09/21/1995 Contract
ADDENDUM TO AGREEMENT
. (Central Air Conditioning Repair Contract - Lower Keys Facilities)
THIS ADDENDUM TO AGREEMENT is made and entered into this 21st
day of September, 1995, between the COUNTY OF MONROE and D & V
COMMERCIAL AIC, INC. in order to amend that certain agreement between
the parties dated October 20, 1994, as follows: ~ ~
c,::J ~ r-
1. In accordance with Article 2.06B of aforement~n~ agreement,
the County hereby exercises its option to renew saicf2:-Aj"ree(lljmt ~nd
hereby amend Article 2.06B and Article 2.02A to read as follow~ ~
N :AJ
"2.06B The Owner shall have the option to rene~:this agree~nt
after the second year for one addi tional year. The o'ontra~ a~nt
agreed to herein may be adjusted annually in accordance ~ th ga:.he
percentage change in the Consumer Price Index (CPI) for Wag~Ear~rs
and Clerical Workers in the Miami, Florida area index, and shall be
based upon the annual average CPI computation from January 1 through
December 31 of the previous year, or by the actual increase in cost
and labor, whichever is less. Increases in the contract amount during
each option year period shall be extended into the succeeding years."
"2.02A The actual cost of parts and materials plus 35% used by
the Contractor to fulfill the obligations of the Contract. Request
for payment for any part over $100. 00 must be documented wi th sales
slips, invoices, or other acceptable proof of purchase."
2 · Payment by the County to D & V Commercial AIC, Inc. for the
performance of said service remains as set forth in Article 2. 02 of
the Contract: Agreement dated October 20, 1994, as amended on September
21, 1995.
3. The term of this amended agreement shall commence on October
20, 1995, and terminate on October 19, 1996.
4. In all other respects, the agreement between the parties dated
October 20, 1994 remains in full force and effect.
IN WITNESS WHEREOF, the parties have hereunto set their hands and
seal, the day and year first written above.
Seal)
Attest: DANNY L. KOLHAGE, CLERK
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By: cS~-j;.~e.~a-v
By~o.Jr~ c. ~~
I)eputy' Clerk
W~~
~ \ Jl ~"'-.-t k\ ( ,h
~ WM&~~tf - ,
Risk Mgnlto & Loss Control
~~ /:;)
DATE-.!..f_Z(i? ---rff
INITIAL _ p.eJ
D & V COMMERCIAL AIC, INC.
By.
,.'....,..........-. ,--" .-,-.. .' '
C:-:,"Z' ~ --j: ~~
'J .-,e;~~ /' ~p,,,>:
, ........'
_.uC/.<- r - /S-
~~.
.
~-
SWORN STATEMENT PURSUANT TO SECTION 287.133(3){a),
FLORIDA STATlITES. ON PUBLIC ENTIT~ CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
f'7(J1lp'Je . -COUI"1t: Pub!; ~~ LJo /,(s-
[print name of the public entity]
/?'ed':
1.
This sworn statement is submitted to
by
fJfJt-F &.KCJOof)
{print indh.idual's name and title]
for
()()/JU ~^rvv-Ct~ /JIC-
(print name of entif)" submitting s"'.om statement)
.~
,,'hose business address is
31/
~~1
i
f1cl} are, f
UeJr ~
57:
]]0'10
f ~-o~t/3f9o
and (if ap'plicable) its Feder~1 Emp'lo)'e~ Identification Number (FEIN) is {Q
(If the entity has no FEIN, include thtSociaiSecurity Number of tbe individual signing tbis sworn
statement:
.)
2. I unde~stand that a "public entity crime" as defined in Paragraph 287.133(1){g), Florida Statutes. means a
,;olation of any state or Cederallaw by a person with respect to and directly related to the transaction of business
witb any public entity or with an agency or political s.ubdh'ision of any other state or oftbe United States, including,
but not limited to, any bid or contract for goods or senices to be pro,;ded 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(1)(b), floricta Statutes, means a
finding of guilt or a conviction of a public entity crime, \\ith or without an adjudication of guilt, in any Cederal or
state trial court of record relating to charges brought by indictment or inCormation after July I, 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(1){a), Florida Statutes, means:
I. A predecessor or successor of a person con,;cted of a public entity crime; or
2. An entity under tbe control oC any natural person ",bo is active in tbe management of the entity and who has
been con victed ora public entity crime. The term "affiliate" includes tbose officers, directors, executives, partners,
shareholders, employees, members, and agents who are active in tbe management of an affiliate. The ownership
by one person of shares constituting a controlling interest in anotber person, or pooling of equipment or income
among persons when not for Cair market value unJer an arm's lengtb agreement, sball be a prima facie case that
one person controls anotber person. A person wlu) kno\\;ngly 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 aftiliate.
S. I 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 oftbe United States with tbe legal power to enter into a binding
contract and which bids or applies to bid on contracts for tbe provision of goods or services let by . public entity,
or which otherwise transacts or applies 10 transact business with a public entity. The term "person" includes those
officers, directors, executives, partners, shareholders, employees, members, and agents who are active in
~aDagemeDt of an entity. . . .
.'. ~( : ~
.(
6. Based on information and belief, the statement which I have marked below is true in relation to the entity
S~ing this sworn statement. [Indicate whicb statement applies.) .
- Neither tbe entity submitting this sworn statement, nor any of its officers, directors, executives, partners,
sbareholders, employees, members, or agents who ire active in the management of tbe entity, nor any affiliate of
tbe entity bas been cbarged with and con,icted of a public entity crime subsequent to July I, 1989.
- The entity submitting this sworn statement, nor any of its officers, directors, exectutives, partners,
sharebolders, employees, members, or agents ,,'bo are acth'e in the management oftbe entity, nor an affiliate of
tbe entity bas been charged with and con,icted of !l public entity crime subsequent to July I, 1989.
- The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
sharebolders, employees, members, or agents wbo are acth'e in tbe manageplent of tile entity, or an affiliate of
tbe entity bas been cbarged "itb and convicted of a public entif}' crime subsequent to July I, 1989. However, tbere
bas been a subsequent proceeding before a Hearing Officer of tbe State of Florida, Dhision of A~ministrative
Hearings and tbe Final Order entered by tbe Hearing Officer determined tbat it was not in tbe public interest to
place tbe entity submitting tbis ~'orn statement on tbe convicted vendor list. [attacb a copy of tbe final order)
I UNDERSTAND THA TTHESUBMISSION OF THIS FORM TO THE CONTRACIlNG OFFICER FOR THE PUBLIC
ENTITY IDENTIFIED ON PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY 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 OFTHE THRESHO LD AMOUNT PROVIDED IN SECTION 287.017, FLQRlDASl'J\ nrr~s
FOR CATEGORY TWo OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
Sworn to and subscribed before me this B+h day of
. "
,
AC(61 u..sr ,19Q5 .
~~~}W~
Personally known, ::Oat e L DC t W DOg
OR Produced identification
Notary Public ~ Stafe or-EJ 0 r,' ot~
(Type of identification)
~tt:diOD expires A
{ r+ Z mOr- ~
(Printed typed or stamped'
commissioned name of notary public)
~~~v Plt~ ANitA ZAMORA
~&~ COMMrSSION#CC376865
~ l! EXPI,RESJUL24,1998
..,.~ ~ BONDED THRU
~('()F f\..~ ATLANTIC BONDING co., INC.
For~ PUR 7068 (Rev. 06/11/92)
~
-
z
)r
o
o
~
"U
g
o
c:
~
;i
~
m
tiN:
:Dh1~ -< ~
CJ). mJ:
~m
'"n
~rn
32JJ
:Om
2:0
C)~
=n
J>rt1
CO
LJOJ
~ffl~~
21 ~"l.6 :r:
~ (;'j WI >-
tm "l)
~ .. ...... ~
· tt('I~
..o~
o..m
~
~
I~~
9~1l
J;\ ,,,
VI I
o
Zi)
~
..
mi~.~.f .
.. i~!::ffl::
s;:oIgn 0
.... ,... '-J
G] -4 OJ :Do --.
>J:tf1cn ..
gfll5UJ ~
:B~> .0
(..'0 ...
"""~.....o
.. ..~ oom
(fJ :ti
i~6~ -...
". -<<a-f
o ....... fT1
" "Q
...~
(') t1'1 >
:r t;o.l r ^1
1,; :rJ
~ (i ~
[!J. 'O~ 0
J.J ZltJI
~,} f\)
I~
~ g' ~
~ Z
.,~
"
~~~r
r't' ........ C:J
I'll( ....... ~ ~~
A
t3<:''A:
m:b- r.~]
en ::,I.) ("') 0
..., "'''I t:) f.:;I
,.. :tt -
;1J:a
,.,rnr:w
....:03.-
r~r-'
((} +-t rn
,,".i :tit
;,Q"" :J:.'
m ,..,
", > ,."
.. t",1"f
.., {"')Z
"
....,
(...t ~
. ,.., n
CJ
~
o
"
rn
~
o
:JJ
-f
::I:
m
-<
~
.)]
t:t,...
o
rc-n
~
CI:
c
no
01:':1
3tt
~
t1lt:l
:tt::t>
nr-
MIt"l
:I>
~~
r
:.r-
'" It",
n2:
~ Ii : )~~~~ ~
~, -,~ I . OOn"J -i
me>
;r.. I-f Z I z (...., :J:r t....
z'" <or--~
n t:1~ 1 I "'--J ~Ot-ft::J
~ ~! 1"1 ~r: ~~
-f ...., S!? I. , . !f't &~.....,
,... "Z ~ I b FiJ OAt
~ ~m5~'i ij .. \\ :~;
~ ~ ....'1 ~' ".. ) >C.-.f
(');!J I' - '\:'(")
~ "'1 b I" ~ J ~- ~ ;.J3 rn
...... z 0 II ~ S; "fTl ~
:0 en ill 0 I m tn' 0:1 OJ
..... 0 Jla ~. tfJ f-wt
n Zsa 1 ~ :E:~
o ~~ .1 . ~~C~I
Z -<
C l't' , tr,I
o (.;1
() >~ f :''>
o ;a,~ I ~
~ t'J~ ~ et
::0 ~ I ,-J
~ I
.....
%
(j
o,~
m
~'"
~j
mO)
Z+:ar.
-to)
f) 0 ....
c:'
~II
[fJ OJ
.-.Ie:
,... fJ) t '"
;'1':" - ~
t.'" Z ~
2. m ~
UJiAm
.' <II (J)
~)> 0
.. Z ."
r- 0 "
I.... ~ r-
~ :is 0
~OJJ
f.fJ ~ .....
'-0( m 2
z VJ ~
C--1 C/'J
tJ:fO
CJ ..,
;.... ~
Xi'"
~~ r-
~
m
Cl
c:
,..
~
o
z
o
.....
,
gB r.;
~ I ~
6 ~ ~
...0
'2 ~
~ ~ s'
C) X ~
~ ~ ~
r.> ~
rv
~
~I~
o,~
;O~O)
o ~
o
..... -
;1. _
~:;:
~ -
~i
0 ~ :_1.
0 <";>
0 ~>
0 :: >(
0 2:
0 -
0
0 '"'OX
0 J)
0 o~
~~
0 1]:1-<
0 0
0 )(l:
0
0 J-&oA
0 .-.Z
t.J NM
0 ~Yl!
0 .. ......
......
0 -t
7\'"
0 (it
0 -<\3
0 ..-:
0 ~~
(A ~
0
~ ~-t
~ ])
0 "11><
0 r
0 . 1
[t- O
U1 (Ar
0 (..~ r
U1 om
-4 .p.~
....#
~-{
... l ~
u
0 ~:.tJ
0 ~
..... t-J
~
01
:>g-i
zm~
o 0 m (;1
I . -t _
o N m
~ 0)>
<D zr-o
(Jl
o
. (J1
o
(Xl
0-0
~
~~~
f..~Q
.:;;
~ ~t:b~
-= <~O~
A
t[ ~:3~<
:j' fT1DC
C"" r.n;oon
...:J ~~~oo
...J . i:) 3
~ l1;u03
co rm1'rT
-1rx
mn
t,," 1-'i
-{ I>
r
(...}
(~
o
~
c..
...- ~...,."":-?-...-:--.:-~~-::.-::~...
~
~-
p; -L'-~
i ";' ~ ~
:.. :. .. .:-
~
1~ (.1
...... P- ~
~
~
::I ~
n~ 0
H:J:j
-j@ G
-<1> fT.
>> :;c
om ~
~-i ,.-;
i1
?=: :;1 ......
m....; m
-< v
~ "":"
.Jl-
M "-
m (:
~
:::: r..r:
2~
-::: .... .-
~" ~-:
,".:-: .
a.,;...
0-0 JJ"'tJ-<
0 mr-o
~)>c t-J t-"
mZ . . 0
ZzS: 0 --
-4 ;:.E ": I
0- ...~
~~~~
.: ~~
:::::.
it-
.-
.-
-. '
~~
'~m
;9
.- .
~:Jjg
I
Z -.
r
!~- ~"
!
.......
~
F
~
.:p.
G
o
Z
:I
~~
9c
~~
.-- .
:"-"". ;,--
~
r
S
Z
L :I .....
i Z
J
(J1 :n
L'
~
C
~
-
;::
-
.--- :.",...-. ..;.
..:JS.-....._~
x
_. ~ -::0 - . ,..
::::.--:=:::';':
;:::>sz~
~~~~~
2:=x~~
~
z
~
u
....
..a
--.cr
!,.i
I
I
~
..0
...J
(>
s
c
~
3:
o
z
)J
c
~
~
r-,(:
~~
-E !:
~n
>z
"2:
>
x
>
~ (')
0
~
- 3
,~.-:
u,
rri
"1! LA
~ 0
....
~
...... 0
~- t
1
0
0
~ 0'
~ QI
~ 0
\!" tit
..0
]
1 tI)
~ 0
~ z
j ~ ~
~ 0 a:
; ~ 0
lo z
.
o
z
]. ~
, r:n
.~~
r=.s
~~
~.:
~~
f 0 ~
j~~
l~~
!;J~
1 U.....
ruU
)0
,
I
i
f
,
I
I
~.
:5.
~..
=..
I'"
-.
-'.
..
o
w%
>a
4(::)
-10
:;a:
- %
-=-1-
>
-I
...
Z
U
z
i",
o.
f~
w"
mG -.<
........ - ~...
II 0 ::>>
~.. 0
~- ..,
iu ::
CD u
zo-
wz>
2z!:i
-Iz..c
..-I
%Sa.
J-D
D
o
i:
III
CL
iIU
(I)
Z
,..w
..2
0-'
..-
..
.
..
..
o
o
1ft
.
0-
...
.
If)
...
..
g
...
z
Ww
-: 2 :J
:" ... ~
-. "-'.' :.. :.' ~ ~
.. ~~~ ~:. t.; .:.~ ~ ~.; ~:I i .
ii:
Q
0.....
~
0.....
(D
C\J
LD
cn
I
. (0
I 0
I
0
~
~. \
- -.....- . -;-
-~~"~':'~~---.' L
. . - -'. .......
..... -.... - .-
. - - .........r.~ .'--: _--~
--:~~. - - ..-.- - - -
C'_E~{~~,~ '~,,~-
~":., 0 -_>... .
- .N.- ->~. .....
"-W'- C ...
.. .....
au .. UN
. ~W . ..
o '--..~. C
. "..... 0
~ ~:~i-:
. ... U '.. '"
.. III ... . ,. - '"
.- .UI......
... we ....
... III & _J' :II..
It .. . . 11II C :....
.... ...u....
... .........
.- -....c..
'III ....-=..
... ........ -- -,.
.. .c .........
.. Nt- rille....
'" ..- ."'."'11I
o
"'a:
.1;
'-:IE
_au
N~
:z
t-
O ..
"!5
tft.. ...
"'0 .,
Ng :
.
.
C
.
..
~ ...
:sl
~a:
ct)Q
~a-
c:Q-c(
\-.
= ....
11I-
S'
we
~z
::)
..
J
i:!i~
IIIw....
~~a
0'0
<
iii'..
A.,W
:>oeD
...z
1&1
U
::J