07/18/1995 Marker #13, Windley Key
Dann!, lL. Itolbage
BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
BRANCH OFFICE
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
MEMQBAN.Q!lM
TO:
Peter Horton, Director
Division of Community services
FROM:
Isabel C. DeSantis, Deputy ClerkJ9,c.~.
August 24, 1995
DATE:
---~~~----------~-------------~~--~~--------~---~--~--~----------
----~----~------~~-------~---~-----~~----~------~-~~------~------
At the July 18, 1995 meeting, the Board adopted Resolution No.
243-1995 authorizing the filing of a Grant Application with FDEP-
BIF & directing the execution of same by the proper authorities
for the emergency repair of Channel Marker #13 Windley Key
Channel. The Board also authorized execution of a Contract
between Monroe County and ASAP Marine Contractors for same.
Attached hereto for your use in this matter is a certified copy
of the subject Resolution and a duplicate original of the
Contract for return to the Contractor.
Should you have any questions concerning the above, please do not
hesitate to contact me.
CC: County Attorney
County Administrator
Finance Director
nile
CONTRACT AGREEMENT
AGREEMENT, MADE THIS l,tJday of -..::i~/S' 1995, by and
-A · ~.. ~C'~~ ~,
between,l'!PU'" ./T {/I7Y""-~ __e>'I/"T/7' ("C6'"ntractor"), and the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the
County of Monroe, State of Florida (nBoardn).
The contractor and the Board, for the consideration named,
agree as follows:
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1 · The contractor shall furnish all the mat~~,,~:ls :=
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and perform all the work as required by the attac~e~ N
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Specifications for the repair and/or replacement df'..._Chan~1
Marker #-/3 in W/.-rd/E( /{~/.
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2. The work performed under the contract shall commence
Proceed and shall be completed by
immediately from the date the Liaison provides the Notice to
Y:3/- ?~
4. The work performed under the contract is contingent upon
grant funding from the Florida Department of Environmental
Protection Boating Improvement Fund. If grant funding is denied,
then no compensation is due under this contract. The contractor
acknowledges the contingent nature of the state funding and
agrees that, if the grant is denied, the contractor may not make
a claim for compensation under this agreement or by way of
estoppel, detrimental reliance or otherwise. The contractor
understands the rules of the Department of Environmental
Protection for the placement and repair of channel markers and
shall comply with said 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 the total sum of
$1.325.00
for the replacement and or repair of channel
marker#'. l'1.
~n Vindlpy rpy
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 covenants and agrees to indemnify
~
and hold harmless Monroe County Board of County Commissioners
from any and all claims for bodily injury (including death),
personal injury, and property damage (including property owned
by Monroe County) and other losses, damages, and expenses
(including attorney's fees) which arise out of, in connection
with, or by reason of services provided by t~e contractor or
l
any of its subcontractor(s) in any tier, occasioned by the
negligence, errors, or other wrongful act ~r omission of the
contractor.or its subcontractor(s) in any tier, their employees
or agents. The purchase of the insurance required in
paragraph 14 does not vitiate this indemnification provision.
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.
Page 2
15. 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.
16. This contract is governed by the laws of the State of
Florida. Venue for any litigation arising under this contract
must be in Monroe County.
IN WITNESS WHEREOF the parties hereto have executed this
agreement the day and year first written
BY:
,.,
(Seal)
~'
Firm
A.S.A.P.
P. O. BOX 804
TAVERNIER, FLA. 3307(l
Witness
(Seal)
BOARD OF COUNTY COMMISSIONERS
::~ f~
Mayor/Ch rman
Attest: DANNY L. KOLHAGE, Clerk
~ G. Ifb, joJ;..;
Clerk -
Page 4
ATTACHMENT 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 ~ine 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.
B. DAYBEACONS:
I .~
Daybeacons to be constructed and erected as indicated'on the
enclosed sketches and documents. There are two day boards
per
daybeacon. i
- ---- -~
1. Construc~ all daybeacons as noted in the U.S. Coast Guard
Specifi~at~6ns 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.
Green port hand square dayboards have odd numbers.
Red starboard hand triangular dayb6ards have even 'numbers.
I .
Safe water dayboards are not numbered but may be lettered for
identificatiod~~poses. Letters should be sized and placed in
the same way_a~ numbers. However, letters on safe water
dayboards sh6jldcce 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 materia~; alternatively, numbers and ~etters may be
white. I .
The signal characteristics of paint are relatively poor, but
use of paint is not prohibited. If paint is used, then numbers
and letters are white. _
o I MENS IONS:
OAYBOARDS: The .Inl.um acceptable dl..nslons are for e noalnal range ot 1/2 nautical .IIe
(n.I). Appllcants..y establish larger alzes If ~hey wiSh. OptIonal fluorescent baCkground and
retroretlectlve numbers, letters, and borders ere encouraged. All dimensions are In InChes.
N)M I HAl
fWGE
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TYPE
SIZE
,PA YBOARD
· NUM3ER/
LETTER SIZE
(single) (double)
DISTANCE OAYSON()
BASE TO NUMBER BASE
(sing I.) (double)
RETROREFLECTIYE
BORDER SIZE
(optlonel)
PORT
.HANJ
1/2 Squere sIde l.ngth-18 8 6 5 . 1.5
Squ8re side ..ngth-36 12 12 12 12 2
2 Squere $Ide length-48 16 16 16 16 3
3 Squere side length-72 24 24 24 24 .
STARBOARD HAND
1/2 Trlengle helght-24 8 6 5 4 1.5
wldth* -24
Tr ier.g i e helght-46 12 12 10 7 2
width. ~8
2 Trlengle helght-72 16 16 16 12 3
wldth* -72
3 Triangle helght-96 24 24 20 14 C
wldth* -96 J .~
,
SAFE W^TER
Octogon p- _~ helght..-48 12 8 21... 21... J
-"- wl_ctth*. -"8
~
=-.i~ side length-20
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3 Octogon 5 _he 1 gh1..-96 16 12 42... 42... 6
~~Idtf\.. -96
s I de length-40
~~
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. Width at bese of fhe trlangte
.. Width/height from sIde ~o the opposlt. side
... o I stance from the lower apex to the letter base
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....
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(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 to suit the
circumstances.
LIGHTING EQUIPMENT ON LIGHTS (LIGHTED BEACONS):
COLOR:
Lights on starboard hand lighted beacons are red.
Lights on port hand lighted beacons are green.
Lights on safe water beacons are white.
LIGHT NOMINAL (VISUAL) RANGE:
The minimum visual range of a light is one nautical mile.
Depending on the circumstances a greater range may be permitted,
required, or prohibited.
FLASH CHARACTERISTICS:
Red and green flashing lights are laterally significant and
usually flash (light off longer than on) regularly wi~h a
frequency of not more than 30 flashes per minute. When special
caution is necessary, such as sharp turns, obstruct~ons, wrecks,
etc., quick ~~ashing lights (60 flashes per minute) may be used.
White ligijt_s _on safe water beacons flash in a Morse Code" A "
rhythm (short~!Ong flaSh).
-:-- ------
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~tD D~IONS
These are general recarmmdations and may be adapted to sp;!cific
circunstances. They should also be modified as necessary to meet the
require:rrents of prooent sound engineering practice am the demands of the
marine envirortrent.
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MATERIAL LIST
Item QUlJntlty . ~terlels Size
LII-l 2 6061 Aluminum alloy bolts. nuts~ & washers . 1/2- X 22"
L 11-2 1 ( 0 P t I on 8 I ) Concrete, prestresed le~th es requIred I 10" X 10"
L 11-3 2 08j'bolJrd Size as needed
L 1 1-4 2 6061 Aluminum alloy boltsL~~& wlJshers 1/2" X 14"
L 11-5 1 Wood, pr~ssur8 trea1ed~ len~th os required 12" die.
Note 1:
All elumlnum bolts Meet recognized 51andards for ~rln. use.
Hot. 2:
PI8ce 0 2" X ~" filler .1 II be pieced between deymftrks end the pile
,1 'to. .,
Port
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PORT AND STARBOARD MARKERS
(nominal range. 1 nmi)
2-- GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER . ·
12" GREEN
(OPTIONAL RETROREFLECTIVE)
NUMBER
GREEN
(OPTIONAL
FLUORESCENT
F ILK)
Starboard
2" RED
(OPTIONAL RETROREFLECTIVE)
BORDER .
12" RED
(OPTIONAL RETROREFLECTIVE)
NUMBER
4'
(t"\~~10t~~ :.
RED
:r-~..;:~-.'~ ~.sCl:I~T
4-
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2'. GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER
:~ GREEN (OPTIONAL
1 FLOORESCENT FILK)
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f-c.- 3' .
! ~ 8" GREEN
:~~OPTIONAL RETROREFLECTIVE)
~ 1t ~N~KBERS
.
2'. RED
(OPTIONAL RETROREFLECTIVE)
BORDER
..
12" RED
(OPTIONAL RETROREFLECTIVE)
NUMBERS
4'
RED
(OPTIONAL
F 1 LK)
.For 2 numerals. use 12" numbers at a height of 12" off base.
**For 3 numerals. use all numbers at a height of 12" off base.
SEVENTH COAST GUARD DISTRICT
PRIVATE AIDS TO NAVIGATION STANDARDS
DAYBEACONS (UNLIGHTED BEACONS)
AND LIGHTS (LIGHTED BEACONS)
(SPECIAL PURPOSE SUPPLEMENT)
SHAPE:
Special purpose dayboards have a diamond shape.
COLOR OF DAYBOARDS:
Special purpose dayboards are yellow.
See "RETROREFLECTIVE MATERIALS" for colors of letters and
borders.
CHARACTERS:
Special purpose dayboards are not numbered but may be
lettered for identification purposed. Letters should be sized
and placed as described for numbers. \
See "DIMENSIONS" for the correct size and distance from the
lower apex of the dayboard.
RETROREFLECTIVE MATERIALS:
Retroreflective letters and borders, although optional,
should be used on dayboards. They should "be the same co16r, (but
a contrasting darker shade) as the background material;' letters
may be white.
-
The signal cn~acteristics of paint are relatively poor, but
the use of paiQtc~not prohibited. If paint is used, then
letters are blac~.
~ -
DIMENSIONS:
DAYBOARDS: The minimum acceptable dimensions a~e 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.
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DIMENSIONS (continued):
k)M I HAL
IWGE
(Nil J
TYPE
SIZE
DAYBONU
NJteERI
LETTER SIU:
Calngl.' (~b(.J
OISTAfC[ O~~
SASE TO ~~ BASE
(&lngl.l.tdoubl.)
~FLECT'YE
soonER SIZE
(OPtion. I)
$P[CCAL. PuRPosE
112 QJa.onde aIde leng11t-18 8 6 ,.. 9 1.5
o I a~()(ld. atde . eog'th-36 12 12 20" 20 2
2 Olaft\Onde side (.ngft\~8 16 16 26.. 26 .3
3 o I aeond. side . engfh-72 2~ 2. ~O... ~O ~
. All .ngr., 900
.. Distance from ~h. (OW.- .pex to the letter be,.
STRUCTURES:
There are not required dimensions, materials, fastenings, or
designs for structures supporting dayboards and associated
lights. No height above mean high water is mandated.
Permittees should insure that all aids to navigation are
established consistent with prudent, Sound engineering practice
and the harsh nature of the marine environment. The enclosed
sketches are for general reference and should be modified to suit
the circumstances.
LIGHTING EOUIPMENT ON LIGHTS (LIGHTED BEACONS):
COLOR:
.-
,,;;.
-
Lights on s~cial purpose beacons are yellow.
LIGHT VISUAL RANGE:
..
The minimum visual range of a light is one nautical mile.
Depending on the circumstances a greater range may be permitted,
required, or prohibited.
" ~~
FLASH CHARACTERISTICS:
Yellow lights on special purpose beacons are fixed or flash
(light off longer than on) regularly with a frequency of not more
than 30 flashes per minute.
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l~~l~~ 0~13/95.
PRODUCER Reagan Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Plantation Key 90144 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tavernier FL 33070 COMPANIES AFFORDING COVERAGE
( )
INSURED
Received COMPANY
Ri~k~\fpmr g,Trc'cr~....,-' A IIEjBritamco Underwriters, Inc.
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DJ.TE (p Lie, /9c::.c' COMPANY APPROVED BY RL~I.. ,. , -:\!T
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Tavernier FL 33070- COMPANY l;' [ /- - !SLlJ7.,.JC.d
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
A.S.A.P., Inc
P.O. Box 804
l~~ ITJAL
CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFECnVE POUCY EXPIRAnON UMITS
lTR DATE (MM/DD/YV) DATE (MM/DDIVY) "
GENERAL UABIUTY GENERAL AGGREGATE S
-
COMMERCIAl GENERAL UABIUTY / / / / PRODUCTS - COMPIOP AGG S
SJD CLAIMS MADE D OCCUR PERSONAL & ADV INJURY S
OWNER'S & CONTRACTOR'S PROT 'EACH OCCURRENCE S
~
~ DAMAGE (Anyone fire) S
~
MED EX? (Anyone person) S
AUTOMOBILE UABIUTY
I-- / COMBINED SINGLE UMfT S
ANY AUTO / / /
-
All OWNED AUTOS BOOIL Y INJURY
- S
SCHEDULED AUTOS (per person)
-
HIRED AUTOS BODILY INJURY
t--- S
NON-oWNED AUTOS (per accident)
t---
""- PROPERTY DAMAGE S
GARAGE UABIUTY AUTO ONLY. EA ACCIDENT S
-----
ANY AUTO / / / / OTHER THAN AUTO ONLY:
-
I EACH ACCIDENT S
-
AGGREGATE S
EXCESS UABIUTY I EACH OCCURRENCE S
~ UMBREUA FORM / / / / AGGREGATE S
OTHER THAN UMBRELlA FORM $
, WORKERS COMPENSAnON AND I STATUTORY UMITS
EMPLOYERS' UABIUTY / / / /
I EACH ACCIDENT $
THE PROPRIETOR! R INCl DISEASE. POUCY UMIT S
PARTNERS/EXECUTlVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE S
A OTHER I
Hull & KB0059 06/09/95 06/09/96 1994 30' 30,000
Machinery, Steel Barge 500,000
P&I
DESCRIPnON OF OPERA nONS/lOCA nONSNEHIClES/SPECIAL ITEMS
Certificate Holder is an Additional Insured.
~s~afimg~ml@J.Jl~f:tntIt:j:i!;t:iilnn!fi~iiiIni;I::If::f!!Il::::::::i~!!n]::::Ii@iiiIl1Int!lf:::It:::~:::tll@lJ;gn~$.~It=::m::t:iIt:::::i~i::iI::~::::ff::r::j:f::i:::::ffi:~II:fnffn:II:::nffmff:::lf:I:~f}tf;f~tII:fiii::
Monroe County Board Of SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
Commissioners EXPIRAnON DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: Risk Management ~ DAYS WRITTEN NonCE TO THE CERnFICATE HOLDER NAMED TO THE LEFT,
5100 College Road BUT FAILURE TO MAIL SUCH NonCE SHALL IM~GAnOH OR UABIUTY
Key West FL 33040 OF ANY KIND UPON~COMPA~AG~ 06-.Jft!PI'II'-s"li{fAnvES.
AUTHORIZEDR~EP~~E An ./ ~ ./
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06/~/95
11:43
REGAN INSURANCE -+ 3052924417
NO. 721
[}02
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tI'MJDUCER Regan Insurance Aejency, Inc. THIS CERTlACATE as ISSUED AS A MAlTER OF INfORMATION
90144 OVerseas Highway ONLY AND CONFERS NO fICIHTS UPON THE CER11FICATE
HOLDER. THIS CEftTIIICATE DOES NOT AlIENO, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tavernier FL 33070 COMPANIES ... COVERAGE
(305) 852-3234 a::JWNff
A IIE/BritaJDco underwriters Inc.
MUMD f;DIIIWIt ~ rn @ rn n w ~ ~
A.S.A.P. Ine 8 n
,
P.O. Box 804 r:DIPNtlf u~ 1_/;0
c n I A"'~
Tavernier FL 33070- a:1II/#Wff ULI , . .~ ~ 7~7
(, ) - D ::.......... .. ..... ~~ft:~...l1~~9J:ii;'~~~'1!fl~g~;~~~. ~~~;:~...;E~Ut~J;
. . M". TO CsmFV"THATM POLICIES OF INSURANce USTED BELOW HAVE BEEN ISSUED TO THEl~~ PEAIOO
INDICATED. NOTWITHSTANDING >>If REQUIREMENT. TEAM OR CONDITION OF NIt C()N1'MCT OR - .... , ~IC"- · - n -' 1MS
cemFICATE MAY II ISSUED OR MAY PEATAI\ THE INSURANCE AFFOfIIDED BY THE POUCIIS DlSCNIEO HEREIN IS SUBJECT TO "Ll "THE TEAMS.
SCClUSlONS AND CONDJ11ONS OP SUCH POLICIes. UMITS SHOWN MAY HAY! IDN REDUCED BY PAID ClAIMS.
co 'nPI0I~ fIIOUCY ...... fGx:Y IFFIC1IWI fIOUCY...... u.ns
LlR _tt~ DATI (IMDWlIJ
A ~\NIU1Y GENIiML CQAlGATE ,1 ~ 000 . 000
~ ~Gl!N!lW.LNIUT' ](B0077 06/17/95 06/17/96 ~.~AOG I 500.000
~ DCLAIM&f.WlEOO~ PEA9CWM. aNN INJURY s 500.000
OMER'Sa~PROT EACM~ I 500.000
~ 50.000
"-'- He DMMOE CAnt ani" ,
UiDUP~" ...-t I 5.000
~....-m APPROVED BY R'SK M~~l ;r~~Nl
10- BY'~hAA~' If I / / CCNI!IINED SING\E \NT 1
~ NfV ALI10 ~-
ALL OWNED AUl'C5 o~ I&'- f e-J,)blN ~T INJUR'
~ DATE 0; - 5" -~ ,
SCHEDULED AUlO8 10- F/lD ~ c/t1t/lI61I"- t'-~
~
~ HIRED AU1'CB ./ BODIlYkUW
.... -=tdMfJ s
NON-CWNED AUT05 yt~
~ \\'li ~vER: N/A
~ fIAOPERTY cw.MG1 S
___ .......n' AUTO CN..Y .9. ACCID9IT I
~
/ I / / aTHER nww AUlD eM.. y~ ....
Nf'I AUTO -: .... ..
-
EACH ACXD!NT S
~tt S
R~~ SlCH~ s
/ / / / ~lE S
onERllM ~FCRA .
WOMIM~.t....... .. 1 STATU1alY lM1& .-...,
~LMal1Y / I / I EAD4 ACCIDENT S
1HI~ R::. t&Mi. PQUCY UMlT t
p~ I
CJfACEAS AlE: DI&!AII.1Ot tyIILOYEE S
cmtetI
/ / / /
uBCIW1IOeIOFONM~~REIIS
Emerqency Derelict Vessel Ramoval.
Certificate Holder and Additional Insured.
:.:.: ::.:..:~.~._. . ',..:...,>~:~~t.t~~~~".'.'N'.' . ",_'..;:.:..;y:.:'.~ii!~~~~i'~~t.*li~~B$:1t~~~~
Monroe County Board Of ~ ;"" (# 1MIllIIOVI _'~'~"~' ~~t":" ~ ~ ..
county Comaissioners .....1IDII IlAn 1ttEMGf. .... -- ~M1' WILL .....VOII 1'0 ....
5100 college Road ..-J.g QAW ...".. II01ICZ 10 ntC ~ft ........ - ~ ". ~.
.uT FMUIIE 10 ~ ._- ~tIDII 011 UMIU1Y
Key West FL 33040 ~
OP .., ...,.. vrw- -;.. ~ ..... 011 .-..-1I1i.II,Ta.....
A ~ /:'
~ .' .. - GrouP
:-~.4:.~...:"Wy~.~--':-~~~~~~~~~~~~{~~~t~r~*:....;;.iff~ifJfu~.:~~f.*~~~~-~-~ : .,.~ L_.-O" ,......----::N':-~--.:.-,..._~
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'"
Jul 06,95
CONS'fRUCTlON -INDUSTRY' .
...--
NOTICE OF EI.lECTIONTO BE EXEMfTFROM
THE PROVISIONS OF THE FLORIDA WORKERS' COMPENSATION LAW '"
MAIL TOt Deplnmeal ofuAbor Ii P.4npiOYI..~~\i ..." ~lD~ r99-' . -. ,- .-' ..",.ST.\TBtaONLY- .-.,. '0'-'
BW'HUofW.~. ~ " ACKNOWt.r:OGEDro ' ' :-'. roSTMAJU(DA111~l ,I
2128 Cen\CrV~ ,Dnw, 100 ~. .. '. ' . ' . . . '.' Thiu." be'" dfecf for tw(2) ..~ tbI
, 'JalIahauOe. Florida 3~t. " , . . , . ,iI I f.iG:J' . )~)"i~ ['r~.-
AGENT ~.. fJl ~ UIIIil ULJ.:j2.
PLBA~tNT: -;]jf{A U1 or .u ...... .tUcbover cQIIle& Ar4.
R.S.A.P. MARINE CONST. TEL:30S-852-4554
\! ,) , " ,
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9:19 No.GOl P.02
~
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.,'*...................~ "...~..' q77'''(DN(lJ~ I L. ....
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. A-V l.C?R.. Re ,'"-S. ~D70 ..' . - . ~ '
(CI1) (... (Zip) (fWcpl""'" "'\kIliGlI M\JmIleI)
. Ntt1nofB_"~:~ 1'1T~AJe. ~~ :',~~ ..: ",n(ilC"" G\:f~~
At << 12tOI a. m. ~ days tuUO\\;n. the date uf the mal11aI of !bill form. you ,.'. " ... . " or.
hnner or CoJponde Officer or b above IUDI1Ill buIlDt&s dacI eJect to be fI). ,.' . .' ·
~ Law. 1 undemand tbal by -...1C:don 1 am not enUded to b8nf :
form I haw DOt acooded lite ~ton lim1t or t1uce PartDelS or darN C
__ named"'.. 0CMQCl by~. ~ iDIunInClO. "
--'----- .'
-
Tht follow _ tbt · eel Pf ~ liCOlllN bold by me,..... to"'" 489 Florida Stl&tutoI (If~~-iOWtI)!"
(1~ '1'yp6Et;~' '. NDaDber~' .,(2) 'JS'pe:" .- NulDbc:r. .
_ ',-. ~~~' , C'/t:t&~ .J;C B
1N8tJJlANCIt CARltlERlNJIORMATJON (If App1icab1e): A ccm5UVClioa ~ ~'wiChO*.(I) QI' ~.~ nuiat
~ WmQrI' ~coveraF. Pal_to comply wiD mull m . ftve-lnmdrcd doll. ($SOO) fi", and & oao-haladnld
d01Iar (SIOO) ftne for ClICh _ of aoecomp1iuge <reo sec;tioa 440.43, 1\8.).
5~e Pr1f~HfJ).
1'Iamc uf Carrier
Canict Address _.
~ NDmbtJ
inlUllDOe "sent (AaeaC>')
'tpDC)' AddreIs
T A&. ..
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~DATE
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Social SeeuriIy Number ~" /.: 7':1-'1'1 Jrj' ..: ..
... ......
fypeIPrIDt N. ... : .. .. ·
~ _ ~ ~r:r<:. .... --
.u1oD:~~-lO-Iat~(ThIo) - .ie~. J /IC'~..J .. .-
~llndivIduIJ ex.emp&iM ftUo.J reo. pursud to 9acdOll..o.05. P.S.. 11 sev= dD11ars and tift,""" ($7.50) and Is
~ only by JnONY order or ..ler'C ClbOCk. 10 w.e. AdmlailUaUft nuA f\lnd. IWhoe to CIIICIose r.e willlaUlt in aeIUnt of
"'I.... aad debt' of oerti6catioD. g4- 'f\. - - ~ '
.~~8~~~~~THlS 3( -- DAYOP ~ ~~ r\. .:-:.
AccePTED ~, ,
I .., CGIIPlIIIUIt .., IIIfiM:
BI M'aM ltCM-Z04 (SI7t91) . b. iB: .'-:t::- ·
. ......._....~
....
.
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A.S.A.P. MARINE CONST. TEL:305-852-4554
Jul 06,95
9:18 No.OOl P.Gl
FAX TRANSMITTAL
DATE: '7 '-~ - 9-5 - sEND TO FNX.' NuMBER:
r
TO: ~~~ /3~
ATTN: /~~J
RE: ~
CO 1\1J\1ENTS:
1-. ?os- - d%J- Y$/'/ ;
.
This fax consists of ~ pages, including this page. If there are any
problems, please contact this office at (305) 852-4554.
SENT BY:
K4f
~
. .
A.S.A.P.
MARINE
CONTRACTORS
· lAND I. SEA
· DOCKS
~F1NGERPIERS
, · · _ _ __ _ · OOlPHiN PIUNGS
· MARlNETREATEDPOLES
· .lGN POLES STOCKED
· CUT OfF' STOCKED
. · ENGINEERING CONTRACTORS
852-4554
LOCATeo AT TAVII....u:. u.... -...-
SW()RN S'rA'rEMEN'r PURSUAN'r '[() SEC1~1()N 287. 133(3)(a),
FLO~lQA~'rATUTES. ON PUBLI(~ EN'rlTV CRIl\1ES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
I. This Sworn statement is suhmilfed to /r/brF77oe c- OU/-/tj
(print name of till public entity)
..f;~ /Zuo
,/
by
~y F~)us
(print individual's name and title]
A 6/J-? :Jill __
for
[print name of entity submitting sworn statement)
whose business address is
~ ~
~ ,,0, ~c;)A.
~VE/-i~'F'/
r;;:/
r~ 3307D
and (if applicable) its Federal Employer Identification Number (FEIN) is
~ - Z,3G. 3s," 1
(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn
statement:
.)
2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes. means a
violation of any state or federal law by a person with respect to and directly related to the transaction of business
with any public entity or with an agency or political subdivision of any other state or of the United States, including,
but not limited to, any bid or contract for goods cr services to be provided to any public entity or an agency or
political subdivision 9f any other state or of the United States and involving antitrust, fraud,.theft, bribery,
collusion, racketeerin~, conspiracy, or material misrepresentation.
3. I understand that"convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statlltes, means a
finding of guilt or a conviction of a public entity crime, with 'Or without an adjudication.of guilt, in any federal or
state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result
of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
4. I understand that an "affiliate" as defined in Paragraph 287.133(I)(a), Florida Statutes, means:
1. A predecessor or successor of a person convicted of a public entity crime; or
2. An entity under the control of any natural person who is active in the management of the entity and who has
been convicted of a public entity crime. The term" affiliate" includes those officers, directors, executives, partners,
shareholders, employees, members, and agents wbo are active in the management of an affiliate. The ownership
by one person of shares constituting a controlling interest in another person, or pooling of equipment or income
among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that
one person controls another person. A person who knowingly enters into a joint venture with a person who has
been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate.
s. J understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person
or entity organized under the laws of any state or of tile United States with the legal power to enter into a bindin~
contract and which hids or applies to bid on contracts for the provision of goods or services let by a puhlic entity,
or which otherwise transacts or applies to transact business with a puhlic entity. The term "person" includes those
officers, directors, executives, partners, shareholders, employees, members, and agents who are active in
management of an entity.
-~
(/
'=-
6. Basl'd nn information and hdid, Itll' stah'ml'nt which I haw' mar'ked Iwlow is trill' in relation to the entity
suhm iU ing this Slvorn statcmcnt. II ndicatc l,'hich st a'clnent applics. J
lV- Ncither the entity submitting this sworn statement, nor any of its officers, directors, cll:Ccutives, partners,
~olders, employees, members, or agents who arc active in the management of the enlify, nor any affiliate of
the entity has been charged with and convicted of a public entity crime subsequent to July I, 1989.
- The entity submitting this sworn statement, nor any of its officers, directors, exectutives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, nor an affilialt: of
the entity has heen charged with and convicted of a puhlic entity crime subsequent to July 1, 1989.
- The entity suhmitting this sworn statement, or one or more of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of
the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989 . However, there
has been a subsequent proceeding hefore a Hearing Officer of the State of Florida, Division of Administrative
Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to
place the entity submitting this sworn statement on the convicted vendor list. [attach a copy of the final order)
I UNDER'iT AND THA TTHE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC
ENTITY IDENTIFIED ON PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONL Y AND, THA TTHIS
FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO
UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A
CONTRACT IN EXCESS 0 F THE THRESH 0 LD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA ST A TIITES
FOR CATEGORY lWO OF ANY CHANGE IN THE fNFORMA nON CONTAINED IN THIS FORM.
Sworn to and subscribed before me this
(p
day of
,::JU /:. y' , 19 7..s:
,
~7~~
Personally known
/
OR Produced identification
N~tary Public - State of r~
(Type of identification)
My Commission expires
L:;;;: k> ~//9 /?- ?'<;4 ~ ~o
(Printed typed or stamped (--
commissioned name of notary public)
".....,,~
$n~" 8lORIA K. BlANCo
~*~;i MY COMMISsIoN , CCf35323 EXPIRES
"...u'i Match 24, 1999
"nt..", 8ONOED THRu TROY FAIN fNStIMNcf. INC.
Form PUR 7068 (Rev. 06/11/92)
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETflICS CLAUSE
~ ~
---J-N--( +-~\V5
I ~A f ~ warrants that he/it has not employed,
(
retained or otherwise had act on his/its behalf any former County officer
or employee in violation of Section 2 of Ordinance No. 10-1990 or any
County officer or employee in violation of Section 3 of Ordinance No.
10-1990. For breach or violation of this provision the County may, in
its discretion, terminate this contract without liability and may also,
in its discretion, deduct from the contract or purchase price, or
otherwise recover, the full amount of any fee, commission, percentage,
gift, or consideration paid to the former
Siht1
t, V 5r-
I I
Date:
STATE OF
~~ o~/'~
~~oe-
"
,',\,....,,,, ftl .ORIA It BLANCO
~~".' .....
:*:~.*! tit COMMISSION , CC435323 EXPIRES
~. W Man:h 24, 1999
,rf . .!IO
~lfi ();.- BONDED 1'HRU TROV FAIN IMIIWICI, INC.
II,....
COUNTY OF
Subscribed and sworn to (or affirmed) before
me on
~ ~30 - Ps-
(date) by
(name of affiant).
.~/She ~ personally known to me or has produced
as identification.
(type of identification)
. .\ GLORIA K. BLANCO
':'~~ f./tY C0MMfSSION, CC435323 EXPIRES
; March 24. 1999
GCIJOfD THRU TROY fAIN INSWWICE,IC.
~-X~
NOTARY PUBLIC
MCPft4 REV. 2/92
~'~73/;q 4 ~~o
I)RUG- FREE WORKPLACE FORM
The \lndersigned veI1dor ill acC()rdallCe wi tll Florida Stattlte
287.087 hereby certifies that:
4sKk<;_u= .
(Name of Btlsiness)
1. Ptlbl i sh a statemellt lloti fyi ng elnployees tllat tIle \lnlawftll
mantlfacttlre, distribtltion, dispensing, possessioll, or use of a
contro lled subs tance is prollibi ted in tIle workp 1 ace and
specifying the aetiorls that will be talten against employees for
violatiolls of SllCh prohibition.
2. Inform employees abO\lt tIle dangers of drtlg abllse in the
workplace, tIle btlSilless's policy of malntaining a drtlg-free
workpl ace I any ava i 1 ab Ie dr\lg CO\lnSe 1 i Ilg, rellabi 1 i ta ti on I and
employee assistance programs, and the penalties that may be .
imposed \lpOn employees for dr\lg abltse violations.
3 . Give eacl1 employee ellgaged ill provi.dillg tile commodi ties or
contractllal services that are \lllder bid a copy of the statement
specified in subsection (1).
4. In the statement specified ill sllbsectiorl (1) I notify the
employees tllS t, as a condi tioll of working on t11e commodi ties or
contracttla 1 services tllat are \Inder bid, tIle employee wi 11 abide
by the terms of the statement and will notify the employer of
any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Florida statutes) or of any controlled
Bllbstance law of the Uni ted states or allY state, for a violation
occ\lring in the workplace 110 later tllall five (5) days after such
conviction.
5. Impose a sanction on, or reqllire tIle satisfactory
participation in a dr\lg ab\lSe assi statlce or rellabi Ii tation
program i f SllC}l i B ava i lable ill the employee's COmm\111i ty, or any
employee who is so convicted.
6. Ma]te a good faitll effort to COl1tilllle to mairltain a
drug-free workplace tI1l"O\lg1l imp1ementatioll of tl1is section.
As the perSall a\ltllorized to aigll tIle statemet1t,
this firm cOlnplie"s ftllly witll tIle above req\lir
I certi fy tlla t
11 t s .
.'.~//~~
Sigllature~
~- < ~:-
Date ~~
MCP#S REV. 6/91
NON-COLLUSION AFFIDAVIT
~ .~
I , J;IJ-'Y ~5 , of the city
~..~~~
of /~ according to law on my oath, and
, the bidder
as follows:
under penalty of perjury,
1) I am ,#S~ ~L
making the Proposal for the project
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
r ,{,7?,; c:/4
~#~O~
h:i,r~
V ~cJ 1 )
DATE
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~
-::J /1 ~7?/~
~ r / who, after first being sworn by me,
(name of individual signing)
affixed his/her signature in the space provided above on this
30
day of ~~~
~
,19 ~
~'?r
NOTARY PUBLIC
My commission expires:
,.,d'~ 8LOfIA K. BLANCO
~~~A:".] 'S! EXPIRES
=*: ~*i tIf COMMSSION , CC435323
~ ~. ! 1 MIrch 24. 1999
~'t:.' llOIlIIED ntIIU 1llOY' FAIN IN8lJWI:E.III:.
C~7?/~ /7. ,/%r-r~