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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: ------------------------------------------------------------------------------------------------------------------------ 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 / / [' tit /) "" .') {> 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 ..., those r'ules I along with the rules and procedures insti tutecr by:~'-'::- '"1 -J the Board to ensure an orderly progress to the project. -, . .-~' ...... " 'J .J 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. i ... ! Ij- \' '/ 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 ~ I r<~~ Owner Title Arnold's Towing Firm (Seal) ..... At~st: l-:Lfj-{ , Witness ) ~ /- C/L(~ I J ~ .~.'-"'''''' Mayor BY: (Seal) Attest: ISEAL) ATTESt: DANNY L KOlHAGE a.ERI( Iff Clerk #DV03A- 1905 2163 2197 2231 2267 2269 2276 2281 2282 2283 2285 2286 2288 2290 2291 2292 2293 2294 2295 2299 2307 2308 2309 2310 2312 2313 2314 2316 2317 2318 2319 2320 2~~1 2322 2325 2326 2327 2346 2347 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 n. .... ^ . . "... ....._ r u . L LJ U r\ I J f\ '), "J L I Y ! L ;, I C ~/ ^- 7' BY ~~ ~?--L r/ OA.TE //-~~-7{, J v c: O~I c. k./~~ M..t. (;~ EXCESS LIABILITY R UMBRELLA FORM OTHER THAN UMBRELLA. FORM WORKERS COMPENSATION A,ND EMPLOYERS'L1ABILlTY '~q: ~! ;~ 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 ' .. .. . .. .. .. . .. .. .. .. . . ..;.... I ( I 4J-< . (' 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