Channel Marker #6 Cow Key Channel\m
CONTRACT AGREEMENT
AGREEMENT, MADE THIS ZCL day of 1994, by and
between, Spirit Marine Towing & Assistance ( "Contra for") , I nd . thd�
z
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of €he
County of Monroe, State of Florida ("Board"). 7
The contractor and the Board, for the consideration nanted,
agree as follows:
1. The contractor shall furnish all the materials
and perform all the work as required by the attached
Specifications for the replacement of Channel Marker 16
in Cow Rey Channel
2. The work performed under the contract shall commence
immediately from the date the Liaison provides the Notice to
Proceed and shall be completed by August 31, 1994
3. If the Notice to Proceed has not been given by the
Liaison to the contractor on or before rfiy 22. M4
then this Agreement shall be null and void.
4. The work performed under -the contract is contingent upon
appropriate grant monies from the Florida Department of
Environmental Protection Special Waterway Projects Program. If
this grant is denied, this Agreement shall be null and void. The
contractor understands the rules of the Department of
Environmental Protection 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
1,800.00 for the replacement and or repair of channel
marker# 6 in Cow Key Channel
Payment for the work shall be upon completion.by the contractor
and acceptance by the Board, subject to the terms and conditions
of the Specifications (attached as Exhibit A) and this contract.
6. The attached Specifications, 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, arisising out of, connected with, or resulting from this
Agreement.
8. The contractor acknowledges his/her intention to comply
with the need to coordinate all work with the appropriate
environmental agencies, the U.S. Coast Guard, and the County.
9. The contractor agrees to supply the County with a
photograph of the corrected aid to navigation along with a
letter certifying completion of work. The contractor will be
responsible for the camera, film, and development costs. The
contractor also agrees to provide transportation for the Liaison
to inspect completed project.
Page 2
10. The contractor understands and agrees that no payment
will forthcoming for this project without required photographs
and written certification of completion.
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 replacement or repair to the channel
marker.
12. The work must be completed by August 31, 1994 _
13. 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.
14. The contractor will provide General Liability
insurance in the amount of $ 300,000 , Workers
Compensation Insurance as required by Chapter 440, Florida
Statutes and Federal Jones Act (46 U.S.C.A. subsection 688) with
limits not less than those specified for Employer's Liability,
Watercraft Liability in the amount of $ 500,000 , and
automobile insurance in the amount of $ inn,nnn
15. The Board may terminate this Agreement with or without
cause at any time upon giving the contractor up to 10 days notice
in writing. The contractor, upon receipt of the notice, shall
immediately cease work.
Page 3
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 that is 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: �
(Seal) t -
Q� rW,
Title
Attest:
Firm
Witness
BOARD OF COUNTY COMMISSIONERS
OF MONTE)COUNTY�, FLOW
_
BY:
vor/Chairman
(Seal)
Attest: DANNY L. YOLHAGE, Clerk
Clerk
4
Page 4
0
a EXHIBIT A
SPECIFICATIONS FOR THE REPAIR/REPLACEMENT OF AIDS TO
NAVIGATION IN COW KEY CHANNEL, MONROE COUNTY, FLORIDA
Specifications for installation of treated wood piles complete
with U.S Coast Guard approved Daybeacons, in the locations indi-
cated are in the enclosed materials.
A. DAYBEACON PILES:
1. Pile shall be of timber treated with chromated copper
aresenate (C.C.A.).
2. Pile shall be of timber which will stand the driving for
which they are intended.
3. A straight line drawn from the center of the butt to the
center of the tip shall not at any point face further
away from center of the pile than a distance equal to 1%
of the length of the pile.
4. Minimum butt diameter = 12" measured 3' from end.
Minimum tip diameter = 811.
5. Piles to be sufficient length to provide a minimum of
four feet. penetration into existing sea floor and the
base of the daybook's must be eight feet above mean high
water.
6. Pile shall be driven or best installation practices used.
B. DAYBEACONS.:
Daybeacons to be constructed and erected as indicated on the
enclosed sketches and documents. There are two dayboards per
daybeacon.
1. Construct all daybeacons as noted in the U.S. Coast Guard
Specifications enclosed.
Nay. Aids Specs. --Page 1
SEVENTH COAST GUARD DISTRICT
PRIVATE AIDS TO NAVIGATION STANDARDS
DAYBEACONS (UNLIGHTED BEACONS)
AND LIGHTS (LIGHTED BEACONS)
SHAPE:
Dayboards on lights have the same shapes as those on
daybeacons.
Starboard hand dayboards have a triangular shape.
Port hand dayboards have a square shape.
Safe water dayboards have an octagonal shape.
COLOR OF DAYBOARDS:
Starboard hand, triangular dayboards are red.
Port hand, square dayboards are green. =
Safe water, octagonal dayboards are red on the right half and
white on the left half.
see "RETROREFLECTIVE MATERIALS" for colors of letters and
borders.
CHARACTERS:
See "DIMENSIONS" for the correct size and distance from the
base or lower apex of the dayboard.
Red starboard hand triangular dayboards have even numbers.
Green port hand square dayboards have odd numbers.
Safe water dayboards are not numbered but may be lettered for
identification purposes. Letters should be sized and placed in
the same way as numbers. However, letters on safe water
dayboards should be centered in the red, right half.
FLUORESCENT AND RETROREFLECTIVE MATERIALS:
Fluorescent background material and retroreflective numbers,
letters, and borders, although optional, should be used on
dayboards. Retroreflective numbers, letter, and borders should
be the same color but a contrasting darker shade) as the
background material; alternatively, numbers and letters may be
white.
The signal characteristics of paint are relatively poor, but
use of paint is not prohibited. If paint is used, then numbers
and letters are white.
DIMENSIONS:
DAYBOARDS: The
(nml). Applicants may
minimum acceptable dimensions are for a nominal
establish larger sizes
range of 1/2 nautical mile
If they wish. retroreflective numbers, Optional
letters, and borders
fluorescent
background and
are encouraged.
All dimensions
are
In Inches.
NOMINAL TYPE
RANGE
SIZE • NUMBER/
DISTANCE DAYBOARO
RETROREFLECTIYE
(nml)
DAYBOARD LETTER SIZE
BASE TO NUMBER BASE
BORDER SIZE
(single) (double)
(single) (double)
(optional)
PORT
MAIO
1/2 Square
side length-18 e 6
5
4
1.5
I Square
side length-36 12 12
12
12
2
2 Square
side length-48 16 16
16
16
3
3 Square
side length-72 24 24
24
24
4
STARBOARD HAND
1/2 Triangle
height-24 8 6
5
width* -24
4
1.5
I Triangle
height-48 12 12
10
7
width* -48
2
2 Triangle
helght-72 16 16
16
12
width* -72
;
S Triangle
helght-96 24 24
ZO
14
width* -96
4
SAFE WATER
I Octogon
height**-46 12 8
211eee
21***
S
width** -48
side length-20
3 Octogon
height**-96 16 12
42ee*
42ee*
6 '
width** -96
side length-40
e Width at base of the triangle '
et Width/height from
slde to the opposite side
into Distance from the
lower apex to the letter bete
(DIMENSIONS continued)
STRUCTURES: There are not required dimensions,, materials,
fastenings, or designs for structures supporting dayboards and
associated lights. No particular height above'Mean high water is
mandated.
Permitees should insure all aids to navigation are established
consistent with prudent, sound engineering practice and the harsh
nature of the marine environment. The following sketches are
for general reference and should be modified to suit the
circumstances.
LIGHTING EQUIPMENT ON LIGHTS (LIGHTED BEACONS):
COLOR:
Lights on starboard hand lighted beacons are red.
Lights on port hand lighted beacons are green. _
Lights on safe water beacons are white.
LIGHT NOMINAL (VISUAL) RANGE:
The minimum visual range of a light is one nautical mile.
Depending on the circumstances a greater range may be permitted,
required, or prohibited.
FLASH CHARACTERISTICS:
Red and green flashing lights are laterally significant and
usually flash (light off longer than on) regularly with a
frequency of not more than 30 flashes per minute. When special
caution is necessary, such as sharp turns, obstructions, wrecks,
etc., quick flashing lights (60 flashes per minute) may be used.
White lights on safe water beacons flash in a Morse Code "A"
rhythm (short -long flash).
SIDED DIMENSIONS
These are general recommendations and may be adapted to specific
circumstances. They should also be modified as necessary to meet the
requirements of prudent sound engineering practice and the demands of the
marine environment.
in
T, IT'tU LL1-1
act MOTC L
OV.tMARK It;ltl L.a•s
TOP
O. PILIE •
1
ITcv Lt-: _
�i�i4 FILICR
xc .ats:
• : ��axT
•�� p�.vualrC ITcu La•s :Ttw �-s^
PILE 1 reki Ltr. -L at
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MATERIAL LIST
Item
uantit
Mtaterlals
Size
LII-1
2
6061 Aluminum also bolts nuts d washers
1%2" X "
L11-2
LII-3
1 (optional)
2
Concrete restresed length es requlred
Dayboard
10" X 10"
Slze as needed
L11-4
2
t06l Aluminum alloy bolts nuts d washers
— -- —�---
112" X 141,
LII-5
1
►+�, pressure treated length as required
12" dia.
Mote 1: All aluminum bolts meet recognized standards for marine use.
Note2: Place a 2" X 4" tiller wl11 be placed between daymarks and the pile
at the upper rNil1 ronnertlon 10 provide n 1(ve fjAr)rAA 0,!,f nrA 11,.
.s
PORT AND STARBOARD MARKERS
(nominal range, 1 nmi)
Port
2" GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER '
-
'x `=.`. • 12" GREEN
(OPTIONAL RETROREFLECTIVE)
NUMBER
Starboard
.. Y :.. GREEN
(OPTIONAL 2" RED
1 - FLUORESCENT (OPTIONAL RETROREFLECTIVE)
-3•-� FILM) BORDER
(OPTIONAL
12" RED
RETROREFLECTIVE) =!- `�• -
NUMBER
RED
t 1LNi)
4'
2" GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER
GREEN (OPTIONAL
FLUORESCENT FILM)
I
8" GREEN
(OPTIONAL RETROREFLECTIVE)
NUMBERS
2" RED
(OPTIONAL RETROREFLECTIVE)
BORDER
(OPTIONAL RETROREF12" RED
LECTIVE)
NUMBERS
RED
(OPTIONAL
F'L.L�0PESCFNT 7
4'
*For 2 numerals, use 12" numbers at a height of 12" off base.
"For 3 numerals, use 8" numbers at a height of 12" off base.
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute
287.087 hereby certifies that:
(Name of Business)
1. Publish a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a
controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for
violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the
workplace, the business's policy of maintaining a drug -free
workplace, any available drug counseling, rehabilitation, and
employee assistance programs, and the penalties that may be
imposed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or
contractual services that are under bid a copy of the statement
specified in subsection (1).
4. In the statement specified in subsection (1), notify the
employees that, as a condition of working on the commodities or
contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of
any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation
occuring in the workplace no later than five (5) days after such
conviction.
5. Impose a sanction on, or require the satisfactory
participation in a drug abuse assistance or rehabilitation
program if such is available in the employee's community, or any
employee who is so convicted.
6. Make a good faith effort to continue to maintain a
drug -free workplace through implementation of this section.
As the person authorized to sign
this firm complie's fully with the
MCP#5 REV. 6/91
the statement, I certify that
above requirements.
idders Sign tune
7
Date
of 71.0 e=-
NON -COLLUSION AFFIDAVIT
�o
of the -ei-ty
according to law on my oath, and
under penalty of perjury, depose and say that;
1) I am the bidder
making the Proposal for the project 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.
STATE OF --J , en`
(Signatur of Bidder)
_7_6-9V
COUNTY OF '//' ! d'3 0 DATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
j
r�. �d"��� 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
My commission expires: NOTARY PUBLIC
r Nofary Pu6fi4 Stafe of Porick
Wly Commission Expires March 24, 104f
Bonded Th,. T-y rain . huoroo, Inc
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
warrants that he/it has not employed,
Y ,
retained or otherwise had act on his/its behalf any former County officer
or employee in violation 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 form County off' r or employee.
�7 (sig ture )
Date:— / — 49 r 6��
STATE OF ��-
COUNTY OF /T//O�✓�d�
Subscribed and sworn to (or affirmed) before
me on % (date) by
/� %jA �� v�✓7`' ( name of of f iant) .
He/She is, personally known to me or has produced
( type of identification)
Ir Notary Public, State of Pon-&'
JAy Commissioi Expires W..c_; ch 24, 110T
t._ §wded Thru Troy Fa;n - 1- , lec.
as identification.
�NOTARY PUBLIC /A
MCP#4 REV. 2/92
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.
J /
1. This sworn statement is submitted to �'//'/d�%�ofd�✓T
[print name of the public entity]
by 2S �A �� - ' / a .✓711 �
[print individual's name and title]
for � / �73 1 /— :/� ;�F
[print name of entity submitting sworn statement]
whose business address is
� e - : 2 �,o "r
and (if applicable) its Federal Employer Identification Number (FEIN) is * .
(If the entity has no FEIN, include the Social Security
,N/u`m/ber of the individual signing this sworn
statement: ,
2. I understand that a "public entity crime" as defined in Paragraph 287.133(lxg), 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 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, racketeerini, conspiracy, or material misrepresentation.
3. I understand that"convicted" or "conviction" as defined in Paragraph 287.133(l)(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 "affiliate" as defined in Paragraph 287.133(l)(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" includesthose 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 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(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 it 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 'nformation and belief, the statement which I have marked below is true in relation to the entity
submit ' g 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 and 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. [attach a copy of the final orderl
I UNDERSTAND THATTHE SUBMISSION OF THIS FORM TOTHE CONTRACTING OFFICER FORTHE PUBLIC
ENTITY IDENTIFIED ON 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, FLORID STATUTES
FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS%FORM. -
Sworn to and subscribed before me thiday of
Personally known
OR Produced identification
(Type of identification)
Notary Public - State of
My Commission expir Nti
ofoy Pubs, Pau of Florida
Commission xpwres 24, 1905
flooded Thm Troy rain. iuuranu 6,
(Printed typed or stamped
commissioned name of notary public)
0
Form PUR 7068 (Rev. 06/11/92)
0-'1ti1 . ,'j-, t,- _ - _ ,- .01
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THIN UgHnF1CATE IS ED A9 A Marna OF INpORMATM ONLY AND
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ROGERS ATKINS GUN?'ER & A IS C pOLOtC DaL ,
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QL1GICa OP N*VRANCE LISFED ULOW HAVE BEEN ISSUED TQ THE INSURED NAMPI) A96va FOR TIIC POuOY'PE11100
INDCATE1 NOTWITH07ANDM ANY AHOUIRCMENT, TERM OR QQNQITI9N OF ANY CONTRAOT OR �T R Dpl;Uwg� WITH REBDiCT TO WH10N rAll
is TIR e I UAY BE ISSUED OR MAY PERTAIN, THE INdURANCE AFFORDED BY THE POLICIES DEBGRIBEn MEREIN 10 SUBJECT TO ALL TIIt TERW
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MONRCE C*7 Y BOARD OF COUNTY
C'OMN.,ATi'NI KIM BLANCO
S100 COLLB 2 RD
KSY WtST F7, 33040
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AV'01:11.. _C_EFL `IFIC.-.1 a OF INSURANCE
-" 1/27/94
' WODUZER
THIS CERTIFICATE IS IS-SIIE6-AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brisotti & Silkworth, Inc.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Main Road, Box 1448
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING -COVERAGE
Mattituck NY 11952
COMPANY
A New Hampshire
M�URED
COMPANY
Spirit Marine Towing & Assistance
B
dba Sea Tow Florida Keys
COMPANY
1501 W. Indies Drive
____
COMDPANY
Ramrod Key, FL 33043
THIS IS TO CERTIFY THAT THE POLICIESOFINSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AEfOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
--
CO TYPE OF BISURANCE
LTR I
--
POLICY NUMBER
�_
i POLICY EFFECTIVE! POLICY EXPIRATION,
DATE (MWDDIYY) DATE (MWDDIYY)
LIMITS
(IiiLX
GENERAL AGGREGATE S n
PRODUCTS-COAIP/OP AGG
f n a 1
COMMERCIAL GENERAL LIABILITY
I
PERSONAL S ADV INJURY 1 f n $ --�- �--
EACH OCCURRENCE f
CLAIMS MADE OCCUR
OWNER'S i CONT PAOT
CV8261122
9/15/93 19 / 15 / 9 4
A_
-protection &I
Cert 25
DAMAGE (Any one fina
) f 1
FIRE - - —�
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ludes In
MED EXP (Any one person) f
AUTomowE LYmury
ANY ALTO
COMBINED SINGLE LIMKf I f I
ALL OWNED ALTOS
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THE PROPRIETOR' INCL i
PARTHER&EXECUTIVE Cert 25
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OFFICERS ARE. ; EXCL
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Pollution I CV8261122
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9/15/93 9/15/94 Limit $500,000
Liability j Cert 25
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VE5CNrTMN OF
Monroe
County,Florida and Monroe County Board of
County Commissioners are named as Additional Insured with respect to the
Protection & Indemnity and Pollution liability coverages.
!MOULD ANY OF THE ABOVE DESCIBBED POLICIES BE CANCELLED BEFORE THE
Monroe County Board of County
KXPI LTM DATE THEREOF, ,,,E OURM COW,w„ MILL ENDEAVOR TO MAIL
Commissioners,c/o Extension Service
i�-DAYS 1MW"MNO=TOTHECOMMATEMUM MUM TOTHELEFT.
Attn: Kim Blanco
BUT FARAW TO MAL BIICN NOTICE SHALL BLFwE No OKJ"T= OR LJAML ITY
5100 Collage Road
OF AM KM LIFON THE COWANY, ITS PAINIM ON RBFROEMMflM[B.
Key West, FL 33040
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ex�MAT10N OAt}. TI1RM'(MI, 7FN IIa,:INQ COMPANY WML ENLT.A -!A Tp
MAL -IL wt Yt pw wi NU X% TQ THI CIATMOATS HOLDER NAWD it) IRE
n< l,kol. AUT FALURE Ta *4 suew m toE "LL )wogs )dp 0xU"ttO� on
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ro.nti�,;••�,I'I��:tl,l:, v;; =T,,RENEWhL DECLARATION THERE IS, NO GRACE PERIOD.
IF PAYMENT IS NOT RECEIVED BY :04/29/94 YOUR
COVERAGE WILL EXPIRE.
I
CFL 0117819 04 FROM 04/29/94 TO 10/29/94 E 000325400
POLICY PERIOD- 12;01 AM STANDARD TIME AT THE ADDRESS OF THEE NAMED INSURED
AS STATED HEREIN. t
NAMED INSURED
PHONE # (813) 201-4900
;
DUKE H PONTIN SPIRIT TOWING PROFE$$IONAL INSURANCE CTR INC
DBA SEA TOW FL KEYS 2003 W, KENNEDY;BLVD
PO BOX 244 BIG PINE KEY TAMPA, FL
KEY WEST, FL 033043 33607
THE INSURANCE; AFFORDED IS ONLY WITH RESPECT TO SUCH AND SOIMANY OF THE FOLLOWING
COVERAGES AS ARE INDICATED WITH RESPECT TO EACH DESCRIBED VEHICLE. THE LIMIT OF
THE COMPANY'S LIABILITY AGAINST EACH SUCH COVERAGE SHALL Bt AS STATED HEREIN,
SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO,
SCHEDULE OF COVERED VEHICLES ,
VEH STATED AMOUNT
NO $x TER YR i3ESCRIPTTON SERIAL NUMBER SYM RAD INC CUSTOM PARTS USE,
001 FL 032 80 TRAILER 127713 04 100 2000 COM
002 FL 032 77 CHEVROLET DUMP CCE617V122462 91 100 2000 coM
LXABILITY PREMIUM BY VEHICLE
i
VEH MED PIP
NO BI/PD PAY UM/UrM DEDUCT PREM ; MED EXP/INC LOSS
001 $111 $7
002 $520 $27 }
f
PHYSICAL DAMAGE PREMIUM BY VEHICLE r
VEH COMP OR SPEC PERILS COLLISION ON -HOOK VEH
NO TYPE; DED PREM DED PREM LIMIT DED PREM TOTAL
001 $118.00
002 / $547.00
1
INSURED COPY