV Specs--Page 3
equipment and other hazards shall be guarded in accordance
~Nith safety provisions of the "Manual of Accident
JPrevention in Construction", published by the
~~ssociated 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 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
~~ildlife 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
J::-educed. 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 damages caused by explosives.
7 · A~,SIGNMENT OF CONTRACT AND SUBCONTRACTS: It is expressly
understood that the Contractor is in all respects an
independent Contractor for this work, not withstanding
under certain conditions he is bound to follow the
directions of the County, and is in no respect an agent,
servant, or employee of the County. Neither the Contract,
nor any part thereof, nor any monies due or to become due
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
either directly or indirectly employed by said
subcontractor, as he is for the acts and omissions of
persons directly employed by him. Nothing contained in the
Contract Documents shall create a contractual
relation between any subcontractor and the County.
DV Specs--Page 4
All subcontractors shall abide by the terms,
conditions, and requirements of this Contract. It is
the responsibility of the Contractor to pay all debt
obligations incurred with subcontractors in an
expedient manner.
8. LEGAL 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 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 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
county 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 Contractor shall furnish the following certificates of
insurance for review by the County's Risk Management
Division:
DV Specs--Page 5
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
change in insurance shall be made without (10) days written
advance notice to Monroe County, c/o the Director of the
Risk Management Division.
a. vlorker's Compensation Insurance per Fl. Statutes
b. Federal Jones Act Coverage
c. 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$500,000.
d. v~ater Craft Liability Insurance in the amount of
~; 5 0 0 , 0 0 0 .
e. l~utomobile liability insurance covering all owned,
non-owned and hired vehicles used in connection with the
work, in an amount not less than $100,000 per occurrence
for Bodily Injury and Property and Damage combined.
1~11 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
C:ommissioners must be listed as "Additional Insured" on all
policies, except for Worker's Compensation.
10. CC)MMENCEMENT,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 within one
vleek from the date on the "Notice to Proceed n let ter.
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.
Requests for extension of time must be submitted in writing
to the County representative. Extensions of time cannot
legally be approved unless the written request is submitted
in the time to permit it to be acted upon before the
DV Specs--Page 6
Contract expiration 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.
Provided further that the Contractor shall within ten (10)
from the beginning of such delay notify the County, in
writing, of the causes of the delay. The County
representative will ascertain the facts and the extent of
the delay and notify the Contractor within a reasonable
time of her decision in the matter.
If the Contractor fails to complete the work within the
time limit, and if the County should nevertheless
permit the Contractor to continue and complete the same
without official extension of time in writing, such
permission shall not modify nor waive any liability of the
Contractor for damages arriving non-completion of work
within the time limit, but such liabilities shall be
subject to continuation in full force against the
contractor.
11. ClurnGES 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.
J~ll 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
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 event that
this occurs.
DV Specs--Page 7
Except 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
year and during and after termination of the contract.
13. CONTRACT AWARD: The County reserves the right to evaluate
the submitted bids and to award a contract to the bidders
submitting the lowest per foot bid or to other than the low
bidder based on past performance and/or for other
reasons that would affect the successful completion of this
project. Two bids will be accepted and contracts issued
for the total removal of all listed derelict vessels in
Zone I and Zone II, and will be two separate projects.
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
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 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 insurance within TEN
~qORKING 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,
acknowledges that he and all his subcontractors have
satisfied themselves as to the nature and location of the
work, the general and local conditions, including, but not
restricted to, those bearing upon transportation, handling,
DV Specs--Page 8
access to the pick-up and disposal sites; and the character
of equipment and facilities needed to perform the work.
Failure on the part of the Contractor to completely or
properly evaluate any factors of his costs prior to bidding
shall not form a basis for additional compensation if he is
awarded the contract.
If for any reasons, not acceptable to the County, the
Contractor does not perform, the County shall have the
right to levy liquidated damages against the Contractor.
Liquidated damages in the amount of $100 per day 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. NOTICE TO PROCEED: The Contractor shall commence work
upon this project within one week of the date of the Notice
to Proceed letter and perform in a continuous manner until
completion and acceptance by the County. For Contracts
wherein a specified number of days for completion is stated
in the Contract, the effective date of the "Notice to
I?roceed with Contract Work" will establish the "beginning
elate" of the proj ect .
18 . TE~RMINATION OF CONTRACT: This Contract may be
terminated 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
llerein and before acceptance and final payment shall be
made, the Contractor shall remove from the sites all
machinery, equipment, surplus and discarded materials and
temporary structures. All disposal of materials, rubbish
and debris shall be made at a legal disposal site.
20. DISPOSAL SITES AND FEES: Contractor is responsible for
disposal of all derelict vessels included in this contract
and must make arrangements for legal disposal. It is the
responsibility of the Contractor to pay all disposal fees
incurred, and such removal related costs should be
considered when bidding on this contract.
The contractor will deliver the derelict vessels to a
Florida Department of Environmental Protection permitted
disposal site that has current occupational tax
licenses. It is the intent of this contract to remove
DV Specs--Page 9
derelict vessels from their present site and legally
dispose of them. Vessels must be destroyed at disposal
sites and may not be given to anyone. Upon receipt of
vessels at the landfill, they must be disposed of
immediately.
There are several Monroe County disposal sites, Cudjoe
Transfer Station, MM 21.5 (vessels must be 26' and under to
be delivered in tact, or over 26' they must be broken up) ,
Long Key Transfer Station MM 68, and Benson Transfer
Station, Card Sound Road aka SR905. There is also a City
of Key West disposal site that is located on Colleg Rd. in
Stock Island. Legal County licensed and FDEP permittted
disposal sites in neighboring counties may also be utilized
for disposal of vessels. Prior to transportation of
vessels out of County the County representative must
approve. Vessels being disposed of at County Landfill sites
must be free of pollutants and engines.
21. PROOF OF PROPER DISPOSAL AND NOTIFICATION TO MARINE
Pl~TROL: 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. 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. This information must accompany billing.
In addition to the above information, Contractor must
submit 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 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 derelict vessel number,
when possible, must appear in all photographs. Failure to
produce proper photographs may result in non-payment of
vessel removal fee.
The Contractor will be responsible for the camera, film,
and development costs. The photographs should be taken with
a Polaroid 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 Contractor. The photos must be submitted on a vessel by
vessel basis according to removal schedule. Without photos
DV Specs--Page 10
to document the removal and disposal of the contracted
vessels final payment can not be assured.
The Contractor must notify the Florida Marine Patrol and
the County Representative in writing as to the work
schedule of removal. This should be done after the
pre-work conference 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 requirement of the contract.
22 · P~~YMENT: 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 two 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, signed FDEP Disposition Certification form for
the vessels for which payment is being requested.
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 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
cieli very.
In addition, property, public or private, if damaged during
the work or removed for the convenience of the work, shall
be replaced at the expense of the Contractor in a manner
acceptable to the County and the Owner, prior to the final
r)ayment for contracted work.
23 · NC)N-COLLISION AFFIDAVIT: Upon entering into the contract,
the Contractor agrees to sign and endorse the Non-Collusion
Affidavit form (attached).
24 · ErrHICS CLAUSE: Upon entering into the contract, the
Contractor agrees to sign and endorse the Ethics Clause
form attached) .
25. DR.UG 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
DV Specs--Page 11
EXHIBIT C
April 22. J <)9.1
l!d I 'rinl ing
l\10NROE COUNTY, FLORIDA
INSURAI\CE CI~ECKLIST
FOR "
VENDORS SUB1\111TING PROPOSALS
FOR \VORK
To assist in the development of your proposal, the insurance coverages "larked \\'ilh an "X" \\fill
be required in the e\'ent an award is made to your firm. Please review this fonn with your
insurance agent and have himlher sign it in the place provided. It is also required thallhe bidder
sign the form and submit it with each proposal.
~~
\\'OJtKERS' COf\1PENSA TION
I~ND
EJ\1PLOr'ERS'LIABILITY
\,'C J
\\'C2
\\'C3
WCUSL,H
x
X
\\'orkers' Compensation
Employers Liabilit),
Enlployers Liability
Employers Liability
.~ US Longshoremen &
Harbor \\'orkers Act
Federal Jones Act
Statutory Limits
$1 OO,OOO/$SOO,OOO/$I 00,000
$500,000/$500,000/$500,000
$1 ,000,000/$1 ,000,000/$1 ,000,000
Same as Employers'
Liability
Sanle as Employers'
Liability
v..'CJ A
x
^dmini~1.rativ~' JrNruC1inn
lNSCKLST
1147U90 J
()
AJlf if 22. 1 <)<}.l
I ~ Prinf ing
GENERAL LIABILITY
As a mini.mum., the required general liability coverages will include:
· Premises Operations
· Blanket Contractual
· Expanded Definition
of Property Damage
Required Limits:
GLl
x
"
GL2
GL3
Required ]~ndorsement:
GLXCU
GLLIQ
.
Products and Completed Operations
Personal Injury
.
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Cornbined Single Lilnit
$250,000 per Person; $500,,000 per Occurrence
$50,000 Property Darnage
or
$500,000 Combined Single Limit
$500,,000 per Person; $1,,000,,000 per Occurrence
$100,000 Property Damage
or
· ~ 1,000,000 CQmbined Single Limit
Underground, Explosion and Collapse (XCU)
Liquor Liability
All endorsements are required to have the same limits as the basic policy.
^drnini~rati\"~ In:~C1ton
H-1709.0J
INSCKLS1'
7
April 21. J<rJ.l
1 ~ I'r in! i fl g
VEJ-UCLE lJABLLIT'(
As a minimum, coverage should extend to liability for:
· Ov.'ned; Nonowned; and Hired \'chicles
Required Limits:
VLl
x
VL2 , ,
VL3
BRl
MVC
PROl
PR02
PR03
POLl
POL2
POL3
ED]
ED2
x
UK1
GK2
GK3
MEDI
MED2
7\1 ED)
^dmini~rati\'c J~NC1ion
ff4709.0 I
$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 L,imit
$500,,000 per Person; $1,000'1000 per Occurrence
$100,000 Properly Damage
. or
$1,000,000 Combined Single Limit
· 4.M1SCELLANEOUS COVERAGES
Builders'
Risk
Limits equal to the
completed project.
Motor Truck
Cargo
Professional
Liability
Limits equal to the maxirnum
value of anyone shipment.
$ 250,000 per Occurrencel$ 500,000 Agg.
$ 500,000 per Occurrencel$l,OOO,OOO Agg.
$1,,000,,000 per Occurrencel$2~OOO,000 Agg.
$ 500,000 per ()ccurrencel$ ) ,,000,,000 Agg.
$1,,000,,000 per Occurrence'$2,OOO,Ooo Agg.
$5" 000, 000 per OccurrencP$l 0" 000, 000 Agg.
Pollution
Liability
Employee
Dishonesty
$ J 0,000
$100,000
$ 300,000 ($ 25,000 per \'eh)
$ 500,000 ($] 00,000 per Veh)
$1,000,000 ($250,000 per Veh)
$ 500,000/$ ] ,000,000 Agg.
$1,000,000/$ 3,000,000 Agg.
$5,000,000/$10,000,000 Agg.
Garage
Keepers
1\1 edicaJ
Professional
INSCKLs'r
x
IF
VLPl
VLP2
VLP3
BLL
HKLI
HKL2
11KL3
AIRI
AIR2
AJRJ "
AEOI
AE02
AE03
WL X
^rM'il 22. I t)C).1
J!I:I Print inC
Installation
Floater
!\1axirnum value of Equiplnent
I nstalJed
Hazardous
Cargo
Transporter
$ 300,000 (Requires 1\1CS-90)
$ '500,000 (Requires MCS-90)
$1,000,000 (Requires MCS-90)
Bailee Liab.
MaxinlUln Value of Property
Hangarkeepers
Liability
$ 300,000
$ 500,000
$ I ~OOO,OOO
$25,000,000
$ J ,000,000
$ 1,000,000
.AJrcrafi
Liability
Architects EfTors $ 250,000 per Occurrencel$ 500,000 Agg.
& Omissions $ 500,000 per Oc.currence/$I,OOO,OOO Agg.
$ 1,000,000 per Occurrencel$3,000,000 Agg.
Watercraft Liability $500,000
INSuRANCE AGENT1S ST A.fEMEN'r
I have reviewed the above requirements with the bidder named below. The following dcductibles
apply to the corresponding peDcy.
. .
POLICY
DEDUCTIBLES
Liability policies are _ Occurrence
Claims Made
Insurance Agency
.. .
Signature
BIDDERS STATEMENT
I understand the insurance that will be mandatory ifawarded the contract and will comply in full
with all the requirements.
Administrative JrNnLJdion
114709.01
Bidder
Signature
INSCKLs'r
y
/\ 1'1 i I 2 2. I <)<} .1
1st l'rinling
\VORKERS' COJ\1PENSA l'ION
INSURANCE REQUIREI\1EN.rs
FOR
CONTRACT
llET\\'EEN
1\10NltOE COUNTY, FLORIDA
AND
Prior to the conlmencement ofVv'ork governed by this contract, the (~on(rac(or shall obtain
Worke~~' Compensation Insurance with limits sufllcient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance \vith limits of nol less than:
$ I 00,000 Bodily Injury by Accident
$500,000 Bodily InjuT)' by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
, .
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized (0 transact business in the
state of Florida and the corrl')1any or compani.~s must maintain a minimum rating of A- VI, as
assigned by the A.M. Best Company.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self.
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
^d",ini~rati\'c InstnJ(1i0n
f/4709 I
\\' C I
XI
\\JORKERS' CO 1\'1 PENSA TION
INSURANCE REQUIRE1\1EN1'S
FOR
CONTRACT
BETIVEEN
MONROE COUNTY, FLORIDA
AND
Re~gnizing that the work governed by this conlract involves Maritime Operations, the
Contractor's Workers' Compeno;ation In$urance Policy shall include coverage for claims subject to
the Federal Jones Act (46 U.S.c.A. subsection 688) with limits not less than those specified for
EmpJ()yer's Liability.
The Contractor shall be pelmiUed to provide Jones Act Coverage throogh a~parate Protection
and Indemnity Policy, in so far as the coverage provided is no less restrictive than would have
been provided by a Workers' Compensation policy.
^dmini.~ati\.;c Instruction
/(4709.1
WCJA
X4
/\ pr i I 2 2. I (J'J.l
1 ~ ('rifl(ing
GENERAL LIAlllLlll'
INSURANCE REQUIREMENTS
FOR
CONTRACf
n Err\VEEN
~IONROE COlfNTY, FLORI[)A
AND
Prior to the commcnccment of work 1!overned bv this contract, the Contractor shall obtain
General Liability I nsurancc. Coverag'C shall be n;aintainccJ throughout the Ii fe of the conI ract and
include, ,as a minimum:
"
· Premises Operations
· Products and Completed Operations
· Blanket Contractual Liability
· Personal Injury Liability
· Expanded Definition of Property Damage
rrhe mininlum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
. ......
I f split limits are provided, the minimum limits acceptable shall be:
$1 ~)O"OOO per Person
$3()O,OOO per Occurrence
$ 50tOOO Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or aficr the effective date of this contract.
In addition, the period for which claims may be reponed 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 a$ Additional In$ured on all
policres issued to satisfy the above requirements.
^dminiW1lI ivc J~1nJG1 inn
GL,l
ft470i) J
\1
April 22. I<]C)J
l~t I'rinfing
VEil ICLE LIAlll LITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
13 Erf\\'EEN
J\10NROE COUNTI', FLORIDA
AND
Recognizing that the V\'ork governed by this contract requires the use of vehicles, the Contractor"
prior tq,the commcnCClncnt of work, shall obtain Vehicle I..,iability Insurance. Coverage shall be
rnaintained throughout the life of tbe contract and include, as a mininlum. liability coverage for:
· Owned, Non-O\\'ned, and Ilired \'ehicles
The mininnum limits acceptable shall be:
$100..000 Combined Single Limit (CSL)
If split lirrlils are provided, the minimum limits acceptable shall be:
. ....
. .
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The ~1onroe County Board of County Commissioners shall be named as Additional Insured on all
policies issued to satisfy the above requirements.
,
^dministrliti\'c :In~n 1c1 ion
VLJ 1
114 70~) I
7~
, .
April 22. I<J<<JJ
1 ~ Print ing
\\'Ar[tER CRAFT LIAllll.,lTY
INSURANCE REQLJIRE,1\'IENTS
FOR
CONTRACT
BErr\\.'EEN
tvlONROE COUNTI', FLORIDA
AND
Prior td thc commenccment of work governed by this contract, the Contractor shall obtain
Wat cr Cmfl Liability I nsurance wit h terms no IC$s restrict ive th.m 1 hose found in the
standard .. Amcrican- I nstitute 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 1v19vabIc Objects
· Costs Associated ,"'ith the Removal of\\!reckcd \'esseIs
· Conlractual Liabilit), with Respect to this Contract
If the policy obtained states IRat coverage applies for the "Acts or Omissions of a Vessel",
it shall be endorsed to provide co\'erage for (hOe legal liability of the shipowner.
The minimlum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
Coverage provided by a Protection and Indemnity Club (P&I) shall be subject (0 (he
approval of the County.
The Monroe County Board ofCounly Commissioners shall be named as Additional
InslIr!d on all policies issued to satisfy the above requirements.
^dmini~nslivc Jr~~nJ(1i()n
\\/ L I
ft4709 I
X(~
N
~ 077'/5
(
of-L1Ej ~~f
I
I,
of the city
according to law on my oath, and under
penalty of perjury, depose and say that;
1) lam A/f'rVo IcY? ~w/I'V /
Proposal for the project described as follows:
~ r~d~.f- V;-;$~F/ '7?c~v/J/
, the bidder making the
2) The prices in this bid have been arrived at independently without collusion,
consultation, communication or agreement for the purpose of restricting competition, as
to any matter relating to such prices with any other bidder or with any competitor;
:3) Unless otherwise required by law, the prices which have been quoted in this bid
have not been knowingly disclosed by the bidder and will not knowingly be disclosed by
the biddler prior to bid opening, directly or indirectly, to any other bidder or to any
competitor; and
4) No attempt has .been made or will be made by the bidder to induce any other
person, partnership or corporation to submit, or not to submit, a bid for the purpose of
restricting competition;
!.) The statements contained in this affidavit are true and correct, and made with
full knowledge that Monroe County relies upon the truth of the statements contained in
this affidavit in awarding contracts for said project.
STATE e)F F~7?/'~
~~~
(Signature of Bidder)
L/-I- 77
COUNTY OF 4 rY7'3~ e:-
-.
DATE
PERSONALLY APPEARED BE7 ME, the undersigned authority,
~o r:) /)> A 71>", I!J /: who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
/rl-
day of
,4 ~::;;:7? / - I
,19
'77 .
.
~'~~~
NOTARY PUBLIC
My commission expires:
OMS - MC:P FORM #1
'''''''~.~''''-
:,"~~ ..~ Gloria K. McGee
i"rl;;.~ J1 MY COMMISSION' CC529329 EXPIREs
~.~.~.. Ma-'- 2
':o~. · . .. . ~~...:' I '" r 4. 1999
'4?r.,n\ ,,, BONDED THRu TROY FAIN INSURANCE. ItC.
SWQRN STATEMENT UNDER QRDINANCE NQ. lQ-1990
MONROE COUNTY. FLORIDA
ETHICS CLAUSE
/471 do Id,5 ~~N7
warrants that he/it has not employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance no. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County
may, in lits discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former County officer or employee.
.(~.~
(signature)
~- / - 7 7
. Date:
STATE ()F
;r /0 ~,. c/;r
4N7ltJ r
COUNT~( OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~o ~'> 471ifC>/ d who, after first being sworn by me, affixed hislher
(
signature (name of individual signing) in the space provided above on this /;> r-dayof
,1?~0/'(
,1921
~/YL7~ 7// /:k-
NOT AR Y PUBLIC
My comnl ission expires:
""~~~:~~'"
E~fA. , ..~\ GIorfa K. McGee
h:. ].~ MY COMMISSION , CC5~~29 r:vntR
,~ . .~.. '''''. uv-, ES
....,~.nr....~,~ March 24, 1999
' II' ,r.\' 8OHom THRu TROY FAIN IHStJWa
,INC.
OMS - M<:P FORM #4
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
/frrde?d..s -/" o~~
(Name of Business)
I. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is p"rohibited in the workplace and specifying the actions that
will be taken against employees for violations of such prohibition.
2. Infonn employees about the dangers of drug abuse in the workplace, the business's policy of maintaining
a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs,
and the penalties that may be impo~ed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a
copy of the statement specified in subsection (I).
4. In the statement specified in subsection (I), notify the employees that, as a condition of working on the
~ommodities or contractual services that are under bid, the employee will abide by the terms of the
statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Floriaa Statutes) or of any controlled substance law of the United States or any
state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation
program if such is available in the employee's community, or any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this
section.
As the person authorized to sign the statement, I certify that this finn complies fully with the above
requirements.
~~
Bidder's Signature
-~----- -1~=_~Lu____
Date
OMB - MCP#5
::/......................................... ...........................~<:~~~8\B::::::::::::::::::::::::::~::::~~j^~\~Ef~~a~E~~~~~:I::::ii~B~.~)~~i~Ei\;~~i.~t;JEr~~ttttttt{}}}}{){><<<... "" .. o"ATE. "CM MID D/YV)
~<<;<<tltl.e-S!,ii~w:I_JiI}lt;i-!:::E:-::If:m:::::::,;,~?'~;e;_!:;'!~E:::::.:::;:;::::::-::I:::::::::::-::-;i _ _ _ _ _ __ _ _.. ._. .__ _ _ _. __ _ 04/~2/96
P.ROr'tlCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOAMATION
OONATO INSURANCE AGEArCY ONLY AND CONFERS NO RIGHTS UPON THE CERtiFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. o. BOX 607518 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ORLANDO FL 32860-751 COMPANIES AFFORDING COVERAGE
407-889-7525
j
OOMAA~ -7
COM~ANY J~t~\'~~:~;{j t~.rr \
I ---,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
f--------
INSURED
ARNOLD'S T(fiING SERVICE
5540 3RD AI'ENUE
KEY WEST
CO TYPE OF INSURANCE:
LTR
~NERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
=- ~ CLAIMS MADE C] OCCUR
OWNER'S & CONTRACTOR'S PROT
----
- --..----
AUTOMOBILE LIABILITY
~
ANY AUTO
~
ALL OWNED AUTOS
>---
L SCHEDULED AUTOS
A L HIRED AUTOS
L NON-OWNED AUTOS
I----
GARAGE LIABILITY
~
ANY AUTO
A I----
L X
EXCESS LIABILITY
R UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSA TIOH AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! ~11NCl
PARTNERSIEXECUTIVE
OFFICERS ARE: EXCL
OTHER
~RAGEKEEPERS LEGAL LIAB
A ON HOOK
OOMPANY
A CONNECTICUT INDEMNITY INSURANCE GROUP
OOMPANY
B
FL
33040
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/ODIYV) DATE (MM/OO/YY)
IJ M ITS
Received
GENERAL AGGREGATE $
----
PRODUCTS COMP/OP AGG $
PERSONAL & ADV INJURY $
--
EACH OCCURRENCE $
------
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
!-.: I~ .' .-n r & Luss C>)n 7:f01
I )/'.Ti
..----_f._~1E2_=_ ~?
~-~-"._-
iN IT1/. L _
COMBINED SINGLE LIMIT $
_n_. -- u -~ -----..- 500,-000
. BODIL Y INJURY $
(Per person)
TT100291 04/30/96 04/30/97 -.-
BODIL Y INJURY
(Per accident) $
_.
PROPERTY DAMAGE $
AUTO ONL Y - EA ACCIDENT $ 500,000
OTHER THAN AUTO ONL Y: ... ..::::::::.
TT100291 04/30/96 04/30/97 EACH ACCIDENT $ 500,000
_.-
AGGREGATE $ 500,000
APPROVED BY RISK ~1f~Nf,( E~~tNT EACH OCCURRENCE $
Bv_ ~~ ~~~ AGGREGA TE $
$
Df\.TE _5~! ~ - ~? _ I STATUTORY LIMITS
EACH ACCIDENT $
!,("'\ Tq: ~!"A /\'(C DISEASE POLICY LIMIT $
.'1. ., ____ ------
DISEASE EACH EMPLOYEE $
$1,000. DEDUCTIBLE 50,000.00
TT100291 04/30/96 04/30/97 $1,000. DEDUCTIBLE 50,000.00
DESCRIPTION OF OPERA TIONS/LOGA TIONSNEHICLES/SPECIAL ITEMS
MONROE COUNTY BOARD OF COUNTY COftffISSIONERS IS INCLUDED AS
ADDITIONAL INSURED.
MONROE COUttTY BOARD OF COUNTY COftffISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN: MS. KIM BLANCO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLE4iE ROAD --11L- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FL 33040-4399 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KINO UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE . \/1 IT';' 1\ r~t;)
i ~i __i__~~'oRDc-6HP'OItATION H~~
ACOR~_.??"S~_i3/93)
l~iii~;:~~II~~~lllllllllllllllillllil~I~I~N_~N ...
'p'RoDucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
DONATO INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. o. BOX 607518 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ORLANDO FL 32860-751 COMPANIES AFFORDING COVERAGE
407-889-7525
COMPANY
A WATER QUALITY INSURANCE SYNDICATE
INSURED
ARNOLD' S r'lMING SERVICE
5540 3RD ~i VENUE
KEY WEST FL 33040
COMPANY
B
COMPANY
C
COMPANY
I D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DA TE (MM/DD/VY) DA TE (MM/DD/VY)
LIMITS
~NERAL LIABILITY
COMMERCIAL GENERAL. LIABILITY
= ~ CLAIMS MADE CJ OCCUR
OWNER'S & CONTRACTOR'S PACT
GENERAL AGGREGATE $
PRODUCTS COMP/OP AGG $
PERSONAL & ADV INJURY $
~C?H OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (A!1Y one person) $
~TOMOBILE LIABILITY
A
101619-02
08/21/96
08/21/97
COMBINED SINGLE LIMIT $
BODIL Y INJURY $
(Per person)
'-
BODIL Y INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY EA ACCIDENT $
~~ER THAN AUTO ONLY:
-.---.. EACH ACCIDENT $
AGGREGATE $
~CCURRENCE $
AGGREGATE $
$
~ TUTORY LIMITS
EACH ACCIDENT $
DISEASE POLICY LIMIT $
DISEASE EACH EMPLOYEE $
LIMIT $500,000
ANY AUTO
ALL OWNED AUTOS
HIRED AUTOS
,:' \'eU
l' i (-t " {'( ,1' t r ( ') I
,..'. .. '.';." ;. ~( ~)......... J 1. 1 . - "
29/ (~
~L ~t !f--_~__. ....
.._~----------
SCHEDULED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
-
ANY AUTO
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
IIINCL
rl EXCL
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BY ~~ ~?--L
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EXCESS LIABILITY
R UMBRELLA FORM
OTHER THAN UMBRELLA. FORM
WORKERS COMPENSATION A,ND
EMPLOYERS'L1ABILlTY
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~! ;~
MARINE POLLUTION LIABILITY
DESCRIPTION OF OPERA TIONS/LOC:A TIONSNEHICLES/SPECIAL ITEMS
MONROE COUNTY BOARD OF COUNTY CCHfISSIONERS IS INCLUDED AS
ADDITIONAL INSURED.
Pgmi#Ie.!gft9~QF;B.:::::::::::::::I::::::I:.:::::::::::PlNg~t@N....:.>..... ..... ................. ....................::(.H.....
MONROE COU~'TY BOARD OF COUNTY COftffISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN: MS. 'rIM BLANCO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEGiE ROAD --11L- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FL 33040-4399
BUT FAILURE TO MAIL S~ NOTIC~HALL I~ POSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON; TH'~rI~A~Y, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATt: ~ ~~COR()COf\P6RATlC)NJ993
'I ' .. .. . .. .. .. . .. .. .. .. . . ..;....
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
DONATO INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. BOX 607518 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ORLANDO FL 32860-751 COMPANIES AFFORDING COVERAGE
407-889-7525
COMPANY
A UNITED CAPITAL INSURANCE
INSURED
ARNOLD'S rOWING SERVICE
5540 3RD A VENUE
KEY WEST FL 33040
COMPANY
B
COMPANY
C
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
lTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/VY) DATE (MM/DD/VY)
II M ITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE CJ OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT $
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
,,~/C
/"-//h 4C ~
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELU, FORM
WORKERS COMPENSATION ~~ND
EMPLOYERS'lIABllITY
P (1.1 E
/f-;2o,.-7?
/
AGGREGA TE
$
$
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE - POLICY LIMIT $
DISEASE - EACH EMPLOYEE $
~ ~ . \ I J \ .
& I INSURANCE
A
WOM 1258004
08/19/96
08/19/97
LIMIT
$5,000 DEDUCTIBLE
$500,000
DESCRIPTION OF OPERA TIONS/LOeA TIONSNEHICLES/SPECIALITEMS
MONROE COUNTY BOARD OF COUNTY CCJH'tfISSIONERS IS INCLUDED AS
ADDITIONAL INSURED.
MONROE COUj~TY BOARD OF COUNTY CCJH'tfISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN: MS. KIM BLANCO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEl'iE ROAD ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FL 33040-4399 BUT FAILURE TO MAIL SUCH NOTICE SHALL I
OF ANY KIND UPO
AUTHORIZED REPRESENT IVE
AGENTS OR REPRESENTATIVE~
April 22. 1993
I st Printing
MONROE COUNTY, FLORIDA
. ,../-
Request For Waiver
of
Insurance Requirements
".-/
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance
Requirernents, be \vaived or luodificd on the following contract.
Contractor: A 7;;(( fl c' ler;. 'iO"t"/F "V-7
Contract for: ~~?') F (r'c" f- ~ .sst=: / -;;;Jr/Ut/'v/l1
Address of Contractor: _5 5" ~ () ~..:s /-:.:i) c.l'" ,/) VE / r-S/~ r' A" ...z-;s, 4~ c:::/-
/~E ( t/lk-.__-s I F F~ _53cJy6
Scope of Work:
(3~>) ;Z9tj-C:,IZ.3
.~ E4t:J v~ / cJ 1":- '~c: 71E /;~/ ~-5S (" (j>
Phone:
Reason for Waiver:
bY: C.
./17 C€f ;> ~.-r?-? ~ Y E E EX Fr..::>.,0.o /'/
r c7 71 r~ /' 73 F [//-1 t1/- C ·
Signature of Contractor:
~~4~.
, -
Date
Approved ~'" Not Approved
l)~", ~..
L;:r' U \, ~'-~ " ---L !i~~ ,,---
~J?/q7' ~
Risk Managenlent
County Adrninistrator appeal:
Approved:
Not Approved:
Date:
f30ard of County COllllnissioners appeal:
Approved:
Not Approved:
Meeting Date:
WAIVER