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DV091132a r CONTRACT AGREEMENT AGREEMENT, MADE THIS y day of ft\ WO 1993, by and between, Spirit Marine Towing & ("Contractor"), and the BOARD OF COUNTY Assistance COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the County of Monroe, State of Florida ("Board"). The contractor and the Board, for the consideration named, agree as follows: av 1. The contractor shall furnish all the materials and perform all the work requireLP c� 3 r by the Specifications for the removal and legal disposal of Florida Marine Patro rkEC 1K f- � Derelict Vessel 091132. The Florida Marine Patrol Derelict Vessel Report for tEt`s<dessel W C) attached hereto as Exhibit A. ',C = 3 rn r , Ta 1--+ n C) N � 2. The work to be performed under the contract shall commence immeRflatefy frgM c n the date the Liaison provides the Notice to Proceed and shall be completed by April 15, 1993. 3. If the Notice to Proceed has not been given by the Liaison to the contractor on or before March 10, 1993 then this Agreement shall be null and void. 4. The work to be performed under the contract is contingent upon receipt of appropriate grant monies from the State Department of Natural Resources, Boating Improvement Fund Program. If this grant is denied, this Agreement shall be null and void. The contractor understands the rules of the Department of Natural Resources and shall comply with said rules, along with the rules and procedures instituted by the Board to ensure an orderly progress to the project. Both the intent and the requirements of the Specifications are understood by the contractor. 5. The Board shall pay the contractor the total sum of $6,500.00 for the removal of DV091132 listed in exhibit A. Payment for the work shall be upon completion by the contractor and acceptance by the Board, subject to the terms and conditions of the Page 1 of 4 Specifications and this contract. A final payment will be made when all of the work under the contract is complete. 6. The attached Specifications, and other documents together with this Agreement, form the contract. They are fully a part of this contract as if repeated herein verbatim. 7. The contractor shall indemnify the Board from and against any and all claims, demands, actions, proceedings, damages, liabilities, costs and expenses, including attorney fees, arising out of, connected with, or resulting form this Agreement. 8. The contractor acknowledges his/her intention to comply with the need to coordinate all work with the appropriate environmental agencies, the Florida Marine Patrol, and the County. 9. The contractor agrees to supply the County with three (3) photographs of this derelict vessel on this contract --one (1) at the current marine location prior to removal, one (1) out of the marine location but in the same general area, and one (1) at the disposal site, showing when possible the derelict vessel number and/or the Florida Vessel Registration Number. The contractor will be responsible for the camera, film, and development costs. The contractor must also supply all completion documentation as required in the specifications. 10. The contractor understands and agrees that no payment will be forthcoming for the removal and disposal of any derelict vessel not listed on this contract. 11. The contractor understands and agrees that receipt of Notice to Proceed from the County does not relieve his responsibilities to obtain any appropriate permits. The contractor must inform and advise the appropriate permitting authorities prior to the removal of any derelict vessel and obtain clearance. The contractor agrees that no environmental damage will be done. 12. The contractor understands that he is to remove only the derelict vessel that is a Page 2 of 4 part of this contract, transport same to disposal site, and offload under the direction of the site staff so as to be placed at the location on the disposal site property where directed by the staff. 13.The work must be completed by April 15, 1993. Since the work involves the removal of a derelict vessel, which may contain petroleum and/or other types of harmful chemical pollution, the parties agree that timely performance of this agreement is essential in order to prevent further environmental damage and consequent restoration costs. Therefore, the parties agree that the contractor shall be liable to the Board for $100 per day of liquidated damages for each day after April 15, 1993 that any of the contractor's obligations under this agreement remain unperformed. The parties agree that such amount is by the way of compensatory damages and does not constitute a penalty. 14. Due to the use of heavy equipment and, at times, dangerous work environment, the contractor understands and agrees to maintain an alcohol and drug free work environment. 15. The Contractor will provide general liability insurance in the amount of $300,000, workers compensation as required by Chapter 440, Florida Statutes, vessel insurance in the amount of $500,000. Automobile insurance in the amount of $100,000, and pollution insurance in the amount of $500,000. Page 3 of 4 16. The Board may terminate this agreement with or without cause at anytime upon giving the contractor up to 10 days notice in writing. The contractor, upon receipt of the notice, shall immediately cease work. The Board shall pay the contractor the percentage of the contract sum which is proportional to the amount of work performed by the contractor in a manner satisfactory to the Board up to the date the contractor received notice of termination. IN WITNESS WHEREOF the parties hereto have executed this Agreement the day and year first written above. BY: Dtv 6A Title (Seal) Firm Attest:' Witness pD 11�4M/W el Witness BOARD OF OUNTY COMMISSIONERS OF MONK;UNTY LORIDA BY: (Seal) Mayor/Chairman Attest: avid C. Clerk Page 4 of 4 APPROVED AS T11 rT"79 Al` ' r>AL SUFA-�46 Ole �rneice qj/ O/A 3 DERELICT VESSEL REMOVAL CONTRACT SPECIFICATIONS FOR MONROE COUNTY, FLORIDA INTENT: It is intended that these specifications shall cover all aspects of the work with explicit provisions. The purpose of this section is to provide specific coverage for conditions applicable to this contract, where such coverage is not provided for in other portions of the contract documents. 2. BID FORMAT: THE BID MUST BE SUBMITTED ON THE BID RESPONSE FORM ENCLOSED IN THIS PACKAGE. A dollar amount per foot must be submitted for the removal of all derelict vessels on the primary list for which a Florida Marine Patrol Derelict Vessel Report is provided. Any deviation from this format will result in an unaccepted bid. A Contract will not be granted on the basis of combined, related, linked, or discounted bids. Not applicable due to emergency contract for removal of one vessel for less than $10,000 3. PLANS: There are no plans for this project, but copies of the Florida Marine Patrol Derelict Vessel Report with location sketches have been bound into these documents for the Contractor's use. The Specifications include sections on instructions to bidders, both general and specific, and a copy of each Derelict Vessel Report from the Florida Marine Patrol. Only those derelict vessels for which a report is included and listed on the Bid Response Form are to be bid upon and subsequently removed. The County reserves the right to remove any or all vessels from this contract at any time prior to actual removal from the water and disposition by the Contractor. The County has a limited amount of money to effect the removal of these abandoned vessels. We have established priorities based on public safety, navigation and traffic hazards, and environmental considerations. If bids exceed the County's resources for removal based on these considerations, we shall limit vessel removal based on these considerations and cost effectiveness. 4. VESSEL IDENTIFICATION AND LOCATION: Each of the vessels have been given a derelict vessel identification number, which is shown with the location in the Florida Marine Patrol Derelict Vessel Report, included herewith. Each bidder is responsible for his own identification of each derelict vessel as to location, description and condition. If a Derelict Vessel cannot be (1) located, (2) removed, (3) verified and (4) disposed of, as specified in these procedures, then no payment will be forthcoming to the Contractor for that vessel. Those four conditions must be met on each derelict vessel along with compliance with all laws and permits for payment to be made. It is understood that the Contractor has, by personal examination and inquiry, if necessary, satisfied himself as to the local conditions of each derelict vessel and as to the meaning, requirements and reservations of the specifications; for after contract DV Specs --Page 1 to be reported by the Contractor to the County. The County assumes no responsibility should there be any discrepancies in what is stated in these documents and what the bidder evaluates. A Contractor should take special care to remove only those derelict vessel's on his contract and for which he possessed a Florida Marine Patrol Derelict Vessel Report. Other derelict vessel's in the area but not under contract, cannot be molested. It may be possible to replace a derelict vessel of like kind, for the same or less money, when mutual agreement can be reached by the Monroe County Administrator of the derelict vessel program, and the contractor. This will be applicable when a contracted derelict vessel can not be located. No derelict vessel may be replaced and removed without the two party consent noted in this paragraph. A contractor may suggest a possible replacement vessel but he may not remove it without the appropriate consent above. 5. SCOPE OF WORK: The Contractor shall be responsible for providing all permits, supervision, labor, equipment, tools, fees and taxes required to complete this project to the satisfaction of the County. The Contractor's procedure and methods of removal may be of his own selection provided they secure results which satisfy the requirements of the Specifications and any necessary environmental permits. Any vessel which is removed and disposed of shall be removed from its present site in such a manner as to do the least possible damage to the natural environment surrounding the vessel. All debris from the vessel shall be removed and the site left in a reasonably clean condition. No oil or fuel shall be permitted to be dumped or spilled into or unto the water or land. All pollutants shall be removed from the derelict vessel prior to removal from the water. The Contractor shall be responsible for making any and all arrangements for access to the vessel to be removed. If private property has to be traversed, then written permission of the owner is necessary. In removing a derelict vessel that may lie on or near grass or sponge flats extreme caution must be used to do the least possible damage. Prior to delivery of derelict vessels to the disposal site, the Contractor must remove all oil, gas and metal (including engines). He must dispose of them in any legal manner. Pure used oil will be taken by Monroe County for disposal. Mixture of oil, gas, seawater or any combination of the three must be transported from the County by an approved hazardous waste handler. The names of those firms will be supplied by the Monroe County Environmental Management Department. Metal becomes the property of the Contractor. In those cases where a derelict vessel number can not be found, i.e. derelict vessel is underwater, the Contractor shall provide marine transportation to the site for the County DV Specs --Page 2 representative to verify the vessel and location using the original Derelict Vessel Report from the Florida Marine Patrol. 6. MATERIALS AND WORKMANSHIP: The Contractor shall provide the necessary materials and equipment to safely complete the job. The contractor agrees that all work shall be performed by competent employees who are experienced and qualified to do the work specified, and that all work will be performed in accordance with the best commercial practices. A list of equipment to be used and a description of the removal and transporting procedures to be followed must be provided to the County at the Prework Conference described below. Precaution shall be exercised at all times for the protection of persons and property. The safety provisions of the Occupational Safety and Health Act of 1970 (Public Law 91- 596) and other applicable laws, including building and construction codes shall be observed. Machinery, equipment and other hazards shall be guarded in accordance with safety provisions of the "Manual of Accident Prevention in Construction", published by the Associated General Contractors of America, to the extent that such provisions are not in contravention of applicable law. The Contractor shall store materials and shall be responsible for and shall maintain partly or wholly finished work during the continuance of the Contract and until the final acceptance. If any materials or part of the work become lost, damaged, or destroyed by any cause or means whatsoever, the Contractor shall satisfactorily repair and replace or not receive payment for the unaccomplished work. The Contractor shall maintain suitable and sufficient guards and barriers, and at night, suitable and sufficient light or other appropriate security or protection for the prevention of accidents. Use of explosives is discouraged in carrying out the project. No blasting with explosives shall be done except under prior approval by the County and as permitted by all relevant government agencies such as the Department of Natural Resources, Department of Environmental Regulation, U. S. Army Corps of Engineers, U.S. Fish and Wildlife Service and the U. S. Coast Guard. When the use of explosives is approved the Contractor shall use the utmost care so as not to endanger life or property, and whenever directed the number and size of the charges shall be reduced. All explosives shall be marked clearly "DANGEROUS EXPLOSIVES", and shall be in the care of complete watchman. The Contractor shall secure the proper competent watchmen. The Contractor shall assume all responsibility for damages caused by explosives. 7. ASSIGNMENT OF CONTRACT AND SUBCONTRACTS: It is expressly understood that the Contractor is in all respects an independent Contractor for this work, not withstanding under certain conditions he is bound to follow the directions of the County, and is in no respect an agent, servant, or employee of the County. Neither the Contract, nor any part thereof, nor any monies due or to become due thereunder, may be assigned by the Contractor without the prior written approval of the County. The Contractor is fully responsible to the County for the acts and omissions of his subcontractors and of persons either directly or indirectly employed by said subcontractor, as he is for the acts and omissions of persons directly employed by him. DV Specs --Page 3 Nothing contained in the Contract Documents shall create any contractual relations between any subcontractor and the County. All subcontractors shall abide by the terms, conditions, and requirements of this Contract. It is the responsibility of the Contractor to pay all debt obligations incurred with subcontractors in an expedient manner. 8. LEGAL RESTRICTIONS PERMITS AND TRAFFIC PROVISIONS: The Contractor shall comply with all applicable local, State and Federal requirements pertaining to the terms of this Contract. The Contractor will be responsible for obtaining, at his own expense, any licenses or permits that may be required and should inquire about permit requirements with the appropriate agencies. The Contractor shall comply with all the requirements of the Federal Pollution Control Act. The Contractor shall conduct his operations so that he shall not close any thoroughfare nor interfere in any way with traffic on highways, or on water, without the written consent of the proper authorities. Work shall be done at any time that shall not interrupt or disturb members of the public. Consideration should be given at all times to the welfare of the public. Offloading sites (water to land for transport to the landfill or other disposal site by vehicle) must have written approval of the land owner. The Florida Marine Patrol should be contacted to initiate eviction proceedings for contracted derelict vessels which are inhabited at the time of removal and when another vessel is too close to the contracted derelict vessel to allow safe operations. Direct confrontations with other boaters should be avoided and the Florida Marine Patrol should be contacted immediately if such confrontations may result from removal of any contracted derelict vessels. 9. INSURANCE: The Contractor must obtain all insurance required by the County and submit proof of same to the County prior to acceptance of bid and contract approval by Board of County Commissioners but no later than five working days after notice of low bidder. All insurance shall be maintained until work has been completed and accepted by the County. The Contractor shall furnish the following certificates of insurance for review by the County's Risk Management Division: Certificate(s) of Insurance which clearly indicates that he has obtained the insurance coverage required in paragraphs a,b,c and d below. The Contractor hereby certifies that no modification or change in insurance shall be made without (3) days written advance notice to Monroe County, c/o the Director of the Risk Management Division. a. Worker's Compensation Insurance as required by Chapter 440, Florida Statutes DV Specs --Page 4 b. General Liability Insurance on a comprehensive basis, in an amount not less than $500,000.00 per occurrence for Bodily Injury and Property Damage combined, to include contractual liability. C. Pollution Liability Insurance in the amount of $500,000.00. d. Water Craft Liability Insurance in the amount of $1,000,000.00. e. Automobile Liability Insurance covering all owned, non -owned and hired vehicles used in connection with the work, in an amount not less than $300,000.00 per occurrence for Bodily Injury and Property Damage combined. All insurance policies required above shall be issued by companies authorized to do business under the laws of the Sate of Florida. A Monroe County Insurance Checklist and Monroe County Certificate of Insurance is enclosed for your convenience. 10. COMMENCEMENT DELAYS AND COMPLETION OF WORK: After receiving Board of County Commission approval of the Contract, and after reconciliation of any details or conditions which may directly or indirectly interfere or conflict with work of the Contract, the County will issue a "Notice to Proceed with Contract Work" officially authorizing the Contractor to commence. The Contractor shall commence work on said date. If the Contractor should be delayed in the progress of the work included in the Contract by unforeseeable causes beyond his control, the time for the completion of the work may be extended upon agreement of the County representative. Requests for extension of time must be submitted in writing to the County representative. Extensions of time cannot legally be approved unless the written request is submitted in time to permit it to be acted upon before the Contract expiration date. To allow sufficient time for administrative procedures required to obtain action by the County Commission, a request for time extension must be received by the County representative at least sixty (60) calendar days prior to the contract expiration date. Liquidated damages resulting from factors beyond the control of the Contractor which occur too late to allow time for action by the Board of County Commissioners approving a time extension may be waived by the County Commission. Such waiver shall be granted only when the County representative determines that the delay is beyond the control of the Contractor, and in this event the Contractor shall not be charged with liquidated damages or any excess cost when the delay in the completion of the work is due: To any duly issued order by the County or the State Department of Natural Resources changing the Contractor's approved work schedule; b. To unforeseeable cause beyond the control and without the fault or negligence of the Contractor. c. To any delays of subcontractors or suppliers occasioned by any of the causes specified in subparagraphs (a) and (b) above. DV Specs --Page 5 Provided further that the Contractor shall within ten (10) days from the beginning of such delay notify the County, in writing, of the causes of the delay. The County representative will ascertain the facts and the extent of the delay and notify the Contractor within a reasonable time of his decision in the matter. If the Contractor fails to complete the work within the time limit, and if the County should nevertheless permit the Contractor to continue and complete the same without official extension of time in writing, such permission shall not modify nor waive any liability of the Contractor for damages arising from non -completion of work within the time limit, but all such liabilities shall be subject to continuation in full force against the Contractor. 11. CHANGES AND INSPECTION: The vessels herein considered are to be removed for the County by the Contractor in accordance with the Specifications. The County may give instructions or directions to supplement the Specifications. These shall be binding upon the Contractor and upon all his subcontractors, employees and agents of every kind. All work and every process and operation shall be subject to inspection at all times, and the County and their representatives shall have free access to all aspects of the work. The Contractor shall remove and make good, as may be directed, without charge, any defective work. Oversight or error of judgement of inspectors, or previous acceptance, shall not relieve the Contractor from the obligation to make good any defect whenever discovered. The right is reserved to change the Specifications consistent with regard to the general intention of the Contract for any part of the work or materials, either before or after work has begun. Notice of such changes shall be given in writing to the Contractor; such changes are not to be grounds for any claim by the Contractor for damages, nor for the forfeiture of the Contract. It is possible that a Derelict Vessel could disappear between the time of inspection by the contractor and the actual effort to remove it. No payment will be forthcoming in this case. Except when otherwise specified, the expense of all tests requested by the County will be borne by the County. 12. AUDIT RIGHTS: As a provision of the grant from the State of Florida to the County, and if so requested by the State, the successful bidder agrees to provide access to all records and allow the audit of any books, documents and papers related to this project for a period of up to one year during and after termination of the contract. 13. CONTRACT AWARD: The County reserves the right to evaluate the submitted bids to award a contract to the bidders submitting the lowest per foot bid for the derelict vessels listed in the bid package as one project and for which a Florida Marine Patrol Derelict Vessel Report is included. One bid will be accepted and a contract issued for the total removal of all listed derelict vessels as one project, up to the limit of available funds. DV Specs --Page 6 The vessels are to be removed in the order listed and the per foot bid estimate should reflect this removal order. The actual number of vessels to be removed will depend on the accepted per foot bid price and the available funds. 14. PREWORK CONFERENCE: A meeting will be necessary involving a representative of the County, the Contractor and other parties with direct involvement prior to the signing of the contract. The time and place of this Conference will be set by the County representative. At this time the Contractor shall provide the County with a schedule as to the order in which he proposes to remove the vessels awarded to him. 15. CONTRACT SECURITY: The Contractor agrees to execute and deliver simultaneously with the executed contract, a Contractor's Performance and Payment Bond. The contractor is expected to act and deliver in good faith all work, at the agreed price, in the allowed time. Failure to do so, could jeopardize the contractor's reputation with the County and potentially influence any future contracts with Monroe County. 16. EXECUTION OF CONTRACT DOCUMENTS: Due to the time frame involved with this project, the Contractor upon notification that he is to be awarded the contract documents for execution, shall return said documents properly executed along with any necessary bond and insurance within TEN WORKING DAYS. With the Contractor's cooperation, if this period can be reduced, it will assist in acceleration the execution of the contract documents. The Contractor, by virtue of signing the Contract, acknowledges that he and all his subcontractors have satisfied themselves as to the nature and location of the work, the general and local conditions, including, but not restricted to, those bearing upon transportation, handling, access to the pick-up and disposal sites; and the character of equipment and facilities needed to perform the work. Failure on the part of the Contractor to completely or properly evaluate any factors of his costs prior to bidding shall not form a basis for additional compensation if he is awarded the Contract. If for any reason, not acceptable to the County, the Contractor does not perform, the County shall have the right to levy liquidated damages against the Contractor. Liquidated damages shall be assessed against the Contractor for any bid item awarded to him which is not completed and accepted by the County within the number of calendar days specified in the Contract. Liquidated damages are accumulative. 17. NOTICE TO PROCEED: The Contractor shall commence work upon this project on the effective date of the Notice to Proceed and perform in a continuous manner until completion and acceptance by the County. For Contracts wherein a specified number of days for completion is stated in the Contract, the effective date of the "Notice to Proceed with Contract Work" will establish the "beginning date" of the project. 18. TERMINATION OF CONTRACT: This Contract may be terminated by the County, giving up to ten (10) days written notice to the Contractor; said notice shall be sufficient if delivered to the party personally or mailed by certified mail to his mailing address as specified on the accepted Bid. DV Specs --Page 7 If the Contractor fails to begin the work under contract within the time specified, or fails to perform the work with sufficient workmen and equipment or with sufficient materials to insure the prompt completion of said work, or shall perform the work unsuitably or cause it to be rejected as defective and unsuitable, or shall discontinue the prosecution of the work, or commit any act of bankruptcy or insolvency, or allow any final judgement to stand against him unsatisfied for a period of 48 hours, or shall make an assignment for the benefit of creditors or from any other cause whatsoever shall not carry on the work in an acceptable manner, the County may give notice in writing to the Contractor. If the Contractor, within the period specified in such notice, does not proceed in accordance therewith, then the County shall have full power and authority, without violating the Contract, to take the prosecution of the work out of the hands of said Contractor, to appropriate or use any or all materials and equipment as may be suitable and acceptable, and may enter into an agreement for the completion of said Contract according to the terms and provisions thereof, or use such other methods as shall be required for completion of said contract in an acceptable manner. 19. FINAL CLEAN-UP: Upon completion of the work specified herein and before acceptance and final payment shall be made, the Contractor shall remove from the sites all machinery, equipment, surplus and discarded materials and temporary structures. All disposal of materials, rubbish and debris shall be made at a legal disposal site. 20. DISPOSAL SITES AND FEES: Contractor is responsible for disposal of all derelict vessels included in this contract and must make arrangements for legal disposal. It is the responsibility of the Contractor to pay all disposal fees incurred, and such removal related costs should be considered when bidding on this contract. The Contractor will deliver the derelict vessel to the disposal site, where staff must be able to verify the derelict by its Florida Marine Patrol derelict vessel number or by some other means. It is the intent of this contract to remove derelict vessels from their present sites a legal disposal site. A legal disposal site is either the Long Key Landfill -Monroe County, MM 68 1 /2, Long Key, Florida 33001, 305-664-9315, other landfills in neighboring counties or any other location for disposal as long as the FDNR Disposition Certification Form (attached) is fully documented. If a signature cannot be obtained on Florida Department of Natural Resources Disposition Certification, the Contractor must contact County Representative for written approval and instructions. 21. PROOF OF PROPER DISPOSAL AND NOTIFICATION TO MARINE PATROL: Contractor must submit prior to receiving any payment: A receipt for each vessel including the date of disposal, the Florida Marine Patrol Derelict Vessel Number, disposal site location, and the telephone number, title, and signature of person at disposal site verifying delivery of said derelict vessel. A County Disposition Affidavit is also required to be signed by the Contractor. If vessel is not identifiable and/or if the derelict vessel number is not visible. Recipient of debri should provide detailed receipt showing type and description of debri received. If person delivering vessel to disposal site is other than contractor a written DV Specs --Page 8 23. PUBLIC ENTITY CRIMES: Upon entering into the contract, the Contractor agrees to sign and endorse the Public Entity Crimes form (attached). 24. NON -COLLUSION AFFIDAVIT: Upon entering into the contract, the Contractor agrees to sign and endorse the Non -Collusion Affidavit form (attached). 25. DERELICT VESSELS AT ISSUE: The derelict vessels listed on the Derelict Vessel Bid Response Form shall be removed and disposed of by the Contractor in accordance with the provisions of these Specifications. H:\A\BIF-DV\DV-1993\SPECS.NEW DV Specs --Page 10 Monroe County Disposition Affidavit Directions: As outlined in the Contract for Removal and Disposal of Derelict Vessels, the Contractor must submit an affidavit to the COUNTY, along with an original invoice, for all vessels which are removed and disposed. The following forms and format must be used. Send the completed affidavits to: Kim Blanco Monroe County Extension Service Public Service Building 5100 College Road Stock Island Key West, FL 33040 This is to certify that I, the undersigned contractor or his authorized representative, did remove and dispose of the following vessels in conformance with the Contract for Removal and Disposal of Derelict Vessels. Vessel's 5-digit Identification No. Company Name Brief Description of Disposed Vessel Typed or Printed Name of Contractor/Representative Signature of Contractor Representative & Date Witness & Date 1 %SV*ir4V%00.ry..rc Date Removed Notary Public Printed Name: Sworn to and subscribed before me this day of ,199 My Commission Expires: OFFENSE INCIDENT REPORT NARRATIVE CONTINUATION ................................................................................DERELI.CT....VESSEL....#....09- 113'� ZONE -L 1..........REG....... .......................................................................................................................................... .I S I --a � �-tt LENGTH 4© FT.; POWER: N� ... .....-..................................................................................... ................. HULL.... MATERIAL: ......................................... WOOD FIG METAL OTHER S-ct= � t_, MAKE_:. Je-stG ........................... ;....TYPE COLOR: METJrL� �L .................................L....l.........t....K.......l.-.....4...e.�..?..�...n...l....l.......l................................. ......' ........r................................................................ ............. 2. VESSEL OWNER: .................................. ........................... ..0 ........................ ..� 3. EXACT LOCATION: .......................................................................................................................................... 1-� r ........... ...s.... ........4-5.4..4.7...5....................................................................... .............................................................................. ..... NAU.Z'.Cn,.t_.--.&A.1LC-FS..... 5._.E....... .....Bu.�..�.A. C>.....B.l t.t�................................. 4. ................................ CONDITION: WRECKED ►- ; JUNKED ; DISMANTLED ; ABANDONED W.................................................................................... ........................................................................................................................... t— Q......................................................................................... zQ 5. ................ SUBMERGED I o o ...................................................................................... ....................................................................................................................................................................................................... IN 8 FT. OF WATER OR AFLOAT t-A A OR ON SHORE, ............................................................................. BELOW MEAN HIGH WATER LINE , ................................................................................................................................................... 10. ENVIRONMENT ENDANGERED? YES NO ............................................................................................................................................. ..................................................................................................................................................... 11. TOWED WITHOUT REPAIR? YES NO uw-e'_ UNKNOWN ..............................................................................................................I.......... 12. RECOMMENDED DISPOSITION: LANDFILL OTHER hC__ _ .................................................................................................................................................................................. A<<i.4.F.1�,� a+. l.....1Z. E �.F' ................... .................... Lu F Officer(s) Reporting (please print) Officer's Signature � I t� �,Ct t-r,Tm �.. c)PuZ- 3tS tct , 4^c_ 4.5 ►¢- Reviewed By: iR 4' er's i npt ` R c Date Number Arrested OBTS mbar Original ❑ Supplement ❑ DNR 20-045A FMP (6/91) Page 1 of 3 OFFENSE INCIDENT REPORT NARRATIVE CONTINUATION ZONE a ...................... ..LOCATION:.........1.4..<a.2.8.....8.../.....4...3..4.4.7....5.....� ............................. ............................. O. R. P..J J........R—V.0.AN.G................................................................................................ t. (2) "a%J'TrCAL. M%L_V-S S.E. 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I 1 , i 14 '•is a �9}7 _ o d\1r' I \_Pin( !3 8 171 • •i' PA I�j 16 ly �, 1 ' ` 1J • T"� 4' 7 .,70. I a J -.' H/ B'Nn ..••• K.r. - 1 9 Lq� 16 �'. •'I� �9&1 p 1 '10 . 7 Al 8. 7 i .: 4 I Il ►t..•r K r 17`i4_ n 5 7 l7/ 16 w IS li? S 7 q [•� 5' 1' IJ111.0 0 Z C,3 4 g / •b Y9 p 19 ) 9 9 1 (\ t2 �J P, M7- } I .'P" I K•. F.. 5� �.. ,7 1 4 PA13 \ Pn S ISP 1 9 11 10 :: '} ,.e., r1 K•r 7 6 �• 1 9 S 19 SC.r.mCS K Co le 3 ,eA°.. tAy 4l7 <Y 7---12 .Il.l �11_ 10 (� 12 9 M 2 '�S� 4 .Obiu K• e '%\/ \ IB 14 d 3 17 .ay 9 �J Ib7—�'13� 21I' 5 '..1•-�J.,l.. >>. 'I VYS / .. ..2bv`h�>n 213 W I 2 9i0 l3 23 ^' I 9 ]? i. an j�3 �7 20 J9 S21 l 20 95_ . S. - !_' N•hi. N i3 -7 � . 21 25 <3 I , ; I �.> ' 1 `3. ... 24 1^: .-S - .d 11 24' T 50, 45' j SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA S] S, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTTER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to AA tin OZ� e--oy a e y [print name of the public ntity) [print individual's no for 5/1A17- 7 [print name of entity and title] sworn statement] whose business address is J/) /S.v 2,4 q A / , /v/ham x r__ v %L and (if applicable) its Federal Employer Identification Number (FEIN) is 2 C d 6 S t( j (If the entity has no FEIN, include the Social Security Number 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 United E tates, 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 misrep-esentation. 3. 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. 4. I understand that an "affiliates as defined in Paragraph 287.133(1)(a), Florida Statutes, means: 1. A predecessor or successor I 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 a pooling of equipment or income among persons when notfo.r 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. 5.' 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 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. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn Istatement. [indicate which statement applies.] Neither the entity submitt ng this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employe�ss, members, or agents who are active in the management of the I entity, nor any affiliate of the efttity 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. 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. [attach a copy of the final order] i I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC 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 PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. 4� [signature] 2.171 STATE OF COUNTY OF B V--1 PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, affixed his/her signature i [name of individual signing] in the space provided above on this / day of My commission expires: Notary public, State of Florida Nly Commission Expires 61larch 241995 handed Thu Troy Fain • Insurance Incq Form PUR 7068 (Rev. 04/10/91) NOTARY PUBLIC NON -COLLUSION AFFIDAVIT Of Ly ,o according to law on my oath, and under penalty of perjury, depose and say that; 1) I am ���{� >^� 6.t. lj'�6jLGr ?'41y /)i /, the bidder making the Proposal for the pro ect described as follows: 2) the prices in this bid have been arrived at independently 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 competitor; 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, to 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 competition; 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. (Signature of Bidder) STATE OF �� �� ��ct 104 --/ 7 —,E3 COUNTY OF L�� `c- DATE PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, (name of individual signing) affixed'his/her signature in the space provided above on this � � day of 19 ' _ NO AubR4 Slap ei F%rldn My Commission Expires March 24, 1995 landed Thr„ Troy fain .Insura,K,,ng. NOTARY PUBLIC' My commission expires: FROM LAVENDER 9 ASSOCIATES 02.23.1993 10t20 r'• D , Cectincot6 of Lsmwa►sco b[ONROH COUNTY ,tn.1/f/tffh tf lf.f oaf..► •Ar1tA to a* 64"W 1Kt pNnfkt ►rwwM I t 04a stfiflust. We 1t19bult tf hrw/tnft tr Woo tv ll.t xfYnuw 1W1044 /At wry bst � x .f1 '9 w.l 1.t• t.vwJ.r n 00 f.wn,t n wl W uw we.I" W" blty ww.r ...l.•r.. L.S. Duke A:�PontIn Spirit Towing DBA: 1�tdrdY cap+tl'�+Itcsnrranne�acavlrlMat�o i Sea Ton Florida Keys. PO Box 244 Big Pine Key a4, 1eatrA Glbbal Insurance Compan rltwt ►tar 4►uf n WWlANb Ab aWl Ot AOWig1 Lavender & Associates, Inc. Cum ►tur►C 14 813 Turner Road Tampa, FL 33625 CA �tr turf n Uls Is to ccrtifr that list Insurance policy listed Imtow have been Itsucd to the Insured and are onforectt nt tbib ittftc. It is ag►ccd ding nnno of tihttie t1011c1ta lMill ITC Cancelleti of C111flAttl Whhout providlnK 11 days W11111:11 nnllee of such eA1leollallcm td Cloom I* to M< nmr. riflunty, I'larkla. W LCI1Ra you W WbU N 911 IOU& NUMON ►OL 1rr 061V 1t/L I CI PAU At& W4111 44 1110UShNl1t `A GenondUAWilly XK crimmortim General liability d Claims Mato XX occurenca 9 3- 0 74 2-22-9 02-22-9 ac»crAlA re vie 0001,000 11roduewComp/Ops A r to $30 0!, 000 rcnonsl Al Adveniping 000I!, 000 D Vwricr's a Contnaora rrolmlyc O X,CA Caveman 1lntb Occurnneo =300., 000 11re 11Amfl a tnr apt fry t 50•, 00 0 G Mead loth tropcay Pamago ltrltical Rspwlre � 5, 000 0 Inutytondiint Controc►om p 111ankc! CAntnctua) fMy fans lfl►talr �� ftjF V�r� Automubiic UablUtr nattily injury 44 �1;ttaCtk' O Any Auw (Mcb prlt un) Q NI Owned Autos (rAch Accldcnt) i're n f1aMWta t O khoduled Autos Iloditr Injury and rraperly s O f tfrod Autos name s Con/tilned D • N0110" tl Autttl '• E +:'�ri`�^, ?.?Y,', ' :;+ .; fM ;Tn y ? lccost uabluir O Umbrella (form O outer than Umblellit farm • Q Clalfns Matto iittcilly Itljuq• and Property vamage Clmtbtnai t+ � O tti►rltnee wurkcn' Compensation and n M'ltrkers' Cnnt nttlInpX sutul 4lnrfip rs' IJattlQty 1 imltlorcts, thbillry.s Other 1 COnln►enUt monioc County, rlVdal, and A104000 COunif lloord of Courtly Cop►mlutoncn are nafibed as Additional Insurtds wish #"Pete to Ole Gentral U Unity, Vehicle Ilabtlbs, ants Ixems 1Jahllb 1011ettr. MwwfAWwdt•.rA.wfl.Y� Monroe Courtly $100411cp Road Kryvesi n wfo-im Datoosstlld 02-22-9;- Aulololiiao 1tt ,tnlaltrel B.A. ruce 1�totfrcoc, 14813 Turner Road Taml F:. 3 TVk�hef►at, �8-�._._r.. 13 : 44 -i u,rtiftcatc Of LAXSOilraiicc 9.­j .,, t.. .—M.— in• -00446 enUw t_w�" POW919"." In .1. 0.. 1-04f- 14-4 0,11— tllftfA 64 A- 1 cohli-Allsirrus ArMTMING COV11t IAG 179 MD ADDREM of Disuka), GS Duk L . e H. Pontin Spirit Towinq PRA c;p;% Tow CAmpkeir L,?%ti A Bw*erx ShippersPllorilil?w Keys- w) Pox N4 — Big Pine Key, Key west, F1 33043 NAM[ Nan Anbk= Of AOI'.Hcyz II Professiowl Insurance Center, inc. 2003 W. Kemady Blvd. T-dirpa, FlnriAm .1,3606 Mir IIto certify 14m I ht; Ins%Ars etc policIc-, tiracd below have bcf!n is: kimi to vie inw fret and are (:;itfjrccd at this 0 :tK, it is agrccct ti,m none 1.11 these tx,i6cwill he cancelled r'), clianp.ca witlic-w wmvl(firlF 15 11,"Y9 %k'ri,.tccj nodre of %xvii r.)nre-v.iiinn atcliiinw to Mc­L­ County, DUCY NUM11rit rot, rj-T I)AW NDS 7"M 01 INSUMINCx i N I 10L 9N T, AU what-, i A canare'l J'abillij C) comnic(clal lrj:Dcral liability C3 0aimS 1v1.",(JC 0 0M'rc('= 0 X,C,%), coveropcs Ll 13puaLl FOMI, Property Vainage E3 IndcrxMIC111 COMI-actOr" Awo.11LObift Uabilily 0 my Auto C3 Ali owncd Autus wlcuull-1 Autut). Non-Owneld autos IbEtc!,s liability cl Umbrerra I Grol 0 L)Lhc,, than VmU;'cllA F01M 0 Claims Mach: L3 0ce"rerace Worws' coonpenworl ind 0 CrL0117819 110-29-94 4-29-92 Octicr-M A irl Mc __ I.-i . rrcv,lurts-Cclrnp1/0r-S s Aggrepic — I— s,tiwnai 6% Adv(;rt6l(lts I s Fre r)An%.)Ki: t.—yC., II-) hicicticall 1;"n&c (TIoch Verson) s (Each Ac'Mcnq ProrwMY OvVimme Lwilf Injury and lrrt)pcny s 300 11tam-tAn. Combined IkAlly Injury ant! Ilmperij, DA;U;lgc UrntAnel,d -1 'Walikers, c: -0. - ln+uevjs with F"pm to tile 0 Coup -all lsftw. Mir Wucdi Y, elwl'llary 19 Mcnzgc Coomy Midi u I L.-t tmll�ti k Ell T3_6 66 .)100 cotge Komi A;JCJrcu,-- - - - Key Tot. FL 330404399 Tellephonc'..'(813) 251-4900 Fl,'Xt iill Q54,76- 6 ' NEW HAMPSHIRE 1N �URANC1= (;I:0UP Sea Tot, llteI.11.3L.1ollaj. - I1).` Ijrallco 111-ograw Cortific,lLe of' Irlsuriallce This Declarations Paee, along with Policy Provisions and Endorsements, if any, issued to form a part thereof, completes the below numbered policy of the New Hampshire Insurance Company, A Capital Stock Company. Master Policy Number: CV 826-1122 P.ffect..ive Date: 01/01/93 Expiration Date: 09/15/93 Additional Insured: SPIRIT MARINE TOWING & ASSISTANCE dba SEA TOW FLORIDA KEYS 1501 W. INDIES DRIVE RAMROD KEY, FL 33043 Navigation Area: Warranted confined to the use and navigation of coat_i1 :atc and wat-urs t.r•il,utary thereto of the atlantic Ocear; and Gu:f of :-lexico, iilcludir,g the Bahamas, between Eastport. and Brt wnsvil l.e, TX nct to exceed seventy-fivtr miles from the nearest point of land. Laytrp: Warranted the .insured vessel shall be laid tip and out.. of commission and not ul-ed by the insured for• any purpose other thin Pmergency respoiicc t• :i t the requv-s t. of ?:Ile - Coast Guard for Lh,-, period listvd l�c,1,)N. Vesse] De �rri i ,__A reed V>al �i­ Rt,duci 11,1 e La_y I 1975 ';l'ACi'CkAF'1• 10000 1 500)-- �!0 L 1974 THUNDERBIRD 24 10000 1500 N0Nh 1980 SPIRIT 34' 6000 1 500 i;:)tic, Protect iort and lr,d-tnnit.y: Llntiis of: 1risurartc:t�_.: 1'e9sort:: Covered Under P & I Cal) ",IIu 1 .1 F' t� ; ; 5001 C,,l,( a 1 11 Crew: P w 1 $500000 1 Crt�:a 1)edt_tc t.1 1.)1 i1 $ 1000 The following forms a•re, part of the policy: 53--R(1976) Amer•ic..an 'Inst.it.tite Tut; P•>rm SP-23(1956) Prote ctiot -and .Indemnity 2;-A(1976) P011111 ion Fxcltr:;ion Clttn:ce 63 Col l i s iort Clause (Ittc . Towers Li.abi l i ty) 87P 46(1959) Strikes, Riots, and Civil Commotion IMD484 (1.985) Aniondatory Endorsement IMD435(1985) Crew P & I Additional for -in (Inc. only if an x appears next to form it) ( )25(1976) Poll"t ion Buyback Clause Mortgagee (s) : I'remi um: NONE Ito 1 1. $1536 P & 1 1977 Total $3513 Pro-kata Premium t.o 9/15/9 1- $2473 ucT►orr�eel Itugrert:entat r e JCVLr1l�.AT iUV:i S t r)USINl:SS AUTO POLICY ;1 BC)K 2510 • burhng;oc. PJ.C. 27215 AMENDED DECLARATION—* '� EFFECTIVE 10/29/92 SUPERCEOES ANY PRIOR WITH THE SAME NUMBER 9 I R�AS'ON FOR AMENDMENT CtANGE INSUREDS NAME :FL 0117819 01 FROM 10/29/92 TO 04/29/93 _ICY PERIOD— 12:01 AM STANDARD TIM1E AT THE ADDRESS OF STATED HEREIN. ;JKE H PONTIN 79A SEA TOW FL 'J BOX 244 BIG :EV--WEST, FV_ SPIRIT TOWING KEYS PINE KEY RENEWAL OF POLICY CFL 0117819 000325400 THE NAMED INSURED PHONE # (813) 251-4900 PROFESSIONAL INSURANCE 2003 W. KENNEDY BLVD TAM'PA, FL 336 0 6--1563--- CTR INC INSURANCE AFFORDED IS ONLY WITH RESPECT TO SUCH AND SG MANY OF THE FOLLOWING /ERAGES AS ARE INDICATED WITH RESPECT TO EACH DESCRIBED VEHICLE. THE LIMIT OF COMPANY'S LIABILITY AGAINST :EACH SUCH COVERAGi: SHALL BE AS STATED HEREIN, IJECT TU ALL THE TERMS OF THIS: POLICY HAVING REFERENCE THERETO. SCHEDULE OF COVERAGES AND LIMITS OF LIABILITY COVERAGES FULL —TERM PREMIUM1' /PD LIABILITY $3�00,000 COMBINED SINGLE LIMITS $613.00 ;IC PIP WITHOUT WC $10,000 LIMIT EACH PERSON $33.00 i NON OWNERSHIP LIABILITY 300900C CSL $19.00 HIRED AUTO] ',LIABILITY 30C,000 CSL $19.00 'ACtiM1ENT IDENTIFIED BY FORM NUMBER ; 839 0591 , CV 21 0591 , C 23 59 0891 ISSUE CATE 11)04/92 TOTAL TERM PREMIUM $684.00 0591 , CV 24 0591 , CV28 C591 , UThCRILED REPRESENTATIVE- yy s f= ii 1 1 i ti j `f _ �'?mot J i" C L A R' AT i „N------- -- hill kel shippers 'US INLSS AUTO PUL.ICY B-min ,ton. N C. 2215 AMENDED DECLARATION-* * EFFECTIVE 10/29/92 RE.NFWAL CF POLICY S`JPERCEDES ANY PRIOR WITH THE SAVE 4'1UMb-_K CFL 0117819 REASON FOR AM-NOMENT CHANGE INSUREDS NAME :FL 0117819 01 FROM 10/29/92 TO 04/29/93 000325400 _ICY PERIOD- 12:01 AM STANDARD TIME AT THE ADDRESS OF THE NAMED INSURED STATED HEREIN. 'UKE H PONTIN SPIRIT TOWING 16A SEA TOW FL KEYS 19 BOX 244 BIG PINE KEY ;LY- WEST -FL- ---------- - -- �3rJ43- PHONE_ 9 (813) 251-4900 PROFESSIONAL INSURANCE CTR INC 2003 W. KENNEDY BLVD TAMPA, FL -- =33606-.1563----------- -- INSURANCE AFFORDED IS ONLY WITH RESPECT TO SUCH ANC SU MANY OF THE FOLLOWING !ERAGES AS ARE INDICATED WITH RESPECT TO EACH DESCRIBED VEHICLE. THE LIMIT OF COMPANY•S LIABILITY AGAINST EACH SUCH CGVERAGE SHALL 8E AS STATED HEREIN, '.SECT TO ALL THE TERMS OF THIS POLICY HAVING REF+ERC-ONCE THERETO. SCHEDULE OF COVERED VEHICLES � STATED AMOUNT j ST TER YR DESCRIPTION SERIAL NUIMCER SYM RAD INC CUSTOM PARTS US== � 1 FL 032 80 TRAILER 127713 04 100 2000 Com FL 032 77 CHEVftOLET BUMP CCE517V122452 91 1010 2000 Coo LIABILITY PREMIUM BY VEHICLE � i MED PIP ? 3I/PD PAY UM/UIM DEDUCT PREM MED EXP/INC LOSS 1 $119 $7 ! $494 $26 PHYSICAL DAMAGE PREMIUM{ BY VEHICLE j CUMP OR SPEC PERILS COLLISION ON -HOOK VEH TYPE DED PREM DED PRi=i� LIMIT DED PREM TOTAL 1 $126.00 $520.00 .Shippers Ciurl,n;rton. N C. 71-15 �f_- C 1- A R A Tl ON S rJUSINESS AUTO POLICY AMENDED DECLARATION—* * EFFECTIVE IU/29/92 RENEWAL OF POLIO SUPERCEDES ANY PRIOR WITH THE SAME NUMBER CFL 0117el REASON FOR AMENUMENT CHANGE INSUREE.S NAME ;FL 0117819 01 FROM 10/29/92 TO 04/29/93 C003254OG _ICY PERIOD— 12:01 AM STANDARD TIME AT THE ADDRESS ',F THE NAME-0 INSURES STATED HEREIN. PHONE 9 (D13) 253-4900 :UKE H PONTIN SPIRI7 TOWING PROFESSIONAL INSURANCE CTR INC )BA SEA TOW FL KEYS 2003 W_ KENNECY BLVD )0 BOX 244 BIG PINE KEY TAMPA, FL ZEY—W ST; iF 33ts0-S=-1563-- 3 3Z5 *T_—__U SCHEDULE Of DRIVERS t SR22 DRIVER NAME LICENSE # DOB REQ DUKE H PONTIN P535166532870 08/07/53 N !'RANDI S PONTIN P535061565240 01/24/56 N i INSUREDT COPY •. HUS INESS AUTO POLICY AM=NDED DECLARATION-* � `FF=ECTIVE 10/29/?t � � R2:: JEWAL 4t SUPERCEDES ANY PRIOR WITH mt AMF '4UtJtictl CFL REASON FOR AMENDMENT CHANGE INSURECS NAME :FL 0117319 01 FROM 10/29/92 TO 04/29/93 G _ICY PERIOD- 12.01 AM STANDARD TIME' AT THE ADDRESS OF THE NAMED INSURED STATED HEREIN. 'UKE h PONTIN SPIRIT TOWING ►A ScA TOW FL KEYS 16 BOX 244 BIG PINE KEY :EY -WEST FL- ----------- --- --- - - - PHONE k (61:3) 251-4900 PROFESSIONAL INSURANCE CTR INC 2003 W. i(i=NNEDY BLVD TAMPA, FL OF A C C O U N T—-- 7REMIUM THIS TRANSACTION........ $C.00 ,,COUNT BALANCE ................. $0„00 THANK YOU FOR LETTING US SERV& YCU' i INSURED'S COPY CFL01117819 010E DIRECT BILL INSR BUKF H PONTIN SPIRIT TOWING OBA SEA TOW FL KEYS CcrtiGca.c of Iusnraricc MONROE COUNTY In eonsidersden or the pcesaluw chsr`ed on the Iruunnce policies shown. In "s « cdnute, Ws « rtificste of Insur snee Is Issued to the « rdncate holder shown below. 'Mis cerditnte do not ►nand, =tend or aw the e-s" Worded by the policies listed below mcept as shown below. NAM6 AND ADDRESS OF INSURED: COMPANiPS AFFORDING COVERAGES • Company t. w A I • Company Iwer B NAME AND ADDRESS OF AGENCY: Company I.tier C Company Letter D _ Company I.tier E nis is to certify that the insurance policies listed below have been issued to the insured and are enforced at this time. It is agreed that none of these policies will be cancelled or changed without providing 45 days written notice of such cancellation of change to Monroe County, Florida. CO LLTTER ME OF INSURANCE -T POLICY NUMBER rOL EFF DATE FOL L1F DATE ALL IJMM Li MOUSANDS General liability General AF,gregatc S ! Products-Comp/Ops $ 1 O Commercial General liability D Claims Made D Occurence Aggregate Personal & Advertising i $ O Owner's & Contractors Protective Injury Each Occurrence $ O X.C.U. Coverages Fire Damagc (My one Fire) S O Broad Form Property Damagc Medical Expense S D Independent Contractors O Blanket Contractual (My One Automobile liability Bodily Injury S O Any Auto (rich Person) $ D All Owned Autos (Each Accident) Property Damage $ D Scheduled Autos Bodily Injury and Property $ O hired Autos Damage Combined O Non -Owned Autos Recess liability Bodily Injury and S O Umbrella Form Property Damagc O Odicr than Umbrella Form Combined O Claims Made D Occurrence Workers' Compensation and Vo;kers' Compensation Statutory Employers' liability Employers' liability f Other 1 ` Comments: Monroe County. Florida, and Monroe County Board of County Commissioners arc named as additional insureds with respect to the I General liability, Vehicle liability, and I3ccess liability Policies. Jf Date Issued: Monroe County Authorized Representative: 5100 College Road Address: KeyVest. FL 33040-43" Telephone: VEHICLE LIABILITY C 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: $100,000 Combined Single Limit (CSL) $ 5,000 Medical Payments If split limits are provided, the minimum limits acceptable shall Cbe: $ 50,000 per Person $100,000 per Occurrence $ 25,000 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. L#A WI 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 Definit:ron of Property Damage 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 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. 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. y GL1 C 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 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: $100,000 Bodily Injury by Accident $200,000 Bodily Injury by Disease, each employee $200,000 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 C 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. WC1 N WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR .• CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Recognizing that the work governed by this contract involves maritime operations, the Contractor's Workers' Compensation insurance policy shall include coverage for claims subject to the Federal Jones Act (46 U.S.C.A. subsection 688) with limits not less than those specified for Employers' Liability. The Contractor shall be permitted to provide Jones Act Coverage, through a separate Protection and Indemnity Policy, in so far as the coverage provided is no less restrictive than would have been provided by a Workers' Compensation policy. ad. WCJA WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Recognizing that the work governed by this contract invotves railroad operations, the Contractor's Workers' Compensatton insurance policy shall include coverage for claims subject to the Federal Employers' Liability Act (FELA) (45 U.S.C.A.) with limits not less than those specified for Employers' Liability. The Contractor shall be permitted to provide FELA coverage, through a separate Railroad Liability policy, in so far as the coverage provided is no less restrictive than would havEI been. provided by a Workers' Compensation policy. WCFELA WATER CRAFT LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Water Craft Liability Insurance with terms no less restrictive than those found in the standard "American Institute Hull Clauses"(June 2, 1977 edition). Coverage shall be maintained throughout the life of the contract and include, as a minimum: o Injury (including death) to any Person o Damage to Fixed or Movable Objects o Costs Associated with the Removal of Wrecked Vessels o Contractual Liability with Respect to this Contract If the policy obtained states that coverage applies -for the "Acts or omissions of a Vessel", it shall be endorsed to provide coverage for the legal liability of the shipowner. The minimum limits acceptable shall be: $500,000 Combined Single Limit (CSL) Coverage provided )3y a Protection and Indemnity Club (P&I) shall be subject to the approval of 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. WL1 Rev 1 4/14/92 CINDEMNIFICATION AND HOLD HARMLESS AGREEMENT FUR ALL CONTRACTS WITH MONROE COUNTY, 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 attorney's fees) which arise out of, in connection with, or by reason of services provided by The Contractor or any of its subcontractor(s) 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. In the event the completion of the project (to include the work of others) is delayed or suspended as a result of the contractor's failure to purchase or maintain the required insurance, the contractor shall indemnify the County from any and all increased expenses resulting from such delay. 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. It IND 1 b Rev 1 7/01/92 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 11X11 will be required in the event an award is made to your - firm. Please review this form with your 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 Compensation_ Limits - WC! -Workers' Employers Liability __Statutory $100,000/$200,000 WC2 Employers Liability $200,000/$500,000 _WC3 Employers Liability $500,000/$1,000,000 WCUSLH US Longshoremen & Same as Employers' Harbor Workers Act Liability WCJA Federal Jones Act Same as Employers' Liability WCFELA Federal Employers' Same.as Employers' -Liability Act (FELA) Liability INSCKLST 1 Rev 1 7/01/92 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 of Property Damage Required Limits:- GL1 X $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 GL2 $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; $5,000 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. INSCKLST 2 Rev 1 7/01/92 VEHICLE LIABILITY As'a minimum, coverage should extend to liability for: o Owned; Nonowned; and Hired Vehicles o Medical Payments Required Limits: VL1 X_ $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 BR1 Builders' Limits equal to the Risk completed project. MVC Motor Truck Limits equal to the maximum Cargo value of any one shipment. PR01 Professional $500,000 per Occurrence PR02 Liability $1,000,000 per Occurrence PRO3 $2,000,000 per Occurrence P0L1 X_ Pollution 4 $500,000 per Occurrence .^.a P0L2 Liability $1,000,000 per Occurrence POL3 $2,000,000 per Occurrence WL 1 % Water Craft $500,000 per Occurrence WL 2 Liability $1,000,000 per Occurrence GK1 Garage $ 300,000 ($25,000 per Veh) GK2 Keepers $ 500,000 ($100,000 per Veh) GK3 $1,000,000 ($100,000 per Veh) INSCKLST 3 Rev 1 7/31/92 MED1 Medical $ 500,000 MED2 Professional $1,000,000 MED3 $5,000,000 IF Installaion Maximum value of Equipment Floater Installed VLP1 Hazardous $100,000 (Requires MCS-90 q ) VLP2 Cargo- $500,000 (Requires MCS-90) VLP3 Transporter $1,000,000 (Requires MCS-90) BLL Bailee Liab. Maximum Value of Property HKL Hangarkeepers Liability $10,000,000 AIR1 Aircraft $25,000,000 AIR2 Liability $10,000,000 AIR3 $ 5,000,000 AIR4 Aircraft $10,000,000 Training INSURANCE AGENT'S 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 STATEMENT 4 I understand the insurance that will be mandatory if awarded the contract and will comply in full with all the requirements. Bidder Signature INSCKLST 4