Install 10 Buoys Little Torch KeyCONTRACT AGREEMENT
AGREEMENT, MADE THIS I t1r*) day of 1995, by
and between SPTRTT MARTNE Tow = A -("Contractor"), and
ASSISTANCE
the BOARD OF COUNTY 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:
1. The Contractor shall furnish all the materials and
perform all the work as required by the Specifications for the
installation of 10 buoys to be placed off of Jolly Rogers
Estates, Little Torch Key. A list of buoys to be installed is
attached as Exhibit A.
2. The work to be performed under this contract shall
commence immediately from the date the Liaison provides the
Notice to Proceed and shall be completed by NovENBER 30, 1995
3. If the Notice to Proceed has not been given on or before
OCTOBER 20, 1995 then this agreement shall be -null arld
vl
void.
C71 o
4. The work to be performed under this Contract is adntipigent
Pi
-J
upon approval of appropriate grant funding from the Florida
-a rn
Department of Environmental Protection, Boating Improvement Fund
70
and Special Waterways Project Program. The Contractor
acknowledges the contingent nature of the State
funding and agrees that, if these grants are denied, the
Contractor may not make a claim for compensation under this
agreement or by way of estoppel, detrimental reliance or
otherwise.
Page 1 of 5
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 letter of the specifications are
understood by the Contractor.
5. The Board shall pay the Contractor the total sum of
$4,237.00 for the installation of 10 buoys.
Payment shall be upon completion by the Contractor and acceptance
by the Board, subject to the terms and conditions of the
Specifications (attached as Exhibit B) and this contract.
6. The attached List of Buoys and Specifications together
with this Agreement form the Contract. They are fully
a part of this Contract as if repeated herein verbatim.
7. The Contractor covenants and agrees to indemnify and
hold harmless the 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 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,
errors, or other wrongful acts or omissions of the Contractor or
its Subcontractor(s) in any tier, their employees, or agents.
The purchase of the insurance required in paragraph 12 does not
vitiate this indemnification provision.
Page 2 of 5
8. The Contractor acknowledges his/her intention to comply
with the need to coordinate all work with the appropriate
permitting agencies, the Florida Marine Patrol, and the County.
9. The Contractor agrees that the receipt of the Notice to
Proceed from the County does not relieve his responsibility to
ensure that appropriate permits have been obtained by the County
prior to the initiation of work. The Contractor must inform the
appropriate permitting agencies prior to initiation of
work.
10. The parties agree that timely performance of this
agreement is essential. Therefore, the parties agree that the
contractor shall be liable to the Board for $100 per day of
liquidated damages for each day after NnvPmhar 3n, 1995
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.
11. 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.
12. The CONTRACTOR will be responsible for all necessary
insurance coverage as indicated by an "X" on the attached forms
identified as General Insurance Requirements and INSCKLIST 1-4,
as further detailed on forms WC1, WCJA, GL1, VL1, & WL1, attached
as Exhibit C. All policies must list Monroe County as additional
insured with the exception of the Worker's Compensation policy.
Page 3 of 5
13. A person or affiliate who has been placed on the
convicted vendor list following a conviction for public entity
crime may not submit a bid on a contract to provide any goods or
services to a public entity, may not submit a bid on a contract
with a public entity for the construction or repair of a public
building or public work, may not submit bids on leases of real
property to public entity, may not be awarded or perform work as
a contractor, supplier, subcontractor, or consultant under a
contract with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO ($10,000.00)
for a period of 36 months from the date of being placed on the
convicted vendor list.
14. The Board may terminate this agreement with or
without cause at anytime upon giving the Contractor a minimum of
ten days in writing. The Contractor, upon receipt of the
notice in writing, 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.
Page 4 of 5
e
IN WITNESS WHEREOF the parties hereto have executed this
Agreement the day and year first written above.
BY: zL
w rtJ��
TITLE: OWD
FIRM: Spirit Marine Towing & Assistance
(Seal)
Attest:
Witness
BOARD OF COUNTY COMMISSIONERS
OF MONNROOE COUNTY, FLORIDA
BY:
MAYOR/CHA MAN
(Seal)
DAM;Y L KCLHA= Cif&
Attest:
Page 5 of 5
Attachment A
Proposed Markers for Jolly Roger Estates
Slow Speed Minimum Wake Zone
No. on
Aerial Wording Latitude Longitude
1 N-facing side: Resume Normal Safe Operation 240 39' 16.6928" 810 23' 03.9283"
S-facing side: Idle Speed, No Wake
2 Idle Speed, No Wake
240 39' 20.2010"
810
23' 04.204"
3 Idle Speed, No Wake
240
39' 23.7091"
810
23' 04.4797"
4 Idle Speed, No Wake
240
39' 28.1039"
810
23' 05.0514"
5 Idle Speed, No Wake,
240
39' 32.4986"
810
23' 05.6231"
6 Idle Speed, No Wake
240
39' 36.2325"
810
23' 06.0715"
7 Idle Speed, No Wake
240
39' 39.9664"
810
23' 06.5119"
i
8 Idle Speed, No Wake
240
39' 43.7004"
810
23' 06.9682"
9 Idle Speed, No Wake
240
39' 47.0289"
810
23' 07.21835"
10 S-facing side: Resume Normal Safe Operation 240 39' 50.3574" 810 23' 07.4685"
N-facing side: Idle Speed, No Wake
We wish to mark the water immediately adjacent to Jolly Roger Estate Subdivision on Little Torch Key as
an "idle speed no wake" zone. The area to be marked is about 0.6 miles long and is a dredged canal
along the subdivision. We plan to place 10 buoys, spaced about 400 feet apart along the east edge of the
canal. Sheet 2 is an aerial photo with the proposed locations of the buoys. All buoys will be in compliance
with existing Coast Guard and Florida Uniform Waterway Marker specifications and will have the county
ordinance number and permit number.
Applicant: Monroe County Commissioners Purpose: To mark an "idle speed no wake zone"
Water Body: Newfound Harbor Channel
County: Monroe Original work ® Maintenance ❑
Datum: Description of proposed markers. See Sheet No. 3 of 3
sheet no. 2 for placement of markers. Date: April 19. 1995
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--�, \-''FIxED BRIDGE\I�y.
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I
24' JOINS CHART . 1445 221
Applicant: Monroe County Commissioners
Water Body: Newfound Harbor Channel
• Monroe
Datum: Genf.1 NOAA
chart #11448, 1992, Scale1111
Purpose:
Original work ® Maintenance
Sheet No. 1 of 3
Date: April19.1995
J____9Se 3'YZ G CAP-L S)
Attachment B
SPECIFICATIONS FOR THE
INSTALLATION OF BUOYS TO CREATE A BOATING RESTRICTED AREA
IN JOLLY ROGER ESTATES, LITTLE TORCH KEY, MONROE COUNTY,
FLORIDA
All bouys must have FDEP permit #95-051 and County Ordinance
#042-1994 on them. This should be included as part of the
contractors bid price.
Buoys must be US Coast Guard approved as recognized regulatory
spar buoys (see attched drawing of buoy). These buoys must have
high visibility and be a minimum of 36" above the mean high water
mark. Exterior must have ABS exterior, internal ballast, and be
completely urethane filled. All buoys must have stainless steel
swivel shackle at the base of the buoy with a double pin,
attached to a 5/16" in diameter stainless steel chain (length of
chain will be determined by location of buoy). Chain must be
attached to a stainless steel U bolt with a stainless steel
locking shackle. 'Also attached to the stainless steel eyebolt
must be 2' of 1/2" nylon line with a 6" polyethylene float.
If the above mentioned attachment hardware will not conform to
bottom conditions, hot dipped galvanized hardware may be
substituted. If there is the possibility of electrolysis
occurring the two metals must not have contact. This can be
achieved by encasing the chain in all clear pvc polyester
reinforced tubing. Due to variation in bottom condition please
research all options for a system that will produce the best
results. Some bottom conditions may require a manta anchoring
system or auger system be used instead of an eyebolt. This will
be acceptable. Please keep anchoring system as uniform as
possible.
It is the contractors responsibility to conduct a site inspection
of the area and if at all possible dive any or all sites that are
of concern to the contractor.
GENERAL CONTRACT SPECIFICATIONS
FOR INSTALLATION OF AIDS TO NAVIGATION
AND REGULATORY BUOYS/SIGNS
1. SCOPE OF WORK: The Contractor shall be responsible for
providing all 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 installation
must satisfy the requirements of these Specifications and
and any necessary environmental permits.
2. 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 the the work specified, and
that all work will be performed in accordance with the best
commercial practices. A list of the equipment to be used
and a description of the installation procedures to be
followed must be provided to the County at the Prework
Conference Aescribed 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 quadrupled in
accordance with safety provisions of the "Manual of
Accident Prevention in Construction", published by
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 becomes 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.
3. ASSIGNMENT OF CONTRACTOR 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 there under, 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. Nothing contained in
the Contract Documents shall create any contractual
relations between any subcontractor and the County. All
subcontractors shall abide by the terms and 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.
4. LICENSE, POLLUTION CONTROL ACT AND TRAFFIC PROVISIONS:
The Contractor 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 that may
be required,. 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.
5. INSURANCE: The Contractor must obtain all insurance
required by the County and submit proof of same to the
County prior to contract approval by Board of County
Commissioners but not 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 certificated
of insurance for review by the County's Risk Management
Division.
Certificates of Insurance: provide proof that the
Contractor has obtained the insurance coverage required
in paragraphs a,b,c,d,and e below.
a. Worker's Compensation Insurance required by
Florida Statutes.
b. General Liability Insurance in the amount of
$300,000 .
C. Water Craft Liability Insurance in the amount of
$ 500,000 .
d. 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 per occurrence for Bodily Injury
and Property Damage combined.
e. Federal Jones Act Coverage.
All insurance policies required above shall be issued
by companies authorized to do business under the laws
of the State of Florida. All policies must list Monroe
County as additional insured with the exception of the
Worker's Compensation Policy.
6. 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 or shortly
thereafter.
If the Contractor should be delayed in the progress
of the work included in the Contract by unforeseeable
cause 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 Commissioner. 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:
a. To any duly issued order by the County or the
State Department of Environmental Protection
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.
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 her 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 of
full force against the Contractor.
7. CHANGES AND INSPECTION: The regulatory buoys
herein considered are to be installed 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 of his subcontractors, employees and agents of
every kind.
All work and every process and operation shall be
subject to inspections at all times, by the County
and their representatives shall have free access to
all aspects of the work. The Contractor shall
remove, or make good, as may be directed, without
charge, any defective buoys. 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 if the
Contract.
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.
9. CONTRACT AWARD: The County reserves the right to
evaluate the submitted bids and to award a contract to
bidder other than the bidder submitting the lowest bid.
10. 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 install
the listed regulatory buoys.
11. 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 ,
shall return said documents properly executed along
with, if applicable, 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 of 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 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.
12. NOTICE TO PROCEED: The Contractor shall commence
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 "Notice to
Proceed with Contract Work" will establish the
"beginning date" of the project.
13.TERMINATION Of CONTRACT:This Contract may be
terminated by the County,without cause,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.
14. FINAL CLEAN-UP: Upon completion of the work specified
here in 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.
15. Certification! Bidder must also certify, upon
completion,of the project, all installations were in
accordance with these specifications, the Florida
Department of Environment Protection Marine Patrol, and
the Coast guard permit requirements as specified in the
"Specifications for the Installation of Aids to
Navigation" and associated attachments.
16. PAYMENT:Payment will be upon completion by the Contractor
and acceptance by the Board of County Commissioners
Contractor must submit complete documentation,
including the required photographs for the work for
which payment is being requested. The Contractor must
provide transportation, upon request by the County
representative, to the installed site for review of
work either in progress or completed.
In addition, property, public or private, if damaged
during the work or removed for the convenience of the
work, shall be repaired or replaced at the expense of
the Contractor in a manner acceptable to the County
prior to final payment for contracted work.
17. NON -COLLUSION AFFIDAVIT: Acceptance of the Bid is
contingent upon receipt of the signed and endorsed Non -
Collusion Affidavit form (attached).
18. ETHICS CLAUSE: Acceptance of the Bid is contingent
upon receipt of the signed and endorsed Ethics Clause
form (attached).
19. DRUG FREE WORK PLACE FORM: Acceptance of the Bid is
contingent upon receipt of the signed Drug Free Work
Place form (attached).
Attachment C
April 22. 1993
lcl Priming
�IONROE COUNTY, FLORIDA
INSURANCE CHECKLIST
FOR
VENDORS SUBMITTING PROPOSALS
FOR WORK
To assist in the development of your proposal, the insurance coverages marked with an "?i" will
be required in the event an award is made to vour firm. Please review this form with your
insurance agent and have him/her 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
E%4PLOYERS' LIABILITY
X Workers' Compensation Statutory Limits
WC I Employers Liability $100,000/$t00,000/$100,000
WC2 , Employers Liability $500,000/$500,000/$5001000
WC3 Employers Liability$1,000,000/$1,000,000/$1,000,000
WCUSLH US Longshoremen & Same as Employers'
Harbor Workers Act Liability
WCJA x Federal Jones Act Same as Employers'
Liability
Adminidtmlive )rr4n)okn INSCKLST
H4709.01 6
,ernit 22. 1991
Ih Prinliny
GENERAL LIABILITY
As a minimum, the required general liability co\,erages will include:
• Premises Operations Products and Completed Operations
• Blanket Contractual Personal Injury
• Expanded Definition
of Property Damage
Required Limits:
GL1 X $100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
GI-2 $250,000 per Person; $500,000 per Occurrence
1$50,000 Property Darnage
or
$500,000 Combined Single Limit
GI-3 $500,000 per Person; $1,000,000 per Occurrence
$100,000 Property- Damage
or
$1,000,000 Combined Single Limit
Required Endorsement:
GLXCU Underground, Explosion and Collapse (XCU)
GLLIQ Liquor Liability
All endorsements are required to have the same limits as the basic policy.
Administrative Irntmcikm
h4709.01
INSCKLST
N
April 22. 1991
1 h Prin inr
VEYLICLE L,IABLLITY
As a minimum, coverage should extend to liability for:
• Owned; Nonowned; and Hired Vehicles
Required Limits:
VL l x
VI-2
VL3
MVC
PRO
PR02
PR03
POLL
POL2
POL3
EDl
ED2
GK1
GK2
GK3
MED1
M ED2
M F.D3
$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Sins -de Limit
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Darnage
or
$300,000 Combined Single Limit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Sin0e Limit
MISCELLANEOUS COVERAGES
Builders'
Limits equal to the
Risk
completed project.
Motor Truck
Limits equal to the maximum
Cargo
value of any one shipment.
Professional
$ 250,000 per Occurrence/$ 500,000 Agg.
Liability
$ 500,000 per Occurrence/$1,000,000 Agg;.
$1,000,000 per Occurrence/S2,000,000 Asia.
Pollution
$ 500,000 per Occurrence/$1,000,000 Agg.
Liability
$1,000,000 per Occurrence/S2,000,000 Agg.
$5,000,000 per Occurrence/S 10,000,000 Agg.
Employee
$ 10,000
Dishonesty
$100,000
Garasze
$ 300,000 ($ 25,000 per Veh)
Keepers
$ 500,000 (S ] 00,000 per Veh)
$1,000,000 ($250,000 per Veh)
Medical
$ 500,000/$ 1,000,000 Agg.
Professional
$1,000,000/$ 3,000,000 Agg.
$.5,000,000/$10,000,000 Agg.
AdminiArative Irtelrvciion INSCKLS't'
114709.01 1 K
1ptit 22. I`I73
Iq Printing,
IF
Installation
Maximum value of Equipment
Floater
Installed
VLPI
Hazardous
$ 300,000 (Requires MCS-90)
VLP2
Cargo
$ 500,000 (Requires MCS-90)
VLP3
Transporter
$1,000,000 (Requires MCS-90)
BLL
Bailee Liab.
Maximum Value of Property
HKLI
Hangarkeepers
$ 300,000
HKL2
Liability
$ 500,000
HKL3
$ 1,000,000
AIR]
Aircraft
$25,000,000
AIR2
Liability
$ 1,000,000
AI R3
$ 1,000,000
AE01
Architects Errors
$ 250,000 per Occurrence/$ 500,000 Agg.
AE02
& Omissions
$ 500,000 per OccurrenceJ$1.000,000 Ate*.
AE03
$ 1,000,000 per Occurrence/$3,000,000 Agg.
WL1 _x
Watercraft Liability $500,000 _
AGENT'S
STATEMI EN'r
�LNISURANCE
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
I understand the insurance that will be mandatory if awarded the contract and will comply in full
with all the requirements.
Bidder
Signature
Adminiamlivc lmtnjdjc,n INSCKLS'f
04709.01 1 9
Air it 22. W93
W 1'rinling
«'ORKERS' COMPENSATION
INSURANCE REQUIREMENT'S
FOR
CONTRACT
BETWEEN
i1ICNROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance w4th limits suiticient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Cmplovers' Liability Insurance with limits of not less than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida and the company or companies must maintain a minimum rating of A -VI, as
assigned by the A.M. Best Company.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, pro,,iding 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 may be required to submit updated financial statements from the fund
upon request from the County.
Administrative i nimclion `NIC I 1
H4709. 1 R
NVORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BET1VEEN
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
Employer's Liability.
The Contractor shall be permitted to provide Jones Act Coverage throxwgh a separate Protection
and Indemnity Policy,, in so far as the coverage provided is no less restrictive than would have
been provided by a "corkers' Compensation policy.
Adrninistr4vc Instruction WCJA
N47D9.1
84
ApTit 22. IT)i
1-1 1'ri w i ng
CENER-1L LIABILITY
INSURANCE REQUIREMENTS
FOR
CO N TRA Ci'
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 n;aintained throughout the He of the contract and
include, as a minimum:
• Premises Operations
• Products and Completed Operations
• Blanket Contractual Liability
• Personal Injury Liability
• Expanded Definition of Property Damage
'fhe minimum Imits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverave 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.
The Monroe County Board of County Commissioners shall be named as Additional lnsuled on all
policies issued to satisfy the above requirements.
Administmtivc intrude, GL I
#4707.1
54
April 2 2. 1993
Isl Prioling
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BET'\ EEN
h10NROE COUNTY, FLORIDA
AND
Recognizing that the Nvork governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimurr>, liability coverage for:
• Owned, Non -Owned, and hired Vehicles
The minimum limits acceptable shall be:
$100,000 Combi.ne�l Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on all
policies issued to satisfy the above requirements.
ndministrativc lnatnrction V L 1
k4709.1 75
Agril 22. 1'37 i
1rl I mving
WATER CRAFT LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETS'! EEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work Loverned by this contract, the Contractor shall obtain
Water Crafl Liability Insurance with terms no less restrictive than ihosc 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 lnininmin:
• Injury (including death) to any Person
• Damage to Fixed or Movable Objects
• Costs Associated with the Removal of NVrecked Vessels
• 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 shipo%kner.
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the
approval of the County.
The Monroe County Board of County Commissioners shall be named as Additional
Insured on all policies issued to satisfy the above requirements.
Adminkmlive IrMrudion \VL I
114709.1 86
NON -COLLUSION AFFIDAVIT
3,�/�O'1 e"�/ � of the
city of according to law on my oath, and
under penalty of perjury, depose and say that;
1) I am ----'i ,the bidder making
the Proposal for (he 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 sta ments contained in
this affidavit in awarding contracts for said pr ' ct.
STATE OF
Signature of Bidder)
COUNTY OF oat
le
DATE
PERSONALLY APPEARED BEFOREfME,�Ondersigned
��' 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 ��F j j , 19
NOTARY PUBLIC
My commission expires:
W COM fCUM UPW
�'..:,, eo�o twq nor runts w, wC.
MCP #1
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
T warrants that he/it has not employed, 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 former Co officer or employee.
6
signature)
Date:
STATE OF
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
'who, after first being sworn by me, affixed his/her
signature (name of individual signing) in the space provided above on this �/ day of
Aa 5 F l , 19 6;w—
NOTARY PUBLIC
My commission expires:
""' QI.ORIA K BLANCO
W coNNmS10N / maw Ono
MCP#4 kbMh 94, IM
pf eoi=rdWVbr*WWWXX0.
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of B
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispens-
ing, 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 ofworking
on the commodities or contractual services that are underbid, 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 occurring 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 the statemen , ertify that this firm complies fully with the above
requirements.
Bidder's Sig ature
o-s--2��
Date
MCP#5 REV. 6/91
`III�II. ER- 1F �:F NS '
PRODUCER
Alan R. Mott Agency, Inc.
184 East Main Street
PO BOX 995
DATE PAM/DD/YY)
NC ash 11/29/94
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Huntington, NY 11743
ARRB
COMPANY
Y-RISA"ANAAIFga Insurance Co. of America
INSURED
ZL
COMPA
Spirit Marine Towing & Assist. BY -
.
COMPANY
Illy
d/b/a Sea Tow Florida Keys
911 West Indies Drive DATE
coM Y
A YES •/
Ramrod Keys, FL 33043
• WAIVER: N
,OVERAGES; :<
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER • POUCY
DATE
EFFECTIVE
(MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL
UABILITY
GENERAL AGGREGATE
E
PRODUCTS-COMP/OP AGG
E
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PERSONAL 6 ADV INJURY
E
OWNER'S S CONT PROT
EACH OCCURRENCE
E
FIRE DAMAGE (Any one fire)
E
MEO EXP (Any one person)
E
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
E
ANY AUTO
BODILY INJURY
(Per person)
E
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
E
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
E
GARAGE LIABILITY
ANY AUTO
Peceiv-�
Risk Mgmt. & )sS
DATE r
COntcol
f
'"
AGGREGATE
AUTO ONLY - EA ACCIDENT
E
OTHER THAN AUTO ONLY:
�.,.
EACH ACCIDENT
E
E
EXCESS LIABILITY
LNMAL
EACH OCCURRENCE
E
AGGREGATE
E
UMBRELLA FORM
STATUTORY LIMITS
E
t <,
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EACH ACCIDENT
E
EMPLOYERS' LIABILITY
DISEASE - POLICY LIMIT
E
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: REXCL
DISEASE • EACH EMPLOYEE
E
OTHER
Protection &
Indemnity
ROYALAP789
11/10/94
11/10/95
$500,00.0.
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECML ITEMS
175 Spacecraft 25' #SPA02753M75L
174 Thunderbird 24' #TNR23086M75C
180 Spirit 34' DOC# 639586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County Board of County
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Commissioners
3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn : Kim Blanco
BUT FAILURO MAIL SUCH NOTICE SHAL IMPOSE NO OBLIGATION OR LIABILITY I
5100 College Road
OF AN KIN THE P Y, S AGE OR REPRESENTATIVES.
AUTHOR DR TI
Key West, FL 33040
ACORD 25-S (3/93)
®ACORD CORPt�RA"TION 993
ROGERS ATKINS GUNTER & ASSOC P0001M BELOW
FOREHAND INSURANCE AGENCY INC COMPANIES AFFORDING COVERAGE
P O BOX 25598 _ .. .......... _.. _ _ __...
TAMPA FL 3 3 6 2 2- 5 5 9 8 CowiwY A
Lean PROGRAM UNDERWRITERS ,INC..................... .
............... _.. ....
........... _.__..
........ ........ __; �pn g
................. ............ _ _ ... ... .....
SEA TOW FLORIDA KEYS compq+r C
DUKE H PONTIN SPIRIT TOWING
P 0 BOX 244 BIG PINE KEY �� D
KEYWEST FL 33043 .... __............. ........................... __................
LcmfiTrr F.
:.:
SHOULD ANY OF THE ABOVE DESCRMEM POUM BE CANCE-LED SEFORe T"l
VWMATM DATE THEREOF. TW MUM COMPANY WILL ENDEAVOR TO
MONROE COUNTY BOARD OF COUNTY MAL 3 0 oArs wRrtEN Nance To THE csm"CIITE HOLDER NAMED TO THE
COtr MI SS I ONERS KIM BLANCO LEFT, BUT I - MAW To MAIL SUCH NOTICE & Am wPoW NO OBUCATION OR
5100 COLLEGE ROAD LiA KnY OF ANY X= UPON THE COMPANY. RS AoaMrs OR IIE/IM ITATIYE7
KEY WEST FL 33040
Y FORE
DD (B)