01/30/1991 ContractC O N T R A C T
F i r-- '- EL .: FD
91 FEB 7 PPl 11 59
THIS AGREEMENT, made and entered into this 30th day of
D4 aDF
January, 1991, between Monroe County, Florida (Owner), ,aid Davis
,r, c �
Water Analysis, Inc., (Contractor): CNTY,FLA.
W I T N E S S E S:
That the parties hereto, for the consideration hereinafter
set forth, mutually agree as follows:
The Contractor shall furnish all labor and equipment to oper-
ate and maintain the Public Service Building's Sewage Treatment
Plant in accordance with the Florida Department of Environmental
Regulation Permit Number DO44-142404 and his proposal dated
December 20, 1990 attached hereto and incorporated as part of
this contract document.
II. INSURANCE
Upon Execution of this agreement, the Contractor shall fur-
nish the Owner Certificates of Insurance indicating the following
minimum coverage limitations:
Public Liability $100,000.00
Property Damage $100,000.00
Worker's Compensation $ 50,000.00
III. HOLD HARMLESS
The Contractor shall defend, indemnify and hold the County,
its officials, employees and agents harmless, from any and all
claims, liabilities, losses and causes of action which may arise
out of the performance of the Contract except such claims, liabil-
ities, losses and causes of action which may arise because of the
County's negligent actions or omissions. Compliance with the
insurance requirements shall not relieve the Contractor from the
obligations imposed by this article.
IV. TERM OF CONTRACT
This contract shall be for a period of one (1) year, commenc-
ing on the day in which it has been executed by both parties.
This Contract term shall be renewable in accordance with
Article VI.
V. CANCELLATION
Either of the parties hereto may cancel this agreement with
or without cause by giving the other party sixty ( 60 ) days writ-
ten notice sent certified mail of its intention to do so.
VI. RENEWAL
The Owner shall have the option to renew this agreement after
the first year, and each succeeding year, for a maximum of two
(2) years. 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.
VII. PAYMENT
The County shall pay to the Contractor for the performance of
said service on a per month in arrears basis on or before the
15th day of the following month in each of twelve (12) months.
The Contractor shall invoice the County monthly for sewage treat-
ment plant operation and maintenance performed under the Specifi-
cations contained herein. The Contract amount shall be as stated
by the contractors proposal herein attached and as follows:
$2,400.00 per year to be paid $200.00 per month.
In witness whereof, the parties hereto have executed this agree-
ment the day and year first above written,
COUNTY OF MONROE, STATE OF
FLORIDA
By
Mayor/Chairman
Attest: DANNY L. KOLHAGE, Clerk
Davis Water A alysis, Inc.
By
President
Attest:
ITNES
WITNESS
SWORN STAB UNDER SECTION 287.133 (3) (a) ,
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with Bid, Proposal or
Contract No.
for omrato=aggat g2blic Works Bldg.
2. This sworn statement is submitted by Joe H. Davis
of Davis Water Analvsis
(name of entity submitting sworn statement
Whose business address is P_n_ Pn,t ?SRA XQ7 wegg. p P1 nnas
and (if applicable) its Federa Employer Identification
Number (FEIN) is (If the
entity has no FEIN, inc u ethe social Security Number
of the individual signing this sworn statement:
3. My name is Joe
(please print name of individual signing)
entity named above is Davis Water AnalySi G
4. I understand that a "public entity crime" as defined in
Paragraph 287.133(1) (g) , Florida Statutes mieans a
violation of any state or federal aw 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 with the
United -States, including, but not limited to, any bid
or contract for goods or services to be provided to any
public entity or an agency or political subdivision of
any other state or of the United States and involving
antitrust, fraud, theft, bribery, collusion,
racketeering., conspiracy, or material misrepresentation.
5. I understand that "convicted" or "conviction" 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 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.
6. I. understand that an "affiliate" as defined in
Paragraph 287.133(1)(a), Florida Statutes, means:
1. A predecessor or
a public entity crime:
2. An entity under
who is active in the
has been convicted of
"affiliate" include
successor of a person convicted of
or
the control of any natural person
management of the entity and who
a public entity crime. The term
s 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 a 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.
7. I understand that a "person" as defined in Paragraph
287.133 (1) (e) , Florida Statutes means natural person
or entity organ zed 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 agents who are active in management of an entity.
8. Based on information and belief, the statement which I
have marked below is true in relation to the entity
submitting this sworn statement. (please indicate
which statement applies.)
x Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders,
employees, members, or agents who are active in management of the
entity, nor any affiliate of the entity have been charged with
and convicted of a public entity crime subsequent to July 1, 1989.
The entity submitting this sworn statement, or one or
more of the officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in
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, AND (Please indicate which additional statement
applies.) -
There has been a proceeding concerning the
conviction before a hearing officer of the State of
Florida, Division of Administrative Hearings. The
final order entered by the hearing officer did not
place the person or affiliate on the convicted vendor
list. (Please attach a copy of the final order.)
The person or affiliate was placed on the
convicted vendor list. There has been a subsequent
proceeding before a hearing officer of the State of
Florida, Division of Administrative Hearings. The
final order entered b the hearing officer determined
that it was in the pubic interest to remove the person
or affiliate from the convicted vendor list. (Please
attach a copy of the final order)
The person or affiliate has not been, placed on
the convicted vendor list. (Please describe any action
taken by or pending with the Department of General
Services.)
signature
Date:
STATE OF
COUNTY OF
ERSONAL Y APPEARED BEFORE ME, the undersigned authority,
�WGJ who, after first being sworn by me,
alfie of individual signing)
affixed his/her sign %tre-in the space provided above on this
day ofL' �'�1� , 19 q0 .
OTARY PUBLIC vu
My commission expires: NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. AUG.22,1993
BONDED THRU GENERAL INS. UND.
n
NON -COLLUSION AFFIDAVIT
I� Joe H. Davis .
of the city of
KPv Whc� r'i according to law on my oath, and under penalty
Of perjury, depose and say that;
1) i am President/FXec� �+ ; �� n; r
of the firm of
Davis Water Analysis, the bidder making the Proposal for the
project described as follows: Operation & maintenance of the sewage tree
the Monroe County Public Works Building on Stock Island' tment plant at
2) the prices in this bid have been arrived at independent-
ly 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 competi=
tor;
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 `=io 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 competi-
tion;
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 contracts for said project.
S gnat"
o� e
STATE OF �7 D
COUNTY OF 4,(t DATE I
MSO�Vua
PEARED BEFORE ME, the undersigned authority,
1 1 1 who, after first being sworn by me,
e o n a gn ng)
affixed his/her si ature in the spa a provided above on this
day of , 19
NQTARy. •PUB Q
My conuni33ion expires:
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. AUG.22.1993
BONDED THRU GENERAL INS. UND.
ISSUE DATE (MM/DD/YY)
1/24/91
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
Southernmost Ins. Agency
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
1104 Truman Ave.
Key West, FL 33040
COMPANY A
LETTER
COMPANY B
LETTER
INSURED
ETTERNY C+
Davis Water Analysis, Inc.
P.O. Box 2584
Key West, FL 33040
COMPALETTER D
COMPANY E
LETTER
THIS IS TO CERTIFY THAT 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 CONDI-
TIONS OF SUCH POLICIES.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD YY)
POLICY EXPIRATION
DATE (MM/DD YY)
ALL LIMITS IN THOUSANDS
GENERAL
LIABILITY
GENERAL AGGREGATE
$ 10 0
A
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑OCCURRENCE
1 C P 115 319 9 410 0
12 / 2 8/ 9 0
12 / 2 8/ 91
PRODUCTS-COMP/OPS AGGREGATE
$ 100
PERSONAL 8 ADVERTISING INJURY
$ 100
OWNER'S & CONTRACTORS PROTECTIVE
EACH OCCURRENCE
$ 10 0
FIRE DAMAGE (ANY ONE FIRE)
$ 50
5
MEDICAL EXPENSE (ANY ONE PERSON)
$ 5
AUTOMOBILE
LIABILITY
ANY AUTO
DSLL'
$ 100,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY
INJURY'��
(PER PERSON)
$
HIRED AUTOS
NON -OWNED AUTOS
1 C P 115 319 9 410 0
12 / 2 8 / 9 0
12 / 2 8 / 91
BODILY
INJURY
�CDIDENT)
$
PROPERTY
DAMAJE$
GARAGE LIABILITY
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY_
$ (EACH ACCIDENT)
$ (DISEASE -POLICY LIMIT)
$ (DISEASE -EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
Monroe County Board of
County Commissioners
500 Whitehead St.
Key West, FL 33040
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIA ITY F ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUThOR14ib REPRESENTATIVE
COMPOSITE INSURANCE POLICY -COMMON POLICY DECLARATIONS
Policy No. 1 C P 115 319 9 41 ' OO Renewal of 1CP 107430664 00
1. NAMED INSURED AND MAILING ADDRESS:
(No., Street, City, State, Zip Code)
DAVIS WATER ANALYSIS,INC.
POST OFFICE BOX 2584
KEY WEST, FLORIDA 33045
2. POUCY PERIOD:
From 12/28/90 to 12/28/91
12:01 A.M. standard time at your mailing address
shown above.
3. BUSINESS DESCRIPTION:
URN 411;
INSURANCE
® United States Fidelity and Guaranty Company
Fidelity ad Guaranty Insu I nce Underwriters. Inc.
Fidelity and Guaranty Insurance Company
(Each a Stock Insurance Company)
The issuing company is designated above by
the letter X.
Branch Office: JACKSONVILLE, FLORIDA
Agent: SOUTHERNMOST INSURANCE AGENCY
Address: KEY WEST, FLORIDA
Agent's Code 33-2079
Countersigned By:
PLUMBING wG��w�•p,��
U U
4. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide
the insurance as stated in this policy. This policy consists of the following Coverage Parts for which a premium is
indicated. This premium may be subject to adjustment. THE PpLICY CWTING 14ININIIN PRE1rIIU11 IS: $200.
Coverage Parts
COMMERCIAL GENERAL LIABILITY
BUSINESS AUTOMOBILE
0
Premium is payable:
Total Policy Premium
At Inception
Premium
$
1,676.
$
54.
$
1,730.
5. FORMS AND ENDORSEMENTS APPUCABLE TO ALL COVERAGE PARTS: CUIL 105 09 88
IL0017(11-85)
TL/ jb 11/5/90 PT4�3
I
CL/IL 105 09 88 (ISO IL W ib i i bbo
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+ THIS LICENSE EXPIRES SEPT EMBER % 30i j � l9 �cosT AND 471 130-06 . PENALTY -
MU 7.4 7 EMPLOYEES: K��.
EN NRENT NBR OF EMPLOYEES: HERE:`` ,;.r+;� TRANSFER FEE
STATE CERTIFICATE NUMBER
g`•'s� HARRY • F. KNIGHT•CFC
TAX,COLLECTOR 294-8403
P.O. BOX' I I29
KEYL,WESTj, FIL 33041-1129
PLEASE SEE BACK OF FORM
THE'ABOVE LICENSEE IS HEREBY
LICENSED TO ENGAGE INITHE BUSINESS
PROFESSION OR OCCUPATION OF :`-
TOTAL DUE
DAVIS MATER'ANALTSISi1NC"
DAVIS,rAOE PRESIDENT.
PO BOX-25W
KEY' WESTrfL" 33040
SEWAGE TREATMENT SERVICE '
THIS FORM 9�ECOIMES A RECEIPT ONLY WHEN Vt/ALIDATED BY RECEIPTING
M�(r111 ( TRA 1 �NISACC?UC*09 ATE,,AND AMOUNT PAID.
C ATl
LOCATION, 01FRONT �ST STOCK• ISLAND
LO
THIS LICENSE MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
LICENSE YEAR OCCUPATIONAL LICENSE
1 S 9c-1991 City of, Ivey West, Florida
THIS LICENE-I.a•1NUST BE PROMINENTLY DISPLAYED
LICENSE PERIOD RFnitJNlNc 1 C10 1190 �"ROUG
PENALTY SCHEDULE
No. 5CC13418013
H 09/:C/91
NO REFUNDS
C. Q 22 0. C 2 30 4 0 C 2 40. 0 250.00 0042 1 02017478 REVS 10/03/90 09:35
LI OCTOBER NOVEMBER - DECEMBER JANUARY GENERAL REVENUE FUND 50013418013
BUSINESS T CT A L UNIT S
ADDRESS: 4 T H AVENUE S T K I S L
TYPE
LICENSE: 31 MISCELLANEOUS BUSINESS :SPECIFY
BUSINESS
NAME: r
DAVIS WATER ANALYSIS INC
OWNER: SEWAGE TREATPENT OPERATICN
ADDRESS: DAVIS WATER ANALYSIS INC
CITY: I PC BOX 2584
KEY WEST FL 33C41
1 NAME: DAVIS WATER ANALYSIS CK2587
001 LICENSES 321-100 $ 200.00
FINANCE DEPARTMENT
DIVISION OF REVENUE