12/13/1993
..
AGREEMENT
Agreement, made as of the 1_; day of f2!Lcftl4?l3/A. ,
1993, be-tween the Board of County Commissioners of Monroe County,
Florida (the "Board"), and Atwood Chiropractic Life Center Inc.
(the "Contractor").
WHEREAS. a need exists in Monroe County Pretrial Services
Program to provide acupuncture treatment to its substance-abusing
clients in conjunction with implementing the Drug Court Diversion
and Treatment Program, Grant #94-CJ-18-11-54-01-122; and
WHEREAS, the services to be procured are available from only
one source in the service area; and -7
WHEREAS, the Contractor is
acupuncturist in Key West;
u
the only certif~d,
~ -
licensed
c::.7
(ii
r-:;
NOW, THEREFORE, in consideration of the services ~o be
rendered by the Contractor to the County and to per~ns living in
Monroe County, it is agreed as follows: ..~ ~
'.J.)
1. AMOUNT OF AGREEMENT. The Board, in conside'ration"-of the
Contractor substantially and satisfactorily performing and carrying
out the duties and obligations of the Board as to providing
acupuncture treatment to substance-abusing offenders in Monroe
County, Florida, shall pay to the Contractor the sum of Eighteen
Thousand, Five Hundred Dollars ($18,500) for fiscal year 1993-1994.
2. TERM. This Agreement shall commence upon execution and
terminate September 30, 1994, unless earlier terminated pursuant to
other provisions herein.
3. PAYMENT. Payment will be paid monthly as hereinafter set
forth. On or before the 15th of each month, the Contractor shall
submit to the Monroe County Pretrial Services Program its request
for reim:bursement. An itemized invoice properly dated, describing
the services rendered must be submitted in detail sufficient for a
proper preaudit and postaudit thereof, and all other information as
required by the County's Finance Department. After the Clerk of
the Board examines and approves the monthly request for
reimbursement, the Board shall reimburse the Contractor. However,
the total of said monthly payments in the aggregate sum shall not
exceed -the total amount of $18,500 during the term of this
agreement.
4. SCOPE OF SERVICES. The Contractor, for the consideration
named, covenants and agrees with the Board to substantially and
satisfactorily perform and carry out the duties of the Board as
outlined in the Drug Court Diversion and Treatment Program,
subgrant award agreement #94-CJ-18-11-54-01-122, entitled Monroe
County Pretrial Services Drug Court Diversion and Treatment
Program, which agreement is incorporated herein by reference and
attached hereto as Exhibit A.
5. RECORDS. The contractor shall maintain appropriate
records to insure a proper accounting of all funds and
expenditures, and shall provide a clear financial audit trail to
allow for full accountability of funds received from said Board.
Access to these records shall be provided during weekdays, 8 a.m.
to 5 p.m., upon request of the Board, the State of Florida, or
authorized agents and representatives of the Board or State. These
records shall be retained for a minimum of three years subsequent
to the termination date of this agreement.
The Contractor shall be responsible for repayment of any and
all audit exceptions which are identified by the Auditor General of
the State of Florida, the Clerk of Court for Monroe County, an
independent auditor, or their agents and representatives. In the
event of an audit exception, the current fiscal year contract shall
be offset by the amount of the audit exception.
6. INSURANCE GUIDE TO CONTRACT ADMINISTRATION.
Indemnification and Hold Harmless for Suppliers of Goods and
Services.
The Vendor covenants and agrees to indemnify and hold harmless
Monroe C,ounty 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 any other
losses, damages, and expenses (including attorney's fees) which
arise out of, in connection with, or by reason of services provided
by the Vendor or any of its Subcontractor(s) in any tier,
occasioned by the negligence, errors, or other wrongful act or
omission of The Vendor or its Subcontractors in any tier, their
employees, or agents.
In the event the completion of the project (to include the
work of others) is delayed or suspended as a result of the Vendor's
failure to purchase or maintain the required insurance, the vendor
shall irldemnify the County from any and all increased expenses
resulting from such delay.
The extent of liability is in no way limited to, reduced, or
lessened by the insurance requirements contained elsewhere within
this agreement.
7. INDEPENDENT CONTRACTOR.
purposes hereunder, the Contractor is
not an lemployee of the Board. No
agreement shall be construed so as to
its employees, contractors, servants
the Board.
8 . COMPLIANCE WITH THE LAW. In providing all services
pursuant to this agreement, the Contractor shall abide by all
federal, state and local statutes, ordinances, rules and
regulations pertaining to or regulating the provisions of, such
services, including those now in effect and hereinafter adopted and
including all those laws specified in Exhibit C (attached hereto
and inc()rporated herein by reference) which are applicable to
contractor. Any violation of said statutes, ordinances, rules or
regulations shall constitute a material breach of this agreement
and shall entitle the Board to terminate this contract immediately
upon delivery of written notice of termination to the Contractor.
At all times and for all
an independent contractor and
statement contained in this
find the Contractor or any of
or agents to be employees of
9. PROFESSIONAL RESPONSIBILITY AND LICENSING. The
Contractor assures that all professionals have current and
appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon
retention of appropriate local, state and/or federal certification
and/or licensure of the Contractor's program and staff.
10. INSURANCE GUIDE TO CONTRACT ADMINISTRATION. General
Insurance Requirements for Suppliers of Goods or Services.
As a pre-requisite of the work governed, or the goods supplied
under this contract (including the pre-staging of personnel and
material), the Vendor shall obtain, at his/her own expense,
insurance as specified in any attached schedules, which are made
part of this contract. The Vendor will ensure that the insurance
obtained will extend protection to all Subcontractors engaged by
the Vencjor. As an alternative, the Vendor may require all
Subcontractors to obtain insurance consistent with the attached
schedules.
The Vendor will not be permitted to commence work governed by
this contract (including pre-staging of personnel and material)
until scltisfactory evidence of the required insurance has been
furnished to the County as specified below. Delays in the
commencement of Work, resulting from the failure of the Vendor to
provide satisfactory evidence of the required insurance, shall not
extend deadlines specified in this contract and any penalties and
failure to perform assessments shall be imposed as if the work
commenced on the specified date and time, except for the Vendor's
failure to provide satisfactory evidence.
The Vendor shall maintain the required insurance throughout
the entire term of this contract and any extensions specified in
the attached schedules. Failure to comply with this provision may
result in the immediate suspension of all work until the required
insurance has been reinstated or replaced. Delays in the
completion of work resulting from the failure of the Vendor to
maintain the required insurance shall not extend deadlines
specified in this contract and any penalties and failure to perform
assessments shall be imposed as if the work had not been suspended,
except for the Vendor's failure to maintain the required insurance.
The Vendor shall provide, to the County, as satisfactory
evidence of the required insurance, either:
* Certificate of Insurance
or
* A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a
certified copy of any or all insurance policies required by this
contract.
All insurance policies must specify that they are not subject
to cancE~llation, non-renewal, material change, or reduction in
coverage unless a minimum of thirty (30) days prior notification is
given to the County by the insurer.
The acceptance and/or approval of the Vendor's insurance shall
not be construed as relieving the Vendor from any liability or
obligation assumed under this contract or imposed by law.
The Monroe County Board of County Commissioners, its employees
and officials will be included as "Additional Insured" on all
policies, except for Workers' Compensation.
AnY' deviations from these General Insurance Requirements must
be requ43sted in wri ting on the County prepared form enti tIed
"Request for Waiver of Insurance Requirements" and approved by
Monroe County Risk Management.
11. MODIFICATIONS AND AMENDMENTS. Any and all modifications
of the services and/or reimbursement of services shall be amended
by an agreement amendment, which must be approved in writing by the
Board.
12. NO ASSIGNMENT. The Contractor shall not assign this
agreement except in writing and with the prior written approval of
the Board, which approval shall be subject to such conditions and
provisions as the Board may deem necessary. This agreement shall
be incorporated by reference into any assignment and any assignee
shall comply with all of the provisions herein. Unless expressly
provided for therein, such approval shall in no manner or event be
deemed to impose any obligation upon the Board in addition to the
total agreed upon reimbursement amount for the services of the
Contractor.
13. NON-DISCRIMINATION. The Contractor shall not
discriminate against any person on the basis of race, creed, color,
national origin, sex or sexual orientation, age physical handicap,
or any other characteristic or aspect which is not job-related in
its recruiting, hiring, promotion, terminating or any other area
affecting employment under this agreement. At all times, the
Contractor shall comply with all applicable laws and regulations
with regard to employing the most qualified person(s) for positions
under tllis agreement. The Contractor shall not discriminate
against any person on the basis of race, creed, color, national
origin, sex or sexual orientation, age, physical handicap,
financial status or any other characteristic or aspect in its
providing of services.
14. AUTHORIZED SIGNATORY. The signatory for the Contractor,
below, certifies and warrants that:
(a) The Contractor's name in this agreement is the full name
under which the Contractor is authorized to do business in the
State of Florida; and
(b) He or she is empowered to act and contract for the
Contractor.
15 . NOTICE. Any notice required or permi tted under this
agreement shall be in writing and hand-delivered or mailed, postage
pre-paid, by certified mail, return receipt requested, to the other
party as follows:
For Board: Monroe County Grants Management
Public Service Building
5100 College Road
Stock Island, Florida 33040
For Contractor:
Atwood Chiropractic Life Center Inc.
1901 Fogarty Ave.
Key West, Florida 33040
16 . CONSENT TO JURISDICTION. This agreement shall be
construed by and governed under the laws of the State of Florida
and venue for any action arising under this agreement shall be in
Monroe County, Florida.
17. NON-WAIVER. Any waiver of any breach of covenants herein
contained to be kept and performed by the Contractor shall not be
deemed or considered as a continuing waiver and shall not operate
to bar or prevent the Board from declaring a forfeiture for any
succeeding breach, either of the same conditions or covenants or
otherwise.
18. AVAILABILITY OF FUNDS. If funds cannot be obtained or
cannot be continued at a level sufficient to allow for continued
reimbursement of expenditures for services specified herein, this
agreement may be terminated immediately at the option of the Board
by written notice of termination delivered to the Contractor. The
Board sllall not be obligated to pay for any services or goods
provided by the Contractor after the Contractor has received
written notice of termination, unless otherwise required by law.
19. ENTIRE AGREEMENT. This agreement constitutes the entire
agreement of the parties hereto with respect to the subject matter
hereof and supersedes any and all prior agreements with respect to
such subject matter between the Contractor and the Board.
IN WITNESS WHEREOF, the parties hereto have caused this
instrument to be executed as of the day and year first written
above.
(Seal)
Attest: DANNY L. KOLHAGE, CLERK
By: ~~~)
, /I~ ~
- - ---:-Cn )~X)U\\ ~
Wltnesses j
00 CHIROPRACTIC LIFE CENTER
By: f), flLA'i I. /J;) 11/( ~~ ~ / -;_
, --.......
EXHIBIT A
State of Florida
Department of Community Affairs
Division of Emergency Management
Bureau of Public Safety Management
2740 Centerview Drive
Tallahassee, Florida 32399-2100
CERTIFICATION OF ACCEPTANCE OF SUBGRANT AWARD
The subgJrantee, through its authorized representati ve, acknowledges
receipt and acceptance of subgrant award number 94-CJ-18-11-54-01-
122 in the amount of $83,200, for a project entitled:
Monroe County Pretrial Services
Drug Court Diversion & Treatment Program
for the period of 10/01/93 through 09/30/94, in accordance with the
statement of work contained in the subgrant application, and
subject to the Department of Community Affairs' conditions of
agreement and special conditions governing this subgrant.
Signat~~ of Authorized
I .,'
-iQ,C ~ .1..o..,do '"'
Hnuo..\ ChCl;..m~'"
(Type~me'and Title of Official)
r~O/9~
(Dat of( Acceptance)
DCA-CJ Form 1 (June, 1985)
(Seal)
Attest: Danny L. Kolhage
BY:~ke~:~)
ATTACHMENT B
MEDICAL PROFESSIONAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves the
providing of professional medical treatment, the Contractor shall
purchase and maintain, throughout the life of the contract,
Professional Liability Insurance which will respond to the
rendering of, or failure to render medical professional services
under this contract.
The minimum limits of liability shall be:
$500,000 per Occurrence/$1,000,000 Aggregate
If coverage is provided on a claims made basis, an extended claims
reporting period of four (4) years will be required.
Administrative Instruction
#4709.1
MED1
65
ATTACHMENT B
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the
Contractor shall obtain Workers' Compensation Insurance wi th limi ts
sufficient to respond to Florida Statute 440.
In addi t.ion, the Contractor shall obtain Employers' Liabili ty
Insurance with limits of not less than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury 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 anld 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.
Administrative Instruction
#4709.1
WC1
81
ATTACHMENT B
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the
Contractor shall obtain General Liabili ty Insurance. Coverage
shall b43 maintained throughout the life of the contract and
include, as a minimum:
* Premises Operations
* Products and Completed Operations
* Blanket Contractual Liability
* Personal Injury Liability
* Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall
be:
$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 satisfy the above
requirements.
Administrative Instruction
#4709.1
GL1
54
R~lul ion /I 191..199:1
April 22. I f)<).\
I ~1 Prin1 in g
l\'10NROE COUNTY, FLORII)A
Request For Wa'ivcr
of
Insurance Requirements
It is requesled LJlallhe insurance rcquirclllcllts. as specified in the County's Schedule of Insunfl1cc
Rcquircnu:nls, be \vaivcd or ulodiCicd on lhe rollo\\"ing contract ·
Conlracto.r:
A r\Vooo Chiroprac ti.c.e.J...ife..._Center
Contract ~or:
Address of Contractor:
A~11pl1nr.1:llr..e.......Tr...ea.t.tn.en..L..a.5-P.aI:.t of the ~Y94 Pretrial
Services' 'Grant Program
J 901 .Foe,qrtY---Av.e....-__._.____.._..
KQY 1~Qst , .FL--.3-3040
Phone:
------.._...._-----._---_._~---_.__..-...
Scope of Vvork:
An t i - Dr~_AbJJ.$~-..J~~!:.~-t ~.i~_l_ .J? ?~-y~~~.~-....R~<2.g~9-_~....___
~r,qnt foracl1pl1ncturetreatment. ___.___
Reason for Waivcr:
~prvi C~~ to.-h.e.. perforrne..d-.-at.~ontractor ' ~_9ffice
Signature of Contractor:
(notnn ~011nry pJ::ap..er..t.y-t+- no_._d.ri.Yi11E-_9L_~_1.i~nts.
Total value of cont. ract$22, 10.0.00. . , · . /'I--+-
L' 'J ~ l/V a.0lIU~:;J ~(,c,vU
~--t,vJ~ I ~ Cf' Gu o--J'L.VV.v {f · .
--7-----------.-----..-__.__._________.___.___
API)IOVCd,~__,,_ Nol ^Ilproved.____
Dale
-~~11LliY=---__ .-,-----.---
--L .bilv_-.---
Risk Managclucnt
Count}' Adulinislralor appccd:
Approved:
Not Approved: _____.....__
Date:
~--------------_.._-. --~---_..------....__.._, -....-.'"' -.-. .....---
Board of County COllunissioncrs appeal:
Approved: ____
Not Approved: '_"'_
Meeting Date:
..----...------.---.----..--.--- -.-.- ,.....--
^~ninlwativc rn~cti()n
114709.1
WAIVER
5
~~
PROFESSIONAL
INDEMNITY
CORPORATION
ATWOOD DC, MICHAEL S.
ATWOOD CH I I~CT I C CORPORA T ION
1901 FOGARTY AVE.
KEY WEST FL 33040
February 02, 93
\
,
APPROVEO BY RISf< M.~.~F~Nl
::TE 0?rl ~1/?J
WAtVEtt "/A
YES
Po~icy Numbe(:
193 ATWOOD MS 2-1 33040
Malpractice Insurance Coverage
Re:
01/13/94 12:01 AM, E.S.T.
Policy Period:
01/13/93
Limits:
$250,000 Occurrence
$750,000 Aggregate
Deductible:
$2,500
$1,022.50
$1,995.00
SEMI-ANNUAL
ANNUALLY
Contribution:
Dear. Doc tor( s) :
Please be advised that Professlonal' Indemnity Corporation has bound full
Malpractice Llability coverage on the above named practioner(s) for a period
of twelve (12) months for Occurence Policy.
Coverage is dependent uoon all prerrt1Ums wt"ch are due the company being
pronlpt 1 >' ,. en; 1 t, t eeJ. ,n t h~ ~v~n t sa 1 d Drern" urns have not a l ready been pai d. The
1nsured wil" !)e notifieu ~)t nny change of status oOt thlS coverage w;th;n ten (10)
working days by ordinary mat 1.
s;ncere~~~tl~~)~~
Jean I, Busch
Corporate Secretary
Professional Indemnity Corooratlon
II. '.
Recei ved
l"-i.Si< Mgmt. & Loss Control
DATE /oJ.,---I'1"-- '-3
Lf>JlTIAL ~tflf
2020 PEr\lNSYLVANIA AVENUE NVV · SUITE! B7B · VVASHINGTON, CC 20008
1-aOO-837-1513. FAX 1-800-837-1512
I '
SWORN STATEMENT PURSUAN1" TO SECTION 287.133(3)(8),
FLORIDA STATUTES. ON PUBLIC ENTI1Y CRIMES
THIS FOlUf MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY puBuc OR OTHER
om~ J~UTBORlZED TO ADMI1'\ISTER OATHS. .
1. 'This, sworn statement is submitted to
by_ I!J I~ A, J ~ 1):/ i(/ JP!:ifm.e of t; ~U~ :Dtity]
[print individual's name and title] I
for_
[print name of entity Iublllittlol sworn statement]
Whose business address is
and (if applicable) its Federal Employer Identification Number (FEIN) is ,~q-;;) I;;) 7 J9~
(It tJt1e entity has DO FEIN, include the 'Social Security Number of the individual signing this
sworn statement:
.)
2. I un~1erstand that a .public entity crime' as defined in Paragraph 287.133(1)(g), Florida Statutes. means a
viola.tion of any state or federal law by a person with respect to and directly related to the transaction of
bUSUle5S with any public entity or with an agency or political subdivision of any other state or of the United
Statc:s, including, but not limited to, any bid or contract for loads or seivices to be provided to any public
entity or an agency or political subdivision of any other state or of the UDited States and involving antittus~
fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.
3. I unclerstand that .convicted. or .oonvictfon- as defined in Paragraph 287. 133(1) (b), Florida Statutes. means
a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guil~ in any
fedeJ-al or Slate trial court of record relating to charges brought by iDdJc:tment or informati,on after July 1,
1989. as a result of a jury verdict, nanjul')' trial, or entry of a plea of guilty or nolo contendere.
4. I understand that an waffiliate- as defined in Paragrapb 287.133(1)(8), Florida St8tutes. means:
1. )~ predecessor or successor of a person cOnvicted of a public entity crime; or
2 )~ entity under the cOntrol of any natural person who is active in the management of the entity and
who has ~n convicted of a public entity crime. 'The term .aflUiate- Indudes those omeen, directors,
executives, panners, 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 a pooling of equipment or income among persons when not for fair market value under an arm's length
agrec~ment, shall be a prima facie case that one person controls another person. A person who knowingly
entcrs 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), F10rida Statutes. m~ns any natural
person or entity organized under the laws of any state or of the 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
agenlts who are active in management of an entity.
t '\
\
6.
Basc:d on information and belief, the statement which I have marked below is true in relation to the entity
sublnitting this sworn statemenL [Indicate which statement appUes.]
Vi Neither the entity submitting this sworn statement. nor any of its officers, directors. executives.
partners, shareholders, employees, members, ~r agents who are active in ~he m~age.ment of the entity, nor
any affiliate of the entity has been charged Wlth and convicted of a public entIty cnme ~ubsequenl to July
I, 1989.
~
The 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.
The entity submitting this S\\'Om statement, or one-oar more of its officers, directors, executives,
panners, shareholders, employees, members, or agents who are active In the management of the entity, or
an affiliate of the entity bas 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 ~ not in the public interest to place the entity submitting this S\\'Om statement on the convicted vendor
list. [attach a copy or the flDaI order] -
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFIcER FOR THE
PUBUC ENTITY IDENTIFIED IN 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 PUBUC ENTITY PRIOR TO ENTERING
INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SEcrION 281 17
STATUTES FOR CATEGORY '!WO OF ANY CHANGE IN THE INFORMATION CO
Personally known
v
3e~daYOf _4p .19fl
~~ If~~
Notary Public · State of ;F! 0 ~ ( (I 0......-
r... .
list' -?'" 1VH3N39 n~~l 03C1Noe
My COmmissi..ztdirlV .~X3 mnssIHHOJ AH
:.. - lt~l! " ..8"<1 AllYION
.:-wom to and subscribed before me this
OR Produ~d identification
(Type of identification)
(printed typed or stamped
commissioned name of notary public)
Form PUR 7068 (Rev. 06/11192)
SWORN STATEMEN'f tJNDER ORI)IN^NCE NO. ]0--1990
MONROE cotJNfY, . FT,()RII)^
ETHICS CIJAUSE
.flJ_I~~ ~..._;;;~. _fi-~(.# O.d J. warrants that heji t has not employed
retainled or otllerwise 11ad act on llisjits bellalf allY former COUllty office
-----. ...-. ----- . - ---- -...
. .., .
or employee ill voli a tioll of See ti 011 2 of Ordi nance No. 10-1990 or allY
CO\lnty officer or employee ill violalioll ()f Seclioll 3 of Orciil1arlce No.
lO-199(). For breacl1 or violation of LIlis provision tlle CO\lnty may, in
its di:scretion, terminate tIlls COlltract witllottt liability and may also,
1n i ts di sereti 011, deduct from tIle COtl trac t or pll rchase pr ice, or
otllerw.ise recover, tIle ftlll amotlllt of any fee, commissioll, percelltage,
gift, c:>r consideration paid to tlle fOl"Jner COll11ty officer or employee.
Dat
STATE OF ...EIo-((J.~d.~..._. .........d. .__.
COUNTY OF .....I!JQ. .~_ ~.O.P .
PERSONi\I.,LY APPEARED BEFORE ME, tlle \ltlde rs i glled all tllori. ty ,
. --/lJ-'-~~.fjJ .S:..IJT~o.o d
WllO, after first bei ng sworn by
me,
affixe<i llis/ller sigllattlre (tlame of .111(lividtlal siglling) in the space.
providE!d above on thi s :3t::J---t:Adny 0 f
J~. , ]9.'1..3.
.~~
IOTARY Pt~llt STATE ~F .flQnrCA
MY COflt:~ISSItjN EX? AUG. at 1993
BONDED TJ.ffiU Gt:fi~nAL l~ UNO...
My comnlissioll exptres:."-
N(J'J'l\RY PtJBI, I (:
Mcrtt4 FtEV. 6/91