Channel Marker #11 Indian Key Channel/#2 & #4 Tavernier Ocean ShoresCONTRACT AGREEMENT
AGREEMENT, MADE THIS �f day of 1995, by and
between, Spirit Marine Towing & Assistance (11 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 materlal=s
and perform all the work as required by the attached-=' n
Specifications for the repairs of Channel Markers # --Indi n _
Key Channel and #2 and #4 Tavernier Ocean Shores. -
w
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 January 31, 1996
3. 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
OContractor acknowledges 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.
S. The Board shall pay the Contractor the total sum of
$1,323.00 for the repairs of three Channel Markers in
Indian Key Channel and Tavernier Ocean Shores.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
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
v
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:
Title : Owner
Firm: Spirit
(Seal)
Attest:
Witness
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY:
Mayor/Cha man
(Seal)
Attest: DAXW L XOLFIAGE, Clerk
Clerk
Page 5
Exhibit A -
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 = 811.
S. 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.
2
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.
COLOR OF DAYBOARDS:
Special purpose dayboards are yellow.
See "RETROREFLECTIVE MATERIALS" for colors of letters and
borders.
CHARACTERS: -
Special purpose dayboards are not numbered 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.
RETROREFLECTIVE MATERIALS:
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 signal characteristics of paint are relatively poor, but
the use of paint is not prohibited. If paint is used, then
letters are black.
DIMENSIONS•
DAYBOARDS: 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.
DIMENSIONS (continued):
11 MI MAL TYPE
RANGE
(not)
S I ZE IUMBER/
DAYHOARO LETTER SIZE
(single) (double)
D I STANCE DA�TB' qp
BASE TO /f, em BASE
(single) (double)
�ROREFLECT I VE
BORDER SIZE
(optional)
SPECIAL PURPOSE
1/2 Qlaoond•
side
length-18 B
6
�s 9
1.S
1 Olamonds
side
lengtft-36 12
12
20" 20 -
_
2
2 0lamond•
side
length-48 16
16
26•• 26
3
3 Diamonds
side
length-72 24
24
40s4 40
4
e All angles 900
ee 011tsnte from the
lower
apex to the letter
base
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 prudent, 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 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•
Yellow lights on special purpose beacons are fixed or flash
(light off longer tLan on) regularly with a frequency of not more
than 30.flashes per minute.
(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).
0
. DIMENSIONS:
DAYBOARDS: The minimum acceptable dimensions are for a nominal range of 1/2 nautical mile
(nml). Applicants may establish larger sizes If they wish. Optional fluorescent background and
retroreflective numbers, letters, and borders are encouraged. All dimensions are In Inches.
NOMINAL TYPE SIZE - NUMBER/ DISTANCE DAYBOARO RETROREFLECTIYE
RANGE DAYBOARD LETTER SIZE BASE TO NUMBER BASE BORDER SIZE
(nml) (single) (double) (single) (double) (optional)
PORT
HAND
1/2
Square
side length-18
8
6
1
Square
side length-36
12
12
2
Square
side length-48
16
16
3
Squara
side length-72
24
24
STARBOARD
HAND
1/2
Triangle
height-24
8
6
width* -24
1
Triangle
height-48
12
1'2
width* -48
2
Triangle
height-72
16
16
width• -72
3
Triangle
helght-96
24
24
width• -96
SAFE WATER
1 Octogon height••-48 12 8
width•' -48
side length-20
3 Octogon helght••-96 16 12
width'• -96
side length-40
e Width at base of the trlangle '
ee Width/height from side to the opposite side
e�• Distance from the lower apex to the letter bass
5
4
1.5
12
12
2
16
16
3
24
24
4
5
4
1.5
10
7
2
16
12
3
20
14
4
21*a* 210" 3
42*ae 42ta* 6
• aye la �• » � la • .
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.
SOLT. RtW L=-1
4•
C MOTt I `
• To•
O► ♦ILC •
i
AAYLI /.RK 'KC
a PILE ITEM LL�i O
to I �•�1 Iln 1I.7 (Ofl�
rr
� sorrom
be
eo �
li
t,.
St
Tc.a �a•a
CTCY LL-:
• -
�1
�2.4�i411�
_
1
�
Xi k7TL 2
� I
I
e OLT
M L:Z•i
4
•TEw _='4/^�
t )
-�v
O�AI�
-.-
S.✓�
`!d C
_
MATERIAL LIST
ItemQuantity
Materials
Size
L11-1
2
6061 Aluminum alloy bolts nuts d washers
1%2" X "
L11-2
1 (optional)
Concrete, prestresed le_nsth as required
10" X 10"
1_11-3
2
Oa board
Size as needed
1_II-4
2
6061 Aluminum alloy bolISL nutsl_b washers
1/2" X 14"
111.11-5
1
Mood pressure treated length as required
12" die.
Note 1: All aluminum bolts meet recognized standards for marine use.
Note 2: Place a 2" X 4" filler wlII be placed between daymarks and the pile
at the upper bolt connection to provide a five degree outboard tilt.
Port
�12" i
---
PORT AND STARBOARD MARKERS
(nominal range, 1 nmi)
2" GREEN -
(OPTIONAL RETROREFLECTIVE)
BORDER
12" GREEN
(OPTIONAL RETROREFLECTIVE)
NUMBER
GREEN
(OPTIONAL
FLUORESCENT
FILM)
Starboard
2" RED
(OPTIONAL RETROREFLECTIVE)
BORDER _
12" RED
(OPTIONAL RETROREFLECTIVE)
NUMBER
RED
k t LM)
2" GREEN
(OPTIONAL RETROREFLECTIVE)
BORDER
GREEN (OPTIONAL
FLUORESCENT FILM)
I
8" GREEN
(bPTIONAL RETROREFLECTIVE)
NUMBERS
2" RED
(OPTIONAL RETROREFLECTIVE)
BORDER
10"
4'
12" RED
(OPTIONAL RETROREFLECTIVE) �-==
NUMBERS
RED
(OPTIONAL
FILM)too
4'
*For 2 numerals, use 12" numbers at a height of 12" off base.
**For 3 numerals, use B" numbers at a height of 12" off base.
April 22, 199.1
1s1 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 1
Employers Liability
WC2
Employers Liability
WC3
Employers Liability
WCUSLH
US Longshoremen &
Harbor Workers Act
WCJA Federal Jones Act
Statutory Limits
$100,00055-00,000/$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
AdminiAmfive InMnpclion INSCKLST
#4709.01 1 6
Aptit 22. 1993
IM Priming
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:
GLl $100,000 per Person; $300,000 per OcrAirrence
$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.
Adrninkrative lnntruclicm INSCKLST
H4709.01
7
;April 22. 1991
lA Prin ing
VEHICLE LIABILITY
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
BR1
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
$1,0001000 per Occurrence/$2,000,000 Agg.
POL1
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.
L-DI
_ Employee
$ 10,000
ED2
Dishonesty
$100,000
GK 1
Garage
$ 300,000 ($ 25,000 per Veh)
GK2
Keepers
$ 500,000 ($100,000 per Veh)
GK3
$1,000,000 ($250,000 per Veh)
MED I
Medical
$ 500,000/$ 1,000,000 Agg.
MED2
Professional
$1,000,000/$ 3,000,000 Agg.
MED3
$5,000,000/$10,000,000 Agg.
Adminkmtivc Iregivelion INSCKLSt'
94709.01 0 8
April 22. 1973
I s1 1'ri nt ing
IF
Installation
Maximum value of Equipment
Floater
Installed
VLPI
VLP2
Hazardous
$ 300,000 (Requires MCS-90)
VLP3
Cargo
Transporter
$ 500,000 (Requires MCS-90)
$1,000,000 (Requires MCS-90)
BLL
Bailee Liab.
Maximum Value of Property
HKLI
HKL2
Hangarkeepers
Liability
$ 300,000
$ 500,000
H KL3
$ 1,000,000
AIR I
AIR2
Aircraft
$25,000,000
AIR3
Liability
$ 1,000,000
$ 1,000,000
AEO1
AE02
Architects Errors
& Ornissions
$ 250,000 per Occurrence/$ 500,000 Agg.
$
AE03
500,000 per Occurrence/$1,000,000 Agg.
$ 1,000,000 per Occurrence53,000,000 Agg.
INSURANCE AGENT'S STATEMENT
I have reviewed the above requirements with the bidder named below. The following deductibles
apply to the
corresponding policy.
POLICY
DEDUCTIBLES
Liability policies are — Occurrence _ Claims Made
Insurance Agency Signature
BIDDERS STATEMENT
I understand the insurance that will be mandatory if awarded the contract and will comply in full
with all the requirements.
Bidder Signature
Administmlivc lrrdruction INSCKLS'f
H4709.01
0 9
AIn it 22. 199.3
IsI Prinling
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to 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 Iniury 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, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
Administrative lrtAmc ion WC] 1
d4709.1 t
WORKERS' COMPENSATION
INSURANCE REQUIREMENT'S
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves Maritime Operations, the
Contractors 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 throagh 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.
AdminL4ralivr Ins(rudion WC1A
N4709.1
84
Alail 22. 1997
1st 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 Da,-nage
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 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 Insured on all
policies issued to satisfy the above requirements.
Administrative Irninidic n C L I
#4709.1
54
April 2 2. 1993
].-I Printing
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
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 I fired 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.
Administrative Iminidion V L 1
b'4709.1 75
April 22. 1993
1-1 14inl ing
WATER CRAFT LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Water Craft Liability Insurance with terms no less restrictive than those found in the
standard "American Institute Hull Clauses (June 2, 1977 edition). Coverage shall be
maintained throughout the life of the contract and include, as a rninimum:
• 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 coveragge 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 (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.
Administrative Irntn,dicm WL l
#4709.1 86
NON -COLLUSION AFFIDAVIT
of the
City of according to law on my oath, and
under penalty of perjury, depose and say that;
1) lam —
the Proposal for the
ect described as follows:
the bidder making
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 tements contained in
this affidavit in awarding contracts for said project.
STATE OF
ignature of Bidder)
COUNTY OF
DATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, (name of
individual signing) affixed/his/her signature in the space provided above on this
�3 '� day of 19 �J
c
NOTARY PUBkLIt (�J
My commission expires:
OFF!CIAI. ,INOTA77 Sc-At,
Iir.LFN BRi3Oi<S YANIZ
NOTARY i'U!3!.!C STATE OF 'FLORIDA
COMR;ISSION NO. CC342S7
MCP #1 MY CONVA!'3810N F.XP. FEB! 15,1�i9S
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
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 County officer or employee.
O '
(si ature)
Date:
STATE OF
COUNTY OF i-�, .z/7--fo c--
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 3'� day of
�-(�aj'6'wj ; 2
NOTARY PUBLIC
My commission expires:
OFFICIAL NOTARY SEAL
HELEN BROOKS YANIZ
MCP#4 NMARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC342357
EMY COMMISSION EXP. FEB. 15,1998
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Busi
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 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 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 that this firm complies fully with the above
requirements. &� /I
Bidder's Sign tune
/1 _: " ��-
Date
MCP#5 REV. 6/91
? CERTIFCATEOFINSURANCE
-,
_AI/11�1►.
/29/9
PRODUCER
THIS CERTIFICATE IS ISSUED AS ArMATTER OF INFORMATIOI
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT'.
Alan R% Mott Agency, Inc.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OI
184 East Main Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOV
_-___ COMPANIES AFFORDING COVERAGE
PO BOX 995
Huntington, NY 11743
COMPANY
--_
A aa�� Insurance Co. of America
INSURED " - -APPROVE
Y-RISK-MANADITf - - - - — --- -
COMPA
Spirit Marine Towing & Assist. BY
d/b/a Sea Tow Florida Keys
coMPANY o
911 West Indies Drive DATE
C
Ramrod Keys, FL 33043
WAIVER: N
COM Y
A YES /
COVERAGES �.� ,... ww,.ws�#�p�{
....i1L\� Xw''.SaL
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.
LTR
TYPE OF INSURANCE
POUCY NUMBER .
POLICY
(MM/DD/YY)
DATE (MXM/DD/YY►N
LIMITS
• GENERAL
LIABILITY
I GENERAL AGGREGATE
f
I f
i COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OP AGG
J CLAIMS MADE OCCUR
PERSONAL d ADV INJURY
E
f
OWNER'S 3 CONT PROT
I EACH OCCURRENCE
f
I FIRE DAMAGE (Any one lire)
f
i ME EXP (Any one person)
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
S
f
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
1 ! (Per Parson)
j—
1
I f
HIRED AUTOS
BODILY INJURY
(Per ecadenl)
NON -OWNED AUTOS
I
I
PROPERTY DAMAGE
f
-- —
GARAGE LIABILITY
Recew
AUTO ONLY - EA ACCIDENT
c r---------
f
ANY AUTO
Risk Mgmt. &
)SS COT1tToi OTHER THAN AUTO ONLY:
f
I
I EACH ACCIDENT '
DATE
I AGGREGATE IS
EXCESS LIABILITY
ITIAL
I
EACH OCCURRENCE is
UMBRELLA FORM
I
AGGREGATE Is
OTHER THAN UMBRELLA FORM
1 ! f
WORKERS COMPENSATION AND
STATUTORY LIMITS
EMPLOYERS' UABILFIY
'EACH ACCIDENT Is
THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL
j DISEASE •POLICY LIMIT Is
---
OFFICERS ARE: EXCL
DISEASE • EACH EMPLOYEE ; f
!OTHER
j
Protection &
'
Indemnity
ROYALAP789 I11/10/94,11/10/95
$500,000.
DESCRIPTION OF OPERATK)NS/LOCATIONSIVEHICLES/SPECIAL ITEMS
175 Spacecraft 25' #SPA02753M75L
174 Thunderbird 24' #TNR23086M75C
180 Spirit 34' DOC# 639586
"'CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH,
Monroe County Board Of County I
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAI
Commissioners
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFl
Attn : Kim Blanco
BUT FAILUR O MAIL SUCH NOTICE SHAL IMPOSE NO OBLIGATION OR UABILIT
5100 College Road
OF AN KIND THE AP Y. S AGEN39 OR REPRESENTATIVES
Key West, FL 33040
AUTHOR DRE E OCTI
ACORD 26-S (3/93)
0 ACORD CORPORATION t
ROGERS ATKINS GUNTER & ASSOC POWOM scow. -
FOREHAND INSURANCE AGENCY INC COMPAMES AMRONG COVERAGE
. . . . ........ ......
P 0 BOX 25598 . .... ....... .
TAMPA FL 33622-5598 cOwmy A
LETM PROGRAM UNDERWRITERS INC
. ............
.. . ........... UNDERWRITERS
compmy
BaumLFT . T . m ... ................... . .............. . . .............. ...... .... ...
SEA TOW FLORIDA KEYS COMPAW C
.. DUKE A PONTIN SPIRIT TOWING uirm .........
...... ...... ........ ... .
. . . ............. . .......... .
P 0 BOX 244 BIG PINE KEY COMPAW
LUM
KEY WEST FL 33043 ..... .
Fr F.
rmx
.. ....... . - . PERIOD
THIS is To CERTIFY THAT THE POLKNEB Of 94SUALMCE LIVED CM%ZOF
BEEN ISSUED TO THE WSURED NAMED ABOVE FOR THE POLICY
v6otom. NormrrwTANDm ANY FtEouw&mEW, TERM 06 F ANY CONTRACT OR OTMSR DOCUMENT WffW RESPECT TO WHMH THIS
CEFMFrATE MAY BE weUED OR MAY PERTAIN, THE MMURANCrg AFFORDED BY THE pcKiCES DESCRIBED HEREIN 65 SUBJECT TO ALL THE TERUk
EXCLUSIONS AND 00NDff10f4e OF SUCH MjGWjL LDXTS $MOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .. ...... ........ ......................... .............
........... ..... . .................................................. ....................... I . ............... I .............. ....... ..........
............... I .. ........ —
POLCT EXPIPATM'
T"S OF 11SURUCS PoWly NL%NM %J7czy== Dan "mmo" Lum
PU76967 3/24/95 3/24/96 GSIeA.L Aa*lWQA'M .t.ppo
8300
................ ............... ............... . ............
PRODUCTSCOW10P AM
X COMMOCAL QWARAL UMMUTY ........... -- ................... .......
CAMS MADE' o0cm .......... .........................
ow . Nws a CoNrRA : mo - Rv PMT.. W40" OCOUNWCE ......... .. :#300,,.990
............ .. ................. ............... ............
........... S
MM DAMAGE WV QM 001 .
.. ........................... ....... •. . ............... ...... .....
. ............................................
MID. Comm " om pefspod I
...........
uw
MYAlm
............... ...........
--------------- . ................ .....
ALL OMM AUM
somy mo�oriu"
a
i
I
... .......
sommum wros
...... ............ ...............
. .......... ......................
'HMO AVMA
NODLY "QuRy
Ipw
MON-0mvp Avr"
.......... ................. ..........
........... .. .................
GARASE LIABUTY
PWPVtj V DAMAGE
I
0=RREM05
a ...............
all,"........
UmopdLLA FORM
. ............ ................................
A9014"'M
i
OTHm TK4W UMBRELLA POW
•
grATLfTopty LAM
... ...........
AM
.................... . .......................
vwc.Asz.-pouifY umrr
......................................
S
WAPLOVOW LIASUIT
.............. .. .......................
ogsuar'BACH SOLD'=
......................................
; 0
WtVIAL ff=$
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 .. .....
SHOULD ANY OF THE ABOVE DESCRIBED POUCISS ME CANCELLED BEFORE THE
EXPWATM DATE THEREOF. THE =UWQ COMPANY VML ENDEAVOR TO
w.
MONROE COUNTY BOARD OF COUNTY MAL 3 0 DAYS WRITTEN HOME TO THE MMFCATE HOLDER NAMED TO TK
COMMISSIONERS KIM BLANCO LEFT BUT FALURE To MAIL SUCH NonCE SHALL IMPOSE NO IDBUCATION OR
5100 COLLEGE ROAD LIASWW OF ANY KIND UPON THE COMPANY. rr6 AQ"U OR REPROVffAniE&
KEY WEST FL 33040
... WiR DD(B)
7 FORE i i- �Ka . . ...........