07/18/1995 Marker #15, Tavernier Creek
)
CONTRACT AGREEMENT
AGREEMENT, MADE THIS /gtiJ. day Of~ 1995, by and
between, A~AP Marine Cont:ract:ors ("Contractor"), and the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the
County of Monroe, State of Florida ("Board").
The contractor and the Board, for the consideration named,
agree as follows:
1. The contractor shall furnish all the materials
and perform all the work as required by the attached
Specifications for the repair and/or replacement of Channel
Marker
#15
in Tavernier Creek
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 .TIlly 10p 1995
then this Agreement shall be null and void.
4. The work performed under the contract is contingent upon
of;
appropriate grant monies from the Florida Department of
Environmental Protection Special Boating Improvement Fund. If
this grant is denied, this Agreement shall be null and void. The
I
contractor understands the rul.es of the Department of
Environmental Protection and shall comply with said rules, along
with the rules and procedures instituted by the Board to ensure
....
an orderly progress to the project. Bo~h the intent and the
requirements of the specificati~~f),,~~Ro'f}~~Rj\~OOd by the
contractor. . ~\ ld
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5. The Board shall pay the contractor the total sum of
$1.920.00 for the replacement and or repair of channel
marker# #15
in
Tavernier Creek
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 A) and this contract.
6. The attached Specifications, together with this
Agreement, form the contract. They are fully a part of this
contract as if repeated herein verbatim.
7. The contractor shall indemnify the Board from and
against any and all claims, demands, actIons, proceedings,
damages, liabilities, costs and expenses, including attorney
fees, arising out of, connected with, or resulting from this
Agreement.
8. 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.
9. The contractor agrees to supply the County with a
I
photograph of the corrected aid to navigation along with a
letter certifying completion of work. The contractor will be
responsible for the camera, film, and development costs. The
....
contractor also agrees to provide transgortation for the Liaison
to inspect completed project.
Page 2
10. The contractor understands and agrees that no payment
will forthcoming for this project without required photographs
and written certification of completion.
11. The contractor understands and agrees that receipt of
Notice to Proceed from the County does not relieve his
responsibilities to obtain any appropriate permits. The
contractor must inform and advise the appropriate permitting
authorities prior to the replacement or repair to the channel
marker.
12. The work must be completed by
July 30 1995
'"~ '-.-- -- . ,-..! - ,. - _."
13. Due to the use of heavy equipmerlt and, at times,
dange.rous work environment, the contractor understands and
agrees to maintain an alcohol and drug free work environment.
14. The contractor will provide General Liability
insurance in the amount of $300,000
, Workers
Compensa,tion Insurance as required by Chapter 440, Florida
Statutes and Federal Jones Act (46 U.S.C.A. subsection 688) with
limits not less than those specifi7d for Employer's Liability,
Watercraft Liability in the amount of $500,000
automobile insurance in the amount of $100,000
All policies must list Monroe County as additional insured with
"W..
, and
the exception of the Workers Compensatiqn policy. 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.
Page 3
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 that is satisfactory to
the Board up to the date the contractor received notice of
termination.
IN WITNESS WHEREOF the parties hereto have executed this
agreement the day and year first written above.
BY:
Ti tl;s HI :Aie.
Firm -
(~~7~
Witness
(Seal)
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY: cS~-F~
Mayor/Cha an
At teDJANNy L. KOLHAGE, CIeri
APPROVED AS TO FORt,.'
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-"A f[-';l:,~"~'ir-~- -,J'fric.r"
~ C. f1,~
Clerk /
Page 4
I
ATI'ACBMENT A
SPECIFICATIONS FOR THE REPAIR/REPLACEMENT OF AIDS TO
NAVIGATION, MONROE COUNTY, FLORIDA
Specifications for installation of treated wood piles complete
with U.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 center 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 = 8".
5. Piles to be sufficient length to provide a minimum of
four feet penetration into existing sea floor and the
base of the dayboard must be eight feet above mean high
water.
6.
Pile shall be driven or best installation practices used.
'-'. s;..-
B. DAYBEACONS:
Daybeacons to be constructed and erected as indicated'" on the
enclosed sketches and documents. There are two day boards
per
daybeacon.
1. Construct all daybeacons as noted in the u.s. Coast Guard
Specifications enclosed.
,
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:
Starboard 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 dayb6ards 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.
I
. '.
o , ME NS , ON S :
DAY80ARDS: Th. minimum acceptable dl..nslons are for a n~lnel range ot 1/2 nautical mil.
(nml). Applicants MeY establish larger sizes If ~hey wiSh. Optlonel fluorescent beckground end
retroretlectlve numbers, letters, and borders are encouraged. All dimensions are In Inches.
N:)M I HAl
rwGE
( n.l )
TYPE
SIZE
o AYBOARD
· NUf43ER/
LETTER SIZE
(single) (double)
D ISTAN~ DAYBON()
BASE TO NUMBER BASE
(slngl.) (double)
RETROREFLECTIVE
BORDER SIZE
(optional)
PORT
HAl()
1/2 Squere sIde l.ng1'h-18 8 6
Squ8re side fength-.36 12 12
2 Squere side leng'th-48 16 16
3 Squere side I eng'th-72 24 24
STARBOARD HAND
1/2 TrJengle helgh"t-24 8 6
wld'the -24
Tr ier.g i e heigf\t-48 12 12
wldTh* "'8
2 Trlengle helght-72 16 16
wi d'th. -72--,,-;;.-
3 Triangle helght-96 24 24
wldth* -96
SAFE "ATER
Oc'togon helgh1'..-48 12 8
wld'th.. ~8
side length-20
3 Octogon helghf..-96 16 12
.'dtn.. -96
side leng'th-ttO
. ttldth 8t bese of the tr Ief\g t.
a. .Idth/helght from side ~o the opposlt. sid.
... Distance from the lower apex to the let1'er base
f -
5
4
1.5
12
12
2
16
16
3
2.
24
4
5
4
1.5
10
7
2
16
12
,
20
14
c
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21--- 21-.. ~
42... 42... 6
(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.
Permitees 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 ~o 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 maybe permitted,
required, or prohibited.
FLASH CHARACTERISTICS:
Red and green flashing lights are laterally significant and
usually flash (light off longer than on) regularly witp a
frequency of not more than 30 flashes per minute. When special
caution is necessary, such as sharp turns, obstruct1ons, 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).
f -
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~ED D~I~
These are general reccxrrrendations and may be adapted to s~cific
circunstances. They should also be modified as necessary to meet the
requirerrents of prooent sound engineer ing practic:e am the demands of the
marine environment.
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MATERIAL LIST
-
Item Quentlty Materiels Size
LII-l 2 6061 Aluminum elloy bolts, nuts. & washers l/i- X 22"
L 11-2 1 (opt lone I) Concrete, prestresed re~th es reQuIred JO" X 10"
lll-3 2 Oeybo8rd Size es needed
L I 1-4 2 6061 Aluminum elloy boltSL~~& weshers 1/2" X 14"
lll-5 1 WOOd, pr~ssure tre~ted, length es reQulreo 12" dIe.
Note 1:
All elumlnum bolts ~et recognized 51anderds for .arlne use.
Hot. 2:
Piece e 2" X ~ft filler .1 II be pieced between deymarks end the pile
e1 'thfl tlnn~r Mlf rnnn6c1'on 1n nrn,,'rlA "" flvA I'1A("\rAA ",,,'ttv-.__rt1 ""'t
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Port
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PORT AND 5T ARBOARD MRKERS
(nominal range, 1 nmi)
2.. GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER . C
12" GREEN
(OPTIONAL RETROREFLECTIVE)
NUMBER
Starboard
GREEN
(OPTIONAL
FLUORESCENT
FILM)
2" RED
(OPTIONAL RETROREFLECTIVE)
BORDER .
12" RED
(OPTIONAL RETROREFLECTIVE)
NUMBER
(n'r'~!()!~~ :.
RED
:;- .... : ~ .... ~ ~.s c ~ 1 ~ T
4.
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2" GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER
:.......... GREEN (OPT IONAL
1 FLUORESCENT FILM)
1
..
.~ ~.~ GREEN
(OPTIONAL RETROREFLECTIVE)
. I NUMBERS
~-3'
.
2-' RED
'OPTIONAL RETROREFLECTIVE)
BORDER
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12" RED
(OPTIONAL RETROREFLECTIVE)
NUMBERS
RED
(OPTIONAL
f'LL'0"ESCFNT
F 1 LK)
*For 2 numerals, use 12" numbers at a height of 12" off base.
....For 3 numerals, use a" numbers at a height of 1211 off base.
I
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 DA YBOARDS :
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 co16r, (but
a contrasting darker shade) as the background material;' letters
may be white.
The signal characteristics of paint are relatively poor, but
the use of paint is not prohibited. If paint is used, then
letters are black.
DIMENSIONS:
DAYBOARDS: The m1n1mum acceptable 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.
I
DIMENSIONS (continued):
~IHAl
RAIGE
(Nil)
TYPE
SIZE
OAYBONt)
KlteEfV
LEnER SIZE
Calngl.' (~bl.)
DISTAICE D~~
8ASE TO ~~ BASe
(slngl.) (double)
RfTRoREFLECT I VE
8(R)ER SIZE
(O()1'lonal)
SPECIAL. ~E
1/2 OJ .-and. sIde leng'tb-18 8 6 ,..e 9 1.5
o la~ood. sIde . eng'tn-36 12 12 20" 20 2
2 OIa~d. sid. (eng""~s 16 16 26.. 26 3
3 o I a.end- sid. . e.ng ""-72 2~ 24 40" 40 .
. All angres 900
.. Distance fr~ ~h. (Ower apex to ~he letter be,.
STRUCTURES:
There are not requ~red dimens~ons, mater~als, fasten~ngs, or
designs for structures supporting dayboards and assoc~ated
lights. No he~ght above mean h~gh water ~s mandated.
Perm~ttees should ~nsure that all a~ds to nav~gat~on are
establ~shed cons~stent w~th prudent, sound eng~neer~ng pract~ce
and the harsh nature of the mar~ne env~ronment. The enclosed
sketches are for general reference and should be mod~f~ed to su~t
the circumstances.
LIGHTING EOUIPMENT ON LIGHTS (LIGHTED BEACONS):
e6LOR:
~ights on spec~al purpose beacons are yellow.
LIGHT VISUAL RANGE:
The m~n~mum v~sual range of a l~ght ~s one naut~cal m~le.
Depending on the c~rcumstances a greater range may be perm~tted,
required, or prohibited.
, -
FLASH CHARACTERISTICS:
Yellow lights on special purpose beacons are f~xed or flash
(light off longer than on) regularly with a frequency of not more
than 30 flashes per minute.
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.... I Iv Reqan Insurance ACJency,
90144 overseas Hiqhway
Tavernier
(305) 852-323~
FL 33070
A.S.A.P., Inc
P.O. BoX 804
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certificate Holder and Additional Insured.
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Monroe County Board Of
county comaissionar.
5100 College Road
Key West
FL 33040
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I Plantation Key 90144 ~~~E~N~HfsO~~~~I~fTt~HJ~ ~6.f~MTrNED,CiNJ:gA6~
I overse~s Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
'Tavern1er FL 33070 COMPANIES AFFORDING COVERAGE
( )
Received
COMPANY
~ 1 A lIE Britamco Underwriters
Cf:>MPAHY APPROVED BY Rl~,.. '--1
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Inc.
A.S.A.P., Inc
P.O. Box 804
COMPANY
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IN8tIMD
Tavernier
FL 33070-
COMPNtlY
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THIS IS TO CERTIFY THAT THE POUCles OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED, NOlW1THSTANDINO AHY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE IS8UED OR MAY PERTAIN, THE INSURANCE AFFORDED IY THE POUCtES DESCRt8ED HEREIN tS SUBJECT TO All THE TEAMS.
EXCLUSIONI AND ~ OF SUCH POUCJE8. UMIT8 SHOWN MAY HAVE BeEH REDUCED BY PAID CLAIMS.
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fIOUCY IIUIIMR POUCY ItPPEC1IW fIOUCY IXPIMTION UtlflS
DATI CfIIIIIIDDI\'Y) DATE(IIIIIDDIYY)
GENERAL AGGREGATE S
/ / / / PROOUClS . COMPIOP AGG .
PEMONAl & NN INJURV .
EACH oc:x:uFfENCE s
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'I WOMIM COIlIPDMTIOII AND
I ElWU)ftM' UA8IUTY
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THE ~ORI
pAR1'NEAlJOECUllVE
OFFICERS ARE:
A I OTHER
Hull &
Machinery,
P&I
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STATUTORY LIMITS
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s
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EXCl
, DtSEASE. POUCY UMIT S
DtSEASE . EACH EMPLOYEE S
KB0059
06/09/95 06/09/96 1994 30'
Steel Barge
30,000
500,000
DESCRIPTION OF OPERA noNSILOCA TIONSIVEHtCL.DISPECIAL ITEMS
Certificate Holder is an Additional Insured.
commissioners ~TION DATE THEREOf. THE ISSUING COMPANY WlL1 ENDEAVOR TO MAIL
Attn: Risk Management -.l.Q DAYS WNTTEH NOTICE TO THE CEAnFICATE HOLDER NAMED TO THE LEFT,
5100 College Road BUTfAK.UM TO MAIL SUCH NOncE SHALL 1M noNOfIUMlUTY
Key West FL 33040 Olt.--rnc~TJVEs.
AUTHORIZED "EPRE
CC .' F/~
A:cORD.:.itSi'3)?i)!r>i<t:iHi(?ni/m)!?~!in!?~)im!~f;~f?!m!j/?rmmm?mmmmt!i)?>\~rW?t\\~?({tmU);:r:ti()(::{:())(:)::::::
:':::..AcORD~:c~fi(.jN>t_..
Jul 06,95
CONS'rRUCTJON -INDOSTRY ,
-
NOTICE OF EI.,ECTION' TO' BE EXEMPT'FROM
DIE PROVISIONS OF THE FLORIDA W'OIlUllS' COMPENSA110N LAW " ",'
MAIL TO: De,.tmeDl ofLlbor. P.raJpiOYI~~ -'" -~'ln~ r99--' -" --",""amBtaONLY-- .-.,- ... u.
BUNIU of w,~, ~iIpoc . ACkNOWlEDGED TO J . ~ .... POSTMAJlK DAm ~ . I
2728 CenlUrYleW.Dnvct 100 ~. .... -~. -, ..'. ',. . ,- 'I1tit.' aodCe.......DIliDctfDr...(21!lJ. .~..
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AGENT .' ~"oI~"" .". ,J.
~1NT: -:nR.b'.Ul ar.-BIftIbd, ~c.-".
P.S.R.P. MRRINE CONST. TEL:305-852-4554
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. Natlnof"'or~~' '.m~AJe ~~ ".~~ .... ".DixJC'-'g\i.~
AI 0( l~J a.m, 30'" foIkw,1n. the dale of the malIlat of thiK form. you h" .~ . , .' ·
PIn.- or CurporMe Offtcer uf the __ ....... bui1Iea .. eJect 10 be ,..'.,. ·
~ lAw. J undentIDd tbat by tJtillCtion 1 am not endded to
lomt I haw DOt excaoded the exemption liadt 01 thn=e PartDtrI or ... C
butii..., ...... above .. COVORId by ..... c:omp'Madoe iDIunItIoo. '.
n. foUDw _ &ht : eel ur ~ liCOltlll hold by 11\C ~ to cbapW 489 Jllodda StatutoI (If ",*~'iO,*,>!"
(1~ 'l)pe~r;;~-:~- NuIIlber~ (2) 1S'Pe: . - ~..-r: '
_ · ~~.., OIL ~/~-S ~ a
IMKJRANCB CAaRID INI'ORMATlON (If AppUcab1e): A oonllU1lCliol\ indusCrf ~ with..(J)QF ....~ nuiat
..... WedIn' ~ ClCMfIIC' Pall.- to COft1I'Iy wiD l'OIUlt m . ftvo-h\lrIdrCcl dollar ($SOD) 6.- and a one-hundnMI
dOk (1100) ftne for CICh clay oIl1QftCOmP1laoe (see sectioD 44O.,u. fi8.).
S({e I'r1!'N:-H'if\,.
~_ <<I Carrier
CIrrict AdIhIs _.
~ky Nlmbtf
inlUllDOe It... (Aaeac)')
\pDCY AddnMI..-.
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..... ~
.
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1 11' ~ - ·
.... ....
.....
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. ......
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.....
.
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......
tJpaI1D SoeiaI Stourky Numbor#(, /..: /.1- 9'1 J€j' --= ·
...... .." ......
l'ypeNrIDl N .. : · u
~ ~ ~ ~~ ... ..
>>oII1klD:........_IPlumer.JO-lotIOllw(lk1o) - .i~~. J. 7/C-G J .. ..
~llJdvtduaJ oumpa_ ftlmJ foot jIUIIUIQllO 9acdon 440.05.1\8.. II tevcD doll.. JDCl flft, 1lCIlW ($7.50) and II
... only by IDtlNY order or ...'1 eboCk. to w.e. AdmI"'U'" 1l'u8t Plmd. lWJwe to eaclose '" will aauJt to ...... of
........ delay of oatllication. ~'
a ...::::ro .l~.Jo& ~ ...... . FJ..01UDA ......
AccePTED . . ,
e"'OI"'J.C.~ CD -..",. =~.;~
a~t.t~204(5f1IM) , " . 1If~::'I::-==-
, . .......................
....
.
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.-. :.yI~~,...
I
SWORN ST^TEMENT UNDER ORDINANCE NO. 10-1990
MC)NROE COUNTY, FI.ORI DA
ETIIICS CLAUSE
:s-;~ ~
warrants that he/it has not employed,
retained or otherwise had act on his/its behalf any former County office)
or employee in violation of Section 2 of Ordinance No. 10-1990 or any
County officer or employee in violation of Sect~on 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
r or employee.
~ - 7 -7~~
Date:
STATE OF
r~
~~cc
F:--
COUNTY OF
Subscribed and sworn to (or affirmed) before
& -~ -75
~t ?/~/"y-7
c / /
2!e/She is personally known to m~ or has produced
me on-
(date) by
(name of affiant).
as identification.
(type of identification)
I
Notary Public, Stat orid
Leo .. (f
..., mm'SSJon E · es March 24 1995"
londed T. rc'l fain -Insurance .~
~~
i~~~~:" GLORIA K. BlANCO
i*C8: :*~ Mf cor.wrsslON , 00135323 EXPIRES
Me P ff 4 ~~~ ;WtttitRu ~ ~:w'.:wa.1NC.
NOTARY PUBLIC
C ~~" /1- ~.?hff""~c.)
~li
!<'
I)RlJG- FREE WORKPI.A{~E F()RM
The \lndersigned vendor j 11 acC()rda11Ce wi t11 Florida Stattlte
287.087 hereby certifies that:
_._d. . _u __ A-~ s.. ~\-,__l?- ~l C-,
(Name of Bllsiness)
1. P\lblish a statemellt tlotifying elnployees tllat tIle llnlawf\11
man\lfact\lre, distrib\ltion, dispel1sing, posseSSiO!l, or LIse of a
controlled substance is prollibited in tIle workplace and
specifying the actiollS that will be talten against. employees for
violatiolls of s\.lch prohibition.
2. Inform employees abO\lt tIle dangers of dr\lg ab\.lse in the
workplace, tIle b\lSirless's policy of mai.l1taining a drtlg-free
workplace, any available dr\lg cO\lnseliI1g, rellabilitation, and
employee assistatlCe programs, 811d the penalties that may be .
imposed \lpOn employees for dr\lg abtlSe violations.
3. Give eac]l employee ellgaged ill provi.dil1g tIle commodi ties or
contrac ttla 1 se rv ice s tha tare \111de r bid a copy of the sta temen t
specified in subsection (1).
4. In the statement speci fied ill SllbsectioIl (1), notify the
employees tllat, as a conditi011 of working on t11e commodities or
contract\lal services tllat are \Inder bid, t11e employee will abide
by the terms of the statement and will notify the employer of
any cOJ1viction of, or plea of gttilty or 11010 contendere to, any
violation of Chapter 893 (Florida statutes) or of any controlled
Btlbstance 1 aw of the Un! ted sta te s or arlY s ta te, for a vi 0 1 a ti on
occ\lring in the workplace 110 later t.llC\tl five (5) days after such
conviction.
5 . Impose a sancti on on, or requ i re tIle sa ti sfactory
participation in a dr\lg ab\.lse assistsl1ce or rellabi li tation
program if S\lcll is avai lable i 11 the employee's COmm\llli ty, or any
employee who is so convicted.
6. Malte a good faitll effort to COlltitl\le to maiIltain a
drug- free workp 1 ace tlll.O\lg}l implemen ta ti 011 of tlli s sect! on.
As the perSOll atltIlorized to aigll tlle statement,
this firm complie"s f\llly wit}\ tJ1e above req\lire
Ice r t i f Y t 11 a t
11. .
Date
MCPtfS REV. 6/91
I
NON-COLLUSION AFFIDAVIT
I ,
=sA'l
~
7 /f<./~ /l-,V I blC
r-----
~lt---l~
, of the city
of
a(~cording to law on my oa th, and
under penalty of perjury, depose and say that;
1) I am A - S. ,e, ~ p, ~uc... , the bidder
. making the Proposal for the project described as follows:
2) the prices in this bid have been arrived at independently
without collusion, consultation, communication or agreement for the
purpose of restricting competition, as to any matter relating to such
prices with any other bidder or with any competitor;
3) unless otherwise required by law, the prices which have been
quoted in 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
contra~ts for said project.
STATE OF ~~
COUNTY OF ///0 "r~~l ~-
of Bidder)
~ ~~ -'-7S
DATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~ ~/,,?:~~ who, after first being sworn by me,
(nafue of indi vidual signing)
affixed hiS/her signature in the space provided above on this
Lr day of ~//r- ,19 7~
.~~/~
NOTARY PUBLIC
My commission expires:
- Wo~ .'IhTT, ! 0' FToriltJ
My Commlfs . Exr-i"e~ ~'b "'''' .'
Bond Thru rro ~/ . 01 ".' rcu .:. -., J 995"
y Oln - Ir1\uro nee ''''c.
,',.....", GLORIA K BLANCO
:-~~'(. ~~*"; .
€*?Ib'~'''1f: MY COMMISSION' CC435323 EXPIRES
~..~~ March 24, 1999
~Rf.,~~" BONDED TlRJ TRIJY fAIN JNSURANCE. INC.