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05/22/1996 DV03A2154 CONTRACT AGREEMENT AGRE~MENT, MADE THIS L-.. 2- /V~JJ day of !1AY . -r 1996, by and between, ASAP Marine Contractors ("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: z · 1. The Contractor shall furnish all the mat~rr~ls ~d :z: ~ Aj r- Z 0 perform all the work as required by the specifica~~~s ~ t~ {_.. emergency removal of DV03A2154 for which a dereli~f.:ves~l :c z .-'. - ^"' ;-r c-; I~ ........,. ::0 -T1 report is attached as exhibit A. -0 \.W U1 The work to be performed under this cont~act sh~l """ . 2. commence immediately from the date the Liaison provides the Notice to Proceed and shall be completed by June 30, 1996. 4. The work to be performed under the Contract is contingent upon grant funding from the Florida Department of Environmental Protection, Boating Improvement Fund. If this grant 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 those rules, along with the rules and procedures instituted by the Board to ensure an orderly progress to the project. Both the intent and the requirements of the specifications are understood by the Contractor. 5. The Board shall pay the Contractor $2,180.00 for the removal and legal disposal of derelict vessel DV03A2154. Payment for the work shall be upon completion by the Contractor and acceptance by the Board, subject to the terms and conditions of the Specifications attached as Exhibit B and this Contract. 6. The attached Derelict Vessel Report and Specifications together with this Agreement, form the the Contract. They are fully a part of this Contract as if repeated herein verbatim. 7. The Contractor 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) , 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, 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. 8. The Contractor agrees to supply the County with a set of photographs of the vessels in all phases of the removal and disposal process. The Contractor will be responsible for the camera, film, and development costs. 9. The Contractor must inform the County and the Florida Marine Patrol prior to initiation of work. 10. 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 6-30-96 that any of 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. 11. 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. 13. The CONTRACTOR will be responsible for all necessary insurance coverage as indicated by an "X" on the attached forms identified as INSCKLST 1-4, as further detailed of forms WCl, WCJA, GLl, WLl, & POLl attached Exhibit C. All policies must list Monroe County as additional insured with the exception of the Worker's Compensation policies. 14. 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. 15. 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 BY: Agreement to day and year first written Sec./Treas. Title ASAP Marine Contractors Firm (Seal) Attest: -/~.~~ Witness BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA BY: ~L:k~~~ Mayor/C-airman ~ (Seal) Attest: DANNY L. XOLlIAGE, Clerk ~~~7jiAt) Clerk HtJK 1 1 '~-;'36 13: 30 FRO', FLH. fiHk' 1 NE. PHTRUL D 1 S T -9 TO 813052924417 P.04 OFF.ENSE INCIDENT REPORT NARRA TlVE CONTINUATION BIlIIBIT A. iO~B I. ....... .......................................... ..... .......PERELIC" V.E~SE~... #.O.fJ..... 21 5 L/ .. .. .. ..,. .. .. . .. .. . .. .. , .. ~ .. .. 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"'''... ~ .. . .. .. . .. . ~.. .. . .. .. .. .. .. . . . . . .. - .. .. . . .. .. . .. . ... .. .. . .. .. .. . . . .. .. ..... .. .. . .. . . .. .. .. .. .. . .. . . . .. . .. . ...., . . .. .....- . .... .. . .. . -. .. . .. - .. . . .. . . .. . . ...... -. ....... 0', 0.... _ .................................................................................. .. .....-......................................................................................................-......- .. ....... .. ......... ........ . . . ... . . . .. .. ......... -.. - . ~ . -". .......... ................ ....... - -... ....... ..... ... ....... ...... ........ . ......... .. .. . ................... .. ....... .. ......... ..... .. .. ... . 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L---+..... ~ . ~215 OFFENSE INCIDENT REPORT NARRATIVE CONTINUATION . ~ ~ON~ I w .............. ..... . .... . > J: ~ cc c( z , -- DERELI,CT.. ,VESSEL ...' ..09 -.. .Z.I.5.Y ,__. .. ~....o. ........... ... .................. "' LOCATIO ~ OfflC'r:4 ~ro't~]:I:lon:r;n t'" ~ ~ Re'trl. wed By: --tt 3g'; ow".,'. Si(~ ~ Reviewer'. SlgnehJfe _~_~J~ l.,o~ -. Date - ---- Nunlbe, AH09(od OBTS Nu,nbe, Orlgin..1 0 Supplement 0 ON" 2O-O45^ fMP 46/91 J Pege 2 of 3 s \. foO ' /' ,/ /' . \ , .J \11"~ ?; '" -~ '; ., t7' Ht"R- 17--199b 13:32 F ROf'1 F LH . f'lHk: 11~E ". ,./ / 0/ ~ \ {5 // ,//" 01 <:; / V1 to ,/ o (; ""-l -- .. o ~ It! :!! ~ 0- ." !V ~ ~ c" , O' ..., "'~ V' 0 " ~ . i, J ~ ^ Ol) ~,- ~/ .. ~ ~ ~~ "'-J , ~ ~ 0" VI w ./~ " 0' I (7\ ~ 'oJ U1 ~ V'I ~ ....., eo. to.) "-> ~ \.1' ", VI ~ ~ ...., ~ Ul Q - '" ~ ~ ,.. (D - ~ ~ VI ~~.('~ \ .,r()" ~,\~" t~ Q 5' "". )'- , o 10 t" ... .~. , , 1-.. s 1 ~....l 01 :') i 0\ ..O~ V' .~j~6. ~~ ~ \ 0 : ~(( r I Q. ....., tit .S V' C7' (7t , l) f--....../ 8- .~,....) ~ t_ ..: ~ m~:o ~ g' t7' ~ P.06 (TI ~ ....., C7' ...... 0' " \\, Q) C7'I c: \. -. (/)-. 0'00 -..J c:< ":;t ~ ~ "'-J .u 00 I'; ~ 0 ..., 0 \ ; ~ ': UI k'- 1;:0 "'~~.~ ()l .,. V' ^ 3(1)\ OJ... 9 S ~ ~ V' s ) '-- ~ -.: V'I en 0\ VI 0' ....... TOTRL P.06 EXHIBIT B 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 RESPONSE 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. PLANS: There are no plans for this project, but copies of the Florida Marine Patrol Derelict Vessel Report with location Sketches have been bound into these documents for the Contractor's use. The Specifications 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 resou~ces for removal based on these considerations, we shall limit vessel removal based on the these considerations and cost effectiveness. 4. VESSEL IDENTIFICATION AND LOCATION: Each of the vessels have been given a derelict vessel identification number, which is shown with the location in the Florida Marine Patrol Derelict Vessel Report, included herewith. Each bidder is responsible for his own identification of each derelict vessel as to location, description and condition. If a Derelict Vessel cannot be (1) located, (2) removed, (3) verified and (4) disposed of, as specified in these procedures, then no payment will be made forthcoming to the Contractor for that vessel. Those four conditions 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. A contractor should take special care to remove only those derelict vessel's on his contract and for which he possesses a Florida Marine Patrol Derelict Vessel Report. Other derelict vessel's in the area but not under contract, cannot be molested. It may be possible to replace a derelict vessel of like kind, for the same or less money, when mutual agreement can be reached by the Florida Department of Environmental Protection, Monroe County Administrator of the Derelict Vessel Program, and the Contractor. This will be applicable when a contracted derelict vessel can not be located. No derelict vessel may be replaced and removed without the trig party 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 Any vessel which is removed and disposed of shall be removed from its present site in such a manner as to do the 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 Monroe County Environmental Management Department. Metal becomes the property of the Contractor. In those cases where a qerelict 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. MATERIALS 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 presswork 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, equipment and other hazards shall be guarded in accordance DV Specs--Page 3 with safety provisions of the "Manual of Accident Prevention in Construction", published by the Associated General Contractors of America, to the extent that such provisions are not in contradiction of applicable law. The Contractor shall store materials and shall maintain partly or wholly finished work during the continuance of the Contract and until the final acceptance. If any materials or part of the work become lost, damaged, or destroyed by any cause or means whatsoever, the Contractor shall repair and replace or not receive payment for the unaccomplished work. The Contractor shall maintain suitable and sufficient guards and barriers, and at night, suitable and sufficient light or other appropriate security or protection for the prevention of accidents. Use of explosives is discouraged in carrying out the project. No blasting with explosives shall be done except under prior approval by the County and as permitted by all relevant governmental agencies such as the Department of Environmental Protection, Department of Environmental Regulation, U.S.Army Corps of Engineers, u.s. Fish and Wildlife Service and the u.s. Coast Guard. When the use of explosives is approved the Contractor shall use the utmost care so as not to endanger life or property and whenever directed the number and sizes of the charges shall be reduced. All explosives ~shall be marked clearly IIDANGER EXPLOSIVES II , 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. ASSIGNMENT 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. All subcontractors shall abide by the terms, DV Specs--Page 4 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: Certificate(s} of Insurance which clearly indicates that he has obtained the insurance coverage required in paragraphs a,b,c and d below. DV Specs--Page 5 The-Contractor hereby certifies that no modification or change in insurance shall be made without (10) days written advance notice to Monroe County, c/o the Director of the Risk Management Division. a. Worker'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 $500,00.00 per occurrence for Bodily Injury and Property Damage combined, to include contractual liability. c. Pollution Liability Insurance in the Amount of$500,OOO. d. Water Craft Liability Insurance in the amount of $500,000. e. Automobile liability insurance covering all owned, non-owned and hired vehicles used in connection with the work, in an amount not less than $300,000 per occurrence for Bodily Injury and Property and Damage combined. All insurance policies required above shall be issued by companies authorized to do business and under the laws of the State of Florida. The Monroe County Board of County Commissioners must be listed as "Additional Insured" on all policies, except for Worker's Compensation. 10. COMMENCEMENT,DELAYS AND COMPLETION OF WORK: After receiving Board of County Commission approval of the Contract, and after reconciliation of any details or conditions which may directly or indirectly interfere or conflict with work of the Contract, the County will issue a "Notice to Proceed" officially authorizing the Contractor to commence. The Contractor shall commence work within one week from the date 'on the "Notice to Proceed" letter. 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 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) DV Specs--Page 6 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-completiori of work within the time limit, but such liabilities shall be subject to continuation in full force against the contractor. 11. CHANGES AND INSPECTION: The vessels herein considered are to be removed for the County by the Contractor in accordance with the Specifications. The County may give instructions or directions to supplement the Specifications. These shall be binding upon the Contractor and upon all his subcontractors, employees and agents of every kind. All work and every process and operation shall be subject to inspection at all times, and the County and their representatives shall have free access to all aspects of the work. The Contractor shall remove and make good, as may be directed, without charge, any defective work. Oversight or error of judgement of inspectors, or previous acceptance, shall not relieve the Contractor from the obligation to make good any defect whenever discovered. The right is reserved to change the Specifications consistent with regard to the general intention of the Contract for any part of the work or materials, either 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. 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, DV Specs--Page 7 the~uccessful 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 to award a contract to the bidders submitting the lowest per foot bid for the derelict vessels listed in the bid package as one project and for which a Florida Marine Patrol Derelict Vessel Report is included. One bid will be accepted and a contract issued for the total removal of all listed derelict vessels as one project, up to the limit of available funds. The actual number of vessels to be 'removed will depend on the accepted per foot bid price and the available funds. 14. PRESSWORK 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 WORKING DAYS. With the Contractor's cooperation, if this period can be reduced, it will assist in acceleration the execution of the contract documents. The Contractor, by virtue of signing the Contract, 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, 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 DV Specs--Page 8 awa~d 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 Proceed with Contract Work" will establish the "beginning date" of the project. 18. TERMINATION 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 herein 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 the disposal site. It is the intent of this contract to remove derelict vessels from their present site and legally dispose of them. Upon receipt of vessels at the landfill, They must be disposed of immediately. There are several Monroe County disposal sites, Cuddle Landfill, MM 21 (vessels must be 26' and under to be delivered in tact, over 26' they must be broken up), Long DV Specs--Page 9 Key Landfill MM 68, and Card Sound Road aka SR905 other landfills in neighboring counties or any other location for disposal as long as the site is a legal licensed disposal site. 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 PATROL: Contractor must submit prior to receiving any. payment: A receipt for each vessel including the date of disposal, the Florida Marine Patrol Derelict Vessel Number, disposal site location, and the telephone number. 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. 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 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. 2~. PAYMENT: All payments for the removal and disposal of DV Specs--Page 10 eac& ~essel, 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 delivery. 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 payment for contracted work. 23. NON-COLLISION AFFIDAVIT: Upon entering into the contract, the Contractor agrees to sign and endorse the Non-Collusion Affidavit form (attached). 24. ETHICS CLAUSE: Upon entering into the contract, the Contractor agrees to sign and endorse the Ethics Clause form attached) . 25. DRUG FREE WORK PLACE FORM: Upon entering the contract, the Contractor agrees to sign and endorse the Drug Free Work Place form (attached). 27. DERELICT VESSELS AT ISSUE: The derelict vessels listed on the Derelict Vessel Working List for 1996 shall be removed and disposed of by the Contractor in accordance with the provisions of these Specifications. H:\A\BIF\-DV\DV-1993\SPECS.NEW DV Specs--Page 11 EXHIBIT C A pr i I 22. } 99.1 1~ l'rin1ing ]\10NROE COllNTY, FLORIDr\ INSURA~CE CI-IECKLIST FOR VENDORS SUB1\11TTING PROPOSALS FOR'VORK To assist in the development of your proposal, the insurance coverages nlarked \vith an fiX" \~jll 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 that the bidder sign the form and submit it with each proposal. \\'OJtKERS' CO!\1PENSA TION /\ 1\i 0 EJ\1PLO'lERS. LIABILITY \\JC 1 WC2 We3 WCUSLH WCJA x \\'orkers. Compensation EmpJO)lCrS Liability Employers Liability Employers Liability US Longshoremen & Harbor \\'orkers Act Federal Jones ~"ct Statutory Limits $1 00,000/$500,000/$1 OO~OOO $500~ 000/$500, 000/$500, 000 $1 ,000,000/$1 ,000,000/$1 ,000,000 Same as Employers' Liability Sanle as Employers' Liability x ^dmini~1nltive Jrn;tnIC1inn INSCKLST 114709.01 6 /\pt 11 22. J <)()-' I ~ J'rinl ing GENERAL LIABILIT'r' As a minimum., the required generalliabiuty coverages \vill include: · Premises Operations · Blanket Contractual · Expanded Definition of Property Damage . Products and ConlpJeted Operations Personal Injury . Required Limits: GLI x $100,000 per Person; $300,000 per Occurrence $50,000 PropeT1)' Damage or $300'1000 Cornbined Single LiJnit GL2 $250,000 per Person; $500'1000 per Occurrence $50,000 Property Darnage or $500,000 Combined Single Limit $500'1000 per Person; $1'1000'1000 per Occurrence $100,000 Property Damage or $ J ,000,000 Combined Single Limit GL3 Required Endorsement: GLXCU GLLIQ Underground., Explosion and Collapse (XCU) Liquor Liability All endorsements are required to have the same limits as the basic policy. Administnstivc lnstrudton 114709.0 I INSCKLS1. 7 ,\ pnl 2 2. I <)<) .1 1 ~ I 'rin1 ing VEl-lICLE LJ/\BILITY As a minimum, coverage should extend to liability for: · O"'ned; Nonowned~ and Hired Vehicles Required Limits: BRl MVC PROI PR02 PR03 POLl X POL2 POL3 EDI ED2 GKl GK2 GK3 MEDI MED2 MED3 VLl VL2 VL3 X ^dmini~ratj\,c Jrc;truc1 ion tf4709.0 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 [-limit $500,000 per Person; $1,000,000 per Occurrence $100,000 Property Damage or $1,000,000 Combined Si ngle Limit M1SCELLANEOUS COVERAGES Builders' Risk Limits equal to the completed project. Motor Truck Cargo Limits equal to the maxirnum value of anyone shipment. Professional Liability $ 250,000 per Occurrencel$ 500)000 Agg. $ 500,000 per Occurrence/$l ,000,000 Agg. $1,000,000 per Occurrencel$2~ 000, 000 Agg. Pollution Liability $ 500,000 per ()ccurrenceJ$J'lOOO,OOO Agg. $1,000,000 per Occurrencel$2)OOO,OOO Agg. $5,000,\000 per Occurrencel$l 0,000,000 Agg. Employee Dishonesty $ ] 0,000 $100,000 $ 300,000 ($ 25,000 per \Teh) $ 500,000 ($100,000 per Veh) $1,000,000 ($250,000 per Veh) $ 500,000/$ ] ,000,000 Agg. $1,000,000/$ 3,000,000 Agg. $5,000,000/$1 O,OOO~OOO Agg. Garage Keepers 1\1 ed i caJ Professional INSCKLs.r x IF VLPl VLP2 VLP3 WLl x BLL I-LK L ) HKL2 11KL3 AIRI AIR2 AlR3 AEOl AE02 AE03 /\pril 22. 1<)'):1 ) ~ I 'nnt ing Installation Floater !\1axirnum value of Equiprnent J nstaJJed 11azardous $ 300,000 (Requires 1\1C5-90) Cargo $ 500,000 (Requires MCS-90) Transporter $1,000,000 (Requires MCS-90) Watercraft Liability $500,000 Bailee Liab. Maximum Value of Property Hangark eepers Liability $ 300~OOO $ 500,000 $ 1 ,OOO~OOO ~Aircraft Liability $25,000,000 $ 1,000,000 $ 1,000,000 Architects Errors & OT.nissions $ 250,,000 per Occurrencel$ 500,000 Agg. $ 500,000 per Oc.currence/$l.,OOO,OOO .Agg. $ J ,000,000 per Occurrence/$3,OOO,OOO Agg. INSLTRANCE AGEj\1T'S ST APfEI\1EN'r I have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES Liability policies are _ Occurrence Claims Made Insurance Agency Signature BIDDERS STATEMENT r understand the insurance that will be mandatory if awarded the contract and will comply in full with all the requirements. Administrative J~ruclion 114709.01 Bidder Signafure INSCKLs'r 9 :'\ p1 j' 2 2. I C} Ii J J sl Print in~ \\'ORKERS' C01\1PENSA l'ION INSllRANCE REQUIREl\.1 EN'rs FOR CONTRACT BET\VEEN J\10NltOE COUNTY, FLORIDA AND Prior to the conlmencement of work governed by this contract, the (~ont ractor shall obtain \\'orkers' Compensation Insurance \\,ith limits sufTicicnt to respond to Florida Statute 440. In addition, the Contractor shall obtain Employers' Liability Insurance \vith limits of not less than: $lOO~OOO Bodily InjuI)' by .~ccident $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 contract. ~ ~ Co\'erage shall be provided by a company or companies authorized to transact business in 1 he 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. 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. ^dministrati\'e lns1rudion 114709.1 \VCI R I \VORKERS' C01"J PENSA TIOr\r INSURA1\CE REQVIREJ\1EN1'S FOR CONTRACT BETI\'EEN MOt~ROE COUNTY, FLORID1\ AND Recognizing that the work governed by this contract involves Maritime Operations, the Contractor's Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones Act (46 U.S.c.^- subsection 688) with limits not less than those specified for Employer's Liability. The Contractor shall be peImitled to provide Jones Act Coverage thrOHgh a separate 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. ^ drn i n i.c;tr a.ti \'c I nslru cti on \\lCJA 1(4709. J X4 Apr if 22. I (rJ.l 1 ~1 I'nflling GENER1\L Ltt\IlILlll' INSURANCE REQUIREMENrrS FOR CONTRACf llE'r\VEEN 1\'10NROE COlJNTY, FLORI ()A Jt\ND Prior to the commencement ofw0rk 1.!.overned bv this contract, the Contmctor shall ohtain General Liability J nsurance. Coverag'C shall be n;aintaincd 1 hroughout the life of the cont ract and include, as a minimum: · Premises Operations · Products and Completed Operations · Blanket Contractual Liability · Personal Injury Liability . · Expanded Definition of Property DaJl1age Pfhe minimum limits acceptable shall be: $300,000 Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be: $100,,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 filcd 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 foIlov.ing the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfY the above requirements. ^dmini~tivc J~1.rudinn GLl #4709. J 54 :'\pril 22. '<]f)] 1 st I 'rinl ing VEIIICLE Lll\IlILITY INSllR:\NCE REQUIRE"'1ENTS FOR CONTRACT 13 Erf\\lEEN l\10NROE COLlNTY, FLORIDA j\i\ D Recognizing that the \Alork governed by this contract requires the use of vehicles, the Contractor" prior to the comrnencerncnt ofv-'ork, shall obtain y'chiclc IJiability Insurance. Coverage shall be rnamtained throughout the life of the contract and include, as a mininlurn. liability coverage for: · Ov.rned, Non-O\\'ned, and I {ired \' ehicJes The minimum limits acceptable shall be: $100,000 Combined Single Limit (CS L) If split limits are provided, the minimum limits acceptable shall be: $ 50,000 per Person $1 00,000 per Occurrence $ 25,000 Property Damage The rv1onroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. ^dministralivc )n~ntct'on YLl #4709.1 75 Ap111 22. 1 'rJ1 1 sf Prillt ing r()I~LUTION LI^ IlIIJITY INSllRANCE REQl11 REl\1 EN~rS ~"O R CONTRACT BE'"f\VEEN J\10NROE COlINFrY, FLORIDA AND Recognizing that the '''ork governed by this contract invoJves the storage, treatment, processing, or transporting of ha7..ardous nlntcrials (as defined by the 17edcral EnvironJTlental Protection Agency), the Contractor shall purchase and Jnainlain, throughoul the life of the contract, Pollution Liability Insurance which \\,ill respond to bodily injury, property danlage~ and environmental damage caused by a pollution incident. The minimum limits of liabilit), shall be: $500,000 per Occurrence/$] ,000,000 Aggregate I f coverage is provided on a claims made basis, an extended clainls reporting period of four (4) years will be required. ^dnlini~T41ti\'c )rn.1.ruction 1i4709.1 POlJ 1 ()l) /\pril 22. 19?.l 1 ~I ['rinl ing \V A rI'E R C Rr\ FT LIA III t,JTY INSLJRANCE REQUIREl\'lEN1'S FOR CONTRACT BErr\\:EEN IV10NROE CO UNTI', FI.JORIDA ,\ND Prior to the commencement of \~'ork governed by this contract, the Contractor shall obtain Water Crafi Liability Insurance vvith (Cfrns no less restrictive than those round in tile standard "American- Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be maintained throughout the life of tile contract and include, as a rnininluln: · Injury (including death) to any Person · Damage to Fixed or Movable Objects · Costs Associated ~'ith the Removal of\\!reckcd \lesseIs · Contractual Liability with Respect to this Cont.ract 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 shipovlner. The minimum limits acceptabJe shall be: $500,000 Combined Single Limit (CSL) Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to lhe approval of the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirenlenls. ^dmini~nslive Jn~nlctjon \\' L I #4709. I X6 EXHIBIT C /\pr il 22. J 99.1 1 ~ I'rinr ing 1\'JONROE COUNTY, FLORIDA INSURAl\CE CHECKLIST FOR VENDORS SUB1\111TING PROPOSJ\LS FOR \VORK To assist in the development of your proposal, the insurance coverages nlarked \vilh an "X" will be required in the event an a\JJard is made to your firm. Please review this form with your insurance agent and have hirn/her sign it in the place provided. It is also required tnat the bidder sign the form and submit it with each proposal. \\'OItKERS' COMPENSATION i~ND EMPLO'r'ERS'LIABILITY X \\JC 1 WC2 \\'C3 \\'CUSLH WCJA X \\'orkers' Compensation Emplo)lcrs Liabilit)1 Employers LiabiJit)1 Emp]o)'ers Liability US Longshoremen & Harbor \Vorkers Act Federal Jones Act Statutory Limits $ I 00,000/$ 500,000/$ I 00,000 $500,000/$500,000/$500,000 $1 ,000,000/$1 ,000,000/$1 , OOO~ 000 Same as Employers' Liability Sanle as Enlployers' Liability ^dmini~1rBtive Jnc;(nlction 114709.0 I INSCKLST 6 .\pTlI 22. l<rJ.l 1~ l'rinting VEl-lICLE lJABlLITY As a minimum, coverage should extend to Jjability for: . Owned; Nonowned~ and Hired Vehicles Required Limits: BRl MVC PROl PR02 PR03 POLl x POL2 POL3 EDI ED2 GKl GK2 GK3 MEDI MED2 ~1ED3 VLl VL2 VL3 ^dmjni~ratj\,c Jrmruction ff4709.0 I $50,000 per Person: $1 OO~OOO per Occurrence $25,000 Propert)r Damage or $100,,000 Combined Single Limit $100,000 per Person; $300,000 per Occurrence $50,000 Property Darnage or $300,000 Combined Single Limit $500" 000 per Person; $1,000,000 per Occurrence $100,000 Property Damage or $1,000,000 Combined SingJe Limit M1SCELLANEOUS COVER4~GES Builders' Risk Limits equal to the completed project. Motor Truck Cargo Limits equal to the maxirnum value of anyone shipment. Professional Liability $ 250,000 per Occurrencel$ 500,000 Agg. $ 500,000 per Occurrence/$1..000,OOO Agg. $1..000,000 per Occurrencel$2~OOO,OOO Agg. $ 500,000 per ()ccurrenceJ$ J ~OOO,OOO Agg. $1,,000,000 per Occurrence'$2,OOO,OOO Agg. $5'1000,000 per Occurrence'S] 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 ed i caf Professional INSCKLs'r x Apr if 22. ) <)().l I~ I'rinring GENERAL LIABILIT)l As a minimum., the required general liability coverages wjll include: · PremiSes Operations · Blanket Contractual · Expanded Definition of Property Damage Required Limits: GLl 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 Linlit $250,000 per Person; $500,,000 per Occurrence $50,000 Property Dalnage or $500,000 Combined Single Limit $500,000 per Person; $1,000,000 per Occurrence $100,000 Property Damage or $ 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. ^dmini~T1ltj\"e )nslrudion #4709.0 I INSCKLS1' 7 ,\pril 22. )tJl).l J ~ I'ri nt ing IF VLPl VLP2 \/LP 3 BLL I-LKL 1 HKL2 11KL3 AIRI AIR2 AIRJ AEOl AE02 AE03 WLl X - Installation Floater !\1axirnum value of Equiprnent I nstaJJed l1azardous Cargo Transporter $ 300,000 (Requires t\1CS-90) $ 500,000 (Requires 1\1CS-90) $1,000,000 (Requires f\1CS-90) Bailee Liab. !\1axirnuln Value of Property Han gark eepers Liability $ 300,000 $ 500,000 $ 1,000,000 Aircraft Liability $25,000,000 $ 1,000,000 $ 1,000,000 Architects Errors $ 250,000 per Occurrencel$ 500,000 Agg. & Omissions $ 500,000 per Occurrencel$LOOO,OOO Agg. $ 1,000,000 per OccllrrencelS3,OOO,OOO Agg. Watercraft Liability $500.000 INSURANCE AGENTtS ST APfEMEN'r I have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES Liability policies are _ Occurrence Claims h1ade Insurance Agency Signature BIDDERS STATEMENT r understand the insurance that will be mandatory ifawarded the contract and will comply in full with all the requirements. Bidder Signal urc Administrative ]n-:druction ff4709.0 I INSCKLs'r 9 /\p11122.1()9J J s1 I'rin'ing \\JORKERS' COI\lPENSA l~ION INSllRANCE REQUIRE1\1EN'rs FOR CONTRACT DET\\lEEN l\10NI~OE COlINTY, FLORIDA J~ND Prior to the conlmencement of work governed by this contract, the (~onfractor shall obtain \\'orkers' Compensation Insurance ~/ilh limits sufficient to respond to rlorida Statute 440. In addition, the Contractor shall obtain Emolovers' Liabilitv Insurance \vith limits of not less tl1an: ... -. .' $ I OO~ 000 Bodily I njury 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 contract. ~ ~ Coverage shall be provided by a company or companies authorized to transact business in the state of Florida and the company or companies must maintain a minimum rating of A- VI, as assigned by the A.M. Best Company. If the 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. ^dministrativc ~1ructjon #4709.1 \\' C J RI \VORKERS' COJ\'1 PENS,\ TI01\T INS U RAJ\CE REQ U I REJ\1 ENrrS FOR CONTRACT BETI\.'EEN MONROE COUNTY, FI..JORIDl\ 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 Jess than those specified for Employer's Liability. The Contractor shall be pelmitted to provide Jones Act Coverage throygh a separate 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. ^drnini.~a.t.i\:c Instruction V\' C J A /(4709. J &4 ^pr if 22. J <rJ.'l . J ~ I'rinling GENERAL Ltt\lllLIll' INSURANCE REQUIREl\1ENTS FOR CONTRACT nEFf\VEEN ]\'IONROE COlJNTY, FLO[{I()A l\ND Prior to the commencement ofwNk 1!overned bv this contract, the Contractor shall obtain General Liability Insurance. Coverag~ shall be n;aintaincd throughout the iire 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 rfhe minimum limits acceptable shall be: $300,000 Combined Single Limit (CSL) I f split limits are provided, the minimum limits acceptable shall be: $100..000 per Person $300..000 per Occurrence $ 50,000 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 after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisry the above requirements. ^dmini~livc J~1.nJdion GLl #4709.1 5~ :\1'111 22. 1'},.l1 1 st I 'ri 111 i I) ~ ~ P()I.lLUTION LI/\ IlIIJITY INSURANCE REQLII REl\1 EN.rS ~-OR CONTRACT BErr\\'EEN 1\'10NROE COUNrrv, FLORIDA ~41\D Recognizing that the ,,,ark governed by this contract involves the storage, t.reatment" processing, or transporting of ha7~rdous n'latcrials (as defined by the J-;'ederal Environnlcntal Protection Agency).. the Contractor shall purchase and Jnainlain, throughout the life oflhc contract, Pollution Liability Insurance ,",'hich \vill respond to bodily injury, property danlage.. and environmental damage caused by a pollution incident. The minimum limits of liability shall be: $500,000 per Occurrencel$l ,000,000 Aggregate If coverage is pro\rided on a claims made basis, an extended claims reporting period of four (4) years will be required. ^dmin;~rati\'c lnst.ruction #4709.1 POll ()t) /\pril 22. 1<)<).1 1 sl Prinl ing '\'A'r.ER CRI\FT LIABII.,JTY INSURANCE REQUIRE1\'JENTS FOR CONTRACT BE'r\\-'EEN J\tl0NROE COUNTI', FI..,ORIDr\ l\ND Prior to the commencement of work governed by this contract, the Contractor shall obtain Water Crafi Liability Insurance with lcnns no less restrictive than those found in the standard "American- Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be maintained throughout the life of the contract and include, as a minimum: · I njury (including death) to any Person · Damage to Fixed or Movable Objects · Costs t\ssociated \\'ilh the Removal of\\'reckcd \lessels · Contractual Liabilit), 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 acceptabJe shall be: $500,000 Combined Single Limit (CSL) Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the approvaJ of the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements_ Administrative Jn~.nlc1ion \\J L I #4709.1 xc. SWORN STATEMENT UNDER ORDINANCE NO.1 0-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE , ; E C:O/I-7?/'i~ 0:>. ,A :s /I r ,4'/ t"/71/if1 warrants t)t.lt hefIt has not employed, retained or otherwise had act on his/its behalf any former County officer or emplo)Tee in 'Tiolation 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, tenl1inate this contract \vithout liabili.ty 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) 5"-r- 7~ Date: I. . I' . ! STATE OF ~ 107,rCk COUNTY OF A/Y77o~ PERSONALLY APPEAE;ED BEFORE ME, the undersigned authority, ~ ( F7?//< who, after fIrst being sworn by me, affixed hislher signature (name ofindiv'(lual signing) in the space provided above on this P1 day of AI1( I , 19~. ~'7~~~ NOTARY PU'BLIC My commission expires: ....'~':t.~:rt;;;;, Gloria K. McGee ~..-~~.:;~ MY COMMISSION II CC529329 EXPIRES ~..~~~~ March 24,1999 'I1,tRf.~<t..~ BOHDEO THRU TROY FAIN INSURANCE. It<<:. MCP#4 NON-COLLUSION AFFIDAVIT I -, /J:V F-?1//5 ~'o{) tf/(' r- I ( ~ of -//cr/'/5or. according to law on my oath, and ~L.L..L-J. under penalty of perjury, depose and say that;.. / 73:> '1 - '.J:=::> ~. .j--.,- ~"'/I7?/l~ttJ/. r:.. · 1) I am /-t ?II~I // It?/?//f L . the bidder making the Proposal for the project described as follows: of the 2) The prices in this bid' have been arrived at independently without collusion, consultation, communication or agreementforthe 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 thjs affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the atements contained in this affidavit in awarding contracts for said projec STATE OF ;::-- /c.T?/c1/7 COUNTY OF A.(J -ff77c ~ PERSONALLY APPEARED BEFORE ME, the undersigned authority, ~..91 P-7?/ / ~ who, after first being sworn by me, (name of indi~i~~1 ~igning) affi ed his/her signature in the space provided above on this gr fi{ day of /YJI; f ,19 9~. , ~7' ~ -7'l~ NOTARY PUBLIC My commission expires: ","U"" GlOM K. Mc688 P\RES f~~l:~.~:~ Mi COMM\SSlON I ccs29329 EX :*: =<= MarCh 24. 1999 nc ~':'. :~~ THRU lRO"I fAlH~' . "~~' . · ~tf.,.... 8QtIS) 1,8:"," MCP #1 DRUG-FREE \\IORKPLACE FORM The undersigned vendor in acc~rdal1ce with Florida Statute 287.087 hereby certifies that: /I -/l~ ~ # -I7?A ~.h /'. (Name of Business) 1. Publish a statement notifying employees that the unlav.:ful manufacture, distribution, dispens- ing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that \vill be taken against enlployees for violations of such prohibition. 2. Infom1 employees about the dangers of drug abuse in the \J,lorkplace, 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 imposed upon employees for drug abuse \'iolations. 3. Give each en1ployee engaged in providing the commodities or contractual services that arc under bid a copy of the staten1cnt specified in subsection (1). 4. In the statement specified in subsection (I), notify the employees that, as a condition of working on the commoditi es or contractual services that are under bid, the employee will abide by the terms of the statement and v..'ill notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Piorida 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 availabl e 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, ertify that this firm complies fully with the above requirements. :5 - ~- 1& Date MCP#5 REV. 6/91 ~j~~' i J0j~2~~Y-~~~~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION";';" ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRO[1UCER Reagan Insurance · Plantation Key 90144 Overseas Highway Tavernier ( ) FL 33070 Received COMPANY Risk Momr IV Tmcr"M,,,J A IIEjBritamco Underwriters, Inc. ~ ~ ',", DA TE (p /1 r;, /9<:::C' COMPANY APPROVED BY hi. ,: J 8 f' ..d/ 1/1/7./ / P COMPANY 8Y_ ~-~ '/'/ / --d~ oR. I G U C r. _, (//.. --=/c{ -;;----s- KI.ffl Tavernier FL 33070- COMPANY l"t --- ---_ l361JJcd (I ) - 0 l"~'''ro. .,..L// ,~ 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. INSURED A.S.A.P., Inc P.O. Box 804 INITIAL CO TYPE Of INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRA nON UMfTS lTR DATE (MM/DDIYY) DA TE (MM/DD/YV) . . GENERAL LIABILITY GENERAL AGGREGATE $ ~ f--- COMMERCIAL GENERAL UABIUTY / / / / PRODUCTS COMP/OP AGG $ =0 CLAIMS MADE 0 OCCUR PERSONAL & AOV INJURY $ f---- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ - ~~. DAMAGE (Anyone fire) $ >--- -- -_..... MED EXP (Anyone person) $ AUTOMOBilE lIABIUTY f--- COMBINED SINGLE LIMIT $ ANY AUTO / / / / f--- ALL OWNED AUTOS 80DIL Y INJURY f--- $ SCHEDULED AUTOS (Per person) f--- 1---- HIRED AUTOS 80DIL Y INJURY ~ $ NON-GWNED AUTOS (Per accident) ~ ~u__ >---- PRQPER1Y DAMAGE $ GARAGE UABllITY AUTO ONLY EA ACCIDENT $ f--- ~ ....... ANY AUTO / / / / OTHER THAN AUTO ONL Y: ..... :: .. f--- _. EACH ACCIDENT $ - AGGREGA TE $ EXCESS UABIUTY EACH OCCURRENCE $ Cl UMBREUA fORM / / / / AGGREGA TE $ OTHER THAN UMBREUA FORM $ WORKERS COMPENSATION AND I STATUTORY UMITS :.:. EMPLOYERS' UABIUTY / / / / . EACH ACCIDENT $ THE PROPRIETOA/ R INCl DISEASE POLICY UMIT $ PARTNERSlEXECUTIVE OFFICERS ARE: EXCL DISEASE EACH EMPLOYEE $ A OTHER Hull & KB0059 06/09/95 06/09/96 1994 3D' 30,000 Machinery, Steel Barge 500,000 P&I DESCRIPTION Of OPERA TIONS/lOCA TIONSNEHICLES/sPECIAlITEMS Certificate Holder is an Additional Insured. Monroe County Board Of SHOULD ANY Of THE ABOVE DESCRIBED POUCIES BE CANCEueD BEfORE THE Commissioners EXPIRATION DATE THEREOf, THE ISSUING COMPANY WIU ENDEAVOR TO MAIL At tn : Ri sk Management -1..Q DAYS WRITTEN NOTICE TO THE CERTifiCATE HOLDER NAMED TO THE LEfT, p}OO College Road BUT fAILURE TO MAIL SUCH NOTICE SHALL IMPO~GATION OR UABIUTY N.ey West FL 33040 Of ANY KIND UPO~COMPA~AG~ Oil RE~TIVES. _ ....... .......... I.. ....... cc I:::-/L~ AUTHORIZEDR~~ /- / i\dORO..2!j-S .(3/9~).....' ... .... .... ..........................y..vr.r..:.:tir:JJr.nWr:.I..: JrJrI./:..... · .. .~.......................... ........ . . @ ACOftb..c6RPOAAtI6N19~3.. .J..l..~-..! Kt.bHf-.. 1 N~UK~~Lt:. -; -A.J~..:. ::.).:..~~ l I ",-, . ./LJ'::' ~ ~,.~!!!~.w~ _tl1i~~I'ii~I)~~~~Wr~1~~~~~\\Y.~~i ~~=.~ ~ 'Regan lri6uran~e' Aqeitcy, .~inc. .... .0.. THIS CERTIfICATE IS ISSUED AS A MAlTER Of INFORMATION 90144 Overseas Hiqhway ~~~o~==n~ ~'":D,C=~ ALTER THE COVERAGE AFfORDED BY THE POUCIES BELOW. COMPANIES AFFQROtNG COVERAGE Tavernier (305) 852-3234 FL 33070 OOWPN(Y A IIE/Britamco Underwriters Inc. ~ -;,~m~uW~-; ~ U<J ! I- c n I ... ^ 7 1_ J'7 Tavernier FL 33070- r:x:J#M'1IN'f UU ""'" I L.....I 7 A.7- ~~~i~~ ~~~~. INOtCATED. NOTWITHSTANDING ANf REQUIREMENT. TEAM OR CONDmON OF ANV CONTRACT OR l~::= ."., P"C0t""E:\" I ~H THIS CERnFICATE MAV 1& ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POlICIES DISC_EO HEREIN IS SUBJECT TO ALL THE T€AMS. EXClUSIONS AND CONDITIONS OF SUCH POlICIes. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. IllUIIIEO A.S.A.P., Inc P.O. Box 804 co lTl' Me 0fI.....,.~ flOUCY IIUIIID POLICY CFnC1tVE flOUCY tDlMTl~ D&TE~ MT!~ UIIITI A CIQSW. UAe6UTY - X ~ GeN6W..~vn KB0077 =:=1 ClAIMS tN<< 00 OCCUR ~R"S & CON'1lW:T0R'9 PR:)T - Q~AGGRiGATE .11000 1000 06/17/95 06/17/96 ~T9.COMP~AQG s 500,000 PER9CWALAAOVWJU~ S 500 L 000 eACH~ ,500 I 000 f~ONMQE~~_)' 50,000 ftIEO EXP ~ ON pIImn)' 5 . 000 ANY AUTO APPROVED BY RISK M~A ILl~tP. BY ~t2A1-mJt~ DATE 0;- 5 -7--S~ / N/.^. YfS__ / / / o~/t; - fe:,vb/N~lYINJURV Fll..o m cAte/<.1 ~ C'- peqonJ COMelNED SINGlE LMl , AUTOIIOIIIl.l UAelUTY to--- r-- AU.. OWNED AUTOS r- SCHEOULEO AU109 ~ HIRED N.JT06 ~ ~AVT~ $ BQ()l. y ~ ~~ s ~'fJ 1vrR: - ~)Pf.RTY ONMG! s QAAA&R UAlMUTY - NfV AUTO / I / / AUTO ON- Y . EA ACCItXNT , OTHER ~AUroONlY: EACH ACCADfNT S AGGAEOATE S EACH cx;cvRAENOE: S AOOREM TE $ . - - =r=~~ WOMEN ~_lIOII MO ~. UUlutY ~R:: OlltOl / I / / / / 1 ~T ATuTOAV UMfT6 - / / EA01 ACOOENT S 0IBEA&e · POUCY UMtT . CRASE . !ACM fYtlOYEE S / / / / OBC~OFOKM1IOII8ILOCA~1tE~ Emergency Derelict Vessel RQmoval. Certificate Holder and Additional Insured. .. .._ .,.'\. . . ~ 'W ~oA. :I~"" ~'.: '~3~~W~t~~:rtj~!;$~~~i&~~~t~*~~;i~t!~titi~~i~1t;j~tlJ~:~:I.,.w'~~.'-'" .. .:. ~~:t:r-.~:f~::k:X~Lri~ '~. .~ .:. ~ ; ~.~?i,'nt~::/~}'~1\\~~~f:t;~~~~)/t~f~~~;.;~~~~~;~;1~ Monroe County Board Of 8MOULD MY OF lMI MOVI DPCAUlEO POUQU 82 CAIICl1.UD ~ 1'M( County Comaissioners IXPlUno. MTE 1ttERECW. 1Me IaMRMQ cow,.., WIU. POQVOR 10 MAtL 5100 College Road .-J..QOAW""'" IlOna TO llil ~.mrlCAft ttO&.DP IIMICD TO"'" tST. .u, FAIUItIt TO..... SUCH IIOYIr'E..... I~~TIOII 011 UAIIUTY Key West FL 33040 Of' MY N"....~~4'..~ MfIJJlII 011 ~Anvu. A ~ L- 2/ / ./ LVI~" ..temattonal GrouP ~~l~~~~~.~S~(\~t~~~~~~. :~~~..._~-:.~... :~...---~-~: SEMtNOLE FORM ..6 ~ PROPOSAL ~ Page No..._~~ _ of ,2. Pages A.S.A.P. P. O. BOX 804 TAVERNIER, FLA. 33070 I --~----~--~ I DATE, ~___ / r... -? /:1 PROPOSAL SUBMITTED TO: NAMtl - · ~('~-~~ STREfT: PHONE: JOI NAME: STREET: ST A Tf; ..~ J STATe, _. -------.. ~.--.- ~- - CtTY: CITY: -- -----..:... W. hereby submit specifications and estimates 'or; ~r DI/ c51/S-?, I y~ ~ ~ ;;. ~~~/~~~.. lif.' ~~. .....--..----------.----- ------.--. ----......- w. hereby propot.e to furnish labor and mattf,,,I,, - complete in accordance with ,he above specifications, fOf .he sum of~ ___--...- dollars 1$ ~/ Jt:J ' t7~_1 wilh payment 10 be _de .s follows, All ",,'eri,1 is guaranteed to b. 85 ,peeilied. AU work '0 be comple'ed in a work.men1ike ma~ner according to Itandard practice,. Any alteration or deviation from .boy. specifications involving extr. cosh, wilt be executed only upon written orders, and will become en exrra charge over end above tho estimate. All agr....n" contingent upon strikes., accidents or delays beyond our contro1. This propoJal ~ubiect to acceptance within .--- ~ ~- - ,hereafter .. the option of the undersigned. _. days and i5 void - -.- ..._....-.--~-- A~ud~gnMur. b~i~~ ACCEPTANCE OF PROPa'sAL -----.....---- ---- -~-------_.. The .bove price., specifications and conditions ar. hereby accepted. Yau ere euthoriz:ed to do the work as specified. Payment will be mad. as outlined .bov.. ACCEPTED: Signatuf._~-..-~-- ----~. Oete __~ _ _ __ __-- ___._~ Sign.tur. ~PR-17-1996 13=28 FROM FLH. MRRINE PRTROL DlST-9 TO 813052924417 P.02 INCIDENT.REPORT NARRA fiVE CONTINUATION REPORT' . . ..... ~.. .......::'['.0.._...... ........ . ..... .. ............................,........................................... - . . .... .. ... ... .... ....... ....................................................... - .... . " ........ - ............................. ..... -............................- ....... __ 1_. ._ . _... ........ ....... .... .. ..... .... .., .......I:::..'.M.... . f...A. ~.G-&€. ~........ ............ ....... ..... . .. -...... - .............. _. -'..' ......... -.. 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'" ..... .. ." .. .. .. ..... ............... . .. -........... -....... ............. ........................ ............. ................. .... ............ ............. ..... ...................... ......... ........... .................-.. ...~..,........B.g~........I...'!fJ. F L c.{ ~ 7.. 3 D F ;.. .I,..~.N.g~.1I 2. Y I ~.~..;..w...~9.~.~~.:. ...................aq.~~ ....~T~.t~~ l......... ...W.9QP_. ...f I.G~ ...~~.r~~____9r.Jt~B ..................J1A~J:;..:.... / Ii 7 > Tet r p.n . TYP.J;:.. C 1'\ J J ~ C.. {.Ji ~ , I :::l111>>r1d t2~t.~~ ............ . . - .. .. .. ..... .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .. .... .... .... .. .. .. .. - .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .. .. .. .. .. .... .. .. ...... .... .. .. . .. ..... .. .. .... .. .... .. .. .... .. .. .. .... .. .. .. ............ .. .. .. ........ .." ... .. .. .. .... . . .. .... .. .. ... . . ... .. .. ....... ... ~ .. .... 2. VBSSEL OWHER: . . c.~ucuj J.. t {."I II {Huoo... -2 'I C 'to ,'It#" Dr. ....--.... ........ ..... ....................~.................. ....... ....... ............ ..................... ............ ......................................., ..... -. ...... ......... ..-........ ................ ................ _........~.... ....~....... .....-....... ~.......... ..'. ...........................................~........_.... .......................................~. 6. PROPERTY OWNER: STATE OF FLORIDA yES____ NO____ . . . .. .. -. .. ... ...... ........ ....... ..... ........ '" . . .. ................ ....................... .. -. -... ................................... ..... ..... .. .................... -.., ....... ......... oo....oo5?~.......... .............M.' ~.~...... PIf.ce.... . ... _ _........... _.... 00 .................oo....oo.m _... .oo.....m...... .....00... .........m.... m............... .m' ..... ........ .......... ........ ..- _.....m ........ ...................... J.~}.~.~ ......9..~. ~ v.~~~~... ..1+7...... u k!y u .4~~d.. u fu L..3. )(?J.7...... ....:. m. ...w............. 00........ ..... ...... .... ....... ..... 9. NAVIGATION THREATENED? YES NO -L ..... ...... ... ...... ....... .................. ......................................... ......~ .......... .................................................... 10. ENVIRONMENT ENDANGERED? YES /. NO .. . . . . ... ........ .... . tie'. . ... . . - . . tI. ... .. .. .. . . ....... . . . .... _ . '. ..... .. . . . .. . ... . . ~.. '. . . . .... ...... .... ..... . . . _ ... ... . . . _ . . . . .. . . ..... - .. -~".'."."..'''.''.'' -. ............-- -. ....... .. ........ .......... ...... .................................. ........................................................ . -... ,..~".. ..........,..... .... ......., ..... ................. ..... ........... .... ........~.. ...-................ ... _ . ... ...... .... . -...,.~. -. ..... ...... ...... ....-., ....... ....... too. ._,...... ....~...... _.". __.. ........ .... ..... _.. ............................................................................................ 11. TOWED WITHOUT REPAIR? YES NO /. ...-.....................................................................,................~. ............ ........ -. .........~.......,. ...........~ . ~ . . . . . . .. . ... .. . .. .. . .. . . . . . ... .... . . . .. . .... . . . .. .. ..... .... ...... . .. . .. . .. . .. .. "" .. ............ . ~ .. . . ... . .. .. . .. .. .. .. ~ .. . . . . . . . .. .... oo.. .. .. . . ............ .... tI .... ...... .. ~ .. . . . .. . .. ~ .. ... ..... .. . ... . .. . . '" ~ ... . ....... ..... .. '" .. _. _.. . .. .. . .... .. . .. .... . 12. RECOMMENDED DISPOSITION : ~~~;~~~.... ......oo.oo.~;~.~~. .2............................... 00...................................... . . ' - 4 - . . . ... ~ .. ~ 4 ~ .. ~ -- . ... . ~ ,. ~ ~ ~ .. 4 .........,. ... . .. . . ~ . .. .....,. .. ~ ... ~ ... ~ . - .... ~ ~.... ... ~ .,.... . . ,.. _..... .. .. ..... ... . . .... ...... . 4 . .. ... .......... ... .. . ~ ..... .. tI......... ... .. 4. ..... .... .... ..... .. .. .. . . . .. . .... . ... . ... . ... .. .. ,. ... ... . .... . .. ..... ...... ... . I. .....,. . . .... ..... . ...................... .. .. III Officer.s' RepO'i. ng (pl.ase pril]t) I J . ~ L Ii" -( - 1,-" 1 c ~ Reviewed By: VL ~ Date 3 5.- Numb., Arrested DNA 2O-04SA FMP 16191 J Peg- ~ of ~ APR-17- 1 ,_..~~~_ .;. -" -.'.i f h ~~H. 'iHt-'.;i'iI_. ~"~'hUL 1';-' 1..:'~~ .. ' .05 OFF;ENSE INCIDENT REPORT NARRATIVE CONTINUATION ZON~ I w ..............-............... ...,. > 1= ~ ~ c( z DERELI.CT...VESSEL ...# ..09-.. .t./.5Y. "' ! Offfz;r:4~r;tll:'on~r;n'~ S fl: Re\'lewed By: -tt .~g~ #3~Y - --------- --- Reviewer'. Slgnfttu", I"Q~ _ Date - Nunlb~, ^H09(od OBTS Nu,nber Or~ginel 0 Supplement 0 ON" 2O.04SA rMP (6/91) Pege 2 of 3 HPR-17-1996 13:32 FROr1 FLH. rYIH~~ lf~[ F'HTROL V 1 '~,-l ':.J 1 t.J c; 130521~2 441 '1 P.06 /-- ! " ;....1 / to <5 ,-' <5 , 0 0 :!! -l1 !V ~ "'!, ~ . ~' . C>> 0 ~ "i ~ '-.I ~ to- ~ w 0' at U1 '" "-" ~ ..., "l tV ~ 5' ~ G\ - ~ ~ ~ " "" (1\ ....., ..... ~ ~ C7' '~ o. " \ tx) \ C(71 ~ ...., ~ \ ~ t?-t "- 0'0 \ 0 -....J c:<: ...., ~~...... ~ :U \::) 0 VI ~ ~ ~ ...., 0 N ~ ...., 0 ... ; (D '--"" <: V'I UI ., / ,/ : J \ 0 / t-- (; , ./ ./ 01 ,. ~ S /" .,/ /~ ,... \. f.. \ . \ , .J " \~~. ~ " ::~ "~ ~. ,.. , o t .~ VI '" ~ 1- 0' ~ '" '-4 "', t1' fI't V' S ,0 .., ". ';) (1\ () ~ f7' S : ",,--J ': w U' ~-... (' ~ -..-. " '........ (I) 00'1 t: :;, Q. .~ '} 0" ~ ~ C7' {~ m~: ~ 0' ~ ':"" . ~ ..... ....., TOTAL P.06 April 22~ 199] I st Printing MONROE COUNTY, FLORIDA . ~.4'. Request For Waiver of Insu.eance Requirements I ,-" Address of Contractor: I t is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requircnlents, be \vaivcd or luodificd on the following contract. Contractor: ,A;>/YT ~77/;fr A::es~/;ry//C7~~? Contract for: ~n1E777F/r-( /~?F4.r/f1 or:~Vb3/l~/S( c/? c4;y&t//9~# / I .. ~ 231:7% ~t/ ~ ( , //I~---7f/€?7/ ~A 3307u ('305) Y'5/( - r'5Sy" ~:'>~E / /?r4 V--A / Phone: Scope of Work: Reason for Waiver: l/ A.. EI( F"?r::>r'/~4 "-7?E~v F~ .,L "7/1YlJ ~~ ye-E~ F ~'hl'~/F (/~~ A/~~/.~'0- - /YLJ V?/7/~ k ~.fF~ :S';/17~ I TR/ld~/'J.,4-c-jbl A2 /J LJ. --,-, c::... W'llf~n I ~~ ~ 'r/7~-~ ~/ -r~F C/" o /1/10 .fc;.) ~h NcI .by ~ C;; ",,6 l~ // so ~ /1-/11':/4, Not Approved Signature of Contractor: Risk Management Dale County Administrator appeal: Approved: Not Approved: Dale: Board of County COlnnlissioners appC<11: Approved: Not Approved: Meeting Date: , ---........... WAIVER