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04/14/1993 AgreementC O N T R A C T THIS AGREEMENT, made and entered into this 14th day of April, 1993, between Monroe County, Florida (Owner), and Barnes' Alarm Systems, Inc. (Contractor): W I T N E S S E S• That the parties hereto, for the consideration hereinafter set forth, mutually agree as follows: I. SCOPE OF THE WORK The Contractor shall provide Alarm System Re -Acceptance (Certifi- cate of Compliance), Alarm System Annual Certification, and Alarm System Maintenance in accordance with the Request for Proposal dated February 9, 1993, attached hereto and incorporated as part of this contract document. II. INDEPENDENT CONTRACTOR At all times and for all purposes under this agreement the Con- tractor is an independent contractor and not an employee of the Board of County Commissioners for Monroe County. No statement contained in this agreement shall be construed so as to find the contractor or any of his/her employees, contractors, servants, or agents to be employees of the Board of County Commissioners for Monroe County. III. ASSURANCE AGAINST DISCRIMINATION The Contractor shall not discriminate against any person on the basis of race, creed, color, national origin, sex, age, or any other characteristic or aspect which is not job related, in its recruiting, hiring, promoting, terminating, or any other area affecting employment under this agreement or with the provision of services or goods under this agreement. IV. ASSIGNMENT The Contractor shall not assign this agreement, except in writing and with the prior written approval of the Board of County Commis- sioners for Monroe County and Contractor, which approval shall be subject to such conditions and provisions as the Board and Con- tractor may deem necessary. This agreement shall be incorporated by reference into any assignment and any assignee shall comply with all of the provisions of this agreement. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any obligation %ipcprn i jgJ}q,1 P9#R6AJ in addition to the total agreed -upon price of the serviccs/ds of the contrac- tor. N'` . Z5: t d LZ ddb e6. V. COMPLIANCE WITH LAW In providing all services/goods pursuant to this agreement, the contractor shall abide by all statutes, ordinances, rules and regulations pertaining to, or regulating the provisions of, such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules and regula- tions 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. VI. INSURANCE Contractor will be responsible for all necessary insurance cover- age as indicated by an "X" on the attached forms identified as INSCKLST 1-4, as further detailed on forms WC2, GL2, VL2, GIR 1, and GIR2, all attached hereto and incorporated as part of this Contract Document. VII. HOLD HARMLESS The Contractor shall defend, indemnify and hold the County, as outlined on the attached form identified as IND1, attached hereto and incorporated as part of this contract document. VIII. TERM OF CONTRACT This contract shall be for a period of one (1) year, commencing on the day in which it has been executed by both parties. This Contract term shall be renewable in accordance with Article X. IX. CANCELLATION Either of the parties hereto may cancel this agreement with or without cause by giving the other party sixty (60) days written notice sent certified mail of its intention to do so. X. RENEWAL The Owner shall have the option to renew this agreement after the first year, for two (2) additional one year periods. The con- tract 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. XI. FUNDING AVAILABILITY In the event that funds from Facilities Maintenance Contractual Services are partially reduced or cannot be obtained or cannot be continued at level sufficient to allow for the purchase of the services/goods specified herein, this agreement may then be termi- nated immediately at the option of the Board by written notice of 2 termination delivered in person or by mail to the contractor. The Board shall not be obligated to pay for any services provided by the contractor after the contractor has received written no- tice of termination. XII. PROFESSIONAL RESPONSIBILITY The Contractor warrants that it is authorized by law to engage in the performance of the activities encompassed by the project herein described, subject to the terms and conditions set forth in the Request for Proposal dated February 9, 1993 which is at- tached hereto and incorporated herein as a part of this con- tract/agreement. The provider shall at all times exercise inde- pendent, professional judgement and shall assume professional responsibility for the services to be provided. Continued fund- ing by the Board is contingent upon retention of appropriate local, state, and/or federal certification and/or licensure of contractor. XIII. NOTICE REQUIREMENT Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: FOR COUNTY FOR CONTRACTOR Monroe County Public Works Barnes' Alarm Systems, Inc. 5100 College Road 5615 3rd Avenue #8 Key West, FL 33040 Stock Island ATTN: Michael Lawn Key West, FL 33040 1: :�4V :4ZV% 1. PHASE ONE & PHASE THREE In accordance with the provisions fully set forth in Phase One and Phase Three of the Request for Proposal dated February 9, 1993, and subject to additions and deductions as provided, the Owner shall pay to the Contractor as follows: Upon receipt of a Certificate of Compliance and Annual Certifica- tion for an alarm system, a partial payment will be made within thirty (30) days after receipt of the Contractor's request for partial payment. The Owner shall make partial payments to the Contractor on the basis of the estimate of work as approved by the Owner, less ten percent (10) of the amount of such estimate which is to be retained by the Owner until all work has been performed strictly in accordance with the Agreement and until such work has been accepted by the Owner. Upon receipt of a Certificate of Compliance and Annual Certifica- tion for the eighth alarm system, final payment on account of Phase One and Phase Three of this Agreement shall be made within sixty (60) days after completion by the Contractor of all work R covered by this Agreement and acceptance of such work by the Owner. Phase One and Phase Three shall not exceed six -thousand dollars ($6,000.00). 2. PHASE TWO The County shall pay to the Contractor for the performance of said service on a per month in arrears basis on or before the 15th day of the following month in each of twelve (12) months pursuant to his Bid Form, attached hereto and incorporated as part of this contract document. The Contractor shall invoice the County monthly for maintenance of the ten (10) specified alarm systems. The invoice shall identify each maintenance call with a Work Order Number provided by the Facilities Maintenance Depart- ment, the location of the alarm system serviced, labor required, and material cost. In witness whereof, the parties hereto have executed this agree- ment the day and year first above written, Attest: DANNY L. KOLHAGE, Clerk C. Clerk Attest: rx;&, I - WITNESS COUNTY OF MONROE, STATE OF FLORIDA B3 Barnes' Alarm Systems, Inc. By l 4Me l Z • �Q Y�e2l� Z-1- 94 APPROVED AS TO FORM AND GAL SUFFICIENC By tomeys Off Date ���114.3 4 BOARD OF COUNTY COMMISSIONERS OUNTY Son N ROE KEY WESTDA 33040 (305) 2944641 S �� REQUEST FOR PROPOSAL TO: Barnes Alarm Systems 5615 3rd Avenue #$ Stock Island 33040 Key WeNt, Fl 1 MAYOR, Jack London, District 2 Mayor Pro Tern, A Earl Cheat, District 4 Wilhelmina Harvey, District 1 Shirley Freeman, District 3 Mary Kay Reich, District 5 THIS IS AN INQUIRY -- NOT AN ORDER Please quote the best price you offer on the .items listed below. Note Delivery Re- quirements, and state firm Delivery Date. DATE I REPLY DUE BY I DELIVERY REQUIRED BY I M.C. SALES TAX EXEMPT # 2-10-93 13711-93 10:00AM I 90 Days ROPO I1 03-00021-03-54 OTY I UNIT I DESCRIPTION UNIT PRICE I AMOUNT See Bid Sheet Attached I I I I I I I I I I I I I i I I i I I I I I SPECIAL NOTES: Please submit two (2) original signed sets of your bid plus one (1) copy of your bid. Any questions should be directed to John King @ 292-4530. VENDOR: PLEASE COMPLETE THIS INFORMATION 1. Delivery: Promised:: A- 11&Xye[. 2. F.O.B. Point: kc 3. Terms • juer ,3 o Day 4. Date of Proposal: 3 4 7 5. Date uoted prices will expire: 3 S 19� ADDRESS AEPLY TO: Monroe County Purchasing 5100 College Road Cross Wing, Room #002 Key West, Florida 33040 PHONE (305)292-4464 or 292-4465 FAX (305)292-4515 We offer to furnish you the above commodities or services at the prices indicated: Ven o Name* .s N�'�-+� BY Chid Of (Title) ALL BIDS MUST BE SUBMITTED IN A SEALED ENVELOPE MARKED ON THE OUTSIDE "SEALED PROPOSAL FOR ALARM SYSTEMS DUE MARCH 11, 1993 AT 10:00AM" nECYCLED PAPEn BID FORM ALARM SERVICE PHASE ONE: la= System Re -Acceptance (Certificate of Compliance), with all required documentation pursuant to NFPA 72. s ► x CrOom 4lub One time price PHASE TWO: Alarm System Maintenance (On Call 24 Hours) _ e)� gou J( tUpe hourly rate ;1dnnday - Friday, excluding holidays) 8:^0 a.m. - 5:00 p.m.. -- CS E overtime h ur .y rate i'Hc-urs other that regular stated above) :4F;n SE THREE: y.lar.m System Annual Certification $ 000.0 $ An/ . w� C lk Ct-UDED A ��l¢S� ON E ;- per year 0 MONROE COUNTY PUBLIC WORKS BOARD OF COUNTY COMMISSIONERS MONROE COUNTY, FLORIDA REQUEST FOR PROPOSAL FEBRUARY 9, 1993 PROJECT: I'IASE ONE - ALARM SYSTEM RE -ACCEPTANCE (CERTIFICATE OF COMPLIANCE), WITH ALL REQUIRED DOCUMENTATION PURSUANT TO NFPA REQUIREMENTS (This year's annual certification is included in this phase of work) PHASE TWO = ALARM SYSTEM MAINTENANCE (ON CALL 24 HOURS) PHASE THREE- ALARM SYSTEM ANNUAL CERTIFICATION, WITH ALL RE- QUIRED DOCUMENTATION PURSUANT TO NFPA REQUIREMENTS (This year's annual certification is included in Phase One) Sr�PE: PHASE ONE - PROVIDE RE -ACCEPTANCE (CERTIFICATE OF COMPLIANCE), FOR THE FOLLOWING ALARM SYSTEMS: a) Crime Laboratory - 500 Whitehead Street, Key West b) Armory Building - 600 White Street, Key West c) Bayshore Manor - College Road, Stock Island d) Justice Building, 530 Whitehead Street, Key West e) County Courthouse - 500 Whitehead Street, Key West f) Marathon Library - Marathon g) Ellis Building - Plantation Key h) Courthouse - Plantation Key PHASE TWO - PROVIDE ALARM SYSTEM MAINTENANCE (ON CALL 24 HOURS) FOR THE FOLLOWING ALARM SYSTEMS: a) Crime Laboratory - 500 Whitehead Street, Key West b) Armory Building - 600 White Street, Key West c) Bayshore Manor - College Road, Stock Island d) Justice Building, 530 Whitehead Street, Key West e) County Courthouse - 500 Whitehead Street, Key West f) Marathon Library - Marathon g) Ellis Building - Plantation Key h) Courthouse - Plantation Key i) Library - Fleming Street, Key West j) Public Service Building, STock Island PHASE THREE - ALARM SYSTEM ANNUAL CERTIFICATION FOR THE FOLLOWING ALARM SYSTEMS a) Crime Laboratory - 500 Whitehead Street, Key West b) Armory Building - 600 White Street, Key West c) Bayshore Manor - College Road, Stock Island d) Justice Building, 530 Whitehead Street, Key West e) County Courthouse - 500 Whitehead Street, Key West f) Marathon Library - Marathon g) Ellis Building - Plantation Key h) Courthouse - Plantation Key REGULATORY REQUIREMENTS: All work outlined in this Request for Proposal shall be completed in accordance with requirements of: a) National Elecric Code b) National Fire Protection Association c) All State, County, and Local Ordinances EXECUTION• Proposals to be considered shall be submitted to Monroe County Purchasing Department, _Cross Wing, Room #002, Public Service Building, Stock Island, Key West, Florida no later than 10:00 AM on March 11, 1993. Work shall be completed within ninety (90) days of proposal acceptance and issuance of Notice to Proceed. PERMITS AND LICENSES: Prior to the commencement of the work, the Contrac- tor shall obtain all required permits. The Contrac- tor shall furnish copies of all current licenses (Federal, State, County, City) as a part of this proposal. CONDITIONS• This project requires the contractor to furnish all labor, tools, and equipment necessary for: a) The contractor shall inspect and service the sys- tems so they can be certified in accordance with the NFPA code annually. b) The contractor shall respond to emergency calls as needed. c) Site visits shall be arranged by contacting John King, Facilities Maintenance Department at (305) 292-4530 INSURANCE• Contractor will be responsible for all necessary insurance coverage as indicated by an "X" on the attached forms identified as INSCKLST 1-4, as fur- ther detailed on forms WC2, GL2, VL2, GIR 1, and GIR2.Certificates of Insurance must be provided to Monroe County on the County prepared form within fifteen days after award of bid. If the proper insurance forms are not received within the fifteen days, bid will be awarded to the next lowest bidder. INDEMNIFICATION AND HOLD HARMLESS: The Contractor shall defend, indemnify and hold harmless the County as outlined on the attached form identified as IND1. PUBLIC ENTITY CRIME AFFIDAVIT: Any person submitting a bid or proposal in response to this invitation must execute the enclosed Form PUR 7068, SWORN STATEMENT UNDER SECTION 287.133(3) (A), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES, including proper check(s), in the space(s) provided, and enclose it with his -bid or proposal. If you are submitting a bid or proposal on behalf of dealers or suppliers who will ship commodities and receive payment from the resulting contract, it is your responsibility to see that copy(s) of the form are executed by them and are included with your bid or proposal. N0'1T•-'2OLLUSION AFFIDAVIT: A Any person submitting a bid or proposal in response to this invitation must execute the enclosed NON - COLLUSION AFFIDAVIT. If it is discovered that ccllusion exists among the bidders, the bid or proposals of all participants in such collusion will be rejected, and no participants in such collu- sion will be considered in future proposals for the same work. MONROE COUNTY, FLORIDA INSURANCE CHECKLIST .. • FOR VENDORS -SUBMITTING PROPOSALS FOR WORK To assist in the development of your proposal, the insurance coverages marked with an "X" will be required in the events an award is made to your firm. Please review this form with dour insurance agent and have him sign it in the place provided. It is also required that the bidder sign.the form and submit it with each proposal. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY X Workers' Compensation Statutory Limits WC1 Employers Liability $100,000/$200,000 WC2_ Employers Liability $200,000/$500,000 WC3 WCUSLH Employers Liability $500,000/$1,000,000 US Longshoremen & Same as Employers' WCJA Harbor Workers Act Liability Federal Jones Act Same as Employers' WCFELA Federal Employers' Liability Same as Employers' Liability Act (FELA) Liability INSCKLST 1 GENERAL LIABILITY As'a minimum, the required general liability coverages will include: o Premises Operations o Products and Completed Operations o Blanket Contractual o Personal Injury o Expanded Definition o Medical Payments 3 of Property Damage. Required Limits: GL1 $100,000 per Person; $300,000 per Occurrence $50,000 Property Damage; $5,000 Med. Payments .* or $300,000 Combined Single Limit; $5,000 Med. Payments GI12 $250,000 per Person; $500,000 per Occurrence $50,000 Property Damage; $5,000 Med. Payments or $500,000 Combined Single Limit; $5,000 Med. Payments GL3 $500,000 per Person; $1,000,000 per Occurrence $100,000 Property Damage; $5,000 Med. Payments or $1,000,000 Combined Single Limit; $54000 Med. Payments Required Endorsement: GLXCU Underground, Explosion and Collapse (XCU) GLLIQ Liquor Liability All endorsements are required to have the same limits as the basic policy. INSCRLST� 2 VEHICLE LIABILITY j. As a minimum, coverage should extend -to liability for: o Owned; Nonowned; and Hired Vehicles o Medical Payments Required Limits: L1 4 V $50,000 per Person: $100,000 per Occurrence $25,000 Property Damage; $5,000 Medical Payments or $100,000 Combined Single Limit; $5,000 Medical Payments VL2 _ $100,000 per Person; $300,000 per Occurrence $50,000 Property Damage; $5,000 Medical Payments or $300,000 Combined Single Limit; $5,000 Medical Payments VL3 $500,000 per Person; $1,000,000 per Occurrence $100,000 Property Damage; $10,000 Medical Payment: or $1,000,000 Combined Single Limit; $10,000 Medical Payments MISCELLANEOUS COVERAGES BRl Builders' Limits equal to the Risk completed project.. MVC Motor Truck Limits equal to the maximum Cargo value of any one shipment. PRO1 PR02 Professional $500,000 per Occurrence PR03 Liability $1,000,000 per Occurrence $2,000,000 per Occurrence POL1 POL2 Pollution $500,000 per Occurrence POL3 Liability $1,000,000 per Occurrence $2,000,00o per Occurrence ED ED2 Employee $100,000 Dishonesty $200,000 ' GK1 GK2 Garage $ 300,000 ($25,000 per Veh) GK3 --' Keepers $ 500,000 ($100,000 per Veh) $1,000,000 ($100,000 per Veh) INSCKLST; 3 MED1 Medical MED2 Professional MED3 A I� Installaion Floater VLP1 Hazardous VLP2 Cargo VLP3 Transporter BLL Bailee Liab. $ 500,000 $1,000,000 $5,000,000 Maximum value of Equipment Installed $100,000 (Requires MCS-90) $500,000 -(Requires MCS-90) $1,000,000-(Requi,res 14CS-90) 4 Maximum Value of Property NSURANCE AGENTfS STATEMENT I have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES Liability policies are Occurrence Claims Made Insurance Agency Signature . BIDDERS TATFMFNT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all requireme ts. �14xro ZsLrit SINS7XVc Bidder Signature INSCKLST 4 WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR CONTRAC,f BETWEEN• MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers' Compensation Insurance with limits sufficient to respond to the applicable state's statutes. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: �+ $200,OOO Bodily Injury by Accident $500,000 Bodily Injury by Disease, each employee $500,000 Bodily Injury by Disease, policy limits 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 shall be required -to submit a Letter of Authorization issued by the Department of Labor and 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 will be required to submit updated financial statements from the fund upon request from the County. EJ WC2 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 Liability Insurance._ Coverage shall be maintained throughout the life of the contract and include, as a minimum: o Premises Operations o Products and Completed Operations o Blanket Contractual Liability o Personal Injury Liability o. Expanded Definition of Property Damage o 'Medical Payments The minimum limits acceptable shall be: $500,000 Combined Single Limit (CSL) $ 5,000 Medical Payments If split limits are provided, the minimum limits acceptable shall be: $250,000 per Person $500,000 per Occurrence $ 50,000 Property Damage $ 5,000 Medical Payments An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its previsions 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. Monroe County and Monroe County's Board of County Commissioners shall be named as Additional Insureds on all policies issued to satisfy the above requirements. GL2 VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN. MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Vehicle Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum, liability coverage for: o Owned,!Non-Owned,,and Hired Vehicles o Medical Payments The minimum limits acceptable shall be: $300,000 Combined Single Limit (CSL) $ 5,000 Medical Payments If split limits are provided, the minimum limits acceptable shall be: $100,000 per Person $300,000 per Occurrence $ 50,000 Property Damage $ 5,000 Medical Payments Monroe County and Monroe County's Board of County -Commissioners shall be named as Additional Insureds on all policies issued to satisfy the above requirements. INDEMNIFICATION AND HOLD HARMLESS AGREEMENT FOR ALL CONTJZACTS WITH MONROE=CQUNTY, FLORIDA The Contractor covenants and 'agrees to indemnify and hold harmless Monroe County 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 -attorneys fees) which arise out of, in connection with, or by reason4of services provided by The Contractor or any of its subcontractors) in any tier, occasioned by the negligence. or other wrongful act or omission of The Contractor or its subcontractor(s) in any tier, their employees, or agents. The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for above. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. 9 IND 1 r"-6+ f! df •!e�` n k ;; • SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), ' FLORIDA STATUTES ON PUBLIC ENTITY CRIMES THIS FORM -MUST BE SIGNED AND SWORN To IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.. 1. This sworn statement is submitted to N► ` " (print nag of the public entityl V ^ J _ ,. ... r-_ _. .. .. ... ._\y. .. _. _. ._.... ........ .., Q o_ _ _ hy. GLIr LI s ._ • fir \ e (print Individual's name and title) for , r sprint name of entity su �Ittlngsworn tatemei ` whose business address is U do and jif applicable) its Federal Employer Identification Number FE S• 617 SI D$�_ is (If the enti as FEIN, i lud he Social Security Nugtber of the individual signing this sworn „ statement: 2. I understand 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 Unted 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. ' 3. I understand that"convicted" or "conviction" as defined in Paragraph 287.133(I)(h),•F1orida Statut c, 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(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 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 in crime 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 of the United States with the legal power to enter into a binding contract and which bids or applies to hid on contracts for the \� provision of goods or services let by a public entity, or which otherwise transacts or applies to transact busingss with a public entity. The term "person" includes those -officers, directors, executives, partners, sharehol ders, employees, ti 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 the entity has been charged with d6d convicted of a public entity crime subsequent to July 1,1989. The entity submitting this sworn statement, nor any of its officers, directors, exectutives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor 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 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. lattacli copy of the final order) AUNDERSTANDTIIATTIIESUBMI.S.SION OFTHISFORMTOTHECONTRACTINCOFFICERFORTHEPUBLIC ENTITY IDENTIFIED ON PARAGRAPH 1(ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THATTHIS 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 THETHRESHOLD AMOUNT PROVIDED IN SECTION287.017, FLORIDASTATUTEC FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. [signature] Sworn to and subscribed before me this L day Of If�`� 19 ,f ti,Tq 'zr 'F5' t '• �t et'sonpa lyiknown } ' OR Produced idenhGcahon yo Notary Public - State off% J zA on IS r 4 (Type of identification) : My Commission expires '�".�"., y � vi l7 tom. .. •' 4�. !Nq Conmission Expires Nov. 2.1 1993 1 Bonded Thru TroyFaht - Insurance Inc, (Printed typed or stamped commissioned name of not public NON -COLLUSION AFFIDAVIT 0 c'�' ,. according to law on uniter penalty of perjury, depose and say that;. of the city my oath, and 1) I,.em 1� ¢t i he bidder making the Proposal for the roject described as_ ol�lows: t to JFY I �✓ y .� prices in this bid have been arrived at independently without,collusion, consultation, communication or agreement for,the: b purpose of restricting competition, as to any matter relating to such z ry-prices with ,. <<�any other bidder. or with any competitor; 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, to any other bidder or to any:, comp, titor;: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; •statements' 5) the 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.. {- ��°^'d� (Signature of Bidder) figs �iux 'STATE OE . • " * ei i ANC S 93 i .'fit DAT COUNTY OF �exro PERSONALLY.'APPEARED BEFORE ME, the undersigned authority, who, after first being sworn b (name of individual signing) y me ' affixed his/her signature.in the space provided•sbove on this trcrtLuczic 01 11511raAce MONROE COUNTY tw e.,Ww"- or dr rn—J r 0-164 — dr Yuunntt po A— to 1AL eemr—Le." -Jr.w er Luunr.ee L. t.>ued u d.e , ou r.oldrr &), r" bctew. This crrJrww do rap ascsd. Ma 4 w Jul ow ew.enVe &ffwda/ by dr poacks WuJ bs4&w =rep'1 W4" b+MW . . NAMtANaADDtiLiSorarSVltmt COHPA.':lESAFFORDING COVERAGEF Barnes Alarn Systems, Inc. 5615 3rd Avenue #8 comp-„rts-.rA Colony Insuranc Key West F1 33040 Company Lener B Wausau Insurance �j NAML AND ADDR= of AmNcyk CompL" Lenct C Southernmost Insurance -� 1104 Truman Avenue `°mp'"r tene• D Ll gip„ y t<ncr E Key . West Fl 33040 This is to cercify that the Insurance policies listed below ha►v been issued to the insured and are enforced at this time. It is agreed that nlhcse policies will be cancelled or changed without providing tS da)s wT•irten notice of such cancellation of change to Monroe Cotfnty; Florida. co L=r1'R TT'?i or V*UAANCE ?0=NUMBER ?OL a r DATE POL �7m= ALL u..cns M THOV" General IiabIlity General Apgrcg2te $1,000,00 Prod uces-Comp/ops A 0 Commcrt:fa! Grncnl Liability O Claims Made 10 Occurence GL1-319247 12/09/92 12/09/93 AgsrcgateO Personal do Adverdsing Owner's do Contractors Protective Injury Fzch Occurrence . O X.C.V. Covopges Fire DamaFc (Mr owe ere) _ O Broad Form Property Damage Epene $ O Independent Contractors ralBlnet CnO Mal o.t rrnon) ;',ywk h��•'•; ,A Automobile Liability Bodily Injuryy:a O Any Auto • (F�ch Person) S O All Owned Autos • ('Each Accident) _ Property Damage S O SeheduledAutoa Bodily Injury and P{operry $ O HIred Autos Damage Combined O Nond"ed Autos ^•`;;??'iCy��e•;����'v�i'rrKtti•.O:'�•, :3>.�'i�. $ ' Hceess Liability Bodily Injury and = O Umbrella Form Property Damage O Other than Umbrella Form Combined O Claims Made O Occurrence B Workers' Compensation and 12/10/92 12/10/93 •17orkers' Compensation Setutory Employers* Liability1413-00--124124 - . Employers' liability S103/5--00/100 Other s Comments: Monroe County, Florida, and Monroe County Board of County Commissioners are named as additional insureds with respect to the General Ilabiliry, Vehicle Uabliiry, and Excess Liability Policies. ,�—••i�++•. ere..s.. w+ts Date Issued: 03/02/93 MOMAMC1oarsry / Public Works AuthoriudRcpresenndver TracySO e 5100 Couep Road Address, 1104 Truman Avenue Key west El 31040 >Cey West; FL 330404399 Telephoner 2 �' ' P- to t.0 (*I%; r­� 04, L--N s4 %:4 -.Nr-,[ h*idff of ,h t-t a-. Th a.,vrk &1*1 HI sarnez Alarm, Svstems 5615 3 r d Avenue -L EI j]ad4_axL"Lr Key 0 B ThE: Johnsons Insurance Agency P.O. l.')ox 2346 Marathon shores, F,j E: ,33052 li I-h4 is U) CrrAl"y 1-hal T_hC lnsur-.an�v POO�C4 listed b-cLnw h-c bc­ iss.­J to the ir4urvd and are rnrorv-,(� at chi is 6me. It It 2 or providing 45 d2)s vTitten notice of suchc*.)cC!;fyt;ort of chInSC to , 0 ty, Flo . ri�s, nOln, .1141Y.Im >Ot Ln ?V�L VATT W DATE kLL Lim.-ri t�,, yj —NIL r Gcr.eral 0 Cii..rns M2.otc 0 0,oirem(t 0,0"nCr's a iz )( C:'U, c,:,,V-2EM (&^y C66c L-)j u ry $ A I C)-.,n Cj Sc h ce u I cd A L, t CS e CAO I 114 7 4/2/T293 4/311/94 Frop Hirt-d AUWd AvxA y Fc,.—n LI;Ury Aj)j YmperTy DaTALC IU lom, C: a,rn j rULO OLhcr County A O(C County Gc'rcrAi Wb:liry, Vehicle Lijr -c Board ry Commls4ionen aie nsmcd As ad�:?Oonlj Inswvd) *�ih tm pe arld EX CeLs LJaSiliry Po;iC,", 6j AA6,— e Ct�, hw, 2 3 Public W rYs 7-S 5100 COiIqT A&-44 *y VC21, YL no("�qq WaX +--hQn SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE 8= V, la-ir-m- Juss &C_ • warrants that he/it has not employed, retained or otherwise had act on he/its behalf any former County officer or employee subject to the prohibition 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 otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. STATE OF COUNTY OF FLORIDA MONROE �s /'LG� (signature) Date: 7 -1 e 41-3 PERSONALLY APPEARED BEFORE ME, the undersigned authority, CAROL L. MERCER who, after first being sworn by me, affixed his/her signature (name of individual signing) in the space provided above on this ?nT14 day of APRIL 19 93 (HAS PRODUCE DRIVERS LICENSE NO. M626-112-41-624-0 AS IDENTIFIC T ON). HELEN BROOKS YANIZ NOTARY PUBLIC , STATE OF COMMISSION NO. AA 749 810 My commission expires: NOTARY PUBLIC STATE OF TLORIDA NY COWISSION txP. FED.15,199M BONDLQ TVAU GENtm INS. UND.