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Install 7 Channel Markers Coco Plum ChannelCONTRACT AGREEMENT AGREEMENT, MADE THIS %g' day of -Abi"., 1995, by and between, Spirit Marine Towing & Assistance ( "Contractor") , and 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 attached. -n �z Specifications for the installation of 7 (seven) Channel Markers in Coco Plum Channel. 2. The work performed under the contract shall commence ri n immediately from the date the Liaison provides the Notice 'C'p o -7 Proceed and shall be completed by November 30. 1995 4. The work performed under the contract is contingent upon grant funding from the Florida Department of Environmental Protection Boating Improvement Fund. If grant funding is denied,then no compensation is due under this contract. The Contractoracknowledges the contingent nature of the State funding and agrees that, if the grant is denied, the Contractor may not make a claim for compensation under this agreement or by way of estoppel, detrimental reliance or otherwise. 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 $in,498.00 for the installation of 7 (seven) channel markers in corn Plum 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 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 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 13 does not vitiate this indemnification provision. 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. Page 2 s 9. The Contractor agrees to supply the County with a set of photographs of the installed aids 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. 10. The Contractor understands and agrees that no payment will be made 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 installation of channel markers. 12. 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. 13. 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 INSCKLST 1-4, as further detailed on forms WC1, WCJA, GL1, VL1, & WL1 (attached as Exhibit B). All policies must list Monroe County as additional insured with the exception of the Workers Compensation policy. Page 3 14. 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 a 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 ($3,000.00) for a period of 36 months from the date of being placed on the convicted vendor list. 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. The Board must pay the the Contractor the percentage of the contract price which is proportional to the amount of work performed in a manner satisfactory to the Board up to the date the contractor received the notice of termination. 16. This contract is governed by the laws of the State of Florida. Venue for any litigation arising under this contract must be in Monroe County. Page 4 IN WITNESS WHEREOF the parties hereto have executed this agreement the day and year first written above. BY: pcx� Title 0(SU <LV-- Firm Je ��� ff�kC\N4—L (Seal) Attest: Witness BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA BY: (IL• Mayor/Chair n (Seal) Attest: DAMW L. KOLHA.GA G'leiE Page 5 WW- STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION RETROACTIVE Florida Boating Improvement Program Project Application Project Identification 1. Types of Project: Acquisition Development Planning Launch Site New For Office Use Only Docking Facility Expansion Date Received . Channel Marking _Z Renovation Project Number Other (specify) County Monroe 2. Project Title:____Channel_Marker Installation -Coco Prim Channel 3. Project Location:_nff of Marathon Key, Monroe County, Florida 4. Brief Description of Project:__To -wi?k a channel that is heavily traveled. A11 permits are in order and attached. S. Grant Requested: a Source of Other Funds: sup $_5 , 249 _ 00 Estimated Total Project _ Cost 6. Applicant Identification: Applicant County: Monroe . Located in City of: (if applicable) Liaison Agent Rim Blanco Appointed Representative of Monroe County, Board . of County Commissioners Name of County • Address: Monroe County Community Services 5100 College Rd —Key West Fl 1ID40 Phone No. 05 -4511 7. Signature: - Date: 10-6-95 SPIRIT TOWING 3058722752 P.01 y i .24 Service MARINE TOWING & ASSISTANCE Our Experience will save you Time and Money VIll" Ch. 16 ° D Klim 111anco FAX 2,9?-4417 SLY1'.. 26,199_S Okir bid to install 5 poles and 10 dayboards and replace 4 other dayboards on existing po;zs s�) ;t11 al-e ul iform. The bid price is $10,498.00. i Sincerely, ` DUKE PONTIN • P.O. Box 244 • 819 Pine Key, Florida 33043 (305) 872-2752 st.'iHoLC ro." too PROPOSAL 4► Page Nol o}-1_pages ftl. A _ F. 0. 1OX 904 TAVERNIER, F.A. 33170 -- - PHONE: DATE, PROPOSAL SUBMITTED TO: I 10/2/95 NAME: Joe NAME: Monroe County ------ STREET: STREET: CITY: CITY: STATE: W e here6y submit specifications and estimates for: R e V 1 S e d : n o t e for C h a n n e l —markers. Please except our price revision as of your changes. $16,750.00, with all conditions of tha first contract to , 1l remain. Thanks Jay Prins . Wo t+areby propou to iwnisi+ labor end *Aerials - ctxnpbta in accordance with the above speciticetions, for the rim of: _dollars is , with payrnenl to be made as follows: +ed in a workmeniiict aynner occwdr0 to standard prectites. Any alteration or deviation Afl eutei+al is puarardaed to ba a specified. AM work to be co+npie Iraq, boll tpKiitcatiOnt involving ema tests, will be acaC+slad Daly ttpaa vriSlaa priers, and will become an axlra charge over and atwva the egintata. All b acp ana vrithin_,_ days and is void a0raeonoms confinpent upon strikes, accidar+la er dalaY+ beyond ow central. This pepasal rl;a►eAor at the oWi— -1 tho undersigned. /ue6arised �— ACCEPTANCE OF P44 osAL. The above prices, specifications and conditions are hereby accepted. You are authorized to do'16 work as speeifisd. Payment wig be atade at outlined above. ACCEPTED: Sipnetur• ----- — SPECIFICATIONS FOR THE REPAIR/REPLACEMENT/ OR INSTALLATION OF AIDS TO NAVIGATION , 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 arsenate (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 = 8". 5. Piles to be sufficient length to provide a minimum of four feet penetration into existing sea floor and the base of the dayboard 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 day boards per daybeacon. 1. Construct all daybeacons as noted in the U.S. Coast Guard Specifications enclosed. PROPOSED AIDS TO NAVIGATION COCO PLUM CHANNEL, MONROE COUNTY, FLORIDA No. on Mounting Type of Map Method Sian Latitude 1 Piling Piling 3' 4' square daymark-green triangular daymark-red 24-43-27.5 24-43-27.4 2 3 Piling Piling 3' 4' square daymark-green triangular daymark-red 24-43-38.0 24-43-40.0 4 5 Piling Piling 3' 4' square daymark-green triangular daymark-red 24-43-47.0 24-43-48.0 6 7 Piling 3' 4' square daymark-green triangular daymark-red 24-43-54.0 24-43-54.0 8 9 Piling Piling 3' square daymark-green 24-43-59.0 10 Piling 4' triangular daymark-red 24-44-00.0 Longitude 80-59-37.0 80-59-31.5 80-59-28.0 80-59-22.0 80-59-22.5 80-59-17.5 80-59-23.5 80-59-22.0 80-59-28.0 80-59-23.5 4/ � .7 6 7 4 Co • 7 7 7 '7 7 7 6 2 4 2 7 No --- - `—� �� 'z U.S Hy. :.... zonodf 6 .21 �6 '-will 11 - /DEER F XT Little U 4 Key Crawl 1K E Y 4 1; 1-- .- 31 R Grs jP 3 -6- PA, G.. I R -.15PA IR "Al" PA3 1 7 IR -I PA G 5 Grs ..13- PA -8- PA eer Key I I- 4Ma,ke' G E3 G AL R 9 3S E ;j PA PAI 4\G PA *Pipes 0 1PjXjTr% 2 1 7 Area 7 Coco Drecr-e- 5 BLDG Lo co Pi M 4 9 to S •9 4 3 T, c-A Ole S) A6 h e 0 6 '-7 3 4 9 II ,bm pile A 2 S(2-)6 14 SIG 7 7 rA-y 7 markerfor 17 Proposed marker 9 8 the entrance to Coco plum Channel 16 17 to ;;,, 11 12 14 19 12 S Co I/ S 14 18 12 10 10 t3 12 22 20 20 5 CO/ 15 S CO /26 21 Is Is 17 C 2 14 16 21 17 27 16 17 hrd S 24 14 18 15 20 16 AorkY 26 22 25 26 19 E0 ' A 27 1 3' 0 34 31- 611:✓ 34 31 --- 34 30 • AG 36 35 34 fit 6 f 95 Applicant Monroe County Commissioners Purpose: Place a navigation C�-EP. h1arq Water Body: Plum np original work Maintenance KA^nre-%= 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 shadef 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. •01WLNSIDNS: DAYK kPvS: The Linimum acceptable dl.enslo,s are for a nominal range of 112 nautical Lilo (nml). AppIIcant s may establish larger sizes If they wish. optional fluorescent background and retroreflective numbers, letters, and borders are encouraged. All dimensions are In Inches. NOR I KAL TYPE S I ZE Nu�eUv D I ST ANC D A737Ar27 RETROREFLECT I YE Rtd.GE DATBOAFtO LETTER SIZE BASE TO I:JLeER BASE B,-%C)ER SIZE (nel) (single) (double) (single) (double) (opti(>nal) PDRT riArO 1/2 Square side length-18 6 6 5 4 1.5 1 Square side lenctr.-36 12 12 12 12 2 2 Square side lenc-h-48 16 16 16 16 3 3 Square sloe length-72 24 24 24 24 4 STM230AR7 K)VO 1/2 Triangle height-24 8 6 5 4 1.5 width• -24 1 Tr i.ar._c 1 e ne i ent-48 12 12 10 7 2 width• -48 2 Triangle height-72 16 16 16 12 3 width* -72 3 Triangle helght-96 24 24 20 14 4 width" -96 SAFE WATER 1 oetogon helgh11e-46 12 8 21ffe 21e9e 3 rldth" -48 side length-20 3 Octogon height•0-96 16 12 420fe 42•e0 6 width" -96 side length-40 Nldth at base of the trliengle • O3 Width/helght from side to the opposite side cea Distance from the lower apex to the letter base (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 EOUIPXENT ON LIGHTS (LIGHTED BEACONS): COLOR: Lights on starboard hand lichted beacons are red. Lights on pert 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 Norse Code "A" rhythm (short -long flash). M QED D IMi\S I ORS are general recce-c-,endations an3 r;,By be adapted to specific circumstances. They shoald also b: ma3ifie� as rlec�ssa:y to rt�t t}� rewirefTesound nts of pru3ent er>girYerirg practice an3 tn_ de7ar4s of the rr.-rir>e envirorrent. } ► )LT, t•I L% - I i Z a t r,• • • � �+ ' •_�� � _�� rim Tor fjD j qr- is Lt^ L=S. Ot: t r•,t .1ta 11-t(Cr1,C[.LL) �JJ e 60TTOnt • b i i :o c •i li t MATERIAL LIST Item, Quent I Ty Fl facials Size 1/2` X " 1-1 1-1 2 6D61 Aluminum ell Dolts nuts IL washers L11-2 1 (op IIone 1) Concrete, preslrese4 IenQTh as r..Qulred 10^ X 10" Lii-3 2 De board Slze as needed LII-4 2 6061 Aluminum alloy t,iJSt nuts, b washers 1/2" X 14" LII-5 1 Wood, pressure treated length as required 121, die. Mote 1: Al aIuminum bolts meet recognIZed slandards for mar Ina use. . . w- ., I t Port l -' J-1 12" U ---3'--0-; 3' PORT AND K"%PJ1=PS (nominal ranee, 1 nmi) 2" GREEN - (OPTIONAL RETROREFLECTIVE) BORDER 12" GREEN (OPTIONAL RETROREFLECTIVE) ER m � ,.�--. Starboard (OPTIONAL (CPTIONAL RETROREFLECTIVE)�'� FLUORESCENT BORZI :�a, FILM) ^`i712" RE-D-(OPTIONAL RETRCREPLECTIVNUMBER ram--•- �,: _. _,...P E D 2-GREEN (OPTIONAL RETROREFLECTIVE) BORDER — GREEN (OPTIONAL FLUORESCENT FILM) i ,.y.._.:.s .. S GREEN ; (OPTIONAL RETROREPLECTIVE) 3'-- NUMBERS 2" RED • (OPTIONAL RETROREFLECTIVE) BORDER 12" RED - r '`- (OPTIONAL RETROREFLECTIVE) 4 NUMBERS RED -- (OPTIONAL ?'C'oESCENT Y I LM) 4' •For 2 numerals, use 12" numbers at a height of 12" off base. ___-,_ n" n„mhorc At a heioht of 12" off base. SEVENTH COAST GUARD DISTRICT PRIVATE AIDS TO NAVIGATION STANDARDS DAYBEACONS (UNLIGHTED BEACONS) AND LIGHTS (LIGHTED BEACONS) (SPECIAL PURPOSE SUPPLEMENT) SHAPE• Special purpose dayboards have a diamond shape. CO)R Or DAv,OARDS: Special purpose dayboards are Yellow - See "R_-_RORErL_CTIVE �`:ATERI=-LS�� for colors of letters and borders. CHARACTERS: Special purpose dayboards are not nu-mbered but may be lettered for identification purposed. Letters should be sized and placed as described for numbers. See "DIMENSIONS" for the correct size and distance from the lower apex of the dayboard. RETROREi LECTIVE N:XT ERIALS : Retroreflective letters and borders, although optional, should be used on dayboards. They should*be the same color, (but a contrasting darker shade) as the background material;'letters may be white. The sio_nal characteristics of paint are relatively poor, but the use of paint is not prohibited. If paint is used, then letters are black. DIMENSIONS: DAY30ARDS: The minimum acceptable dimensions are for a nominal (visual) range of 1/2 nautical (nmi). Applicants may establish larger sizes if they wish. Optional retroreflective letters and borders are encouraged. All sizes are in inches. DIXENSIONS (continued) 1 hcAL TYPE S I ZE 1UO$ER/ 0 ATB 0 ArM L ETT R S I ZE (nal) (alnfl(a) (b�ub(e) D ! STKNCE RETROREF Li CT I YE BASE TD Kb4«E C; BASF BCRD ER S I ZE (Sing(a) (double) (OvrIOnaI) SPECIAL F•.?a:�S E 1/2 Q>a4bMC• SIC• la.nsrtt-1E E 5 944 9 1.5 1 ^u f am 4 Side I .n; -1r-3b 12 12 — - 2 2 Ole-xC• SIC* I• ,-h-48 16 15 264e 26 S S OleexG• SICS t.nsrh-i2 24 24 40" 40 A • All ankles e� Dls-ante froes -ne fc.ac apex -0 ,he (eT*ar besa STRUCTURES: There are not required dimensions, materials, fastenings, or designs for structures supporting dayboards and associated lights. No height above mean high water is mandated. Permittees should insure that all aids to navigation are established consistent with praden"C, sound engineering practice and the harsh nature -of the marine environment. The enclosed sketches are for general reference and should be modified to suit the circumstances. LIGHTING EQUIPMENT ON LIGHTS (LIGHTED BEACONS)' COLOR: Lights on special purpose beacons are yellow. LIGHT VISUAL RhNGE: 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: Yellow lights on special purpose beacons are fixed or flash (light off longer than on) regularly with a frequency of not more than 30 flashes per minute. April 22, 1993 1-1 Printing MONROE COUNTY, FLORIDA INSURANCE CHECKLIST FOR VENDORS SUBMITTING PROPOSALS FOR WORK To assist in the development of your proposal, the insurance coverages marked with an "X" will be required in the 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 EMPLOYERS' LIABILITY X Workers' Compensation WC] Employers Liability WC2 Employers Liability WC3 Employers Liability WCUSLH US Longshoremen& Harbor Workers Act WCJA_ Federal Jones Act Statutory Limits $100,000/$s00,000/$100.000 $500, 000/$500, 000/$500, 000 $1,000, 000/$1, 000,000/$1, 000, 000 Same as Employers' Liability Same as Employers' Liability AdminiAmlive ]nstnviior, INSCKLST #4709.01 1 6 Apr i1 22. 199.1 Ist Vrinling t GENERAL LIABILITY As a minimum, the required general liability coverages will include: • Premises Operations Products and Completed Operations • Blanket Contractual Personal Injury • Expanded Definition of Property Damage Required Limits: GLI_ $100,000 per Person; $300,000 per Occurrence $50,000 Property Damage or $300,000 Combined Single Limit GL2 $250,000 per Person; $500,000 per Occurrence $50,000 Property Damage or $500,000 Combined Single Limit GL3 $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. AdminiArative rnstrudicm INSCKLST #4709.01 0 7 April 22. 1993 Is1 Prinling VEFLICLE LIABLLITY As a minimum, coverage should extend to liability for: • Owned; Nonowned; and Hired Vehicles Required Limits: VL 1_ $50,000 per Person: $100,000 per Occurrence $25,000 Property Damage or $100,000 Combined Single Limit VL2 $100,000 per Person; $300,000 per Occurrence $50,000 Property Damage or $300,000 Combined Single Limit VL3 $500,000 per Person; $1,000,000 per Occurrence $100,000 Property Damage or $1,000,000 Combined Single Limit MISCELLANEOUS COVERAGES BR 1 Builders' Limits equal to the Risk completed project. MVC Motor Truck Limits equal to the maximum Cargo value of any one shipment. PRO Professional $ 250,000 per Occurrence/$ 500,000 Agg. PR02 Liability $ 500,000 per Occurrence/$1,000,000 Agg. PR03 $1,000,000 per Occurrence/$2,000,000 Agg. POLI Pollution $ 500,000 per Occurrence/$1,000,000 Agg. POL2 Liability $1,000,000 per Occurrence/$2,000,000 Agg. POL3 $5,000,000 per Occurrence/$10,000,000 Agg. ED 1 _ Employee $ 10,000 ED2 Dishonesty $100,000 GK I Garage $ 300,000 ($ 25,000 per Veh) GK2 Keepers $ 500,000 ($100,000 per Veh) GK3 $1,000,000 ($250,000 per Veh) MED1 Medical $ 500,000/$ 1,000,000 Agg. MED2 Professional $1,000,000/$ 3,000,000 Agg. MED3 $5,000,000/$10,000,000 Agg. Administrativc Irtsiruciion INSCKLSt' 94709.01 0 8 April 22, 1993 DO 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 AIR3 $ 1,000,000 AEO1 AE02 Architects Errors & Omissions $ 250,000 per Occurrence/$ 500,000 Agg. $ AE03 500,000 per Occurrence/$1.000,000 Agg. $ 1,000,000 per Occurrence/$3,000,000 Agg. y✓%l y � �E7�r/`3' AFC �.�i1.E. ��� INSURANCE AGENT'S STATEME�'t' 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 Administrative irmtn,clion INSCKLs*r #4709.01 1 y Apiit 22. 199_3 Ist I'rinling WORKERT COMPENSATION INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MCNROE 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 Florida Statute 440. In addition, the Contractor shall obtain Employers' 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. Tile 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 Instruction WC] 1 #4709.1 R t WORKERS' COAIPENSATION INSURANCE REQUIREMENTS FOR CONTRACT BETRVEEN 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 thrcmgh 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. Adminklralivc Instruction WCJA 114709.1 84 April 22, 1993 Ic1 Printing 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: • Premises Operations • Products and Completed Operations • Blanket Contractual Liability • Personal Injury Liability • Expanded Definition of Property Damage The minimum limits 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 coverage for claims filed on or after the efTective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (l 2) months following the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. AdminiNativc lmtrudicm GL I #4709.1 54 April 22. 1993 lcl Printing VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AIN D Recognizing that the work 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 minimum, liability coverage for: • Owned, Non -Owned, and Ifired Vehicles The minimum limits acceptable shall be: $100,000 Combined 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. Administralivc hiAnidion V L I 1 94709.1 75 April 22. 1993 1d 14inling 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 restrictivc than thosc round 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: • Injury (including death) to any Person • Damage to Fixed or Movable Objects • Costs Associated with the Removal of Wrecked 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 shipowner. The minimum limits acceptable shall be: $500,000 Combined Single Limit (CSL) Coverage prodded by a Protection and Indemnity Club (M) 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 hntnidion WI-1 84709.1 86 SWORN STATEMENT UNI DER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE /.�/ .r 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 consideratio STATE OF COUNTY OF PERSONALLY APPEAREDBEFORENfE, the undersigned authority, �/+r` / �'✓ v�ho after first being sworn b me affixed his/her Y signature (name of individual signing) in the space provided above on this day of NOTARY PUBLIC My commission expires: -A My COMMS ON # CC4 D(PM MCP#4 ; a M=h 24.1999 ' E .n BOM Trill TROY FAIN OMNCL M 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, 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 of working on the commodities or contractual services that are underbid, the employee Arill 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 statement, I certify requirements. ZI / Bidder's Signature ` - �-� 7 Date MCP#5 REV. 6/91 firm complies fully A ith the above NON -COLLUSION AFFIDAVIT �, ,mod; �,✓ the of^moo f according to law on my oath, and under penalty of perjury, depose and say that; 1) I amp T , 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 oragreementforthe 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 *,ign.tdurel/of Bidder) G/ COUNTY OF Oho E� 7 7` DATE PERSONALLY APPEARED BEFORE ME, thesrndersigned authority, who, after first being sworn by me, (name of indivi ual signing) affixed his/her signature in the space provided above on this day ofr / 19 �5 NOTARY PUBLIC My commission expires: '�t : tiLOR1A K BLAIdCO MCP #1 AI,III•II xr� , hA �,DATE MIDD1FYY1i2994 1 PRODUCER i • Alan R - Mott Agency, Inc. 184 East Main Street 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 PO BOX 995 COMPANY X�t�SKMAN� Insurance Co. of America COMP Huntington, NY 11743 "PFRB INSURED Spirit Marine Towing & Assist. BY d/b/a Sea Tow Florida Keys 911 West Indies Drive DATE COMPANY C -2 p Ramrod Keys, FL 33043 WAIVER: N �,, Y A YES .� 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DO/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S PRODUCTS-COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONT PROT FIRE DAMAGE (Any one fire) i MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) = ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE E GARAGE LIABILITY refer V , AUTO ONLY - EA ACCIDENT $ THAN AUTO ONLY: ANY AUTO Risk IvMgTr►t, & )SS ControlOTHER EACH ACCIDENT $ DATE q AGGREGATE $ EXCESS LIABILITY LNrI.IAL EACH OCCURRENCE $ AGGREGATE _ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMBS EACH ACCIDENT $ THE PROPRIETOR( INCL PARTNERS/EXECUTIVE F]EXCL DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ OFFICERS ARE: OTHER Protection & Indemnity ROYALAP789 11/10/94 11/10/95 $500,00.0. DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL nEMS 175 Spacecraft 25' #SPA02753M75L '74 Thunderbird 24' #TNR23086M75C f 180 Spirit 34' DOC# 639586 ANCEL TION :'` - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County Commissioners EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Kim Blanco 5100 College Road Key West, FL 33040 BUT FAILUR O MAIL SUCH NOTICE SHA, IMPOSE NO OBLIGATION OR LIABILITY OF AN KIN THE P Y, S AGE OR REPRESENTATIVES. AUTHO OR I ACORD 25-S (3193) ®ACORD'CORPORATION I993 .3r-ni oI -f%AQ IVr%tnMnUi1nJ 1I[— o—ol �•Jo o�Jo�0000r JU7LyL4411�F I s W4 ocoww"ou CI 31mIldf COMPANY A IS SPHERE DRAKE INSURANCE CO MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS ADDITIONAL INSURED BUT ONLY AS RESPECTS OPERATIONS PERFORMED BY THE NAMED INSURED MONROE COUNTY BOARD OF COUNTY COMMISSIONERS KIM BLANCO 5100 COLLEGE ROAD KEY WEST FL 33040 BHOLNM ANY OF THE ABOVE DESCWBEO POUCIN BE 6ANCELU M BEFORE M EI( IM110N DATE THEREOF. THE =U*Q COMPANY WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO TTIE CEAMFICATE HOLDER NAND TO THE LEFT. BUT FAIWRE TO MAIL WJCH NOTICE SHALL ;mPOU NO CBUGATION OR LiABLITY OF ANY K= UPON THE COMPANY, ITB AGOM OR IMfllEiENTATIVEB. JR DD