07/21/1994 Channel Marker Repairs Tavernier Creek
11lannp lL. I\olbagt
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 HIGHW A Y
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
MEMORANDUM
TO: Peter Horton, Director
Division of Community Services
FROM:
Attn: Kim Blanco, Marine Projects Coordinator
Isabel C. DeSantis, Deputy Clerk 9.t.~.
August 12, 1994
DA TE:
At tbe July 21, 1994 meeting, tbe Board tbe following:
Addendum to Agreement between Monroe County and Spirit Marine Towing &
Assistance for tbe emergency replacement of Cbannel Marker #6 in Cow Key Cbannel.
Contract Agreement witb ASAP Marine Contractors for emergency repairs to Cbannel
Markers #3, #17, and #18 in Tavernier Creek.
Attacbed bereto are fully-executed duplicate originals of tbe subject documents for
return to the Contractors.
Sbould you bave any questions concerning tbe above, please do not besitate to contact
me.
cc: County Attorney
County Administrator, w/o document
Finance
File
CONTRACT AGREEMENT
AGREEMENT, MADE THIS J's-\- day of S\^-l~ 1994, 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:
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 markers *3, *17, and
#18 in Tavernier Creek.
2. The work performed under the contract shall~onunen~
z ~
immediately from the date the Liaison provides the N~ib~ t~
r-~"''1
Proceed and shall be completed by August 31, 1994.
---
N
3 .
..........
--
. ~
If the Notice to Proceed has not been given oY' the :=
- -
N
Liaison on or before July 22, 1994 then this Agreement', shall \/be
null and void.
4. 'The work performed under this contract is contingent
upon appropriate grant monies from the Florida Department of
Environmental Protection Special Waterway Projects Program and
shall co~ply with said rules, along with rules and procedures
instituted by 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
$3,920.00 for the repair and or replacement of channel markers
#3, #17, and #18 in Tavernier Creek. Payment for the work shall
be upon completion by the contractor and acceptance by the Board,
subject to the terms and c'onditions of the Specifications
(attached as Exhibit A) and this contract.
6. The attached Specifications, together with 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, co-sts and expense-s, including attorney fees
arising o'ut 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
envirorune:ntal agencies" th.e u.s. Coast Guard, and the County.
9. The contractor agr-ees to supply the County with a
photograp:h of the corrected aid to na.vigation al.ong with a le-tter
certifying completion of work. The contractor will be
responsible for the camera, film, and development costs. The
contractor also agrees to provide transportation for the Lia~san
_ to inspec't completed project.
10. Irhe contractor understands and agrees that no payment
will be f()rthcoming for this project without required photographs
and writtlen certification of completion,.
Page 2
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
markers.
12. The work must be completed by August 31, 1994.
13. Due to the use of heavy equipment and, at times,
dangerous work environment, the contractor unde.rstands 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 Compensation Insurance as
required by Chapter 440, Florid.a Statutes and Federal Jones Act
(46 U.S.C.A. subsection 688) with limits not less that those
specified for Employer's Liability, Watercraft Liability in the
amount of $500,000, and Vehicle Liability in the amount of
$100,000.
15. 'The Board may terminate this Agreement with or without
cause at any time upon giving the contrac.tor up to 10 days notice
in wri ting. The contractor, upon rece.ipt of the notice, shall
immediately cease work.
The :Soard 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
termina tilon.
Page 3
IN WITNESS WHEREOF the parties hereto have executed this
agreement: the day and year first written above.
(Seal)
(Seal)
BY:
Attest:
DANNY L. TCOWAGE, Clerk
Oo~c. ~~~
Clerk
Page 4
Title
Al~A~R ;J:;~,
Firm
BOARD OF
OF MONRO
BY:
r.
S:PECIFICATIONS FOR THE REPAIR/REPLACEMENT OF AIDS TO
NAVIGATION IN TAVERNIER CREEK, MONROE COUNTY, FLORIDA
Specifications for installation of treated wood piles complete
wi th U · :5 Coast Guard approved Daybeacons, in the Ioca tions indi-
cated are in the enclosed materials.
A. DAYBEACON PILES:
1. ]?ile shall be of timber treated with chromated coppe,r
aresenate (C.C.A.).
2. Pile shall be of timber which will stand the driving for
which they are intended.
3 · l1,. straight line drawn from the center of the butt to the
(~enter 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 m1n1mum of
four feet penetration into existing sea floor and the
l)ase of the daybook's must be eight feet above mean high
water.
6. !>ile shall be driven or best install.ation practices used.
B . DAYBEACONS:
Daybeacons to be constructed and erected as indicated on the
enclosed sketches and documents. There are two dayboards per
daybeacon.
1. Construct all daybeacons as noted in the u.s. Coast Guard
Specifications enclosed.
Nav. Aids Specs.--Page 1
SEVENTH CO~ST 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 dayboard~ are red.
Port hand, square dayboards are green.
Safe water, octagonal dayboards are red on the right half and
white on the left half.
see "RETROREFLECTIVE MATERIALS" for colors of letters and
borders.
CHARACTERS:
See "DIMENSIONS" for the correct size and distance from the
base or lower apex of the dayboard.
Red starboard hand triangular dayboards have even numbers.
Green port hand square dayboards have odd numbers.
Safe water dayboards are not numbered but may be lettered for
identification purposes. Letters should be sized and placed in
the same way as numbers. However, letters on safe water
dayboards should be centered in the red, right half. .
FLUORESCENT AND RETROREFLECTIVE MATERIALS:
Fluorescent background material and retroreflective numbers,
letters, and borders, although optional, should be used on
dayboards. Retroreflective numbers, letter, and borders should
be the same color but a contrasting darker shade) as the
background material; alternatively, numbers and letters may be
white.
The signal characteristics of paint are relatively poor, but
Use of paint is not prohibited. If paint is used, then numbers
and letters are white.
o I MENS IONS:
DAYBOARDS: The alnlaum acceptable dl..nslons are for a no.lnal range ot 1/2 nautical aIle
(na J) · App "cants aay est e b" sh I erg.. a I zes If 'they . Ish. Opt lone I fluorescent background and
retroretlectlve numbers, letters, and borders are encouraged. All dl..nslons ere In Inches.
N)M I HAL
RAN;E
( n.1 )
1/2
2
3
1/2
2
3
1
~
.
..
TYPE
PORT
HAt()
Squere
Square
Squere
Square
SIZE
DAYBO~
· NUM3ER/
LETTER SIZE
(single) (double)
sIde '.ngth-18
side length-36
side length-48
side length-72
Sf ARBOARO HAND
Triangle helght-24
width- -24
Tr ier.g i e
Triangle
Triangle
SAFE WATER
Octagon
Octogon
helg"t-48
width- -48
helght-72
width- -72
he I ght-96
width- -96
h.lght..-48
width.. -48
side length-20
"elght..-96
. 'dtf\-. -96
s I de I ength-40
8
6
12
12
16
16
24
24
8
6
12
12
16
16
24
24
12
8
16
12
Width .t base of the trlengte
Width/height from side ~o the opposlt. .'de
Dlst~nce from the lower apex to the letter base
...
DISTANCE DAYBONfJ
BASE TO NUMBER BASE
(sing I.) (double)
20
5
4
12
12
16
16
24
24
5
4
10
7
16
12
14
21... 21...
C2... C2...
RETROREFLECTIYE
BORDER SIZE
(optional)
3
C
J
6
1.5
2
3
4
1.5
2
(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 QN LIGHTS (LIGHTED BEACONS):
COLOR::
Lights on starboard hand lighted beacons are red.
Lights on port hand lighted beacons are green.
Lights on safe water beacons are white.
LIGHT NOMINAL (VISUAL) RANGE:
The minimum visual range of a light is one nautical mile.
Depending on the circumstances a greater range may be permitted,
required, or prohibited.
FLASH CHARACTERISTICS:
Red and green flashing lights are laterally significant and
usually flash (light off longer than on) regularly with a
frequency of not more than 30 flashes per minute. When special
caution is necessary, such as sharp turns, obstructions, wrecks,
etc., quick flashing lights (60 flashes per minute) may be used.
White lights on safe water beacons flash in a Morse Code "A"
rhythm (short-long flash).
~ED D~IONS
These are general rec~ndations and may be adapted to s~cific
circunstanres. They should also be modified as necessary to rreet the
requirerrents of prooent sound engineering practice am the demands of the
mar ine env irol"m:!nt.
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MATERIAL LIST
Item Quentlty ~terlels Size
lll-1 2 6061 Aluminum alloy bolts, nuts, & weshers 172- X TI"
lll-2 1 (opt lone I) Concrete, prestresed fe~th es required IO~ X 10"
ll'-J 2 Oe y boerd Size as needed
L I 1-4 2 6061 Aluminum e'loy bot1S~~~& ~8shers 1/2" X 14"
--
ll'-5 ~ 1 ~ W 00<1 , prussure tre~ted, length es reQuirea 12ft die.
Note 1:
j~tl etumlnum bol1s meet recognized s1end~rds for IMrlne use.
Note 2:
Piece t) 2" X ~" f Iller will be pieced between deymarks end 'the pile
1"l1 1hH ""... t" f..
Port
r
f
J1-
I~
3'-
~l
PORT AND 5T ARBOARD MARKERS
(nominal range, 1 nmi)
2" GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER
12" GREEN
(OPTIONAL RETROREFLECTIVE)
NUMBER
GREEN 2" REO
(OPTIONAL (OPTIONAL RETROREFLECTIVE)
FLUORESCENT BORDER .
FILM)
Starboard
(nT'~ 1 or'~ :.
t J. Lh J
RED
12-- RED
(OPTIONAL RETROREFLEC~lVE)
-NUMBER
!~..; q .....~ ~~~LI~T
2.' GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER
:~ GREEN (OPTIONAL
: FLOORESCENT FILftJ
I
~-3'-
4 8" GREEN
-~ (OPTIONAL RETROREFLECTIVE)
-I NUMBERS
.
2-. RED
(OPTIONAL RETROREFLECTIVE)
BOROER
12-' REO
(OPTIONAL RETROREFLECTIVE)
NUMBERS 4'
RED
(OPTIONAL
f'~L'0"ESCFNT
F 1 LK) _. -~.'-- -'~ '- -' __. .
4-
..
.For 2 numer"als. use 12" numbers at a height of 12" off base.
**ror 3 nUlllerals, use 0" numbers at a height of 12" off base.
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHI CS CLAUSE . .. ~
A~A7- 4~IYF ~/,t:~Ar'wa~ts 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
oth~rwise recover, the full amount of any fee, commission, percentage,
gift, or consideration paid to the former
loyee.
Date:
STATE OE'
r/CJ~" .~
~/75'ot--
COUNTY e)F
Subscribed and sworn fO (or affirmed) before
me on 7 -- 7 - 9L/ (date) by
(name of affiant).
Jle/~;he is personally known to me or has produced
---.
as identification.
(type of identification)
I
,.." Iotary 'uLlft, Staf. of "orfl.-'"
IIr Commission Expires March 24, 1995
Bonded Thru Troy fain. Insurance Inc.
~~-~
MCP>>4 Rf~V. 2/92
NOTARY PUBLIC
C ~rf'/f~ p4drb
DRUG-FREE WORKPLACE FORM
The llnder:signed vendor i.11 acC()rdallCe wi. tll Florida Stattlte
287.087 hereby certifies that:
___.__._._____.___d~t?~=( N@ ~::::S) ~ ~ / 7!/fr~r
1. P\lblish a statemellt notifying elnployees that tIle tlnlawf\ll
manufact\lre, distribution, dispensing, possession, or use of a
controlled substance is prollibited in the workplace and
specifying the actions that will be talten against employees for
violatioll:S of stich prohibi tion.
2. Inflorm employees abOtlt tIle dangers of drllg ab\lSe in the
workpl ace, tIle btlsi.lless' s po 1 icy of mal n tai ning a drtlg- free
workplace, any available drllg cOllnselillg, rehabilitation, and
employee assistance programs, and the penalties that may be ~
imposed \lpOn employee~ for dr\lg ab\ISe violations.
3. Givle eac]l employee ellgaged ill providillg tile commod! ties or
contracttlal services that are \tl1der bid a copy of the statement
specified in subsection (1).
4. In the statemetlt specified ill sttbsectioll (1), llotify the
employees tllat, as a condi tioll of wor}{ing on tlle commodi ties or
contract\.14:l 1 servi ces tllat are tinder bid, the employee wi 11 abide
by the terms of the statement and will notify the employer of
any cotlviction of, or plea of gtlilty or 11010 contendere to, any
violation of Chapter 893 (Florida statutes) or of any controlled
Btlbstance law of the Uni ted states or allY state, for a violation
occllring in the wor}{place 110 later tllatl five (5) days after such
convictioln.
5. Impose a sanction on, or reqllire tIle satisfactory
participation in a dr\lg ab\lse assistallce or rellabilitation
program if SllC}l is available ill the employee's commllllity, or any
employee who is so convicted.
6. Malte a good faitll effort to COlltilllle to mailltain a
drug- free workplace tllrO\lgll i rnplemen ta ti otl of tlli s secti on.
As the perSOll atlthorized to aigll tIle statemellt,
this firm complie's ftllly witll tIle above req\lire
tlla t
MCP#5 REV. 6/91
NON-COLLUSION AFFIDAVIT
I,' -01
?~ I
of A~"y7?~~-
r7?/ 'i , of the e-i tr
( according to law on my oath, and
under penalty of perjury, depose and say that; 1"'4/7 ~
1) I am A?/?~ ~~/;r-e ~//7?# , th,rbidder
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 ill this bid have not been knowingly disclosed by t.he bidder
and will not knowingly be disclosed by the bidder prior to bid
opening, directly or indirectly, to any other bidder or to any
competi tCtr; 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~'
4/1/7?,r
of Bidder)
7-7--7'Y
DATE '
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
/II. F7'7/ who, after first being sworn by me,
(name of ,individual si ning)
affixed his/her signature in the space provided above on this
7 day of 7 ' 19~
~'7~.
NOTARY PUBLIC
My cornmis,sion expires:
Notary Public, Stat. of Florid.' '!.~
My ICommission Expires March 24, IffS'
Bonded Thru Troy Fain - Insurance 'nc.
Ch7?/A /~4/r'o
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(8),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OAT~ . . ~ /~
1. This sworn statement is submitted to Iff ".-?=7;.? ~ I!?GI Y
[print name of the public entity)
~.C", /??i~~
by
for
(print individual's name an title)
/'1 /lr- ~rl/~
[print name of entity submitting sworn statement)
whose business address is
<:/ ~O. ~oK r;;/
7Avn=r,y~r0. r?-v 35~ 7(/
.
and (if applicable) its Federal Employer Identification Number (FEIN) is 57-;? ~ -..3~ 7
(If the entity has no FEIN, include the Social Security Number of tbe individual signing this sworn
statem.~nt:
.)
2. I under'stand 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 !If any other state or of the United States and involving antitrust, fraud, theft, bribery,
collusion, racketeerint, conspiracy, or material misrepresentation.
3. I understand that"convicted" or "conviction" as defined in Paragraph 287.133(I)(b), FIQrida Statutes, 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 who 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. I understand that a "person" as defined in Paragraph 287.133(l)(e), Florida Statutes, means any natural person
or entity organized under the laws of any state or ofthe United States with the legal power to enter into a binding
contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity,
or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those
officers, directors, executives, partners, shareholders, employees, members, and agents who are active in
management of an entity.
6. Based on information and belief, the statement which I have marked below is true in relation to the entity
submitting this sworn statement. [Indicate which statement applies.]
~Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of
tbe entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989.
- "fbe entity submitting this sworn statement, nor any of its officers, directors, exectutives, partners,
shareholders, employees, members, or agents wbo are active in the management oftbe entity, nor an amliat~ of
the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989.
- 1"'be entity submitting 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 before 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 UNDERST ANI) THA TTHE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC
ENTITY IDENI'IFIED ON PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS
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 OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES
FOR CA TEGOltY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
,19 7f
~.7~~
r~
Sworn to and subscribed before me this
7
.-
day of
7
Personally known
)/
OR Produced id.~ntification
Notary Public - State of
.. . Nofary P"u&fic, Stote of Florida
My Commission expire",. ~mQliniOR Ex"iru M~I\I, 24, 199J
~/ . A" · jonded Thru Tro~ foin. Inluronce 'nc.
L&J'e- ;-?" A · ~/'/9~~
(Printed typed or s{~mped
commissioned name of notary public)
(Type of identifi(~ation)
For~ PUR 7068 (Rev. 06/11/92)
I '1 II" III fit n
1\'1 () N I((J J(~ (~() '.I N' 1'\' ~ I.~ I J() f~ II,^
I~rq II rst I~'() I' \\1 It ;\'cr
of
IllS II t.a " te Iteqtl i ,"ell) r II f s
~
II is requested that the iusut;uu.:c rCQuifC{"CJ\(~, as sJx."'CJricd in fhe (~ullu(y's Schedule or lusu.anct:
Rcquirc.JncnIS, be \vnivoo or 1I1odiOcd 011 Ihe roJlu\\'iul-; COl1lU(t:l. I
Cc,)JlI rw\~(or:
_ ._A.S.A_.P~. Hn~.inc ~~ntr~c.~~.~~_....,~.._____..,.
COJlt/ild for: EmBri~~.!;.Y.-I\.~lrB to ..Channel ~rker'!...I~.!.,. 117 '. , #18 T.verneir
Creek
Address or CUlllmcloc ---..rQ .~Q~.L~04. :r8.VCT_ni~!L.!.!_,13019-__.._
--.-......-.--. ..---- ,....---.-.-. ...-.-......----. .--..-....-
.."'". -'--_... .'.._--,-.-
Pllone:
852-425_4-_.
...-----. '.----. '-'----.- 1.'_---_.-,--
SCOJ)C or Work;
-.cha.nne.l" .Ha1:k.t:rr__llJ.f~tt.aJ:_l.~ t ~.~n __n.. .... .._.____._... .. .___ _ .. ...._ ._.__
. ....----...- ----... . --_.,~....
----- ...-----..-
Rca~u lor Wnivcr:
~ vnr\e::L ~~=~~'-Only_'~~: ~~-P'.l"oyees .-"-!t:;.~';Z~.~:fl1~i.:~. L. ()
~..~._...~~~- ~ .. e^-ct3-.~
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Risk ManagcluCnl
Date
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COUflty Ad{)l;nislralor apj)('.al;
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l30ard or (~oIJU(Y (:olnn.issjou<.~r~ tlpp~ilL
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7/14/9~
ASAF'50 RR
8~2-241?1.
A S a I"H~ It
A ~1 A fI :r NC
1;1 01 X 0 0 1
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F L.. ~~ :3 0 7 0
RECAN INSURANCE AGCY
90144 OVERSEAS H~Y
TAVERNIeR FL 33070
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APPRO~VEO B.~R'SK MAN^GEMFNT
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WAIVER: N/A $.- YES ....
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f'fI\OOUClA
RegaTl 1 fl(tu.rance Agency, Inc.
9014~ Ovcrr' cat3 HIghwy
Tavern1er"Fl.33070
. THHi'ctRT"U:/CATE";siS"1:ut.D ~S-A-M'A~lf-ri O,:-iNfonMATioN"ONLVANo-'
CON~~~M NO RIG~" VPO,N T~' CtRTl~ICA rf "'OL.O~R. THf' C'RTIf=1C.A r~
DOES NOT ^U~NO. EXTEND 01\ ALlEn THE COVERAG(: A~"'OAOEO 8Y THE
POLIC'fS8ElOW.
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CC;>MPANIES AFFORDING COVERAGE
lL-.. _-.
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1 Lt'T1(.A'. ProfOrmA C 0 Hul & Company
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i COMPA~Y Ii
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PO Bu)l.. 804 . i - . COLlI' A~Y 0
Tavemier J I ~ 33070 I LtrrCI\ I , ; :
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~'CfOVEitAO~ES" · '-:'~-:''''''~--~-~ , .' t-~~r.~7--.~ .,......', ~~~
II THIS 16 TO CERTI~"'l14AT1'~ POLicIES or: /NS'JAA~ee 1St. ~ aecow w~Vr. B~e~~ IS'~UEOTOTHE rt~S~nEO NAlAED ASOV.! FOR THE pOLiov'pe"AlOO I!
INDICA1EO. NO'1WnH~rA~OtNG ANY ReOUff~e~ENT, TE M 0 ONOfTiON OF ANY CON"TAACT O~ O"HEF\ OOCUMEt~T \VrTH ReS~(!CT TO WHICH tHLS
. CEATIFJCATE MAY BE ISSUEO OA MAV PERTAIN, 'r~E IN URA ~E AFFORDED bV THE POL.ICIES o~SCnteED HCRt;tN IS SUSJ~OT TO ALL THE TiFU,4"S,
( E~CLUS{ONS A~O CONDITIONS O~ SUCH P01.lelIS. LtU $ $ owrJ MAY HAVE &etN REouceo IV P~IO CL"'f/$" . .
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ker (15. ~vQnu.er Croek, Tavernier, .n
be'en delet~~ Watorcraft liability 1'5 inclooed
CMCElL.ATJON "
~ .;.. .
SHOULO AN'4 Of THE ABOVE OESCAlD(O POLtClE6 BE: CANCELLED eErOOE "~E' ,('
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: EX?lF\AflON · DATe lHEAEOf, THE ISSUING COMPANY Wf~~ f'NOtAVOR TO
, UAll J!L DAVS WRITTEN N011Cf TO THE CE~T"leAn HOL~R HAMEO '0 THe:.
: I LEFT" BUt FAilURE ,TO N~ap:t.fCE,SHAU. IMPOSE NO OBL'GAOON or-.
1 t.. llAel~ITV or -ANy 1(/ ~1!O~PA rn AGfNTS on fll:PAtSEHTAll'YfS,
I AUTHONUO ~e..f\U.
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Pro jae t : . f-mergancy repair of
Waterdraft'!xcluSion on " 11
CEhTIFICATE HOLfE~ :
Monroe COU%i\ty Bo~d of Co~ty'
CoomiGGion~rG/Additi(nl81 Insured
5100 Colle~c M
Key West, Fl 33040
ACOOO 25..$ 7/90
. 4
~(ti.ER-'J. Ar;,G~E"ArE '600. Q(X).
· ~(JeT'.~"/O!, AGO, c 300 I (XX)
~Ef\SOf.W.. AD,,; INJURy . 300,000 :.
tACH C~UMiNC' · ~ ,O(X)" i
'I~ C~ ~M~ *,flt') , ,50,(X)O
hC~~ ~lnfant ~~' I '., ~ ~ ~ I :
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8/31/9~
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'8/31/94
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