03/19/1997 Marker Repairs, Tavernier Creek & Windley Key
Ilannp 1.. Ito(bage
BRANCH OFFICE
3117 OVERSEAS IDGIDN'AY
MARATIION, FLORIDJ\ 33050
TEL. (305) 289-6027
FAX (305) 289-1745
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 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 ~.
April 16, 1997
DATE:
__________~h.____~___________________________________________________________________~___________________________________
()o March 19, 1997, the Board of County Commissioners adopted Resolution No.
098-19917 authorizing the filing of a Grant Application with the Florida Department of
Environmental Protection, Boating Improvement Fund, and directing the execution of
same by the proper authorities for the emergency repairs of Channel Markers located in
Tavernier Creek and Windley Key.
Attached please find two certified copies of the above Resolution as. well as a fully
executed duplicate original of the contract agreement between Monroe County and ASAP
Marine for the emergency repairs of Channel Markers located in Tavernier Creek and
Windley Key, for return to ASAP.
If you have any questions concerning the above, please do not hesitate to contact
me.
cc: County Attorney
Fmance
County Administrator, wlo document
File
CON~RACT AGREEMENT
tA J\A A 01'"'.11
AGREEMENT, MADE THIS )q day of ~.1997, by and
between,
A.S.A.P.
("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
for the Emergency repairs of channel markers in Tavernier Creek
and Windley Key. List of Markers to be repaired is attached as
Exhibit A.
2. The work performed under the Contract shall commence
immediately from the date the Liaison provides the Notice to
Proceed and shall be completed by Mav 30, 1997 .
3. The work performed under the Contract is contingent upon
grant funding from the Florida Department of Environmental
Protection Boating Improvement Fund. If grant funding is
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 said rule~ al-~ng
'""'-J ~
with the rules and procedures instituted by the Board t~~ens~e
--1
an orderly progress to the project. Both the intent and~~he ~
-..j :0
requirements of the Specifications are understood by the :a
" .,:';.) ;-'1
Contractor.
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4. The Board shall pay the Contractor the total sum of
$10,725.00 for the repair of channel markers in Tavernier
Creek and Windley Key. Two payments shall be allowed, one during
the actual work and a final upon completion by the Contractor and
acceptance by the Board, subject to the terms and conditions of
the Specifications (attached as Exhibit B) and this Contract.
5. The attached Specifications, together with this
Agreement, form the Contract. They are fully apart of this
Contract as if repeated herein verbatim.
6. The Contractor covenants and agrees to indemnify
and hold harmless Monroe County Board of County Commissioners
from any and all claims for bodily injury (including death),
personal injury, and property damage (including property owned
by Monroe County) and other losses, damages, and expenses
(including attorney's fees) which arise out of, in connection
with, or by reason of services provided by the Contractor or
any of its Subcontractor(s) in any tier, occasioned by the
negligence, errors, or other wrongful acts or omissions of the
Contractor or its subcontractor(s) in any tier, their employees
or agents. The purchase of the insurance required in
paragraph 12 does not vitiate this indemnification provision.
7. The Contractor acknowledges his/her intention to comply
with the need to coordinate all work with the appropriate
environmental agencies, the u.s. Coast Guard, and the County.
8. The Contractor agrees to supply the County with a
set of photographs of the repaired aid to navigation along with
a letter certifying completion of work.
Page 2
The Contractor will be responsible for the camera, film, and
development costs. The Contractor also agrees to provide
transportation for the Liaison to inspect completed project.
9. The Contractor understands and agrees that no payment
will be made for this project without required photographs
and written certification of completion.
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
insurance coverage as indicated by an "X" on the attached forms
identified as General Insurance Requirements and INSCKLST 1-4,
as further detailed on forms WC1, WCJA, GLl, & WL1 (attached
as Exhibit C). All policies must list Monroe County as
additional insured with the exception of the Workers Compensation
policy.
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 a public entity, may not be awarded
or perform work as a contractor, supplier, subcontractor, or
consultant under a contract with any public entity in excess
of the threshold amount provided in Section 287.017, for
CATEGORY TWO ($10,000.00) for a period of 36 months from the date
of being placed on the convicted vendor list.
Page 3
13. The Board may terminate this Agreement with
or without cause at any time upon giving the Contractor up to 10
days notice in writing. The Contractor, upon receipt of the
notice, shall immediately cease work. The Board must pay the
the Contractor the percentage of the contract price which is
proportional to the amount of work performed in a manner
satisfactory to the Board up to the date the contractor received
the notice of termination.
14. This contract is governed by the laws of the State of
Florida. Venue for any litigation arising under this contract
must be in Monroe County.
Page 4
IN WITNESS WHEREOF the parties hereto have executed this
agreement the day and year first written
BY:
TITL .
FIRM:
I:B~ ~
(Seal)
Attest:
7~~ 7/7y~
Witness
. !
BY:
Attest:
~ DANNYL KOUiAGE a..ERIC
.
Clerk
Page 5
EXHIBIT A
LIST OF AIDS TO BE REPAIRED
IN TAVERNIER CREEK AND WINDLEY KEY
Tavernier Creek
#3 Piling and Signs
#4 Signs Only
#5 Piling and Signs
#6 Piling and Signs
#7 Piling and Signs
#8 Signs Only
#9 Piling and Signs
#10 Piling and Signs
#12 Signs Only
#13 Signs Only
#14 Signs Only
#16 Signs Only
Windley Key
#15-Piling Only
Exhibit B
SPECIFICATIONS FOR THE REPAIR/REPLACEMENT/
OR INSTALLATION OF AIDS TO
NAVIGATION, MONROE COUNTY, FLORIDA
Specifications for installation of treated wood piles complete
with D.S Coast Guard approved Daybeacons, in the locations indi-
cated are in the enclosed materials.
A. DAYBEACON PILES:
1. Pile shall be of timber treated with .chromated copper
arsenate (C.C.A.).
2. Pile shall be of timber which will stand the driving for
which they are intended.
3. A straight line drawn from the cent~r of the butt to the
center of the tip shall'not at any point face further
away from center of the pile than a distance equal to 1%
of the length of the pile.
4. Minimum butt diameter = 12" measured 3' from end.
Minimum tip diameter = 811.
5. Piles to be sufficient length to provide a minimum of
four feet penetration into existing sea floor and the
bas.e of the dayboard must be eight feet above mean high
water.
6. Pile shall be driven or best installation practices used.
B. DAYBEACONS:
Daybeacons to be constructed and erected as indicated on the
- enclos~d sketches and documents. There are two day boards
per daybeacon.
1. Construct all daybeacons as noted in the u.S. Coast Guard
Specifications enclosed.
. I
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SEVENTH COAST GUARD DISTRICT
PRIVATE AIDS TO NAVIGATION STANDARDS
DAYBEACONS (UNLIGHTED BEACONS)
AND LIGHTS (LIGHTED BEACONS)
SHAPE:
Dayboards on lights have the same shapes as those on
daybeacons.
Starboard hand dayboards have a triangular shape.
Port hand dayboards have a square shape.
Safe water dayboards have an octagonal shape.
COLOR OF DAYBOARDS:
Starboa~d hand, triangular dayboards are red.
..
.Port hand, square dayboards are green.
Safe water, octagonal dayboards are red on the right half and
white on the left half.
.
see "RETROREFLECTIVE MATERIALS." for colors of letters and
borders.
CHARACTERS:
See "DIMENSIONS" for the correct size and distance from the
base or lower apex of the dayboard.
Red starboard hand triangular dayboards have even numbers.
Green port hand square dayboards have odd numbers.
Safe water dayboards are not numbered but may be lettered for
identification purposes. Letters should be sized and placed in
the same way as numbers. However, letters on safe water
dayboards should be centered in the red, right half.
FLUORESCENT AND RETROREFLECTIVE MATERIALS:
Fluorescent background material and retroreflective numbers,
letters, and borders, although optional, should be used on
dayboards. Retroreflective numbers, letter, and borders should
be the same color but a contrasting darker shade) as the
background material; alternatively, numbers and letters may be
white.
The signal characteristics of paint are relatively poor, but
use of paint is not prohibited. If paint is used, then numbers
and letters are white.
o I MENS IONS:
OAYBOARDS: The .Inl.um ecceptable dl..nslons are for . ftOftlnal range of 1/2 nautical all.
(ne!). Applicants ~y .stebll~h larger slz., If 1hey wiSh. Optional fluorescent background end
retrorefl.ctlve numbers, letters, and borders ere .ncou~.ged. All dImensions are In InChe,.
N:)M I HAl..
RAN:; E
( nal )
TYPE
SIZE
o AYBOARD
· NU..eERI
LETTER SIZE
(single) (double)
D ISTAN~ OAY80~
BASE TO NU~ER BASE
(slngl.) (double'
RETROREFLECTIVE
BORDER SIZE
(optlonel)
5
4
12
12
16
16
24
2'
5
4
10
7
16
12
20
14
21... 21... J
.2... 42... 6
3
4
2
,
.
1.5
2
1.5
(DIMENSIONS continued)
STRUCTURES: There are not required dimensions" materials,
fastenings, or designs for structures supporting dayboards and
associated lights. No particular height above mean high water is
mandated.
Permite~s should insure all aids to navigation are established
consistent with prudent, sound engineering practice and the harsh
nature of the marine environment. The following sketches are
for general reference and should be modified to suit the
circumstances.
LIGHTING EQUIPMENT ON LIGHTS (LIGHTED BEACONS):
COLOR:
Lights on starboard hand lighted beacons are red.
Lights on port hand lighted beacons are green.
."
Lights on safe water beacons are white.
LIGHT NOMINAL (VISUAL) RANGE:
.
The minimum visual range of a light is one nautical mile.
Depending on the circumstances a greater range may be permitted,
required, or prohibited.
FLASH CHARACTERISTICS:
Red and green flashing lights are laterally significant and
usually flash (light off longer than on) regularly with a
frequency of not more than 30 flashes per minute. When special
caution is necessary, such as sharp turns, obstructions, wrecks,
etc., quick flashing lights (60 flashes per minute) may be used.
White lights on safe water beacons flash in a Morse Code "A"
rhythm (short-long flash).
~ED DIKD:SlOOS
These are geooral reccmrendations and may be adapted to sFecific
circunstances. They should also be modified as necessary to rreet the
requirenents of prooent sound engineering practice and the demands of the
marine envirormant.
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MATERIAL LIST
l-rem Quen'tl*ty Mater le I s Size
LII-1 2 b -06 1 Aluminum elloy bolts, nuts, & washers 172- X 22"
lll-2 1 ( 0 P t I on e I ) Concrefe, prestresed 'e~Jlth es r~ulred 10" X 10"
L II-~ 2 Oayboerd Size es needed
L I 1-4 2 6061 Aluminum a'loy boI1SL~~& weshers 1/2" X 14 "
lll-5 1 ~ WOOd pr~ssure trea1ed, length es reQuireo 12" die.
Note 1:
All elumlnum bolts ~e1 recognized s1andords for aarlne use.
Hot. 2:
Piece e 2" X 4" filler will be pieced between deymerks end the pile
~t the upper bolt connection to provIde a five degree oulbo~rd tIll.
:.
r
f
H
I...
., 0
," .
Port
3'
"1
PORT AND STARBOARD MARKERS
(nominal range, 1 nmi)
2" GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER . ·
12" GREEN
(OPTIONAL RETROREFLECTIVE)
NUMBER
GREEN 2" RED
(OPTIONAL (OPTIONAL RETROREFLECTIVE)
FLUORESCENT BORDER .
F I LH)
Starboard
( nr"- '! ()r~ ~ ::.
RED
12" RED
(OPTIONAL RETROREFLECTIVE)
NUMBER
t l LhJ
~... ~ ~ -ot ~ ~:::- ~ I ~ T
2" GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER
;--- GREEN (OPTIONAL
. FLUORESCENT FILM)
A
- au GREEN
.~ (OPTIONAL RETROREFLECTIVE)
.. I NUMBERS
~-3'
.
2" RED
(OPTIONAL RETROREFLECTIVE)
BORDER
,
12" RED
(OPTIONAL RETROREFLECTIVE)
NUMBERS
'J".~
-. :.
~ ~ ,', -
. ...... .... . -
. . ..4.. .... ': ..... .. \:' .
. 0;';.. .,. .:: ::~, ~..;...::. :.:~~. .~-r\ 7 "I
. . h_M_ _.---;.~ '. ~-..:,c.-:-Il-
RED
(OPTIONAL
f.~t)0"EscrNT
F 1 LK)
..If.
*For 2 numerals, use 12" numbers at a height of 12" off base.
'-'For 3 nUTi1€rals, use flU numbers at a height of 12" off base.
,." ".'
SEVENTH COAST GUARD DISTRICT
PRIVATE AIDS TO NAVIGATION STANDARDS
DAYBEACONS (UNLIGHTED BEACONS)
AND LIGHTS (LIGHTED BEACONS)
(SPECIAL PURPOSE SUPPLEMENT)
SHAPE:
Special purpose dayboards have a diamond shape.
.
COLOR OF DAYBOARDS:
Special purpose dayboards are yellow.
See "RETROREFLECTIVE MATERIALS'. for colors of letters and
borders.
. CHARACTERS: -
Special purpose dayboards are not numbered but may be
lettered for identification purposed. Letters should be sized
and placed as described for numbers.. \ .
See "DIMENSIONS" for the correct size and distance from the
lower apex of the dayboard.
RETROREFLECTIVE MATERIALS:
Retroreflective letters and borders, although optional,
should be used on dayboards. They should be the same color, (but
a contrasting darker shade) as the background material; letters
may be white.
~The signal characteristics o~ paint are relatively poor, but
the use of paint is not prohibited. If paint is used, then
letters are black.
DIMENSIONS:
DAYBOARDS: The m~n~mum acce~table dimensions are for a
nominal (visual) range of 1/2 nautical (nmi). Applicants may
establish larger sizes if they wish. Optional retroreflective
letters and borders are encouraged. All sizes are in inches.
, t
I... ·
DIMENSIONS (continued):
N:)M I HAl
fWCE
(Nil)
TYPE
SIn:
OAYBONU
MJ.eER/
LEnER SIZE
(lIngle) (6oubl.)
DISTAN:E D~~
SASE TO ~~ BASe:
(lingle) (60ubCe)
RETRoR.E FLECT I YE
BCPDER SIZE
(optional)
SPEC C N. PUftOOSE
1/2 CJaoonde ales. long~1a 8 .6 ~. 9 1.5
o le~ood. ltd. leog'th-36 12 12 20" 20 2
2 Ole~d. sIde e .ngt"~e 16 16 26.. 26 .)
, o I eeond. lId. , ~gtt't-72 2~ 24 40" 40 ~
. AI ( .ng res. 900
.. DIstance fr~ th, (o.~ apex to the I.'ter be,.
r
,-
STRUCTURES:
There are not required dimensions, materials, fastenings, or
designs for structwres supporting dayboards and associated
lights. No height above mean high wa~er is mandated.
Permittees should insure that all aids to navigation are
established consistent with prudent, sound engineering practice
and the harsh nature of the marine environment. The enclosed
sketches are for general reference and should be modified to suit
the circumstances.
LIGHTING EOUIPMENT ON LIGHTS (LIGH~ED BEACONS):
COCOR:
Lights on special purpose beacons are yellow.
LIGHT VISUAL RANGE:
The minimum visual range of a light is one nautical mile.
Depending on the circumstances a greater range may be permitted,
required, or prohibited.
FLASH CHARACTERISTICS:
Yellow lights on special purpose beacons are fixed or flash
(light off longer tl.an on) regularly with a frequency of not more
than 30 flashes per minute.
'U_1..~~],t[Ja
April 22~ J 99.1
1~ I'rinting
J\10NROE COUNTY, FLORIDA
INSURAr\CE CHECKLIST
FOR
VENDORS SUB1\1IlTING PROPOSALS
FOR'VORK
To assist in the development of your proposal, the insurance coverages n.larked v"ith an IIX" will
be required in the event an award is made to your firm. Please review this form with your
insurance agent and have himlher sign it in the place provided. It is also required that the bidder
sign the form and submit it v.,ith each proposal.
\\'ORKERS' COT\1PENSA TION
J~ND
EMPLOr~ERS' LIABILITY
x
Workers' Compensation
EmpJo)'ers Liabilit),
Employers Liability
Emplo)'ers Liability
US Longshoremen &
· Harbor \Vorkers Act
Federal Jones Act
Statutory Limits
$100,000/$500,000/$100,000
$500,000/$500,000/$500,000
$1,000,000/$1,000,000/$1,000,000
Same as Employers'
Liability
Sanle as Employers'
Liability
\\J C 1
WC2
\\'C3
WCUSLH
WCJA
x
^dminj~tive In.<;tnldion
ft4709.01
INSCKLST 1
Apr if 22. 1 <)<).1
I ~ I'rint iug
GENERAL LIABILITY
As a minimum., the required general liability coverages will include:
· Premises Operations
· Blanket Contractual
· Expanded Definition
of Property Damage
Required Limits:
GLI
x
GL2
GL3
Required Endorsement:
GLXCU
GLLI Q
Products and Completed Operations
Personal Injury
.
.
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Cornbined Single LiJnit
$250,000 per Person; $500'1000 per Occurrence
$50)000 Property DaTnage
or
$500,000 Combined Single Limit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
.$ J ,000,000 Combined Single Limit
Underground, Explosion and Collapse (XCV)
Liquor Liability
All endorsements are required to have the same limits as the basic policy.
^d.mini~rath'e Jnstrudion
#4709.0 I
INSCKLS1~ 2
April 22. 1<)9.1
1 ~ ('rin! ing
VEl-DeLE L1ABlLIT~
As a minimum, coverage should extend to Jjability for:
· Owned; Nonowned~ and Hired Vehicles
Required Limits:
VLl
VL2
VL3
BRl
MVC
PROl
PR02
PR03
POLl
POL2
POL3
EDI
ED2
GKl
GK2
GK3
MEDI
MED2
MED3
Adnlini!drati\'c J~ctiOQ
#4709.0 I
$50,000 per Person: $ J 00,000 per Occurrence
$25,000 Property Damage
or
$1 00" 000 Combined Single Limit
$100,000 per Person; $300,,000 per Occurrence
$50,000 Property Darnage
or
$300,000 Combined Single Limit
$500,,000 per Person; $1,,000,,000 per Occurrence
$1 00,000 Property Damage
or
$1,,000,,000 Combined Single Limit
· M1SCELLANEOUS COVERAGES
Builders'
Risk
Limits equal to the
completed project.
Motor Truck
Cargo
Professional
Liability
Limits equal to the maxirnum
\'alue of anyone shipment.
$ 250,000 per Occurrence/$ 500,000 Agg.
$ 500,000 per Occurrencel$ J ,000,000 Agg.
$1 ,,000,000 per Occurrencel$2, 000, 000 Agg.
$ 500,000 per ()ccurrencel$ ) ,000,000 Agg.
$1,,000,000 per Occurrencel$2,OOO,OOO Agg.
$5,,000,000 per Occurrence'$l 0,000,000 Agg.
Pollution
Liability
Employee
Dishonesty
Garage
Keepers
$ J 0,000
$100,,000
$ 300,000 ($ 25~OOO per \'eh)
$ 500,000 ($] 00,000 per Veh)
$ J ,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.
1\1 ed i caJ
Professional
INSCKLs'r 3
IF
VLPl
VLP2
VLP3
BLL
I-LKL 1
HKL2
11KL3
AIR]
AIR2
AIRJ
AEOl
AE02
AE03
WLl x
^pril 22. 1<)~.1
J~ I'rinting
Installation
Floater
!\1axilnum value of Equiprnent
InstaJJed
Hazardous
Cargo
Transporter
$ 300,000 (Requires T\1CS-90)
$ 500,000 (Requires MCS-90)
$1,000,000 (Requires MCS-90)
Bailee Liab.
Maxirnurn Value of Property
Hangark eepers
Liability
$ 300,000
$ 500,000
$ 1,000,000
$25,000,000
$ 1,000,000
$ 1,000,000
Aircraft
Liability
Architects Errors $ 250,000 per Occurrencel$ 500,000 Agg.
& Omissions $ 500,000 per Occurrencel$l,OOO,OOO Agg.
$ 1,000,000 per Occurrencel$3,OOO,000 Agg.
Watercraft $500,000
~CE AGENT'S STATEMENT
I have reviewed the above requirements with the bidder named below. The following deductibles
apply to the corresponding policy.
POLICY
DEDUCTIBLES
Liability policies are _ Occurrence
Claims Made
Insurance Agency
Signature
BIDDERS STATEMENT
I understand the insurance that will be mandatory if awarded the contract and will comply in full
with aJl. the requirements.
^dministrativc lmruction
114709.01
Bidder
Signaf urc
INSCKLs'r 4
/\pril 22. r <l<} J
Is11'rinrrng
\\'ORKERS' COl\.1PENSA l~ION
INSURANCE REQUIREl\-1 EN.rs
FOR
CONTRACT
BET\VEEN
1\'10NI~OE COUNTY, FLORIDA
AND
Prior to the conlmencement of work governed by this contract, the (~on(ractor shall obtain
\\'orkers' Compensation Insurance with limits sufficient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than:
$100,000 Bodily Injury by Accident
$500,000 Bodily I~jury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contra.ct.
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida and the company or companies must maintain a minimum rating of A-VI, as
assigned by the A.M.. Best Company.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self-
insurer. the County shall recognize and honor the Contractor's status. TIle Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund. a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
Adrninistrat h'e Instruct ion
114709.1
wel
\VORKERS' C01\J PENSA TION
INSURAr\CE REQUIRE1\lEN1~S
FOR
CONTRACT
BETI\'EEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves Maritime Operations, the
Contractor's Workers' Compen$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
EmpJo)'er's Liability.
The Contractor shall be pelmitted to provide Jones Act Coverage thrOt:lgh a separate Protection
and Indemnity Policy, in so far as the coverage provided is no Jess restrictive than would have
been provided by a Workers' Compensation policy.
^dm ini.<trati ".C (nstru cti on
114709. J
WCJA
^pril 22. J <J9.l
J ~ I'rinting
GENERAL LIAlllLlll'
INSURANCE REQUIREI\1EN'"rS
FOR
CONTRACT
nI~l\VEEN
MONROE COlINTY, FLORI()A
AND
Prior to the commencement of work governed by this contract, the Contrnctor shall ohtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract and
include, as a minimum:
· Premises Operations
· Products and Completed Operations
· Blanket Contractual Liability
· Personal Injury Liability
· Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
.
If split limits are provided, the minimum limits acceptable shall be:
$] 00,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Fonn policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be 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 shaH be named as Additional Insured on all
policies issued to satisfY the above requirements.
^d"ljni~tivc J~1.rudion
ft4709.1
GLl
April 22. I <J?.l
1 ~t Print ing
\VArI"ER CRAFT LIAIJIIJITY
INSURANCE REQUJRE1\-lENTS
FOR
CONTRACT
BErr\\-IEEN
J\tl0NROE COUNTI', FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Water Crafi Liability Insurance with tenns no less restrictive thun those round in the
standard "American Institute Hull Clauses". (lune 2, 1977 edition). Coverage shall be
maintained throughout the life of the contract and include, as a minimum:
· Injury (including death) to any Person
· Damage to Fixed or Movable Objects
· Costs Associated with the Removal of Wrecked Vessels
· Contractual Liability with Respect to this Contract
If the policy obtained states that coverage applies for the "Acts or Omissions ofa Vessel",
it shall be endorsed to provide co\'erage for the legal liability of the shipowner.
The minimum limits acceptable shaIJ be:
$500,000 Combined Single Limit (CSL)
Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the
apprO\lal of the County.
The Monroe County Board ofCoimty Commissioners shall be named as Additional
Insured on all policies issued to satisfy the above requirements.
Administnlfive J~nl(1ion
114709.1
\\/L I
SWORN STATEMENT UNDER ORQINANCE NO. 10-199Q
MONROE COUNTY. FLORIDA
ETHICS CLAUSE
A ",5./1 ~
warrants that he/it has not employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance no. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County
may, in its discretion, 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
mployee.
. Date:
-3 - ~ ~ 77
r
STATE OF I~ /o-r~" 'CJ~
COUNTY OF ~p~cJf:-
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~ r /"::-0 ' ;...r-;:> who, after first being sworn by me, affixed hislher
- r
signature (name of individual signing) in the space provided above on this 6 1""( day of
-/Y!~?)t'f; ,19 77
~~-,'7< 7?/~
NOTARY PUBLIC
My commission expires:
OMB - Mep'FORM #4
,'\"'~"~,~ Gloria K. McGee
[.~'!"~~~ J8i COWAISSION , CC529329 EXPIRES
~..~~~: March 24, 1999
~~~iif..th~" BONDED THRU TROY FAIN INSURANCE, INC,
-c L
I, ;;r;; r r/?/ ;yr;?
c, I
d r/7?~)E according to law on my oath, and under
~tJutll/
of the eitY II
of
penalty of perjury, depose and say that;
1) lam /) .;5-.4 ?
Proposal for the project described as follows:
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 bidder prior to bid opening, directly or indirectly, to any other bidder or to any
competitor; and
4) No attempt has been made or will be made by the bidder to induce any other
person, partnership or corporation to submit, or not to submit, a bid for the purpose of
restricting competition;
5) The statements contained in this affidavit are true and correct, and made with
full knowledge that Monroe County relies upon the truth of the statements contained in
this affidavit in awarding contracts for said project.
STATE OF
F /c-77 ,. 'Cr/7-
CO...UNTY OF Ao,v~ 0(:"
-3 -~ -77
DATE
PERSONALL Y APPEARED BEFORE ME, the undersigned authority,
.--fll y ~7-?" o,..,r-;? who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
C1f-r day of ~?f"r,? ,19 <7 7 .
~~.~ 77.~
NOTARY PUBLIC
My commission expires:
OMS - MCP FORM #1
~""'~":"'" GlorIa K. McGee
lY4i;r;..,,~ MY COf.MSSION , CC629329 EXPIRES
: :..: March 24. 1999
~t iiI ... IONDEO 11RJ TIIJV FAIN INSURANCE. INC.
'fl"
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that
/? .,5 .4~.
(Name of Business)
I. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that
will be taken against employees for violations of such prohibition.
2. Infonn employees about the dangers of drug abuse in the workplace, the business's policy of maintaining
a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs,
and the penalties that 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
commodities or contractual services that are under bid, the employee will abide by the tenns of the
statement and will notify the eJ;l1ployer of any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Florida 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.
)
i
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.
~
Date
OMB - MCP#5
April 22. 199]
I st Printing
MONROE COUNTY, FLORIDA
. ,..;;.
Request For W~tiYer
of
Insu..ancc Requirements
~
It is rcquestcd that the insurance requirements, as specified in the County's Schedule of Insurance
Rcquirenlcnts, be \vaivcd or Inodificd on the following contract.
Contractor:
A .;S. /l.~.
/:?~F71TF.."t4Y ~h/f~,yE/ 477/~ry /*?/l/j;;5
I I
.~ 0 · Z3ck tf?;J I"
'7AVEr7ffiF-77. r/~ 33070
Contract for:
Addrcss of Contractor:
Phone:
(3 c 5" ) ?:5/Z -L/f:>-S (
;IE: -rJe.=7?C; ~ 4' r y P::::; n/9d NE / ~ 7?/~6" /~
, ( -/
73F,.p/9'755
Scope of Work:
(~ I';
Reason for Waiver: ..~ ~
F/,-, J/VC -
/-I/r?>
e-/~~ ""'7 V& h/ r I~r FL'T 77 ~.b
/y,:) I- 7?F'ju / '7?F C/ ? Fr5 r/\...;5 ///.,L .
r 0: 77'C7 Lj / '.:0rc/ ;;41 CJ F&-",? Ph /o.C~
......--,.
Signature of Contractor:
Appro~
Not Approved
Risk Management
Datc
County Administrator appeal:
Approvcd:
Not Approved:
Datc:
Board of County COlnrnissioners apfJC<11:
Approved:
Not Approved:
Meeting Date:
.--.-/"
WAIVER