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Install 12 Aids to Navigation Cow Key ChannelCONTRACT AGREEMENT AGREEMENT, MADE THIS /Z t/ day of Nd V-f2t996, 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 1 Specifications for the installation of 12 Aids to Navigation to be installed in the extension of Cow Key Channel. List of Markers to be installed are attached as Exhibit A. 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 February 28, 1997 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 Contractor 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 Specificat'dns=ar'-Iunderstood by the Contractor. 0 U li J v lJ v, 4. The Board shall pay the Contractor the total sum of $13,980.00 for the installation of 12 Aids to Navigation in Cow Key Channel. Payment for the work shall be upon completion by the Contractor and acceptance by the Board, subject to the terms and conditions of the Specifications (attached as Exhibit B) and this Contract. 5. The attached Specifications, together with this Agreement, form the Contract. They are fully apart of this Contract as if repeated herein verbatim. 6. 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 12 does not vitiate this indemnification provision. 7. 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. 8. The Contractor agrees to supply the County with a set of photographs of the repaired aid to navigation along with a letter certifying completion of work. Page 2 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. 9. The Contractor understands and agrees that no payment will be made for this project without required photographs and written certification of completion. 10. 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 INSCKLST 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 Workers Compensation policy. 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 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 ($10,000.00) for a period of 36 months from the date of being placed on the convicted vendor list. Page 3 14. 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 thelnotice of termination. 15. 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. TITLE: Owner FIRM: Spirit Marine Towing & Assistance (Seal) At t e �-- �6�/ Witness wit,• BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA �y -� BY: _ Mayor/Ch rman (Se Attest: DANNY L. KOLHAGE, Clem �aJ�L c Clerk Page 5 APPROVED AS TO FOR AND E L SUFF Eta BY OB RT N. W, DATE '- EBHIBIT A y Cow Key Channel Extension Description of Proposed Markers Revised 10/11/96 No. on Mounting MsR Method Dyne of Sian 22 Piling 23 ' Piling 25 Piling 28 Piling 29 Piling 30 Piling 32 Piling 34 Piling 35 Piling 36 Piling W-1 4' triangular daymark - red 3' square daymark - green 3' square daymark - green 4' triangular daymark - red 3' square daymark - green 4' triangular daymark - red 4' triangular daymark - red 4' triangular daymark - red 3' square daymark - green 4' triangular daymark - red 3' square daymark - green 240 34' 17.5" 240 34' 28.5" 240 34' 32.0" 240 34' 48.3" 24° 34' 49.9" 240 34' 55.5" 24° 35' 00.0" 240 35' 01.0" 240 35' 04.8" 24" 35' 07.5" 24° 34' 51.0" 3' square shoal marker - 240 34' 46.5" white with orange diamond 810 44' 58.2" 810 45' 10.0" 81 ° 45' 14.9" 81 ° 45' 13.0" 810 45' 17.8" 810 45' 22.1" 810 45' 39.2" 810 45' 53.0" 810 46' 00.0" 810 45' 57.8" 81 ° 45' 07.5" 810 45' 10.0" We wish to place aids to navigation to mark a channel leading from Cow Key Bridge to a dredged channel running between north Stock Island and Sigsbee Island (markers #22-29), and to mark the dredged channel itself (#30-36). This route is frequently used by boaters from the south sides of Key West and Stock Island to access facilities on the north side of the islands and to access the Gulf. Boaters also pass through this route from the north side to access the Atlantic and the reef tract. Marker #1 will be placed to assist boaters to and from the large marina on Stock Island. As you can see on the enclosed chart and aerial photo, the water on either side of this route is extremely shallow. Placing proper markers will help boaters avoid the shallow water and stay in the deepest section. This will help avoid damage to boats and to the natural resources. An aerial photo is attached which illustrates the approximate location of the markers. The exact placement of the markers will be determined by site conditions. The above latitude and longitude data were estimated from navigation charts. Exact GPS locations of each marker will be supplied to you within 60 days of project completion. All markers will be in accordance with Florida Uniform Waterway Marker specifications. 4 pr hrd S 6 '6 Cow Key Channel Extension Proposed Marking Plan NOAA Chart #11445 © - red dayboards 0 - green dayboards [0 - shoal marker 5 4 4 (see note 8) 5 5 6—",\ 5 -:,Sub-:,Subm 7 7 o Sin O o�;es 3 ae 5 _ rky -_a Sub,' o pile s ft M Grs 60 ' 4 5 4 4 a 2 9 3 4 ic,3 Q Q g �Subm P' e 3 �, �� Ott , , j&' 3 LOhrd S J O o p o 2 2 3 ` 2 3 W �, er L hrd � t, mks a� �• yy • \•-�, I rky �,f 3� C ` ... o�� ••'i �� gatioGE / F 4s,. 2 Fo(et 36 FS Hoa Ot- C`9 Fj C VEaT R GAgs jO G 26 Fj C P !.c \I VMSLAB Old 5 6 5 4 rky 9 2 3 -1 4 Revised 10/11/961 2 4 4 3 4 i -3 6 . 3 rky 3 rky 2 4 C✓r 2 ; p,ies r lQ o RS O.J. � \ \3 1 �. 5 4 ;fr M Grs4 4 3 a 2 5 \""3 c. �3 2 sft ^ 0 01 stoc, 5 to e rky 2 0 4 RWK*F)Z P. * 7 ��,sze, _ t) 1 � 11 (VfKI>, (1500 kFw G� 2 ?6 s Q` 27 V ��,i >� : rky Owl 10% p t IA .g• a 1 48O 1 IG wKey 6s��j': �. •* i: 1 P ° fit' PA G• l w 3• a• 4 _ 2- : a 2• 3 7 PA5 2 �/ G P,oe 5 '�'' 19 3 W & G TOWER a Hole `- 6 ,•ott 3M -OME se 3 2 Gi 5S 5 3 g 9 SO 5'.�a" ' Rk �� r 1 1 ' 2 3 rVk 9 Exhibit , 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 all necessary environmental permits. 2. MATERIALS AND WORKMANSHIP: The Contractor shall 1 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 Presswork Conference described below. Precaution shall be exercised at all times for the protection of�persons and property. The safety provisions of the Occupational Safety and Health Act of 1970 (Public Law 91-596) and other applicable laws, including building and construction codes shall be observed. 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 shall comply with all applicable local, State and Federal requirements pertaining to the terms 1 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 xhe 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 certificates 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 as 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 $100,000 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 1 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 ten (10) calendar days prior to the contract expiration date. Liquidated damages resulting from factors beyond the control of the Contractor which occur too late to allow time for action by the Board of County Commissioners approving a time extension may be waived by the County Commission. Such waiver shall be granted only when the County representative determines that the delay is beyond the control of the Contractor, and in this event the Contractor shall not be charged with liquidated damages or any excess cost when the delay in the completion of the work is due: 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 J 7 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. 1 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. - CHANGES AND INSPECTION: The regulatory aids 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 of 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. r 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. PRESSWORK CONFERENCE: A meeting will be necessary involving a representative of the County, the Contractor and other parties with direct involvement prior to the commencement of the work. 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 aids to navigation. The Contractor must also provide transportation to the proposed project site for placement of temporary markers. The location of these temporary markers will be provided by the County representatives. Temporary markers will be provided by the County. 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 his insurance within Ten Working Days. Wit'i 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 the "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. 1 Certification: Bidder must also certify, upon completion of the project, all installations were in accordance with these specifications, the Florida Department of Environmental Protection, 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) . 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 1 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. 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. IL: Ul, 1 UJ yb lU Jy N0 . U U b f . UI PRIVATE AIDS TO NAVIGATION SPECIFICATIONS LATERAL AIDS TO NAVIGATION Lateral aids to navigation are designed with specific shapes and colors which tell the mariner how to pass an aid to navigation and stay In the channel. Generally, when returning from sea, starboatd (right) hand aids are red, and port (left)_hand aids g�re teen. Private aids to navigation are usually one of the following four basic types of markers: Type (Abbreviation) Definition DAYBi=ACON (DBN) Pile with green square (SG) or red triangle (TR) dayboards. UGHT (LT) Pilo with green square (SG) dayboards and flashing green light or red Z triangle (TR) dayboards and fiashing red light. BUOY (B) Green can buoy or red nun buoy. LIGHTED BUOY (1B) Green buoy with flashing green light or red buoy with flashing red light. In all cases, red aids to navigation are even numbered and green aids to navigation are odd numbered. The numerals are retrorefiective to Increase nightime recognition. On daybeacons and lights, flourescent background material and retroreflective borders are Included on dayboards. Retrorefiective numerals and borders should be the same color as the background material, but In a contrasting darker shade. The size, material, and construction of .all private aids to navigation, both fixed and floating, shall be such as to be observable under normal conditions of visibility at a distance such that the significance of the aid will be recognizable before the observer stands into danger. In most cases the Coast Guard requires green can and red nun buoys to be at least 3 feet above mean high water. Daybeacons and lights should be 8 to 16 feet above mean high water with minimum green square dayboard size of 2 feet by 2 feet, and a minimum red triangle size of 3 feet by 3 feet. Dayboards should be mounted atop plies so that none of the pile Is visible above the dayboard. > s 1'"'r WM MG: MUD LZ E If 'iiiiii` 'iiii$ Y7sli �.•i i ii�i��ii� ELEVATION ► LEVAY70N PORTSWG STA"OAxnSmB POFFLM IOQ'i'0!S OF ATBO Ms UST UJ yb 10:39 No.006 P.02 * DAYBOARD DIMENSIONS The dimensions for dayboards on lateral aids to navigation are listed in tho table below. The minimum acceptabie dimensions are 2 foot by 2 foot green square dayboards and 3 foot by 3 foot red triangle dayboards, which provide a nominal range of 1/2 mile. Larger sizes are optional, but may be required by the Coast Guard for certain circumstances. Nominal Type Dayboard Size Number Size Dist. Base to Numbor Retrorefloctive Range(nmi) (single) (double) (single) (double) Border Size 1/2 Square 24' by 24' 8' 6' 5' 4' 1.5' Traingle 36' by 36' 8" 6" 5" 4' 1.54 1 S9uare 36' by 36" 120 12' 12" 12" 2,0• T angle 48" by 48" 12' 12' 10' 7" 2.0' 2 1 Square 48" by 48" 16% 16' 16' 16' 3.0' Triangle -'72' by 72" 16, 16' 16' 12' 3.0' W; 3- 35G 14' �3 "- 35G * Please use this size. STAR13 2' Ri 2"GREEN GREEN REFL REFLECTIVE BORD BORDER 12' GREEN RREFLBECTIVE • 20 RED NUMREFLECT ER NUMBER FILM FLUORESCENT RED FILM 2' GREEN REFLECTIVE BORDER 8' GREEN REFLECTIVE NUMBERS FILM 4TR REFLECTIVE BORDER 12' RED 4 REFLECTIVE NUMBERS RED FI 7' �---- 4 - 4TR lU: ULI US'yb 10:40 No.UUb P.U4 Abase are general recomll>endations and may be adapted to specific circrostanoes. They should also be modified as necessary to , - -t the requirewnts of prudent sound engineering practice and the desllelnds of the marine environ:»_nt. >r.t.wltvak. •O su note : - ` • � tarar.,�wr tT1ht L�•a , a � _ Or rt�tL _L • • 9MW Lt- t ' L OwYNAItt( RCM t.�•� t'LY ^S•d//'\� • "�`+ - rtLL 1Tt1D L1Q•S. •t O .� SoeE velr C S soerort b ( - li MATERIAL LIST ltem uo Ity Sire L11-1 2 6061 Atumlaum a I toy bo is cuts 6 washers '-r/2.—Nm (o tlonal) Concrete, Qrestresed 1 to es.r uired 10^ X 10% Oo boord Size as tlebdod ff 6061 Aluminum a11oy Willsnuts.& washers 1/.2" X 14„ wood, pressure treated, length as redulrod 12" dto. Hots 1, All aluminu- bolts tweet reCOgnlied standards for marine use. ULI 15,96 13:40 No.018 P.01 M 5.E. ALL WATERWAYS WARNING MARKERS Sxstcm: All waterways Function- No lateral significance warning markers 1 nmi* 2' ORANGE REFLECTIVE BORDER -- WHITE 3NW M. ' SHOAL 3' IDANGER �� SHOAL .. 3' BLACK LETTERS 6' BLACK LETTERS' 3' A= LETTERS *Use the dimensions in Table 5-10 for 2- and 3-nmi ranges. **The word "DANGER" is to be placed on all warning daymarks. Informational words may be placed below, or above and below, to suite particular needs. Examples: * SHOAL MARINE * DANGER DANGER ROCK CONSTRUCTION Figure 5-21. All waterways warning marker. Data Sheet 5-E(13). All waterways warning markers (nominal ranges, 1, 2, and 3 nmi). 5-32 EXHIBIT C April 22. M1 IQ I'rinling MONROE COUNTY, FLORIDA INSURANCE CHECKLIST FOR VENDORS SUBMITTING PROPOSALS FOR NVORK 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 your 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. "1! X WC 1 WC2 WC3 WCUSLH WCJA x WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY Workers' Compensation Employers Liability Employers Liability Employers Liability ti US Longshoremen & Harbor Workers Act Federal Jones Act Statutory Limits $ 100,0005500,056/$100,000 $ 5 00, 000/$ 500, 000/$ 500, 000 $1, 000, 000/$1, 000, 000/$1, 000, 000 Same as Employers' Liability Same as Employers' Liability Admini,4ralive Irntnlclion INSCKLS T' 1/4709.01 1 6 Arm it 22. 1991 IM IYiiuing 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 X $100,000 per Person; $300,000 per Occurrence $50,000 Property Damage ,yy 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) GLL1Q Liquor Liability All endorsements are required to have the same limits as the basic policy. Adminkirative lnstmCli,, H4709.01 1NSCKLST 0 7 \hr i 1 2 2. 199 A 151 1'nnl inr VEHJCLE LIABILITY As a minimum, coverage should extend to liability for: • Owned; Nonowned; and Hired Vehicles Required Limits: VLl g $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 Sins -de Limit `MISCELLANEOUS COVERAGES BR I Builders' Limits equal to the Risk completed project. M VC 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. POLL Pollution $ 500,000 per Occurrence/$1,000,000 Agg. POL2 Liability $1,000,000 per Occurrence/$2,000,000 Ate. POL3 $5,000,000 per Occurrence/$10,000,000 Agg, ED 1 Employee $ 10,000 ED2 Dishonesty $100,000 GK I GK2 Garage $ 300,000 ($ 25,000 per Veh) GK3 Keepers $ 500,000 ($100,000 per Veh) $1,000,000 ($250,000 per Veh) MEDI MED2 Medical $ 500,000/$ 1,000,000 Agg. M FD3 Professional $1,000,000/$ 3,000,000 Agg. $5,000,000/$10,000,000 Agg. Adminiq, ativc IrMrvdion H4709 01 INSCKLS'I' 1 X April 22. 1T)3 Icl 1 rin ing 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 I-IKL3 $ 1,000,000 AIR 1 Aircraft $25,000,000 AIR2 `vim Liability $ 1,000,000 $ 1,000,000 AEOI AE02 Architects Errors $ 250,000 per Occurrence/$ 500,000 Agg. AE03 & Omissions $ 500,000 per Occurrence/$1,000,000 Agg. $ 1,000,000 per Occurrence/$3,000,000 Agg. WL Watercraft Liability $500,000 INSURANCE AGENT'S STATEMENT 1 have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding poky. 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 Administtelivc lr�jmcjioo I NSCK LST 114709,01 1 9 Alit it 22. 1991 I i 1'rnNing WORKERT COMPENSATION INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain VJork,q' 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 1he 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, prodding 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. Adminkir-ativc "ImOic.n F'Y'C I 1 04709 1 R NVORKERS' COA1PENSATION INSURANCE REQUIREl14ENTS FOR CONTRACT QETIVEEN MONROE COUNTY, FLORIDA AND ReAgnizing 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 Employer's Liability, The Contractor shall be permitted to provide Jones Act Coverage thro igh a-feparate 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. AdminkUsi.ivc Instruction WCJA #4709. 1 H4 nlxil 22. I`)9i 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 conlracl and include, as a minimum: 01 • Premises Operations • Products and Completed Operations • Blanket Contractual Liability • Personal Iniury Liability • Expanded Definition of Property Damage The minimum limits acceptable shall be: $300,000 Combined Single Limit (CSL) If split Emits 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 (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. Adminkirmiwc Iminidion G L I H4 709 I sa April 22. 1993 1-4 I'rinfing 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 toithe 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 l tired Vehicles The minimum limits acceptable shall be: $100,000 Combined Single Limit (CSL) i 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. Adminislrnlivc Irmlnection V L l t n4709.1 75 April 22. 1993 Ix1 F'Tir9ins WATER CRAFT LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BE, wEEN MONROE COUNTY, FLORIDA AND Prior ti 1he commencement of work Ltoverncd by this contract, the Contractor shall obtain Water Craft Liability Insurance with terns 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 tnlnintuln: • 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'tlie legal liability of the shipowner. The minimum Emits acceptable shall be: $500,000 Combined Single Limit (CSL) Coverage prodded by a Protection and lndemnity 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. Admini.grz ivc Lntnrclion WL 1 N4709 1 96 At:tlt:t�CERF[CATEFT INSU �ru'tl...- PRODUCER Alan R. Mott Agency, Inc. 184 East Main Street PO Box 995 Huntington, NY 11743 INSURED ---- — Spirit Marine Towing & Assistance d/b/a Sea Tow Florida Keys 911 West Indies Drive Ramrod Key, FL 33043 DATE (MKDD T IH S CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT 01 N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANIES AFFORDING COVERAGE COMPANY Royal Insurance Co. COMPANY B COMPANY C COMPANY D COVERAGES l31 cS;,.t• Sir r� ..�. -d.•t .F, iT...". /` ! 1't YLii. l r 7 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 1f� POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE Of INSURANCE POLICY NUMBER LIMITS - I DATE (MM/DD/YY) I DATE (MM/DDlYY) GENERAL LIABILITY �/ GENERAL AGGREGATE $ - COMMERCIAL GENERAL LIABILITY / '� ! PRODUCTS-COMP/OP AGG $ f1 yV CLAIMS MADE OCCUR a PERSONAL 8 ADV INJURY $ OWNE R'S R CONT PROT /1J EACH OCCURRENCE $ /h FIRE DAMAGE (Any one lire) . $ MED EM-fAny one person) S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS i SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS I GARAGE LIABILITY i ANY AUTO EXCESS LIABILITY j UMBRELLA FORM I ' �OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY v APPROVED BY RISK MANAGEMENT 02 i 6 BY � Jv� ur•i L Received Risk Mgmt. & Loss Control DATE _ Z THE PROPRIETOR/ INITIAL — PARTNERS/EXECUTIVE 4___ J INCL OFFICERS ARE. I EXCL OTHER _-_-- -- Protection & A Indemnity POH222891 (Liability) DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS 75 Spacecraft 25' 74 Thunderbird 24' 80 Spirit 34' CERTIFICATE HOLDER & ADDITIONAL . INSURED Monroe County Board of County Commissioners Att: Kim Blanco 5100 College Road Key West, FL 33040 ACORD 25-S (3/93) COMBINED SINGLE LIMIT S BODILY INJURY $ (Per person) BODILY INJURY . $ (Per accident) PROPERTY DAMAGE S AUTO ONLY EA ACCIDENT I $ OTHER THAN AUTO ONLY: IjI EACH ACCIDENT ! S AGGREGATE ($ EACH OCCURRENCE $ AGGREGATE $ $ STATUTORY LIMITS EACH ACCIDENT I $ DISEASE POLICY LIMIT $ DISEASE EACH EMPLOYEE ; $ 11/10/95 11/10/96 $500,000. - - CANCELLATION - - - -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1.0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL' IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHORI D REPRESENTATIVE . ACORD CORPORATION 1993 cc ## ISSUE GATE (MM/DD/YY) w(Fc ::....... 4 15/96 PRODUCER .. .. .. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ROGERS ATKINS GUNTER AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE DOE C & ASSOC ENOT S BELOW. FOREHAND INSURANCE AGENCY INC P O BOX 25598 COMPANIES AFFORDING COVERAGE TAMPA FL 3 3 6 2 2- 5 5 9 8 ....................................... __....... __ __............................................... COMPANY .........A :............................................................................. LETTER PROGRAM UNDERWRITERS INC _................................................................ ............. _ _ _ .........................................................................: COMPANY B MSURED LETTER ...... SEA TOW FLORIDA KEYS ............................................_.............._..... -__ __..__......................................................... COMPANY C DUKE H PONTIN SPIRIT TOWING ............................................... P 0 BOX 244 BIG PINE KEY LETTER . COMPANY D D _ ........ .............. KEY WEST FL 33043 LETTER _. COMPANY E LETTER........._ /1 COVERAGE-0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWrg1 STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 6t ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION DATE (MMMD/YY) DATE (MM/DD" umrrS A GENERAL uABIUTY PU7 9 5 0 4 4/ 10 9 6 4/ 10 / 9 7 GENERAL AGGREGATE 63 0 0, 0 0 0 X COMMERCIAL GENERAL LIABILITY PRODUCTSCOMPIOP AGG. $ CLAIMS MADE OCCUR. PERSONAL 6 ADV. INJURY S OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE s300,000 FIRE DAMAGE (Any one Are) $ MED. EXPENSE (Any one person) _ AUTOMOBILE LIABILITY 1. COMBINED SINGLE ANY AUTO LIMIT i ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) _ HIRED AUTOS BODILY INJURY = NON -OWNED AUTOS (Per accident) GARAGE LIABILITY -- - -- PROPERTY DAMAGE S EXCESS LABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE !; OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT j EMPLOYERS' UABIlTY DISEASE —POLICY LIMIT s DISEASE —EACH EMPLOYEE S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEIIICLES/SPECULL ITEMS COMPANY A IS SPHERE DRAKE INSURANCE CO - MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS ADDITIONAL INSURED BUT ONLY OPERATIONS PERFORMED BY THE NAMED INSURED - DOES NOT PROVIDE COVERAGE FOR TOWING & SALVAGE -PREMISES ONLY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE COUNTY BOARD OF COUNTY MAIL _3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE COMMISSIONERS KIM BE�e/yI�,�EE• LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5100 COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33040 AUTH REP�ESENT1�'n H B vbREHAND DD (B ) ACORD 25-S (7/90) nAnnnn nnnpnRATION 1990 - - F .: Ks >: - -. : : . '>.:::g::<:�:;:2;:::;:�i:::a:`•si' i:i':.:', iS`:?;::;;: '`i::z;; :::i;:r::;:i<:i:::i �.;::;: DATE A ... PRODUCER THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION •PROFESSIONAL INSURANCE CTR ' ONLY ANO CONFERS NO RIGHTS UPON THE CERTiFlCATE HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTENp OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. 2003 W KENNEDY COMPANIES AFFORDING COVERAGE TAMPA FL 33606--------------- COMPANY IauRED A BANKERS & SHIPPERS INS COMPANY , SPRIT TOWING COMPANY B DBA DUKE PONTIN PO BOX 244 COMPANY C KIN BIG PINE KEY FL 33043 COMPANY D COVERA .....TMI } i .o:.:_.>.:;<:st;::>:<:r^:::»>;>;>:«:<:2<'<::z:::>::::»>:<:»»::::::::'<:->::>•'•:s>::::3js`>r<:: S IS TO CERTIFY THAT THE POUCIE$ OF INS11RANCE USTED AELQW HAVE BEEN ISSUED To THE IN.CURFn NAm;:n ARnur. Fnn TMF Pnl it-y pc ion' INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 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. TR TYPE OF NSUpANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDNY) POLICY EXPIRATION DATE (MMMONY) �� GENERAL LIABRITY GENERAL AGGREGATE f COMMERCIAL GENERAL LIABILITY CLAIMS MADE f-] OCCUR PRODUCTS - COMP/OP AGG S PERSONAL A ADV INJURY j OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE i FIRE DAMAGE (Arty ono Ina) S MED EXP (Any ono parson) i AUTOMOBILE LIABILITY ANY AUTO C F L7 3 7 6 6 9 5' 11 / 0 6/ 9 6 0 5/ 0 6/ 9 7 -"`- COMBINED SINGLE LIMIT 3 0 0, 0 0 0 f ALL OWNED AUTOS SCHEDULED AUTOS w BODILY INJURY (Par Paryp,I) S - X MIRED AUTOS NON -OWNED AUTOS ---1- BODILY INJURY (Pa( accident) f - - - - - PROPERTY DAMAGE j GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY :r.l•: 'Ur) r, , EACH OCCURRENCE f AGGREGATE UMBRELLA FORM IOTHER BYcr S THAN UMBRELLA FORM WORKERS COMPENSATION AM EMPLOYERS' LIABILITY DATE / -3'� STATUTORY LIMITS EACH ACCIDENT j THE PROPRIETOR/ I�JCL PARTNERSIEXECUTIVE / t A!"FR: N/A v - TC - - DISEASE -POLICY LIMB _ i DISEASE - EACH EMPLOYEO S OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCAnONS/VMCLESISMCIAL ITEMS MARINE CONTRACTING 1979 GMC DUMP TRUCK SN: T16DA9V601349 ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEIIFD BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS ATTN : KIM MCGEE 3 0 DAYS WRITTEN NOTICE TO THE CERTtRCATE HOLDER NAMED TO THE LEFT, 5100 COLLEGE BUT F T MAIL SUCH NOTICE s NO OBLIGATION OR LIABILITY KEY WEST, FLORIDA 33040 of Y uv co EW920A REPRESENTATIVES- C C ' k7(/ �i AUTHOR ENTA ACORD 25-3 (3/93) K M. N ON, A ACORD CORPORATION 1993 • � • • M.-IM1111, of the arty of �o��o� according to law on my oath, and under penalty of perjury, depose and say that; 1) 1 am ,the bidder making the Proposal for the project des ribed as follows: 2) The prices in this bid have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor; 3) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid opening,, directly or indirectly, to any other bidder or to any competitor; and 4) No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit, or not to submit, a bid for the purpose of restricting competition; 5) The statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. STATE OF /''-J COUNTY (Signature �&Bid�der) DATE PERSONALLY APPEARED BEFORE ME, the undersigned authority, individual signing) affixed his/her signature ina her(name first being sworn by me, space p ovided above onthis of /'s day of Q�Tz� E , 19 My commission expires: NOTARY PUBLIC OMB MCP FORM #1 MYCOMMIp�p1K' Mc6ee %a: .o,_ N GM329 EXPIRES '� �; Mach 24, 1999 ?f tF`` BONDED nft TROY FAIN INSURANCE, INC. ETHICS CLAUSE c 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, 1 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. :-; e —= (signature) .. Date: 1,"'6 — �3 ^ � C STATE OF /'�-4 o �' e�� COUNTY OF PERSONALLY APPEARED BEFORE ME, the undersigned authority, after first being sworn by me, affixed his/her signature (name of individual signing) in the space provided above on this 5/`s day of 19 NOTARY PUBLIC My commission expires: ��M• °' ANY CO 'SSI^` Gllorria� r K. McGee OMB -MCP FORM tl4 "��' - 29EXPIRES ' March 24, 1999 Rl,h'` BONDED TNRU TROY PAIN INSURANCE, INC. DRUG -FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: rl/t- z l /k 4,4 (Name of Business) I. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 1 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. Bidders Signature Date OMB - MCP95