Addendum 12/14/1994ADDENDUM TO AGREEMENT
(Wastewater Treatment Facility Operation & Maintenance Service)
THIS ADDENDUM TO AGREEMENT is made and entered into
this 20th day of January, 1995, between the COUNTY OF MONROE and
DAVIS WATER ANALYSIS, INC. in order to amend that certain
agreement between the parties dated January 20, 1994, as follows:
1. In accordance with Article 12 of Section 00040
of aforementioned agreement and hereby amend Article 12 of
Section 00040 to read as follows:
"ARTICLE 12 -RENEWAL The OWNER shall have the option to renew
this agreement after the second year for one additional year.
The contract amount agreed herein may be adjusted annually in
accordance with the percentage change in the Consumer Price Index
(CPI) for Wage Earners 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."
2. Payment by the County to Davis Water Analysis,
Inc. for the performance of said service remains at $159,372.40
per year, to be paid $13,281.03 per month.
3. The term of this amended agreement shall
commence on January 20, 1995, and terminate on January 19, 1996.
4. In all other respects, the agreement between
the parties dated January 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
By:
Dep Cle
BOARD OF COUNTY COMMISSIONERS �
OF MONROE COUNTY, FLORIDA
By.
r�
C o
J
Ck
DAVIS WATER ANALYSIS, Ik. o
By i
_.W) I &3nZ
;ce
Davis Neater Anal, Inc
P.O. Box 2584
Key West, Fl. 33045
Phone/FAX (305) 296-3826
11/18/94
Jim Dore
Monroe County Detention Center
W. College Rd.
Key West, Fl.
33040
Re: Maintenance Building at MCDC
In reference to our conversation this morning concerning the construction of a
maintenance building at the MCDC sewage treatment plant (STP) this letter is to confirm
that we will reduce the annual price for operations and maintenance of the STP $5000.00
per year if Monroe County Public Works will construct the referenced building. We will
also be available to advise your people on the building if necessary at no extra charge. If
this is acceptable to Monroe County Public Works the new price for operations and
maintenance for the Monroe County Detention Center STP will be $154,372.40 per year
or $12, 864.37 per month. Please contact our office if you need more information. It has
been a pleasure serving Monroe County and we are looking forward to serving you in the
future.
Regards,
Joe Davis,
Pres.
HRS Env. Laboratory Cart. # E-85222
Davis Water Analysis, Inc
P.O. Box 2584
Key West, Fl. 33045
Phone/FAX (305) 296-3826
11/18/94
Jim Dore
Monroe County Public Works
W. College Rd.
Key West, Fl.
33040
Re: Operations & Maintenance Contract Renewal-
MCDC Sewage Treatment Plant
Jim:
Please be advised that Davis Water Analysis would be pleased to accept the terms
for renewal of the operations and maintenance contract of the above referenced facility.
We are wailing for the Certificate of Insurance for our workmen compensation policy to
finalize the renewal. This should be forthcoming any day. Please contact our office if you
need more information. Your business is appreciated.
Sincerely
4Joeavis
HRS Env. Laboratory Cert. # E-85222
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PURI.Jr. &
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS., This sworn statement is submitteli
to Monroe County Public Works Dept.
[print name of the public entity]
by Joe Davis, President/ Fxc. Director
[print individual's name and title]
for Davis Water Analysis, Inc.
[print name of entity submitting sworn statement]
whose business address is
5601 3rd Ave. Unit 1; Stock Island
33040
and (if applicable) its Federal Employer Identification Number (FEIN) is 5 9 - 2 210 4 6 2
(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn
statement:
I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes.sou a:
violation of any state or federal law by a person with respect to and directly related to the transactionwiluminess
with any public entity or with an agency or political subdivision of any other state or of the United States,kAiding,
but not limited to, any bid or contract for goods or services to be provided to any public entity or anaWm-y or
political subdivision of any other state or of the United States and involving antitrust, fraud, thck, buibery,
collusion, racketeering, conspiracy, or material misrepresentation.
I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statute$.moeans a
finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in anyal or
state trial court of record relating to charges brought by indictment or information after July 1,1989,amaresult
of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
I understand that an "affiliate" as defined in Paragraph 287.133(1)(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 amtwho has
beenconvictedofapublic entity crime. Theterm"affiliate" includes those officers, directors, executivt5;,V utners,
shareholders, employees, members, and agents who arc active in the management of an affiliate. Ttwowrm¢rship
by one person of shares constituting a controlling interest in another person, or pooling of equipment(uriincome
among persons when not for fair market value under an arm's length agreement, shall be a prima faciecase that
one person controls another person. A person who knowingly enters into a joint venture with a permmwho has
been convicted of a public entity crime in Florida during the preceding 36 months shall be considered am affiliate.
I understand that a "person" as defined in Paragraph 287.133(1)(c), Florida Statutes, means any natur2f-person
or entity organized under the laws of any state or of the United States with the legal power to enter into mbinding
contract and which bids or applies to bid on contracts for the provision of goods or services let by a psbiik entity,
or which otherwise transacts or applies to transact business with a public entity. The term "person" ine5ndes those
officers, directors, executives, partners, shareholders, employees, members, and agents who are active in
management of an entity.1.2.3.4.5.
Based on information and belief, the statement which I have marked below is true in relation tome entity
submitting this sworn statement. [Indicate which statement applies.]
- X - Neither the entity submitting this sworn statement, nor any of its officers, directors, emmutives,
partners, shareholders, employees, members, or agents who -are active in the management of theewtiity, nor
any affiliate of the entity has been charged with and convicted of a public entity crime subsequemtt to July
1, 1989.
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, norzmaffiliate
of the entity has been charged with and convicted of a public entity crime subsequent to July 1, =9:.
The entity submitting this sworn statement, or one or more of its -officers, directors, ex=tives,
partners, shareholders, employees, members, or agents who are active in the management of theemtity, or
an affiliate of the entity has been charged with and convicted of a public entity crime subsequentm&July 1,
1989. However, there has been a subsequent proceeding before a Hearing Officer of the StateafHibrida,
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 convickdvendor
list. [Attach a copy of the final order]
6. I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER
FOR THE PUBLIC ENTITY IDENTIFIED ON PARAGRAPH 1(ONE) ABOVE IS FOR THATFMLIC
ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 3I OF THE CALK DAR
YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORMTHE
PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THREMOLD
AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWOOFANY
CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
C�%C'fivL
[signature]
Sworn to and subscribed before me this Z rL day of �0 UC.tU�pC ,� ,19 q q
Personally known V
OR Produced identificatio
(Type of identification)
Form PUR 7068 (Rev. 06111/92)
Notary Public - State of J AV,
My Commission expires 1I3I bl
(Printed typed or stamped
commission%q#'?VMbrfip,Aotary public)
.`0�0OTARy'7�'ti
Ah Comm. Expires
Jsn.31, 195E _
No. CC 060353
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1994-1995
47161-0008060
••SEPT.
MONROE
xpifm�
30, 1995
0-5
X
47161 MISCELLANEOUS
SERVICE
vv
CANS; L
22-00
6630 FRONT ST S1
00 — COUNTY OF MONROE
J N'
DAVIS WATER ANALYSIS
INC
-,, LT 1
DAVIS JOE PRES
:ECi-
PO BOX 2584
L 22-00
KEY WEST FL 33040
X.
HARRY F KNIGHT
P 0 BOX
CF ITAX COLLECTOR
kEY
C, C)
1129,
W,ST FL 33041-1 129
0000000000 0000002200
0000471610008060 1001 1
LICENSE YEAR i � !
OCCUPATIONAL LICENSE No. 0 "J4 L" rt '
City of Key West, Florida NO REFUNDS
THIS LICENSE MUST BE PROMINENTLY DISPLAYED
LICIENSE PERIOD BEGINNING 1 ("Vii / 94 THROUGH 7 i 9 5
PENALTY SCHEDULE
'bCEUS�
,7-
CEU�� OCTOR'FR
BUSINESS
"NT
c.
STR��:T S T K 1L
ADDRESS:
TOTAL UNITS
1
TYPE
1 Y L T T
Y C 0 M10, U N I C A T 1 '0 N
LICENSE:
1-
1 T 1 7-
BUSINESS
NAME:
(
1; W:k T
NAt-Y,,3.jS :NC
W
"ATMFNT
CPCRATION
I V 7'
WAT7P
ANALYST N., c
FINANCE DEPARTMENT
OWNER:
DIVISION OF REVENUE
ADDRESS:
T L T
T
CITY:
'F L
7 4 1
T ICATE OF INSURANCE
12/0Y' 2/94
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Southernmost Insurance Agency
1104 Truman Avenue
P.O. Box 323
Key West, Fl 33041-0323
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFOWRjP& 0,1(,E�i
-------i'tt-f �uu CC''rr xxffM"NT
COMPANY
A- -_ USF&G —By --
COMPANY _
B Fireman's Fund DATE 1-3
INSURED
Davis Water Analysis, Inc.
P.O. Box 2584
Key West, FL 33045-2584
COMPANY
C General Star InNhIffityN/A YES
COMPANY
D
COVERAGES
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.
R
rLT
TYpE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATIONLIMBS
DATE (MM/DD/YY)
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
1CP30005858302
12/28/93
12/28/94
GENERAL AGGREGATE
$ / / 000.
PRODUCTS-COMP/OP AGG
$1, 000, 000.
A
CLAIMS MADE [X] J OCCUR
1CP30005858303
12/28/94
12/28/95
PERSONAL & ADV INJURY
$1 , 000, 000.
OWNER'S & CONT PROT
EACH OCCURRENCE j
$1 , 000, 000.
FIRE DAMAGE (Any one fire) j
$ 50 , 000.
MED EXP (Any one person)
r$ 5,000 .
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
$110001000.
A
ALL OWNED AUTOS
SCHEDULED AUTOS
1CP30005858302
1CP30005858303
12/28/93
12/28/94
12/28/94
12/28/95
BODILY INJURY
(Per person)
$
X
BODILY INJURY -
(Per accident)
$
X
x
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
i $
- — ---
GARAGE LIABILITY
��jj
.I'�,e
Pi vc-el
AUTO ONLY - EA ACCIDENT
I $
ANY AUTO
Risk
I7ATfi.
T_r .
J`<.47s,.L,
'3
;�: �,::fy`; �'f3IlE'i
y
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
LNi'i is L
,,, .�
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
STATUTORY LIMITS
EMPLOYERS' LIABILITY
Binder #
EACH ACCIDENT
$ 500,000.
B
THE PROPRIETOR/ INCL
PARTNERSIEXECUTIVE
OFFICERS ARE: 1XI EXCL
09-80217-94333-00148
11/17/94
11/17/95
DISEASE - POLICY LIMIT
$ 500,000
DISEASE - EACH EMPLOYEE
$ 500, 000.
OTHER
General Aggregate 1,000,000.
C
llution Liability
IYG319757
02/08/94
02/08/95
Each Occurrence 11000,000.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
***Additional Named Insured: Monore County Board of County Commissioners
CERTF"TE HOLDER
CANICELLATM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5501 College Road
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Key West, FL 33040
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ACORD 25-S (3/93)
AUTHORIZED EPRESENTATIV
��OCO PORATM 1993